1. 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.

2. Massage ~ Back Rub Unit

3. 1. Patients that are vulnerable to skin break down: Comatose Elderly Paralyzed Obese Very ill Incontinent Burns Casts Bedridden Poor Nutrition Poorly Cared For www.dailymail.co.uk/news/article-508792/Dying...

4. 2. Benefits of Massage: Stimulates circulation Relieves pressure Relaxes muscles Increases comfort Prevents decubiti Decreases pain Decreases anxiety www.nim.edu/discover_massage/index.html

5. 3. Back Rub Usually Given: Immediately after a bath Evening care When changing positions (turning patient) Restless patient in need of relaxing Doctors orders www.gamespot.com/pages/forums/show_msgs.php?t...

6. 4. Protecting Patient Privacy Ask visitors to step out of the room Pull curtain if double room Drape patient with bath blanket www.graftonhospital.com/acute_care.htm

7. 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 www.pbs.org/.../july-dec06/lives_08-18.html

8. 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 www.sks-bottle.com/LotionBottles.html

10. Now It’s Your Turn to Relax!