Breastfeeding Support Team: When to Add a Chiropractor

2020 ◽  
Vol 11 (1) ◽  
pp. 7-20
Author(s):  
Joyce Miller
Keyword(s):  
Treatment Plan ◽  
Chiropractic Care ◽  
Vacuum Extraction ◽  
Breastfeeding Support ◽  
Key Skills ◽  
Musculoskeletal Problems ◽  
Oral Motor Function ◽  
Support Team ◽  
Primary Care Clinicians ◽  
Breastfeeding Problems

ObjectiveChiropractors are primary care clinicians with a musculoskeletal focus. As community-based practitioners, they are educated and available to treat the common problems of infancy, including sub-optimal breastfeeding. The objective of this investigation was to highlight some of the key skills and techniques used by chiropractors to assist the breastfeeding dyad.MethodsThe method of this paper was a brief review of the evidence for chiropractic care to improve breastfeeding problems and to highlight the biological plausibility for that evidence. The primary evidence was evaluated by expert opinion.ResultsMechanical forces during intrauterine life and during birth may negatively affect the oral-motor function of the newborn. Although it is difficult to establish exact reasons for these problems, assisted births such as forceps, vacuum extraction and cesarean section have been implicated. It is the job of the chiropractor to examine the infant to detect and diagnose musculoskeletal problems that may impair the infant's feeding efficiency. After making a diagnosis, a treatment plan of precise, gentle manipulation can help maximize the functional effectiveness of the muscles and joints involved in breastfeeding and comfort for the child.ConclusionThe chiropractor is one of many professionals poised to support and assist effective breastfeeding. A collaborative team can be helpful to gain early establishment and continuation of breastfeeding.

Lactation Consultants’ Perceived Barriers to Providing Professional Breastfeeding Support

2017 ◽  
Vol 34 (1) ◽  
pp. 51-67 ◽  
Author(s):  
Erica H. Anstey ◽  
Martha Coulter ◽  
Cecilia M. Jevitt ◽  
Kay M. Perrin ◽  
Sharon Dabrow ◽  
...  
Keyword(s):  
Interdisciplinary Collaboration ◽  
Methodological Approach ◽  
Healthcare Providers ◽  
The United States ◽  
Perceived Barriers ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
Lactation Consultants ◽  
Suboptimal Breastfeeding ◽  
Breastfeeding Problems

Background: Addressing suboptimal breastfeeding initiation and duration rates is a priority in the United States. To address challenges to improving these rates, the voices of the providers who work with breastfeeding mothers should be heard. Research aim: The purpose of this study was to explore lactation consultants’ perceived barriers to managing early breastfeeding problems. Methods: This qualitative study was conducted with a grounded theory methodological approach. In-depth interviews were conducted with 30 International Board Certified Lactation Consultants across Florida. Lactation consultants were from a range of practice settings, including hospitals, Special Supplemental Nutrition Program for Women, Infants, and Children clinics, private practice, and pediatric offices. Data were digitally recorded, transcribed, and analyzed in Atlas.ti. Results: A range of barriers was identified and grouped into the following categories/themes: indirect barriers (social norms, knowledge, attitudes); direct occupational barriers (institutional constraints, lack of coordination, poor service delivery); and direct individual barriers (social support, mother’s self-efficacy). A model was developed illustrating the factors that influence the role enactment of lactation consultants in managing breastfeeding problems. Conclusion: Inadequate support for addressing early breastfeeding challenges is compounded by a lack of collaboration among various healthcare providers and the family. Findings provide insight into the professional management issues of early breastfeeding problems faced by lactation consultants. Team-based, interprofessional approaches to breastfeeding support for mothers and their families are needed; improving interdisciplinary collaboration could lead to better integration of lactation consultants who are educated and experienced in providing lactation support and management of breastfeeding problems.

Development of a Postnatal Educational Program for Breastfeeding Mothers in Community Settings

2011 ◽  
Vol 27 (4) ◽  
pp. 339-349 ◽  
Author(s):  
Hanne Kronborg ◽  
Gerjo Kok
Keyword(s):  
Educational Program ◽  
Intervention Mapping ◽  
Skills Training ◽  
Community Settings ◽  
Breastfeeding Support ◽  
Support Intervention ◽  
Guided Practice ◽  
Coping Responses ◽  
Breastfeeding Cessation ◽  
Breastfeeding Problems

Inconsistency in how professionals can best support the breastfeeding mother after discharge call on further investigation. The authors describe how intervention mapping was used to develop a postnatal breastfeeding support intervention for mothers in community settings. Breastfeeding cessation most often occurred in the first weeks among mothers with low self-efficacy, low confidence, or limited previous breastfeeding experience. Besides learning effective breastfeeding techniques, mothers needed to learn how to recognize their baby’s cues, let the baby regulate meals, gain confidence in producing enough milk, and handle breastfeeding problems. Theory-based methods—such as individualization, skills training with guided practice, reattribution, planning coping responses, and mobilizing social support—were built into a health visitor–delivered program. An 18-hour training course addressed determinants for implementation. Finally, process and effect evaluations were planned. Support of the breastfeeding mother in community settings should address the psychosocial and practical aspects of breastfeeding to prevent premature cessation.

