Quiz 2- CI's Flashcards
What is a contraindication?
A contraindication is a symptom or circumstance that makes a particular treatment inadvisable. In other words, massage is an inappropriate method of treating a particular condition that effects either the whole body or part of the body.
What is a modification?
A modification is a change to the initial treatment plan when massage is appropriate for the client, to allow for safe, effective treatment.
Examples of modification?
Modifications may be a technique choice, pressure and direction of technique, location and temperature, area treated and duration of treatment.
What are the different types of CI’s and modifications?
- Absolute CI to general conditions: can’t treat at all
- Absolute CI to local conditions: can’t treat area
- General conditions requiring modifications: possible adverse effects, must modify treatment
- Local conditions requiring modifications: must modify treatment just over a certain area
acute pnemonia?
Absolute CI to general condition
Malignancy?
Absolute CI to local condition
Emphysema?
General condition requiring treatment modifications
Endometriosis?
Local condition requiring treatment modifications
Advanced Kidney Failure? Advanced Respiratory Failure or Liver Failure?
Absolute CI to general condition- a very modified treatment may be possible with medical consent
Acute neuritis?
Absolute CI to local condition
Asthma?
General condition requiring modifications
Bueger’s Disease?
Local condition requiring treatment modifications
Lymphedema?
Local condition requiring treatment modifications
recent head injury?
General condition requiring treatment modifications
Debilitation?
General condition requiring treatment modifications
Fibromyalgia?
General condition requiring treatment modifications
Eclampsia?
Absolute CI to general condition
Hemophilia?
Absolute CI to general condition
Severe, undiagnosed headaches in someone 50+?
Absolute CI to general condition
Acute trigeminal neuralgia?
Absolute CI to local condition
Aneurisms deemed life threatening?
Absolute CI to local condition
Frostbite?
Absolute CI to local condition
Local irritable skin condition?
Absolute CI to local condition
Sepsis?
Absolute CI to local condition
Varicosities?
Absolute CI to local condition
Recent burn?
Absolute CI to local condition
Esophageal Variscosities?
Absolute CI to local condition
Undiagnosed lump?
Absolute CI to local condition
Ectopic Pregnancy?
Absolute CI to local condition
Coma?
General condition requiring modifications
Congestive Heart Failure?
General condition requiring modifications
Drug withdrawal?
General condition requiring modifications
Hypertension?
General condition requiring modifications
Osteoporosis or osteomalacia?
General condition requiring modifications
Seizures Disorders?
General condition requiring modifications
Acute Disc Herniation?
Local condition requiring treatment modifications
Chronic or longstanding Thrombosis?
Local condition requiring treatment modifications
Stress Fracture Site?
Local condition requiring treatment modifications
Tracheotomy site?
Local condition requiring treatment modifications
Recent Abortion?
Local condition requiring treatment modifications
Raynaud’s Disease?
Local condition requiring treatment modifications
Migraine?
Local condition requiring treatment modifications
Mastitis?
Local condition requiring treatment modifications
Joint hypomobility due to pins, screws, wires, plates, surgical shortening of ligaments?
Local condition requiring treatment modifications
Kidney infection or kidney stones?
Local condition requiring treatment modifications
Pitting edema?
Local condition requiring treatment modifications
Pelvic Inflammatory Disease?
Local condition requiring treatment modifications
Minor Surgery?
Local condition requiring treatment modifications
Hernia?
Local condition requiring treatment modifications
Diarrhea?
Local condition requiring treatment modifications
Bursitis?
Local condition requiring treatment modifications
Flaccid paralysis or paresis?
Local condition requiring treatment modifications
Hematoma?
Local condition requiring treatment modifications
Frozen Shoulder?
Local condition requiring treatment modifications
Moderate Diabetes
General condition requiring modifications
Client who is immunosuppressed?
General condition requiring modifications
Any condition of Spasticity (Cerebral palsy, hemiplegia, MS, spinal cord injury) or rigidity (Parkinson’s)
General condition requiring modifications
Systemic contagious or infectious condition?
