resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
June, 2010, Vol. 10, Issue 06
Opening Doors to Eldercare and Hospice
By Ann Catlin, LMT, NCTMB, OTR
It's no secret that the fastest-growing segment of our population is over the age of 65 -- and the greatest increase is occurring in those 85 and above. At the same time, there is growing awareness of the benefits of massage for people who are affected by debilitating illness, injury or cognitive impairment.There is clearly a burgeoning market for massage therapists who want to work in eldercare or hospice. But the people whom massage may benefit the most -- and who make up a big portion of this market -- are often embedded in a system that is full of intimidating obstacles for the therapist. They are behind the doors of long-term care and hospice organizations. You may discover that the door into these organizations seems closed -- closed not because you lack skill or passion for the work, but because you don't know the system and its jargon or how to get past the gatekeepers to the potential client. This article offers a key to open that door: knowledge of the system and how to navigate through it to help you succeed in expanding your practice to eldercare or hospice settings.
Types of Eldercare and Hospice
First, you must become familiar with the various types of eldercare or hospice organizations: assisted living, skilled nursing (nursing home), continuing care retirement and hospice.
Assisted Living The emphasis in assisted living settings is to support mentally or physically limited persons who need help with activities of daily living, but do not need the skilled medical care provided in a nursing home. Facilities consist of private rooms or apartments as well as common areas. These facilities provide 24-hour staffing, meals, housekeeping, social activities and limited nursing services such as management of medications. Some assisted living facilities provide specialized care for elders with Alzheimer's disease.
Skilled Nursing (Nursing Home) People enter a nursing facility usually as a result of illness, injury or mental or physical debility that requires 24-hour nursing care and continuous assistance with activities of daily living. Some require this level of care temporarily, and then return home. Others require permanent care. Facilities consist of semi-private or private rooms, a common dining room and social areas. Services include 24-hour nursing and personal care, meals, psychological and spiritual support, and planned social and recreational activities. Physical, occupational and speech therapy, as well as specialized care for those with Alzheimer's disease, may be available.
Continuing Care Retirement Community This is typically a campus setting with multiple levels of care including independent living, assisted living and skilled nursing. Residents can remain in the same community even if their needs change. Communities provide an array of services and amenities including dining, housekeeping, recreational activities, health care services, personal care assistance and nursing care.
Hospice is not a place but a concept of care. Eighty percent of hospice care is provided in the patient's home, family member's home and in nursing homes. Inpatient hospice facilities are sometimes available to assist with caregiving.
Most of these organizations will not have considered massage as an ancillary service. The following questions will be on the mind of a potential employer--be proactive in answering them.
How does massage help our residents or patients?
Not all administrators share your awareness of the benefits of massage. Remember that YOU are the expert on how massage therapy impacts the body, mind and spirit. These points will make a convincing case.
1. Massage alleviates aches and pains, resulting in:
2. Massage increases circulation, contributing to:
3. Massage provides tactile stimulation, which:
4. Massage induces a relaxation response, leading to:
5. Compassionate and caring touch supports emotional well-being by:
6. Focused touch enhances spiritual well-being, resulting in:
"It is the position of the American Massage Therapy Association (AMTA) that massage therapy can improve the quality of life for those in hospice and palliative care." AMTA evidenced-based position statement 2009
How do massage services benefit our profession?
Eldercare and hospice organizations are in business, too. They will want to know how massage services will improve their bottom line. Tell them that an organization that offers massage:
How does massage therapy help meet federal guidelines?
Massage services can be integrated into the resident or patient's plan of care. Documentation of your service contributes evidence of:
Who pays for massage therapy services?
The answer to this question lies in the structure of the agreement you have with the organization. You may be hired as a staff member, in which case you would be paid a salary to provide massage with or without employee benefits. More likely, however, you would be brought on as an independent contractor. In this case, there are two possible options for payment.
Option #1: The organization pays you an hourly rate for a set number of hours per month.
This offers them two advantages: any resident or patient may receive massage, and they can offer your services as a "value added" amenity, something that may be attractive to their potential customers. The advantage to you is reliable hours of work. The organization may also agree to pay you for staff massages or educational presentations.
Option #2: The organization permits you to offer massage on a fee for service basis. In this case, the resident or patient or his responsible party hires you directly; therefore you would work only with those individuals who have contracted your services. With this arrangement, there is no cost to the organization, which may appeal to the management. The challenge is that you have to attract and retain clients Ask the administrator or director to distribute information about your services. One suggestion is to place
your service brochure in the materials that all new residents or patients receive upon admission. Offer to give a short presentation about massage at family meetings or create a display for the lobby to announce the new service.
Other funding sources may include:
Is a physician's order required for massage therapy?
No. There are instances where you should consult with the physician to insure safety--for example, if the resident or patient has had recent surgery, acute illness, or chemo-therapy.
Can our staff members receive massage?
Care professionals can benefit from on-site seated massage to reduce the effects of job-related stress and prevent burnout. Massage is perfect for incentive programs to reward employees for a job well done! Offer to provide this service on a regular basis.
What qualifications should the massage therapist have?
Provide your license or certification credentials and proof of professional liability insurance. Highlight any specialized training in meeting the needs people in later life stages.
Including this special population in your practice can be professionally and personally rewarding. It requires specialized skills, sensitivity, and compassion--as well as a bit of a pioneering spirit. You can succeed in opening the door to eldercare or hospice organizations and in doing so reach out to those who need your touch.
Eldercare and hospice has its own jargon. Knowing how to communicate with the professionals who serve as gatekeepers in these settings will help you establish credibility and build relationships. Here are some terms that will help you "speak the language:"
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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