resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
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 previous articles by Ann Catlin, LMT, NCTMB, OTR.
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