FORT COLLINS – Continuing Education & Networking – February 22

Click here to register for this free event!

We invite you to join your friends and colleagues for two hours of free continuing education followed by a networking event with hosted drinks and appetizers!

Boundaries & Ethics for Integrative Healthcare Providers

Our clinical expert, Dr. Minga Guerrero, CHP’s Regional Medical Director and past president of the Oregon Board of Chiropractic Examiners, will present an engaging two-hour continuing education program specifically for Colorado integrative healthcare providers. Dr. Guerrero will use this two-hour session to:

  • Explore the various aspects of the provider/patient relationship, explain situations that may cause concern, and how to proactively prevent situations from escalating to a complaint.
  • Review recently-updated Washington state laws and regulations regarding provider/patient boundaries and how these updated regulations impact all providers.
  • Present boundaries violations drawn from real practice situations and discuss how such situations can be avoided.

The CHP Group has been working with integrative healthcare (IH) providers and providing IH-targeted continuing education for over 25 years. We look forward to seeing you in Fort Collins!


DENVER – Continuing Education & Networking – February 23

Click here to register for this free event!

We invite you to join your friends and colleagues for two hours of free continuing education followed by a networking event with hosted drinks and appetizers!

Boundaries & Ethics for Integrative Healthcare Providers

Our clinical expert, Dr. Minga Guerrero, CHP’s Regional Medical Director and past president of the Oregon Board of Chiropractic Examiners, will present an engaging two-hour continuing education program specifically for Colorado integrative healthcare providers. Dr. Guerrero will use this two-hour session to:

  • Explore the various aspects of the provider/patient relationship, explain situations that may cause concern, and how to proactively prevent situations from escalating to a complaint.
  • Review recently-updated Washington state laws and regulations regarding provider/patient boundaries and how these updated regulations impact all providers.
  • Present boundaries violations drawn from real practice situations and discuss how such situations can be avoided.

The CHP Group has been working with integrative healthcare (IH) providers and providing IH-targeted continuing education for over 25 years. We look forward to seeing you in Denver!


Meta-analysis of massage for cancer highlights benefits

A recent systematic review and meta-analysis examining the effects of massage therapy in the cancer population in Pain Medicine highlighted the benefits for this group. Overall massage therapy was found to be relatively safe as well as promising for reducing pain intensity, fatigue, and anxiety in this population. It was recommended that cancer patients consider massage to help manage their pain. It also identified some areas where future research may help elevate massage to a standard treatment for cancer patients experiencing pain at a policy level. This included better specifying the massage protocols (type of massage, dosage, location, practitioner qualifications, etc.), selecting appropriate outcomes, and controls.


Acupuncture and mastectomy recovery study

A single study may offer hope for better mastectomy recovery outcomes. This single study at Northwestern Hospital in Minneapolis, summarized their findings as: “Women who had acupuncture treatments after breast cancer surgery at Northwestern Hospital had a greater reduction in pain, nausea, and anxiety and were better able to cope on the first post-operative day compared with patients who had traditional care…” Acupuncture was delivered twice after surgery, 12 hours apart. Patients in the ‘no acupuncture’ group, were also seen twice, after surgery, 12 hours apart, with the same data collection. Patients receiving acupuncture reported significantly lower symptoms with respect to pain, nausea and anxiety. Providers may consider referral to or use of acupuncture following breast cancer surgeries as a means of care to decrease nausea, anxiety and pain.


Infant immune systems positively affected by early introduction to food allergens, avoidance of “over-bathing”

In the past, introducing solid food was recommended only after 6 months of age, however, new research from the American College of Allergy, Asthma & Immunology (ACAAI) presented at the 2016 Annual Scientific Meeting, suggests new guidelines for food introductions to improve immune systems later in life. “There is now a large body of observation and trial data for other foods, including egg, that show that delaying the introduction of allergenic solids increases the risk of those particular food allergies,” said Katrina Allen, MBBS, PhD, from the Murdoch Childrens Research Institute in Melbourne, Australia. However, it should be noted, none of the research suggests introducing eggs earlier in life. New official guidelines will be issued in 2017, recommending introduction of potential allergens such as peanuts and cow’s milk at age 4-6 months. In addition, the researchers reported that children with a damaged skin barrier – like eczema – are at increased risk of developing a peanut allergy. They theorize that over-bathing, especially with soaps containing harsh detergents, may damage natural infant-skin immune protections. The take home message? “Don’t soap the baby”.


