Swedish Quiz 2 Flashcards by Dennis Dickenson

Indications

Indicated is beneficial

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Contraindication

Potentially harmful

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Contraindications

3 types

General/systemic
Local/regional, avoid a particular area
Apply with caution, work with other health care professionals or adjust technique

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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

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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

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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

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Approaches to care

General

Who are our clientele?

What are our expectations?

How much of a change can we hope for?

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3 specific approaches to care

Therapeutic change
Condition management
Palliative care

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Therapeutic care

Defined

Return to a normal condition

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Therapeutic change

Requirements to have change

Need: Motivation and resources
money
time
understanding
information
compliance
desire to change
Coping mechanisms
Social support

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Condition management

Defined

Effective as possible within an existing set of circumstances

Our largest client base

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Palliative care

Defined

Soothe
Relieve
Provide comfort

Not to produce a cure

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Health

Optimal functioning with freedom from disease or abnormal processes

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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

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Name two contributing factors for the breakdown of a body’s healing mechanisms.

Stress

Lifestyle

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Pathology or disease

Occurs when homeostatic and restorative body mechanisms break down and can no longer adapt

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Risk factors for disease

Genetics
Age
Lifestyle 
Environment
Pre-existing conditions
stress

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Injury versus illness

Injury: mechanical in nature

Illness: invasion

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Levels of injury or illness

Acute is worse: no body work

Sub-cute: no longer contagious, can work on the body

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treatment for inflammation

R.I.C.E.
Rest
Ice
Compression
Elevation

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Conditions are diagnosed by two things

Signs: objective

Symptoms: subjective

Determine where and how we are going to work

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Inflammation

Injury and illness

Injury: pain, heat, swelling, redness

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Therapeutic inflammation

Jump start the body’s healing system by breaking down tissue

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Pain level or scale

Generally from 1-10

Subjective

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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

Swedish Quiz 2 Flashcards

(61 cards)