Urinary Pathologies

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During the premassage interview, the massage therapist should observe the client. *— What specific symptoms should the massage therapist look for when observing the client’s skin? The massage therapist should check the skin for bruising, pallor, flushing, jaundice, cyanosis, and varicosities. *— If there are signs of edema (pitting edema or mottled skin), then the cause of the edema must be ascertained and clearance from the client’s health care provider might be required. Massage therapists should be aware of the general manifestations of urinary disease and refer clients who exhibit signs of urinary disease to the clients’ health care providers for diagnosis and treatment. A light massage of short duration is best for these clients since they are often taking anticoagulants. Why is the timing of the massage important for clients on dialysis? Clients undergoing renal dialysis often feel extremely tired immediately after a treatment session, and they often feel progressively worse as wastes build up between treatments. Therefore it is especially important to consult with the client about the best time to schedule massage treatments. Cystitis is commonly referred to as a bladder infection and can be either chronic or acute. The massage therapist should encourage the client to seek medical attention if she has not already done so. A full body massage can help the client relax and manage stress induced by the disease. If clearance is obtained for massage therapy, what are the massage considerations? Massage strokes should be light, soothing, and of short duration. Also, lymphatic massage is contraindicated because moving fluid back into the blood may overload the heart or kidneys. Local massage and joint mobilizations are contraindicated during the acute phase because the affected areas will be inflamed and painful. However, the application of cold packs to the affected areas could be beneficial. If the client is not in the acute stage, then light massage can be performed on the surrounding areas. What can cause acute renal failure? Causes of acute renal failure include the following: low blood volume (possibly due to a hemorrhage), decreased blood output from the heart (possibly due to a heart attack), damaged nephrons, kidney stones, and reactions to certain medications. *— Why is massage contraindicated? Massage is contraindicated because clients suffering from kidney failure are severely debilitated. Also, a vigorous massage can increase blood flow, taxing the kidneys more. Massage for clients with kidney stones is contraindicated if the pain is severe. Also, if the client is taking medication to treat the kidney stones, then clearance from the client’s health care provider is required before massage can be performed. *— The massage goals should be to reduce pain, stress, and muscle spasms in the back. If clearance for massage is obtained, a light, soothing massage of short duration is indicated. *— Why is lymphatic massage contraindicated for clients who have nephrotic syndrome? Lymphatic massage is contraindicated because moving the fluid back into the blood can overload the heart and the already debilitated kidneys. Polycystic kidney disease is a disorder in which the nephrons become riddled with thousands of cysts (fluid-filled cavities). What measures can be implemented to help slow the progression to renal failure? Blood pressure medications, adopting a diet low in protein and salt, and controlling UTIs can help slow the progression to renal failure. *— If clearance for massage has been obtained, what sort of massage is indicated? The massage therapist should perform a gentle and relaxing massage that avoids the abdomen. If clearance for massage is obtained, what sort of massage is indicated for clients who have uremia? A light, soothing massage of short duration is recommended. After the client has finished healing, massage can be performed. However, the abdomen should be avoided if the client is experiencing abdominal discomfort. Urinary incontinence can result from a wide variety of causes, but a few of the more common causes include the following: damage caused during childbirth, straining while lifting heavy objects, and damage to the central or peripheral nervous system. *— A general massage is recommended for clients with urinary incontinence. However, the massage therapist should avoid applying pressure over the lower abdomen if the client is uncomfortable with it. Most UTIs are caused by bacteria. What are the most common symptoms of UTIs? Common symptoms of UTIs include an increased need to urinate, burning and pain during urination, and blood and pus in the urine. *— When the symptoms are not severe, general massage can be performed.

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