Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
October, 2011, Vol. 11, Issue 10
Hospice Massage Programs Provide Visionary Care
By Ann Catlin, LMT, NCTMB, OTR
Ten years ago, when I began teaching others about end-of-life care, I heard a lot of massage therapists say that they wanted to volunteer with hospice and realized they needed some additional knowledge and skills.Today, even more therapists I train say they want to work in hospice or develop a hospice massage program. The chances for them to do that are much better than a decade ago and I'm blessed to be a part of the expansion of holistic end-of-life care.
Rather than a place of care, hospice is a philosophy focused on comfort and support of people facing a life-limiting illness that no longer responds to curative treatment. The goal of hospice is to improve quality of life by easing the physical, emotional and spiritual burden of the patient and his or her family. Pain and other symptom management is a special area of expertise hospice offers. Eighty percent of hospice care is provided in the patient's home. "Home" is defined as wherever the patient is living at the time. It might be a family member's home or a nursing home. There are even hospice services provided in some prisons. The United States Medical Center for Federal Prisoners happens to be where I live in Springfield, Mo. The first prison-based hospice program was developed there in 1988. I once heard moving accounts by several prisoners who were trained as hospice volunteers and served at the bedsides of fellow inmates. They talked about the profound impact the experience had on them as they learned to care for a dying friend. I recall one man saying it was the first time he felt compassion for another human being and that it was making him a better person.
It might surprise you to know that hospice is a relatively new area of health care. The first hospice, St. Christopher's Hospice in London, was formed in 1967 by Dame Cicley Saunders, a nurse and physician who saw the need for more compassionate care of the dying. While lecturing at Yale University, she met Florence Wald who, at the time, was Dean of the Yale School of Nursing. Five years later Wald moved to London to work alongside Saunders at St. Christopher's Hospice. Meanwhile, Elisabeth Kubler-Ross published her landmark bestselling book, On Death and Dying, establishing her as an advocate for dignified home care of the dying. In 1974, Florence Wald founded Connecticut Hospice in New Haven, the first hospice in the United States. It's important to note that in 1982, Medicare Hospice Benefit legislation was passed, demonstrating that the federal government supported quality end-of-life care and was willing to pay for it with Medicare funds. Today, there are more than 5000 hospice organizations in the U.S. alone.
The Hospice Team — Where Does Massage Fit?
Every hospice patient has access to an interdisciplinary team depending on individual needs and choices. The patient and his or her family are central to the team. Each team also includes a nurse, physician, social worker, home health aide, spiritual and bereavement counselor, occupational, speech and physical therapist and volunteer. Not every patient requires help from every team member, but the hospice organization must have these services available. In fact, Medicare demands this standard of care in order to qualify for funding. I realize you didn't read "massage therapy" in that list of required services. So where do we fit in to the team?
The past ten years has seen remarkable growth in hospice massage programs in spite of the fact that there is no standard for how these programs are created, managed or funded. Since my own work includes training and preparing massage therapists to serve people in hospice, the question of how it's working is important to me. I'd like to give you a peek into what's happening at this point in time. I found one 2009 study published in the American Journal of Hospice and Palliative Medicine that surveyed hospices in the state of Washington to find out about complementary therapy use. Survey results revealed that 86 percent offered at least one complementary therapy. The three most common were massage therapy (87 percent); music therapy (74 percent); and energy healing (65 percent). A fairly significant number of hospice patients received complementary care, averaging 35 percent of all patients. So, if massage therapy was so widespread, how was it funded? Well, the good news is that hospices more than ever before are finding ways to compensate massage therapists for their service. The not so good news is that there still are a lot of hospice massage programs that rely on volunteer service. Of the 58 percent of hospices that paid massage therapists, funds came from donations, special funds and grants, direct pay from patients, and other hospice funds. Most hospices relied on a combination of paid and volunteer services. The authors concluded, "According to the results of this survey, the use of complementary and alternative medicine in Washington state hospices is so extensive that the official inclusion of CAM providers as part of hospice staff seems warranted (and these) providers should be considered health care professionals, and as such, be submitted to the same rule and benefits other health care professionals receive." I couldn't agree more! I'm happy to say there are some hospices that are doing just that.
Alternative Hospice in the St. Louis area is a great example. I interviewed Mary Magill, RN, Founder and Executive Director, to find out about their program. The most significant difference is that massage therapy is included in their standard of care, not just an adjunct to core care. From its inception in 2005, the use of complementary services has been central. In fact, it's in their mission: "Alternative Hospice provides holistic end-of-life healthcare by integrating complementary care with conventional medicine." Mary shared that her nursing background included work in long-term care facilities. She observed the profound impact of seniors living with the loneliness of touch deficit and wanted to alleviate that kind of suffering. Alternative Hospice currently employs four part-time massage therapists who work out of two offices, one in metropolitan St. Louis and one in a rural area. Besides wages, therapists earn paid time off and are covered by the company's liability insurance. Massage services are funded primarily by donated funds. Therapists not only care for patients and their family caregivers, but also other hospice staff. I asked Mary what special skills she looks for in the massage therapists she hires. She responded, "Love for elderly people; a compassionate heart; specialized training that includes not only clinical skills." Therapists are expected to function as a professional member of the interdisciplinary team and have sound documentation skills. Alternative Hospice benefits from the complementary care it provides in several ways, most notably, increased patient and staff referrals. Mary cited decreased staff turnover as a huge benefit. Personally, she is rewarded by witnessing the greater quality of life in their patients. "I know we are doing a great job and our families appreciate it."
I believe we will see continued growth in quality hospice massage programs as public interest in using complementary therapies increases, along with emerging evidence of the value of massage in end-of-life care. And those of us who feel drawn to serve this special population will have the joy of being a part of something that makes our world a better place.
"You matter because you are you. You matter to the last moment of your life and we will do all we can not only to help you die peacefully, but also to live until you die." – Dame Cicely Saunders, Founder of the Hospice Movement
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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