Treatment Protocols Flashcards

A client reports a warm, swollen, painful calf and recent long-haul travel. What should the therapist do?

Answer: Do not massage and refer the client for immediate medical evaluation

These are signs of possible deep vein thrombosis, and massage could dislodge a clot.

A client arrives with a fever of 101°F (38.3°C). What is the correct protocol?

Answer: Reschedule the session because fever is a general contraindication

Fever means the body is fighting infection, so massage is postponed.

Which modification is most appropriate for an older client with diagnosed osteoporosis?

Answer: Reduce pressure and avoid forceful joint mobilization or compression over bone

Fragile bones can fracture under heavy pressure, so gentle techniques are used.

For a client with diabetes who uses insulin, which precaution is most appropriate?

Answer: Avoid recent injection sites and adjust pressure for possible reduced sensation

Massage can speed insulin absorption at the site, and neuropathy may reduce the client's ability to report excessive pressure.

A client is currently receiving radiation therapy for cancer. What is an appropriate adjustment?

Answer: Avoid the treated skin area and use gentle, adapted pressure

Irradiated skin is fragile, and oncology massage uses gentle, adapted techniques rather than a blanket refusal.

Which approach is most appropriate when starting treatment for a client with fibromyalgia?

Answer: Gentle pressure and shorter sessions, increasing gradually based on response

Fibromyalgia clients are often sensitive to pressure and may flare after intense work.

After a relaxing session, a client who takes blood pressure medication should be advised to do what?

Answer: Sit up slowly and pause before standing to avoid dizziness

Massage and blood pressure medication can both lower blood pressure, raising the risk of orthostatic hypotension.