1a-1b Flashcards
According to Magee assessment must be
organized, comprehensive and reproducible
Adequate knowledge
To safely know what you intend to assess, treat, and manage
Adequate application of knowledge
To clinically defend your choices for modality and home care for your patient
Red flags
indicates that Massage Therapy is NOT the correct treatment, and the patient must be referred on to their MD or the Emergency Department of the local hospital
Symptoms of cancer
➢Constant Pain Anywhere in the Body
➢Persistent Pain at Night ➢Unexplained Weight Loss
➢(e.g., 4.5 kg to 6.8 kg [10 to 15 lbs] in 2 Weeks or Less)
➢Loss of Appetite
➢Unusual Lumps or Growths
➢Unwarranted Fatigue
Symptoms of cardiovascular
➢Shortness of Breath
➢Dizziness
➢Pain or a feeling of “Heaviness” in the Chest
➢Pulsating Pain Anywhere in the Body
➢Constant and Severe Pain in Lower Leg (Calf) or Arm
➢Discolored or Painful Feet
➢Swelling [No History of Injury]
Symptoms of gastrotestinal
➢Frequent or Severe Abdominal Pain
➢Frequent Heartburn or Indigestion
➢Frequent Nausea or Vomiting
➢Change in or problems with Bowel and/or Bladder Function
➢Unusual Menstrual Irregularities
Symptoms of neurological
➢Changes in Hearing
➢Frequent or Severe Headaches with no History or Injury
➢Problems with Swallowing or Changes in Speech ➢Changes in Vision [e.g., Blurriness or Loss of Sight]
➢Problems with Balance, Coordination, or Falling ➢Faint Spells [Drop Attacks]
➢Sudden Weakness
Yellow flags
Findings in Patient History may indicate a more extensive examination is required by a qualified medical practitioner.
Is saddle anesthesia a yellow flag
Yes
HOPM
History
Observation
Palpation
Movement
What do you do if you make a mistake in your chart
Draw a single line through the mistake, rewrite underneath, put your initials next to it
Can charting be done in pencil
No only blue or black pen
Can abbreviations be used
Should be avoided but if used should use some that are common to all rmt’s
Why should you chart as you go and not at the end of the day
To make sure you don’t forget anything. Making a mistake in your chart could have consequences in your career
Can you use a voice recording in place of a chart
You can use a voice recording as a tool but NOT as an official chart
If a patient gives you relative info during the treatment you must
Chart the info right after the treatment
The document must be objective and supported by substantiated information
True
Blank spaces can be left in a chart
No it may allow someone to include false information
Charting cannot be done in advance of the event or care provided
True
Good interviewing skills consist of
Effective and efficient communication
Ability to develop a good rapport
Speak at a level the patient will understand
Need to be empathetic, interested, caring and professional
Open ended questions
Ask for narrative info
Closed/direct questions
Ask for specific info
Used to fill details of open ended questions
ADL
Activities of daily living
MOI
Mechanism of injury
Abbreviations should
reflect medical terminology and they need to be common to all RMTs
The position of each joint influences the position of other joints
True
Correct posture
position in which minimum stress is applied to each joint
Faulty posture
Any static position that increases the stress to the joints
Primary curve
Curve of spine that was there when you were born
Thoracic and sacrum
Secondary curve
Curve of spine as you grow
Cervical and lumbar
Where is the centre of gravity in a standing position
5cm anterior to the second sacral vertebrae
What is the most common postural problem
Bad habit, person has never had good posture
What is a common postural problem in children
If the have a early growth spurt they may slouch more as a way not to stand out
Poor posture treatment
➢Strengthening weak muscles.
➢Stretching tight structures.
➢Teaching the patient that it is his or her responsibility to maintain correct upright posture standing, sitting, and other ADLs
What is observation purpose
To gain info on
➢Visible defects
➢Functional deficits
➢Abnormalities of Alignment
How should observation work
Start and foot and work way up
Look at anterior, posterior, left lateral, and right lateral
Hands on assessment areas to check
Foot arches
Foot
Ankles
Knee
Hip
Shoulder
Head
Primary area is marked with
A big circle
Pain is marked with
X
Ache is marked with
o
Tingling/numbness is marked with
A zig zag
Slight/Sl
Barley noticble
Moderately/Mod
Noticeable
Extreme/Ext
Really noticeable
Lateral line of reference
dividing the body into front and back halves
Posterior line of reference
divide body into right and left halves posteriorly
Anterior line of reference
divide the body into right and left halves anterioly
Spasticity
refers to muscle tonus in which there may be a collapse of muscle tone during testing
Rigidity
refers to involuntary resistance of being maintained during passive movement and without collapse of the muscle
Flaccidity
means there is no muscle tone
Where should the top of the nose line up with
with the manubrium sternum, xiphisternum, and umbilicus