Vol.20 Issue 4Babies, Baths and Balls of Wax A Chiropractic Screening Health Questionnaire: A
Pilot Study Concerned with Quality Practice Standards Where Chiropractic and Philosophy Meet Informed Consent Revisited Historical Chiropractic. Part 1:
Delineation Clients' Evaluation of Chiropractic Treatment for
Post Polio Syndrome A World First: Chiropractic as a University Discipline in
Australia ABSTRACTS PHILLIP S. EBRALL The screening assessment of adult health at the point of entry to primary contact practice is shown to be valid on the basis of identifying the patient who would benefit most from the least level of intervention. This is preventive health care, suited to the philosophy of chiropractic. The benefits from the adoption of a common initial assessment protocol would be more effective screening for referral and a common starting point for subsequent debate regarding standards of chiropractic practice. The protocol will seek to improve the quality of information gained through relevant questioning instead of relying on information quantity, and will lead into the history of the presenting complaint. A proposed questionnaire is presented, along with comments on a pilot application of it in three chiropractic clinics. This paper suggests that the quality of the first step in the clinical process, the history, can be improved by modifying the history-taking process through the inclusion of a uniform set of screening questions. INDEX TERMS: CHIROPRACTIC; HEALTH/STANDARDS; QUALITY ASSURANCE, HEALTH CARE; QUALITY OF HEALTH CARE; REFERRAL AND CONSULTATION. J Aust Chiropr Assoc 1990 Dec;20(4):122-8 Where Chiropractic and Philosophy Meet ANDRIES M. KLEYNHANS The term chiropractic philosophy is explicated in light of the current literature and the approaches apparently taken by philosophers and scientists to deal with the ideas and assumptions which this term subsumes. There is no consensus on what is meant by chiropractic philosophy, and no realistic claim can yet be made for the existence of a philosophy of chiropractic. Assumptions made in this area can either be readily assessed by science or philosophy or are untestable or not properly philosophical at all. The limitation of experience and science in dealing with chiropractic issues is recognised, and phenomenology is proposed for the investigation of elements of chiropractic philosophy dealing with the life-world and experience of the chiropractor and the patient. INDEX TERMS: AUSTRALIA; CHIROPRACTIC; PHILOSOPHY; PHILOSOPHY, MEDICAL. J Aust Chiropr Assoc 1990 Dec;20(4):129-134 STANLEY P. BOLTON “Informed consent” has not yet gained legal form in Australia. Government policy and the law embody consumer rights emphasising the need for health workers to provide patients with sufficient information to make informed decisions about treatment offered. This paper notes the two legal avenues open to an aggrieved patient, identifies grounds for action and relates these to chiropractic practice. Only an informed patient can make an informed decision. INDEX TERMS: CHIROPRACTIC; CHIROPRACTIC/LEGISLATION & JURISPRUDENCE; INFORMED CONSENT; PATIENT ADVOCACY. J Aust Chiropr Assoc 1990 Dec;20(4):135-8 Historical Chiropractic. Part 1: Delineation ANDRIES M. KLEYNHANS The term Historical Chiropractic is defined as dealing with the systematic, scientific development of the discipline and is differentiated from chiropractic history and the history of chiropractic. Historical Chiropractic is discussed as part-discipline of chiropractic science. The importance and usefulness of this field of study is reviewed in the context of facing the future, chiropractic research and education, and the philosophical reasons for this field of study. INDEX TERMS: CHIROPRACTIC/EDUCATION; CHIROPRACTIC/HISTORY; CHIROPRACTIC/TRENDS; HISTORY OF MEDICINE; AUSTRALIA. J Aust Chiropr Assoc 1990 Dec;20(4):139-42 Clients' Evaluation of Chiropractic Treatment for Post Polio Syndrome MARY T. WESTBROOK The late effects of poliomyelitis were virtually unrecognised until recently. The rapidly expanding medical and self-help literature have ignored chiropractic as a potential treatment. A survey of 304 people with post polio symptoms revealed that after medical practitioners and physiotherapists, chiropractors were the health practitioners most frequently consulted. Chiropractors were significantly more likely than other practitioners to be rated as very helpful. Chiropractic provided symptom relief for relatively more clients. Chiropractic was more likely to be sought later, and through lay referral, than were other treatments. It is suggested that information about post polio syndrome and clinical experiences with clients needs to be more widely disseminated among chiropractors so that treatment outcomes for the many thousands with this chronic disability can be maximised. INDEX TERMS: CHIROPRACTIC; CONSUMER SATISFACTION; POLIOMYELITIS, FOLLOW-UP STUDIES. J Aust Chiropr Assoc 1990 Dec;20(4):143-51 |
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