Professional Practice
Blog 3
Ethics
Due date: Friday 14th August
Hannah Howley
Massage therapy and relationship with ethical considerations.
Ethics have become more and more increasingly particular in hands-on practices such as Massage Therapy. Agreeing upon which is ‘good’ or ‘bad’ in the way of ethical considerations remains to be difficult.
We, as massage therapists, remain responsible for the health, safety and comfort of our clients and it is our duty to maintain these responsibilities.
Ethical considerations, to name a few that we need to take in to consideration are;
- Race & Colour
- Culture
- Age
- Sex
- Religion
All of these are important topics to look at. All clients are going to be individual and different from the client before and it is important to find out such things about your client before you ask them to do things for you, i.e. taking off clothing and lying under drapes. With regards to race and religion, this can be seen as culturally offensive and inappropriate (including any other person). Communication is very important when taking clients through your chosen assessment procedure. You have to make sure that they are aware of what you are going to be doing, where about on the body you will be working and whether or not they are comfortable with that decision. You, as a massage therapist also have to be ready to understand and respect the choice of the client if their decision does not match your own.
Client Relationships
Client relationships must be maintained at the highest level of interpersonal relationships. It must be of utmost professionalism. According to the code of ethics written by MNZ;
- A practitioner shall endeavour to serve the best interests of their clients at all times and provide the highest quality service possible.
- A practitioner shall at all times respect the confidence of their client and diagnostic
findings acquired during consultation and/or treatment shall not be divulged to anyone
without the client’s consent, except when required by law or where failure to do so
would constitute a menace or danger to the client or another member of the community.
- A practitioner shall not enter into an intimate or sexual relationship with a patient whilst
the patient is under their care. (MNZ Code of Ethics, pdf)
The Massage Therapist and their responsibilities to themselves,
It is ethical, that the massage therapist, or anyone working in the business, strives to achieve professional appearance and image of themselves and the profession in general.
The MT should have all qualifications displayed on the wall or on a desk (any where visible to the clients) and it should be done so honestly.
The MT should at all times make sure the treatment and treatment process is coincided with the relevant scope of practice and that all techniques used are suitable to the existing condition.
Practitioners should always maintain the professionalism of the clinic. It must always have a code of ethics and clients rights and responsibilities visible on entry to the client. The MT must not interfere with any ongoing treatment given by any other practitioner and must call the other health care provider if there are any queries and only if you get client consent. The MT must not criticise the work of any other practitioner as this is seen as very rude and it will make you seem like you are superior to others and it doesn’t look good.
References
The Ethics of Touch, Ben Benjamin and Cherie Sohnen-Moe. (SMA Inc., Tucson, Ariz., 2003.)
MNZ Code of Ethics. pdf
My Own Thoughts
Fritz, S. (2004). Mosby’s fundamentals of therapeutic massage (3rd ed.). Missouri: Mosby.
Monday, August 10, 2009
Wednesday, August 5, 2009
Dementia Condition 2 Due date 14 August 2009 Hannah Howley
Dementia
Condition 2
Due date 14 August 2009
Hannah Howley
Description of the condition:
Dementia AKA Alzheimer’s Disease meaning ‘deprived of mind’ is a disease of the mind and can also be a result of brain damage or injury. It is a cognitive impairment and may be static. It is a progressive degenerative disorder of the brain causing such things like memory loss, personality changes and eventually, death.
Etiology:
Age and degeneration are the main causes of the disease. Most etiologies contribute to loss of intellectual function, memory impairment and loss of judgement. The precise cause of the disease is not fully understood.
Incidence:
Dementia is far more common than that of the geriatric population and can develop at any stage of adulthood. It generally just affects older people. Although it is possible to develop dementia early in life, the chances of doing so increase dramatically with age.
Less than 10 percent of cases of dementia are due to causes which may presently be reversed with treatment
One in 50 people between the ages of 65 and 70 have a form of dementia, compared to one in five people over the age of 80.
Dementia affects approximately 5% of the US population or about 4.5million people. It affects half of all people living in rest homes. The incidence of Dementia increases with age.
Signs and symptoms:
Symptoms of dementia include loss of memory, confusion and problems with speech and understanding. Most etiologies contribute to loss of intellectual function, memory impairment and loss of judgement.
