BODY INTEGRASI

DALAM PELAYANAN
KEPERAWATAN

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 Our Goals in Healthcare
“The Wellness Model”

 Patient-centered paradigm
 Improving interdisciplinary communication
 Maximizing the benefits of healthcare from
all perspectives

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Classification of Human Movement Concepts
Body Awareness:
Defines what the body can perform
 Shapes the body can make
 Balance or weight bearing
 Transfer of body weight
 Flight

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Classification of Human Movement Concepts

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Movement Concepts
Qualities of Movement: How the body moves
 Time or speed
 Force
 Flow

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Teaching Movement Skills and Concepts
Step One: Set and Define the Movement Task
 Define a movement task for CLIENT to solve
 Include
 What to do
 Where to move
 How to move
 With whom and/or what to move

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Teaching Movement Skills and Concepts
Step Two: Experiment and Explore
 Phrases that encourage experimentation and
exploration
 Variety achieved by setting limitations or ask
them to develop the task in a different way
 Present tasks in the form of questions or
statements
 Use contrasting terms to increase the depth and
variety of movement

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Ways to Move
 Examples
 Above-below, beneath, under
 Before-after
 Crooked-straight
 Fast-slow

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Teaching Movement Skills and Concepts
Step Three: Observe and Discuss Various
Solutions
 Observation of other patterns
 Focus discussion on how to put together different
movement into flow and continuity
 Point out that there are many ways to solve one
problem

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Teaching Movement Skills and Concepts
Step Four: Refine and Expand Solutions to the
Problem
 Integration of ideas and thoughts of CLIENT
 Work together to develop new solutions
 Develop cooperative partner and small-group
skills
 Make problems realistic
 Allow for discussion and decision-making
between partners

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Teaching Movement Skills and Concepts

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Teaching Movement Themes

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An Introduction to
Chiropractic Care
What is Chiropractic?

Chiropractic care centers around the diagnosis,

treatment and prevention of neuro-
musculoskeletal system disorders.

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What is Chiropractic?

Chiropractic focuses on the relationship

between structure (movements of the spine)
and function (coordinated by the nervous
system and how this relationship affects
health)

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 How long has Chiropractic been
recognized in traditional healthcare?

The profession was founded in the US in 1895.

Today there are over 65,000 chiropractors in
the US today

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Chiropractic case management
protocol
Specific spinal analysis
Physical, neurological, orthopedic examinations and
consultation
Specific restoration of normal biomechanics by means
of the adjustment, soft tissue manipulation, and
ancillary therapies
Referral for co-management if appropriate
Appropriate attention to ergonomical considerations
and other possible causes of biomechanical
dysfunction

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 The primary lesion addressed in chiropractic is
intersegmental dysfunction within the spinal
column

This refers to discrete

areas of hypomobilty
within the
articulations of the
spine

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 What is a chiropractic adjustment?

A high-velocity, low-
amplitude thrust
usually given by
hand, directed at
specific articulations
of the spine or
extremities

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 The purpose of the adjustment……

restore normal movement and resolve the

resultant biomechanical, physiological and
neurological effects of segmental
hypomobility.

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The Adjustment
Although many different techniques are used
they all have a common goal:

To restore normal motion and normalize the

nervous system to allow the body to function
optimally

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Putting it together……..
Loss of normal movement leads to…
Changes in how all tissues involved are stressed and
replenished, which causes…
Chemical changes within those tissues and…
Predisposes them to mechanical failure giving us…
A good reason to restore normal movement through
spinal adjustment.

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 What conditions can be treated using
chiropractic?

Musculoskeletal
conditions involving
the articulations of
body and
surrounding soft
tissue

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 Some examples of these conditions……

Neck and Back pain

Headache
Sciatica
Stiff joints
Sprain/Strain injuries
Herniated nucleus pulposus
Sport related injuries
The list goes on……….

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Review of Chiropractic research
Satisfaction with treatment
 In conditions dealing with back pain, patient
satisfaction has been shown to be greater with
chiropractic treatment over conventional
management .

New England Journal of Medicine 1995; 333(14) : 913-917

Western Journal of Medicine 1989; 150: 351-355

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Review of research

Chiropractic is an extremely safe form of

therapy. However as with any therapeutic
intervention contraindications exist.

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Review of research
Cauda Equina Syndrome
 Following lumbar manipulation in patients, disc
herniation, neurological bowel and bladder
disturbances, saddle anesthesia, leg weakness may
occur.

 The frequency of developing this condition from

manipulation has been estimated to be 1 per 100
million manipulations.

 Spine 21 (15): 1746-1760

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Review of research
Cerebrovascular accidents following
manipulation of the upper cervical region.
 The frequency of developing this condition
following manipulation has been estimated to be
1in 5.85 million manipulations.

Haldeman S, Carey P, Townsend M, Papadopoulos C. Arterial dissections

following cervical manipulation the chiropractic experience. CMAJ 2001;
165:905-6

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Review of Research
Appropriateness and Guidelines

 In 1994 the Agency for Health Care Policy and

Research (AHCPR) placed spinal manipulation at
the top of the list for clinical options in the
treatment of certain types of back pain.

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 Back pain treatment

 Among 23 options
for treatment of low
back pain, spinal
manipulation and
the use of NSAID’s
had the most
beneficial effect.

 Acute low back pain in adults.

Clinical practice guideline No. 14
AHCPR Publication No. 95-0642
(1994)

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Wellness Model

 The public has widely embraced many

forms of wellness care and alternative
therapies
 Other healthcare professions have
embarked on a paradigm shift to include
alternative therapies, including spinal
manipulation
 Many conditions respond best with a
multidisciplinary approach
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Closing Remarks
For the treatment of musculoskeletal conditions
chiropractic is a conservative first step that
should not be over looked.

If a problem can be corrected with minimal risk,

and without the use of drugs or surgery it
makes sense to try it.

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 Questions?

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