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Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
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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