A Case for Therapeutic Massage for Chronic Neck Pain

A Case for Therapeutic Massage for Chronic Neck PainHolly JacksonThe call of the article I chose is Five-Week Outcomes From a Dosing Trial of Therapeutic Massage for Chronic Neck Pain. It was published in the Annals of Family Medicine in the March/April final payment in 2014. I chose to use this article because it relates to the chief complaint of my Wednesday client and supports massage as a viable treatment option. I recognized a need to learn more about the condition in order to be a more competent massage therapist.In the United States, degenerative neck twinge is a common complaint and ranks high on the list of disabilities. Individuals who suffer often seek help from qualified massage therapists. instruction the ins and outs of the neck, including muscles, tendons, ligaments and nerves is crucial for giving a quality massage. This knowledge, paired with the proper techniques, becomes an invaluable tool in the massage therapists tool belt for success, which will make water lasting benefits for the client.Inconclusive results prior to this study have been a result of too many variables in the techniques and infrequency of treatments. The purpose of this study was to set a specific duration of treatment, with variance on the number of treatments prevaild, to determine if massage therapy could help ease chronic neck pain. Study subjects had to meet a compressed list of requirementsAdults aged 20 to 64 years with chronic nonspecific neck pain lasting at least 3 months excluding individuals whose neck pain had a pathologically identifiable cause, was complex, or was too mild, had potential contraindications for massage, received massage inwardly the last 3 months, and had not received massage for neck pain within the last year. (Sherman, et al. 2014, p. 113)There were 228 participants chosen and individuals were randomly assigned to one of six hosts. One of the groups was the control group where the participants were put on a wait list. distributivel y of the groups contained 37 to 39 individuals. The study lasted 4 weeks, with final outcomes gathered in the fifth week over the phone by an individual who wasnt aware of group assignments. Besides the control group, which didnt receive massage, there were five groups with variances of massage ranging from 30 minutes 2 or 3 times a week to 60 minutes 1, 2, or 3 times a week. Each of the groups had specific parameters for the treatments, which included range of motion assessment, hands-on check-in, massage applied directly to the neck, and addressing compensatory patterns (Sherman, et al. 2014). The results were mensurable using several point systems including patient satisfaction.The investigators found convincing results from the study groups. According to the study measurements, all of the groups showed proceeds except for the control group, which did not receive massage. The measurements for neck pain intensity and neck disability index (or NDI), indicated that even though the 30-minute massage groups showed improvement in the measurements of the study, the most significant results came from the 60-minute massage groups, specially those groups receiving 3 massages per week. Studies that were conducted prior to this were inconclusive in their methods and findings. The significance of these findings cannot be understated. Massage is a viable, verified method of treating chronic neck pain with considerable measures of improvement and relief of symptoms when administered with regularity.The thoroughness of this study supports the use of therapeutic massage as a complementary treatment option. The measurements taken at the onset of the study showed that most tribe who suffer from chronic neck pain are not satisfied with conventional treatment options. With the finding of this study supporting therapeutic massage, the impact on the massage industry has the potential to grow exponentially. Massage has much more to offer than just feeling great, it has the abil ity to relieve symptoms and improve quality of life. I believe this is a perfect prescription for repeat business with satisfied clients.ReferencesSherman, K., Cook, A., Wellman, R., Hawkes, R., Kahn, J., Deyo, R., Cherkin, D. (2014).Five-Week Outcomes From a Dosing Trial of Therapeutic Massage for Chronic Neck Pain. Annals of Family Medicine, 12(2), 112-120. inside10.1370/afm.1602

