resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
November, 2009, Vol. 9, Issue 11
Tips From the Field: Creating a Supply Kit
By Ann Catlin, LMT, NCTMB, OTR
"What supplies should I take with me?" I've been asked this question a lot over the years by massage therapists anticipating work in eldercare or hospice settings. This situation is far different from having an office space with all your supplies conveniently available.Anyone who has ever offered massage at an offsite location can attest to this while lugging bags of supplies, not to mention a massage table, to the site. While you won't need to lug a massage table around when working with people in nursing homes or in hospice care, you will need certain essential items to make it a success. So just what should you take?
A bag for your supplies. I know this is obvious, but not just any bag will do. Besides keeping you organized, your bag is a tool for building relationship with your clients. I've found that using the same bag repeatedly creates a consistent identity and helps elders with memory impairment associate the bag with the experience of receiving touch. I recently was at a nursing facility and a woman wheeled herself over just to see my bag because it had cats on it. She is a cat-lover and we had a delightful conversation about her cats as she enjoyed a hand and back massage. So get creative, have some fun, and find something that you enjoy. Shoulder bags, beach bags, roller bags or craft supply bags are all good options.
Lightweight folding stool. Space in nursing homes and private homes is limited, and rooms are often cluttered. You will likely be working with someone in a wheelchair or hospital bed. Sometimes there isn't a chair for you to sit on. Other times, there's no place to put a chair even if you had one. A folding stool will be your best friend. You will always have a seat and your body mechanics will most certainly be better than trying to stand or kneel. Look at camping stores, department stores and even arts-and-crafts stores. Tri-fold camp stools and solid-seat stools make good choices.
Unscented massage lotion in pump bottle. Choose lotions that support and nourish thin or dehydrated skin: unscented, hypo-allergenic, nongreasy, pH-balanced and noncomedogenic (won't clog pores). If you have a client for whom you want to use scented lotion, you can add pure essential oils to individual amounts. I don't recommend using massage oil in care settings: It is difficult to control and a drop that accidently finds its way to the floor creates a risk for falls. Lotion is also a more familiar substance for elders and may be more easily accepted.
Bottle holster. Keeping your lotion in a holster while you work eliminates the need to set the bottle on the bed, floor or other surfaces, keeping it cleaner.
Sanitizing gel and disposable wipes. While sanitizing gel can never take the place of hand washing, it is helpful for times when you need to clean your hands or equipment and a sink is not handy. Wipes can be used to clean equipment like bottles or your stool between clients.
Nametag. It is important when working in any health care setting to have proper identification. I love my magnet-backed nametag- no pin holes in my clothes.
Documentation forms or notebook. Completing documentation while on-site will help with time management as well as accurate reporting of each session.
Hand-warmer. People with debilitating conditions are often cold. If you tend to have cold hands regularly, or only during cold weather, consider a hand warmer. I use a small flax-filled bag that I microwave to warm my hands. Wrap it in a paper towel to keep it clean. Facility employee break rooms have microwaves and many private residences will as well. Your touch will be much more welcome and your client will appreciate your thoughtfulness.
Mild peppermint foot cream. What better way to provide a soothing and uplifting foot massage?
Mild natural topical analgesic. Some clients will benefit from additional pain relief. For example, pain associated with arthritis or sore muscles.
Privacy door-hanger sign. I've found this does two things: it decreases interruptions by staff and it serves as a subtle marketing tool for you. Add your name and logo to the sign and it is a way to increase your visibility to staff, elders and families.
Small CD player or mp3 player. Some clients will have CD players. Choose music that is melodic and relaxing.
Soft fabric squares. Occasionally, you may want to offer a parting gift to bring closure to a session. You can collect inexpensive remnants of soft fabric and cut it into pieces approximately 12 in x 12 in. I find this especially useful for people with dementia to provide an added sensory experience to our session.
Journal or notebook. There are times when you may want to write as a way to care for your own feelings or to capture an uplifting moment. I've sometimes written letters to clients who have made their transition to say goodbye. Other times I write down something that a client said during our session. Taking a moment to write is a way to support yourself and honor your own process in this work.
I asked some colleagues what they carry in their own supply kits. Here is what they shared with me:
Valerie Hartman is a complementary therapy hospice and palliative care nurse. She recommends: a divided bag so you can separate items; disposable pads to place on chair or floor; and aromatherapy supplies (if you are properly trained).
Susan Cunningham, LMT, includes these items when serving home-care hospice patients: paper towels in a zip-lock bag to dry your hands; lint roller (for when you are visited by the friendly family cat); and a small clock.
Annie Roberts, LMT, says, "These are nonessential items but are helpful to me: lightly scented lotions (lavender, orange blossom) for piquing interest in a session, and Dove chocolates that have a "promise" written inside the wrapper, which is a conversation starter. The Junior Mints (like at the movie theater) are small, melt quickly so little risk of choking and make a nice occasional treat. I get permission from the client's nurse before offering these treats in case there are dietary restrictions."
Lee Carpenter, LMT, suggests for clients in a long-term care facility: Tent (or self-standing) appointment cards to leave in your client's room following your visit. On one side: (your name and credentials) was here today (write in today's date) to visit (write in the name of client). The next visit will be (write in date). On the other side, include your contact information and business logo along with some benefits of massage or a quote.
Giving thoughtful attention to creating your own supply kit can enhance the quality of your service while at the same time increase your own enjoyment of your work. I encourage you to get creative, have a little fun, and build a kit that reflects your own style.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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