Symptoms of early dementia:
- Word finding difficulty
- Forgetting names, appointments and losing thing
- Difficulty performing familiar tasks i.e. driving, cooking, household chores
- Uncharacteristic behaviour
- Mood swings and Poor judgement
Intermediate Dementia
- Worsening of symptoms seen in early dementia
- Unable to carry out tasks i.e. washing, getting dressed, using the toilet
- Disrupted sleep
- Unable to learn new things
- Confusion
- Hallucinations
- Falling over
- Poor concentration and abnormal moods
Severe Dementia
- Worsening of symptoms seen in early and intermediate dementia
- Complete dependence on others for daily living
- Maybe unable to walk or move around
- Impairment of other movements i.e. swallowing
- Complete loss of long and short term memory
- Complications with nutrition, bladder control and infections
Indications for massage therapy:
According to MedicalNewsToday, Massage could offer a drug-free way to treat agitation and depression among dementia patients, but there are still too few studies about the practice to know for sure, according to a review of recent research.
In two studies, hand massage and gentle touching during conversation helped ease agitation and restore appetite in dementia patients over short periods of about an hour.
It can also counteract anxiety and depression which are also factors involved with dementia.
Massage also provokes a sense of relaxation and safety with soft and slow massage techniques i.e. relaxation massage with effleurage and petrissage strokes would be effective in engaging the nervous system and relaxing it.
Dementia clients respond well to touch. Massage does not increase or decrease the process of the disease but does improve the quality of life for clients to the extent that they become noticeably less disruptive.
Contraindications for massage therapy:
It is very important to keep in mind that most of these clients will be elderly and will generally have other on-going problems that may or may not contraindicate various kinds of body work. Also, the massage therapist must remember that communication will be quite difficult and it becomes the therapist’s responsibility to communicate effective non verbal signals about the bodywork to make sure that the client understands. Therapists must always be sensitive to the clients emotional and mental state/
References
Dementia, Retrieved on 31st July 2009 from http://en.wikipedia.org/wiki/Dementia
Frtiz S (2004). Mosby’s Fundamentals of Therapeutic massage, 3rd edition. Mosby, Missouri
Werner, R. (2005). A Massage Therapists Guide to Pathology (3rd ed.). Philadelphia: Lippincott Williams & Wilkins
Facts about Dementia and what to do, Retrieved on 31st July 2009 from http://findarticles.com/p/articles/mi_6784/is_2006_March_30/ai_n28338916/?tag=content;col1 peer reviewed.
Massage and Dementia, Retrieved on 31st July 2009 from http://www.medicalnewstoday.com/articles/55601.php
Dementia Symptoms, retrieved on 1st August 2009 from http://www.emedicinehealth.com/dementia_overview/page3_em.htm
Condition 2
Due date 14 August 2009
Hannah Howley
Description of the condition:
Dementia AKA Alzheimer’s Disease meaning ‘deprived of mind’ is a disease of the mind and can also be a result of brain damage or injury. It is a cognitive impairment and may be static. It is a progressive degenerative disorder of the brain causing such things like memory loss, personality changes and eventually, death.
Etiology:
Age and degeneration are the main causes of the disease. Most etiologies contribute to loss of intellectual function, memory impairment and loss of judgement. The precise cause of the disease is not fully understood.
Incidence:
Dementia is far more common than that of the geriatric population and can develop at any stage of adulthood. It generally just affects older people. Although it is possible to develop dementia early in life, the chances of doing so increase dramatically with age.
Less than 10 percent of cases of dementia are due to causes which may presently be reversed with treatment
One in 50 people between the ages of 65 and 70 have a form of dementia, compared to one in five people over the age of 80.
Dementia affects approximately 5% of the US population or about 4.5million people. It affects half of all people living in rest homes. The incidence of Dementia increases with age.
Signs and symptoms:
Symptoms of dementia include loss of memory, confusion and problems with speech and understanding. Most etiologies contribute to loss of intellectual function, memory impairment and loss of judgement.
Symptoms of early dementia:
- Word finding difficulty
- Forgetting names, appointments and losing thing
- Difficulty performing familiar tasks i.e. driving, cooking, household chores
- Uncharacteristic behaviour
- Mood swings and Poor judgement
Intermediate Dementia
- Worsening of symptoms seen in early dementia
- Unable to carry out tasks i.e. washing, getting dressed, using the toilet
- Disrupted sleep
- Unable to learn new things
- Confusion
- Hallucinations
- Falling over
- Poor concentration and abnormal moods
Severe Dementia
- Worsening of symptoms seen in early and intermediate dementia
- Complete dependence on others for daily living
- Maybe unable to walk or move around
- Impairment of other movements i.e. swallowing
- Complete loss of long and short term memory
- Complications with nutrition, bladder control and infections
Indications for massage therapy:
According to MedicalNewsToday, Massage could offer a drug-free way to treat agitation and depression among dementia patients, but there are still too few studies about the practice to know for sure, according to a review of recent research.