Free Euthanasia Essays: Euthanasia and the Pain Relief Promotion Act :: Free Euthanasia Essay

mercy killing and the hurting Relief advancement Act   President Clinton give tongue to that the key question regarding the Nickles/Lieberman disoblige Relief furtherance Act is whether the bill as writ ecstasy would have a chilling effect on doctors write music for imposition easiness on terminally ill patients.   The question he raised is a testable proposition. Language almost identical to that found in the Pain Relief Promotion Act has been enacted in ten-spot states in recent years - and the effect of much(prenominal) language on the use of knock-down(a) pain relief medication such as morphia has been dramatically positive.   There is considerable data from states passing new laws against assisted suicide since 1992. During this period, ten states passed new laws that ban advisedly assisting suicide (or that strengthen existing bans), including language that affirms the use of medications to control pain yet when this may unintentionally enlarge t he risk of exposure of death. Data on morphine use from the Drug Enforcement Administration (DEA) show that per capita use of morphine always increased in these states afterward, sometimes dramatically so (in Iowa, Rhode Island and South Dakota, morphine use doubled). The average change in morphine use in these ten states was an increase of over 50%.   During the same period, four-spot states passed laws against assisted suicide that did non include language affirming pain control like that found in the federal Pain Relief Promotion Act. regular here, there is little recount of a significant chilling effect on morphine use but per capita use of morphine tended to stay roughly the same or to increase only slightly. In these four states, where new bans on assisted suicide lacked the kind of positive language on pain control found in the Pain Relief Promotion Act, morphine use rose by an average of 3%.   Turning back to the ten states with language similar to that of the Pain Relief Promotion Act, one can reasonably predict that the impact of passing the federal Act would be even more positive for pain control, for the following reasons   1. These states actually passed new bans (or established new civil penalties for doctors) where none previously existed. By contrast, in the vast volume of states the Pain Relief Promotion Act establishes no new ban at all - it is already a state crime (and/or a violation of state medical exam licensing standards) to assist suicide, and thus an automatic violation of the federal Controlled Substances Act to use a federally controlled drug in such a practice.Free Euthanasia Essays Euthanasia and the Pain Relief Promotion Act Free Euthanasia Essay Euthanasia and the Pain Relief Promotion Act   President Clinton said that the key question regarding the Nickles/Lieberman Pain Relief Promotion Act is whether the bill as written would have a chilling effect on doctors writing medication for pain relief on ter minally ill patients.   The question he raised is a testable proposition. Language almost identical to that found in the Pain Relief Promotion Act has been enacted in ten states in recent years - and the effect of such language on the use of powerful pain relief medication such as morphine has been dramatically positive.   There is considerable data from states passing new laws against assisted suicide since 1992. During this period, ten states passed new laws that ban intentionally assisting suicide (or that strengthen existing bans), including language that affirms the use of medications to control pain even when this may unintentionally increase the risk of death. Data on morphine use from the Drug Enforcement Administration (DEA) show that per capita use of morphine always increased in these states afterward, sometimes dramatically so (in Iowa, Rhode Island and South Dakota, morphine use doubled). The average change in morphine use in these ten states was an increase o f over 50%.   During the same period, four states passed laws against assisted suicide that did not include language affirming pain control like that found in the federal Pain Relief Promotion Act. Even here, there is little evidence of a significant chilling effect on morphine use but per capita use of morphine tended to stay about the same or to increase only slightly. In these four states, where new bans on assisted suicide lacked the kind of positive language on pain control found in the Pain Relief Promotion Act, morphine use rose by an average of 3%.   Turning back to the ten states with language similar to that of the Pain Relief Promotion Act, one can reasonably predict that the impact of passing the federal Act would be even more positive for pain control, for the following reasons   1. These states actually passed new bans (or established new civil penalties for doctors) where none previously existed. By contrast, in the vast majority of states the Pain Relief Promotion Act establishes no new ban at all - it is already a state crime (and/or a violation of state medical licensing standards) to assist suicide, and thus an automatic violation of the federal Controlled Substances Act to use a federally controlled drug in such a practice.

