Reflections on Massage in Integrative Medicine. Ignite by Mary Ann Foster Photo by Mary Rose

Transcription

1 Reflections on Massage in Integrative Medicine Ignite by Mary Ann Foster Photo by Mary Rose 1

2 In 2005, 1,400 hospitals in the United States more than 1 in 4 offered CAM modalities such as massage therapy. Photo by Mary Rose 2

3 The Affordable Care Act shifts spending priorities from chronic disease to prevention. Photo by Mary Rose 3

4 Massage therapists in medical settings teach their clients preventative stress-reduction skills for - active relaxation - breathing - mindfulness Photo by Mary Rose 4

5 NCCAM Advisory Council at National Institutes of Health (NIH) 5

6 The top four licensed CAM professions Chiropractic Acupuncture Naturopathy Massage In 2007, 38% of adults used CAMs 6

7 Thanks to you all! 7

8 5 important things to know about Massage Therapy in Integrative Medicine 1.Why medical patients get massage. 2. How massage rates among medical patients. 3. Why medical patients favor massage therapy. 4. Private massage clients are usually self-referred. 5. Why we should encourage clients to talk to their doctors about massage therapy. 8

9 1.Why medical patients get massage. 70% Musculoskeletal Issues 20% General Wellness 5-9% Anxiety and Stress Photo by Mary Rose 9

10 2. How massage rates among medical patients. Massage therapy is one of the top two CAM modalities favored by hospital patients. Photo by Mary Rose 10

11 3. Why medical patients favor massage therapy. Personalized care and contact Relaxation with effective touch Positive therapeutic relationship Pleasant, non-rushed environment Photo by Mary Rose 11

12 4. Private massage clients are usually self-referred. Private clients with medical problems tend to self-prescribe massage therapy and rarely tell their doctors. Photo by Mary Rose To help coordinate medical care with massage treatments, we need to encourage clients to discuss massage therapy with their doctors. 12

13 5. Why we should encourage clients to talk to their doctors about massage therapy. To educate clients To connect with doctors To ensure safe, coordinated care To promote massage in medical wellness plans Iofoto/123AF.com 13

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15 These are talking points about using various complementary and alternative modalities and approaches, including: Massage Therapy for Health Purposes Relaxation Techniques for Stress Mind and Body Practices for Children Chronic Low-back Pain and Complementary Health Selecting a Complementary Health Practitioner nccam.nih.gov/health/tips 15

16 Many free resources are available at the NIH website Look for these buttons nccam.nih.gov/health/providers 16

17 Getting over those final hurdles 17

18 We ve come a long way! Handouts and references from this Ignite! can be downloaded at 18

19 Its time to talk about massage in medicine. Photo by Mary Rose 19

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21 ABMP Schools Issues Forum 2014 IGNITE! presentation - Mary Ann Foster Reflections on Massage in Integrative Medicine 1. While researching the use of massage in medicine, I reviewed over 100 NIH abstracts and studies on complementary modalities. As a result, I m optimistic about our potential for rapid growth in medical settings and here s why. 2. In a 2005 US survey, nearly 1,400 hospitals more than 1 in 4 offered complementary and alternative medicine, called CAMs, such as acupuncture, homeopathy, and massage therapy. There s certainly more now % of healthcare dollars currently go toward the treatment of chronic diseases. To improve cost effectiveness, the ACA is shifting resources toward preventative approaches, employing CAM modalities like massage. 4. Researchers are discussing how this shift in spending priorities is creating a need for a new kind of healthcare practitioner who educates patients about things like self-care and stress reduction. Hmmm. I wonder who has these skills? 5. To determine the viability of particular CAM modalities for inclusion on integrative healthcare teams, NIH researchers are looking for consistent standards of education, practice, and credentialing. 6. NIH researchers identified the top four CAM professions based on our fairly consistent standards for training, treatment, and licensing. This puts our profession in a really good place, and as we work to improve our standards, it s bound to get better. 7. Our professional organizations hard work over the years has placed massage as one of the top 4 CAMs used today. You ve positioned our field for amazing growth in the coming decade. Kudos! 8. Here are 5 talking points from my research that we can share with clients, doctors, and colleagues to expand the conversation about avenues for growth in healthcare. 9. Number 1: Research confirms what many of us already know: that clients with medical conditions use massage therapy for the relief of musculoskeletal pain, to improve general wellness, and to reduce anxiety and stress.

