Top Banner
APPLICATION OF OSTEOPATHIC MANIPULATION IN ANY SETTING. OCTOBER 2017 JODIE HERMANN, DO
21

Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

May 04, 2018

Download

Documents

vothu
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

APPLICATION OF OSTEOPATHIC MANIPULATION IN ANY SETTING.

OCTOBER 2017

JODIE HERMANN, DO

Page 2: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

OSTEOPATHY: WHAT IS IT?

• PRINCIPALS IN PRACTICE

• MANIPULATION

• OVERALL UNDERSTANDING OF THE STRUCTURE AND FUNCTION OF THE BODY

• DEVELOPED AND FACILITATED BY DR. ANDREW TAYLOR STILL

Page 3: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

TENETS OF OSTEOPATHIC MEDICINE: BY THE AOA HOUSE OF DELEGATES

• THE BODY IS A UNIT; THE PERSON IS A UNIT OF BODY, MIND, AND SPIRIT.

• THE BODY IS CAPABLE OF SELF-REGULATION, SELF-HEALING, AND HEALTH MAINTENANCE.

• STRUCTURE AND FUNCTION ARE RECIPROCALLY INTERRELATED.

• RATIONAL TREATMENT IS BASED UPON AN UNDERSTANDING OF THE BASIC PRINCIPLES OF

BODY UNITY, SELF-REGULATION, AND THE INTERRELATIONSHIP OF STRUCTURE AND FUNCTION.

Page 4: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

• THE BODY IS A UNIT; THE PERSON IS A UNIT OF BODY, MIND, AND SPIRIT.

Page 5: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

• THE BODY IS CAPABLE OF SELF-REGULATION, SELF-HEALING, AND HEALTH MAINTENANCE.

Page 6: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

• STRUCTURE AND FUNCTION ARE RECIPROCALLY INTERRELATED.

Page 7: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

• RATIONAL TREATMENT IS BASED UPON AN UNDERSTANDING OF THE BASIC PRINCIPLES OF

BODY UNITY, SELF-REGULATION, AND THE INTERRELATIONSHIP OF STRUCTURE AND FUNCTION.

Page 8: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

PATIENT EVALUATION/GATHERING INFORMATION

• HISTORY/PMHX/PSHX/SOCHX/FAMHX/MEDS/ALLERGIES

• PHYSICAL

• OSTEOPATHIC STRUCTURAL EXAM

• LABS/IMAGING

• OTHER STUDIES

• DIFFERENTIAL

• ASSESSMENT AND PLAN

Page 9: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

OSTEOPATHIC MANIPULATIVE MEDICINE

• HANDS ON TREATMENT FOR ANY PATIENT WITH ANY PROBLEM.

Page 10: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

STRUCTURE/ANATOMY AND FUNCTION/PHYSIOLOGY

• FLUID

• THE BODY IS ABOUT 65 -70% WATER => FLUID

• FLUID MOVEMENT IS KEY TO HEALTH,

• AS FLUID CARRIES AND IS IN CELLS AND METABOLIC COMPONENTS

• EXAMPLE:

• HAMSTRING HYPERTONICITY DUE TO ELECTROLYTE IMBALANCE OR DEHYDRATION = INCREASE PULL

ON INNOMINATE = POSTERIOR ROTATION = MALALIGNMENT OF PELVIC FLOOR = CENTER OF

GRAVITY SHIFTING LATERAL = COMPENSATORY PATTERN AND GAIT ABNORMALITY

Page 11: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

DISEASES

• CREATES TISSUE RESTRICTION, FOR EXAMPLE

• COPD

• MI

• REFLUX

• ENDOMETRIOSIS

• MALIGNANCY

• SURGERY

• CVA

• WHERE MIGHT THE RESTRICTIONS BE LOCATED?

Page 12: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

SKILLS

• TYPE OF TREATMENT

• HANDS ON SKILLS

• LEVEL OF SKILLS

• WHAT TYPES OF TREATMENT DO YOU USE OR REMEMBER

Page 13: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

GENERAL APPLICATION OF OMT

• LEVERS

• LONG

• SHORT

• THEORY

• DIRECT

• INDIRECT

Page 14: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

OSTEOPATHIC MANIPULATIVE MEDICINE

• BALANCED LIGAMENTOUS TENSION

• CRANIAL OSTEOPATHY

• HVLA – HIGH VELOCITY LOW AMPLITUDE

• MUSCLE ENERGY

• VISCERAL MANIPULATION

• CHAPMANS POINTS

• LYMPHATIC DRAINAGE

• STRAIN COUNTER STRAIN

Page 15: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

SETTING

• OR

• PACU

• OUTPATIENT CLINIC

• MED/SURG FLOOR

• ICU

• ED

Page 16: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

PATIENT POSITION

• SITTING

• STANDING

• LAYING

• SUPINE

• PRONE

• SIDE LYING

• HOSPITAL BED

• CHAIR

• EXAM TABLE

Page 17: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

TRUST YOURSELF

• REMAIN CONFIDENT

• KNOW THAT YOU KNOW

• EVEN IF YOU DON’T THINK YOU DO

• TRUST YOUR HANDS

• FIND THE RESTRICTION

• CREATE FLUID MOVEMENT

• PATIENTS SYSTEM WILL TAKE CARE OF ITSELF

Page 18: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

APPLICATION WHILE DOING A PHYSICAL EXAM

• OBTAIN A PARTNER

• ONE PATIENT AND ONE PRACTITIONER

• PRACTITIONER DISCOVER THE RESTRICTION/S

• PATIENT HELP GUIDE THE PRACTITIONER IF NEEDED

• PRACTITIONER APPLY TREATMENT WHILE PERFORMING A PHYSICAL EXAM OR AFTER

ASSESSMENT.

Page 19: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

FEEDBACK

• EXCHANGE FEEDBACK WITH EACH OTHER

• BE HONEST

• EFFECTIVE OR NOT

• FEELS GOOD OR NOT

Page 20: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

• THOUGHTS / QUESTIONS?

Page 21: Application of Osteopathic Manipulation in any Setting. · •chapmans points •lymphatic drainage •strain counter strain. setting •or •pacu •outpatient clinic •med/surg

• THANK YOU