Learning Objectives: Name three ways to protect patient privacy during a backrub. Name three benefits of receiving a backrub. Explain four safety steps taken during a backrub. Identify four people that are vulnerable to skin breakdown.

Massage ~ Back Rub Unit

1. Patients that are vulnerable to skin break down: Comatose Elderly Paralyzed Obese Very ill Incontinent Burns Casts Bedridden Poor Nutrition Poorly Cared For

2. Benefits of Massage: Stimulates circulation Relieves pressure Relaxes muscles Increases comfort Prevents decubiti Decreases pain Decreases anxiety

3. Back Rub Usually Given: Immediately after a bath Evening care When changing positions (turning patient) Restless patient in need of relaxing Doctors orders

4. Protecting Patient Privacy Ask visitors to step out of the room Pull curtain if double room Drape patient with bath blanket

5. Providing Safety: Side rail up on opposite side Lock wheels on bed Bed in high position Position patient in prone or side-lying position Ask patient if there are any painful areas

Safety …. No rubbing directly on the spine Check lotion temperature – warm it before using Observe skin for reddened areas or sores Do not rub directly on sores

Now It’s Your Turn to Relax!