Emergency Dental Needs and Knowing When to Call

Emergency situations happen all the time. For medical emergencies, there are emergency room facilities, but what about emergency dental facilities? Most of the time out teeth are healthy and we do not require any treatment. If problems do arise we can just contact our local dentist. However, if you are not registered with a dentist, you may just have to resort to emergency dental measures. It is important to know about the different emergency dental needs and knowing when to call.

Before we continue, let us take a look at a few things being considered as dental emergencies:

The ‘not so serious’ dental emergencies:

– Swollen gums

– Abscess

– Toothache

– Root canal trouble

– Lost fillings

– Loose crowns

– Broken dentures

– Chipped tooth

– Tooth decay

– Wisdom teeth problems

– Mouth ulcers

As you can see, the ‘not so serious’ dental emergencies are things that you can still bring under control should your dental emergency happen after hours. Should you experience toothache, loose crowns, a chipped tooth or a mouth ulcer, you do not need to call the emergency dental room just yet. Simply wait till morning time and make an appointment to see your dentist to have your problem fixed. In the meantime, take some painkillers. This will help you get some temporary relief.

The ‘more serious’ dental emergencies:

– Fractured, broken or dislocated jaw

– Severe bleeding

– Swelling in the face or neck area

– Loss of consciousness

The ‘more serious’ dental emergencies are also often referred to as oral injuries or accidental injuries. These emergencies are commonly seen in sporting accidents, car accidents and children, and should be directed to the emergency dental care facility as soon as possible. These are emergencies that need immediate medical attention and should be taken care of instantly. Also, these emergencies are the only that really mandates a visit to the emergency dental room.

If, however, you still do not understand the emergency dental needs and knowing when to call, take a look at these examples.

1. When to call

Dental emergencies or trauma involving the face and mouth, that require immediate attention may include:

– Fractured, broken or dislocated jaw

– Severe bleeding

– Swelling in the face or neck area

– Loss of consciousness

– Serious lacerations

– Infections

2. When not to call

There are several other dental emergencies that are not considered to be life-threatening but may still require emergency dental care. These emergencies, however, can be fixed by your dentist and you would not need to go to the ER. Some of these emergencies may include:

– Swollen gums

– Abscess

– Toothache

– Root canal trouble

– Lost fillings

– Loose crowns

– Broken dentures

– Chipped tooth

– Tooth decay

– Wisdom teeth problems

– Mouth ulcers

Because dental emergencies can happen at any time and when we least expect it, most emergency dental clinics are open twenty-four hours a day. In the event of you having a real dental emergency, no prior appointment is needed from you.

Emergency dental care facilities can help you when a regular dental office just is not fast enough.

For information on emergency dental clinic in Spokane WA, click here.

Massage Techniques For Today

Massage therapy can be defined as the manipulation of soft tissue. Massage therapy has physical, physiological, and psychological effects, in other words, it can affects the mind, body, and spirit. The word “massage” comes from the French meaning “friction or kneading”, the Arabic word “massa” meaning “to touch, feel, or handle”, and the Latin “massa” meaning “mass, dough”. An older origin may have been from the Hebrew “me-sakj” meaning “to anoint with oil” and the ancient Greek “anatripsis” or Latin “frictio” was the word for massage.

During a massage, soft tissue, consisting of muscles, tendons, ligaments, skin, lymphatic vessels, organs and other connective tissue, can be in manipulated in a number of ways. These include with pressure, tension, motion, vibration – all either moving or stationary, structured or unstructured. Massage strokes can be applied with the hands, soft fists, fingers, thumbs, elbows, forearms, and feet. There are over 80 recognized massage modalities or types of massage. The most stated reasons for introducing massage as therapeutic has been due to client demand and perceived clinical effectiveness.

During a massage, the client is positioned on either a massage table or massage chair. The massage table is well- padded for comfort, easily cleaned between clients, and has a padded horseshoe-shaped head support to allow for proper positioning of the neck and easy breathing while the client is facedown. The massage chair is also well-padded, easily cleaned, and offers a padded horseshoe-shaped headrest but the client remains in a more upright, sitting position. Typically, a chair massage is for a shorter duration from 5 to 15 minutes and is done with the client fully clothed. A table massage session usually lasts from 30 to 90 minutes with the client partially or completely undressed under a sheet and/or blanket. Often pillows or bolsters are used to help with body positioning to add to the comfort during the session. Massage tables and chairs are typically portable and can be easily setup almost anywhere.

In the United States, the most common type of massage therapy is Swedish massage and often it is simply referred to as “relaxation massage, “European massage” or simply “Swedish”. A Swedish massage session is typically very gentle and relaxing. The session usually consists of long smooth strokes with kneading & circular movements that work on the superficial layers of the muscle. There are many different kinds of massage – such as Deep Tissue Massage, Neuromuscular Massage, Sports Massage, Heated Stone Massage, Myofascial Tissue Release and Prenatal Massage just to name a few. Each modality, or type of massage, is used for to achieve different results and treat different conditions. Usually modalities are blended together in one session to attain the different results requested by the client. The goal of your massage will determine what modality or modalities the massage therapist will use. The question to ask yourself is – “what is my goal for my massage session?” Is the massage for relaxation, stress management, relief from chronic pain, rehabilitation of an injury, relief from frequent headaches, or improvement of flexibility and range of motion. Let your massage therapist know what kind of results you are looking for and let her/him do the rest.

