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Patient Education Patient Education Portfolio Portfolio

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Educational information about other forms of complementary medicine.

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Page 1: Patient education portfolio

Patient Education PortfolioPatient Education Portfolio

Page 2: Patient education portfolio

AcupunctureAcupuncture

http://nccam.nih.gov/health/acupuncture/ Acupuncture involves the insertion of Acupuncture involves the insertion of

extremely thin needles through your extremely thin needles through your skin, to various depths at strategic skin, to various depths at strategic points on your body.points on your body.11

Chinese medicine practitioners have Chinese medicine practitioners have used this modality for thousands of used this modality for thousands of years in order to balance the two years in order to balance the two opposing forces in the human body opposing forces in the human body referred to as Yin and Yang.referred to as Yin and Yang.

11 http://www.mayoclinic.com/health/acupuncture/SA00086

Page 3: Patient education portfolio

AcupunctureAcupuncture When the balance of these forces is When the balance of these forces is

disrupted disease occurs and the body’s disrupted disease occurs and the body’s vital force or “qi” is blockedvital force or “qi” is blocked

The acupuncturist removes this blockage The acupuncturist removes this blockage of qi within the various pathways or of qi within the various pathways or “meridians” by the placement of the “meridians” by the placement of the needles on one or more of the various needles on one or more of the various 2,ooo points that connect these 2,ooo points that connect these meridians togethermeridians together

陰 陽

http://nccam.nih.gov/health/acupuncture/

Page 4: Patient education portfolio

AcupunctureAcupuncture Office visits can be once or twice a Office visits can be once or twice a

week for up to 6-12 weeksweek for up to 6-12 weeks

A typical visit will consist of an exam A typical visit will consist of an exam and an assessment of your current and an assessment of your current condition, the insertion of needles, and condition, the insertion of needles, and a discussion about self-care tips all of a discussion about self-care tips all of which lasts generally 30 minutes. which lasts generally 30 minutes.

Inform the acupuncturist about all Inform the acupuncturist about all treatments or medications you are treatments or medications you are taking and all medical conditions you taking and all medical conditions you have.have.

Page 5: Patient education portfolio

AcupunctureAcupuncture Acupuncture may not be safe if you have a Acupuncture may not be safe if you have a

bleeding disorder or if you're taking blood bleeding disorder or if you're taking blood thinners.thinners.

The most common side effects of acupuncture The most common side effects of acupuncture are soreness, bleeding or bruising at the needle are soreness, bleeding or bruising at the needle sites.sites.

Improper sterilization is yet another Improper sterilization is yet another complication to this modality. When contacting complication to this modality. When contacting a practitioner ensure that he/she uses a new a practitioner ensure that he/she uses a new set of disposable needles for each patient. set of disposable needles for each patient.

http://www.mayoclinic.com/health/acupuncture/SA00086 http://nccam.nih.gov/health/acupuncture/

Page 6: Patient education portfolio

AcupunctureAcupuncture As with most medical therapies, acupuncture has As with most medical therapies, acupuncture has

both benefits and risks. Consider the benefits: both benefits and risks. Consider the benefits:

Acupuncture is safe when performed properly. Acupuncture is safe when performed properly.

It has few side effects. It has few side effects.

It can be useful as a complement to other treatment It can be useful as a complement to other treatment methods. methods.

It's becoming more available in conventional medical It's becoming more available in conventional medical settings. settings.

It helps control certain types of pain. It helps control certain types of pain.

It may be an alternative if you don't respond to or don't It may be an alternative if you don't respond to or don't want to take pain medications. want to take pain medications.

http://www.mayoclinic.com/health/acupuncture/SA00086

Page 7: Patient education portfolio

Massage TherapyMassage Therapy http://nccam.nih.gov/health/massage/ Therapists utilize various techniques in Therapists utilize various techniques in

which they manipulate the muscle and which they manipulate the muscle and soft tissues of the body in different soft tissues of the body in different directions and pressures.directions and pressures.

