Term
| Prior to massage, what are 3 questions to ask the MD? |
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Definition
Ask MD about
> CV status
> coagulation problems
> risk factors |
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Term
True or false?
Radiation therapy is almost always local-specific to cancer. |
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Definition
|
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Term
| Name the process in which RNA/DNA contents of a cell are targeted to disable cells in reproducing. |
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Definition
Radiation therapy
*ionizing radiation used to targe specific coordinates* |
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Term
| How long may fatigue persist after a cancer patient undergoes radiation therapy? |
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Definition
| fatigue may persist as much as a year |
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Term
| Name the structures (after a short-term) at risk of weakness/fragility with radiation therapy. |
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Definition
Short-term structures at risk of weakness/fragility
> skin
> blood
> lymph vessels |
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Term
| Name the structures (after a long-term) at risk of weakness/fragility with radiation therapy. |
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Definition
Long-term structures at risk of weakness/fragility
> bones
> tendons |
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Term
| Name the ways in which an RMT may worsen a radiation therapy burn. |
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Definition
RMT can make burn worse by:
> water, oil, etc
> pressure
> mechanical stresses
*really important not to interrupt the radiation process* |
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Term
| If nausea is present while in radiation therapy, what organ is affected? |
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Definition
| nausea in radiation therapy = GI tract related |
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Term
| What do you do if you come across a blister or skin breakdown during a radiation therapy protocol? |
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Definition
| No on-site work during protocol |
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Term
| A scar that is mobile, perfused, drained, flexible, with collagen alignment along functional lines of stress, and painless is know to be a ..... scar. |
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Definition
a good scar
*as aesthetically pleasing as possible with normal sensation, no compression of scar tissue on nn and no pain* |
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Term
Find the impairment not associated with a scar:
a) ↓ROM
b) circulation issues
c) pain/nerve entrapment
d) compression syndromes
e) depression
|
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Definition
all above are impairments associated with a a scar except for
e) depression |
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Term
Complete the sentence
Surgery decreases immune function in the .... week. |
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Definition
| Surgery decreases immune function in the first week. |
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Term
True or false?
Malnutrition is not a factor during surgery. |
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Definition
False
Malnutrition is a factor during surgery. |
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Term
| How many inches are to you stay away from an ostomy? |
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Definition
Ostomy: stay 4" around
>ostomy: opening in body (usually in GI tract), attached w/ plastic rim with adhesive tape, screwed onto tube to a bag |
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Term
| What word defines an opening in the body, attached w/ plastic rim with adhesive tape, screwed onto tube to a bag? |
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Definition
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Term
True or false?
Radiation will not go through an articifial part or an implant. |
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Definition
False
Radiation goes through artificial parts and implants |
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Term
Complete the sentence:
It is common to see a)increased or b) decreased RBCs during chemotherapy. |
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Definition
It is common to see b) decreased RBCs during chemotherapy.
*decreased RBC = anemia* |
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Term
| During a chemotherapy, what is a result of altered clotting phenomena? |
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Definition
| altered clotting phenomena may have easy bruising |
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Term
Complete the sentence:
A chemotherapy patient will benefit from a .... stroke massage. |
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Definition
A chemotherapy patient will benefit from a slow stroke massage.
*need for warmth, nurturance* |
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Term
| Chemotherapy patients will often complain of unpleasant taste. What taste are they referring? |
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Definition
| Unpleasant taste such as metallic taste |
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Term
| Name the veins and artery in which ports for chemotherapy are inserted. |
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Definition
Port
> subclavian vein
> superior vena cava
> pulmonary vein |
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Term
| With the cancer population, how long does collagenization take place post-surgery? |
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Definition
Heavy collagenization phase
4-6 weeks post-surgery |
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Term
| What are the CIs for massage post-surgery? |
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Definition
CI for massage post-surgery
> infection
> patient is unstable (vital signs)
> drug scenarios are concerning
> fever (patient is febrile)
> patient does not want massage |
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Term
| Saying a patient is febrile means the patient has... |
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Definition
| Saying a patient is febrile means the patient has fever. |
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Term
| During what phase of the radiation therapy will you minimize adherences to optimize scar pliability within safe parameters? |
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Definition
| From 2-3 weeks post surgery to beginning of radiation therapy. |
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Term
| When will you use contrast temperature application (to flush) and moreso progressing toward heat? |
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Definition
| from 2-3 weeks post-sugery to the beginning of radiation therapy |
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Term
| When will you release tension as appropriate in guarding muscles (ie: neck/GH/pectorals) |
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Definition
One week post-surgery
*works neck/GH/pectorals regardless of location* |
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Term
| When will you assist with sleep as an established goal? |
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Definition
> One week post-surgery
> During radiation therapy
> During chemotherapy |
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Term
| Are massage treatments longer or shorter, one week post-surgery? |
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Definition
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Term
True or false?
One week post-surgery, you will be able to push fluids from distal structures. |
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Definition
False
Do not push fluids from distal structures (eg: arm→axilla) when lymph channels may not yet be healed. |
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Term
True or false?
One week post-surgery, you will not mobilize fluid through site when blood and lymph vessels may not yet be healed. |
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Definition
True
*circulatory goals focus on proximal channels* |
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Term
| One week post-surgery, how far from unsealed tissue should we look out for? |
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Definition
Strict hygiene practices within 4" of unsealed tissue, drains (infection risk)
*avoid on-site tissue manipulation* |
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Term
True or false?
It is possible to apply LD techniques one week post-surgery. |
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Definition
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