Often, a massage therapist will use essential oils during the massage session. This is called “aromatherapy”. Aromatherapy is defined as the use of essential oils for physical and emotional well-being. It is known that essential oils have healing properties on both physical and emotional levels. Only nature can product whole essential oils. Essential oils are found as tiny droplets contained in different plant parts such as leaves, stems, bark, flowers, roots, and fruits. Each essential oil has its own unique set of healing properties and can relax, energize, reduce headaches, or relief stress to name just a few. One of the most common essential oils used in massage is lavender.

A heated stone massage session typically consists of Swedish massage with the addition of heated, smooth stones held in the hands of the massage therapist. Usually heated stones are also placed on the back, abdomen, behind the neck, and even between the toes to add an extra element of relaxation to the session. Heated stones can be very effective at warming and loosening tight muscles. Typically, the pressure used during heated stone massage is somewhat on the lighter side and can be ideal for those that have very tight muscles, but do not like a lot of pressure.

Sports massage is specifically designed for those that are involved in physical activity and sports. You can certainly benefit from this type of massage even if you are not a professional athlete. Anyone who is physically active and works out regularly can benefit. The focus of this type of massage is more about helping the body recovery after a work out or sporting event as well as preventing and treating injuries. Regular massage can also enhance athletic performance.

Sports massage consists of a combination of techniques and the strokes are typically faster than Swedish massage. Also included in this modality are techniques to warm up and/or cool down the muscles along with facilitated stretching to help increase flexibility and range of motion.

For information on massage in Plano click here.

There are numerous theories of how massage therapy really does affect the body. Some theories suggest that massage may stimulate the release of chemicals in the body such as endorphins or serotonin to facilitate relaxation, or the “gate of control theory” suggesting the massage itself may help block the pain signals sent to the brain. It is known that massage therapy does activate the parasympathetic nervous system which is the nervous system that controls “relaxation & digestion” and that may help explain those stomach gurgles you hear during your session.

The best way to find a massage therapist is ask a friend or healthcare professional, such as chiropractor, family doctor, or personal trainer, to recommend one. Be sure to ask the massage therapist about their training, experience, and license credentials. Also, ask your insurance company about coverage as some insurance plans will pay some or all of the session fees. If not, check into your flex spending plan or health saving accounts as often you can use one of these to pay for the sessions.

Remember… good health and wellness is a choice.

Health and Massage

Massage affects the body as a whole. To understand how massage therapy works, some of the physiological effects of massage need to be briefly examined.

Massage is known to increase the circulation of blood and flow of lymph. The direct mechanical effect of rhythmically applied manual pressure and movement used in massage can dramatically increase the rate of blood flow. Also, the stimulation of nerve receptors causes the blood vessels (by reflex action) to dilate, which also facilitates blood flow.

A milky white fluid called lymph carries impurities and waste away from the tissues and passes through gland-like structures spaced throughout the lymphatic system that act as filtering valves. The lymph does not circulate as blood does, so its movement depends largely on the squeezing effect of muscle contractions. Consequently, inactive people fail to stimulate lymph flow. On the other hand, the stimulation caused by vigorous activity can be outstripped by the increased waste produced by that activity. Massage can dramatically aid the movement of lymph in either case.

For the whole body to be healthy, the sum of its parts – the cells – must be healthy. The individual cells of the body are dependent on an abundant supply of blood and lymph because these fluids supply nutrients and oxygen and carry away wastes and toxins. So, it is easy to understand why good circulation is so important for the entire body, due to its effect on the circulation alone.

Massage is also known to:

– Cause changes in the blood. The oxygen capacity of the blood can increase 10-15% after massage

– Affect muscles throughout the body. Massage can help loosen contracted, shortened muscles and can stimulate weak, flaccid muscles. This muscle “balancing” can help posture and promote more efficient movement. Massage does not directly increase muscle strength, but it can speed recovery from fatigue that occurs after exercise. In this way, it can be possible to do more exercise and training, which in the long run strengthens muscles and improves conditioning. Massage also provides a gentle stretching action to both the muscles and connective tissues that surround and support the muscles and many other parts of the body, which helps keep these tissues elastic.

– Increase the body’s secretions and excretions. There is a proven increase in the production of gastric juices, saliva, and urine after massage. There is also increased excretion of nitrogen, inorganic phosphorous, and sodium chloride (salt). This suggests that the metabolic rate (the utilization of absorbed material by the body’s cells) increases.

– Affect the nervous system. Massage balances the nervous system by soothing or stimulating it, depending on which effect is needed by the individual at the time of massage.

– Enhance skin condition. Massage directly improves the function of the sebaceous (oil) and sweat glands which keep the skin lubricated, clean and cooled. Tough, inflexible skin can become softer and more supple.

– Affect internal organs. By indirectly stimulating nerves that supply internal organs, blood vessels of these organs dilate and allow greater blood supply to them.

Knowing about the physiological effects of massage makes it possible to better understand the health and fitness benefits of massage. What takes place under the massage therapists hands has profound importance for those interested in health and fitness in tuning up their bodies. In every sport or form of exercise, massage can help. By helping to reduce physiological fatigue and aid recovery from the exertion of working out or playing, massage enables better training, with longer, more effective workouts, thus facilitating better performance and preventing injury.

The people of ancient Mediterranean civilizations knew this. After bathing exercise, they included a full body massage. The ancients understood that education involves equal development of the mind and body. The modern publics interest in physical fitness, holistic health, wellness and human potential represents a bid to revive a time honoured philosophy.

For most people embarking on a fitness program, often the spirit is willing but the flesh is not. When regular exercise is begun almost every part of the body changes. Of interest to massage therapists is the way blood vessels become more intricate in order the meet the body’s demand for more oxygen, to supply more nutrients, to permit more elimination. This takes time. While the muscles are getting into shape, they have trouble getting enough oxygen and nutrient and wastes back up and stagnate.

Unfortunately, many exercise programs regard aches and pains as the inevitable price to be paid. This is simply not true. Massage can be used as the Greeks and Romans used it – to increase endurance, control fatigue and feel better as part of a regular health program.

Massage acts to disperse the accumulated by-products of muscle action that irritate muscles and nerve endings. Lactic and carbonic acids build up in muscle tissue shortly after exercise begins. These acids are waste products that contribute to the causation of the pain and occasional cramping that exercisers, athletes, dancers, etc. suffer during and/or after workouts or performing. These acids are formed when the glycogen stored in the liver and muscles in burned to produce the energy expended during exercise. The acids must eventually be reconverted to glycogen and stored again, or drained out via the lymph and circulatory systems. Pain and fatigue persist until this process of reconverting or excreting is completed. Massage can help eliminate the irritation caused by these wastes, thus increasing muscle recovery rates. When massage has been substituted for rest, an increase from 20-75%, even 100% muscle recovery has been recorded. For example, this is why boxers are massaged rather than rested between rounds.

Joints are critical to exercise because joints are moved by the muscles to produce movement. All joints are complicated, and their parts have a way of settling and stiffening when not used. A sluggish, numbed feeling in the joints discourages exercise. A massage therapist counteracts this by using massage strokes and passive movement to release the muscle tension and free the connective tissue found around the joints that can bind the joints.

Massage also aids recovery from soft tissues injuries such as sprains and strains. This is possible because the growth and repair of tissue are accelerated by efficient circulation in the injured areas and appropriate stimulation of the healing tissues. Many soft tissue injuries are not serious enough to necessitate a visit to the doctor or hospital, or are only treated with some first-aid, but still cause some discomfort and disability. Massage therapy can often help speed and improve recovery and reduce discomfort from such mishaps. In this way, massage helps bridge the gap between common neglect of injury and major medical intervention.

Increased health awareness has also increased nutrition awareness. The most carefully planned diet is partly wasted if blood vessels are not developed an open so that nutrition can reach the cells. Massage can aid internal nutrition rates by improving circulation.

The relationship of stress and illness is of interest to anyone maintaining their health. We all have stress in our daily lives relating to work, family, environment, society. Mental tensions, frustrations and insecurity are among the most damaging. Stress causes the release of hormones that create vasoconstriction – vessel shrinking – and reduced circulation Affected by stress, the heart works harder, breathing becomes rapid and shallow, and digestion slows. Nearly every body process is degraded. Psychosomatic studies show how stress factors can cause migraines, hypertension, depression, some peptic ulcers, etc. Researchers have estimated that 80% of disease is stress-related. Soothing and relaxing massage therapy can help counteract stressing effects.

Massage has a definite psychological effect. Since massage animates the tactile sense, the body’s primary sense, it brings people into the here and now and away from tension generated by constant preoccupation with problems. Also, loosening of muscle tension or armouring – the physical counterpart to how we defend and protect ourselves from psychological pain – can lead to freeing of repressed emotions.

Users of massage therapy as a healing tool quickly realise that they have found a form of drugless therapy. Headaches, insomnia, digestive disorders including constipation and spastic colon, arthritis, asthma, carpal tunnel syndrome, sinusitis and minor aches and pains are some of the problems that can respond to massage therapy. Massage can have an excellent effect on nervous people who have been dependent on their pharmacy for rest and relaxation.

Simply stated, the foundation stone of the therapeutic effect of massage is what Hippocrates, the Father of Medicine and an advocate of massage, defined as vis medicatrix naturae, or the body’s natural recuperative powers, the life force. Massage therapy essentially promotes health by boosting the body’s own processes.
While this article has focused on how massage can help tune the body and on the concrete scientific effects of massage, it should also be mentioned that massage can be seen as a healing art as well as a science. The theories of therapeutic massage are scientific in character, but the actual application of these theories is an art, for it involves the healing sense, sensitivity of touch, insight and intuition. It is a unique way of communicating without words, sharing energy, enjoying pleasurable relaxation, and experiencing peace of mind. Massage is often attributed to have ethereal spiritual effects akin to those of meditation.

The past ten years or so have been seen a proliferation of different terms, titles, and systems of massage such as: Therapeutic, Holistic, Swedish, Sports, Neuromuscular, Bodywork, Oriental, Shiatsu, Acupressure, Esalen, Reichian, Polarity, Reflexology, etc. For the sake of clarity, the term amssage or massage therapy as used in this article refers to the scientific manipulation of the soft tissues. The thing to keep in mind is that every healing art that employs massage therapy should include some form of kneading, pressing, or stroking with the use of pressure and movement, no matter how slight the touch or how often it is used.

The best way to find a massage therapist is to get a referral from a friend who gets massage therapy or a health professional who is knowledgeable about forms of complementary and alternative health care such as massage therapy. Or you can contact Queensland Association of Massage Therapists and the Australian Massage Therapists Association for names of qualified massage therapists in your area.

Since there are many styles of massage, you may want to shop around to find someone who practices the style of massage most suited to your needs. You should be able to find a massage therapist who is right for you., though you may or may not need to try a few massage therapists to do so.

Whenever interviewing a massage therapist you should always feel comfortable asking if they have graduated from a school that is accredited or approved by a credible accrediting agency, belong to a credible professional association such as the Q.A.M.T or A.M.T.A, and also their amount of experience and styles of massage.

In terms of what to expect during a massage therapy session, they generally are an hour in length. Clients are usually asked to remove as much clothing as they are comfortable with and rest on a padded massage table. To respect personal privacy and provide adequate warmth, the client is covered or draped with a sheet or towel so that only the part of the body worked on is exposed at any given time.

Whether or not you would expect to talk during a session depends on your needs at the time. Some clients need to talk. Some need silence. Massage therapists will usually try to accommodate what the client needs. However, sometimes talking detracts from entering a state of relaxation or experiencing the physical, nonverbal dimensions of the massage. In any case, feel comfortable giving feedback about your needs and what you like or do not like during the session. Good communication enhances the massage session.

There are a few other key points to note regarding your massage therapy session. The massage therapist will likely use a high quality oil or lotion, but if you have an allergic reaction you should let the massage therapist know. Some massage therapists offer to play music during a session, others may feel it distracting. It is best not to have eaten just before a session. Your massage therapist can answer many other questions you may have. If for any other reason you must miss a massage appointment, your massage therapist will surely appreciate being notified as soon as possible.

To enjoy the benefits of massage which have been discussed, it is best to receive a therapeutic massage from a practitioner who has blended a thorough knowledge of anatomy, physiology, kinesiology, and massage technique with a sensitive, powerful touch and healing sense. Yours in health!

How to Select the Right Medicare Plan

Just deciding which way to go when choosing from the combination of different types of healthcare coverage is confusing for many people eligible for Medicare. For most people, having choices is a very good thing. But what about when you have thousands of plans to choose from?

When it comes to Medicare, you have nothing but choices. Depending upon your circumstances, you may want to stay with traditional Medicare, or Medicare Parts A and B. If you choose this path, you’ll probably want to get a Medicare Part D (prescription drug) plan, too, to ensure your medications are covered. Or, you might be more interested in a Medicare Advantage plan, which can combine traditional Medicare with drug coverage and other benefits. You also may be interested in even more coverage, such as that offered through a Medigap (supplemental) plan.

Fortunately, help is available. A Medicare advisor offers education on available Medicare programs, answers questions, and offers detailed plans of action to get the most out of your insurance choices. You also should know the basics beforehand.

Traditional Medicare

Medicare Parts A and B, also known as traditional or original Medicare, have been around since 1965. Medicare Part A is free to most people who’ve worked and paid Medicare taxes for at least 10 years and provides people with inpatient hospital coverage. Medicare Part B, which costs most people $96.40 in 2009, covers outpatient medical expenses.

People who have traditional Medicare can see any doctor they want in any facility they want without a referral, as long as that doctor or facility accepts Medicare patients. But traditional Medicare’s benefits are limited.

Not only does traditional Medicare not cover most outpatient prescription drugs, if a beneficiary uses their coverage frequently enough, it can get very costly. That’s why we also have Medicare Advantage and Medicare Part D plans available.

Medicare Advantage Plans

Medicare Advantage, also known as Medicare Part C, combines Medicare Parts A and B in one plan so you can get your Medicare Part A and Part B coverage in the same place. Medicare Advantage plans also often include prescription drug coverage and other benefits not commonly found under traditional Medicare, such as vision and dental services.

This program works just like private insurance – you have different types of plans to choose from depending upon what type of provider access you want (for example, health management organizations (HMO), preferred provider organizations (PPO) and more) and what health conditions or prescription drugs you take. You also can choose from a number of different levels of coverage. All Medicare Advantage plans must offer at least as much coverage as that offered under traditional Medicare. If they offer prescription drug coverage, that coverage must meet minimum Medicare Part D standards as well.

Medicare Part D

Medicare Part D is prescription drug coverage. Like Medicare Advantage, Part D is offered by private companies who are reimbursed for providing healthcare coverage. Also like Medicare Advantage, a minimum amount of coverage is required for a plan to qualify as a Part D plan and many different plans, some with different levels of coverage, are offered throughout the United States. Part D plans are best for people who use prescriptions, but don’t need to see their doctors often.

Medigap Medigap, or Medicare supplemental plans, is sold by private companies to fill the “gaps” in traditional Medicare. This includes the cost of deductibles, co-payments and coinsurance. It also may cover other services that Medicare does not insure. In 2009, there are 12 Medigap plans – A through L.

Although Medigap may offer some additional coverage if an individual chooses to keep traditional Medicare, you can’t buy a Medigap plan if you have Medicare Advantage. Because most Medicare Advantage plans offer better coverage and frequently more benefits than Medigap, having both is usually unnecessary. You can have both Medigap and Medicare Part D, but it may be more expensive to do this than simply purchasing a Medicare Advantage plan instead.

Comparing And Contrasting

It’s no wonder that people are confused. There are thousands of plans available throughout the United States, and an average of 40 Medicare Advantage and Medicare Part D plans in any given area.

For information on Medicare Plan N click here.

All About Massage

Brief History of Massage

Massage may be the oldest and simplest form of medical care. Egyptian tomb paintings show people being massaged. Massage has been practiced continually since ancient times in Eastern cultures. It was one of the principal methods of relieving pain for Greek and Roman physicians. Julius Caesar was said to have been given a daily massage to treat neuralgia (nerve pain). In the 5th Century B.C., the father of Western medicine, Hippocrates wrote in the book The Physician Must Be Experienced In Many Things, “but assuredly in rubbing… for rubbing can bind a joint that is too loose, and loosen a joint that is too rigid.”

Massage lost some of its value and prestige with the unsavory image created by “massage parlors.” This image is fading as people gain the understanding that massage can relieve disease as well as aid in relaxation. As more people learn about the benefits of massage and it’s relation to disease, the more acceptable it will become.

Massage is now used in intensive care units, for children, elderly people, babies in incubators, and patients with cancer, AIDS, heart attacks, or strokes. Most American hospices have some kind of bodywork therapy available, and it is frequently offered in health centers, drug treatment clinics, and pain clinics.

Common Types of Massage

Massage therapists can specialize in more than 80 different types of massage, called modalities. Swedish massage, deep-tissue massage, reflexology, acupressure (similar to acupuncture but without needles), sports massage, and neuromuscular massage are just a few of the many approaches to massage therapy. Most massage therapists specialize in several modalities, which require different techniques. Some use exaggerated strokes covering the length of a body part (such as the leg), while others use quick, percussion-like strokes with a cupped or closed hand. A massage can be as long as 2 to 3 hours or as short as 5 or 10 minutes. Usually, the type of massage given depends on the client’s needs and physical condition. For example, therapists may use special techniques for elderly clients that they would not use for athletes, and they would use approaches for clients with injuries that would not be appropriate for clients seeking relaxation. Also, some forms of massage are given solely to one type of client; for example, prenatal massage and infant massage are given to pregnant women and new mothers, respectively.

Benefits of Massage

Massage therapy is the practice of using touch to manipulate the soft-tissue and muscles of the body. It is performed for a variety of reasons, including treating painful ailments, decompressing tired and overworked muscles, reducing stress, rehabilitating sports injuries, and promoting general health. Clients often seek massage for its medical benefit and for relaxation purposes, and there is a wide range of massage treatments available.

Massage therapy has many benefits, from increasing circulation and immunity to reducing pain from disease and injury. Massage therapy releases the “feel good” hormones, enabling the client to relax and de-stress. If clients fail to keep stress in check, it can lead to disease and can worsen conditions that already exist.

Massage is beneficial to everyone; from premature infants to the elderly. Massage helps infants to thrive and grow; helps children with a variety of medical, physical and emotional problems; and helps relieve the pain of the people who are dying.

When Massage is Contraindicated

Massage therapy can help almost any health condition, but there are certain situations where massage can make the condition worse (also called contraindications). If the person is suffering from a fever, or infection of any kind, massage will make the person feel worse. Also, if the person is intoxicated by alcohol or drugs, massage is not warranted for the same reason. If the person has advanced disease, he/she will need written permission from his/her primary care provider stating that the massage will be beneficial and not make the disease worse. Recent injury or surgeries (less than four weeks) generally also require written permission from the primary care physician before the therapist can continue.

Laws governing Massage

Forty-two states and the District of Columbia and four Canadian provinces have passed laws regulating massage and bodywork – either through registration, licensure, or certification. In those states and provinces that regulate massage therapists also require the therapist to carry liability insurance, which carries its own set of rules of conduct. States generally require that the massage therapist to have graduated from a massage therapy school, typically having a minimum of 250 to 500 hours of education. Education typically involves learning several modalities, anatomy/physiology, pathology, business, ethics and on-the-job training; either through the school clinic or on the student’s own time. Liability insurance protects the therapist in the event the client is injured in the process of the massage or has a reaction to a product being used by the therapist. Laws also regulate certain protocols during the massage, such as proper draping and confidentiality of client records.

What Massage Is and Is Not

Most states that regulate massage require that the Massage Therapist must drape the client at all times, only undraping the current area being worked on. Massage Therapists holding liability insurance are held to a set of conduct and ethics that must be followed at all times. Not following these rules or those set by the state can result in disciplinary action being taken against the massage therapist. Massage therapy can be used for either relaxation or to relieve stress or lessen the effects of disease or injury on the body. Massage therapy in considered a CAM – Complimentary and Alternative Medicine and most massage therapists work in conjunction with other healthcare providers. Massage therapists may work with Chiropractors, Physical Therapists, Occupational Therapists, nurses and physicians of all specialties.

Massage therapists cannot practice medicine, Physical Therapy or Chiropractic work unless they already licensed in any of those areas. Massage Therapists do not diagnose, can only treat, and cannot cure illness. Massage is not sexual in nature and the genitals and anal area must be draped at all times. If the massage therapist believes the client is beyond their scope of practice (knowledge), then s/he must refer that client to someone else who is more qualified.

For information on massage in Brighton click here.

The Essential ECG Simulator Heart Arrhythmias

ECG simulator is a device that is used on a regular, even daily or weekly basis, to test the proper functioning of the various vital sign monitors, patient monitors or electrocardiography, ECG monitors. In a hospital setting, with a large number of patients who have or are about to undergo surgeries and whose vital signs are weak, it becomes extremely important that the patient monitors of any kind are functioning correctly at all times.

If you are in charge of testing ECG monitors with ECG simulators in a hospital then in this article we will go over some of the basic simulated ECG waveforms and associated arrhythmias of the heart. By knowing the choices, you will be better able to match the testing procedures and waveforms using ECG machines with the actual situation of the observed patients in your hospital. That way, you will have the best chance to make sure that your ECG monitors and patient monitors are well calibrated for the task at hand.

ECG patterns included with ECG simulators

Normal rhythm of the heart: ECG simulator will typically have an option of choosing an adult heart beat, at around 80 beats per minute, and a pediatric or child’s heart beat, at 40 beats per minute.

Irregular rhythms that are caused by abnormal atrium part of the heart

Asystole: No detectible electric signals in the heart. This probably means that the heart is stopped. The opposite is not true. The heart can be stopped even though the electric heart signals are coming in.

Sinus Arrhythmia: The heart as a whole will beat faster due to faster beating of the “pace maker”, or the “sinus node” in the atrium. This can often be quite normal, such as in a fearful situation.

Sick Sinus Syndrome: Opposite to sinus arrhythmia, here the sinus node reduces the expected heart rate and the whole heart slows down.

Missed beat: Heart acts normally, misses a beat, and returns to normal action.

SVT: Supraventricular tachycardia, happens when either the atrium or the AV node starts firing faster and regularly.

PAC or APC: Premature atrial contractions, or premature supraventricular contractions. Abnormality when the atria contract earlier than normal.

Atrial flutter: Similar to atrial fibrillation but signal originating in a single part of the atria. The frequency can be as fast as three hundred contractions per minute, but the AV will only allow every other beat through, so the ventricular contractions will be exactly one half.

Atrial fibrillation: Stands for electric signals originated from multiple different places in the atria. Fibrillation will cause faster than normal heart beat. Atrial fibrillation can be either coarse or fine.

Irregular rhythms caused by faulty Ventricules

PVC: Premature ventricular complex, electric signal starts in the ventricle and causes ventricle to beat earlier than normal. This is usually not repeated, but a single event. This can have a focus on either ventricle, left or right, or can be multi focal. PVC can come as single aberration, or in pairs, etc. They are different from Bigeminy or Trigeminy above.

Ventricular fibrillation: Faster and irregular beating of the ventricle. Fibrillation can either be fine or coarse. The fibrillation causes the heart to become unable to beat or pump any appreciable amount of blood through the body. This is termed cardiac arrest, or stoppage of the heart.

Ventricular tachychardia: Faster beating of the ventricle, usually quite regular. A very dangerous symptom.

What Is Dialectical Behavior Therapy (DBT)?

Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment which combines cognitive-behavioral theory and methods with eastern meditative principles and practices. Dialectical Behavior therapy was developed by psychologist Marsha Linehan.

Who Benefits from DBT Skills Training?

DBT can be useful for Borderline Personality Disorder, Substance Abuse, self-injury, Bulimia, and Binge Eating Disorder, Bipolar Disorder, and depression.

Dialectical Behavior Therapy Skills Training

Usually, DBT includes a combination of group skills training and individual psychotherapy. There are four main types of skills that are focus in DBT.

Mindfulness techniques

Mindfulness is cornerstone in DBT. Mindfulness is an open, accepting, non-judgmental awareness. It helps individuals for accepting and tolerating the strong emotions. Therefore mindfulness considered “core” skill, because is essential to implement the other DBT skills successfully. When you’re mindful, you observe your behaviors, emotions and thoughts from outside, without judging and labeling.

The goals of teaching mindfulness skills in Dialectical Behavior Therapy are:

  • Fully observing without judgment
  • Describing without judgmental statements
  • Participating in the activity with fully focus

Distress Tolerance

Distress tolerance skill is an ability for accepting and tolerating painful events and emotions when, there is no way to solve the problem or get rid of the stressful situation.

Individuals who have low distress tolerance do self destructive behaviors for escaping from severe emotional pain. Self destructive behaviors destroy oneself, one’s family and causes emotional crisis for the long term. Self destructive behaviors include three categories:

1. Self harm.
2. Drug abuse.
3. Suicide.

There are four categories of distress tolerance skills in Dialectical Behavior Therapy:

1. Distraction.
2. Self-Soothing.
3. Improving the moment.
4. Focusing on the pros and cons.

Distress tolerance skills help individuals for tolerating stressful situations and managing difficult emotional states without using Self destructive behaviors.

Emotion Regulation

Individuals with borderline personality disorder, bipolar disorder and suicidal individuals suffer from uncontrolled emotions such as depression, mania, anger and anxiety. Learning to regulate our emotions enables us to manage our emotions instead of being managed by them.

Emotion Regulation skills include three stages:

  1. understand what you’re feeling
  2. reduce your vulnerability
  3. Decrease emotional suffering.

Interpersonal Effectiveness

Our interactions with other people can generate stress. Stress can also lead to self destructive behaviors. On the other hand, our relationships are the effective tools for coping with stress. Interpersonal response patterns taught in Dialectical Behavior Therapy include effective strategies for asking for what you want.

DBT Orange County help people improve their relationships and manage conflict more effectively.

7-Keto Benefits a Weight Loss Regimen

As a naturally occurring active metabolite of the hormone DHEA, 7-Keto-DHEA plays an important role in several processes in the body. 7-Keto-DHEA levels decline throughout life, but levels can be brought back to normal with supplementation. Users receive classic 7-Keto benefits including lower cortisol, improved immune function and an easier time losing weight and keeping it off. Shark Tank keto pills may be one of the best answers.

How 7-Keto-DHEA Works

7-Keto-DHEA increases the rate of weight loss primarily by increasing body temperature through the process of thermogenesis. Thermogenesis is also increased by other supplements, such as DHEA, caffeine and ephedrine, but these substances often carry unwanted side effects, such as high blood pressure. Enhancement of thermogenesis, without the side effects, is one of the most important 7-Keto benefits. Adding to its advantages is the fact that 7-Keto can be used even in very large dosages without causing toxicity. One study found that test animals suffered no ill effects while taking the equivalent of 40,000 mg a day, which is about 200-400 times the standard dosage of 100 or 200 mg daily recommeded dose.

The increased metabolic rate brought on by 7-Keto-DHEA allows dieters to continue to enjoy benefits long after starting their diets. Instead of suffering from sluggish metabolism brought on by a low-calorie diet, users experience steady metabolic elevation and avoid hitting a plateau in their weight loss.

The thyroid hormone T3 is also increased by 7-Keto. Some weight loss supplements, such as l-tyrosine, increase fat burning by raising T3, but T3 levels eventually crash with their use. On the other hand, 7-Keto keeps T3 levels high in users, letting them shed pounds continually. Scientists have noted that this rise in T3 remains within the safe, normal range, letting users reap the rewards of heightened T3 while avoiding the downfalls associated with having too much.

7 Keto Benefits for Weight Control Issues

On its own, 7-Keto-DHEA is not a miracle weight loss supplement that causes users to lose fat with no effort at all. Combined with a diet and exercise program, however, primary 7 Keto benefits of reduced cortisol, raised T3 and enhanced thermogenesis combine to make weight loss far easier. 7 Keto benefits include lowering cortisol, letting individuals train harder and more frequently during their regimens. This is just one more way that 7-Keto-DHEA facilitates weight loss.

Along with its other advantages, 7-Keto-DHEA also improves the body’s use of insulin, preventing fat gain. Compared to other modern weight loss supplements, 7-Keto covers more aspects to give dieters a serious edge in their fitness efforts.

Choosing Supplemental Health Insurance For Senior Citizens

Considering Medicare Supplement Insurance Options

Medicare is the health insurance program provided by the federal government for Americans or permanent residents who are 65 years of age or older. Americans under the age of 65 are eligible if they have disabilities or certain diseases. This program covers most health care needs, but not all. Medicare supplement insurance is also known as Medigap insurance can cover the gap between Medicare coverage and the insured payment of a deductible, coinsurance, and copayment charges get your quote now.

These policies are offered by private insurance companies licensed to operate in each state and regulated by its department of insurance. Medigap benefits are defined by the federal government. Such policies only offer policy coverage deemed medically necessary by Medicare and are annually automatically renewed. Payments are typically based on a Medicare-approved charge. A Medicare supplement policy is not necessary for those who have other types of policies that provide coverage.

Medicare supplement insurance can help fill in some of the gaps that Medicare will not pay. These Medicare supplement insurance plans are twelve in number and they are standardized. Each plan offers a different combination of benefits. Plan A has the fewest and is the least expensive. Plan J has the most and is the most expensive. All companies that offer supplemental insurance must offer Plan A, but do not have to offer the other plans. Plans F, J, K, and L offer a higher-deductible option. All plans are not available in every state.

All Medicare Supplement plans have certain basic benefits in common. Beyond that additional benefits are provided under Plans B through J. Nursing home care is available in plans C through J. This covers actual billed charges for post-hospital care eligible under Part A. Also available on plans C through J is emergency foreign travel coverage. Most of the charges that Medicare would have provided in the United States. Care must begin during your first two months outside the United States.

In Plans B through J there is provision for a Part A deductible that covers the Part A deductible amount per benefit period. Available on plans C, F, and J is a Part B deductible that covers the amount. There is full coverage in plans F, I, and J and 80 percent coverage in Plan G for Part B excess doctor charges for such fees that are limited to 15 percent above the Medicare standard. However, if most of your doctors take Medicare assignment, you may not need this coverage. Plans D, G, I, and J offer coverage for at-home recovery costs for short-term at-home assistance. This is limited to a certain number of visits by a provider who is qualified and payment is also limited. Plans E and J cover preventive medical care deemed to be appropriate by your physician and beyond Medicare-covered preventive services to a certain amount. High deductibles are required for Plans F and J in exchange for a lower premium. Note: in addition to the high deductible, there will be a deductible for foreign travel emergency.

The basic benefits offered by plans K and L are for similar services as plans A through J. However, the cost-sharing for the basic benefits is at different levels and includes different annual out-of-pocket set amounts. The out of pocket amounts are applicable for the deductible, copayment, and coinsurance amounts. Beyond that, the company will cover the costs for the rest of the year.

Within each standardized insurance plan, the benefits are the same from one company to the next; but, the premiums can vary significantly. The optimal time to purchase is during the first 6 months following your enrollment in Medicare Part B. This is the only time insurers have to accept you regardless of preexisting health conditions. Whether you have to file a claim form depends on your doctor or other health care provider. They might file the forms for you, or else you will need to file the forms yourself.

Premiums increase to adjust to inflation and due to the methods used to calculate them. On the first day of January, Medicare benefits are adjusted to keep up with inflation. Because all these insurance benefits are coordinated with Medicare, premiums for supplemental plans will change accordingly.The three different methods used to set premiums are use the attained age, issue age and community rate base. The attained age method premiums rise as you get older. These increases are in addition to those due to the annual adjustments to inflation. The issue age premiums are based on the age at the time of purchase. They will not increase with age; but, they will rise to accommodate inflation adjustments. Community rate premiums are the same for those residing in the same geographic area. The optimal policy choice taking this into account would be deciding the benefit combination most suitable, then purchasing by looking at the policy with the lowest premium using the issue-age or community-rated method of calculating the premium.

Differences In Medicare Supplement Insurance Plans

Once you become eligible for Medicare health insurance, you might need to consider Medicare supplement insurance plans. Medicare covers most needs. Those needs not covered can be covered by supplemental insurance alternatively known as Medigap that fill the gaps between Medicare coverage and the payment of out of pocket costs.

The Medicare supplemental insurance policies are provided privately by insurers licensed in the state where they offer the plans. Policy coverage and payments are based on Medicare standards. Such policies are renewed yearly. You may not need one should you have sufficient coverage otherwise.

The twelve standardized supplemental plans offer different benefit combinations. Plan A provides the least and is the cheapest. Plan J provides the most and is the most expensive. All insurance companies that offer supplemental insurance must offer Plan A. But, they do not have to offer the other plans, which may also not be available in every state.

The supplement plans offer basic components. After that, additional benefits are provided individually. Nursing home and foreign travel emergency coverage is available in plans C through J.

Plans B through J cover the Part A deductible amount. Plans C, F, and J cover the Part B deductible. Part B excess doctor charges is provided for completely under plans F, I, and J and 80 percent coverage under Plan G. If your doctors take Medicare assignment this will not be needed. Plans D, G, I, and J cover at-home recovery costs. Plans E and J cover preventive medical care your physician prescribes beyond what is covered by Medicare. Plans F and J have high deductibles exchanged for lowered premiums, which do not include the deductible required for foreign travel emergency coverage.

Basic benefits in plans K and L has different cost sharing levels than the other plans. These two also have different annual out-of-pocket limits. Beyond the set figure, the insurer will provide coverage.

For each type of plan offered by different insurers, the benefits are the same. However, premiums can be different. The best time to get a plan is within the first six months of enrollment in Medicare. As this is the only time, insurers are required to accept you irrespective of your preexisting conditions. If your doctor or other health care provider, files forms for you will not need to do it. Otherwise, you will.

Bear in mind that premiums change to accommodate inflation and according to the way they are calculated. At the beginning of each year, Medicare adjusts benefits to inflation and premiums for supplemental plans will change accordingly. Also, whether the premium is set by the attained age, issue age or community rate will affect the increase. With the attained age calculation, premiums rise as you age. The increase is in addition to the annual inflation adjustments. Issue age premiums are linked to age when purchased. Community rate premiums are based on geographic area. The latter two will not increase with age; but, will rise due to inflation. The optimal choice will be to choose the benefit plan best for you and obtain the policy with the lowest premium that uses the issue-age or community-rated method.

The Nuances Of Medicare Supplement Insurance Plans

Medicare supplement insurance becomes a consideration when you are eligible for Medicare health insurance and might need it. Even though Medicare coverage is quite comprehensive, it might not suffice. If this is the case, these Medigap plans offer a gap covering solution.

These policies are provided by private insurers and are automatically renewed each year. The policy coverage is what is determined by Medicare and payments are based on Medicare charges. If your coverage suffices through other insurance you might have, this option is not for you.

There are twelve plans that are standardized. They are labeled A through L with offering differences. All insurers offering supplemental coverage must offer Plan A; but are not required to offer the others. These plans also may not be available in some states.

There are common features they all share. Thereafter, additional benefits are individualized. Thus, nursing facility care and foreign travel coverage is offered in Plans C to J.

Part A deductible amount is paid for in Plans B to J. Part B deductible is paid by Plans C, F, and J. Part B excess doctor charges are 100 percent covered under Plans F, I, and J and 80 percent covered under Plan G. Should most of your doctors take Medicare assignment, this is not necessary. At-home recovery costs are covered by Plans D, G, I, and J. Preventive medical care a physician prescribes that exceeds Medicare coverage is covered by Plans E and J. Plans F and J have high deductibles that exclude the deductible for foreign travel coverage.

Plans K and L have differing cost-sharing than other plans for basic benefits. They also have not the same out-of-pocket limits. After the out of pocket limits, the insurer provides coverage.

Each type of plan the insurers offer has the same benefits; but, the premiums vary. You should enroll within the first six months after enrollment in Medicare Part B. This is the key time insurers must accept you despite your preexisting health issues.

Premiums can change each year to accommodate inflation and based on how they are calculated. At the start of the year, Medicare adjusts benefits to inflation and Medigap premiums change in tandem. However, the premium setting method can lead to further changes, if calculated by the attained age method that rises with age. The best choice is to select the most suitable plan and then purchase the policy with the lowest premium that does not apply the attained age calculation method.

Massage Service

Male physical therapist massaging the injured shoulder of male athlete in hospital

A person who conducts the professional massage service is called a masseur. As per the client requirements, there are many massage services available like St. Louis massage. These tailor-made services give the client a perfect way to de-stress themselves. Apart from the rubbing technique, masseurs apply various techniques that include applying pressure in holding, vibration, rocking, friction, kneading and compression. In the first place, hands are used at the max time, although some massage service requires the usage of other parts of the body like the forearms, elbows or feet.

Massage provides physical benefits as well as help to release your mental pressure as well. It helps to relax the whole body, tone your tight muscles and increase the circulation and range of motion. Apart from all the positive influences are of physical nature, but it also calms the nervous system, reduces headaches and promotes peaceful sleep. Being the most popular service massage has numerous benefits to health. It has been in place for around thousand of years whilst improving blood circulation and immune system.

Massage is an exhilarating experience in which women and men of all ages should go and rejuvenate themselves. Also, the professional setting of the massage being treated on the massage table or massage chair or on a mat on the floor enhances the blood pressure and lowers the heart rate. Also capturing the ambiance and tranquility of Singapore, the center is a rare combination of great products and rates.

Relatively many massage techniques are available, to list down some are:
• Acupressure
• Acupuncture
• Aromatherapy
• Ayurvedic Massage
• Tissue Massage
• Prenatal Massage
• Spa Treatments
• Swedish Massage, and
• Thai Massage

Some of the multiple-dose effects of massage service are instant relief from pain, reducing anxiety, recovering from depression and some minor diseases may also be treated. The luscious range of massage services available at Scent Discovery will surely meet one’s tastes. If you are a regular customer, you can also choose your favorite therapists.


History of Massage