In two studies, hand massage and gentle touching during conversation helped ease agitation and restore appetite in dementia patients over short periods of about an hour.
It can also counteract anxiety and depression which are also factors involved with dementia.
Massage also provokes a sense of relaxation and safety with soft and slow massage techniques i.e. relaxation massage with effleurage and petrissage strokes would be effective in engaging the nervous system and relaxing it.
Dementia clients respond well to touch. Massage does not increase or decrease the process of the disease but does improve the quality of life for clients to the extent that they become noticeably less disruptive.
Contraindications for massage therapy:
It is very important to keep in mind that most of these clients will be elderly and will generally have other on-going problems that may or may not contraindicate various kinds of body work. Also, the massage therapist must remember that communication will be quite difficult and it becomes the therapist’s responsibility to communicate effective non verbal signals about the bodywork to make sure that the client understands. Therapists must always be sensitive to the clients emotional and mental state/
References
Dementia, Retrieved on 31st July 2009 from http://en.wikipedia.org/wiki/Dementia
Frtiz S (2004). Mosby’s Fundamentals of Therapeutic massage, 3rd edition. Mosby, Missouri
Werner, R. (2005). A Massage Therapists Guide to Pathology (3rd ed.). Philadelphia: Lippincott Williams & Wilkins
Facts about Dementia and what to do, Retrieved on 31st July 2009 from http://findarticles.com/p/articles/mi_6784/is_2006_March_30/ai_n28338916/?tag=content;col1 peer reviewed.
Massage and Dementia, Retrieved on 31st July 2009 from http://www.medicalnewstoday.com/articles/55601.php
Dementia Symptoms, retrieved on 1st August 2009 from http://www.emedicinehealth.com/dementia_overview/page3_em.htm
Wednesday, June 17, 2009
Blog2 Professional practice
Professional Practice Blog 2 Treaty of Waitangi Hannah Howley
How the Treaty of Waitangi framework incorporates into Massage Therapy practice
In any sort of practice, culture and society must be established to promote a good ground basis of an understanding of other people and their beliefs. In this blog I will discuss the relevance of Maori culture to Massage Therapy.
Governance, authority, equity and respect are the four main categories we look at when establish cultural inputs into the clinic.
Governance to begin with is what we understand as ‘our role’ and being in charge of the practice you are doing. You must understand your role as a therapist, notice the treaty policy and legislation of the healthcare department, being aware of the treaty and knowing the cultural differences, be aware of the legislation of what you as a therapist are doing and of course policies and requirements. We must ensure the health and safety of our client at all times.
Authority, with regards to the scope of practice to MT, clients are allowed to have their own opinion about the therapists’ treatment plan and the way they go about delivering it. There is to be a partnership between client and therapist for each other to share their feelings and views. Communication is very important when there is someone with authorisations. The therapist always has rights to a client and must ensure these, but will not act as if they are higher or superior than the client.
Equity is a title we notice as ‘equal’. With regards to the Massage Therapy scope of practice, we must treat all clients equally, with the most utmost respect and total professionalism. MT’s must accommodate each individual client as they see fit, e.g. clients with disabilities. The significance of culture must be taken into account in this instance. Some cultures see touching of the head to be culturally insensitive. This is where communication is of importance, as some massage therapists tend to work into the head for neck treatments.
Respect. This is a title which is self-explanatory. The client is your client and you are their therapist. They have come to you for help and it is your position to maintain the respect and needs of your client. Understanding and appreciation of their needs, beliefs and wishes is something you have to be able to do.
The aim is to provide health care in an environment that is culturally sensitive to those who are using it. This is done out of respect for different cultural perspectives and needs. The client and the whanau must understand what is happening and what resources and support are available. (Timmins, K. Treaty Workshop, 2009)
Other considerations to think about with Maori clients are Taoka (Valuables). These are extremely important and have a lot of sentimental value. Therapists’ must be respectful of these and must discuss with the client before removing them e.g. necklaces, as they may be in the way of neck treatment. You must offer the client the opportunity to look after the Taoka when they have removed it if they agree to.
Four more elements I will look at are those from the 1988 Royal Commission on social policy for prerequisites for health and well-being.
