Back Care
Scientific form of
massaging the back using different massaging strokes to provide cutaneous
stimulation and thus promote comfort.
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To relieve muscle tension
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To promote physical and mental relaxation.
·
To relieve insomnia
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To stimulate blood circulation
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To assess the condition of skin
·
To prevent bedsore
Patients with
·
Rib fracture
·
Burns
·
Immediate post operative period after coronary artery bypass
graft
·
Spinal injuries
·
Surgeries on back
·
Lotion or oil
·
Lotion or oil
·
Bath towel
·
Bath blanket
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Soap
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Wash cloth
·
Warm water in basin
·
Mackintosh and draw sheet
If patient requires
hygienic care, it should be provided, followed by massage
They are long sweeping
strokes that alternate between firm and light pressure and which can be
performed using the palm of the hand or the fingertips. The knots and tension
in the muscles tend to get broken with this massage technique.
This is the technique
of kneading the muscles of the body to attain deeper massage penetration. The
thumbs and the knuckles of the fingers are used to knead the muscles of the
body and to squeeze them to prepare them for the other massage techniques that
follow.
As the name suggests,
it consists of rhythmic tapping that uses the fists of the cupped hands. This
helps to loosen and relax the muscles being manipulated and also helps to
energize them.
This move seeks to
create heat to bring about relaxation of the muscles. The palms of the hand are
rubbed together vigorously with each other, or they are rubbed onto the skin of
the person being massaged in order to produce heat by friction. This technique
can be used as a warm up for the muscles of the body to be treated for deeper
massage.
This helps to loosen
up the muscles by using a back and forth action of the fingertips or the heel
of the hand over the skin. The muscles of the body are litreally shaken up to
loosen and relax the muscles.
·
Explain the procedure and the position to the patient.
·
Adjust bed to comfortable height.
·
Adjust light, temperature and sound within room.
·
Close curtains around bed. Lower the side rails and help patient
assume prone or side lying position (sim’s position)
·
Expose patient’s back, shoulders, upper arms, and buttocks.
Cover remainder of body.
·
Wash your hands with warm water.
·
Inform patient that lotion will feel cool and wet
·
Apply hands first to sacral area massaging in circular motion,
stroke upwards from buttocks to shoulders
·
Continue in one smooth stroke from upper back
to arm and laterally
alongside of back, down to iliac crest.
·
Do not take hands off from patient’s back till the end of the
procedure.
·
Continue massage pattern effleurage for at least 3 minutes.
·
Perform petrissage along upward along one side of spine from
buttock to shoulders.
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Perform tapotement for 2 minutes.
·
Apply other remaining massaging techniques for at least 2
minutes.
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Apply oil or lubricants to back as required.
·
Wipe excess lubricant from patients back with bath towel/
tissue.
·
Retie gown or assist pajamas.
·
Help patient to comfortable position. Raise side rails as needed
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Disposed of soiled towel and wash hands.
·
Record response to back massage and condition of skin.
·
For patients with history of hypertension and dysarrhythmia
asses pulse and blood pressure.
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Consider cultural preferences.
·
Do not give massage if any discoloration of skin present.
·
A back massage should take about five to ten minutes and can be
given with the patient’s bath, before bedtime, or at any other time during the
day.
·
Determine if any allergies or skin sensitivities exist before
applying lotion to the patient’s skin.
·
The greatest relaxation effect of a massage occurs when the
rhythm of the massage is coordinated with the patient’s breathing.
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