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News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
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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