resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
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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