Massage Theory 1 Lectures 19 PDF

Welcome to Massage Theory 1 WEEK 1 : MASG 1015 Brian Dormer RMT Office :330g Office hours: Wednesdays 12:00-2:30 pm Please book through: https://calendly.com/brian-dormer for either in- person or remote meetings Burning Questions? Agenda Black Board and email –...

Welcome to Massage Theory 1 WEEK 1 : MASG 1015 Brian Dormer RMT Office :330g Office hours: Wednesdays 12:00-2:30 pm Please book through: https://calendly.com/brian-dormer for either in- person or remote meetings Burning Questions? Agenda Black Board and email – your source for course info. Check daily! Banner – schedule, registration Student Portal – connection to services (search everything here) Course Outline – keep a copy of this Course Syllabus – proposed course agenda, assignments, readings & due dates Connection to Consolidation Lab and other courses Student Handbook Why are we here? What is an RMT or MT? - biotone is a good lotion - consent (informed) -> permission forthings + payment but ↳ nature of treatment need to know into about e& > - expected benefits lotions... f upper inner thighs Why are we here? RMT - >sensitive areas - chestral muscles , visks-side effects & obtained prior written informed consent - to alternative courses of action viation assessing treatbut/ consequences of no treatment self-reg practice mament a - clients to ask It's about into right If III don't ↳ Georgian College – Accredited Massage Therapy School Provided andthat , to class Treatment can be they modified/stopped can still say no tho public - helps the general at their request Everythea b CMTO College of Massage Therapists of Ontario – Our Governing Body everytime us give Scope of Practice What we we do - don't apply topicals - No age that Don't work on people under influence-cannabis 7 professional for guidelines - can't things Standards of Practice consent giveas - allohol misconduct - as long we need to be current consent and yet a case they understand evidence-based research - they can't give - - of depth of your techniques lanyone can give ↳ cannot recommend Cannabis (bc its prescribed) cannot offersell cannabis consent) Regulation – RHPA Regulated Health Professions Act , products MTA Massage Therapy Act -helps us -~ 20 sec. e) Stay home when sick, cover mouth when sneezing or coughing - elbow into Routine Precautions Prevention / Lower the risk Used at ALL times, with ALL patients Appropriate handling of patient care equipment & soiled linens Follow any guidance / postings from Ministry – ie. SARS, flu, pandemic planning guidelines COVID  > - called lubricant lotion table doorhandles , , Infection Control , utswitches - massage l Areas of particular concern? High Touch Surfaces As soon as symptoms appear additional precautions of Infection Prevention and Control Practices (IPAC) should be followed. Personal Safety - protection of self (training, PPE), immunization, spread of disease Prevention of Spread of Infection between People (Directly or Indirectly)- PPE / clean Prevention of Spread of Infection by tools or equipment – disinfect! Throw out- 1x use Prevention of Spread of Infection by Sources in Your Environment – all surfaces! Not just table and linens…. Dust, vacuum, bathrooms! Infection Control Environmental cleaning – equipment logs Appropriate handling of waste WHMIS – part of your student clinic permit Taking Care of yourself Handwashing soaps cented ~ no, antimicrobial/antibactria ↑ rid of gets good Washing when hands are visibly soiled – soap (gets lotions off too!) bacteria Tou Antimicrobial and antiseptics – min. 60% alcohol as an alternative when hands are not visibly soiled Note : Clinic and Lab COVID policies have increased requirements Hand Washing Applied to ALL surfaces that come in to contact with client Even if working over the clothes Pre/Post working with gloves Remove mask gown,gloves , In that order then wash hands Consider.. -not that greatometimes Chemical vs natural cleaners Linens – hot water, disinfected Equipment- table, bottle, stethoscope, cupping, office equipment Environment - kept clean Complimentary therapies- ie acupuncture Nails Long nails are: § difficult to clean § can pierce gloves § harbour more micro-organisms than short nails Artificial nails and nail enhancements have been implicated in the transfer of microorganisms Can cause great discomfort to client Rings and Bling! Rings increase the number of microorganisms present on hands and increase the risk of tears in gloves Eczema often starts under a ring as irritants may be trapped under ring causing irritation Arm jewelry interferes with the action of hand hygiene Skin Care Intact skin first line of defense against organisms Organisms can enter skin that is cracked or broken Frequent hand hygiene can dry hands To reduce skin dryness and irritation: use warm running water instead of hot water when washing rinse thoroughly and pat hands dry with a paper towel instead of rubbing Frequently use the lotion protect hands 24/7 from chemicals and extreme conditions at home and work (e.g,. wear gloves in cold weather, when cleaning, gardening, etc.) Cleaning Cleaned daily or when visibly soiled (Covid – protocols, risk assessment) Items that come into contact with patients: routinely and then after contact with each patient Gowns and linens between patients (clean and soiled kept separate) Carpet, drapery are harder to clean 3% hydrogen peroxide or household bleach (1:1000) – Regulated by Health Canada (with water Some chemicals may be hazardous therefore fall