CLASSES & OTHER HOSPITAL PROGRAMS
contiNuing education - UNITED STATES
contiNuing education - UK & EUROPE
Acupuncture for Stroke: A treatment manual for research and practice
In this session, Dr. Citkovitz will introduce participants to the manual for assessment and treatment of stroke patients that was developed and used for her PhD research in New York. Found in Appendix C of her thesis (http://westminsterresearch.wmin.ac.uk/16057/), the manual provides a patient-centered framework for identification and prioritization of treatment goals, as well as treatment planning within and between sessions. Stroke sequelae addressed include decreased level of consciousness, aphasia, dysarthria, dysphagia, constipation, urinary retention, urinary and/or fecal incontinence, balance and trunk stability, and upper and lower extremity motor impairment. Chinese medical constitutional factors are discussed, with guidance for differential diagnosis as appropriate. The session will be most useful for those who have downloaded the 18-page document and (optimally) read it. Treatment of chronic stroke (not in the original manual) will be discussed, along with the associated logistical challenges and profound opportunities for helping an underserved population.
Acupuncture for Stroke: Recovery, Rehabilitation & Chronic Care
Patients recovering from stroke show a staggering variety of symptoms, from disabling motor and speech deficits to subtle perceptual and emotional changes. Acupuncture can help greatly, but many practitioners are unable to treat patients and loved ones in the acute phase due to doctors’ concerns (or their own).
Drawing on her recent PhD research and over a decade of in-hospital teaching experience, Dr. Citkovitz demystifies the potentially intimidating interface between East Asian and Western medical diagnosis and treatment. Practitioners will learn to use a manual for systematically assessing and prioritising the multiple overlapping patterns of disharmony that commonly present in acute and chronic stroke care. Developed for both research and clinical work, the manual provides for practitioner discretion, within an evidence-informed structure that allows acupuncturists to provide a consistent, cohesive and personally appropriate plan of care.
Guidelines for prioritised assessment and treatment include: blood pressure, cognitive function, retention or incontinence of bowels and/or urine, constitutional factors such as phlegm, blood stasis, heat and cold, speech, swallowing, balance, and upper and lower extremity motor function. Techniques taught include scalp and channel balancing acupuncture, auricular acupressure, tui na and qigong. The class will explore practical questions such as: how can we feasibly incorporate acupuncture into post-stroke care, and what effects should we expect in which patients? Which arguments regarding safety and efficacy will be most persuasive to physicians? How soon should we treat, how often, and how can we make treatment financially workable for elderly patients on a fixed income?
consultations and mentorship
Acupuncturists seeking guidance on research design, clinical practice or hospital program development are invited to consult by phone or video chat. Each 20-minute session includes a custom resource list for follow-up. Long-term project-based or career mentorship is also available by application.
- By appointment, $50. For more information, contact firstname.lastname@example.org)
Systems-Based Practice Days
3 days, $570 (5 students maximum), 24 hours (24 NCCAOM PDA credits); also fulfills DAC integrative observation requirements. To register or for more information, contact email@example.com)
This unique program allows acupuncturists to observe the teamwork (or 'Systems-Based Practice) on hospital units including Acute and Subacute Rehabilitation units, Labor and Delivery, Internal Medicine, and various postsurgical care units. The day begins at 8:30 with interdisciplinary treatment planning meetings and/or rounds of the unit, followed by examination of patients and discussion with medical and/or rehabilitation therapy staff. PDA students will also take pulses/tongues of acupuncture patients and observe acupuncture treatments. Cases are discussed with the acupuncture team over a working lunch, along with any questions that may have arisen. During the afternoon, PDA students will continue to rotate with the acupuncture team while DAC students may observe physical, occupational and/or speech therapy on rehabilitation units; and Cesarean Sections, administration of epidural, and other OB procedures on the Labor and Delivery unit, or may follow the hospital's Pain Management team. The day closes at 4:30 with a round-up discussion of patients seen and acupuncture’s actual or potential role in the management of their cases. Documentation will be signed by a hospital MD (DAC students) or Dr. Citkovitz (PDA students).
Brooklyn, NY, 2017: October 16-18, December 2-4. To register or for more information, contact firstname.lastname@example.org)