A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
January, 2008, Vol. 08, Issue 01
A Promising Future Comes From Serving Special Populations
By Ann Catlin, LMT, NCTMB, OTR
I bring good news to those of you wishing to expand your practice to special populations! Massage is finding an accepted place in traditional settings that care for our elders, individuals with life-limiting illness or disability. Many of your peers are discovering opportunities in eldercare facilities, hospice and hospitals:
This is good news for us all. And thanks to the increased public awareness of the value of massage, the success these massage therapists are enjoying is being repeated across the country. But there are other influences at work here, too. Societal trends lend promise to this ever-growing specialized market for massage therapists.
Current Trends Support the Growth of Massage Therapy
We live in a society that loves to keep track of facts and statistics. Many of us in the massage profession don't get too excited about this kind of detail. We like to experience the world through other means, kinesthetically, for example. But my own experience and observation as a therapist and an educator prompted me to ask a key question: What are the forces driving the increased opportunities for massage therapists to serve elders and other special populations? Part of the answer to my question can be found in demographic and society changes occurring at the same time that massage therapy is being recognized as a valuable, if not essential, form of service. Call it synchronicity or just old-fashioned good timing, but the end result is that we are in a good place at the right time. Here is what I discovered about current trends.
There are increasing numbers of older adults. In 2006, there were 37.3 million people in the U.S. over age 65. By the year 2030, it is estimated there will be 71.5 million.1
People are living longer. The fastest growing segment of our population is 85 years and older. In the last century, our country has experienced enormous change in how long people live. In 1900, the average life expectancy in the U.S. was 47.3. Today it is 78. Advances in medicine and health care along with lifestyle changes have contributed to people living longer.2
The types of diseases have changed. In 1900, the leading cause of death among adults was infectious diseases such as pneumonia, tuberculosis and influenza, as well as accidents. Today, adults are affected by more chronic illnesses and living for years with conditions such as heart disease, diabetes, Parkinson's disease and Alzheimer's disease.2,3
More people are turning to complementary and alternative therapies. Individuals are using complementary and alternative therapies in growing numbers. Studies have shown that common reasons for this trend include: increased desire to participate in one's self care; concerns regarding side effects of medications; concern about health care costs; and consumer dissatisfaction with conventional medical care. One study showed that adults over 65 were most motivated to use complementary modalities for pain relief, to improve quality of life and to maintain health and fitness. The complementary and alternative therapies most commonly used by these older adults were chiropractic, herbal medicine and massage therapy. According to a 2006 consumer survey by the AMTA, the use of massage therapy among those 65 and older has tripled since 1997.4,5
There is greater public access to hospice care. Hospice is a relative newcomer to the health care system. Hospice today refers to specialized care of dying patients and can be traced back to 1967 when Dame Cicely Saunders founded the first modern hospice near London. She, along with Dr. Elisabeth Kubler-Ross, introduced holistic hospice care to the U.S. and the first hospice in America, the Connecticut Hospice, was opened in 1974. Today, there are more than 4,000 hospice organizations in the U.S.6,7
Hospitals are developing palliative care programs. (To palliate means to make comfortable by alleviating symptoms from an illness.) Hospices have traditionally provided palliative care to individuals suffering from terminal illness. Now, more hospitals are turning to palliative care for patients with advanced chronic or life-threatening illness, emphasizing symptom management, communication and other means to improve quality of life for patients and their families. Larger hospitals, university medical centers and not-for-profit hospitals are where most palliative care programs are found.7,8
Hospital-based massage programs are growing in number. A 2006 national survey by the AMTA showed the number of hospitals offering massage increased more than one-third over the previous two years. Of those hospitals, 71 percent indicated that massage therapy is offered for patient stress relief and comfort; 67 percent utilized massage therapy for pain management; 52 percent provided massage for cancer patients and 37 percent offered massage for end-of-life care.9,10
The Culture Change Movement is impacting nursing home care. This is a grass-roots movement, transforming the culture of aging in America and bringing person-centered care to the nursing home industry. Spearheaded by the Pioneer Network, this movement is about fundamental change in nursing homes, creating a less institutionalized and more humane environment that supports the elder's life, dignity, rights and freedom.11,12
So, what does all this have to do with you? If you are a massage therapist who feels drawn to work with elders, the ill or those in end-of-life care, it has a great deal to do with you. As our population ages, greater numbers of older adults will be seeking ways to live well longer or to find relief from the symptoms of the conditions affecting them. If you have the knowledge, skills and sensitivity to meet their needs, there is potential for your practice to thrive. Many elders will require the assistance of a care facility due to debilitating illness or injury.
The doors are opening for massage therapists to work in long-term care facilities as evidence shows that skilled touch improves the quality of life for the individuals who reside there. Public awareness and access to hospice and palliative care will continue to expand; and massage is an effective, non-pharmacological approach for comfort care. Keep in mind that nursing homes, hospice organizations and hospitals are businesses too, and they are continually looking for innovative programs to attract customers in their changing and competitive market. Bringing a massage therapist on board does exactly that.
The good news is that the potential for you to successfully expand your practice will only increase. What's more, working with individuals in this special population gives you the opportunity to serve others in a way that is profound. It can be the most uplifting and deeply rewarding work you will ever do. Now that is really good news!
Click here for previous articles by Ann Catlin, LMT, NCTMB, OTR.
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