Swedish Quiz 2 Flashcards
Indications
Indicated is beneficial
Contraindication
Potentially harmful
Contraindications
3 types
- General/systemic
- Local/regional, avoid a particular area
- Apply with caution, work with other health care professionals or adjust technique
Contraindications
General
Do not perform any massage technique
Any condition that might be spread along the skin, through the lymph or blood stream.
Any conditions which are contagious.
Any time there is a fever
Any time there is edema related to cardiac, kidney or liver disease
Contraindications
Regional - local
Do not massage a particular area
Acute inflammation of tissue in a localized area
Pitting edema
Any open cut or break in the skin’s integrity
Warts, athletes feet, fungal infection of nails – may be contagious
Rashes which have not been diagnosed
Any area where there is bleeding – hematoma (bruise), whiplash, severe varicose veins
Contraindications
Apply with caution
Obtain doctor’s consent
Anytime client is being treated by MD for an acute condition
Clients with chronic cardiac problems, liver disease, or serious liver disease
Clients with compromised immune systems
Recent surgery
Areas of abnormal sensation or lack of sensation - due to stroke, diabetes
Approaches to care
General
Who are our clientele?
What are our expectations?
How much of a change can we hope for?
3 specific approaches to care
Therapeutic change
Condition management
Palliative care
Therapeutic care
Defined
Return to a normal condition
Therapeutic change
Requirements to have change
Need: Motivation and resources money time understanding information compliance desire to change Coping mechanisms Social support
Condition management
Defined
Effective as possible within an existing set of circumstances
Our largest client base
Palliative care
Defined
Soothe
Relieve
Provide comfort
Not to produce a cure
Health
Optimal functioning with freedom from disease or abnormal processes
Dysfunction
The in between state between healthy and sick.
Massage is most effective in this state
Can slow down or reverse the process in this state
Name two contributing factors for the breakdown of a body’s healing mechanisms.
Stress
Lifestyle
Pathology or disease
Occurs when homeostatic and restorative body mechanisms break down and can no longer adapt
Risk factors for disease
Genetics Age Lifestyle Environment Pre-existing conditions stress
Injury versus illness
Injury: mechanical in nature
Illness: invasion
Levels of injury or illness
Acute is worse: no body work
Sub-cute: no longer contagious, can work on the body
treatment for inflammation
R.I.C.E. Rest Ice Compression Elevation
Conditions are diagnosed by two things
Signs: objective
Symptoms: subjective
Determine where and how we are going to work
Inflammation
Injury and illness
Injury: pain, heat, swelling, redness
Therapeutic inflammation
Jump start the body’s healing system by breaking down tissue
Pain level or scale
Generally from 1-10
Subjective
What do heat, swelling, redness and pain indicate?
Inflammation
List the four most common inflammatory conditions
arthritis
asthma
eczema
chronic bronchitis
If a client has an unexplained recurring pain pattern what should you do?
Refer to doctor
What are two types of nerve impingement syndrome?
compression
entrapment
compression
- pressure on a nerve by bony structure
entrapment
- pressure on a nerve from soft tissue
List stress related illnesses?
cardiovascular issues colds/flu's hypertension sleep disorders digestive troubles
What are some important warning signs that indicate the client should be referred to a physician?
When in doubt
Above your skill level
Unexplained symptoms*****
List the warning signs or cancer.
sores that do not heal unusual bleeding a change in the appearance or size of a wart or mole a lump or thickening of any tissue persistent hoarness or cough chronic indigestion a change in bowel or bladder function
Massage is contraindicated for cancer- true or false?
false
Massage practitioners need to be specifically knowledgeable about which medication?
Any medication the client takes.
Define endangerment sites
an area of the body where it is possible to do damage.
What are the factors which predispose someone to varicose veins?
Heredity and structural weakness of vein walls
Obesity
Sedentary lifestyle
Low fiber intake in diet
What does a varicose vein look like?
Ropey, distended, bulging, angry
Which massage strokes are to be avoided on varicosities?
All if acute
Cross fiber friction Stripping Wringing Percussion Do not treat over veins if there is broken skin
Name the endangerment site for the following structures of concern – kidneys
Upper lumbar region
Name the endangerment site for the following structures of concern– carotid artery
Anterior triangle of the neck
Name the endangerment site for the following structures of concern– brachial plexus
Posterior triangle of the neck
Name the endangerment site for the following structures of concern–femorial artery
Femoral triangle
Name the endangerment site for the following structures of concern– styloid process
Inferior to the ear
Name the endangerment site for the following structures of concern–median nerve
Medial brachium
Upper inner arm between biceps and triceps
Name the endangerment site for the following structures of concern– popliteal artery
Popliteal fossa
Posterior aspect of the knee
Name the endangerment site for the following structures of concern– aorta
Abdomen
Name the endangerment site for the following structures of concern– median and ulnar nerves
Cubital fossa
Anterior bend of elbow
Name the endangerment site for the following structures of concern– ulnar nerve
Ulnar notch of the elbow
Funny bone
Dermatitis versus eczema
Dermatitis - acute condition
Eczema - chronic condition
indications for massage
musculoskeletal system
low back pain sciatica carpal tunnel syndrome scar tissue adhesions
List benefits of massage
musculoskeletal system
softens & stretches connective tissue relaxing tension on nerves increases ROM slows formation of scar tissue increases endorphins and serotnin
indications for massage
circulatory system
sedentary clients
damaged tissue
bed-ridden
List benefits of massage
circulatory system
increased blood & lymph flow
increase cellular nutrition
increase elimination of waste products
indications for massage
nervous system
stress related illness gastro intestinal issues high blood pressure sleep disorders breathing pattern disorders
List benefits of massage
nervous system
levels cortisol - stress hormone
increase para sympathetic response
reduce stress response
effecting: digestion, breathing, blood pressure, anxiety, depression
Side effects of common medications
NSAID’s
non-steroidal anti-inflamatory drugs (asprin, ibuprofen)
- analgesic and anticoagulant properties
- client feedback may not be accurate, susceptible to bruising
- excess can cause GI disorders; ulcers, bleeding
- abdominal massage and hydrotherapy are contraindicated
Side effects of common medications
muscle relaxants & pain killers
- depress neural responses
- sensory feedback for muscular stretch and tension receptors may be compromised
- caution must be used with all stretching techniques
- constipation is a common side effect of pain killers
Cramps
Stretching or compression
Side effects of common medications
corticosteroids
Long term use
- can impair tissue strength, resilience and sensitivity
- caution with walking on clients
- have immosuppressive side effects - more susceptible to infections/bugs
Spasm
Deep effleurage
