resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
February, 2013, Vol. 13, Issue 02
Quiet the Fear and Then Open Your Heart
By Ann Catlin, LMT, NCTMB, OTR
I've had the privilege of teaching hundreds of massage therapists about serving frail elders and people in hospice care. I've learned from these therapists that, no matter what, we all have a few things in common.We are compassionate, heart-centered people. We want to make a difference in other's lives. And we have a desire to serve people in nursing homes, hospice or home care. But, even massage therapists who feel drawn to this work, struggle with fears and lack confidence in their ability to successfully reach out to this special population. "I don't feel I know enough." "I don't know the proper techniques." "I've never worked in this kind of health care system so how do I get started?" "I'm afraid of the emotional toll it might take on me." I want to challenge you to admit, then let go, of some of your own fears about working with this special population.
There are two themes of concerns that therapists seem to share. (Did you notice I've substituted the word "fear" with "concern"? Feels better already, doesn't it?) One theme centers on questions about how to market your services and how to create clinical programs in long term care or hospice. The second theme has to do with working with these special clients and how to handle situations that arise in say, the nursing home environment. These concerns going to be the focus here.
Your concerns create obstacles. There are obstacles that affect our confidence but, more importantly, obstacles that become barriers to getting in touch with your ability to be a compassionate and therapeutic presence and fully serve your clients. So, how do you go about identifying your own concerns? Try this brief activity as a start. Get a piece of paper. Now, imagine this scenario. Let's suppose you are just getting started with a new position in a large eldercare facility. You have several new clients with a range of conditions and abilities. Three have dementia. One has had a severe stroke. One has advanced Parkinson's disease. Two are non-verbal and spend most of their time in bed. And two are in the facility short term recovering from hip surgery and will be returning home soon. As you get started with your day, the director of nursing asks you to join a staff meeting to introduce yourself and tell them about your work. Okay, now ask yourself, "Is there anything I feel nervous about? Is there anything I don't know if I'm prepared for? If I imagine such and such happening, do I feel a twinge of anxiety or a tightening in my body?" Quickly jot down whatever comes to mind. These reactions represent your personal concerns.
There are four areas of concern that emerge over and over when I do this exercise in my workshops. I will share the most common ones with you here in hopes that you will feel some relief knowing that you aren't alone. The truth is we all have concerns and it doesn't matter how much experience we have. What follows is each of the four areas of concerns and the top three situations that therapists commonly share.
We all could add our own things to these lists. I want you to hear that just because you have these thoughts, it doesn't mean that something is wrong with you or that you aren't cut out for this work. It means you're normal and willing to take an honest look at yourself. There is a great little book by Susan Jeffers called, Feel the Fear and Do It Anyway. She tells us to, "accept fear as simply a fact of life rather than a barrier to success. Whenever we take a chance and enter unfamiliar territory or put ourselves into the world in a new way, we experience fear." I like to think of it as finding my edge and then, expanding it.
If you give yourself a break and soften your fears just a little, then you can operate from a heart-centered place rather than being caught up in your thoughts. If we are able to be in the moment rather anticipating what comes next, we are guided in our actions. And if we accept the situation as it is we are able to be fully present to the individual we are serving at the time. After all, at the end of the day, isn't that what it's all about?
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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