Alcohol use linked to prostate cancer risk

In a study published online in BMC Cancer, Canadian and Australian teams both report finding meta-analyses, dose-response relationships, to alcohol consumption and increased risk for prostate cancer. Groups were compared to ‘Abstainers’ and divided, as shown, into groups with varying percentage risk, for developing prostate cancer:

  • Low volume use (2 drinks/day); having an 8% greater risk
  • Medium volume use (4 drinks/day); having a 7% greater risk
  • High volume use (6 drinks/day); having a 14% greater risk
  • Higher volume use (6+drinks/day) having an 18% greater risk

It may be the risk is even higher, due to problems associated with allowing participants who were users, and are now abstainers, to be put into the abstainer, meta-analysis category. Providers should include time factors with wellness questions such as “Do you drink alcohol now or in the past?” “How many drinks per week did you consume and how long has it been since you stopped?”


Do placebos have a place in treatment of low back pain?

Placebo medicine is often used as a ‘control’ in research. However, it’s long been known that placebos may effectively reduce all kinds of symptoms, effecting a curative outcome. A study published online in Pain on October 14, compared the results of 83 adults with persistent low back pain in Portugal, where some were given placebo with ‘treatment as usual’ for three weeks and some who had ‘treatment as usual’ alone. The placebo plus treatment as usual group had significantly greater pain reduction scores than those subjects who had ‘treatment as usual’ only . A second part of study continued, allowing the ‘treatment as usual’ alone group to have placebo added. Again, they scored significantly higher with reduced pain and better ADL (activity of daily living) scores. The co-investigator of the research project, Irving Kirsch, PhD, told Medscape Medical News “The take-home message is that prescribing placebo openly is a possibility, although we need to look more at what conditions that’s true for in order to replicate the results”.


Mindful listening cultivates reduced stress, possible patient referrals

Mindful listening is the art of paying attention ‘in the moment, non-judgmentally’. It cultivates a healthcare provider who is able to empathize, validate and ultimately gain respect and credibility with patients. This translates to practice success, and cultivates referrals in the most natural way, through conscious listening. Mindful listening reduces stress and anxiety in both the provider and the patient. This article gives simple tools to achieve this important provider trait.


Can you spot a phishing e-mail?

A phishing e-mail is an attempt by a hacker to entice a person to divulge personal information to gain access to a banking, e-mail, or other protected account. Hackers are becoming very sophisticated in this area, often sending e-mails that appear to be from a person or organization that you recognize or do business with. TechRepublic published an excellent article last year with tips on recognizing phishing e-mails. Click here to read the article.

At the end of November 2016, the Office of Civil Rights (OCR) released a warning about a phishing e-mail sent to covered entities that appeared to come from the OCR with regard to HIPAA audits. To read the warning, click here. (Scroll down the page.)


Integrative medicine stats on pain management for musculoskeletal pain

Woman receiving chiropractic careA 2012 study on low back and neck pain with 34,000 adults shows that more than half of US adults rely on integrative medicine to relieve this type of pain. Investigator, Tainya C. Clark, PhD from National Health Interview Survey writes that this type of information should better inform providers of the type of dialogue and priorities requested by patients and used by practitioner-based strategies. These strategies include but are not limited to: non-vitamin and non-mineral supplements, chiropractic, Alexander techniques and more. Providers are recommended to review the 2016 ‘National Pain Strategy’, produced by the Department of Health and Human Services which lays out better plans for addressing chronic pain in the United States.