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Respiratory - Mosby
Respiratory Pathologies
| Question | Answer |
|---|---|
| Acute inflammation of the upper respiratory tract mucosa | Mucosa |
| Does a cold contraindicate a massage? | Yes |
| How long after a cold is gone can one get massage? | 5 days |
| Inflammation of the paranasal sinus mucosae | Sinusitis |
| Does sinusitis contraindicate massage? | Only during acute episodes |
| What must be avoided during massage when one has chronic sinusitis? | The prone position if pressure of face rest causes pain or in cases of difficulty breathing |
| Viral upper respiratory tract infection that can extend into the lower respiratory tract | Influenza |
| Does influenza contraindicate massage? | Yes |
| Viral respiratory infection caused by Epstein-Barr Virus; can also be caused by CMV | Mononucleosis |
| Does mononucleosis contraindicate massage? | Yes |
| Name two lower respiratory tract infections | 1. Pleurisy 2. Pneumonia |
| Inflammation of pleural membranes | Pleurisy |
| What is pleurisy usually caused by? | A secondary disease |
| Does pleurisy contraindicate massage? | Yes |
| Lung infection; usually bacterial | Pneumonia |
| Does pneumonia contraindicate massage? | Yes. However, a doctor may approve postural drainage while the client is recovering |
| What do you need in order to perform postural drainage? | Medical clearance |
| How do you perform postural drainage? | Percuss & vibrate back and rib cage for up to 5 minutes. Use intervals of 30-45 seconds, pausing 5 seconds between intervals |
| What does COPD stand for? | Chronic Obstructive Pulmonary Disease |
| Name three COPD diseases | 1. Asthma 2. Bronchitis 3. Emphysema |
| Chronic inflammatory disorder characterized by bronchia obstruction in susceptible persons | Asthma |
| What should someone with asthma avoid? | Allergens & triggers |
| What should someone with asthma keep handy? | Medications |
| Inflammation of bronchial mucosa w/resultant swelling & mucous hypersecretion | Bronchitis |
| Does bronchitis contraindicate massage? | Only in acute cases |
| Permanent enlargement of lower airways affecting elasticity in alveolar walls | Emphysema |
| What is the major cause of emphysema? | Cigarette smoke |
| How should someone with emphysema be positioned for massage and how should their session be altered? | Semi-reclining position if breathing is difficult. In later stages reduce treatment time & pressure. |
| Abnormal accumulation of fluids caused by obstruction in lymph flow causing swelling | Lymphedema |
| Abnormal accumulation of fluids from a sluggish or overloaded lymph transport system causing swelling | Edema |
| What is the cause of primary lymphedema? | Due to lymph vessel or nodal malformation; rare |
| What is the cause of secondary lymphedema? | Due to a condition or medical procedure |
| Edema of an extremity | Peripheral edema |
| Type of peripheral edema found in gravity-dependant areas of lower extremity | Dependent edema |
| Edema seen in allergic reactions | Angioedema |
| Edema that leaves a pit or dent in skin once compressed and released | Pitting edema |
| Edema that does not leave a dent after skin is compressed and released (most) | Non-pittiing edema |
| What should be avoided in the effected areas of lymphedema and edema? | Vigorous massage |
| All forms of this should be avoided in cases of lymphedema and edema | Thermotherapy |
| Which type of edema is completely contraindicated? | Pitting edema |
| What should be done during massage to someone with lymphedema or edema? | Elevate affected areas |
| Where should someone with lymphedema or edema be massaged? | Proximal to affected areas if located on the extremities |
| Viral disease causing progressive impairment of immune system | AIDS |
| What does AIDS stand for? | Acquired Immunodeficiency Syndrome |
| What is the final stage of HIV infection? | Stage IV AIDS |
| How should the session be altered for someone with AIDS? | 1. Reduce treatment time & pressure if client is fatigued 2. Avoid or administer joint mobilizations and compressions carefully when condition is advanced |
| What should you inquire about and avoid when working with someone with AIDS? | 1. Skin lesions 2. Enlarged lymph nodes 3. Most recent site of blood work |
| Abnormally high body temperature | Fever |
| When does fever usually occur? | During infections & inflammation |
| What does a fever intensify? | Immune respons & metabolism |
| Does fever contraindicate massage? | Yes - Absolute contraindication |
Created by:
khawkin
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