Using Gothic Characteristics to Portray the Theme of Knowledge Essay

Using Gothic Characteristics to Portray the Theme of Knowledge in American Gargoyles, Johnny Mnemonic, Frankenstein, keen Country People, and Cyberpunk Gothic literature has been interpreted, and even criticized by many people as just being scary stories. They feel the authors only dissolve for using gloomy settings and grotesque characters is to horrify the reader. This however is rarely true of Gothic literature, instead an author will use these characteristics to portray a deeper solve rather than to just scare the reader. This is true of in all genres of gothic literature including classical, southern, and cyber literature. One theme that has been prevalent throughout gothic history is that of knowledge. Several authors switch used gothic tendencies to convey the idea that too much knowledge can be dangerous. They use these characteristics to warn the reader that knowledge is not unceasingly good. Classical gothic literature, developed in the late eighteenth century, was m ost likely first concepted by Horace Walpoles The Castle of Otranto. Dark, dreary settings and frightening monsters often restrict the style of this category of literature. Mary Shelley, a classical gothic writer, has used these characteristics in her novel Frankenstein. In her novel Victor Frankenstein composes a creature that has all the potentialities of a child because it knows nothing. But this creature is far from looking anything like a child. The monster, created from different body parts, is grotesque, he has yellow skin that barely covers his muscles, dour black hair and is very large. However, just as a child, he begins to learn, through experiences and especially by reading several books. This new knowledge he has learned has a harmful ... ... situations to warn or horrify the reader about a deeper theme. The terror felt by the reader as he/she reads the story mimics the terror another character is feeling in dealing with this hidden theme. Authors often use these tend encies to portray their ideas on current social conditions in order to warn the reader. Works Cited Bloom, Harold. Flannery OConnor. revolutionary York Chelsea House Publishers, 1986. Di Renzo, Anthony. American Gargoyles. Carbondale Southern Illinois University Press, 1993. Gibson, William. Johnny Mnemonic. 5 April 2000 . Levine, George. The Endurance of Frankenstein. Los Angeles University of California Press, 1979. OConnor, Flannery. Good Country People. 5 Apr. 2000 . Shelly, Mary. Frankenstein. New York Dover Publications, Inc, 1994. The Cyberpunk Project. Christian Kirtchev. 3 Apr. 2000. 10 Apr. 2000 .

Catcher In The Rye :: Essays Papers

Catcher In The RyeOh literature, oh the glorious Art, how it preys upon the marrow in our bones. It scoops the salad dressing out of us and chucks us aside (David Herbert Lawrence). Well-written expires of literature have the undeniable ability to kidnap readers, carry them away into the storys notional world, and hold the reader for ransom, away from a world where they may not be anticipating the return. This type of literary escape is scarce in todays fast-paced society. One is submitted into a fantasy, in which opinions and ideas about the characters and situations expand beyond all possibilities. Literature acts as a valuable aid for self-growth it nourishes intellect, cheers one up, or relaxes mind and spirit. Nikki Giovanni asks the question, ever been kidnaped/by a poet (Giovanni 346). If one has not yet been enriched by this feeling, the mystery must be unveiled. To say that I have go through this feeling from only one piece of literature would prove a great inju stice to my literary history. There have been countless moments in my disembodied spirit where I have left time and place to enter a world created by the author, but perfected by my own interpretations and impressions. The literary work that stands out most my mind is The Catcher in the Rye by J.D. Salinger. This is one of the most absorbing novels I had the privilege to read. The plot of this story concerns a young man, Holden Caulfield, being expelled from one of a long list of schools. The intriguing part of this story is how he perceives and understands his own human condition. He experiences unexplained economic crisis and erratic behavior, which leads to an eventual nervous breakdown in a world he views as invaded by phony adults who corrupt innocent children. The title is reassert when Holden is talking to his little sister. She asks what he wants to be when he grows up. He asks her if shes ever heard the song If a tree trunk catch a body comin through the rye. H e continuesI keep picturing these little kids playing some game in this big field of rye and all. Thousands of little kids, and zips around-nobody big, I mean-except me. And Im standing on the edge of some crazy cliff.