Whanaungatanga –Family
- The family as an influence on health
- As a support system.
Taonga Tuku Iho – Cultural Heritage
- Access to Maori knowledge
- Access to family, hapu, iwi and the marae
- Intact Maori identity
Te Ao Turoa – The environment
- Physical environment
- Political environment
- Social-economic environment
- Social climate in terms of racial and ethnic equity
Turangawaewae – an idisputable land base
- Access to ancestral lands
- Self-esteem and self-respect
References
Bachelor of Midwifery/Diploma in Massage Therapy; Treaty Workshop. May 18th 2009
Durie,M.(1998). Whaiora: Maori health development(pp.69-74). Auckland, New Zealand: Oxford University Press.
My Own Thoughts
How the Treaty of Waitangi framework incorporates into Massage Therapy practice
In any sort of practice, culture and society must be established to promote a good ground basis of an understanding of other people and their beliefs. In this blog I will discuss the relevance of Maori culture to Massage Therapy.
Governance, authority, equity and respect are the four main categories we look at when establish cultural inputs into the clinic.
Governance to begin with is what we understand as ‘our role’ and being in charge of the practice you are doing. You must understand your role as a therapist, notice the treaty policy and legislation of the healthcare department, being aware of the treaty and knowing the cultural differences, be aware of the legislation of what you as a therapist are doing and of course policies and requirements. We must ensure the health and safety of our client at all times.
Authority, with regards to the scope of practice to MT, clients are allowed to have their own opinion about the therapists’ treatment plan and the way they go about delivering it. There is to be a partnership between client and therapist for each other to share their feelings and views. Communication is very important when there is someone with authorisations. The therapist always has rights to a client and must ensure these, but will not act as if they are higher or superior than the client.
Equity is a title we notice as ‘equal’. With regards to the Massage Therapy scope of practice, we must treat all clients equally, with the most utmost respect and total professionalism. MT’s must accommodate each individual client as they see fit, e.g. clients with disabilities. The significance of culture must be taken into account in this instance. Some cultures see touching of the head to be culturally insensitive. This is where communication is of importance, as some massage therapists tend to work into the head for neck treatments.
Respect. This is a title which is self-explanatory. The client is your client and you are their therapist. They have come to you for help and it is your position to maintain the respect and needs of your client. Understanding and appreciation of their needs, beliefs and wishes is something you have to be able to do.
The aim is to provide health care in an environment that is culturally sensitive to those who are using it. This is done out of respect for different cultural perspectives and needs. The client and the whanau must understand what is happening and what resources and support are available. (Timmins, K. Treaty Workshop, 2009)
Other considerations to think about with Maori clients are Taoka (Valuables). These are extremely important and have a lot of sentimental value. Therapists’ must be respectful of these and must discuss with the client before removing them e.g. necklaces, as they may be in the way of neck treatment. You must offer the client the opportunity to look after the Taoka when they have removed it if they agree to.
Four more elements I will look at are those from the 1988 Royal Commission on social policy for prerequisites for health and well-being.
Whanaungatanga –Family
- The family as an influence on health
- As a support system.
Taonga Tuku Iho – Cultural Heritage
- Access to Maori knowledge
- Access to family, hapu, iwi and the marae
- Intact Maori identity
Te Ao Turoa – The environment
- Physical environment
- Political environment
- Social-economic environment
- Social climate in terms of racial and ethnic equity
Turangawaewae – an idisputable land base
- Access to ancestral lands
- Self-esteem and self-respect
References
Bachelor of Midwifery/Diploma in Massage Therapy; Treaty Workshop. May 18th 2009
Durie,M.(1998). Whaiora: Maori health development(pp.69-74). Auckland, New Zealand: Oxford University Press.
My Own Thoughts
Thursday, June 4, 2009
Scope of practise
Assessment task 1
Due 8th May 2009
Scope of practise
Hannah Howley
Scope of Practice as defined by Massage NZL with relations to being a Massage Therapist.
"Scope of practice defines the knowledge base and professional parameters of a profession"
Fritz,(2004) (St. John, D, Assessment Task 1)
Now, this I found to be a good summarisation of what we know as ‘scope of practice’ in any area of work, namely, the healthcare profession. It is very important, not to mention, professional to have such guidelines to work from. Boundaries and such are very important when working hands on with another human being.
