Joliet Area Community Hospice Considered the model for quality compassionate care for people facing end of life, hospice provides expert medical care, pain management, and emotional and spiritual support expressly tailored to each patients individual needs and wishes.Hospice can improve a persons quality of life when curative treatments and technology are no longer effective or desired. Like various sectors of the medical community, Joliet Area Community Hospice (JACH) includes complementary therapies in patient care plans and with family bereavement. Currently music, art, pet, massage, Reiki and aroma therapies are offered to our patients. These non-invasive therapies promote comfort and well-being and complement the medical and social support they already receive from their interdisciplinary care teams. Complementary therapies promote relaxation and rest, minimize anxiety and stress, release tension, reduce pain, helps with agitation and improve functional status and quality of life.Aromatherapy has minimal side effects and is ideal in hospice care. Not only does it benefit the patient but also family members and caregivers. Our trained staff choose the right essential oils and method of application. They incorporate aromatherapy through touch and massage or through diffusers. Massage in itself is beneficial and when paired with aromatherapy, canboost the mood and ease the tension many hospice patients experience.Reiki treats the whole person. It is a Japanese therapy for stress reduction and relaxation. Reiki is a popular and beneficial healing modality that is utilized for health and wellness. It is based on energetic principles and is practiced in many hospitals, medical settings, and in private practice all around the world.Music can be a powerful tool at end of life by bringing peace and harmony to a hospice patient. Studies have shown that patients at end of life engage more easily when music is playing. Music therapy has always proven to enhance verbal and motor abilities for adults, teenagers and children.Pet therapy promotes conversation, activity and emotional connections during a visit. Some patients enjoy petting the animal and having them lay by them to cuddle. Others like to throw a ball and play fetch, while some give the dog commands to do. People who love animals and have had pets of their own can feel a sense of normalcy from a pet therapy visit.Art therapy is also beneficial to hospice patients as well as their family member and can help when dealing with anticipatory grief. Art is a perfect outlet to express feelings and in turn reducing anxiety. Adults, teenagers and children benefit from art therapy as a means of relaxation and stress relief. Therapies offered to JACH patients and families are administered wherever home is and by licensed staff or volunteers as required. Editors Note: As a hospice patient or family member, ask your care team about these additional therapies that may provide additional bene?ts to you. Submitted by Joliet Area Community Hospice, 250 Water Stone Circle, Joliet, IL 815.740.4104.
As we age many things are different and it is important to realize that our age is an advantage mainly in terms of time and experience. Physiological and psychological age is a variable result in the formula of life where your attitude towards personal health and activity determine the quality, endurance, efficiency and longevity of your life. The complex of minor disorders and injuries, collected for a lifelong period, appear as chronic pain syndromes, limiting our physical activity and darkening our sense of surrounding beauty.However, the number of disorders lowering our quality of life has functional and reversible character. It means that a positive attitude can make a drastic difference to the quality of your life. Manual therapy, can give you efficient impact and a weapon for struggle with aging and weakness in the most knowledgeable, natural, physiological, efficient and joyful way without side effects. Massage can be different from anything that you knew before. Massage can be used like surgeons tool; exactly and precisely focused on that structural and physiological condition in your body which causes discomfort, pain, activity restrictions and even disability.Comprehensive massage is a powerful fusion of the most effective techniques of massage and bodywork. Comprehensive means inclusive, flexible, universal, and efficient; this is true of knowledge, education and wisdom at the base of professionalism. It is targeting our common enemies pain and weakness, depression and aging.For seniors a specialized 30 - 40 min geriatric procedure is a unique way of rehabilitation and rejuvenation during and after a wide variety of disorders. It works as a symptomatic and preventive while maintaining measure with amazing effect.Geriatric Massage is a holistic type of therapy that treats the whole person, not just condition. It is focused on vascular, nervous and muscular systems, improving metabolism and cellular regeneration in the organism, literally; it fills you with energy while restoring neuromuscular functionality, relieving pain and increasing physical performance. It fights depression and anxiety, improves sleeping, confidence, and motivation. It is not a miracle! The miracle is you, your mind, and your organism that enables you to overcome any disease. We just cooperate and assist.Editors Note: This article was submitted by Victor Likhobabin, PhD, LMT, and NCBTMB of 1st Comprehensive Massage Clinic. He may be reached at 801-274-0462
Why is Paired Vagus Nerve Stimulation Effective for Stroke Recovery ?Throughout her esteemed career as a board-certified neurological physical therapy specialist, lecturer and researcher, Kay Wing, PT, DPT, NCS, has always been interested in new technology that has the potential to benefit stroke survivors in her practice, SWAN Rehab (Phoenix, Arizona). When she learned about the Vivistim Paired VNS System, Wing was eager to enroll stroke survivors in the clinical trial based on the research supporting vagus nerve stimulation for ischemic stroke recovery. The results are clear; stroke survivors who participate in paired vagus nerve stimulation in conjunction with their physical therapy improve their hand and arm mobility two to three times more than those who had physical therapy alone. In this post, Wing explains how the FDA-approved Vivistim System works and why its a gamechanger for stroke recovery.By Kay Wing, PT, DPT, NCSWhat is the Vivistim Paired VNS System?The FDA-approved Vivistim Paired VNS System is a vagus nerve stimulation device that stroke rehabilitation therapists pair with rehabilitation exercises to help improve outcomes (or gains) for stroke survivors even years after theyve had a stroke, potentially generating two to