resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
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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