Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
The Difference Between Adult and Pediatric Massage
Many practitioners believe the major difference in providing massage and touch therapy to children is to simply consider that the client is smaller in size, pressure should be lighter and to ask their parents. These are real considerations, but not the only differences in providing massage therapy for children and adult clients.
Massage for Adults
As healthcare professionals, we should always consider each individual client's unique needs and indications for massage therapy, rather than providing a standardized protocol for care. Under the scope of professional massage therapy, therapists working with adults have the ability to employ a variety of techniques ranging from relaxation massage and spa therapies, to structural integration. Therapists may apply more pressure based on client preference, and range of motion may involve larger movement than we would utilize with children.
Typical adults have more developed muscular and soft tissues compared to pediatric clients, and they can tolerate a massage session that incorporates various techniques that are not safe for children. Adults have often spent years developing their individual postures, body mechanics and areas of holding stress-related tension. This can make our therapeutic work take on the more sessions to have similar benefit to what we might see with pediatric clients in fewer sessions.
With adults, verbal communication is different and allows us to have a thorough discussion about their personal interest in seeking touch therapy. The client can help to explain their healthcare related needs, stress management techniques they use at home and may have a better understanding on how to follow any at-home protocol which may assist in their preventive health plan.
Healthcare providers often use the term pediatric to describe children in a healthcare or hospital setting and some will say that word pediatric is an umbrella term that covers all of the patients in that facility from birth to age of discharge from the hospital (often 18 years of age). While others recognize that pediatric is simply defined as the health care of children, which may mean in the hospital setting, but can also refer to children who are developing typically.
Children have different physical, emotional and developmental needs than adults and pediatric massage is designed to address these individual childhood considerations. Some practitioners believe that massage is used to treat medical and healthcare indications, but pediatric massage is also used in conjunction with general healthcare, as an adjunct and preventative method of therapeutic intervention.
For children, we adapt all of our care to be an individual and unique approach. Children are undergoing significant growth, development and physical changes. A child's skin is thinner, more fragile and has more compact sensory receptors. Their bones are not yet fused or ossified and require a more gentle approach. These considerations are important to those practicing hands-on techniques.
Not only do we consider a child's size in our treatment plan, but also employ developmental considerations and age-appropriate language adaptations, as we build trust and rapport. As with every client, we use informed consent and specifically for children, we use a structured permission process. We may use language that may seem elementary to adult clients, but helps us to best connect with those still developing a comprehensive vocabulary.
Some healthcare providers only think of pediatric massage being applied as a modality for children with special healthcare needs. There are specific healthcare-related situations where pediatric massage therapy will be a wonderful part of a therapeutic treatment plan. However, just as adults receive massage therapy for general health and wellness, so do children. Yes, we can use pediatric massage as indicated to treat a variety of healthcare considerations, but dealing with anxiety, stress and insomnia are also concerns for our younger clients.
Considerations for All Clients
Obtaining informed consent and permission prior to beginning a massage session establishes respect and an understanding of the benefits of healthy touch. With children, this may require input from a parent/guardian or other healthcare provider responsible for their medical care.
Adapting techniques to a client's healthcare needs and preferences establishes trust and communication. We must always communicate adaptations and possibilities with the type of therapeutic session we can provide. Many clients do not have a good understanding of the range of modalities and techniques under a massage therapist's scope of practice. When you take the time to explain options and choices to your client, you help to establish the foundation of a successful treatment session. Professional communication is an important consideration with clients of any age.