Kathleen has enjoyed a massage
jianlan | 26 janvier, 2010 09:00Kathleen has enjoyed a massage
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The best site for reliable information about medication belongs to the British National Formulary www.bnf.org. This information is complied by the British Medical Association and the Royal Pharmaceutical Society. All prescribed drugs are listed, the conditions for which they are recommended, how they work and possible side effects. Much of the information, being aimed at medical professionals, is too detailed to be of use, but at least you can find out what a named drug has been prescribed for, and whether there are any things to watch out for, as a massage practitioner. For example, Alice had rheumatoid arthritis and told me she was taking sulfasalazine and methotrexate. Checking with the BNF informed me that both these affect the immune response and suppress the disease process. From the long list of possible side effects, I note that rashes, bruising and anaemia, and peripheral neuropathy are possible so I know to look out for these and watch the pressure I use.
Here's another example where knowing about drug side effects was useful. Kathleen has enjoyed a massage every two weeks or so for the last twenty years, and claims that's what's kept her going so well. Her health has been pretty good most of her life. In the last few years she's had a couple of small TIA's transient ischaemic attacks and as a result, she now takes warfarin, an anti-clotting medication, which 'thins the blood'. Kathleen now bruises very easily; even carrying heavy shopping can result in bruised fingers. So I only use very gentle massage techniques on Kathleen.
But after she began to take lipitor, one of the drugs known as statins, in October 2007 to reduce her cholesterol levels she complained more about her back pain, about little aches and pains all over, she was always tired and she became increasingly forgetful. Early in 2008 she celebrated her eightieth birthday and for a while I thought I was witnessing one of the sudden declines that the elderly can go through before stabilizing again. But when I looked up statins and found that her symptoms were identical to the side effects, I suggested she talk to her doctor about this possibility, but she said she'd never remember the detail and could I write a letter for her. I did, the doctor was happy for her to stop taking the lipitor, and a few months later her energy levels and her mental alertness have both improved considerably.
A little basic knowledge about prescribed drugs does not make us medical professionals or entitle us to inform clients about their use, but it should be an essential part of our knowledge base to ensure that we massage safely, just as knowledge of common pathology helps us make sound decisions about when, what and how to massage.
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