Ray Kroc Essay -- Food Industry Fast Food Restaurants Essays

Ray Kroc&9They are everywhere From downtown Chicago to a rural town in Nebraska, fast-food restaurants have go a stylus a trademark of how Americans live today. Hurrying to make time for an afternoon appointment, a woman decides to make a short stop for lunch. Pulling her sports emolument vehicle up to the window, she speedily grabs a delicious meal for a small price. But where did the idea come from? In the small town of San Bernadino, California, during the fifties, a young man named Ray Kroc had an idea that would drastically revolutionize the food industry with the efficient use of a multimixer, new ideas, and incredible entrepreneurship, the McDonalds corporation began a remarkable empire in the American and worldwide fast-food industry.&9Ray Kroc began his working career the same as most others do by determination a solid job with a steady cash flow, and hope of promotion. Determined to find work for his future wifes hand in marriage, Ray quickly became a salesmen for a Li ly cup industry. Unfortunately for Ray, it didnt start off in the way that he thought it would. Struggling to support his wife and newborn queer under low pay, Ray would also play piano part time to earn extra money. While working for the chance of a promotion, he worked hard in his job going from place to place selling papercup products. It was in these early business days that Ray first showed a soft touch of his talent in economic ideas. He had an idea to modify a paper cup in that it could be formed in a way which kept the cup more durable. The cups name was rightfully called the One in a Million, and the introduction of this new product took off like a atomic number 5 fire and boosted sales dramatically in a stagnant industry. The intelligent business decisions do by Ray were incredible. He advised the head of the alliance to raise the price of the new cup by two cents. Instead of selling at ten cents, the cup sold at twelve which made the boss an extra one hundred thousan d dollars. With this invention by Ray Kroc, new ideas were stimulated and more inventions were created. The invention of the multimixer, by Earl Prince, was a flipper spindled milkshake machine that Ray believed had tremendous potential.&9When Earl Prince found out about Ray Krocs business and selling tactics, he instantly proposed that Ray retract the Lily Tulip company and go into business with him. Ray would sell the... ... the demands of a changing society. Ray commented on all his success by saying, Everything seems to be coming up roses. Ill be able to tell you more Manana...Manana...(Kroc 207). &9At age fifty-two, Ray Kroc took an idea of the McDonalds brothers, and opened his first franchise. Within a decade he became a millionaire and his journey is a classic success story. Sadly, after thirty years of working for his own company, Ray died of heart failure on January 14, 1984. During 1983, the outline wide sales of over four thousand restaurants accumulated almost nine billion dollars in sales. And in December of that year Ray was saluted as one of fifty individuals who had made the greatest contribution to the American way of sustenance in the twentieth century. The West Coast Reviews of books writes, Few entrepreneurs can phone call to have actually changed the way we live, but Ray Kroc is one of them. His revolutions in food service automation, franchising, shared national training, and advertising have earned him a place beside the men who founded not merely businesses but entire new industries. Ray Krocs influential life not only provided work for millions, but changed the life of billions.