three times more hand and arm function for ischemic stroke survivors than therapy alone.The small pacemaker-like device is placed just under the skin in the upper left chest area during an outpatient procedure. Soon after, the stroke survivor will begin physical or occupational therapy. The therapist will have the stroke survivor repeatedly perform specific rehabilitation exercises designed around each persons specific needs and goals to help them improve their function. During these exercises, the therapist will be sending signals to the persons Vivistim device to send a pulse through the vagus nerve to the brain that helps tell the brain what to relearn.This highly repetitious pairing of vagus nerve stimulation with stroke rehabilitation helps to increase what is known as neuroplasticity , the process of engaging other undamaged parts of the brain to take over the work that had previously been done by the parts of the brain damaged in the stroke.Surviving an Ischemic StrokeAbout 60% of stroke survivors experience persistent upper limb issues for 6 months or more. This fact has both inspired and challenged me personally and professionally. My grandfather survived a stroke when I was in high school but never fully recovered. The feeling that more couldve been done for my grandfather to regain function has guided me throughout my career specializing in neurological physical therapy. The passion that inspired me to open my private practice clinic, Southwest Advanced Neurological Rehabilitation (SWAN Rehab), 25 years ago has consistently been reinvigorated throughout my career as technology evolves and new medical devices are developed that make stroke rehabilitation more effective.My goal is to help stroke survivors experience a better quality of life, especially as it helps them regain the ability to do activities of daily life, such as brushing their teeth, getting dressed, cooking or enjoying a meal. Beyond that, I know its equally as important for stroke survivors to get back to the hobbies that are important to them.Like Joe, who came to SWAN Rehab through Vivistim and really wanted to be able to play his guitar again, restore his antique cars, swing a hammer, squeeze a screw gun and pull a tape measure for his construction projects.Kay performing Joes first assessment.Getting Back to Doing What You LoveThe Vivistim Paired VNS System enabled our SWAN Rehab team to help make these gains, that were so important to Joe, a reality. In traditional physical therapy, we concentrate on improving motor function in the hand and arm with repetitive tasks, such as reaching, buttoning, flipping, stacking, grasping and releasing. With Paired VNS Therapy, however, we incorporate these tasks as we signal the Vivistim device to send an electrical pulse through the vagus nerve to the brain.We repeat these specific repetitive movements over and over again. This repetition is continued with a home exercise program to help achieve the large number of repetitions required to help induce neuroplasticity and relearn how to move. The Vivistim Systems repetitive simultaneous pairing of hand and arm therapy with vagus nerve stimulation is a gamechanger in helping stroke survivors get better results faster because it directly stimulates the brain.Ive seen it firsthand in my clinic. Stroke survivors engaging in traditional therapy see incremental improvement in their hand and arm function over several months. For comparison, stroke survivors who do traditional therapy in conjunction with vagus nerve stimulation get greater improvement in their affected hands and arms within just six weeks.To help Joe get back to doing the things that are important to him, we dedicated some sessions to practice picking up, grasping and using a guitar pick while his therapist signaled the vagus nerve stimulation device with each hand and arm motion. We also had him practice picking up, grasping and swinging a hammer.As a car enthusiast, Joe didnt immediately recognize the correlation between practicing opening jars or cleaning the windows in our clinic as we signaled the Vivistim device during activities that he wanted to get back to, but when he was able to get in his garage and open the gas caps on his car or wash and polish the cars, he was excited about how the benefits of Paired VNS therapy related to his personal goals.Joe will tell you, though, its not an overnight change and doesnt just happen with a couple of hours of in-clinic therapy a few days a week. The Vivistim System also requires stroke survivors to engage in stroke therapy at home, using a magnet that activates the VNS device for 30 minutes at a time while theyre cooking, washing dishes, folding laundry, playing with their children, getting dressed, or any other daily activity.Video PlFirst Success, Then ProgressFirst Success, Then ProgressIts always been my philosophy that therapy has to be challenging to keep stroke survivors motivated. I like the Vivistim Paired VNS System because it fosters this philosophy by helping stroke survivors first achieve success by completing tasks in therapy and then continuing to make progress toward their functional goals with the at-home therapy. With Vivistim, stroke survivors are actively engaged, challenged and motivated throughout the recovery process.Paired VNS Therapy is such a breakthrough medical technology for stroke rehabilitation because it helps stroke survivors improve their hand and arm function two to three times more than traditional stroke rehabilitation alone. Of the hundreds of medical devices and innovative therapy techniques Ive implemented in my practice, nothing else has been clinically proven to help stroke survivors achieve this level of improvement in such a short timeframe and in the chronic phase of stroke.If youre a stroke survivor who wants to improve your level of hand and arm mobility even if its been some time since you had your stroke, I hope my experience, Joes improvements as well as those of other stroke survivors encourage you to take the Vivistim survey to see if Paired VNS Therapy is right for you.About Kay Wing PT, DPT, NCSKay Wing, PT, DPT, NCS, is the founder of Southwest Advanced Neurological Rehabilitation (SWAN Rehab) and an adjunct professor at Northern Arizona University and A.T. Still University. As a board-certified specialist in neurological physical therapy, Dr. Wing is passionate about working with clients recovering from strokes, traumatic brain injuries and other neurological diseases. Keen on innovation and advancing whats possible in neurological physical therapy, Dr. Wing has authored several peer-reviewed journal articles and led numerous clinical trials. As such, shes won prestigious awards throughout her 40-year-career, leading her peers to regard her as an esteemed physical therapist.