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.
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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