Chapter 19: Massage for Special Populations
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Questions and Answers

What is a NOT common benefit of prenatal massage?

  • Aid in relaxation and sleep
  • Reduce pain
  • Improved maternal and fetal outcomes
  • Improve the weight of the fetus (correct)
  • Which body position is most commonly used for a pregnancy massage?

  • Side lying position (correct)
  • Sitting position
  • Prone position
  • Supine position
  • What areas on the body would a pregnant person NOT appreciate special attention on?

  • Face
  • Stomach (correct)
  • Legs
  • Neck
  • What is NOT a key characteristic of preeclampsia during pregnancy? (a condition that occurs in the latter half of the pregnancy)

    <p>Metastasis</p> Signup and view all the answers

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

    <p>The Second Trimester</p> Signup and view all the answers

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

    <p>The sacrum</p> Signup and view all the answers

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

    <p>The Touch Research Institute</p> Signup and view all the answers

    What is NOT a benefit of infant massage?

    <p>Improve mental focus</p> Signup and view all the answers

    What is NOT a sign of disengagement during infant massage?

    <p>Moving hands</p> Signup and view all the answers

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

    <p>For as long as the infant is willing to engage</p> Signup and view all the answers

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

    <p>Last</p> Signup and view all the answers

    Children have a lower bone density compared to who?

    <p>Adults</p> Signup and view all the answers

    When does bone density decrease naturally?

    <p>As people age</p> Signup and view all the answers

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

    <p>Learning sign langauge</p> Signup and view all the answers

    What is the term for paralysis of all four limbs?

    <p>Quadriplegia</p> Signup and view all the answers

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

    <p><strong>Working the contralateral limb</strong></p> Signup and view all the answers

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

    <p><strong>Touch, slow and gentle stroking, energy work</strong></p> Signup and view all the answers

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

    <p>Stops metastasis</p> Signup and view all the answers

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

    <p>Metastasis</p> Signup and view all the answers

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

    <p>Cells breaking off the primary tumor, Circulation through the blood and lymph vessels, Implantation of cancerous cells at secondary sites</p> Signup and view all the answers

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

    <p>Carcinoma</p> Signup and view all the answers

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

    <p>Stage II</p> Signup and view all the answers

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

    <p>Intravenous Catheter</p> Signup and view all the answers

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

    <p>Making them as comfortable and comforted as possible</p> Signup and view all the answers

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

    <p>Feather Stroke</p> Signup and view all the answers

    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

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    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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