As of 2004 there were over 30 states As of 2004 there were over 30 states that had laws in effect requiring that that had laws in effect requiring that therapists receive proper training at therapists receive proper training at approved schools and upon graduation approved schools and upon graduation from the program pass a national from the program pass a national board exam in order to practice.board exam in order to practice.

Page 8: Patient education portfolio

Massage TherapyMassage Therapy Treatment times are usually 30 minutes Treatment times are usually 30 minutes

to 1 hour in an environment that is to 1 hour in an environment that is relaxed, mildly illuminated, and relaxed, mildly illuminated, and pleasantly aromaticpleasantly aromatic

The symptoms of your chief complaint, The symptoms of your chief complaint, medical history, and your desired medical history, and your desired treatment outcomes will be discussed treatment outcomes will be discussed

Upon completion of a palpatory exam if Upon completion of a palpatory exam if the therapist finds no contraindication to the therapist finds no contraindication to treatment your therapy will commence treatment your therapy will commence

Page 9: Patient education portfolio

Massage TherapyMassage Therapy There are very few risks to this type of There are very few risks to this type of

therapy, however, most health care providers therapy, however, most health care providers recommend avoiding massage therapy if you recommend avoiding massage therapy if you have one or more of the following:have one or more of the following:

Deep vein thrombosis Deep vein thrombosis A bleeding disorder or taking blood-thinning drugs A bleeding disorder or taking blood-thinning drugs

such as warfarin such as warfarin Damaged blood vessels Damaged blood vessels Weakened bones from a recent fractureWeakened bones from a recent fracture A fever A fever Any of the following in an area that would be Any of the following in an area that would be

massaged: massaged: An open or healing wound An open or healing wound A tumor A tumor Damaged nerves Damaged nerves An infection or acute inflammation An infection or acute inflammation

http://nccam.nih.gov/health/massage/#2

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Mind-Body MedicineMind-Body Medicine http://nccam.nih.gov/health/backgrounds/mindbody.htm

Behavior, emotion, environment, Behavior, emotion, environment, psychological, and spiritual factors can psychological, and spiritual factors can directly affect health in very powerful directly affect health in very powerful ways. ways.

Mind-Body medicine looks at the ways Mind-Body medicine looks at the ways in which the brain, body, and mind in which the brain, body, and mind interacts with these factors in interacts with these factors in promoting illness and focuses on promoting illness and focuses on intervention strategies that promote intervention strategies that promote healthhealth

Page 11: Patient education portfolio

Mind-Body MedicineMind-Body Medicine When combined with standard cardiac When combined with standard cardiac

rehab, mind-body interventions can be rehab, mind-body interventions can be effective in treating coronary artery effective in treating coronary artery disease reducing all-cause mortality and disease reducing all-cause mortality and cardiac event recurrences for up to 2 cardiac event recurrences for up to 2 years.years.

As an adjunctive therapy, it has been As an adjunctive therapy, it has been clinically indicated to reduce pain for up clinically indicated to reduce pain for up to 4 years and reduce the number of to 4 years and reduce the number of physician visits for arthritis patientsphysician visits for arthritis patients

http://nccam.nih.gov/health/backgrounds/mindbody.htm

Page 12: Patient education portfolio

Mind-Body MedicineMind-Body Medicine There are several studies involving There are several studies involving

cancer patients where mind-body cancer patients where mind-body interventions have improved their interventions have improved their overall quality of life as well as improve overall quality of life as well as improve the symptoms related to the disease the symptoms related to the disease and its treatment.and its treatment.

