=Positions of the Patient and Physician in Treating.=—The position
of the patient when a treatment is given depends altogether upon the
affection to be treated. Probably about one-half of the cases can be
treated to advantage upon a table, the remainder sitting on a stool.
Many osteopaths treat nearly all their patients upon a table. It is
much better to change back and forth, because to correct a certain
disorder may be hard upon the table, but will be comparatively easy
when the patient is on a stool, and _vice versa_. Besides, constantly
changing back and forth rests a physician greatly.
Learn to treat in various positions, because it will be impossible
to have all cases assume a certain position when being treated; and
especially in treating acute cases one is obliged to suit his treatment
to the patient and not the patient to the treatment. There is also a
tendency for one to get into slovenly habits of treating when patients
are all placed practically in one position, and certainly one cannot
treat all cases in one position to equal advantage. Also learn to treat
as well with one hand as the other. Many times one will be in such
positions that equal use of either hand will be required. Carefully
educate the sense of touch in both hands.
Another point should receive consideration: learn to shift the strength
exerted in treating from one set of muscles to others. For example,
when one is standing for a long time he will continually shift his
weight from one limb to the other. In the same manner in treating use
the strength of the hands awhile, then the arms, then the muscles of
the back, then the weight of the body, etc.; all in such a manner that
there is a constant change by utilizing certain groups of muscles for
the same work, as well as utilizing the weight of the body of both
physician and patient to advantage. It rests a physician greatly and
thus allows him to perform a maximum amount of work with a minimum
amount of strength and labor.
It is frequently an advantage to the physician to treat upon the nude
skin, thus preventing the fingers from becoming tender. Gowns can be
easily made that open down the back so that the patient does not have
to disrobe.
Public-domain text, read in full here on John Shaqi.
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