Medical Charts Flashcards

1
Q

How would you explain why you need to take a medical chart to a client?

A

I need to take a medical chart because I work with therapeutically active products and electrical therapy. This will allow me to give you an optimum treatment and this ensures that I use the appropriate products that will suit you best.

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2
Q

What words or phrases should you avoid using when explaining why you need a medical chart to a client?

A

Avoid using phrases such as “cause problems” or “electrical equipments or machines”

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3
Q

What should you note in red on a client chart of a client who has allergies?

A
  • Mark what they are allergic to

- List any products that you must avoid which contain the allergen

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4
Q

What must you ALWAYS do before beginning a treatment on a client who has an anaphylactic allergy?

A

Double check the ingredients in any product you are using to make sure it does not contain the allergen.

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5
Q

What kind of oil is commonly used in skin care and should not be used on someone that has a nut allergy?

A

Almond oil

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6
Q

What kind of products should you use on someone with an allergy to fragrances or perfumes?

A

Unscented products

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7
Q

You would not use a product with royal jelly in it on a client who has what kind of allergy?

A

Bee allergy

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8
Q

Why would you do a waxing patch test?

A

If a client is allergic to adhesive

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9
Q

Why would you do a patch test on a client with multiple allergies?

A

Clients who have multiple allergies or if they are unsure of an allergy should have a patch test using your product line to check for reactions with the ingredient list.

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10
Q

What are contraindications for a client with a UV allergy?

A
  • Avoid LED lights
  • Avoid IPL
  • Avoid laser
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11
Q

What kind of gloves should you avoid and what kind of gloves should you wear instead?

A

Latex - due to common latex allergy

Choose vinyl or nitrile instead

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12
Q

What precautions do you take with a client who has allergies?

A
  • Mark chart in red
  • Look at ingredient list
  • Do a patch test if necessary
  • Give samples for the client to try
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13
Q

What should you mark in red on your client chart if a client has a metal implant? (Contraindications)

A

Mark the location of the implant on the chart and state “No indirect electrical therapy”

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14
Q

What is a special concern for a client with an IUD?

A

Electricity may conduct heat in the metal which can cause scarring to the surrounding tissue or it may cause the implant to shift.

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15
Q

Why can you still do electrical therapy on a client with a titanium implant?

A

Titanium is not magnetic and does not conduct electricity.

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16
Q

If a client has a metal pin in their knee can you still do indirect or direct electrical therapy?

A
  • No indirect electricity
  • No direct electricity over the area with the pin
  • Can do direct electricity on other parts of the body
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17
Q

What should you mark on your chart for a client who is taking medication?

A
  • List all medications in the appropriate spot on the chart

- Specific contraindications associated with the use of the drug need to be marked on your chart in red.

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18
Q

Why would you research medications?

A

Medications may be researched for possible side effects such as rashes, acne, hair growth, chloasma, photosensitivity, easy bleeding or bruising.

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19
Q

What are some examples of medication that should be notes?

A
  • Accutane
  • Topical acne medication
  • Blood thinners
  • Steroids
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20
Q

What are the contraindications for someone who is taking medications that are photosensitive?

A
  • No UV therapy

- Avoid LED lights, IPL and laser

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21
Q

What would you mark in red on a clients chart for a client who has cancer?

A
  • Mark if they are currently undergoing chemotherapy, radiation or other treatments
  • State no electrical therapy at all, no UV, no laser, IPL or essential oils
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22
Q

What are contraindications to cancer?

A
  • No electrical therapy at all
  • No UV
  • No laser
  • No IPL
  • No essential oils
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23
Q

Why would you check cancer medication for side effects?

A

Because side effects are numerous and skin sensitivities are common

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24
Q

Why should you not use essential oils on a client with cancer?

A

It could potentially stimulate the cells

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25
Q

What should you mark in red on clients chart who has an IUD containing copper?

A
  • No indirect or direct electrical therapy
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26
Q

What are some common side effects of the birth control pill?

A
  • Melasma
  • Acne
  • Excessive hair growth
  • Water retention
  • Photosensitivity
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27
Q

What would you advise a client of in regards to sun exposure and tanning beds who is taking birth control?

A

Potential risk of photosensitivity

28
Q

What are the contraindications you would mark in red on a pregnant clients chart?

A
  • No electrical therapy at all

- Do not place client directly on their back

29
Q

How would you help make a pregnant client more comfortable?

A
  • Place pillows under her knees
30
Q

If a client is pregnant what must you use cautions with? Or if they are nursing?

A

Essential oils

31
Q

What might you notice on a client who is pregnant or recently given birth?

A
Pregnant
- Devitalized skin
- Acne
Recently Given Birth
- Hair loss
- Chloasma mask
- Devitalized skin
32
Q

What would you mark in red on a client chart for a client who has diabetes?

A
  • No electrical therapy
  • No paraffin
  • No cuticle cutting
33
Q

What are the additional contraindications to diabetes?

A
  • No hair removal (unless they consult a doctor)
34
Q

Why can’t you clip a diabetics cuticles?

