Download Importance of Medication History in Massage Therapy and more Exams Nursing in PDF only on Docsity!
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-Discuss the importance for careful history taking related to all medications. - Correct Answer ✅There are common conditions that can sometimes require massage therapists to alter their treatment plans "one common medication that may require treatment alterations is anticoagulant medications [blood thinners] like Warfarin because they may make your clients more prone to bruising and internal bleeding." You should consider altering treatment plans for anyone taking pain relievers. When people take pain relieving medications, they may experience altered pain perception, low blood pressure, dizziness, and bleeding or bruising. Pain relievers, such as analgesics - Correct Answer ✅(acetaminophen, tramadol, and narcotics) non-steroidal anti-inflammatory drugs - Correct Answer ✅(NSAIDs, such as ibuprofen and naproxen) Corticosteroids, too, can cause
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. - Correct Answer ✅swelling of the legs, thinning of the skin, tendency to bruise, high blood pressure and a weakened immune response. If your client is taking corticosteroids, avoid - Correct Answer ✅the injection site during massage (if medications are injected), and avoid deep tissue work, opting for more gentle strokes instead Long-term use of corticosteroids can cause - Correct Answer ✅osteoporosis, which increases risk of bone fractures. Uncontrolled diabetes can cause - Correct Answer ✅excessive thirst and urination, fatigue, wounds that are slow to heal, frequent infections, blurred vision, and tingling in the hands and feet. Most people with diabetes will take some kind of medication. Common types are insulin, - Correct Answer ✅metformin (Glucophage and Glumetza are two brand names) and thiazolidinediones (Actos and Avandia are two brand names)
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clients who take Diabenese or Glucotrol in combination with other drugs, such as non-steroidal antiinflammatory drugs (NSAIDs), aspirin, ACE- inhibitors, SSRIs, and even ginseng supplements, - Correct Answer ✅are at higher risk of hypoglycemia, so be especially aware of your client's symptoms and behaviors if he or she is taking a combination of drugs. The most common first-line treatment for fibromyalgia is - Correct Answer ✅antidepressant medication because it can help relieve pain, reduce fatigue and improve sleep problems. antidepressants can cause - Correct Answer ✅dizziness, drowsiness, and fatigue, along with a tendency to bruise, depressed stretch receptor response and altered temperature perception. px on antidepressants need to be Watched - Correct Answer ✅for bruising, and avoid deep tissue work if bruising is present or occurs during massage. Also, be aware of the potential for over stretching muscles. Watch for signs of dizziness, drowsiness, altered consciousness and fatigue, and adapt your massage therapy session as necessary.
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Pain relieving medications for fibromyalgia (generally analgesics) may also be prescribed, as well as - Correct Answer ✅muscle relaxants (such as Soma, Parafon, Forte, Flexeril, Skelaxin, and Myolin) or anticonvulsants (often Lyrica is prescribed for fibromyalgia). Parkinson's disease is a nervous system disorder that affects movement, often developing gradually and beginning with a small hand tremor and progressing over time. The most common symptoms are - Correct Answer ✅tremors, rigid muscles, slowed movement, impaired posture, balance problems, loss of automatic movements (such as blinking and arm swinging), and speech changes. There is no cure for Parkinson's yet, but medications can improve symptoms. There are a number of drugs used to treat Parkinson's disease, including - Correct Answer ✅parasympatholytics and dopaminergics. Levodopa (Dopar, Larodopa, and Lidopa) is the most common drug prescribed Some symptoms to look for if your client is taking drugs for Parkinson's are - Correct Answer ✅dizziness, drowsiness, disorientation, nervousness, and low blood pressure when changing position (orthostatic hypotension)
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Low blood pressure and/or orthostatic hypotension There are a variety of medications that can cause these side effects, including, but not limited to: - Correct Answer ✅Muscle relaxants Dopaminergics Narcotic pain relievers Antihypertensives (sympatholytics, ACE-inhibitors, and vasodilators) Diuretics Antiarhythmics Beta blockers Calcium channel blockers (CCBs) Remind your clients to sit up and stand slowly, and to take their time getting dressed. If your client complains of lightheadedness or dizziness, - Correct Answer ✅have them lie down until these symptoms pass. Dizziness and lightheadedness are common side effects of a number of medications, including, but not limited to: - Correct Answer ✅Medications used to help treat Parkinson's, including dopaminergics
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Narcotic pain relievers Diuretics Cardiovascular drugs (beta blockers, calcium channel blockers, antiarythmics and vasodilators) Antidepressants To help alleviate dizziness, - Correct Answer ✅use faster strokes toward the end of the massage, increasing speed as you go, and finish the massage with tapotement. Make sure your client isn't experiencing dizziness before they get up from the table, and offer assistance if necessary. Some common medications that can cause easy bruising are: - Correct Answer ✅Anticoagulants (blood thinners) Non-steroidal anti-inflammatory drugs (NSAIDs) Aspirin Corticosteroids
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Also avoid friction, deep kneading, joint mobilization, muscle stripping and passive forced stretching techniques, or modify them to reduce risk to your client. Some medications, including corticosteroids and calcium channel blockers (CCBs), can cause - Correct Answer ✅deep vein thrombosis (DVT) and thromboembolism. Avoid using deep, kneading strokes, especially on the legs, and monitor your client for signs of DVT (pain, redness and warmth) or embolism (including sudden pain in the chest or head). Some medications, for example, may cause swelling or differences in gait or movement patterns that need to be investigated prior to a massage therapy session to ensure the cause isn't one that would contraindicate massage. Some of the signs and symptoms you should look out for include: - Correct Answer ✅Unsteady gait or changes in gait Apparent dizziness or drowsiness
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Confusion Change in skin color (Is your client pale or flushed?) Swelling of the face, legs or ankles Facial expression Physical deformity or irregular posture Changes in speech Increased perspiration and cool or clammy skin can occur when people take - Correct Answer ✅non-steroidal anti inflammatory drugs, which might require you adjust a massage therapy session Loose muscles that are easy to maneuver can be a side effect of - Correct Answer ✅muscle relaxants and central nervous system depressants, which can lead to overstretching. Fragile skin and soft hypotonic muscles can be a sign of tissue breakdown, which can happen when people take - Correct Answer ✅corticosteroids for a long period of time
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Connective tissue disease: E.g. osteomyelitis, lupus, scleroderma: - Correct Answer ✅no deep work. Embolism or Thrombus: a) Venous emboli - usually land in the lungs causing pulmonary embolism. b) Arterial emboli - can lodge themselves in the coronary arteries (heart attack); the brain (stroke), the kidneys, or the legs (phlebitis). Deep bodywork is contraindicated because of the risk of - Correct Answer ✅dislodging a thrombus. If the client takes blood thinners as a medical precaution against clotting, ask for a medical clearance for any kind of deep tissue work affecting the circulatory system High blood pressure (extreme): Don't work in way that makes clients hold breath. - Correct Answer ✅Deep work on uncontrolled high blood pressure patients should be with medical supervision (deep bodywork often RAISES blood pressure).
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Herpes (and other potentially infectious skin conditions, including warts): - Correct Answer ✅Herpes (and other potentially infectious skin conditions, including warts): Don't touch infected areas. local contraindication Diabetes: Be careful about tissue condition and loss of sensation. Don't do deep work on area of recent insulin injection: - Correct Answer ✅could accelerate Insulin uptake.
