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First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
November, 2013, Vol. 13, Issue 11
Why Touch Matters: 10 Things You Should Know
By Ann Catlin, LMT, NCTMB, OTR
Whatever your season of life, human touch is an important part of what makes you who you are. It speaks to our relationships, our emotions and can show the world what really matters most in our lives.However, the older we get, the less human touch we might receive as friends and family pass away,and distance and the busyness of life separate us. For those living in nursing homes, the lack of human touch can be debilitating.
I can share some observations and reflections about why touch matters to frail elders, their families, the nursing home facilities, society and you. Whether or not you want to serve this special population as a massage therapist, it's relevant as people in your own life age.
Touch deprivation in old age is real. Studies have shown that frail elderly people are less likely to receive expressive touch. Why? Public attitude about old age (we don't like it) and fear about touching (I might have to face it or I'm afraid I might hurt them). Elders today have less access to family in our mobile society. Extreme demands of caregivers leave little time to offer one-to-one attention. Health care practices have become more high-tech, adding even more distance between health professionals and those they care for. Lack of touch contributes to feelings of isolation, anxiety, pain, loneliness, boredom and helplessness.
Touch in caregiving is not all the same. There are basically two kinds of touch when taking care of people in nursing homes: necessary and non-necessary. Necessary touch occurs during assistance with personal care and medical procedures, along with providing protection and safety. Non-necessary touch is expressive touch offered to show care, concern, reassurance, affection and love.
When compassionate presence is combined with focused touch or massage, the person feels validated and whatever is causing suffering in the moment is relieved. The caregiver is led to right action, whether a simple kindness or to just be there for a moment without an agenda.
Compassion is good medicine. Brain studies show how compassion affects us biologically. For example, when we feel compassion for another, our heart rate decreases and levels of oxytocin, the "care and connection" hormone, increase. Areas of our brains leading to altruistic actions are stimulated as well. One study shows that only 40 seconds of focused attention from a doctor makes a difference in how the patient feels about their care and confidence in the doctor.
Eldercare is changing. There are efforts taking place to change the culture of long-term care and move away from an institutional model. Today's older adult wants to be cared for at home, if possible. But if facility care is necessary, they prefer it to have a home-like design with private rooms.
They want control in daily routines and access to technology such as Internet access. Older adults today want to be able to participate in the same kinds of recreation activities they did before entering the nursing home. And they want access to complementary therapies like massage and aromatherapy. As a result, more eldercare communities are adding massage therapy to their services.
Why does touch matter to the person living in a care facility? Studies show touch improves the quality of life for elders physically, emotionally, socially and spiritually. Benefits include:
Why does touch matter to a nursing home resident's family? Family members need peace of mind. They need assurance that their loved one is safe, cared for and cared about. Family members also need a way to relate to their loved one, who now may not be able to communicate well because of their condition. Family members need to feel less helpless in the face of a situation that seems out of their control.
Touch can be a bridge of connection for families. Massage therapists can teach family members how to use simple touch and massage techniques to connect with their elder. Facilities that have a massage therapy program enjoy the positive feedback from families when they see their loved one being cared for with a compassionate touch.
Care Facility Staff
Why does touch matter to the staff of a care facility? Touch offers caregivers greater work satisfaction. Long-term-care professionals have very demanding work. They can benefit from receiving massage. Some facilities offer on-site seated massage for staff, and I've been amazed at how much relief these caregivers experience with a 10-minute massage in the middle of their day. They feel appreciated for the work they do.
The direct care staff (for example, nurse assistants) need effective tools to manage challenges without adding to their workload. These caregivers can learn simple touch techniques that studies show actually decrease caregiving challenges. One example is that when a brief hand massage was offered, the elder was more cooperative during personal care. Touch helps care staff to enjoy more of a relationship with those they care for.
Why does touch matter to the facility as an organization? An eldercare facility needs to provide excellent service. As a business, it must attract new residents and have a marketing edge in a very competitive service industry. It needs to retain skilled staff. The facility's staff need to "think beyond Bingo" to meet the demands of today's older adults for an enriched daily life. And facilities must comply with regulations set by national and state policy-makers. Massage therapy programs contribute to all these organizational needs. As one nursing home administrator put it, "providing massage for our residents puts us a cut above other facilities – going above and beyond what's required."
Personally or professionally, you will be called to the bedside. With touch, your sensitivity to care for others grows and your ability to be a compassionate presence deepens. And because touch has reciprocal benefits, your own stress is eased and you are uplifted while making a difference for someone else.
Why does touch matter to society? Health care in today's high-tech world has become depersonalized. So much attention must be given to the technical aspects of medical care that the person can feel lost in the shuffle. We can bring together the world of medical technology with the human side of care simply by reaching out and offering the gift of a compassionate touch. I love what Dr. Abraham Verghese had to say in a 2013 presentation: "The most important innovation in medicine to come in the next 10 years: the power of the human hand." I couldn't agree more!
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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