under WHMIS Sterilization - kills everything Use of a physical or chemical procedure to destroy all microbial life, including highly resistant bacterial endospores a) moist heat by steam autoclaving b) ethylene oxide gas c) dry heat Disinfection Use of a chemical procedure that eliminates virtually all recognized pathogenic microorganisms but not necessarily all microbial forms (e.g., bacterial endospores) on inanimate objects Varies from high to low level disinfectants Blood and Bodily Fluids Use of PPE may be required to protect yourself from spill Clean waste with disposable towels Seal waste (preferable in plastic container) and dispose of Apply disinfectant Rinse and dry with disposable towels Remove (properly) and dispose of PPE Wash hands immediately Sharps In a clinic considered bio-medical waste container - sharps Must be disposed of properly ie. acupuncture needles Some pharmacies take them or Medical Waste Management companies There is a specific container to place waste in Used only once per person ↳I sharp perperson General Information For program / health specific information please refer to: www.cdc.gov https://www.who.int/ Each individual regulatory college and its specific guidelines and policies Infection Control For Regulated Health Professions. Found www.cmto.com, but at each college’s discretion for use WHMIS Workplace Hazardous Materials Information Systems Canada wide 3 ways information on hazardous materials can be provided: 1. Labels on the containers of the hazardous materials 2. Material Safety Data Sheets – supplemental to the labels (details hazardous and precautionary information) 3. Worker education programs WHMIS Occupational health and Safety Act and Ministry of Labour Enforced by Provincial Ministry of Label Inspectors and By Human Resource and Skills Development Canada Labour Program inspectors to enforce legislation Requirement of Georgian College Use of Personal Protective Equipment (PPE) gloves Mask- mask fitting PPE eyewear (N95) Standard gowns Use of Gloves Does not replace handwashing! 1x use only To protect you and/or client (intraoral, immunosuppressed, open sore ie paper cut) Soiled linens – body fluids (bag and label) Remove / dispose of gloves carefully Wash hands before and after removing gloves Required in your clinic by CMTO (as well as masks) Vinyl , finger cots need bandage + finger cot CMTO Standard of Practice Before we massage – we must understand Infection control Safety and Risk Management https://www.cmto.com/rules/standard-of-practice-infection-prevention-and- control/ https://www.cmto.com/rules/standard-of-practice-safety-and-risk-management/ Safety for our client, the public and ourselves Preparing the Treatment Area Tables & Supports - look to make sure Its all good Linens - I ts clean make sure Oil, Gel and Lotion Please Note: Students will not use the following types of lotions/gels in the student massage clinic: Biotone Gel, Holly oil, Rice oil, Soy oil, Sunflower oil, coconut oil Tables & Supports cover -face Tables and bolsters need to be cleaned before and after clients Tables should be solid, stable and easy to clean Pillows, bolsters should be cleaned between clients Adjustable tables How do you know what works for you? fingertips must touch table when standing - Plints for raising a limb - Linens Bleachable, opaque, cotton, white or pastels Changed EVERY client 50-54 inches – no tripping hazards You also need pillow cases, small & large towels, blankets, face cradle covers You must launder after each use detergent, bleach & hot water Linen services Transportation of linen Oil, Gel and Lotion sides sticke Control the amount of glide, friction & drag on the skin (oil, lotion, gels) Should be hypoallergenic and dispensed in a hygienic manner Aromatherapy is within scope, but be mindful of scents (our clinic and classrooms are scent-free) Dispenser washed after each use Holsters not recommended ↳ dirty Many different types….usually personal preference or client dependent CMTO Standard of Practice Communication: https://www.cmto.com/rules/standard-of-practice-privacy-and- confidentiality/ Confidentiality I don't give away identifies A Healthy, Healthcare Worker Ask yourself – Are you fit to practice? How is your Health and Wellbeing? Communicate if you are absent due to illness (Review Academic Policy for - missed tests and assignments) Stay home if you are sick Follow public health and covid protocols Introduction to Relaxation Techniques Diaphragmatic Breathing In nose, out mouth Rise and fall of abdomen 3x Progress to inhale, hold, exhale expanding diaphragm, ribs, chest Progressive Relaxation Technique Guided relaxation technique A Georgian College Massage Therapy Clinic Massage Therapy Plan of Care Student Therapist Name / Number:__________________________________________________________ RMT Clinic Mentor Name:__________________________________________________________________ Client Name:__________________________________________________ Date (mm/dd/yy):______________________________ Functional Limitations: Subjective Information: (history, medications, current functional status, pain, etc.) Objective Information: (ROM/orthopedic/neurological abnormalities, palpations, etc. Analysis Hypothesis: _________________________________________________________________________________________________________________ Treatment Outcomes: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Functional Outcomes: (short and long term): _____________________________________________________________________________________ _______________________________________________________________________________________________________ Plan Areas to be Treated: ________________________________________________________________________________________________________ Techniques: (circle all that apply) Compression Stroking Rocking Effleurage Petrissage Stripping Friction MLD TP Compression Vibration Tapotement Fascial Myofascial trigger point PNF stretch Passive stretch Stretch High grade joint mobilization Low grade joint mobilization Hydro Breast massage Other: _____________________________ Frequency of Treatments: ________________________________________ Duration of Treatments: ________________________________ Home Care / Education Hydro Therapy: ______________________________________________________________________________________________________________ Stretches: __________________________________________________________________________________________________________________ Strengthening: ______________________________________________________________________________________________________________ Aerobic: ____________________________________________________________________________________________________________________ Education: __________________________________________________________________________________________________________________ Contraindications: ______________________________________________________________________________________________________________________________ Referrals: ______________________________________________________________________________________________________________________________ Reassessment Date: _________________________________________________________________________________________________________ Plan of Care Verbal Consent Obtained: Yes No _____________________________________________________________________  Page 1 of 3 Georgian College Massage Clinic Client Name:____________________________________________________________ Informed Verbal Consent to Assess Given? Yes No Student Therapist Name/Number:___________________________________________ Date (mm/dd/yy):_____________________________________ RMT Clinic Mentor Name:__________________________________________________ Pain Assessment Not Indicated Location:_______________________________________________________________________________________________________________________ Onset Date (approx.):_____________________________________________________________________________________________________________ Referral/Radiation to:______________________________________________________________________________________________________________ Duration:________________________________________________________________________________________________________________________ Frequency:______________________________________________________________________________________________________________________ Quantity: ______ / 10 ________________________________________________________________________________________________________ Quality:_________________________________________________________________________________________________________________________ Cause:_________________________________________________________________________________________________________________________ Aggravates:_____________________________________________________________________________________________________________________ Relief:__________________________________________________________________________________________________________________________ Medications:_____________________________________________________________________________________________________________________ Other comments:_________________________________________________________________________________________________________________ Gait / Posture Analysis Not Completed / Not Indicated = Stiffness = Pain Observations / Significant Findings: Georgian College Massage Clinic Page 2 of 3 Client Name:___________________________________________ Student Therapist Name/Number:_________________________________________________ Assessment (Pre-Treatment) Blood Pressure: _________ / _________ Com m ents - - - - Active - - - - - - - Passive - - - - - Resisted - - Prim ary Joint: Movem ent: R L R L R L (P1 / P2 / P3, w eakness, inches, etc.) _________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ Observations Peripheral Joint Scan / Rule Outs Re-Assessment (Post-Treatment) Blood Pressure: _________ / _________ (if taken post-tx) - - - - Active - - - - - - - Passive - - - - - Resisted - - Com m ents Prim ary Joint: Movem ent: R L R L R L (P1 / P2 / P3, w eakness, inches, etc.) _________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ _____________________ _______ _______ _______ _______ ______ ______ ______________________________ Observations Peripheral Joint Scan / Rule Outs Georgian College Massage Clinic Page 3 of 3 Client Name:_________________________________________ Student Therapist Name/Number:______________________________________________ Neurology Assessment Not Completed / Not Indicated ----Myotom e---- -----------------------Derm otom e------------------------- Myotom e Com m ents R Grading L Right Left C2 Neck Flexion ______ ______ ____________________ ____________________ ______________________________ C3 Neck Lateral Flexion & Extension ______ ______ ____________________ ____________________ ______________________________ C4 Shoulder Shrug ______ ______ ____________________ ____________________ ______________________________ C5 Shoulder Abduction ______ ______ ____________________ ____________________ ______________________________ C6 Elbow Flexion, Wrist Extension ______ ______ ____________________ ____________________ ______________________________ C7 Elbow Extension, Wrist Flexion ______ ______ ____________________ ____________________ ______________________________ C8 Ulnar Deviation, Thumb Extension ______ ______ ____________________ ____________________ ______________________________ T1-T2 Finger Abduction/Adduction ______ ______ ____________________ ____________________ ______________________________ L1 ____________________ ____________________ ______________________________ L2 Hip Flexion ______ ______ ____________________ ____________________ ______________________________ L3 Knee Extension ______ ______ ____________________ ____________________ ______________________________ L4 Ankle Dorsiflexion ______ ______ ____________________ ____________________ ______________________________ L5 Hallux Extension ______ ______ ____________________ ____________________ ______________________________ S1 Plantar Flex/Ever, Knee Flex, Hip Ext ______ ______ ____________________ ____________________ ______________________________ S2 Plantar Flex, Knee Flex, Hip Ext ______ ______ ____________________ ____________________ ______________________________ Deep Tendon ------D.T.R.------ Additional Findings (m yotom e, derm otom e, D.T.R.) Reflex R Grading L C5 Biceps ______ ______ C6 Brachioradialis ______ ______ C7 Triceps ______ ______ C8 Triceps ______ ______ L4 Patellar Reflex ______ ______ S1 Achilles ______ ______ Special Tests Not Completed / Not Indicated Test Conducted Result Com m ents _________________________________________ Positive Negative __________________________________________________________ _________________________________________ Positive Negative __________________________________________________________ _________________________________________ Positive Negative __________________________________________________________ _________________________________________ Positive Negative __________________________________________________________ Additional Findings: Joint Play / Palpation Not Completed / Not Indicated Georgian College Massage Therapy Clinic Massage Therapy Treatment Note Student Therapist Name / Number: _________________________________________________________________________________ RMT Clinic Mentor Name: ________________________________________________________________________________________ Client Name: _________________________________________________ Date (mm/dd/yy): ________________________________ Informed Verbal Consent for Treatment Obtained: Yes No Duration: ___________________________________________ Areas Treated: _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Techniques Used: (circle all that apply) Compression Stroking Rocking Effleurage Petrissage Stripping TP compression Friction Vibration Tapotement Fascial Myofascial trigger point High grade joint mobilization Low grade joint mobilization PNF stretch Passive stretch Stretch MLD Breast massage Hydro Other:_____________________________ Positioning: __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Chief Complaint: ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ Treatment Plan: ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ Clinical Findings Pre-Treatment: _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ During Treatment: __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Post-Treatment: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Client Reaction: _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Homecare / Remedial Exercise: ______________________________________________________________________________________________ ______________________________________________________________________________________________  MASG 1015 - Client Intake - Health History Interview Pomee Pain Questions important for referring Vitals (BP, HR, RR) - highlyamend ↳ not to diagnose Draping Landmarks & Videos CMTO – Standards of Practice to then someone  Outcome-Based Massage: a systematic treatment approach in which therapists provide massage interventions with the goal of achieving specified outcomes that are tailored to address each client’s unique needs, presenting issues and preferences people or same disease can have diff symptoms -may affect peoples goals/daily life differently Outcome-Based Massage: Includes three components: Clinical Decision Making dis patients when charge - Evidence-based practice they are all treated Therapeutic Relationship Outcome-Based Massage: Clinical Decision Making: Evaluation Phase asi questions strength - measure , Rom. - , trying evaluate walking to create a hypothes - is Treatment Planning Phase.... Treatment Phase Discharge Phase **This course will focus on parts of the evaluation, treatment planning and treatment phases.  Client’s Appointment might look something like this: Health History Document Treatment Intake/Interview - Subjective and Re-assessment pain went away - ex · some Objective Information/Pain Questions Homecare ex stretch strengthening exercises - , + Consent to Assessment Consent for the Treatment Plan - develop Assessment Plan of Care (long term treatment) Bp/Observations/ROM/Outcome Discharge if necessary or follow POC Measures (questionnaire) program care Consent for the Treatment Plan and Consent to Treatment (for today’s treatment) STOPPED HERE (QU121444)