22 10. Number 2: When given a choice of CAMs, hospital patients choose massage the most often. This confirms the powerful benefits of massage, including caring touch, personal contact, and deep healing. 11. Number 3: Medical patients polled in hospitals also favor massage because it reduces pain, is relaxing, teaches self-regulation skills, and provides a safe, stress-free environment for healing. 12. Number 4: Private massage clients with medical conditions tend to self-prescribe massage therapy and rarely tell their doctors that they re receiving it. 13. Number 5: We should encourage self-referred clients with medical conditions to talk to their doctors about massage, to ensure safe and coordinated care. It s also a great opportunity for us to educate doctors about massage. 14. To encourage people to talk about the use of CAMs, the National Center for Complementary and Alternative Medicine within the NIH set up the TIME TO TALK campaign This campaign offers TIME TO TALK TIPS about individual CAM modalities like massage. These tips are designed to get doctors and patients talking about proper CAM use and safety. 16. I encourage you to join the discussion and take advantage of the many resources available through the NIH website, such as free online courses, hundreds of abstracts and papers on CAM research, and statistics galore. 17. We still have many hurdles to be more widely accepted by the medical profession, so it s important for us to understand how they view massage. The NIH is inviting us to join the discussion, and we should take advantage of it. 18. We ve come a long way as a profession. I m so excited about the direction of massage therapy, and hope for greater inclusion of massage on integrative medical teams. 19. I see a sunny future for our profession and would like to talk about it with anybody who is interested. Thank you for letting me share today. Now it s time to celebrate. 20. [15-Second Dance Party with music, no narration]

23 References 1 National Center for Complementary and Alternative Medicine (NCAAM) Video Series. "The Science of Mind and Body Therapies." < accessed December 26, AMTA Washington Chapter, "Massage and Bodywork Modalities." Accessed on January 12, 2014 from < 3 National Institute of Health, "Expanding Horizons of Health Care." Medline Plus: An online magazine and publication of the NIH and the Friends of the National Library of Medicine. Accessed on January 3rd, 2014 at < 4 "Use of therapies other than disease modifying agents, including CAM medicine, by patients with multiple sclerosis: a survey study." 21-9 J American Osteopathic Association, Jan Frontline: The Alternative Fix, "An interview with David Eisenberg, M.D. < 6 M. Cohen, "Emerging Credentialing Practices, Malpractice Liability Policies, and Guidelines Governing Complementary and Alternative Medical Practice and Dietary Supplement Recommendations: A Descriptive Study of 19 Integrative Health Care Centers in the United States." Archives of Internal Medicine, Vol. 165, February 2005, pps Downloaded January, 2014 from < 7 D. Cherkin, et. al., Characteristics of Visits to Licensed Acupuncturists, Chiropractors, Massage Therapists, and Naturopathic Physicians. Journal of American Board of Family Practice, Nov.-Dec. 2002, Vol. 15, No. 6, pp Huillet A, Erdie-Lalena C, Norvell D, Davis BE. "Complementary and alternative medicine used by children in military pediatric clinics." Journal of Alternative and Complementary Medicine Jun;17(6): doi: /acm : D. Scheinder, L. Appleton, T. McLemore, A reason for visit classification for ambulatory care. Vital and Health Statistics, Series 2, No. 78. DHEW publication No. (PHS) Hyattsville, MD: Public Health Service, Office of the Assistant Secretary for Health, National Center for Health Statistics, Statistics from "Integrative Medicine" a free, one credit hour CE course for nurses available through the National Institute of Health offered by Ralph Snyderman, M.D., Emeritus Chancellor for Health Affairs at Duke University; James B. Duke Professor of Medicine in the Duke University School of Medicine. Accessed at < 11 Institute of Medicine Report from the Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America, A Blueprint for Transforming Prevention, Care, Education and Research. The National Academies Press, S. Shorofi, "Complementary and alternative medicine (CAM) among hospitalised patients: reported use of CAM and reasons for use, CAM preferred during hospitalisation, and the socio-demographic determinants of CAM users." Complementary Therapy and Clinical Practice, 2011 Nov;17(4): 199. Accessed December 22, 2013 at < 13 P. Barnes, B. Bloom, and R. Nahin, "Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007" CDC National Health Statistics Report #12. Hyattesville, MD.: National Center for Health Statistics, E. Goldblatt, et al. Clinicians' and Educators' Desk Reference on the Licensed Complementary and Alternative Healthcare Professions Seattle: Academic Consortium for Complementary and Alternative Health Care. 2009).