Pathology Ch. 5 review

a client has right-sided heart failure, and his legs are swollen and achy. He wonders if massage therapy might provide some relief. Best strategy?

Work to promote relaxation and decreased blood pressure; if you are educated in lymphatic techniques, that approach might be helpful for his legs

your client had a heart attack 2 years ago. it was completely unexpected: he is young, thin, an physically active. now he continues to be active, but he monitors his blood pressure carefully and takes medication to reduce his cholesterol. is he good for massage?

Yes: massage therapy is not likely to challenge his body any more than his typical daily activites

your client has been diagnosed with atherosclerosis and hypertension. he takes a statin, beta-blockers, and a blood thinner. he is also in training for a triathlon next month, so he runs 3 miles a day and swims five times each week. He would like to add massage therapy to his routine. Can you work with him?

Yes; this person's condition is under control, and he is physically capable of keeping up with the adaptive stressors of massage therapy

what is the most likely adverse event that could happen if a person with sickle cell disease receives a rigorous massage

a sickle cell crisis: damaged erythrocytes block a small artery or capillaries, preventing blood flow to the starving tissue

what is the difference between an embolism and a thrombus

a thrombus is a lodged obstruction, and embolism has traveled from elsewhere

your client is being treated for leukemia. her disease was caught early, and her prognosis is good, but the chemo wears her out. she is in the middle of her chemo series. she wonders if massage might help her tolerate these treatments better. Best strategy?

consult with her health care team, and work within her tolerance for adaptation with the goal of reducing anxiety and fatigue, and improving stamina

your new client had a DVT last year, and now is recovered. He went on a hike yesterday, and would like to receive massage for his aching, tired legs. best option?

determine what his normal activity levels are: then work within his capacity for circulation

your 72 year old client has large, twisting, distorted, and elevated varicose veins on her legs. In some areas, her skin is clearly compromised, with tiny sores and flaking on top circulation; her doctor said it would be a good idea. Best option?

this client can receive massage therapy anywhere but her legs - they locally contraindicate massage due to the skin being compromised

your client had a pulmonary embolism 8 weeks ago. she supplements O2 and informs you that she has a filter in her vena cava. What accomodations might this client require?

this client will be safest with gentle touch that does not intend to impact fluid flow

what is the key factor that determines whether massage therapy is sage for a person with anemia?

whether the underlying cause of the anemia carries risks for massage therapy