Research evidence suggests following guideline recommendations can improve quality of care and clinical outcomes. However, translating recommendations into clinical care for individuals can be challenging because guidelines, by nature, tend to inform care on a general level. Further complicating guideline adherence is confusion caused by inconsistent terminology and the existence of multiple guidelines for single conditions, among other issues. Inconsistent recommendations within guidelines raises the question, “Is there common ground among guidelines for musculoskeletal conditions?” To answer this question, researchers identified 11 recommendations that consistently appear within current guidelines.
Person-centeredness is an approach to health care focused on the person, placing high importance on things such as being respectful and responsive to individual preferences, needs and values. Practitioners who adopt this approach to care report that it can transform the doctor-patient encounter and even re-energize providers. The path to patient-centeredness, however, is not always a natural one for doctors, many of whom report that they must continually work to adopt and refine this style of patient care. Learn what you can do to begin moving toward a more patient-centered approach in your practice.
With up to 10% of the population suffering from carpal tunnel syndrome (CTS), it’s important to keep up with new information about this disabling condition. A significant amount of new data has been published in the past quarter about the management of CTS. This ACA Blogs post by Tim Bertelsman, DC, will equip evidence-based chiropractors with a quick summary of the 10 most significant findings.
A conversation with Dr. N. Ray Tuck
Last month, the American Chiropractic Association (ACA) Board of Governors elected N. Ray Tuck, Jr., DC, of Blacksburg, Va., as the association’s new president. He assumes the helm after a period of major transition at ACA, highlighted by key projects intended to better position the association to respond to challenges and opportunities and to leverage the talents and expertise of its members. ACA Blogs editor Annette Bernat sat down with Dr. Tuck recently to discuss the impact the recent changes have made on ACA’s operations as well as its ability to meet members’ needs.
Health professionals from different disciplines use diverse diagnostic methods to inform clinical management for patients with low back pain. One person may diagnose someone as suffering from sacroiliac joint pain while another might classify the same patient with a movement disorder caused by poor muscle coordination. In a given circumstance, either or both individuals could be right or wrong. However, we can’t realistically discern this until we understand the underlying strength of the diagnostic tests we use.
Integrating high-quality evidence into our clinical acumen is a crucial aspect of the evolution of the chiropractic profession. However, we must also continue to respect and include expert consensus, based on years of clinical experience. Papers like this help us achieve this valuable combination! Dr. Cheryl Hawk and colleagues give us a great overview of the literature pertaining to chiropractic care for children, incorporating evidence and consensus-based advice you can apply in your practice…enjoy! -- Shawn Thistle, DC, RRS Education
Presentation Explores New Employment Opportunities for DCs in Community Health Centers
ACA’s annual meeting, the National Chiropractic Leadership Conference (NCLC), is packed with great educational content and world-class presenters. Join us Feb. 28-March 3, 2018, in Washington, D.C., to hear from some of the profession’s most compelling thought leaders. Here we pose several questions to one of our featured speakers: James Lehman, DC, MBA, who will be participating in a panel discussion on "Models of Integrated Practice."