A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
Massage (meaning to knead or manipulate) is one of the oldest
therapeutic measures employed for the relief of disease. It is probable
that the Chinese used this method of treatment several thousand
years ago. The Japanese and the Greeks and Romans also were ancient
users of massage. To-day it is recognized as one of our most useful
adjuvants in the treatment of a great many disorders. Unfortunately,
like some other therapeutic measures, it has been misused for personal
gain by unscrupulous parties to the great detriment of this form of
treatment; because of this many physicians have hesitated to adopt its
use extensively for fear of being classed with the army of quacks and
charlatans who endeavor to guile the public with a pretended knowledge
of massage. It not being possible for all nurses to become proficient
in the art of massage while doing general nursing (as it requires time,
patience, and a great deal of experience to succeed), massage has
become somewhat specialized, and we find many nurses who devote their
time and attention exclusively to this work. Yet all nurses should have
a general knowledge of the physiologic effects of massage and how to
give it. The best results are obtained only when massage is given under
the direct supervision of a physician, as massage may influence the
function of almost every organ and tissue of the body.
Some general rules may be given as to the hour and duration of each
treatment. A great deal depends upon the nature of the disorder in
each individual case. In the treatment of neurasthenic patients
where insomnia is often a troublesome symptom, massage given one or
two hours before the patient quiets down for the night frequently
results in improved sleep. Again, other patients will do better to
have the treatment one or two hours after the morning meal. Individual
peculiarities must be considered always in giving massage. The room
should be of such temperature that the patient when exposed will not
feel chilly. Absolute quiet should be maintained during the treatment,
and after the treatment the patient should remain quiet in a recumbent
posture for an hour or two as the condition may require. The oft-used
expression “that a masseur or masseuse possesses a great deal of
electricity which is transferred during the treatment to the patient,”
should find no place in the intelligent mind in considering the effects
of massage. It is true that one operator by his method of administering
massage may please a patient and accomplish more than another, but this
is due only to the fact that one understands how it should be given,
and the other does not.
All the different movements in massage may be classed under the
following: First, stroking; second, friction; third, kneading; fourth,
vibration; fifth, percussion; sixth, joint movements.
Public-domain text, read in full here on John Shaqi.
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