RMT’S must hold a National (NZQA) Diploma/Degree or equal in Therapeutic Massage. They must have a theoretical basis of knowledge in Human anatomy, Physiology, Pathology and the Theory of Massage. They must have completed a minimum of 30 supervised massage clinical hours during massage training or post graduation. Massage NZ,(2009)
RMT’S must comply with the MNZ RMT Scope of practice which is as follows
- Physical assessment
- Client history details forms
- Client reasoning and a treatment plan
- Delivery of soft-tissue treatments relevant to treatment plan and not missing out other strokes etc
- Evaluations
- Post treatment advice
- Professional presentation and behaviour according to MNZ ethics
- Referral of clients to appropriate healthcare professionals
Certified massage therapists also have a series of guidelines which they must follow and they must also hold a diploma or certificate in MT. They are as follows
CMT’S
- Gathering of client info specific to the client
- If relaxation massage is not appropriate, and need other treatment outside MNZ MMT Scope of practice, refer to an appropriate healthcare professional
- Client consent
- Delivery of treatments relevant to the treatment plan
- Delivery of soft tissue treatments according to industry accepted practices with regards to draping, communication etc
- Post treatment advice
- Professional appearance and ethics.
The scope of practice for both, are relatively straight forward but also broad at the same time. If the MT association was to become a lot bigger and well-known for its benefits, I believe that the scope of practice would have to become a little more in depth and be able to bring attention to new things. A good point that Deb’s made in her blog was that although a MT is requires us to have attained certain qualifications; it surely doesn’t say anything about on-going education for MT. It is very clear in today’s healthcare profession that things are changing and we are becoming more aware of different things and more knowledge is brought to us, which shows us that we need to have continual training on standby to not only become a better practitioner but also be able to provide higher qualities of treatment to our clients.
To sum up my findings, I feel satisfied with the current scope of practice for both professions as they do touch on ethical considerations and professional practice which I think are very important. Although they do need to be made a lot more in depth to prevail our knowledge and professionalism that little bit more.
References
My Own Thoughts
Massage New Zealand. (2009). Retrieved May 8th 2009 from http://www.massagenewzealand.org.nz/
Massage New Zealand, Remedial Massage Therapists Scope of Practice. Retrieved June 5th 2009 from http://ia331408.us.archive.org/2/items/MassageNewZealandDocuments/MnzScopeOfPractice.pdf
Due 8th May 2009
Scope of practise
Hannah Howley
Scope of Practice as defined by Massage NZL with relations to being a Massage Therapist.
"Scope of practice defines the knowledge base and professional parameters of a profession"
Fritz,(2004) (St. John, D, Assessment Task 1)
Now, this I found to be a good summarisation of what we know as ‘scope of practice’ in any area of work, namely, the healthcare profession. It is very important, not to mention, professional to have such guidelines to work from. Boundaries and such are very important when working hands on with another human being.
RMT’S must hold a National (NZQA) Diploma/Degree or equal in Therapeutic Massage. They must have a theoretical basis of knowledge in Human anatomy, Physiology, Pathology and the Theory of Massage. They must have completed a minimum of 30 supervised massage clinical hours during massage training or post graduation. Massage NZ,(2009)
RMT’S must comply with the MNZ RMT Scope of practice which is as follows
- Physical assessment
- Client history details forms
- Client reasoning and a treatment plan
- Delivery of soft-tissue treatments relevant to treatment plan and not missing out other strokes etc
- Evaluations
- Post treatment advice
- Professional presentation and behaviour according to MNZ ethics
- Referral of clients to appropriate healthcare professionals
Certified massage therapists also have a series of guidelines which they must follow and they must also hold a diploma or certificate in MT. They are as follows
CMT’S
- Gathering of client info specific to the client
- If relaxation massage is not appropriate, and need other treatment outside MNZ MMT Scope of practice, refer to an appropriate healthcare professional
- Client consent
- Delivery of treatments relevant to the treatment plan
- Delivery of soft tissue treatments according to industry accepted practices with regards to draping, communication etc
- Post treatment advice
- Professional appearance and ethics.
The scope of practice for both, are relatively straight forward but also broad at the same time. If the MT association was to become a lot bigger and well-known for its benefits, I believe that the scope of practice would have to become a little more in depth and be able to bring attention to new things. A good point that Deb’s made in her blog was that although a MT is requires us to have attained certain qualifications; it surely doesn’t say anything about on-going education for MT. It is very clear in today’s healthcare profession that things are changing and we are becoming more aware of different things and more knowledge is brought to us, which shows us that we need to have continual training on standby to not only become a better practitioner but also be able to provide higher qualities of treatment to our clients.
