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Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
September, 2013, Vol. 13, Issue 09
The Rewards of Working with Dementia Patients, Part 2
By Ann Catlin, LMT, NCTMB, OTR
In my last article, I compared four types of dementias: Alzheimer's disease, vascular dementia, Lewy body dementia and frontotemporal dementia. Now, I'll explore how touch can improve the quality of life for the person living with the disease.
Touch deprivation in old age is real. Simington (1995) relates 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."
Touch is one of our most basic human needs throughout our life. Clearly our situation, age and condition changes, but the need for human contact does not. As Simington pointed out, as the body or mind declines, the need for human touch may increase as we search for reassurance and comfort.
Touch in the form of gentle and sensitive massage or attentive holding has the power to enhance physical, emotional and spiritual well-being. A hand massage, back massage or simply holding a person's hand has the power to elicit positive, life-affirming feelings and responses. Touch becomes a language of the human heart and a remembrance of one's place in the world.
An underlying principle is that we each have within us a compassionate presence. Sensitive massage and focused touch are mediums used to offer the gift of this natural presence.
Unique benefits of sensitive massage and focused touch:
Hands reflect the landscape of a person's life. When you touch someone's hands with compassion and sensitivity, you acknowledge their whole life experience. In our society, we touch hands as an accepted means of interaction to greet one another, offer support and to show affection. Since touching the hands is so familiar, hand massage may be gladly accepted by your care partner. Evidence suggests even a simple ten-minute hand massage can go a long way in helping people with dementia feel calmer and more connected with others and their immediate environment.
Suzuki (2010) explored the effects of hand massage on physical and mental function and behavioral and psychological symptoms among elderly patients with dementia. The group received a consistent hand massage protocol a total of 30 times each for 20 to 30 minutes between 4p.m. and 5p.m. Both aggressive behaviors and stress levels decreased significantly after six weeks.
The story of Mrs. A is paraphrased from the Suzuki Study. Mrs. A was an 84-year-old woman with AD. She had delusions that people were stealing things and was easily angered. She needed partial care for activities of daily living and used a wheelchair. Short-term memory impairment was evident, but she was relatively competent in communicating. She enjoyed hand massage and would come over in her wheelchair to ask, "are you doing massage today?" From about the fourth week of intervention, she said, "the circulation in my hands is better and it's nice having warm hands. I always used to wake up in the night, but these days I've been sleeping right through till the morning, and it's because of this massage."
After 6 weeks of hand massages, Mrs. A. showed slight improvement in motor function and she was much calmer and better at communicating. Paranoid delusional symptoms disappeared and she showed a decrease in wandering and aimless activity compared with before the intervention. She went from being quick to anger to smiling more frequently after the massage. She started being able to sleep through the night after receiving the massage and nurses noted a decrease in anxiety.
Dr. Allen Powers, author of Dementia Beyond Drugs and an advocate of touch in dementia care, adds to the conversation: "Modalities like massage ... can provide a balm for anyone who is in need of more human connection. I will confess that I have occasionally ordered moisturizing creams twice as often as needed for people with dementia who are disengaged merely to increase the frequency of hands-on contact."
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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