resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
September, 2011, Vol. 11, Issue 09
Embracing the Future of Integrated Care
By Whitney Lowe, LMT
There is no shortage of complaints about the health care system, whether in this country or abroad. Unfortunately, we don't get as much press attention for those things that actually are innovative and working well.There is a movement afoot where practitioners are looking at ways to offer the most optimum means of treatment in a patient-centered healthcare approach. This method of integrated care is an exciting departure from what we have seen previously as the dominant model in our health care system.
While there are many situations in clinics where health professionals in different fields work together, as a general rule, our professions work and exist in separate silos. Each of our professions has a unique culture, literature, attitude, and perception. We tend to view the other professions through the lens of bias created by our own profession.
Yet, for any patient or client to derive the best care, in many situations the skills of different professionals are needed. For this to work we must get out of our silos and learn more about each other as healthcare professionals. I have had the great fortune to work with two different organizations that are doing this in very inspiring and unique ways and there is much that we can learn from them in providing the most effective patient- or client-centered care.
Several years ago, I began working with the Academic Consortium for Complementary and Alternative Health Care (ACCAHC). This is one of the most passionate and interesting groups I have ever worked with. I first met many of these individuals prior to ACCAHC's formation at the National Education Dialogue (NED) held at Georgetown University in 2005. The purpose of NED was to bring together physicians and deans of academic medical centers with leaders in the alternative health care professions, to talk about educating future practitioners so we could learn more about what we do in each other's professions. It was simply amazing to sit at the table with physicians and mainstream medical academics who were eagerly interested in learning about what we do in massage therapy and alternative healthcare.
ACCAHC grew out of the NED and is an organization of representatives from alternative health care professions. The primary focus of ACCAHC is to encourage a patient-centered healthcare model that includes integration of all healthcare modalities to find the most effective and appropriate care for each individual. In order for this to occur effectively, the practitioners, educators, and researchers from each of these professions must first learn a great deal about what others in different fields do. While I thought I had a pretty good understanding of the other alternative healthcare professions, it became very clear early on that there was so much I didn't know about how care was delivered in these other fields.
One of the major projects currently underway for ACCAHC is a focus on interprofessional education (learning about what other professions do). When you think about referring a client to someone else for care, it is really essential that you have a thorough grasp of the treatment approaches used for that individual. We must understand how massage interfaces with those other treatments. Similarly, when a client is referred to us from some other practitioner, we need to understand the approaches that have been used previously and why they may or may not have been effective. Interprofessional education is at the core of this understanding and the initiatives of ACCAHC are highly valuable in bringing massage therapy forward.
Unfortunately, not all of the organizations in the massage therapy profession have recognized the crucial importance of ACCAHC's work. We have had good representation from educators, clinicians, and researchers, but in order to move forward as a viable profession within this organization we must also have a strong and proactive participation from our accreditation and certification bodies.
The second group that illustrates a great model of integrated care is one that I've very recently become involved with. It is called TRIARQ and is headquartered in New York. TRIARQ was started by a number of physicians and physical therapists who recognized that they were both working with the same patients, but in many instances not benefiting from a thorough and comprehensive understanding of the treatment approaches they were each using. As the TRIARQ website states:
"Healthcare for patients with musculoskeletal injuries is fragmented among physicians, physical therapists, occupational therapists and patients. Historically, there has been limited communication or coordination of care amongst these groups. We are seeing fundamental changes in the philosophy of patient care including stress on continuity, quality, scientific-based treatment and performance of healthcare professionals. The success of treatment, measured by patient satisfaction, needs to improve."
Because musculoskeletal injuries make up a huge segment of healthcare expenditures, it is essential that we encourage greater collaboration between those professionals who treat musculoskeletal injuries. TRIARQ has recently opened up their membership to massage therapists and actively encourage the participation of massage professionals in this interprofessional dialogue. After speaking at a recent symposium with them in New York, I was once again thoroughly impressed by the degree of respect and mutual collaboration amongst all the individuals representing their own unique perspectives. It is this type of integrated healthcare that will provide clients and patients the most effective opportunities to enhance their health and well-being.
I would encourage all massage therapists to seek out not only these organizations, but any opportunities to enhance your own understanding and awareness of what people in other healthcare fields do so you can best understand how to integrate those practices with your own. We are at a place in our health care system where we must get out of our individual silos and find ways to deliver optimal integrated care. The more we learn about each other the better we will be in our own approaches.
Click here for more information about Whitney Lowe, LMT.
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