A
  • Poor circulation

- Higher risk of infection

35
Q

Why should you note any diabetic medications?

A

Insulin may be photosensitive

36
Q

What are diabetics prone to?

A

Infection and poor healing

37
Q

What should you mark in red on a client chart of someone with hyperthyroid disease? (contraindications)

A
  • No electrical therapy!

Also no massage around neck region where thyroid gland is located

38
Q

What can electrical therapy and massage cause in a client with hyperthyroidism?

A

A thyroid storm

  • Rapid heart rate
  • Increase in blood pressure
39
Q

What are symptoms of hyperthyroid disease?

A
  • Weight loss

- Nervousness

40
Q

What are symptoms of hypothyroid disease?

A
  • Dehydration of the skin
  • Hair loss
  • Weight gain
41
Q

/What are the contraindications to high blood pressure?

A
  • No electrical therapy - if uncontrolled (mark in red on chart)
42
Q

What are the precautions to high blood pressure?

A
  • Check medication for side effects
  • Use calming treatments
  • Use care with active massage
  • Skin may show redness due to circulation or medication flushing
43
Q

What are the contraindications to low blood pressure?

A

Do not let them sit up too quickly as client may become faint

44
Q

What are precautions to a client with low blood pressure?

A
  • Keep hands and feet warm
  • Prone to poor circulation
  • Use active treatment, and gentle massage to improve treatment
45
Q

What are different ways the skin may demonstrate poor circulation?

A
  • The skin may be pale, have erythrosis, extreme dehydration, or edema
  • Cold hands and feet
  • Visible varicose veins
  • Skin may be slow to heal and prone to infection
46
Q

Can you wax over an area with varicose veins?

A

No

47
Q

Why should you avoid rigorous massage on a client with poor circulation?

A

As circulation increases it may become painful

- Use effleurage only until circulation improves.

48
Q

List the precautions and contraindications for a client with heart disease.

A

Contraindications - No electrical therapy at all (mark in red)
Precautions
- Keep warm - prone to poor circulation
- Check all medication
- Clients are often on blood thinners and may bleed or bruise easily
- Prone to high blood pressure
- Keep clients head elevated if the have shortness of breath

49
Q

Can cholesterol deposits be extracted?

A

They cannot be extracted through normal extractions but can be removed by vasculyse

  • They resemble very large milia
50
Q

What are the contraindications for clients with respiratory conditions?

A

Mark on chart in red if its necessary to avoid steam

51
Q

Why do you need to use cautions with pulverization (steam/sprays) on clients with respiratory conditions?

A

Some clients may find steam beneficial while others may not - make sure to apply if from a greater distance and stay with the client.

52
Q

What do you need to be aware of with a client who has asthma?

A

Their triggers

53
Q

What kind of problems benefit from steam and eucalyptus essential oil?

A

Sinus issues

54
Q

What are some other precautions for clients with respiratory issues?

A
  • Caution with oils and fragrances - the very sensitive or highly asthmatic client may need to be in a separate room
  • Keep head elevated if they have trouble breathing
55
Q

What are contraindications to back pain?

A
  • Avoid areas for massage - mark in red on chart
56
Q

What are precautions to clients with back pain?

A
  • Make comfy with pillows under knees to relieve pressure
  • No massage on area if an injury or whiplash has occurred
  • Position head for comfort
  • Check for medications (may be taking anti-inflammatories which this the blood)
57
Q

What are some precautions to a client with neck problems?

A
  • No pressure around the neck if whiplash or trauma. Support the neck and use light massage on the area.
  • If stress - use strong massage with relaxing essential oils
58
Q

What should you mark in red on the chart of a client with neck problems?

A

If problem is the result of an injury or trauma - no massage in the area

59
Q

What are contraindications for a client with epilepsy?

A

Mark in red - no electrical therapy at all, no LED lights, laser or IPL
- Can stimulate a seizure

60
Q

What are precautions wth massage for a client with epilepsy?

A
  • Do not over activate the circulation with rigorous massage of a client who has epilepsy
  • Use effleurage movements only
61
Q

What is epilepsy?

A

A central nervous system disorder in which the brain actively becomes abnormal, causing seizures or periods of unusual behaviour, sensations and sometimes loss of awareness.

62
Q

What are precautions for a client with headaches?

A
  • Ensure client is comfortable and positioned well
  • Lower lights
  • If headaches are a result of trauma use neck problem precautions
63
Q

What are some precautions for a client who is hyper nervous?

A
  • Be attentive
  • Talk through every step with your client
  • No electrical therapy if client is not relaxed
  • Provide a very relaxed atmosphere
  • Sit client up during mask
  • If claustrophobic, do not use steam or sprays, eye pads, etc.
64
Q

What might you notice on a client who has digestive issues?

A
  • Cellulite may be present
  • Pustules under the cheekbones
  • Skin very sallow in colour

(all things here may also apply to elimination issues)

65
Q

If a client has diarrhea what might you notice?

A
  • Skin may be dehydrated

- Sudden weight loss