BRINGING MASSAGE TO MAINSTREAM...
Transcript of BRINGING MASSAGE TO MAINSTREAM...
5/13/2019
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Nancy Ann Cotter MD
Clinical Assistant Professor
Dept PMR, Rutgers NJ Medical School
Clinical Director, Whole Health
VANJ Medical Center
BRINGING MASSAGE TO MAINSTREAM MEDICINE
Bringing Massage to Mainstream Medicine
• What are the needs of organizations, institutions, and individuals as pertains to massage therapists?
• Organization: Why, safety, economics
• Institution: Why, for who, how much, safety, economics, risk
• Individual: Who do I want to work with? How do I communicate my message? What are the logistics of getting scheduled and getting paid?
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LMT
Facility
Organization
Massage as part of an organization
• Healthcare organization: Is this part of our mission and vision?
• Mission: What we do/ how we do it/ our values
• Vision: Where we see our future self
• Mission Example: • Personalized, proactive , person centered care
• Personalized care for those who prefer holistic approach
• Mission to decrease opioid medication
• Vision example: • We will be a leader in combining leading edge technology with holistic care
• We will be a leader in partnering with our community and provide culturally relevant care
• Return on investment: what will the returns be? • Higher satisfaction scores- patient and family
• Decreased medication usage
• Goodwill and good press
• Risk and risk avoidance
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Where we put our health care dollarsvs
What actually contributes to health
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Social Determinants of Health: Developing Healthy People 2020. CDC Health Disparities and Inequalities Report- US, 2011. MMWR Jan 14, 2011, Vol 60.
Where we put our health care dollarsvs
What actually contributes to health
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Social Determinants of Health: Developing Healthy People 2020. CDC Health Disparities and Inequalities Report- US, 2011. MMWR Jan 14, 2011, Vol 60.
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Massage in an institution: Patient satisfaction!
• Attracts patients: edge over the competition• Example: new parents package on Mother -Baby Unit
• Patient safety: addresses pain and anxiety nonpharmacologically• non-pharmacologic pain management for rehab in substance use disorder;
• specialty massage for patients with specific diagnoses
• Comfort/ compassion: support for the most vulnerable• Human touch in hospice, pediatrics; may be supported by donors
• Calming: caring for anxious family members• massage for family members of ICU patients
• Economics: fewer medications, fewer adverse effects, leads to decreased length of stay
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Massage in an institution: What are the barriers?• Patient acceptance:
• Will we alienate an age group?
• Will we be culturally challenging to any group?
• Patient safety:• Who will provide training and oversight ?
• In high risk populations, will we have our precautions in place?
• Economics: Who is going to pay for it? • Most hospitals accept all insurance; compensation profiles vary
• Cannot discriminate between those who are covered and those who are not
• Satisfying demand
• Managing access
• Managing expectations
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How does the LMT get the attention of a hospital?
• Individual: Who do I want to work with?
• Specific age group: pediatrics, elderly, new mothers, teens
• Specific diagnosis group: Oncology, Cardiology, HIV etc
• If you don’t have experience , or don’t know what your “fit” is: volunteer!
• What is my role on the team?
• How do I communicate my message?
• Special training and experience
• SOAP notes ; documenting pre – and – post
• Understanding the pressures of the decision makers
• Respecting the many vantage points of decision makers ( ie need for “evidence base” )
• What are the logistics of getting scheduled and getting paid?
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LMT
Facility
Organization