Question 1

What is the biggest safety issue for elderly clients receiving massage?

Accepted Answer

Falling is the biggest safety issue for elderly clients. Many older people experience dizziness related to sudden changes in blood pressure, vision or hearing impairments, or medication side effects. Dizziness related to a sudden drop in blood pressure is called orthostatic hypotension and occurs most often when the individual is moving from a lying down or sitting position to an upright or standing position.

Question 2

Which approach is appropriate for the massage therapist with a client who has a visual impairment?

Accepted Answer

Announce your presence when you enter the room where your client awaits. Begin by addressing your client by name and then state your name.

Question 3

Which massage consideration is appropriate for a client who has a mobility impairment?

Accepted Answer

Local massage is contraindicated over areas at risk for decubitus ulcer formation. At-risk areas for chair-bound clients are over the scapula, sacrum, the ischial tuberosities, popliteal areas, and plantar surfaces of the feet. The therapist cannot rely on assessment to determine the presence of developing decubiti because the client may have inflammation manifesting as non-blanching skin that is difficult to observe, particularly in individuals with darker skin.

Question 4

Which time is best to schedule a massage for elderly clients?

Accepted Answer

The best time to schedule massage sessions for elderly clients may be during daylight hours. Elderly clients may prefer not to drive their vehicles after sunset because of impaired night vision and increased sensitivity to glare.

Question 5

Which type of care provides services to patients who are facing a life-limiting illness?

Accepted Answer

According to the Hospice Foundation of America, hospice is a type of care that provides services to patients who are facing a life-limiting illness and who are no longer responding to cure-oriented treatments.

Question 6

Which approach is appropriate for the therapist with a client who has a hearing impairment?

Accepted Answer

If your client is wearing hearing aids during the massage, avoid moving your hands close to the ears. Objects near the device may produce feedback, an uncomfortable squeaking noise.

Question 7

Patients with which diagnosis receive the largest number of days in hospice care?

Accepted Answer

Patients with a principal diagnosis of dementia received the largest number of days in hospice care.

Question 8

Which stage of grief identified by Dr. Elizabeth Kübler-Ross often involves heightened spirituality?

Accepted Answer

Stage 4: Depression. This stage is the beginning of withdrawal in which the person needs space to internalize and self-assess feelings of death and the process of leaving the people and places to whom the patient has bonded. Heightened spirituality is often a part of this phase.

Question 9

Which body position is uncomfortable for many elderly clients, especially if wearing dental appliances?

Accepted Answer

Many elderly clients are uncomfortable while prone. Dental appliances may make the prone position uncomfortable, even when a soft face rest cushion is used.

Question 10

Which approach is appropriate for therapists providing massage in hospice care?

Accepted Answer

Clients in hospice are fragile. Use techniques of light pressure and slow speed. Touch-based techniques such as Therapeutic Touch or and Reiki are also appropriate.

Question 11

Which indicator denotes health and vitality in the elderly?

Accepted Answer

Low levels of physical activity are an indicator of frailty. Robust clients are typically physically active, which may include regular exercise.

Question 12

Which massage consideration is appropriate for a geriatric client?

Accepted Answer

Cover the draped or clothed client with a blanket during the massage because many elderly people experience cold intolerance.

Question 13

Which suggestion is appropriate for clients with mobility aids, other special populations, and all clients generally?

Accepted Answer

The first consideration is how the client with the mobility aid will enter your office. Most municipalities require businesses to be barrier-free and wheelchair-accessible.

Question 14

Which approach is appropriate for massaging frail elderly clients?

Accepted Answer

If your client is sedentary and frail, use techniques that are rhythmic, slow, gentle, and lighter in pressure. Gentle joint mobilizations such as rocking are appropriate for the frail elderly.

Question 15

Which type of care is defined as improving the quality of life through the prevention and relief of suffering?

Accepted Answer

Palliative care improves the quality of life of individuals through the prevention and relief of suffering. Palliative care is also called comfort care or supportive care.

Quiz 11: Special Populations: Massage for Pregnant Women, Infants, Children, Adolescents, Tactical Athletes and the Military, the Elderly, People With Visual, Hearing, and Mobi