Diagnostic Warm Up

Massage therapy and chiropractic therapy are the most widely CAMs in the United states. Spinal manipulation involves the cyclical movement of a joint, while a massage involves the rhythmic compression of sights of tense bands of skeletal muscle fibers. Both methods are thought to induce a relaxation response - lower blood pressure and heart rate, decreased oxygen consumption and muscle tension, and lower levels of cortisol and noradrenaline, which is ultimately attributed to its beneficial effect.

You will make yourself comfortable... Once feeling comfortable and safe in your chosen place… You will close your eyes… Listen to my voice… Any noises in the background are unimportant… From now on, you will only hear my voice… Concentrate on your breathing… Breathe in… Hold it for a few seconds… Breathe out… Notice how each breath in, is equal to the amount of time it takes to breathe out… Repeat this one more time… Now you are going to relax your mind and body by allowing any tension to flow from your head, to the extremities of your toes… Keep concentrating… You are in control… You will be in control throughout this session…Continue with your breathing as you would normally … Now relax the

* The importance of carrying out a detailed body analysis & relevant tests is so that you can pick up on any posture faults, avoid any areas which may be contra indicated and you are able to give them information on ways to improve their posture. It is important to carry out relevant tests such as cold or hot and sharp and blunt so that you are sure the client can feel the difference. This also prevents you from harming your client if they can feel something within the treatment which feels painful.

It is also important to keep checking with the client comfort and whether the pressure is comfortable for them.

A nurse cannot assume that an unregulated care provider (UCP) is competent to perform any procedure, regardless of how straightforward the procedure appears. (CNO, 2013) Initially, I will conduct an overall assessment of Mrs. Appleby. Similarly I will also determine the associated risk of the procedure, and the environmental support available. The UCP that I am delegating the task to must have the knowledge, skill and good judgement of performing the bed bath. Using the client centered care approach I will also make sure that prior starting the activity, Mrs. Appleby is comfortable with the idea and with the UCP who will render the bed bath for her. I will remind the UCP that privacy is a priority. Moreover, instructions about the use of mild cleansing agent, warm water, use of lotion after bathing and avoidance of excessive rubbing especially in bony prominence area will be emphasized. It is important to note that proper instructions should be given to the UCP and he or she fully understands the extent of her or his responsibilities in performing the procedure, knows when and who to ask for assistance, and knows when, how and to whom to report the outcome of the procedure. (CNO, 2014)

Implement measures to improve cardiac output: perform actions to reduce cardiac workload: place client in a semi- to high Fowler's position, instruct client to avoid activities that create a Valsalva response, implement measures to promote emotional and physical rest, implement measures to improve respiratory status, discourage smoking, provide small meals rather than large ones,

While completing the hourly exercises in the hospital, please call a nurse if you feel any of the following

An example of this routine is shown in stress management book and is as follows “Phase 1: Heaviness-My arms and legs feel heavy, Phase 2 Warmth: My arms and legs feel warm (the phrases in phase 1and 2 are repeated 3 times) Phase 3 Heart: My heart is calm and relaxed. The segment goes into 3 more phases which involved breath, the solar plexus and forehead and continues to have one repeat brief calming phrases while breathing very deeply and slowly. (Seaward). The practice can become more detailed and have the person focus on the movement of blood through the

Patient in supine position: placing a small towel under pelvis and shoulder on the affected side to hold the protracted position. Size of towel is important because big one can be cause of asymmetry and rotation. Upper limb should place in external rotation, extension and supinated position. This position can help

On board diagnostics is an incredible achievement for technology in today’s society. The purpose of the On Board Diagnostics connection is for emissions testing. One application available to consumers is the scan tool or code reader. These devices are sometimes battery powered, but newer units may be powered by the electricity provided by the on board diagnostic connection itself. When a Check Engine light is present, these handheld devices connect to the on board diagnostic port and record and display any trouble code that the vehicle is sending. People can use the code to see what's wrong with the car and once the problem has been fixed they can clear the code from the vehicle's memory, deactivating the Check Engine light until the next issue arises. Most modern day technicians use an on board diagnostic tool to

5. After settling onto the mat, breath slow and even through the initial pain. It will be uncomfortable and painful at first.

and instruct the patient, fill the basin half full, wring out a compress until the water is not

The first session normally lasts about sixty to ninety minutes. It goes on to tell what there are for different types of treatment and how each one works. Some of the different treatments are scalp sensors, muscle sensors and bands around the patient’s abdomen. After discussing how what there are for biofeedback techniques the article talks about how biofeedback will help relieve muscle tension. While trying to relieve the muscle tension they may place sensors around the arm or a book on a patient’s abdomen to bring awareness to that area for the patient can focus on that one area. Biofeedback is also used to break the chronic pain cycle that a patient might be in. “In addition to becoming aware of how the body is functioning, patients must learn how to truly relax. While elusive, this requires on to incorporate 3 states of relaxation - mental, physical, and emotional - to implement the type of changes needed to improve health and well-being” (15). One specific case that the article talked about was a thirty five year old women that had slipped and fell on a wet floor and had many physical therapies sessions, cervical injections and number of medications. During her first visit they found that her autonomic nervous system was not effectively autoregulating. She was in a constant state of ‘fight or flight’ and her body wasn’t able to relax properly. They began by having her

The vigorous involvement in AcroYoga and the massage elements benefits both the partners providing stress relief after affects. This form of AcroYoga practice, boost the caliber and stamina, as the person who acts as base having most points of contact with the ground balance and build up his strength while another person as flyer, who is elevated off the ground by the Base can increase his body’s flexibility.

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