Wednesday, October 17th, 2007
There is compelling scientific evidence that what people know about diet and how they eat are in many cases two different issues? I’m sure you have observed that this void between knowing and doing crosses over into all health behaviours?
1) The acute antalgic low back or torticollis crisis patient who promises you that they will keep seeing you forever for maintenance care if you can only help them get out of agony; who then discontinue somewhere between visit two and six because “they are fine now and will ring if they have any further problems”.
2) The reactivating patient that confesses that they were feeling great while they were doing the exercises that you taught them, but then they just forgot about them because they didn’t have any pain. And then they ask you “why does this problem keep coming back?”
3) The osteo-arthritic retiree that starts complaining of increased aching and stiffness, and when you ask them if they are still taking their Glucosamine, they respond “Oh I finished the bottle and thought I’d see how I’d go without them for a while”.
4) You meet an old regular practice member who discontinued 1-2 years ago, and when you ask them how they are going they give you the long list of ailments, diagnoses and prescriptions that they now take, and then pass comment “you know when I used to see you I didn’t have any of these problems”.
There’s a push in our profession right now to adapt us into risk-factor screening machines, who then pass appropriate educational brochures to those at risk, and warn them of the dangers of not changing their ways. Think about this: Most people who are overweight already know they are overweight; most people who are unfit already experience the effects of it; most people experiencing symptoms of Diabetes are aware of the symptoms… They don’t need you to identify the symptoms of their condition. They need help closing the void between their awareness and their behaviour!
If you want to be a wellness practitioner let me tell you a major paradigm shift you are going to have to make - It’s not about you, it’s about them. Wellness is a personal journey of lifestyle choices leading towards better life and health outcomes. You can’t make the decisions for them - if you try to then its not wellness - it’s medicine.
Here’s four questions that you must ask your practice members to make massive changes in your wellness relationship:
1) “What is your biggest health priority right now?” Their choice not yours.
2) “What are three things you think you could do to improve this area of your life?” Their choice, not yours. But this may be the point where they ask you for your educated opinion.
3) “What information do you think you need to help you make this change?” This is the point where they will most likely give you permission to feed them with resources.
4) “What would you like me to do to make sure you follow through on your plan?” This is where you help them to make some commitments, set some goals for them to achieve, define some measures for monitoring their progress, and set a time-line for review.
Click Here To See How Wellness Coaching Is Done…
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Tuesday, October 16th, 2007
I was recently cleaning up a shelf in my store-room when I found an old post-pack - not sure what was inside, I blew off the dust and opened the cover and found dozens of Polaroid photos of all the kid’s that had arrived as new patients at our practice through the nineties. I called in my CA and we spent a few joyful minutes recalling all the memorable moments and miracles. Then we noticed that there was a whole bunch of kids (some now teens) that were still regularly seeing us - and as you can imagine they are now all a lot taller and bigger, some 10-15 years later. So, our new project has been to recreate their photos when they come in for their tune-ups. The funniest is two small giggling boys squeezed closely together in an arm chair - they used to keep the whole reception room laughing because they used to be so ticklish that they would laugh uncontrollably through their adjustments - now one is nearly 6 foot and the other nearly 100kgs - and they still both giggle when I adjust their necks! We are going to produce a “where are they now” display with the title - “Want your kids to grow up healthy and straight? Then get them adjusted regularly.”
Our kid’s room walls used to be covered with photos of kid’s and all their colouring sheets and drawings of their chiropractor, and this was without a doubt the biggest referral tool for us when attracting families and kids. Why?..
1) People love to be where people are - when parents are in your practice and see all the kids that see you, they will ask you about chiropractic for kids… On the other hand if all they see is trendy prints and the latest edition of WHO weekly and the Bulletin - then they will not give a single thought about whether or not their kids need chiropractic care - they’ll probably read the last advert for kiddy pain killers instead.
2) You can tell the success stories. If someone asks you about chiropractic for asthma, or bedwetting etc - it’s great to be able to quote the latest research, but what really works is when you can point to a number of kids on your photo wall who you have treated for that very same condition.
3) Kid’s see the photos and ask what they have to do to get included on the wall of fame - say no more…
4) When you see a kid new patient there is a reduced fear factor because they can see so many other kids smiling and being adjusted in the photos (make sure you take lots of photos with you adjusting, laughing, and interacting with the kids - but no photos that show images of the kids in twisted positions).
5) Dedicating a room or area to kids shows that you are family and child-centred - if your practice looks like a kid has never stepped inside - then they probably won’t?
Click Here To Find Out About Practice Coaching…
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