For more than 2,000 years the mind has For more than 2,000 years the mind has been used as an essential part of been used as an essential part of treating illness in both Chinese and treating illness in both Chinese and Ayurvedic medicine Ayurvedic medicine

http://nccam.nih.gov/health/backgrounds/mindbody.htm

Page 13: Patient education portfolio

Mind-Body MedicineMind-Body Medicine Two of the mind-body interventions Two of the mind-body interventions

which are strongly encouraged in my which are strongly encouraged in my practice are:practice are:

Tai ChiTai Chi & & Yoga Yoga

Page 14: Patient education portfolio

Tai ChiTai Chi http://nccam.nih.gov/health/taichi/

Pronounced “tie chee” it is an ancient Pronounced “tie chee” it is an ancient meditative form of exercise that began meditative form of exercise that began in China as a martial art and is in China as a martial art and is recognized by its slow movements that recognized by its slow movements that provide the opportunity to relax and provide the opportunity to relax and strengthen the body.strengthen the body.

Developed over the centuries, it is Developed over the centuries, it is practiced today by countless numbers practiced today by countless numbers of people around the world to improve of people around the world to improve & maintain their health& maintain their health

Page 15: Patient education portfolio

Tai ChiTai Chi The great thing about this mind-body The great thing about this mind-body

intervention is that anyone can practice intervention is that anyone can practice it, any time, anywhere, and in almost it, any time, anywhere, and in almost any state of health.any state of health.

There is no age limitThere is no age limit

Although if you have any doubts about Although if you have any doubts about your health, consult your doctor before your health, consult your doctor before beginningbeginning

Graham, Bryant, et al. Simply Tai Chi. China: Hinkler Books, 2005.

Page 16: Patient education portfolio

Tai ChiTai Chi The many reasons for practicing Tai Chi The many reasons for practicing Tai Chi

include:include:Improvement of healthImprovement of healthStress reductionStress reductionIncrease your energy Increase your energy Improve concentrationImprove concentrationBetter sleep qualityBetter sleep qualityStrengthen bones, muscles, and jointsStrengthen bones, muscles, and jointsIncreased flexibilityIncreased flexibilityImprove heart and lung functionImprove heart and lung functionMeditation to quiet and focus the mindMeditation to quiet and focus the mind

Graham, Bryant, et al. Simply Tai Chi. China: Hinkler Books, 2005.

Page 17: Patient education portfolio

YogaYoga http://nccam.nih.gov/health/yoga/yoga.htm

This mind-body intervention was This mind-body intervention was developed over 5,000 years ago and is developed over 5,000 years ago and is used to unite the body, mind, and spirit.used to unite the body, mind, and spirit.

Yoga is a process in which the student Yoga is a process in which the student learns to still the mind and unify learns to still the mind and unify consciousness, something that can be consciousness, something that can be especially hard to do when the body is especially hard to do when the body is motionless.motionless.

Page 18: Patient education portfolio

YogaYoga Hatha is a Sanskrit word meaning Hatha is a Sanskrit word meaning

“willful” and yoga is translated as “willful” and yoga is translated as “union” or “communion” and practice “union” or “communion” and practice of this “exercise” is more or less of this “exercise” is more or less meditation in action.meditation in action.

Yoga has many unique forms, Yoga has many unique forms, techniques and teaching methods, techniques and teaching methods, however, the goals are the same:however, the goals are the same:

Teach understanding and awareness of the bodyTeach understanding and awareness of the bodyFree the student from negative thoughts that Free the student from negative thoughts that

drain energydrain energyStrengthen mental and spiritual balanceStrengthen mental and spiritual balance

Balch, Phyllis. Prescription for Nutritional Healing. New York: Avery, 2006.

Page 19: Patient education portfolio

YogaYoga With proper application yoga is safe for With proper application yoga is safe for

healthy people and has few side healthy people and has few side effects.effects.

