[show abstract][hide abstract] ABSTRACT: Objective: To examine the health promotion and health education needs of an inpatient population at one faith-based addiction treatment center. A secondary aim was to assess the awareness and use of chiropractic care recently made available at the center. Data Sources: A self-survey previously conducted at the treatment center provided background data. The research team developed and conducted a survey to assess the inpatients' knowledge and attitudes about specific health behaviors, including physical activity, dietary habits, and tobacco use status, as well as their attitudes toward and use of the clinic's chiropractic services. Descriptive statistics are reported from both survey samples. Results: This inpatient population has significant health promotion needs. A majority of patients (74%) use tobacco and none report getting the recommended intake of 5 servings of fruits and vegetables daily. Six percent reported utilizing the free chiropractic services available
[show abstract][hide abstract] ABSTRACT: There has been debate as to whether smoking should be allowed in addiction treatment centers as part of recovery programming. A prior study at one facility assessed health promotion needs and found 80% of inpatients were smokers or tobacco users. This is four times the national average. This study assessed predictors of length of stay at a faith-based, inpatient facility in Alabama and included tobacco use as a possible predictor of success. Other potential predictors such as basic demographics, drugs of choice, intravenous drug use, parental marital status, and education levels were also tested. Among the 290 participants completing the survey (100%), 83% were males, most were white, mean age was 33 years, and ages ranged from 18-61. Eighty percent used tobacco, and cocaine
[show abstract][hide abstract] ABSTRACT: By nature, chiropractic is a hands-on profession using manipulation applied to the joints with direct skin-to-skin contacts. Chiropractic tables are designed with a face piece to accommodate the prone patient's head in a neutral position and hand rests to allow for relaxed shoulders and upper spine so treatment is facilitated. The purpose of this article is to present a proposed guideline for hand and treatment table surface sanitizing for the chiropractic profession that is evidence-based and can easily be adopted by teaching institutions and doctors in the field.
A review of the chiropractic literature demonstrated that pathogenic microbes are present on treatment tables in teaching clinics at multiple facilities, yet no standardized protocols exist in the United States regarding table sanitizing and hand hygiene in chiropractic clinics or education institutions. This article reviews the scientific literature on the subject by using several search engines, databases, and specific reviews of documents pertaining to the topic including existing general guidelines.
The literature has several existing guidelines that the authors used to develop a proposed protocol for hand and table sanitizing specific to the chiropractic profession. Recommendations were developed and are presented on hand hygiene and table sanitizing procedures that could lower the risk of infection for both clinical personnel and patients in chiropractic facilities.
This article offers a protocol for hand and table sanitizing in chiropractic clinics and education institutions. The chiropractic profession should consider adoption of these or similar measures and disseminate them to teaching clinics, institutions, and private practitioners.
Journal of chiropractic medicine 04/2009; 8(1):38-47.