CHIR892 Clinical Chiropractic

Question:

Preamble

The majority of chiropractic teaching institutions across the globe have adopted a consensus document1 that was based upon themes from the World Federation of Chiropractic’s Education meeting in 2014.

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This document set out goals for chiropractic education related to clinical and professional practice.

Particularly, the graduate of chiropractic should have the ability to:

Offer evidence-based care.

Learn what constitutes professional practice

Implement primary prevention strategies

A chiropractic identity should not include the vitalistic construct.

Be aware of practices that can lead to an inappropriate patient

The Code of Conduct for Chiropractors of Australia was developed by the Chiropractic Board of Australia.

The Code defines the care expected from registered chiropractors in Australia.

Your Tasks

Discuss each point numbered 2a-2c, 5 and 7 in the positionstatement. This will help you to understand the implications of these points for your management of patients.

Briefly comment on how the position statement is in line with the Chiropractic Board of Australia’s March 2014 Chiropractors Code of Conduct.

What impact will this have on Chiropractic identity, if any? As the profession moves away from more traditional models (e.g.

vitalism) in favor of evidence-informed models for care (e.g.

Are biopsychosocial models of care possible?

In your response, you might consider a few articles that relate to Chiropractic identity.

Answer:

2a.

It is crucial to prepare the case study, medical history, diagnosis, and report. This will help plan the treatment and management.

It is essential to have a case study and a medical history.

It contains information about their past and present medical history, personalities, and any other unique circumstances.

Entering patient data is crucial. It provides information about the patient’s past health and helps a chiropractor gather information like the date of first symptoms, existence of a disorder, and any previous treatments.

This data is used to evaluate the case and determine the best type of exam for the patient.

If the patient has a severe chronic condition, the assistant can meet with the patient and review his case. He will then recommend a treatment plan or refer the patient.

To rule out certain conditions, the chiropractor will perform a physical examination.

The chiropractor will then be able to focus on the specific areas of concern.

To focus on the specific area of pain, an example would be a spine patient who needs x-rays.

It determines a variety of chiropractic assessments, such as range of motion, palpitation and reflex testing.

A comprehensive and tailored care plan requires accurate diagnosis and imaging.

To provide specific therapy, it is important to discover the patient’s problems.

As high-quality radiology imaging and digital access is an aid in professional interpretation, it is crucial to report findings and develop a management plan for chiropractic.

To fully understand the musculoskeletal systems and provide effective treatment interventions, diagnostics are essential.

This evidence-based approach to the above clinical interventions is to penetrate this profession to a degree that can help them to strengthen their practice curricula.

Patient handoffs in the healthcare system and many interfaces require precise communication and collaboration.

Poor clinical handoffs, misinterpretation, or neglect of vital patient parameters can all put patient safety at risk.

Poor communication can lead to medication mistakes.

A structured communication system can be used to assist chiropractors in making informed clinical decisions.

It creates trust and opens communication that allows chiropractors work with their patients.

2c. The public health goal is to improve quality of life, health and well-being of the population by preventing and treating disease.

This requires that we consider how the population is using preventive measures to combat a particular disease and how they are used in their daily lives.

Knowledge of preventive measures can help in preventing infectious diseases and encourage healthy lifestyle choices.

To assess the likelihood of a disease or condition, as well as to develop tailored health promotion programs for prevention, it is essential to have a good understanding of the preventive measures available to the population.

It is important to teach vertebral subluxation complex (VSC), in order to practice evidence-based chiropractic care.

The chiropractic curriculum does not recognize the need for VSC evidence. This is due to the lack of clinical evidence.

Discipline of Chiropractic Position statement on VSC says that there is not enough clinical evidence to support the diagnosis and treatment.

Only documentation exists of kinetic and neural, muscle, connective, and vascular changes.

The patient cannot face all VSC levels in clinical practice. Therefore, the Chiropractic Statement is an essential document that every student must read in order to identify the VSC in patient health care.

The undergraduate program is not designed to teach students how to practice in the chiropractic profession.

This is because chiropractic students need to recognize that such practices are not appropriate and should not be used in the chiropractic profession.

As one of the key ethical cornerstones of chiropractic care, confidentiality of patient information is vital.

Patients’ best interests should be paramount and patient dependency should not be tolerated.

It is important to have a healthy patient-healthcare provider relationship that respects professionalism. There should also be no room for unprofessional dependency.

The effectiveness of cell repair depends on how much radiation is used and whether the organs are exposed.

The cell becomes abnormal due to continuous radiation exposure. This can lead to cell mutations and permanent or temporary cell abnormalities.

The above position statement doesn’t conform to the Chiropractors Code of Conduct and Chiropractic Board of Australia March 2014

Professional Behavior point 9 says that chiropractors must behave with respect and trust in their community.

To meet patient health needs, the chiropractor should have clear boundaries and separation from his or her profession.

This fosters patient dependency and allows for professional boundaries.

Under the Chiropractors Code of Conduct Australia, point 3.4-confidentiality & privacy, chiropractors have the ethical and legal responsibility to ensure confidentiality and privacy of their patients. They are required to withhold patient’s personal information and release it only when necessary by law or public considerations.

In order to provide high standards of care, it’s important that chiropractors maintain privacy and confidentiality in the practice setting.

Chiropractics are required to follow the guidelines in point 7.2 of the code. This ensures patient safety.

The chiropractors should avoid prolonged exposure to radiations, which could cause long-term and harmful health effects like mutation.

As the chiropractic profession transitions from evidence-based care to transitional models, it will have a profound impact on its identity.

In order to fully understand the pain in the spine, the chiropractic identity must be influenced by the biopsychosocial approach.

Changes would occur in screening tools and collaborative health care that include social factors that influence health.

A change will occur in the practice of chiropractic. Pain used to be considered an unresolved condition. Traditional models of care did not consider pain. Chiropractic now has to account for all variables.

It would have a profound impact on chiropractic identity, as it offers a holistic approach to pain management that is patient-centred and uses a biopsychosocial health model.

The shift from traditional care to evidence-based would result in chiropractors including mind and body in order to manage pain and treat the disease.

Refer to

ifec.net.Clinical & Professional Chiropractic Education: A Statement.

2017. [cited 21 August 2017,].

Darlow B. Fullen BM. Dean S. Hurley DA. Baxter GD. Dowell A.

Systematic review: The relationship between low back pain and health care professionals’ attitudes and beliefs.

European Journal of Pain.

2012 January 1, 16(1):3-17.

Green BN, Johnson CD.

Interprofessional collaboration in research and education: Working together for a better world.

Journal of Chiropractic Education.

The role of chiropractors in primary spine care: Precedents and crucial measures.

The Journal of the Canadian Chiropractic Association.

McGregor M. Giuliano D. Manikin based clinical simulation in chiropractic educational.

Journal of Chiropractic Education.

Walker BF. Stomski NJ. Hebert JJ. French SD.

Evidence-based practices in chiropractic: A survey of chiropractors knowledge, skills, research use, and barriers to research evidence.

Complementary medicine.

2014 April 30;22(2).286-95.

Chang M. An examination of the scope of chiropractic practice in the United States.

Journal of manipulative therapy and physiological therapeutics.

2014 Aug 31.37(6):363-376.

Meeker WC. Haldeman SM. Chiropractic: A profession at the intersection of alternative and mainstream medicine.

Annals of Internal Medicine.

2002 February 5, 2003;136(3):216-227.

Is chiropractic at the crossroads, or are we just going in circles?

Chiropractic and manual therapies.

2011 May 21;19(1).

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