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Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
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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