Archive for June, 2009

Asthma

June 30, 2009

Asthma is a chronic lung disease that inflames and narrows airways in the body. Some symptoms of asthma include wheezing chest tightness, shortness of breath, and coughing. There are several triggers to asthma attacks. Allergens, exercise, and cigarette smoke are just a few of the possible triggers. When a person is having an asthma attack they need to use an inhaler to open up their airways. Asthma can affect people of all ages but is usually begins in childhood. There is no cure for asthma and the symptoms can occur suddenly. Massage therapists need to make sure that the massage room is free of allergens. Also, that the patient has all of their medications that they may need in case they have an asthma attack. The type of massage and the position of the patient depend on their current asthma symptoms.

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Tuition Assistance

June 29, 2009

Do you offer tuition assistance, financial aid, scholarships or payment plans?

Original Post:
May 18, 2009
Title; Can I enroll in your massage pathology course immediately? (comment)
Yes, you can immediately start our online Massage Pathology course after enrolling.
Go to our home page http://massage-pathology-chronicles.com
Go to the right side of the page.
Find Online Massage Pathology Course.
Click on the link “Online and Instructor-Led Massage Pathology Course.”
Then follow the instructions for enrolling.
If you have any difficulties, you may email us admin@healthcare-online-education.com

Original Post:
May 11, 2009
Title: Can I enroll in your massage pathology course immediately?
Can I enroll in your massage pathology course immediately? I want to
take the National Certification Board for Therapeutic Massage &
Bodywork examination as soon as possible.

Original Post:
April 22, 2009
The tuition and procedure to enroll can be found in the link on the
lower right-hand section of this page. The link contains the word
“Course.”

Original Post:
April 10, 2009
What is the tuition and procedure to enroll in your Massage Pathology course?

Original Post:
April 9, 2009
Our
course is 45 Contact Hours (3 Semester Credits). We provide a completed
“Verification of Education Form” and/or notarized copy of your
certification of completion and/or an official school transcript. Click
on the link “Online and Instructor-Led Massage Pathology Course” on the
right side of this page. The link is under the sub-heading “Online
Massage Pathology Course.”

Original Post:
April 2, 2009
Does
your Massage Pathology course fulfill the requirements of the National
Certification Board for Therapeutic Massage & Bodywork (NCBTMB) to
take the National Certification Examination for Therapeutic Massage and
Bodywork (NCETMB) and the National Certification Examination for
Therapeutic Massage (NCETM)?

Does your Massage Pathology course
fulfill the requirements of the Federation of State Massage Therapy
Boards to take the Massage & Bodywork Licensing Examination (MBLEx)?

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Urinary System Pathologies

June 26, 2009

Review of Mosby’s Pathology for Massage Therapists by Susan G. Salvo & Sandra Kauffman Anderson. Chapter 10 Urinary System Pathologies.

Great descriptions. I really find the massage considerations to be very helpful. The suggested details in what phase of illness or particular symptoms to watch for and wait to pass before massaging is great. I particularly liked the suggestions for clients with kidney stones. They suggest different lying positions and questions to ask.

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Likely Endocrine Pathologies of Elderly Person in Abuse Situation

June 18, 2009

In the treatment of massage therapy to an elderly person who has been the victim of an abuse situation, the therapist should include the assessment of endocrine pathologies. The client could be at risk of having an untreated diabetes mellitus condition. To determine this, the therapist should check for signs of long term complications as a result of neglected care. These may include peripheral vascular disease, neuropathy of hands and feet, and fungal infections. The therapist should receive clearance from a physician to make sure the condition is being treated before administering massage therapy. If the condition is being properly treated, the therapist may proceed with caution. Interview the client to find out if the last dose of medication was taken, the client checked their glucose level, and ate in the proper window of time before the massage. Gentle massage is indicated in the consideration of neuropathy and injection sites. Also, the client in this case could also have a hypoglycemic condition from extreme dietary deficiencies or too much insulin. If so, be ready to assist if any lightheadness occurs. Depending on the client’s vitality, the therapist may proceed with gentle or vigorous massage. These are two very possible endocrine pathologies that could be associated with the abuse situation of an elderly person.

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Gastrointestinal Pathologies

June 17, 2009

Review of Mosby’s Pathology for Massage Therapists by Susan G. Salvo & Sandra Kauffman Anderson. Chapter 9.

The pictures were a little disturbing but points were made. I think the extra time spent on describing how to palpate the stomach was great. There isn’t much training with that in massage school. It makes so much sense that an ulcer sufferer would get a massage and use it as a tool for stress relief.

