Archive for March 2nd, 2010

Notes on Chapter 9

March 2, 2010

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson.

This chapter was about gastrointestinal pathologies. The chapter starts but introducing the parts and importance of the gastrointestinal system. Massage can affect this system directly and indirectly. For instance, abdominal massage helps the digestive system directly. It helps stimulate the intestines so that substances can move forward. In addition, it has been found that digestion occurs more efficiently in a relaxed person than in someone who is stressed out. The digestive system performs six basic functions: ingestion, secretion (water, enzymes etc), mixing and propulsion (peristalsis), digestion, absorption, and defecation. The digestive process actually begins in the mouth. Teeth mechanically break town the food while the saliva, which is a digestive enzyme, is the first step in chemical digestion. The book details the entire process of digestion on pages 253-255. Similarly to other chapters, this one introduces questions the therapist might ask to evaluate a client’s digestive system in the pre-massage interview. If the client has abdominal pain, blood in stools, difficulty swallowing, masses in the abdomen, nausea, vomiting, oral lesions, rebound tenderness, or significant fatigue the therapist is advised to refer the client to his/her health provider. The types of gastrointestinal pathologies are outlines on pages 256-273. Some of the pathologies include cirrhosis of the liver, diverticulitis, GERD, Hepatitis and ulcers. Massage in these pathologies differed from pathology to pathology. Massage was contraindicated in some but encouraged in others. I found figure 9-31 very interesting. It detailed the breakdown of hemoglobin. The pictures of the various organs affected by these pathologies were also very helpful and interesting.

Tags: , , ,

Notes on Chapter 8

March 2, 2010

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson.

This chapter was about respiratory pathologies. The first portion of this chapter introduces the respiratory system. It mentions that massage therapy can directly affect the respiratory system. For instance, by massaging the client it may relax them allowing them to breathe more deeply and slowly. The chapter also goes into detail regarding the physiology of breathing. It outlines the pathway of air after inhalation and the muscles of exhalation and inhalation. The chapter also introduces questions the massage therapist can use to evaluate the client’s respiratory system. If any of the following problems are present in the client the massage therapist is advised to get clearance from the health care provider: altered breathing patterns, change in breathing sounds, wheezing, nasal flaring during inhalation, pursed lips during exhalation, chest or facial pain, pale skin, cyanosis of lips or fingertips, clubbed finger and toes, sore throat, swollen lymph nodes, any sign of respiratory infection, and green-yellowish-rusty colored sputum. There are several pathologies associated which are outlines on pages 236-247. Some of these include asthma, bronchitis, COPD, and pulmonary edema. For most pathologies in this chapter, massage was contraindicated or needed special accommodations. Table 8-1 (page 234) introduces several medications that are used to treat respiratory disorders. I found the overview of the respiratory system very informative and a nice review.

Tags: , , ,

Notes from Chapter 7

March 2, 2010

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson.

This chapter was about cardiovascular and lymphatic/immune pathologies. The first part of the chapter introduces the lymphatic system. It states, "The lymphatic/immune system is one of the major protectors from disease." It also notes the importance of both the cardiovascular system and lymphatic system when it comes to the body maintaining homeostasis. The main components of the cardiovascular system are the blood, heart, and blood vessels. The main components of the lymphatic/immune system are lymph, lymphatic vessels, structures and organs containing lymphatic tissue (such as lymph nodes), lymphocytes, and red bone marrow. The chapter also reviews how blood flows through the heart and the important functions of the lymphatic system. The chapter goes on to introduce questions that might be asked during the premassage interview regarding these two systems. If the client has bradycardia, tachycardia, difficulty breathing, rapid breathing, skin discolorations due to lymphatic/cardiovascular complications, unexplained bruising or skin pigmentation, rashes or hives, chest or calf pain, swollen lymph nodes, edema, limbs that are not the same temperature, chronic fatigue, failure to gain/maintain weight or unexplained weight loss the massage therapist is advised to not carryout a treatment plan without approval from the client’s primary care provider. The chapter then goes on to talk about several cardiovascular pathologies and the massage considerations (pg 202-219). On Figure 7-30 (pg 214), it describes the warning signs of heart attack and associated pain. I found this figure to be very helpful. On pages 219-227, the lymphatic/immune system pathologies were discussed. One of the big ones was the human immunodeficiency virus and AIDS. On Box 7-4 (page 222) it explains in detail what it is like for patients who are HIV positive or living with AIDS. I was surprised to find that a fever was in this list of pathologies. However, after reading the description it made sense. For most of the pathologies discussed massage was contraindicated.

Tags: , , ,


Follow

Get every new post delivered to your Inbox.