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Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
Wisconsin Exam in the Spotlight
You've passed your national boards with flying colors, including Part IV, the practical examination, at a combined cost of more than $3,000.
Business Building: What's Your Strategy?
I know some in our profession love to debate about whether or not spinal curvatures change as a result of our chiropractic adjustment, but I have a question that hits a little more close to the belt than that: Are chiropractors capable of change?
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
July, 2009, Vol. 09, Issue 07
Massage and Alzheimer's Disease, Part 1
What would Maslow say?
By Ann Catlin, LMT, NCTMB, OTR
It has been said that in 25 years, the United States will have two kinds of people: those who have Alzheimer's disease and those who are caring for someone with Alzheimer's disease. Dementia is a term meaning loss of memory and other intellectual abilities serious enough to interfere with daily life. Alzheimer's is the most common form of dementia.
As a licensed massage therapist and Compassionate Touch practitioner, I have witnessed the transformation that can occur when intentional touch is offered, enhancing quality of life of individuals living with Alzheimer's disease.
So what is at the heart of these seemingly magical moments? There is clearly something profound happening that goes well beyond simple touch. We can explore the relationship between human needs and well-being to gain a greater understanding of how deep our touch truly goes.
Maslow's Hierarchy of Needs
Abraham Maslow (1908-1970) was an American psychologist and scholar. He is noted for his conceptualization of a hierarchy of human needs, and is considered the father of humanistic psychology. Maslow teaches that we must have survival and safety needs met before any social or spiritual needs can be realized.
The needs of the body, mind and spirit remain intact regardless of the condition of the body or mind. The person living with Alzheimer's disease continues to relate to his or her world based upon whether or not these needs are being met. To explore the relationship between Alzheimer's disease, human needs, and touch I invite you to consider the following example of Faye, a woman with Alzheimer's disease who lived in a skilled nursing facility. I saw her for Compassionate Touch sessions twice a month for about a year.
The need for physical survival. As Alzheimer's disease advanced, Faye lost her ability to independently manage activities such as eating or toileting and she relied on caregivers for physical needs. Her sleep patterns were disturbed and she became incontinent of bladder and bowel. Effects of massage: Touch is as essential as breath for humans to survive and thrive. The sensory stimulation of massage awakened Faye's awareness of her own body; physical discomfort was eased; and the quality of her sleep improved.
The need to have personal security and to feel safe. Typical of Alzheimer's disease, Faye lost her ability to recall recent events and her memory of her own life experiences faded. She did retain her ability to recognize her family. She had severe time confusion and did not understand where she was. Effects of massage: The massage and focused attention seemed reassuring to Faye and she appeared less anxious. She seemed more grounded in the present moment which allowed her to enjoy our interaction.
The need for a sense of belonging and connection to others. For years, Faye had been active within her church community (her husband was the minister). Alzheimer's disease and the move to the nursing home had removed her from contact with familiar people in her life. She became somewhat withdrawn and became anxious around unfamiliar people. She spent many hours alone in her room. Effect of massage: The touch became a form of communication of its own as Faye's ability to verbally express herself declined. Our sessions were a time of social interaction that seemed to give her pleasure, decreasing feelings of loneliness and boredom.
The need to express feelings and have them acknowledged. A hallmark of Alzheimer's disease is that it decreases the person's ability to organize and express thoughts or communicate one's needs. Feelings are often expressed in ways that are difficult for family or caregivers to understand such as through sounds or movements. Faye retained her ability to verbally communicate but she had trouble forming sentences to say what was really on her mind. She often would get frustrated and just stop, falling quiet. Effects of massage: Through touch and an open heart I was able to convey acceptance and compassion for whatever Faye was experiencing in the moment. Feelings that are acknowledged are diffused. During our sessions Faye often found the words and it became clear to me that she retained a level of awareness about her situation that was not casually apparent. Here are a few of the things she said during our sessions:
The need to give to others and to be treated with respect. We all feel good when we give of ourselves to others or are productive members of the society in which we live. We thrive in an environment of mutual understanding and respect. People with Alzheimer's disease can easily feel that they have nothing to contribute and I've observed that this idea is reinforced in our care system leading to what I refer to as "learned helplessness." Effect of massage: Faye enjoyed the one-to-one focused attention and would often look for ways to do something for me. She would offer me food or sometimes would put lotion on my hands. I noticed that if I would accept her gifts that she sat up just a little bit straighter in her wheelchair and her facial expression was brighter.
The need for a sense of self and a connection to spirit. Many people assume that Alzheimer's disease robs people of their identity. My experience has shown that although memory and cognition become severely impaired, it appears that the person living with dementia seems to retain a sense of self--the essence of whom he or she really is. Effects of massage: When the essence of the individual is acknowledged through the gift of touch and mindful presence it seems to allow it to shine through the fog of Alzheimer's disease.
Massage therapists can bring a unique perspective to the care of elders living with Alzheimer's disease by highlighting the role of compassionate human touch in satisfying human needs on all levels. I think Maslow would be pleased!
In my next article, I'll present an overview of some studies that support the use of skilled touch in the care of those living with Alzheimer's disease and other forms of dementia. Until then, shine on!
According to the Alzheimer's Association:
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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