Posts Tagged ‘Review’

CHIROPRACTIC AND THE IMMUNE SYSTEM CONNECTION

Monday, December 15th, 2008

A recent review of the scientific literature on the connections between the nervous and the immune systems explored the contention that chiropractic adjustments may affect neuroimmune function.

Relevant articles in English were retrieved through a search of MEDLINE and the Index to Chiropractic Literature. Key search terms included: chiropractic, immune system, nervous system, sympathetic nervous system.

The paper concluded that there appears to be numerous modes of communication between the nervous system and the immune system. It also appears, not only in theory but in practice, that chiropractic adjustments may have a beneficial effect on the functioning of both the nervous and the immune system.

For many years chiropractors have claimed that spinal adjustments can help improve the overall health of an individual. There is a growing body of scientific research to support this contention.

Click Here To Read More At The Journal Of Vertebral Subluxation Research…

Practice Tip - INCREASE COMPLIANCE WITH EXERCISE PRESCRIPTION

Tuesday, November 27th, 2007

Perceived indifference is the number one reason for patient drop out - AND - the number one need of each of your client’s is the perception that you have heard and understood their biggest concerns. A major shift in consumer power is the demand for self-help advice. While most MDs THINK that their patients come to them for a prescription; and most DCs THINK that their new patients have come to get their backs cracked; One of the first questions in your patient’s mind/s is “what can I do to help myself?”

I still remember one particular new patient who consulted me. He was wanting help with his chronic recurrent Low Back condition and had already seen his MD for an “expert” opinion. The GP had given him a sheet full of exercises as his prescription. This sheet had actually convinced the man that he was in the wrong place! You see, the copyright symbol at the bottom of the page was 1965! The guy said to me - “if that’s how up to date the MDs are then I figured I needed to find another profession”.

A lot of chiropractic treatment programs are very “front-ended” - That is the new practice member gets a lot of attention and information in the first 1-2 weeks of care: And then they become part of the daily schedule - Arrive, wait, guided into the adjusting room, face down, adjustment, “powers-on, see you next visit”, pay and make an appointment, leave. And as each visit passes they develop a growing dis-ease that they might just be a number.

Here’s one technique to help your practice members feel like you continue to see them as individual, important and cared for: It’s called drip-feeding. People respond and comply much more effectively to your educational inputs when they are in small bite-size chunks, instead of a huge plate full of stew that exceeds the appetite. You can apply this to any aspect of your ongoing systems and procedures but let’s use the example of exercise prescription:

Many DCs have given up on prescribing exercises because of perceived poor compliance and persistence. The primary cause of this poor outcome is the way in which the exercises are taught, delivered and reviewed. Instead try these guidelines…

1) Only teach 1 and never more than 2 exercises at any one visit.

2) Demonstrate the exercise by assisting the person to perform the exercise there and then - it’s fine to give a sheet but these are just visual reminders - NEVER expect a client to perform an exercise from a still picture without demonstration, and DVDs will rarely make it into the player more than once.

3) Let them know that you will be teaching them another exercise next week, and that you will be reviewing their progress.

4) When you teach them the next exercise, get them to quickly show you how they are doing the last one you taught them.

This process should only add 1-2 minutes to that consult if you do it effectively - if this is too long, this can be delegated to a tech CA who you should have assisting you if you are seeing high volume anyway.

This process achieves a number of things - implementation because they will remember the exercise, compliance because they know you will be checking on them, persistence because they have been made accountable.

When we teach the Super Posture program I show a set of 12 simple exercises which are very effective for improving postural habits, and can also be used to improve response to your adjustments. Click Here To Learn More About Super Posture…

Now the challenge for you is to review the information that you currently bombard your new patients with, and take some time to trim it down into smaller bite size pieces, to mix into your drip-feeding recipe…

Practice Tip - EMPOWER AND RELEASE YOUR MOST VALUABLE ASSET

Sunday, November 4th, 2007

Here’s some vital questions to ask yourself: Which member of your business…

1) Educates your practice members more simply and effectively than you do?

2) Listens to your patients’ “dirty laundry” and counsels and advises them at the same time?

3) Stimulates more referrals than any other marketing source than you could ever invent?

4) Is more likely to hug, wipe tears, encourage and listen to the people who pay your bills?

5) Placates disgruntled customers who are sick of being kept waiting, or haven’t had their questions answered to their satisfaction?

6) Would like to be more involved in the healing process than you recognise and give credit for?

And all we worry about is did they take the correct money, make the next booking correctly, get people into the adjusting room when we needed them there, keep the kids quiet in the play area, and still manage to book in 3 new patients who rang while 5 people were queued at the front desk?

That’s right, I’m talking about your CA, receptionist, secretary, personal assistant - whatever you call them.

After asking yourself the above questions; next ask your best CA/s: “Would you like to be more involved in the healing process, and learn some new skills?” You may be surprised by the answers you get.

Here’s three ways you can up-skill your most valuable business asset:

A) Involve them in the interview or case history process - Use pre-formatted questionnaires to save you time and actually improve your record keeping. A good CA will have already heard most of the person’s life, family and health history, and will probably know more about what is really worrying the person, before they even see your face: Your CA is the ideal person to select the most appropriate paperwork for each new client, and then to follow up at a pre-determined time to review the questionnaire again.

ACTION STEP: Click Here To Check Out Health Questionnaires That Your CA Could Be Trained To Administer…

B) Get them trained in aspects of the examination procedures - There are some amazing technologies which improve your objective analysis of your patients’ state of wellbeing, and some of these can be trained and delegated to a tech-CA.

ACTION STEP: Have some of your CAs complete the Super Posture program - they will learn how to perform low-tech and high-tech postural assessment and even how to prescribe some corrective exercises: Click Here To Find Out More About The Super Posture Program…

C) Select some therapeutic modalities which can be administered by an assistant under your oversight - Consider this - As your practice expands you may assume that the way to increase your volume and turnover is to employ an associate DC. Most associate DCs will drain up to 60% of the money they generate. How about delegating some of the less skilled and time effective activities to well trained staff who work for an hourly rate? You could dramatically increase your patient flow and diversify your services (and increase customer satisfaction) at a fraction of the overhead.

ACTION STEP: Click Here To Find Out About A Treatment Modality That Can Be Delegated To Tech Assistants…

Practice Tip - CLOSING THE GAP BETWEEN WHAT PEOPLE THINK AND WHAT THEY DO

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…