Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
August, 2013, Vol. 13, Issue 08
The Rewards of Working with Dementia Patients
By Ann Catlin, LMT, NCTMB, OTR
I'm a brain/behavior geek from way back. In college as an occupational therapy student in the 1970's, I added a semester just to take more psychology classes. An internship was spent living and working at a large state mental hospital in Wisconsin.I loved it! My first jobs were in acute psychiatric units. I loved that, too. I spent ten years working in a rehabilitation center for people with traumatic brain injuries. I really loved that! Then I started working in nursing homes and began to learn about Alzheimer's disease and related dementias.
Fast forward to the present time and my favorite work is sessions with people with advanced dementia and teaching massage therapists and other professional caregivers how they do it, too. As our population ages, we will see greater numbers of people with cognitive impairment. Did you know that of people over the age of 85, about half have some degree of dementia? This is an issue that will affect almost all of us personally or professionally.
Geek that I am, I like finding a new piece to the puzzle of dementia and the inner world of people living with it. One piece I'd like to share with you is that not all dementia is the same. What follows is a description of the most common forms of dementia and the conditions that create it. Dementia is a general term meaning loss of memory and other intellectual abilities serious enough to interfere with daily life. It's important to understand that no two people are alike when it comes to dementia, even if the diagnosis is the same.
Alzheimer's disease (AD)
This is the most common type of dementia and accounts for about 60 percent of cases. AD is a progressive, degenerative disease that results in impaired memory, thinking and behavior reducing the ability to perform routine activities; common symptoms of dementia include memory loss, confusion, difficulty in communicating, disorientation in time and place, mood swings, restlessness, sleeplessness, behavioral disturbances, personality changes and perceptual motor problems. Abnormal structures called plaques and tangles are prime suspects in damaging and killing nerve cells, leading to brain atrophy. Plaques and tangles are deposits of protein fragments that bind together over time. Experts believe they play a critical role in blocking communication among nerve cells and disrupting processes that cells need to survive.
It's the destruction of nerve cells that causes symptoms of Alzheimer's disease. If AD is diagnosed prior to age 65, it is considered early onset. The course of the disease is similar as described above. Researchers have identified a possible genetic or familial link in people who develop the disease in their 40's or 50's. Early onset AD is relatively uncommon.
Vascular dementia is the second most common. It's caused by decreased blood flow to parts of the brain, depriving cells of nutrients needed to live. Onset can be sudden following a cerebral vascular accident (stroke). In others, onset is more stepwise. This happens when the person has a series of small strokes, known as transient ischemic attacks. Unique symptoms may include emotional outbursts and weakness in one or more extremities.
Lewy body dementia (LBD) is progressive and caused by abnormal protein structures in the brain called Lewy bodies. Symptoms are similar to AD, except that visual hallucinations and paranoia is a unique feature. People with LBD have symptoms very much like Parkinson's Disease including muscle rigidity and tremors and stooped posture. LBD is the third most common form of dementia.
Frontotemporal dementia (FTD) is caused by cell degeneration and tissue shrinking in the brain's frontal or temporal lobes, which control functions of personality, behavior and language. Symptoms vary, depending upon the portion of the brain affected. Some people with FTD have dramatic personality changes and social behavior is inappropriate and impulsive while others lose language abilities. Most people diagnosed with FTD are in their 50's or 60's.
Dementia is a growing concern in healthcare, our communities and families. Sound information gives us a foundation from which to act and increases our comfort level to serve this special population. My next article will explore how focused touch and sensitive massage can improve the quality of life for both the person living with the disease and their care partners. Until then, take good care.
Want to learn more?
These links take you to brief videos.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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