scholarly journals Understanding Matchmakers’ Experiences, Principles and Practices of Assembling Innovation Teams

2021 ◽  
Author(s):  
Sami Koivunen ◽  
Ekaterina Olshannikova ◽  
Thomas Olsson
Keyword(s):  
Team Formation ◽  
Digital Tools ◽  
Organizational Environments ◽  
It Systems ◽  
Key Skills ◽  
Topic Interest ◽  
Innovation Projects ◽  
Support Team ◽  
Team Assembly ◽  
Innovation Teams

AbstractThe team composition of a project team is an essential determinant of the success of innovation projects that aim to produce novel solution ideas. Team assembly is essentially complex and sensitive decision-making, yet little supported by information technology (IT). In order to design appropriate digital tools for team assembly, and team formation more broadly, we call for profoundly understanding the practices and principles of matchmakers who manually assemble teams in specific contexts. This paper reports interviews with 13 expert matchmakers who are regularly assembling multidisciplinary innovation teams in various organizational environments in Finland. Based on qualitative analysis of their experiences, we provide insights into their established practices and principles in team assembly. We conceptualize and describe common tactical approaches on different typical levels of team assembly, including arranging approaches like “key-skills-first”, “generalist-first” and “topic-interest-first”, and balancing approaches like “equally-skilled-teams” and “high-expertise-teams”. The reported empirical insights can help to design IT systems that support team assembly according to different tactics.

scholarly journals Understanding patient profiles and characteristics of current chiropractic practice: a cross-sectional Ontario Chiropractic Observation and Analysis STudy (O-COAST)

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029851 ◽  
Author(s):  
Silvano Mior ◽  
Jessica Wong ◽  
Deborah Sutton ◽  
Peter J H Beliveau ◽  
André Bussières ◽  
...  
Keyword(s):  
Workforce Development ◽  
Chiropractic Care ◽  
Development Education ◽  
Cross Sectional ◽  
Tissue Therapy ◽  
Chiropractic Practice ◽  
Patient Health ◽  
Musculoskeletal Problems ◽  
Patient Profiles ◽  
Reasons For Encounter

ObjectivesThere is no current detailed profile of people seeking chiropractic care in Canada. We describe the profiles of chiropractors’ practice and the reasons, nature of the care provided to their patients and extent of interprofessional collaborations in Ontario, Canada.DesignCross-sectional observational study.SettingPrimary care setting in Ontario, Canada.ParticipantsWe randomly recruited chiropractors from a list of registered chiropractors (n=3978) in active practice in 2015. Of the 135 randomly selected chiropractors, 120 were eligible, 43 participated and 42 completed the study.Outcome measuresEach chiropractor recorded information for up to 100 consecutive patient encounters, documenting patient health profiles, reasons for encounter, diagnoses and care provided. Descriptive statistics summarised chiropractor, patient and encounter characteristics, with analyses accounting for clustering and design effects.ResultsChiropractors provided data on 3523 chiropractor-patient encounters. More than 65% of participating chiropractors were male, mean age 44 years and had practised on average 15 years. The typical patient was female (59% of encounters), between 45 and 64 years (43%) and retired (21%) or employed in business and administration (13%). Most (39.4%) referrals were from other patients, with 6.8% from physicians. Approximately 68% of patients paid out of pocket or claimed extended health insurance for care. Most common diagnoses were back (49%, 95% CI 44 to 56) and neck (15%, 95% CI 13 to 18) problems, with few encounters related to maintenance/preventive care (0.86%, 95% CI 0.2 to 3.9) and non-musculoskeletal problems (1.3%, 95% CI 0.7 to 2.3). The most common treatments included spinal manipulation (72%), soft tissue therapy (70%) and mobilisation (35%).ConclusionsThis is the most comprehensive profile to date of chiropractic practice in Canada. People who present to Ontario chiropractors are mostly adults with a musculoskeletal condition. Our results can be used by stakeholders to make informed decisions about workforce development, education and healthcare policy related to chiropractic care.

The Role of Chiropractic in Mind–Body Health

2018 ◽  
Author(s):  
George Zabrecky
Keyword(s):  
Psychological Symptoms ◽  
Well Being ◽  
Chiropractic Care ◽  
Integrative Approach ◽  
Depression Symptoms ◽  
Musculoskeletal Problems ◽  
Psychiatric Conditions ◽  
Chiropractic Therapy ◽  
Health And Well Being

The chiropractic approach is based on the principles that diseases, both psychiatric and medical, are caused by disturbances in the nervous system and that such disturbances are often related to musculoskeletal problems. Thus chiropractic therapies utilize an integrative approach to health and well-being that includes various spinal manipulations as well as an integrative approach to the patient. Chiropractic therapies are most well known for the management of chronic and acute pain, which frequently can be accompanied by anxiety and depression symptoms. There is little direct evidence that chiropractic care improves mental health outside of the benefits related to pain alleviation. However, based on the overall chiropractic model, chiropractic therapy can potentially benefit a wide variety of psychological symptoms, but more research is needed. This chapter reviews the principles of chiropractic care, particularly in the context of psychiatric conditions, and provides information for future clinical and research programs.