To sum up my findings, I feel satisfied with the current scope of practice for both professions as they do touch on ethical considerations and professional practice which I think are very important. Although they do need to be made a lot more in depth to prevail our knowledge and professionalism that little bit more.
References
My Own Thoughts
Massage New Zealand. (2009). Retrieved May 8th 2009 from http://www.massagenewzealand.org.nz/
Massage New Zealand, Remedial Massage Therapists Scope of Practice. Retrieved June 5th 2009 from http://ia331408.us.archive.org/2/items/MassageNewZealandDocuments/MnzScopeOfPractice.pdf
Pathology Condition 1.
Plantar Fasciitis
Condition 1
Due date.18 May, 2009 5 Jun, 2009 19 Jun, 2009
Hannah Howley
Plantar Fasciitis
• Description of the condition
Plantar Fasciitis is inflammation of the plantar fascia and surrounding myofascial structures. It is a condition of the foot which is very painful. The pain that is felt by PF is felt on the heel of the foot and is felt most severely with the first few steps of each day. Its main location, also known as the calcaneus, is the common location for the stimulation that causes the pain. It is generally caused by faulty biomechanics, bad footwear and heavy landings.
• Incidence
1 out of 10 American adults are presented with PF each year.
PF is most common in athletes, such as runners.
Equates for about 10% of runner-related injuries, and 11-15% of all foot symptoms requiring specialized care. It is considered to occur in 10% of the general population as well. It can also be present bilaterally in a third of cases
• Etiology
The etiology of this condition is not clearly understood and is probably multi-factorial in nature. Weight gain, occupation-related activity, anatomical variations, poor biomechanics, and poor footwear are contributing factors. PF is caused by too much wear to the plantar fascia (or aponuerosis) that supports the arch of the foot or by unusual posture that may influence structure. A lot of athletes suffer from this condition. "Both amateur and professional athletes are at a higher risk, and it is especially common among athletes who run and jump a lot. More young people are getting involved in sports at an early age and are therefore developing heel pain sooner than many other people who are not as active." (Franklin Kase, http://www.medicalnewstoday.com/articles/16519.php) It occurs when the plantar aponeurosis is stressed over a period of time in which is beyond the ordinary which could lead to pain and inflammation and possibly bone spurs. PF can also be a result of an injury.
• Signs and Symptoms
Signs and symptoms for PF are limited but are gradual. It can often feel like a sharp pain in your heel and is more noticeable in the morning during your first few steps and can be triggered by long periods of time on your feet. Sometimes there may also be pain along the outside (lateral) border of the heel. This may occur due to offloading the painful side of the heel by walking on the outside border of the foot. It may also be associated with the high impact of landing on the outside of the heel if you have high arched feet.
• Indications for massage therapy
Acute phases of PF respond well to cyrotherapy (Ice) and rest. After the inflammation has gone, soft-tissue methods that address the connective tissue and sensible uses of stretching are valuable. Achilles tendon is highly irritable in this condition also as it attaches to the calcaneus as well so that has to be taken into account when massaging
• Contraindications for massage therapy
Not to be massaged if the foot has been aggravated or if it is inflamed due to overuse i.e. dancing. In the morning, it is bad for massage to occur because this is when the syndrome is most painful.
• Reference list
Marieb, E, N., Hoehn, K., (2007). Human Anatomy and Physiology, 7th Edition.
Sports Massage, retrieved June 5th, 2009 from http://www.sportsinjuryclinic.net/sports_massage/index.php
A client with PF
Franklin Kase, Athletes and Plantar Fasciitis (Heel Pain), Retrieved June 4th, 2009, from http://www.medicalnewstoday.com/articles/16519.php
Fritz,S (2009)., Mosby’s PDQ for Massage Therapists, 2nd Edition
Condition 1
Due date.18 May, 2009 5 Jun, 2009 19 Jun, 2009
Hannah Howley
Plantar Fasciitis
• Description of the condition
Plantar Fasciitis is inflammation of the plantar fascia and surrounding myofascial structures. It is a condition of the foot which is very painful. The pain that is felt by PF is felt on the heel of the foot and is felt most severely with the first few steps of each day. Its main location, also known as the calcaneus, is the common location for the stimulation that causes the pain. It is generally caused by faulty biomechanics, bad footwear and heavy landings.
• Incidence
1 out of 10 American adults are presented with PF each year.
PF is most common in athletes, such as runners.
