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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.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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?
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."
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.
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.
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.
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.
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.
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.
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, 2012, Vol. 12, Issue 04
Looking Beyond the Stereotypes of Old Age
By Ann Catlin, LMT, NCTMB, OTR
There's a little quip that I've heard in senior communities that goes something like this: "I'm looking for Mrs. B., can you tell me what she looks like? "Yes, she's the one with gray hair and glasses!" Not that original, really, but you get the picture.I've often been struck with profound awareness when I enter the dining room of a nursing home. At first glance it looks like a sea of gray heads and everyone sort of blends together. The quip suggests these old folks all look alike so they are alike and have morphed into some other kind of creature. At what point do we become one of "them"?
I have a psychologist friend who counsels young children. She once told me that she's effective because she doesn't talk down to the kids or treat them as "pre-people." Something about her comment rings true and, by comparison, I think we live in a society that views old people as "former people." But, when do we lose our individual identity and become a former person?
Since none of us are immune from cultural influence, perhaps it falls to each of us to question the collective attitude and see beyond the stereotypes of old age. Common language and images are a good place to start. We can pay attention to the words we use. Ever call someone a "cute little old lady?" We may as well pat her on the head! Media today is laced with messages that reinforce the idea of a monolithic group of older persons. I've used the phrase "Silver Tsunami." This term was coined in 2002 by Mary Maples to describe the aging baby boom generation that began turning 65 in 2011. But think about it. A tsunami is a force of nature that leaves destruction in its path. I went online to see how people defined the "Silver Tsunami" and on a blog I found this (sort-of humorous) explanation: "It means there are so many old people they're going to pile up in huge masses of wrinkled bodies, and they'll roll ashore, crashing into buildings and nuclear power plants." Perhaps "Silver Tsunami" isn't my best choice of words!
I can think of other times when my words really underscored the idea of an elder being a former person. I remember telling someone about a man in his nineties who "used to be a doctor!" Why are we surprised when an older adult continues to pursue activities of younger years? "Wow, she still rides a bike!" Self-reflection about our personal views of aging is important because we tend to internalize society's dialogue. Aging has become medicalized. Medicalization is when a normal human condition becomes seen as a problem in need of medical treatment. You don't have to look far to see evidence of this. Just turn on the TV or open a magazine. Aging is portrayed as something to fix, cover up, smooth out, and take (lots) of pills for. I've met many elders whose social lives revolve around going to the doctor and visits to the pharmacy. But something deeper happens in our psyche. As a society, we fiercely value autonomy, productivity and independence. But with aging sometimes comes the need to ask for help and physical decline, which we equate with a flawed existence. Feelings of failure and shame arise and we loathe the body that once served us so well. We begin to see ourselves as helpless and unworthy. We become former people even in our own minds.
Don't Touch-You Might Catch It!
Touch deprivation in old age is real. It occurs, in part, because of separation from loved ones, but mostly because of fear on the part of younger people. Fear of looking at old age up close and personal. I think that if old people are thought of as former people, the assumption is they no longer have the same needs as when they were younger. When it comes to touch, this idea really misses the mark! I'm always on the lookout for other experts who validate my convictions about the impact of massage for our elders. Jane A. Simington, RN, PhD, conducted a literature review and her findings were published in the Humane Medicine Journal. She reports that older persons report that touch conveys fondness, security, closeness, warmth, concern and encouragement, and makes them feel an increased sense of trust and well-being. They report that touch helps them to develop close, trusting relationships with staff and other residents. As tactile sensitivity decreases, the need to receive expressive touch may increase. Nature can be cruel however, and the elderly person often may have no one to provide this increased touch. The children are gone and the partner has died. One elderly woman put it this way, "Sometimes I hunger to be held. But he is the one who would have held me. He is the one who would have stroked my head. Now there is no one. No comfort."
Massage therapists can be agents of change and have the power to profoundly impact the quality of life for older adults by reversing the effects of touch deprivation. Of course, there are physical benefits of massage resulting in improved function in the activities of daily living. Massage alleviates aches and pains and improves circulation, resulting in greater ease of movement and the ability to perform physical tasks with greater comfort. We are all aware that massage induces a relaxation response, leading to improved sleep quality and feelings of calmness. Massage increases body awareness reducing the risk of falls. But focusing only on the physical benefits adds to the medicalization of aging. Rather than seeing massage as a treatment for ailments, let's look to it as a way to validate the human experience of aging. The gift of caring touch encourages feelings of self-acceptance and worthiness. But our influence goes even further. By literally reaching out to older adults, we demonstrate wholesome attitudes about aging. Maybe by our own actions we will encourage others to be more willing to touch our elders. Society as a whole stands to gain.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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