Hospitalized Patient Lab Flashcards
OMT in bedbound patient
function optimized and pain reduced
comfort and emotional support are important
alleviate GI dysfunction, cardiopulm problems
better to do small sessions more frequently - as opposed to large treatment at one time
cancer and lymph pump
not good - might promote metastasis
paravertebral inhibition technique
rib raising but waiting for paraspinals to relax
less potential to stimulate sympathetics**
compression of vagus
can increase nausea and vomiting
vagus nerve
goes to heart, lungs, GI tract
dysfunction at OA/AA can lead to systemic problems
bronchodilation
sympathetic
-stimulated with rib raising
lower six ribs
diaphragm attachment
kidney pump
encourages removal of dead cells and reduces congestion that comes with inflammation
sacrum
parasympathetics
patient on ventilator
diaphragm is too relaxed - treat with OMT to increase diaphragm tone
diaphragm contracture
with COPD
treat to decrease tone
tx sequence of bedfast patient**
1 occipital, atlas, cranial base decompression
2 rib raising
3 lumbar, sacral, pelvic soft tissue and articulation
4 perform thoracic diaphragm soft tissue and myofascial release
always at least perform what
occipital, atlas, cranial base release**
kidney pump
during rib raising at the tip of scapula
constipation
excessive symapthetic