Back massage or Back care.pptx

back care

1. Back massage or Back care

2. Back massage or back care Definition Back care means, “cleaning and massaging an individual’s back as a therapeutic and comfort measure .”

3. Purposes Decreases muscle tension and promotes relaxation Increases circulation to the area Aids in the development of the therapeutic nurse patient relationship Prevents pressure ulcer Keeps the skin clean and dry Helps to detect early signs of pressure sores

4. Increases elimination through the skin Induces sleep Provides comfort to the patient Regulates body temperature Aids in observation of patient

5. Contraindications Burns Rib fracture Spinal injuries Surgeries on back

6. Basic principles of back massage Agents used for back massage: Lotions or emollients: lotions and emollients reduce friction and lubricate the skin They are appropriate for most patients, especially those with a tendency towards dry skin; that are, elderly patients. Rubbing alcohol: Alcohol evaporates quickly, so it has a cooling but very drying effect. A certain amount of alcohol is absorbed by the skin so it should not be used on infants, elderly patients or patients with liver diseases

7. Powder Powder reduces friction but also has a drying effect on the skin It may be appropriate for those patients who perspire freely and/or are confined to bed. General guidelines: 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 patient allergies or skin sensitivities exit before applying lotion to the patient’s skin

8. The greatest relaxation effect of a massage occurs when the rhythm of the massage is coordinated with the patient’s breathing Give special attention to bony prominences Avoid using powder and lotion together because this may lead to skin maceration Develop a turning schedule and give back care at each position change

9. Articles required

10. PROCEDURE Nursing action Rationals To assess the client Helps in promoting relaxation and cooperation Make the time of the procedure minimum and effective To ensure that the room is warm and maintain the privacy

11. Nursing action Perform hand hygiene with warm water. Placing the appropriate position: Move the client near towards you. Turn the client to her/his side and put the mackintosh covered by big towel under the client’s body. Rationale Cold water causes muscle tension To make him/her more comfortable and provide the care easily. Mackintosh prevents the linens from soiling.

12. Expose the client’s back fully and observe it whether if there is any abnormality. To find any abnormality to prevent further complications and to provide proper medication as soon as possible. If you find out some redness, heat or sores, you cannot give any massage to that place. If the client has already some red sore or broken down area, you need to report to the senior staff or doctor

13. Wipe back with wet wash cloth. Lather soap on hands. Apply soap from down to upward direction in circular motion giving special attention to the pressure areas and rinse with plain warm water. Dry the area thoroughly. To clean the back before we give massage with oil/lotion/powder

14. Put some lotion or oil into your palm. Apply the oil or the lotion and massage at least 3-5 minutes by placing the palms: From sacral region to neck, use firm, smooth strokes to massage over scapulae. From upper shoulder to the lowest parts of buttocks gently but firmly knead skin by grasping area between thumb and fingers. Work across each shoulder and around nape of neck. Continue downwards along each side to sacrum. Oil or lotion keeps the skin dry by absorbing the moisture and protects the skin from friction.

15. Steps for back massage - Effleurage Using your palm, stroke from the buttocks upto the shoulders, over the upper arms and back to the buttocks. Use slightly less pressure on the downward strokes

16. Petrissage Using your thumb to oppose your fingers, knead and stroke half the back and upper arms, starting at the buttocks and moving toward the shoulder. The knead and stroke the other half of the back, rhythmically alternating your hands.

17. Friction Use circular thumb strokes to move from buttocks to shoulders; then, using a smooth stroke, return to the buttocks.

18. Hand over hand Massage the back with short quick strokes using alternate hands

19. Brush strokes Lightly stroke the back with finger tips while massaging

20. Kneading Stroke the back with both hands together

21. Tapping Tap the back with both hands

22. Help the client to put on the clothes and return the client to comfortable position Replace all equipments in proper place. Perform hand hygiene Document on the chart with your signature, including date, time and the skin condition. Report the findings. To provide warmth and comfort To prepare for the next procedure To prevent spread of infection Documentation provides coordination of care.