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Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
April, 2011, Vol. 11, Issue 04
Person-Centered Care: Why It Matters
By Ann Catlin, LMT, NCTMB, OTR
We are all either an elder (some of us), someone who cares about an elder (most of us), or someone who will be an elder (practically all of us). According to the American Medical Association, in 2011 America's 78 million baby boomers will begin turning 65 at a rate of one every 10 seconds.Of those, about 69 percent will need some form of long-term care. What does this have to do with massage therapy and why should you care? As care communities across the nation adopt person-centered policies and practices, they are finding that massage therapy supports this mission.
A Changing Culture
You can't appreciate why person-centered care is such a hot topic today without a glimpse of how nursing homes developed. In 1900, older adults were mostly cared for by family. Impoverished elders found themselves in local "poor farms" or "almshouses" known for bad conditions. Keep in mind the average life expectancy in 1900 was 47.
With today's life expectancy at 78.9, medical advances have made it possible to live for years with chronic illness. In 1954, a federal law provided funding for building nursing homes that were affiliated with hospitals. Those facilities were designed like hospitals which became the standard and most of these facilities adopted the medical model of healthcare.
CMS states its "vision for long-term care is that the system will be person-centered; that is, the system will be organized around the needs of the in-dividual rather than around the settings where care is delivered."
Person-centered care is a moral philosophy of care that honors individual history, personality and preferences in one's daily routine. The focus is on the person rather than on the illness or disability, and the person's voice is heard in decisions about how to best provide care.
We each have things that are important to us in our daily lives and how we would want others to relate to us.
To illustrate this, I'll use myself as an example. If I were in a situation where I needed long-term care, I would want my coffee and time for quiet read-ing in the morning, a bath at night, to be served fresh vegetables, to go outdoors often and watch the birds, listen to the music I love like James Tay-lor and Ella Fitzgerald, have a weekly massage and PLEASE no bingo!
Person-centered care is more than choosing our activities and the food we eat. At its core is community and the relationship between the elder and care partners. Planetree, a non-profit organization, facilitates person-centered care in healing environments. I especially like its holistic model of care and have abbreviated it for the purpose of this article. Their holistic model includes:
Best Practice in Culture Change
The Institute for Caregiver Education identifies massage therapy as a best practice in culture change indicating the following benefits:
As massage therapists, we know the positive impact of touch to improve physical, emotional, and spiritual quality of life. Isn't it wonderful that now the long-term care profession is recognizing what we have known for years about the benefits of massage? Look again at the holistic model described. As a massage therapist, how might you contribute to each item?
Become an advocate for massage in care communities.
Learn about culture change initiatives in your state. Most states have organizations dedicated to advancing person-centered care. A place to start is the Pioneer Network state coalitions. Go to www.pioneernetwork.net and click on "State Coalitions" in the menu where you will find a directory.
Educate care partners. Network with long-term care professionals and provide information on the benefits of focused touch and sensitive massage for elders.
Request massage therapy services. If your role is to find a care community for a family member, make it a point to ask if the community offers massage therapy.
Develop your skills in serving elders in care settings and start a program in a local community.
Culture change will impact all of us in some way. Perhaps it represents a career opportunity. We might have a family member or friend in a care community. Or maybe one day we may find ourselves in need of long-term care. Regardless, we each have an opportunity to contribute to this important shift in the care of our elders.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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