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AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
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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