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Assessment of client involved in an MVA

June 16, 2009

The assessment of a client who has recently been involved in a motor vehicle accident should be done before, during, and after administering massage therapy treatment. In the pre-massage assessment, the therapist should be sure to determine any contraindications associated with this kind of situation. These are most likely to be inflammation, bruising, and whiplash (72 hrs. after initial injury). Obtain a physicians clearance for any sprains, strains, fractures or whiplash. Discuss any pain or discomfort the client had prior to the accident to better establish what issues are associated with the accident and what might be a chronic problem. Make sure there has been an adequate amount of time between the accident and the massage treatment. Be sure to keep in mind the client could also have an injury that has yet to manifest. Also, the therapist should document the objective as well as subjective observations, types of modalities to be used, and the clients consent to perform these modalities. During the massage therapy treatment, the therapist should assess any additional swelling, sensitivities, or constrictions through palpation. Observe any bruising assessed in the pre-consultation and make note of any additional bruising. In the post-massage assessment, the therapist should note any findings made during the massage that were not determined in the pre-massage assessment. The therapist should communicate any of these findings with the client. Evaluate how they feel after the treatment and the effectiveness of the modalities used. Give the client self-care suggestions on maintaining the benefits of the massage and/or help them speed up recovery. These could be to apply ice to any swelling, drinking plenty of water, and if they are not currently receiving physical therapy, any stretching or joint mobilizations.

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Respiratory Pathologies

June 15, 2009

I have a much better understanding about the connection between respiratory illnesses and the physical look to the chest area. Again, great descriptions, pictures and massage considerations. I didn’t know that it would be good for a pneumatic patient to get a massage.

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Pathology and massage therapy in regards to an abused elderly client

June 11, 2009

When treating an abused elderly person with massage therapy, the therapist should assess all the risk factors of possible disease. In this case there would be several, (age, genetics, and gender) with the focus being on environment, and stress. In an abuse situation the stress would be great, causing a weakened immune system. The environment of an abused person would most likely be neglected. The combination of stress and lower standards of environment care and awareness would put this client at a very high risk for acquiring any virus or bacteria. Combined with the client’s age (slower recovery, etc.), the client is a prime host for pathogens. The massage therapist should proceed with extreme caution and use all methods of infection control that would apply to this type of situation.

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Nervous System Pathologies

June 9, 2009

Review of Mosby’s Pathology for Massage Therapists by Susan G. Salvo & Sandra Kauffman Anderson. Chapter 5.

These authors and Dr. Johnson do a great job explaining and using pictures to really create a better understanding of how the nervous system works. They listed some great questions I plan on using during my assessments. They were VERY thorough in their listing of nervous pathologies. I had no idea that meningitis would cause the terrible stiff neck issues shown in the pictures.

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Assessing for Pathologies of the Nervous System Regarding a Victim of Stab Wound

June 8, 2009

When providing massage therapy to a client who has been the victim of a recent stab wound, the therapist should assess for any pathologies of the nervous system. Find out if the client received injury to a nerve(s) and the severity. Check to see if the injury caused any paralysis, or partial loss of feeling. If so, the therapist may proceed with the massage using gentle pressure to increase circulation. Also, nerve compression and entrapment may be assessed. Find out the level of pain and if there is referred pain. Once pain level is discovered, the therapist may choose to apply light or deep pressure to the muscles and tissues that innervate the nerve being affected. If the cause is inflammation, massage in contraindicated. A head injury could have also occurred during the incident. Make sure the client has clearance from their physician if they acquired a concussion, contusion, epidural hematoma, or subdural hematoma, as these are all contraindications. Finally, when assessing for nervous pathologies, the therapist should be aware the client may be experiencing depression, or an anxiety disorder. Also be aware of possible substance abuse. Proceeding with caution, massage may be performed in these situations.

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Influenza (Flu)

June 5, 2009

While recently working a chair massage event, I had an experience with a client that is important for all massage therapists to be aware of. I was working an event in a student medical clinic. The clients were pre-booked for 15-minute chair massage sessions. I received a client and reviewed the intake form. Nothing looked out of the ordinary and the client had indicated that they were completely healthy and taking no medications. When I physically assessed the client, I noticed that they were sluggish to respond. The client had a droopy look to their eyes, with some redness and swelling. I also noticed that the skin around the nostrils was red and swollen. The client sniffed a few times in our pre-massage chat. I thought this client was definitely experiencing some sort of respiratory illness. As I began work, I discovered that the client was also at the clinic to be checked by a doctor AFTER our appointment as she stated that she had had muscle aches and a headache for the last couple of days. I stopped the massage, something I have never done before, apologized to the client and asked her to get checked out by the doctor first. If everything was clear, I promised I would squeeze her back in for an appointment to finish her massage. After the patient was seen by a doctor, the doctor informed me that the patient did indeed have a strain of the influenza virus. I’m glad I made a careful assessment and stopped the massage. Clients aren’t always completely forthcoming on the intake form. Valuable lesson learned that day!

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Diabetes

June 4, 2009

More and more of my relatively younger clients are now writing in ‘Diabetes’ on the intake form. It seems to be a growing concern to become thoroughly aware of all details with diabetes patients. Most of these cases, if not all, are Type 2. Anytime you see this, you must then ask another series of questions related to food intake and most recent glucose level. I like to err on the side caution and only use light pressure, with lots of connective effluerage.

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