resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
August, 2010, Vol. 10, Issue 08
Safety Guidelines for Aromatherapy
By Shellie Enteen, RA, BA, LMBT
There are some very important things to know in order to work effectively and ethically with essential oils. Apart from selecting the correct essences, knowing their properties and contraindications and choosing the most efficient method of administration, it is also necessary to observe certain safety guidelines and to know how to obtain and use the best quality essential oils.Because there is no governmental regulation of aromatherapy or the essential oil industry in the United States at this time, it is easy for a company or an individual to give out information that might not be accurate and in some cases, could even be harmful.
Sometimes, that is intentional (as in the case of a company making claims about their product that they know aren't true, but sound good and will create sales) and sometimes it is unintentional (as when an individual is repeating information received that wasn't questioned). In both cases, having a good education from a qualified school or instructor is the best way to prevent making the mistake of following bad advice or falling for a sales pitch. (More about quality and education in a future Aromatic Message article.)
For the licensed massage therapist, failure to observe some of the standard safety protocols with essential oils could backfire in a very unpleasant way, creating harm and incurring liability for which there may well be no insurance coverage. Here, as always, it is important to remember our scope of practice and observe the exclusion of the ability to diagnose and prescribe.
Essential Safety Procedures
Two of the most critical safety procedures for working with essential oils are:
In one case discussed by Battaglia in his text The Complete Guide to Aromatherapy a man decided to ingest a small amount of eucalyptus because he thought it would keep him free of colds and make him "feel good". During a routine medical exam, he was shocked when told he had cirrhosis of the liver and since he was a non-drinker, the most likely cause was the regular ingestion of the chemical component, cineole, present in the eucalyptus oil.
Approval of an essential oil by the FDA means that it is possible to use it in food and flavoring and does not constitute safety for general ingestion. The amount and method used with essential oils in food flavoring is quite different from putting a few drops of oil into water (even diluting it first into honey, etc.) and drinking. Apart from the real risks associated with doing this, it is good to remember there is no regulation on essential oil companies in the U.S. and elsewhere for the most part, so it is very hard to be certain of purity or that what is in the bottle is exactly what it should be.
In my own experience, many years ago, I followed the suggestion of a fellow therapist and took a drop of peppermint oil on my tongue to disguise the odor of onions lingering from lunch. That seemed harmless enough. The essential oil had been purchased from a very reputable source. However, almost immediately, I felt very strange and that feeling lasted for several hours. Some time later, I learned from a well-known aromatherapy chemist that this batch had been tested after similar reports and instead of containing Mentha x piperita, which is the peppermint used in food flavoring, it was actually cornmint, Mentha arvens. Cornmint is cheaper than peppermint to produce, tastes and smells close enough to use as an adulterant but unlike peppermint, it contains a large amount of a chemical component that makes it toxic to the liver.
More Safety Guidelines
Working safely with essential oils demonstrates a commitment to excellence. Other guidelines when working safely with essential oils include:
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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