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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
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 previous articles by Ann Catlin, LMT, NCTMB, OTR.
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