From the Guidelines
Chiropractic nutritionists, internists, and neurologists can collaborate in an evidence-based medical model by prioritizing patient-centered care and integrating nutritional and neurological expertise, as outlined in the ESPEN guideline on clinical nutrition in neurology 1. To achieve this, they should focus on addressing the complex needs of patients with neurological diseases, who are at increased risk of malnutrition, micronutrient deficiency, and dehydration.
- Key areas of collaboration include:
- Management of oropharyngeal dysphagia, a common complication in neurological diseases
- Assessment and treatment of micronutrient deficiencies and dehydration
- Development of personalized nutrition plans to support optimal neurological function
- Implementation of evidence-based interventions, such as specific dietary recommendations and manual therapy techniques, to improve patient outcomes
- By working together and applying the latest scientific research to their practice, chiropractic specialists can provide comprehensive and effective care for patients with neurological diseases, ultimately improving morbidity, mortality, and quality of life. The ESPEN guideline provides a framework for this collaboration, offering 88 recommendations for clinical practice in patients with amyotrophic lateral sclerosis, Parkinson's disease, stroke, and multiple sclerosis 1.
- Regular review of peer-reviewed studies and attendance at evidence-based practice workshops can help chiropractic specialists stay up-to-date with the latest research and best practices in their fields.
- Collaboration with other healthcare providers, including medical doctors and researchers, is also essential to ensure a comprehensive approach to patient care. By prioritizing evidence-based practice and interdisciplinary collaboration, chiropractic nutritionists, internists, and neurologists can provide high-quality, patient-centered care that addresses the complex needs of patients with neurological diseases.
From the Research
Collaboration in an Evidence-Based Medical Model
To collaborate in an evidence-based medical model, a chiropractic nutritionist, chiropractic internist, and chiropractic neurologist can work together by:
- Sharing knowledge and expertise to provide comprehensive patient care 2, 3, 4
- Using evidence-based practice guidelines to inform treatment decisions 2, 3, 4
- Staying up-to-date with the latest research and advancements in their respective fields 3, 4, 5
- Communicating effectively with each other and with patients to ensure coordinated care 6, 5
Barriers to Collaboration
Despite the potential benefits of collaboration, there are several barriers that may hinder the ability of chiropractic professionals to work together in an evidence-based medical model, including:
- Lack of standardization in education and training 5
- Variability in adherence to evidence-based practice guidelines 3, 4
- Limited access to continuing education and professional development opportunities 4
- Perceived barriers to the use of evidence-based practice, such as lack of time 4
Opportunities for Improvement
To overcome these barriers and improve collaboration, the chiropractic profession can:
- Develop and implement standardized education and training programs 5
- Promote the use of evidence-based practice guidelines and provide resources to support their implementation 2, 3, 4
- Encourage ongoing professional development and continuing education 4
- Foster a culture of collaboration and communication among chiropractic professionals 6, 5