Chapter 19: Massage for Special Populations

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25 Questions

What is a NOT common benefit of prenatal massage?

Improve the weight of the fetus

Which body position is most commonly used for a pregnancy massage?

Side lying position

What areas on the body would a pregnant person NOT appreciate special attention on?

Stomach

What is NOT a key characteristic of preeclampsia during pregnancy? (a condition that occurs in the latter half of the pregnancy)

Metastasis

During the early part of what trimester can a tool be placed under the right pelvis to shift the uterine weight towards the left.

The Second Trimester

During labor, lower back pain can be relieved by applying firm continuing pressure on what part of the body?

The sacrum

In 1992, what did Tiffany Fields establish at the university of Miami.

The Touch Research Institute

What is NOT a benefit of infant massage?

Improve mental focus

What is NOT a sign of disengagement during infant massage?

Moving hands

A full body well baby routine generally lasts about 20 minutes or until what?

For as long as the infant is willing to engage

When should superficial gliding on the arm should be performed during an infants arm well baby massage?

Last

Children have a lower bone density compared to who?

Adults

When does bone density decrease naturally?

As people age

What is NOT a massage consideration you should make for people who are visually impaired

Learning sign langauge

What is the term for paralysis of all four limbs?

Quadriplegia

How do you help amputees get relief from their phantom pain?

Working the contralateral limb

What are the most common choices for massaging critically ill clients?

Touch, slow and gentle stroking, energy work

What is NOT a benefit of performing massage on clients with cancer?

Stops metastasis

What is the term for spread of cancer from one site to another location in the body?

Metastasis

What is the correct order of the three stages of metastasis?

Cells breaking off the primary tumor, Circulation through the blood and lymph vessels, Implantation of cancerous cells at secondary sites

What type of cancer originates in the epithelial tissue that lines organs and vessels?

Carcinoma

What stage is it when the cancer has spread to nearby lymph nodes?

Stage II

If a client has one of these while undergoing chemotherapy- care must be taken not to disturb it while positioning the client for massage.

Intravenous Catheter

What is the goal in caring for a client in hospice care?

Making them as comfortable and comforted as possible

What type of stroke should be used with clients in hospice?

Feather Stroke

Study Notes

Bone Density and Aging

  • Bone density naturally decreases with age, especially in older adults
  • Peak bone mass is reached in early adulthood, after which bone density gradually decreases

Visual Impairment and Massage

  • Considerations for massage with visually impaired clients include learning sign language

Quadriplegia and Amputees

  • Quadriplegia refers to paralysis of all four limbs
  • To help amputees with phantom limb pain, work the contralateral limb for relief

Massage and Critically Ill Clients

  • Suitable massage techniques for critically ill clients include touch, slow and gentle stroking, and energy work
  • Avoid deep pressure, intense strokes, and joint mobilization

Cancer and Massage

  • Metastasis is the spread of cancer from one site to another location in the body
  • The three stages of metastasis are: cells breaking off the primary tumor, circulation through blood and lymph vessels, and implantation of cancerous cells at secondary sites
  • Carcinoma originates in epithelial tissue that lines organs and vessels
  • Stage 2 cancer has spread to nearby lymph nodes
  • Avoid massage over intravenous catheters during chemotherapy
  • Goal of hospice care is to make clients as comfortable and comforted as possible
  • Feather strokes are suitable for hospice clients

Prenatal Massage

  • Prenatal massage can aid in relaxation and sleep, reduce pain, and improve maternal and fetal outcomes
  • Side-lying is the most comfortable and common position used for prenatal massage
  • Special attention areas for pregnant clients include neck, upper and lower back, hips, legs, and feet
  • Preeclampsia occurs in the latter half of pregnancy, characterized by hypertension, systemic edema, and protein excretion and imbalances
  • A small wedge can be used under the right pelvis during the supine position to shift uterine weight towards the left
  • Firm, continuous pressure on the sacrum can relieve lower back pain during labor

Infant Massage

  • Tiffany Fields established the Touch Research Institute at the University of Miami in 1992
  • Benefits of infant massage include bonding, communication, relief of tension and pain, and stimulation/support of body system development and function
  • Signs of disengagement during infant massage include looking away, fussing, frowning, crying, sleeping, and coughing
  • A full-body well-baby routine generally lasts 20 minutes or for as long as the infant is willing to engage
  • Superficial gliding on the arm should be performed during the infant's arm well-baby routine

Bone Density in Children

  • Children have lower bone density compared to adults

Test your knowledge on the benefits of prenatal massage, common massage positions for pregnant individuals, and areas of the body that require special attention during pregnancy. Also, identify a condition characterized by hypertension, systemic edema, and protein excretion in pregnancy.

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