Some contraindications to yoga Some contraindications to yoga practice are:practice are:

Spine issues (degenerative disc, spondylitis, etc.)Spine issues (degenerative disc, spondylitis, etc.) Extreme fluctuations of blood pressure (high or Extreme fluctuations of blood pressure (high or

low)low) Glaucoma or retinal detachmentGlaucoma or retinal detachment Circulatory issues (atherosclerosis, blood clots, Circulatory issues (atherosclerosis, blood clots,

etc.)etc.) Severe bone density issues like osteoporosis Severe bone density issues like osteoporosis

Page 20: Patient education portfolio

ReflexologyReflexology A unique system of foot massage based A unique system of foot massage based

on holistic principles derived from the on holistic principles derived from the same concepts that surround same concepts that surround acupunctureacupuncture

There are points on the foot which There are points on the foot which relate to different parts of the body and relate to different parts of the body and by massaging them, energy imbalance by massaging them, energy imbalance causing stress and ill health are causing stress and ill health are addressed addressed

Dougans, Inge. The Complete Illustrated Guide to Reflexology. Great Britain: Element, 1996.

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ReflexologyReflexology““There are 7,200 nerve endings in each foot. There are 7,200 nerve endings in each foot.

Perhaps this fact, more than any other, Perhaps this fact, more than any other, explains why we feel so much better when our explains why we feel so much better when our feet are worked using Reflexology. Nerve feet are worked using Reflexology. Nerve endings in the feet have extensive endings in the feet have extensive interconnections through the spinal cord and interconnections through the spinal cord and brain with all areas of the body. Surely the brain with all areas of the body. Surely the feet are a gold mine of opportunity to release feet are a gold mine of opportunity to release tension and enhance health”tension and enhance health”

Ray C. Wunderlich, M.D.Ray C. Wunderlich, M.D.Preventative Medicine & Health Preventative Medicine & Health

PromotionPromotionSt. Petersburg, FlaSt. Petersburg, Fla

Wunderlich, Ray. Foreword. Better Health with Foot Reflexology. By Dwight Byers. St. Petersburg: Ingham, 2001.

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ReflexologyReflexology Useful links:Useful links:

http://www.reflexology-usa.net/facts.htm

http://www.reflexologyworld.com/locating_a_reflexologist.htmhttp://www.reflexologyworld.com/locating_a_reflexologist.htm

http://nccam.nih.gov/health/backgrounds/manipulative.htmhttp://nccam.nih.gov/health/backgrounds/manipulative.htm

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IntegrationIntegration Having experienced each of these modalities Having experienced each of these modalities

personally, I can truly say that I believe in their personally, I can truly say that I believe in their effectiveness and have no apprehension in effectiveness and have no apprehension in referring my patients to any one of these referring my patients to any one of these practitioners. practitioners.

I refuse to incorporate any therapy that has no I refuse to incorporate any therapy that has no credible affiliation in health care and I truly credible affiliation in health care and I truly believe that each of the modalities presented believe that each of the modalities presented here will have an incredible affect on the lives of here will have an incredible affect on the lives of my patients.my patients.

Most of these practices have been around for Most of these practices have been around for decades to thousands of years and if they had no decades to thousands of years and if they had no beneficial effects then they would be part of folk beneficial effects then they would be part of folk lore and not the contemporary modalities that lore and not the contemporary modalities that they are to this day. they are to this day.

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IntegrationIntegration Patient care is done on a case by case Patient care is done on a case by case

basis and not something that can be basis and not something that can be derived from a cookbook. When derived from a cookbook. When referring my patients to any referring my patients to any practitioner it will be done with the practitioner it will be done with the patient’s best interests in mind and the patient’s best interests in mind and the interventions used will be determined interventions used will be determined during the course of care. To say that I during the course of care. To say that I know for sure how and why I will refer know for sure how and why I will refer is asking me to know the future and if I is asking me to know the future and if I could do that, well, I would be more could do that, well, I would be more than just a doctor.than just a doctor.

Page 25: Patient education portfolio

Life in Motion Chiropractic Life in Motion Chiropractic & Wellness& Wellness6139 Route 96 – Suite 6139 Route 96 – Suite

11Farmington, New YorkFarmington, New York

1442514425 (585) 953-0200(585) 953-0200

3111 Winton Rd. 3111 Winton Rd. SouthSouth

Rochester, NYRochester, NY1462314623

(585) 953-0200(585) 953-0200www.LifeInMotionChiro.comFollow Us On:Follow Us On: