Show Notes for April 3, 2015

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • ACA Scope Policy Updates
  • And Finally, a Story about Outcomes and their predictors in lumbar spinal stenosis

 

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #502 recorded April 3, 2015.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

ACA Scope Policy Updates

As reported recently by ACA President Dr. Anthony Hamm, DC, during the American Chiropractic Association’s (ACA) annual House of Delegates meeting in February, delegates passed resolutions supporting key elements in scopes of practice and the creation of the ACA College of Pharmacology and Toxicology.

Based on membership responses, these policy resolutions have proven quite positive. To no one’s surprise, however, other organizations and special interest groups have associated these policies with “incorporating drugs into the scope of chiropractic practice and promoting the term chiropractic medicine.”

In fact, the resolution on the six key elements of a modern scope of practice act supports the terms chiropractic physician and chiropractic medicine. These terms are part of the ACA lexicon as they support our profession’s ability to practice to our full level of training and competencies. As the leading organization supporting contemporary chiropractic practice, we have embraced this terminology.

Further defined in the scope of practice resolution are full management, referral, and prescriptive authority for patient examination, diagnosis, differential diagnosis and health assessment. As we are all aware, this language protects our ability to maintain first-contact, physician-level authority to manage our patients. This language is consistent with ACA’s mission to preserve, protect, improve and promote the profession and the services we deliver for the benefit of the patients we serve.

Pharmacology is defined as the discipline concerned with the use, effects and modes of actions of drugs. Pharmacotherapy, on the other hand, is medical treatment by the use of drugs. The clinical understanding of pharmacology and toxicology is critical to our ability to comply with federally mandated meaningful use in electronic health records. Advanced training in drug-drug and drug-allergy dynamics is a necessary component of that mandate.

Do either of these policies support prescription drug rights? The answer is emphatically no. In fact, ACA supports the Chiropractic Summit statement that “the drug issue is a non-issue because no chiropractic organization in the Summit promotes the inclusion of drug rights and all organizations in the Summit support the drug-free approach to health.”

Health care in the United States is rapidly evolving. In order for the chiropractic profession to thrive and succeed in the delivery of value-based care, we need a strong, focused national association. The American Chiropractic Association is in a position to advocate for the chiropractic physician who wants to fill that role. I’m proud of the fact that ACA is comprised of a diverse group of experienced and dedicated volunteer leaders chosen by their peers to represent them. ACA will continue its focus on services and ideals that will preserve, protect, improve and promote the contemporary practice of chiropractic medicine.

Surf to our Show Notes for Links – http://www.acatoday.org/press_css.cfm?CID=5640

http://www.acatoday.org/level2_css.cfm?T1ID=10&T2ID=117

http://chirosummit.org/uploads/13-Nov-14-Summit-Press-Release.pdf

Outcomes and their predictors in lumbar spinal stenosis

The aim of a prospective observational cohort study published in the European Spine Journal, was to evaluate long-term outcomes in patients with mild-to-moderate lumbar spinal stenosis (LSS) and to analyse the predictors of clinical outcomes.

A group of 53 patients were re-examined after a median period of 139 months.

Evaluations were made of subjective clinical outcome, objective clinical outcome and its predictors, any correlation between subjective and objective outcome, and the development of changes in radiological and electrophysiological parameters after 12 years.

The study concluded that satisfactory objective and subjective clinical outcomes were disclosed in about half of the patients with mild-to-moderate lumbar spinal stenosis in a 12-year follow-up.

The number of comorbid diseases had an unfavourable effect on subjective evaluation of clinical outcome.

The lowest transverse diameter of spinal canal proved to be the only independent predictor of deterioration of clinical status in lumbar spinal stenosis patients.

Surf to our Show Notes for Links – http://link.springer.com/article/10.1007/s00586-014-3411-y?wt_mc=alerts.TOCjournals

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Finally, I leave you with the following quote:
The pessimist complains about the wind; the optimist expects it to change; the realist adjusts the sails.”
– William Arthur Ward

For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.

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