resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
April, 2011, Vol. 11, Issue 04
Person-Centered Care: Why It Matters
By Ann Catlin, LMT, NCTMB, OTR
We are all either an elder (some of us), someone who cares about an elder (most of us), or someone who will be an elder (practically all of us). According to the American Medical Association, in 2011 America's 78 million baby boomers will begin turning 65 at a rate of one every 10 seconds.Of those, about 69 percent will need some form of long-term care. What does this have to do with massage therapy and why should you care? As care communities across the nation adopt person-centered policies and practices, they are finding that massage therapy supports this mission.
A Changing Culture
You can't appreciate why person-centered care is such a hot topic today without a glimpse of how nursing homes developed. In 1900, older adults were mostly cared for by family. Impoverished elders found themselves in local "poor farms" or "almshouses" known for bad conditions. Keep in mind the average life expectancy in 1900 was 47.
With today's life expectancy at 78.9, medical advances have made it possible to live for years with chronic illness. In 1954, a federal law provided funding for building nursing homes that were affiliated with hospitals. Those facilities were designed like hospitals which became the standard and most of these facilities adopted the medical model of healthcare.
CMS states its "vision for long-term care is that the system will be person-centered; that is, the system will be organized around the needs of the in-dividual rather than around the settings where care is delivered."
Person-centered care is a moral philosophy of care that honors individual history, personality and preferences in one's daily routine. The focus is on the person rather than on the illness or disability, and the person's voice is heard in decisions about how to best provide care.
We each have things that are important to us in our daily lives and how we would want others to relate to us.
To illustrate this, I'll use myself as an example. If I were in a situation where I needed long-term care, I would want my coffee and time for quiet read-ing in the morning, a bath at night, to be served fresh vegetables, to go outdoors often and watch the birds, listen to the music I love like James Tay-lor and Ella Fitzgerald, have a weekly massage and PLEASE no bingo!
Person-centered care is more than choosing our activities and the food we eat. At its core is community and the relationship between the elder and care partners. Planetree, a non-profit organization, facilitates person-centered care in healing environments. I especially like its holistic model of care and have abbreviated it for the purpose of this article. Their holistic model includes:
Best Practice in Culture Change
The Institute for Caregiver Education identifies massage therapy as a best practice in culture change indicating the following benefits:
As massage therapists, we know the positive impact of touch to improve physical, emotional, and spiritual quality of life. Isn't it wonderful that now the long-term care profession is recognizing what we have known for years about the benefits of massage? Look again at the holistic model described. As a massage therapist, how might you contribute to each item?
Become an advocate for massage in care communities.
Learn about culture change initiatives in your state. Most states have organizations dedicated to advancing person-centered care. A place to start is the Pioneer Network state coalitions. Go to www.pioneernetwork.net and click on "State Coalitions" in the menu where you will find a directory.
Educate care partners. Network with long-term care professionals and provide information on the benefits of focused touch and sensitive massage for elders.
Request massage therapy services. If your role is to find a care community for a family member, make it a point to ask if the community offers massage therapy.
Develop your skills in serving elders in care settings and start a program in a local community.
Culture change will impact all of us in some way. Perhaps it represents a career opportunity. We might have a family member or friend in a care community. Or maybe one day we may find ourselves in need of long-term care. Regardless, we each have an opportunity to contribute to this important shift in the care of our elders.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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