resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
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 previous articles by Ann Catlin, LMT, NCTMB, OTR.
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