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ch. 20

Posted by Alexandra on September 17, 2019 at 9:30 PM Comments comments (0)

I do not think Chrisine would benefit from a deep tissue massage, i think focus to her head, neck and shoulders would be a great place to start since she mentioned she has headaches. some good pressure would be beneficial but not to start, slowly working up to more and more pressure. 

ch. 19

Posted by Alexandra on September 17, 2019 at 9:20 PM Comments comments (0)

The way I would proceed with bettys appointment is with open communication, asking how her pain levels are today, when she last had her corticosteroids and if there is anything else i needed to know. i would use light pressure on her hands to ensure no pain on bettys hands. doing some light rang of motion for her hands and fingers to stretch them out a little again without hurting betty any further then what her pain status might be that day. 

Chapter 26: Congestive Heart Failure

Posted by Cristy Chuparkoff on September 17, 2019 at 2:05 PM Comments comments (0)

Andre has a history of heart attack and has a pacemaker. Today he is tired and a little pale, and I noticed that he has pitting edema in his ankles. Massage modification would be to avoid any deep tissue massage and just use light efflourage on the area. Since he is usually very active but today he is complaining of fatigue and has a new symptom of edema, I would also refer him to his doctor for evaluation.

ch.19

Posted by Paige Issert on September 17, 2019 at 1:00 PM Comments comments (0)
I would begin by asking Betty if she could provide me with a doctors note stating that she is ok to receive this treatment and so I can configure am effective treatment plan for Betty as well. Modifications that I would implement for Betty's massage would be lighter pressure all around. At home self-care I would suggest is light exercises and stretches to help Betty circulate blood to those affected areas while helping her build her muscle and bone mass.

ch. 18

Posted by Paige Issert on September 10, 2019 at 10:50 AM Comments comments (1)
****positive outcomes: Janet could potentially win Richard over as a regular client or Richard could refer new clients to Janet. ***Negative outcomes: Richard could be a client that is looking for a dual relationship instead of just a therapeutic relationship or Richard could potentially change his emotional issues into a transference issue for Janet. *** If I were Janet I would make sure to respond professionally to the situation and explain to Richard the services she offers and how she feels it may help him with his addiction issue and also state this is a professional therapeutic relationship. ****Janet does not have control on how her client may react or personally feel about her but she is allowed to control how she reacts in these situations with Richard. It's not for sure she can create a win-win but stating to Richard that this is a therapeutic relationship is all she can control.

ch. 18

Posted by Paige Issert on September 10, 2019 at 10:50 AM Comments comments (1)
****positive outcomes: Janet could potentially win Richard over as a regular client or Richard could refer new clients to Janet. ***Negative outcomes: Richard could be a client that is looking for a dual relationship instead of just a therapeutic relationship or Richard could potentially change his emotional issues into a transference issue for Janet. *** If I were Janet I would make sure to respond professionally to the situation and explain to Richard the services she offers and how she feels it may help him with his addiction issue and also state this is a professional therapeutic relationship. ****Janet does not have control on how her client may react or personally feel about her but she is allowed to control how she reacts in these situations with Richard. It's not for sure she can create a win-win but stating to Richard that this is a therapeutic relationship is all she can control.

ch. 18

Posted by Paige Issert on September 10, 2019 at 10:50 AM Comments comments (1)
****positive outcomes: Janet could potentially win Richard over as a regular client or Richard could refer new clients to Janet. ***Negative outcomes: Richard could be a client that is looking for a dual relationship instead of just a therapeutic relationship or Richard could potentially change his emotional issues into a transference issue for Janet. *** If I were Janet I would make sure to respond professionally to the situation and explain to Richard the services she offers and how she feels it may help him with his addiction issue and also state this is a professional therapeutic relationship. ****Janet does not have control on how her client may react or personally feel about her but she is allowed to control how she reacts in these situations with Richard. It's not for sure she can create a win-win but stating to Richard that this is a therapeutic relationship is all she can control.

Chapter 28: Lupus

Posted by Cristy Chuparkoff on September 10, 2019 at 8:00 AM Comments comments (1)

While Judy's lupus is in remission she wants to have a massage. She does have rashes over her cheeks and nose, and between her left and right clavicles. Treatment guidelines for Judy would include gentle full-body massage while avoiding any areas covered in rashes. 

CH.18

Posted by Jazz on September 9, 2019 at 8:05 PM Comments comments (1)

If I was Janet i would still make sure to do an assessment , asking if any pain, health concern, or if Richard is under any sort of medication.Once collecting info and realizing he is a drug addict. I would be kind, but refuse doing the massage. I would let him know I am glad he told me of his situation and would like to provide him info. Perhaps the church could provide him assistance with help. After, he is clean from drugs and clean (groomed) then to come see her for a relaxaion massage. I would make sure he understands that I (Janet) wouldnt want to make the matter worse by massaging his body(due to enhancing a drug in his system). The win - win is he can see she was professional but cared to see him receive assistance.

CH. 10

Posted by eriddle on September 9, 2019 at 9:00 AM Comments comments (0)
Rebecca's scar is an older scar and the use of scar mobilization may or may not be beneficial. It is best to perform scar mobilization right after the wound is healed to prevent the formation of hypertrophic scars. According to Moffitt Cancer Center, "Scar formation and scar maturation are ongoing processes. Scars continue to grow and change throughout the recovery process which may take from twelve to eighteen months. Scar massage is an effective way to decrease scar tissue build up and help make scars less noticeable. Massage will not help soften a scar more than two years old". (https://moffitt.org/media/1086/managing_your_scar.pdf). It is also stated that "Still to date, it remains much more efficient to prevent excessive scars than to treat them. The most successful treatment of a hypertrophic scar or keloid is achieved when the scar is immature but the overlying epithelium is intact". (Arno, A. I., Gauglitz, G. G., Barret, J. P., & Jeschke, M. G. (2014). Up-to-date approach to manage keloids and hypertrophic scars: a useful guide. Burns : journal of the International Society for Burn Injuries, 40(7), 1255???1266. doi:10.1016/j.burns.2014.02.011) After treatment to the area it will look reddened and the scar may appear paler due to the cross-fiber friction treatment that was given.