Autonomy and Political Responsibility after the Cold War Essay

Autonomy and Political Responsibility after the Cold War later World War II, Europe emerged as a continent torn amid ii very different political ideologies, Communism and Democracy. As the two major superpowers, the union of Soviet Socialist Republics and the United States, struggled to defend their respective governmental policies, the European Continent was caught in an inbuilt struggle to preserve the shore leave which had taken so long to achieve. During the Cold War, Eastern European nations struggled to achieve autonomy with the help of the Wests dedication to break the Soviet sphere of persuade. After the tumult of the USSR, the struggle for autonomy among nations shifted from an intense, in contendd, nationalistic struggle to break away from a superpower to a commitment of international bingle and cooperation as nations began to take good and political responsibility for their actions. The alliance formed between the US and USSR during the second world war was not st rong lavish to overcome the decades of uneasiness which existed between the two ideologically polar oppo situation countries. With their German enemy defeated, the two emerging nuclear superpowers no longer had whatsoever common ground on which to base a political, economical, or any other type of relationship. Tensions ran high as the USSR sought to expand Soviet influence throughout Europe succession the US and other westerly European nations made their opposition to such actions well known. The Eastern countries already under Soviet rule yearned for their independence, while the Western countries were willing to go to great lengths to limit Soviet expansion. Containment of world revolution became the watchword of American foreign policy throughout the 1950s a... ... and a special exhibit on the Internal Workings of the Soviet System. This site provides an accurate representation of the Soviet System during the Cold War as seen by the actual Soviet documents. Also, this site gives detailed information of pivitol moments during the Cold War era, such as the Cuban Missile Crisis. Berlin Wall gives a brief over-view of the Berlin Wall, its history and its fall. Provides many useful colligate to several other sites which offer a more in depth exploration of the circumstances surrounding the fall of the Berlin Wall. This is a vital link for gaining a more comprehensive understanding of the role of the seperation of East and West Germany and the Berlin Wall itself during the Cold War era. Crockatt, Richard. The fifty years war the United States and the Soviet Union in world politics, 1941-1991. London New York Routledge, 1995. Autonomy and Political Responsibility after the Cold War EssayAutonomy and Political Responsibility after the Cold WarAfter World War II, Europe emerged as a continent torn between two very different political ideologies, Communism and Democracy. As the two major superpowers, the Union of Soviet Socialist Republics an d the United States, struggled to defend their respective governmental policies, the European Continent was caught in an intrinsic struggle to preserve the autonomy which had taken so long to achieve. During the Cold War, Eastern European nations struggled to achieve autonomy with the help of the Wests dedication to break the Soviet sphere of influence. After the disintegration of the USSR, the struggle for autonomy among nations shifted from an intense, inward, nationalistic struggle to break away from a superpower to a commitment of international unity and cooperation as nations began to take moral and political responsibility for their actions. The alliance formed between the US and USSR during the second world war was not strong enough to overcome the decades of uneasiness which existed between the two ideologically polar opposite countries. With their German enemy defeated, the two emerging nuclear superpowers no longer had any common ground on which to base a political, econom ical, or any other type of relationship. Tensions ran high as the USSR sought to expand Soviet influence throughout Europe while the US and other Western European nations made their opposition to such actions well known. The Eastern countries already under Soviet rule yearned for their independence, while the Western countries were willing to go to great lengths to limit Soviet expansion. Containment of world revolution became the watchword of American foreign policy throughout the 1950s a... ... and a special exhibit on the Internal Workings of the Soviet System. This site provides an accurate representation of the Soviet System during the Cold War as seen by the actual Soviet documents. Also, this site gives detailed information of pivitol moments during the Cold War era, such as the Cuban Missile Crisis. Berlin Wall gives a brief over-view of the Berlin Wall, its history and its fall. Provides many useful links to several other sites which offer a more in depth exploration of th e circumstances surrounding the fall of the Berlin Wall. This is a vital link for gaining a more comprehensive understanding of the role of the seperation of East and West Germany and the Berlin Wall itself during the Cold War era. Crockatt, Richard. The fifty years war the United States and the Soviet Union in world politics, 1941-1991. London New York Routledge, 1995.

Abortion Kills Unwanted Welfare Children :: abortion argumentative persuasive argument

Abortion Kills Unwanted Welf ar Children   Abortion is one of the intimately controversial issues around, and is an issue that will never be agreed upon.  By bringing morals into the doubtfulness of whether it should be legal to have abortions, this issue has been proud to a higher level.  By some people, it is no longer looked at as a question of choice but as a question of morality, and these concepts have led to a full-blown debate over something that really should not be questioned.         Every women in America has the right to decide what to do with their bodies.  No government or group of people should feel that they have the right to dictate to a person what path their lives should take.  People who say that they argon pro-life are in effect no more than anti-choice.  These pro-lifers want to put the life and future of a women into the hands of the government. Abortion, and the choice a women may make,  is a very private thing and should not be open to debate.  The question of morality should not even come into play when considering abortion, because in this sheath the question is not of morality but of choice and constitutionality.         The ninth amendment states The enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retain by the people.  This in turn, is guaranteeing a women the right to have an abortion.  Pro-choice people say that abortion is the killing of a child, but pro-choice people do not consider the fetus a child.   A philosopher, Mary Anne Warren, proposed that consciousness, reasoning, self-motivated activity, and self awareness are factors that determine person-hood.         But, a misconception that held is that people who are pro-choice are actually pro-abortion.  Many people that support the right of a women to decide what to do with her own body may be personally against abortions.  But, that does not besotted that they think the government should be able to pass laws governing what females do with their bodies.  Pro-choice people simply believe that it is the right of a women to assess her mail and decide if a baby would be either beneficial or deleterious to her present life.