24
Back Care

N100 rle back massage

Embed Size (px)

DESCRIPTION

back massage

Citation preview

Page 1: N100 rle back massage

Back Care

Page 2: N100 rle back massage

Regular bathing & massage of the neck, back, buttocks, & upper arms promotes patient relaxation & allows assessment of skin condition. Particularly important for bedridden patient, massage causes cutaneous vasodilatation, helping to prevent pressure ulcers caused by prolonged pressure bony prominences or by perspiration.

Page 3: N100 rle back massage

Therapeutic Massage

Page 4: N100 rle back massage

Therapeutic massage is the application of pressure & motion by the hands with the intent of recipient’s well – being. It involves kneading, rubbing & using friction.

Page 5: N100 rle back massage

For the past 30 years, many touch therapies have been assimilated into mainstream nursing practice. Massage therapy is now recognized as a highly beneficial modality & is prescribed by a number of physicians. In addition, many states now have licensing requirements for massage practitioners.

Page 6: N100 rle back massage

Traditionally, back rubs have been administered by nurses to provide comfort to hospitalized clients. Today, they are considered standard practice. Massage techniques can be used with all age groups & are especially beneficial to those who are immobilized.

Page 7: N100 rle back massage

A back rub or massage can achieve many results, including relaxation, increased circulation of the blood and lymph, & are relief from musculoskeletal stiffness, pain, & spasm. Research suggests that individuals with chronic obstructive lung disease benefit from massage therapy.

Page 8: N100 rle back massage

The subjects in this study experienced positive changes in in heart rate, O2 saturation, and blood pressure as a result of massage.

Page 9: N100 rle back massage

Nursing Alert

Page 10: N100 rle back massage

Massage should be used with caution for people with heart disease, diabetes, hypertension, or kidney disease because increased circulation in this conditions may be harmful

Page 11: N100 rle back massage

Massage should never be attempted in areas of circulatory abnormalities such as aneurysm, varicose veins, necrosis, phlebitis, or thrombus or in areas of soft – tissue injury, open wounds, inflammation, joint or bone injury, dermatitis, recent surgery, or sciatica.

Page 12: N100 rle back massage

Three strokes commonly used during back massage are effleurage, friction, and petrissage. Start with effleurage, and then go on to petrissage & friction. Perform each stroke at least six (6) times before moving on to the next, & then repeat the whole series if desired.

Page 13: N100 rle back massage

When performing effleurage and friction, keep your hands parallel to the vertebrae to avoid tickling the patient. For all three strokes, maintain a regular rhythm and steady contract with the patient’s back to help him relax.

Page 14: N100 rle back massage

EffleurageEffleurage Using your palm, Using your palm, stroke from thestroke from thebuttocks up to the shoulders,buttocks up to the shoulders,over the upper arms, and back toover the upper arms, and back tothe buttocksthe buttocks. . Use slightly lessUse slightly lesspressure on the downwardpressure on the downwardstrokes.strokes.

Page 15: N100 rle back massage

The whole hand is used.

Gliding & long rhythmic strokes are used.

Firm, even – pressured strokes are directed toward the heart to assist blood return.

Lighter pressure is used when moving away from the heart.

Page 16: N100 rle back massage

EffleurageEffleurage

Page 17: N100 rle back massage

FrictionFriction

Use circular thumb strokes toUse circular thumb strokes to

move from buttocks tomove from buttocks to

shouldersshoulders;;

thenthen, using a smooth stroke,, using a smooth stroke,

return to the buttocksreturn to the buttocks. .

Page 18: N100 rle back massage

Thumb pads, heel of hand, or fingertips are used.

Focused, deep, circular motion are used.

Penetrates deeper muscle layers.

Is done after effleurage & petrissage.

Page 19: N100 rle back massage

FrictionFriction

Page 20: N100 rle back massage

PetrissagePetrissage

Using your thumb to oppose yourUsing your thumb to oppose yourfingers, knead & stroke half thefingers, knead & stroke half theback & upper arms, starting at theback & upper arms, starting at thebuttocks & moving toward thebuttocks & moving toward theshouldershoulder. . Then knead & stroke theThen knead & stroke theother half of the back, rhythmicallyother half of the back, rhythmicallyAlternating your handsAlternating your hands. .

Page 21: N100 rle back massage

Pressing, squeezing, kneading, & rolling movements by both hands (use entire hands) are used.

Deep circulation is enhanced.

C – shaped motions stimulate the muscle body.

Promotes muscle relaxation.

Page 22: N100 rle back massage

Petrissage Petrissage

Page 23: N100 rle back massage

TapotementTapotement

Palms, fingertips, & knuckles are Palms, fingertips, & knuckles are usedused..

Brisk, vigorous, rhythmic, Brisk, vigorous, rhythmic, percussive movements are usedpercussive movements are used..

Hands alternately tap, cup, slap, & Hands alternately tap, cup, slap, & pummel musclespummel muscles..

Invigorates and stimulates tired Invigorates and stimulates tired musclesmuscles..

Page 24: N100 rle back massage

VibrationsVibrations

Very fine, rapid, shaking Very fine, rapid, shaking movements, administered by movements, administered by the entire handthe entire hand..

Stimulates or relaxes musclesStimulates or relaxes muscles..