Absolute CI to general condition
Acute conditions requiring first aid or medical attention (anaphylaxis, appendicitis, pneumothorax, atelectasis, asthma attack, status asthmaticus, acute seizure, or syncope)
Absolute CI to general condition
Diabetes with complications such as gangrene, advanced heart or kidney disease or high blood pressure
Absolute CI to general condition
Hemorrhage
Absolute CI to general condition
Post Cerebrovascular Accident or Post Myocardial Infarction where the condition has not stabilized?
Absolute CI to general condition
Deep Vein Thrombosis, thrombophlebitis or arteritis?
Absolute CI to local condition (may be a general CI if located in a major circulatory vessel)
Severe Atherosclerosis?
Absolute CI to general condition
Acute flare up of inflammatory arthritism, such as rheumatoid arthritis, lupus, erythematosus, or ankylosing spondylitis
Absolute CI to local condition (but may be general depending on the presentation)
Significant Fever?
Absolute CI to general condition
Open wound, sore, decubitus ulcer?
Absolute CI to local condition
Diagnosed atherosclerosis?
General Condition requiring modifications
Prolonged constipation?
Local Condition requiring modification
Chronic Abdominal or digestive disease?
Local Condition requiring modification
Temporomandibular joint dysfunction?
Local Condition requiring modification
Some highly metastatic cancers not judged terminal?
Absolute CI to general condition
Fibromyalgia?
General Condition requiring modifications
Portal hypertension?
Local Condition requiring modification
Fracture while casted and post cast removal until muscle tone has returned and tissue fragility has returned?
Local Condition requiring modification
Indwelling medication catheter?
Local Condition requiring modification
Infection, including parasites?
Local Condition requiring modification- proximal drainage and circulation techniques are avoided
Inflammatory bowel disease?
Local Condition requiring modification
Recent Vaginal birth?
Local Condition requiring modification
Pregnancy and labor?
General Condition requiring modifications
Systemic contagious or infectious condition?
Absolute CI to general condition
Aneurisms deemed life threatening
Absolute CI to local condition (could be general depending on location)
Joint Instability or hypermobility?
Local Condition requiring modification
Contusion?
Local Condition requiring modification
Major Surgery or abdominal surgery?
General Condition requiring modifications
Cancer
General Condition requiring modifications- as long as massage doesn’t conflict with other treatments being given
Local contagious skin condition?
Absolute CI to local condition
Local irritable skin condition?
Absolute CI to local condition
hypotension?
General Condition requiring modification
Trigeminal Neuralgia between attacks?
Local condition requiring modification
Ostomy site?
Local condition requiring modification
Spasmodic Torticollis?
Local Condition requiring modification
Post Cerebrovascular Accident or Myocardial Infarction?
General Condition requiring modification
Inflammatory Arthritis?
General Condition requiring modification
Medication use by client: anti-inflammatories, muscle relaxants, stimulants, anti-coagulants, analgesics, any other medication that may alter sensation, muscle ton , standard reflex, reactions, cardiovascular function, kidney or liver function or emotions?
General Condition requiring modification
Pain syndromes, such as causalgia or reflex sympathetic dystrophy?
Absolute CI to local conditions
Flare up of inflammatory bowel syndrome?
Local Condition requiring modification
Chronic Inflammation (such as sinusitis, chronic bronchitis)?
Local Condition requiring modification
Bell’s Palsy?
Local Condition requiring modification
Any anti-inflammatory injection site (target tissue and the immediate vicinity) for up to 21 days post injection?
Local Condition requiring modification
Acute inflammatory conditions and injuries?
Local Condition requiring modification
Aneurism?
Local Condition requiring modification- may be general depending on the location
Chronic Kidney Disease?
General Conditions requiring modification
Radiation therapy site. both during and up to several weeks post-radiation therapy?
Absolute CI to local condition
Shock?
Absolute CI to general condition
Varicosities up to 24 hours post treatment with saline injection?
Absolute CI to local condition