Equates for about 10% of runner-related injuries, and 11-15% of all foot symptoms requiring specialized care. It is considered to occur in 10% of the general population as well. It can also be present bilaterally in a third of cases
• Etiology
The etiology of this condition is not clearly understood and is probably multi-factorial in nature. Weight gain, occupation-related activity, anatomical variations, poor biomechanics, and poor footwear are contributing factors. PF is caused by too much wear to the plantar fascia (or aponuerosis) that supports the arch of the foot or by unusual posture that may influence structure. A lot of athletes suffer from this condition. "Both amateur and professional athletes are at a higher risk, and it is especially common among athletes who run and jump a lot. More young people are getting involved in sports at an early age and are therefore developing heel pain sooner than many other people who are not as active." (Franklin Kase, http://www.medicalnewstoday.com/articles/16519.php) It occurs when the plantar aponeurosis is stressed over a period of time in which is beyond the ordinary which could lead to pain and inflammation and possibly bone spurs. PF can also be a result of an injury.
• Signs and Symptoms
Signs and symptoms for PF are limited but are gradual. It can often feel like a sharp pain in your heel and is more noticeable in the morning during your first few steps and can be triggered by long periods of time on your feet. Sometimes there may also be pain along the outside (lateral) border of the heel. This may occur due to offloading the painful side of the heel by walking on the outside border of the foot. It may also be associated with the high impact of landing on the outside of the heel if you have high arched feet.
• Indications for massage therapy
Acute phases of PF respond well to cyrotherapy (Ice) and rest. After the inflammation has gone, soft-tissue methods that address the connective tissue and sensible uses of stretching are valuable. Achilles tendon is highly irritable in this condition also as it attaches to the calcaneus as well so that has to be taken into account when massaging
• Contraindications for massage therapy
Not to be massaged if the foot has been aggravated or if it is inflamed due to overuse i.e. dancing. In the morning, it is bad for massage to occur because this is when the syndrome is most painful.
• Reference list
Marieb, E, N., Hoehn, K., (2007). Human Anatomy and Physiology, 7th Edition.
Sports Massage, retrieved June 5th, 2009 from http://www.sportsinjuryclinic.net/sports_massage/index.php
A client with PF
Franklin Kase, Athletes and Plantar Fasciitis (Heel Pain), Retrieved June 4th, 2009, from http://www.medicalnewstoday.com/articles/16519.php
Fritz,S (2009)., Mosby’s PDQ for Massage Therapists, 2nd Edition
Wednesday, May 13, 2009
Research Methods
Assessment Task 1 - Blog 4 - Evaluation of Research Findings.
Hannah Howley.
Due 8th of May 2009 (With Extension)
Unravelling the mysteries of Unwinding.
As a reader, I was pleased with the fact that the article begun in a way in which ‘unwinds’ the title, for want of a better word. It was good to see the writer explain what unwinding meant so it was easier to understand the point of the article.
The first page shed some positive light upon Myofascial Release. It made it seem extremely interesting and worthy of a trial.
There is a large amount of unintentional ambiguity within the article 'Unravelling the Mysteries of Fascial Unwinding' which simply serves to confuse and frustrate the reader. This ambiguity reinforces the intuition that the writer may not entirely know about or understand the topic of which he is attempting to depict and explore. (T, Grinlinton) 2009. This made me very interested to read on with Tessa’s blog because it basically stated what I was thinking and I couldn’t have put it in a better way myself. The possibility of interpreting an expression in more than one way is perhaps not good enough in an article of such calibre i.e., the forcing of tissues.
The article touches upon emotional release but isn’t exceedingly comprehensive. If I didn’t know any better I would be worried that the session/treatment would make me break out in tears or laughter or some kind of emotion. It wasn’t very assuring.
On page 19 of the shorter version, it states that ‘scientific descriptions for the events (unwinding) are lacking’ doesn’t give much positive influence. It then could be viewed as a ‘half-arsed’ physical therapy with no proof which is definitely condescending to the average reader.
Also I would like to state that there were far too many foreign words at hand in the article, especially to the foreign eye. If the reader is inquisitive about such therapy it should really be as black and white as need be without so much ‘medical’ expressions. The article also got very in-depth and technical very quickly, sort of felt like I was rolling down a hill.
All that aside, the article was good and like I said before, shed some interesting light upon MFR and gave some good descriptive analysis‘s of hip, leg and neck unwinding.
References
Unravelling the mysteries of unwinding.
My Own thoughts.
