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Susan G. Salvo. Massage Defined Massage is manipulation of soft tissue MTs can: – Encourage healthy lifestyles habits – Suggest general dietary modifications.

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Presentation on theme: "Susan G. Salvo. Massage Defined Massage is manipulation of soft tissue MTs can: – Encourage healthy lifestyles habits – Suggest general dietary modifications."— Presentation transcript:

1 Susan G. Salvo

2 Massage Defined Massage is manipulation of soft tissue MTs can: – Encourage healthy lifestyles habits – Suggest general dietary modifications – Teach self-care massage – Perform general assessments & formulate a plan of care – Use hydrotherapy & aromatherapy to enhance massage

3 Incidence and Prevalence The American Cancer Society estimates that nearly 1.4 million people in the U.S. are diagnosed with cancer, and over 550,000 die of cancer, each year. Cancer, a complex and frightening disease, is a leading cause of death in the U.S., and the incidence increases markedly with advancing age.

4 A Life Affected By Cancer The thought of cancer brings fear, anxiety, and stress, including: Fear of death Fear of the treatment and disfigurement Anxiety related to long-term disability Financial stress

5 How Massage Can Help A knowledgeable, skilled therapist can help the client by Reducing muscle tension Decreasing pain Promoting relaxation Improving sleep

6 Massage Can Help, cont’d. Massage also Bolsters immune function Reduces or prevents edema Decreases nausea Reduces fatigue that affects many patients with cancer May improve the quality and survival of skin during radiation therapy

7 Research: Pain and Nausea Foot massage on hospitalized patients with cancer was found to reduce pain and nausea.1

8 Research: Fatigue Gentle back massage was given to patients with breast cancer who were undergoing radiation therapy. They reported increased degrees of tranquility and vitality and reduced tension and fatigue after the massage.2

9 Research: Increased Natural Killer Cells Massage reduced anxiety and depression and improved immune function, including increased natural killer cell number in women with breast cancer.3 Women diagnosed with breast cancer received massage therapy, which increased their dopamine levels, natural-killer cells, and lymphocytes.4

10 Research: Depression, Anxiety, and Pain Massage given to hospitalized patients with ovarian cancer, who were undergoing chemotherapy. Patients who received massage indicated reductions in anxiety, depression, and pain.5 Children with leukemia were provided daily massages by their parents. After a month, depressed mood decreased in the children's parents, and the children's white blood cell and neutrophil counts increased.6

11 Teach Massage to Caregivers Sometimes, receiving massage from a caregiver is more advantageous for the client. Caregivers often feel helpless… …and giving caregivers this loving tool allows them to offer something special to their loved one in the form of a simple hand or foot massage. This approach benefits the giver and the receiver of massage.

12 Teaching Self Massage Teaching self-massage may help manage uncomfortable symptoms. This may include simple instructions in – Neck massage – Shoulder massage – Foot massage – Abdominal massage

13 General Guidelines Note discomfort and use appropriate pressure Avoid – Known tumor sites – Cancerous lesions (e.g., skin cancers) – Enlarged lymph nodes – Irritated skin – Ports

14 General Guidelines, cont’d. Note signs of fatigue Take your clients where they are at

15 General Guidelines, cont’d. Document – Client symptoms and therapist your observations – Areas of the body worked and avoided – Techniques used – How your client tolerated prior massage sessions

16 Cancer Treatments Take Their Toll These are enormously taxing on the body and have undesirable side effects, which include – Hair loss – Loss of organs or limbs – Fatigue – Anemia – Skin changes from radiation

17 Specific Guidelines: Surgery Blood clots: avoid massage to the lower extremities as well as over the incision site for a wk to 10 days after the client is ambulatory Edema: elevate, light stroking, massage proximal area first, avoid use of heat

18 Specific Guidelines: Radiation Avoid massaging irradiated areas If fatigued, reduce massage to 30 minutes, and use lighter-than- normal pressure

19 Specific Guidelines: Chemotherapy Postpone massage in cases of fever Reduce risk of exposure to infections Remind client to move slowly and carefully and assist if needed (i.e., dizzy spells)

20 Chemotherapy, cont’d. If nauseated, avoid rocking motions and aromatherapy If mouth sores, avoid prone position and facial massage

21 Chemotherapy, cont’d. If hair loss, respect client wishes about having scalp exposed or unexposed and touched

22 Give the Gift of Touch Your manner and presence are as important as the touch you offer. Some clients need to cry, some need to express anger, and others need to convey their fears. Provide space for your clients to express their feelings with your attitude of compassion. Give your client respectful, attentive touch – it will be a welcomed gift. Cancer is a word, not a sentence. ~ John Diamond

23 References Coussens LM, Werb Z: Inflammation and cancer, Nature 420(6917): , Frazier MS, Drzymkowski JW: Essentials of human diseases and conditions, ed 3, Philadelphia, 2004, WB Saunders. Gould BE: Pathophysiology for the health-related professionals, ed 3, Philadelphia, 2006, WB Saunders. Kern SE: Progressive genetic abnormalities in human neoplasia. In Mendelsohn J et al, editors: The molecular basis of cancer, Philadelphia, 2001, WB Saunders. Kochanek KD et al: Deaths: final data for In: National vital statistics reports, vol 53, no 5, Hyattsville, Md, 2004, National Center for Health Statistics. McCance KL, Huether SE: Pathophysiology: the biologic basis for disease in adults and children, ed 5, St Louis, 2006, Mosby. Microsoft Office Clip Art

24 Research References 1.Grealish L, Lomasney A, Whiteman B. Foot massage. A nursing intervention to modify the distressing symptoms of pain and nausea in patients hospitalized with cancer, Cancer Nurs 23: , Sims S:Slow stroke back massage for cancer patients, Nurs Times 82:47-50, Hernandez-Reif M et al: Breast cancer patients have improve immune and neuroendocrine function following massage therapy, J Psychosom Res 57:45-52, Hernandez-Reif M et al: Natural killer cells and lymphocytes are increased in women with breast cancer following massage therapy, Int J Neurosci 115: , Lawvere S: The effect of massage therapy in ovarian cancer patients. In: Rich G, editor: Massage therapy: the evidence for practice, New York, 2002, Mosby Elsevier. 6.Field T et al: Leukemia immune changes following massage therapy, J Bodywork Mov Ther 3:1-5, 2001.


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