Motor Activity as a Way of Preventing Musculoskeletal Problems in String Musicians

2011 ◽  
Vol 26 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Christiane Wilke ◽  
Julian Priebus ◽  
Bianca Biallas ◽  
Ingo Froböse
Keyword(s):  
Therapeutic Intervention ◽  
Decisive Role ◽  
Mental Skills ◽  
Health State ◽  
Educational Work ◽  
Training Schedule ◽  
Key Skills ◽  
Musculoskeletal Problems ◽  
Health Related ◽  
Individual Training

The health status of performing artists, especially musicians, was not an issue for medical research until the 1980s. Musicians tend to suffer from health-related problems, as playing an instrument demands long and intensive practice. This paper provides a literature review of health problems of string players in particular. It analyzes whether their problems are playing-related or if various parameters potentially influence their health state, and it subsequently presents a concept of efficient training. Health disorders and diseases are individual. In order to ensure efficient prevention, a profile of qualification, including physical and psychological aspects as well as key skills, allows developing an individual training schedule and thus should be included in the process of prevention. Physical performance plays a decisive role and is more important than commonly thought. Strength, endurance, and flexibility in particular have an immense influence on the musician’s performance. Playing an instrument requires both physical and mental skills, and all too often this leads to excessive demands. It is necessary to highlight the possible causes and provide the musician with a therapeutic intervention and educational work. As the demand for preventative work in this field grows steadily, this paper draws a detailed concept of a therapeutic intervention.

scholarly journals Erectile Dysfunction: A Review of Comprehensive Treatment Options for Optimal Outcome

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Kathryn Retzler
Keyword(s):  
Erectile Dysfunction ◽  
Treatment Plan ◽  
Treatment Options ◽  
Phosphodiesterase Inhibitors ◽  
Comprehensive Treatment ◽  
Contributing Factors ◽  
Pharmaceutical Management ◽  
Primary Care Clinicians ◽  
Multicenter Clinical Trials ◽  
Underlying Pathology

Erectile dysfunction (ED) is common with aging. Formerly ED treatment was offered mainly by urologists, but the approval and widespread use of phosphodiesterase inhibitors has enabled primary care clinicians to provide targeted ED treatment. Although large, multicenter clinical trials have shown efficacy and safety with these drugs, they are ineffective in 30–35% of men, may cause sideeffects, and do not improve the underlying pathology. A thorough understanding of erectile physiology and causes of ED and a comprehensive treatment plan addressing all contributing factors may be more effective than pharmaceutical management and may improve aspects of psychological and physical health beyond erectile problems.

scholarly journals A Case Study of Biological Nurturing

2019 ◽  
Vol 35 (2) ◽  
pp. 318-322 ◽  
Author(s):  
Stefanie Inge Rosin
Keyword(s):  
Best Practice ◽  
Breastfeeding Initiation ◽  
Early Weaning ◽  
Milk Supply ◽  
Breastfeeding Support ◽  
Lactation Consultant ◽  
Breastfeeding Problems ◽  
Insufficient Milk ◽  
Inadequate Breastfeeding

Introduction: This case of a mother and her two children, born 20 years apart, highlights how Biological Nurturing (BN) supported a woman in meeting her personal breastfeeding goals. We know lack of breastfeeding support contributes to early weaning. Applying the principles of BN (unrestricted and laid-back breastfeeding) enabled this mother to return to breastfeeding without supplements. Main Issue: After giving birth to her first son prematurely in 1997, the dyad was separated, and formula introduced. These interventions, combined with inadequate breastfeeding support, resulted in low milk supply and unplanned weaning by week six. In 2017, a full term sibling baby girl was born, with breastfeeding again beginning with concerns of low milk supply. Management Consultation with an International Board Certified Lactation Consultant successfully addressed common breastfeeding problems, including vasospasm and insufficient milk supply. Continuous emotional support helped this mother overcome perceived insufficient milk supply. Introducing BN led to breastfeeding without supplementation, by enabling the dyad to experience enjoyment, comfort and feeding autonomy. Conclusion: While the repeated experience of insufficient milk supply two decades apart constituted a psychological barrier to exclusive breastfeeding, BN enabled reaching this mother’s breastfeeding goals. BN appears to be a powerful tool for both breastfeeding initiation and overcoming breastfeeding difficulties, potentially setting new best practice standards.

The use of videotapes in treatment plan presentation seminars

1987 ◽  
Vol 51 (12) ◽  
pp. 720-722
Author(s):  
BJ Powell ◽  
BH Rice ◽  
LA Leonard
Keyword(s):  
Treatment Plan
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