045 Admiral Village, Talon III, Las Pias City

COLLEGE OF NURSING

THERAPEUTIC BACK MASSAGE

Definition: Purpose: A therapeutic massage done at the back of the pt to provide comfort and to allow the care provider an opportunity for skin assessment. To provide comfort to client. Stimulates circulation and relieves muscle tension. Facilitates therapeutic effect. massage lubricant or lotion Wash cloth Towel Bath blanket Warm water RATIONALE Back massage can facilitate circulation and promote rela!ation. #andwashing deters the spread of microorganisms. %rivacy increases rela!ation. This position e!poses an ade*uate area for massage with privacy and warmth maintained. #aving the bed in high position reduces back strain for the nurse. ,old lotion causes chilling and uncomfortable sensation. ffleurage rela!es the pt and lessens tension. ,ontinous contact is soothing and stimulates circulation and muscle rela!ation.

Equipments:

PROCEDURE !plain the procedure and offer back massage to the pt. ". Wash hands. 1. $. %rovide privacy. &. Assist the pt to the prone or side'lying position with the back e!posed from the shoulders to the sacral area. (se the bed blanket to drape the pt. )aise the bed to high position and lower the side rail close to you. +. Warm the lubricant or lotion in the palm of your hand or place the container in warm water. -. (sing light gliding strokes .effleurage/0 apply lotion to pt1s shoulders0 back and sacral area. 2. %lace your hands beside each other at the base of the pt1s spine and stroke upward to the shoulders and back downward to the buttocks in slow0 continous strokes. ,ontinue for several minutes. 3. 4assage the pts shoulders0 entire back0 areas over iliac crests and sacrum with circular stroking motion. 5eep your hands in contact with pt1s skin. ,ontinue for several minutes0 applying additional lotion as desired. 6. 5nead the pt1s skin by gently alternating grasping and compressions motions .petrissage/. 17. ,omplete the massage with additional long stroking movement. 11. 9uring massage0 observe the pt1s skin for redness or open areas. %ay particular attention to the skin over bony prominences. 1". (se the towel to pat the pt to pat the pt dry and to remove e!cess lotion. Apply powder if the pt re*uests for it. 1$. Wash hands. 1&. Assess the pt1s response and record your observations on the pt1s chart.

A firmer stroke with continous contact promotes rela!ation.

5neading increases blood circulation to the area. 8ong stroking motion is soothing and promotes rela!ation. %ressure may interfere with circulation and lead to development of decubitus ulcer. Backrub stimulates circulation to these areas. This provides additional comfort for the pt. #andwashing deters the spread of microorganisms. This provides accurate documentation of the procedure and the condition of the pt1s skin.

%repared by: ,arol ,. ,alupitan0 );0 4S;c Albert <. =umul0 );0 4A;