Assessment Task 1 - Blog 4 - Evaluation of Research Findings.
Hannah Howley.
Due 8th of May 2009 (With Extension)
Unravelling the mysteries of Unwinding.
As a reader, I was pleased with the fact that the article begun in a way in which ‘unwinds’ the title, for want of a better word. It was good to see the writer explain what unwinding meant so it was easier to understand the point of the article.
The first page shed some positive light upon Myofascial Release. It made it seem extremely interesting and worthy of a trial.
There is a large amount of unintentional ambiguity within the article 'Unravelling the Mysteries of Fascial Unwinding' which simply serves to confuse and frustrate the reader. This ambiguity reinforces the intuition that the writer may not entirely know about or understand the topic of which he is attempting to depict and explore. (T, Grinlinton) 2009. This made me very interested to read on with Tessa’s blog because it basically stated what I was thinking and I couldn’t have put it in a better way myself. The possibility of interpreting an expression in more than one way is perhaps not good enough in an article of such calibre i.e., the forcing of tissues.
The article touches upon emotional release but isn’t exceedingly comprehensive. If I didn’t know any better I would be worried that the session/treatment would make me break out in tears or laughter or some kind of emotion. It wasn’t very assuring.
On page 19 of the shorter version, it states that ‘scientific descriptions for the events (unwinding) are lacking’ doesn’t give much positive influence. It then could be viewed as a ‘half-arsed’ physical therapy with no proof which is definitely condescending to the average reader.
Also I would like to state that there were far too many foreign words at hand in the article, especially to the foreign eye. If the reader is inquisitive about such therapy it should really be as black and white as need be without so much ‘medical’ expressions. The article also got very in-depth and technical very quickly, sort of felt like I was rolling down a hill.
All that aside, the article was good and like I said before, shed some interesting light upon MFR and gave some good descriptive analysis‘s of hip, leg and neck unwinding.
References
Unravelling the mysteries of unwinding.
My Own thoughts.
Wednesday, May 6, 2009
Research methods
Assessment Task 1 - Blog 3 - Reflection of my research process.
Hannah Howley
Due Date - May 08 2009
During the past few months I have been doing a lot more in depth research and analysis than I would normally be doing. The territory in which I have been entering is very foreign and intense and it has been very hard to get amongst it with ease. It has been quite a struggle with APA referencing and locating information that is of good quality. Although I enjoy using wikipedia, it is hard to use it for everything I need to find with out having things repeated. I find it quite hard to collate a lot of the information that I am finding with having to reference everything I write.
However, I have learnt a few good ways of interpreting and understanding a research related question.
It is important to be able to break down the question into smaller parts and research it with a more narrowed down approach, trying to locate the qualitative aspect of the question and the quantitative aspect.
With regards to our collaborative research assignment we are working on at the moment, our question ( Felicity, you will no) is to do with chronic pain and massage. As of late I have been researching about chronic pain itself and how it comes about and the influences of it. This has helped me understand my question a lot more and brings me to my point of breaking down the question to find an easier approach of researching it.
I have also learnt that with researching, brainstorming ideas of your own help to make the question more comprehensive and you get a better understanding of what you are looking for and what you will find.
All and all, it is a very interesting process and takes a lot more time to get the quality information that you need to create a believable product.
Hannah Howley
Due Date - May 08 2009
During the past few months I have been doing a lot more in depth research and analysis than I would normally be doing. The territory in which I have been entering is very foreign and intense and it has been very hard to get amongst it with ease. It has been quite a struggle with APA referencing and locating information that is of good quality. Although I enjoy using wikipedia, it is hard to use it for everything I need to find with out having things repeated. I find it quite hard to collate a lot of the information that I am finding with having to reference everything I write.
However, I have learnt a few good ways of interpreting and understanding a research related question.
It is important to be able to break down the question into smaller parts and research it with a more narrowed down approach, trying to locate the qualitative aspect of the question and the quantitative aspect.
With regards to our collaborative research assignment we are working on at the moment, our question ( Felicity, you will no) is to do with chronic pain and massage. As of late I have been researching about chronic pain itself and how it comes about and the influences of it. This has helped me understand my question a lot more and brings me to my point of breaking down the question to find an easier approach of researching it.
I have also learnt that with researching, brainstorming ideas of your own help to make the question more comprehensive and you get a better understanding of what you are looking for and what you will find.
All and all, it is a very interesting process and takes a lot more time to get the quality information that you need to create a believable product.
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