Contraindications, endangerment sites, cautions – Flashcards
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Do no harm
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most basic principles of giving therapeutic massage
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Endangerment sites
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areas of the body where delicate structures are less protected, and may be more easily damaged during a massage
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Endangerment sites include
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anterior neck, vertebral column, thoracic cage, shoulder & axilla, elbow, umbilicus, kidney area, inguinal area, popiliteal, eyes
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Anterior neck
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triangular area on front of neck defined by sternocleidomastoid (SCM) and sternal notch
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Delicate structures on anterior neck
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carotid artery, jugular vein, vagus nerve, larynx,& thyroid gland
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Vertebral column
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protects spinal cord of the central nervous system
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spinous process that can be felt along the middle of neck and back
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cervical, thoracic, and lumbar
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Massage techniques with heavy pressure, involve thrusting, or percussion should NOT be performed over
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spinous process
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Thoracic cage
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consists of ribs & sternum
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ribs 11-12 do not attach to the sternum with cartilage and are known as
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floating ribs
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xiphoid process
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inferior tip of the sternum that can break under pressure and be driven into the liver
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Axilla
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armpit
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Shoulder and axilla include
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brachial artery, axillary artery & vein, cephalic vein, basilica vein, brachial plexus nerve complex, and lymph nodes
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antecubital
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front of elbow
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cubital
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elbow
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These structures are all close to the surface of cubital/antecubital and unprotected by muscle
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brachial vein & artery, median cubital vein, & median nerve
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funny bone
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medial to olecranon process where ulnar nerve is basically exposed
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umbilicus is sensitive do to
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descending aorta & abdominal aorta
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umbilicus is known as the
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belly button
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kidneys
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located on either side of spine
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Over the kidney area only light pressure should be used when doing this technique
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percussive
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inguinal area is known as the _______ and located where the thigh and trunk meet on the anterior side of the body
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groin
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The inguinal areas has the______________ pass through it
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femoral nerve, femoral artery, great saphenous, & femoral veins
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Popliteal area
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muscles of the posterior knee cross medially and laterally leaving a space in the center basically unprotected
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The popliteal area contains these sensitivities
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popliteal artery & vein and tibial nerve
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Take great care when working around the ______ to not slip and hit by accident
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eyes
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Always apply deep flushing effleurage to arms and legs
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distal to proximal
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Always adjust pressure applied to
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match the part of the body you are massaging
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Avoid heavy pressure anyplace there is
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nerves, blood vessels, or lymph vessels close to the surface or unprotected by muscle or bone
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If you feel a pulse this means
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you are on a major artery and should move immediately
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if client feels searing, burning, shooting, "pins & needles", or numbness you may be pressing on a
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nerve and should move immediately
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Any abnormal structure is a potential
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endangerment site and should get more information
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Always work with awareness and when in doubt
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do not take a chance that may lead to injuring a client
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Contraindications
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conditions or situations that make the receiving of a massage inadvisable because of the harm it may do
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General contraindications
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avoid massage altogether
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Local contraindications
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avoid only specific area of the body affected
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Cautions
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situations of potential danger that require thoughtful consideration and possible modifications of technique and may or may not involve pathology
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Health history
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provides information information about previous conditions or health issues to be aware of
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medications that require caution include
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alters sensation, affect blood & circulation, compromise tissue integrity, & mood altering
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If a medication is needed to stabilize a condition massage should be done
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after the client's scheduled dosage
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If medication is needed to decrease pain and can alter the client's sensation of pain; massage should be done
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before or shortly after the client's scheduled dosage
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If medication depletes the energy level of the client, and causes fatigue or decreases emotional stability
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shorten the session
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For medications that alter clotting mechanisms
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avoid high pressure techniques
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For drugs that compromise tissue integrity
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avoid deep pressure, heavy tapotement, skin rolling or wringing
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Person centered
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massage therapists feel the treatment of their client's are more than just the pathology
