Stress Management--- Massage Therapy I.

Introduction about Therapy

Massage therapy is a popular treatment for the relief of sports injuries, strains, and muscle soreness. But its benefits are more than just physical: it is also an effective way to alleviate depression and anxietyand improve sleep quality. Although life stresses are unavoidable, we can counter negative feelings and insomnia with the positive benefits that massage therapy offers. Massage has been practiced for centuries. In ancient India massage therapists kneaded patients with herbs and oils to relieve tiredness, increase energy, and improve overall health. In fifth-century Greece Hippocrates was quoted as saying, The physician must be experienced in many things, but assuredly in rubbing. And its no secret why massage is still popular todayit feels wonderful. OBJECTIVE: The aim was to examine the effectiveness of a relaxation massage therapy in reducing stress, anxiety and aggression. II. Step- by- step Procedure HEAD 1. First, put your three fingers on the middle of the forehead and rub downward to upward. Do this for 1 minute. 2. From the middle of the forehead, glide your fingers to the temples the do circular motion, 30 seconds clockwise (to promote circulation) and another 30 seconds for counterclockwise (for relaxation) motion. 3. Three fingers from the ear, put pressure and do circular motions; 30 seconds for clockwise and 30 seconds for counterclockwise. 4. Put your thumbs on the parietal part and put pressure on it, do this for 30 seconds. 5. Using your fingertips, massage the scalp for 30 seconds. ARMS 1. Put lotion or oil on your palm and rub hands against each other to produce heat. 2. Rub patients arm firmly and gently from distal to proximal alternately for 30 seconds. 3. Squeeze the arm three times from distal to proximal for 30 seconds. 4. Using both thumbs, massage the dorsum in circular motion for 30 seconds. 5. Using both hands, gently massage the palm in an upward motion for 30 seconds and another 30 seconds downward. 6. Using both thumbs, massage the palm in circular motion for 30 seconds. 7. Pinch each finger alternately then shake off and pull it.

8. Hold the hand of the client and shake it up and down. 9. Slowly let go of the clients arm/ hand. 10. Repeat steps to another arm. BACK 1. Massage both shoulders for 1 minute. 2. Effleurage for 30 seconds. 3. Put hands together, palm to palm and expose second and third finger. And tap shoulders for 30 seconds. 4. Ask client to put one hand at their back then using thumbs, apply pressure following shoulder blades. 5. Do the same thing with the other hand/ arm. 6. Do back tapping avoiding the spinal column of the client upward to downward, left and right side. 7. Close fists, apply pressure and massage at the side of spinal column from lumbar area to thoracic area. 8. Effleurage. III. Actual Conversation/ Implementation A. Preparation 1. Find a location suited for the said therapycalm and quiet environment. 2. Set- up instrumental music to further promote calmness of the environment and the patient as well. 3. Set- up chairs for your clients. 4. Wear gloves. 5. Apply lotion to the gloves to reduce friction. 6. Demonstrate the steps to co- student nurses. 7. Re-demonstrate the steps by using co- students as your client. B. Actual Student Nurses: Good morning po sainyong lahat. Sino sainyo ang may ideya sa gagawin nating therapy ngayon? Patient #1: Massage Therapy Student Nurses: Tama! Alam niyo ba kung ano ang ginagawa sa Massage Therapy? Patient #5: Naghihilot! Student Nurses: Tama! Bago ba sainyo ang therapy na to? Patient #10 and Patient #5: Oo. Bago. Student Nurses: So, excited na ba kayo maranasan ang Massage Therapy?

Patient #3: Opo. *and smiled* Student Nurses: Okay, so ipapaliwanag muna naming konti yung therapy bago tayo magsimula. Ang tawag sa therapy natin ngayon ay Stress Management--Massage Therapy. Ang Massage Therapy ay isang popyular na panggagamot upang maibsan ang pilay, at pamamaga ng kalamnan. Pero ang benepiusyo ay higit pa sa pang- pisikal. Ito rin ang epektibong paraan upang mawala ang depresyon at kaba. Ito rin ay nakakatulong sa pagtulog ng maayos. Ang layunin ng nasabing therapy ay upang malaman ang kakayahan at kung epektibo ba ang Massage Therapy pagdating sa pagbawas ng stress at kaba. O, sino sainyo ang hirap makatulog ng maayos pag gabi? Patient #6, #2, #1, #10: *raised their hands* Student Nurses: So, titignan natin kung nakakapagpabuti ng tulog ang gagawin nating therapy ngayon. Handan a ba kayo? Patients: Opo, handa na po kami. Student Nurses: O, tatandaan niyo yung gagawin sainyo ng mga nurses niyo ha, kasi pagkatapos kayo naman ang magmamasahe samin. *Student Nurses massaged their patients* *Patients massaged the student nurses* C. Post- Activity Student Nurses: O, anong nararamdaman niyo pagkatapos kayong hilutin ng mga nurse nyo? Patient #7: Nakaka- gaan sa pakiramdam. Student Nurses: O, lahat ba kayo ganun yung naramdaman? Patients #4: Opo. Masaya. Student Nurses: O, sino nang inaantok dyan? Patient #5: Ako, inaantok na konti. Student Nurses: Ano naming natutunan niyo sa therapy natin ngayon? Patient #3: Nakaka- relax. Masaya. Patient #5: Paglabas ko, maghihilot din ako. Papa-bayaran ko P20, para may pera ako. Student Nurses: Tama. Pag nakalabas kayo, pwede niyo itong pagkakitaan. Naka- ginhawa ba? Nabawasan ba stress niyo? Patients: Opo.

IV.

Documentation:

Student nurses while practicing for their Massage Therapy

Introducing the therapy to patients

Demonstrating what/ how we will do

Student nurses demonstrating head massage

Student nurses while massaging the patients

Student Nurses head massage

Patients return demonstration for head massage

Patients return demonstrate for arm massage

Patients return demo for back massage

V.

Group Reaction

We experience stress every day, in different forms and in different aspects of our lives. We thought of this therapy to somehow alleviate our own stress and anxiety, then we thought that if we normal people suffer from such, what more our mentally- ill patients? Moreover, most of our patients are complaining that they cannot sleep well because of their crowded, dirty, and noisy environment. That is why we thought of conducting Stress Management--Massage Therapy because it will be a great help to our patients to somehow relieve how theyre feeling physically, mentally, and emotionally. We are all aware that patients confined in an institution like Mariveles Mental Hospital were not given that much of attention because first and foremost, there was overpopulation in the said institution yet there are limited staff and nurses to cater them all. So as student nurses, we have taken the opportunity to conduct this therapy to somehow be able to help patients, even if were only allowed to handle ten of them. Before the therapy, we have observed that they looked like they are not contented with their previous nights sleep but they were quite excited about the therapy. As we explained the therapy, they became more optimistic and more eager to learn how to manage their stresses. During the therapy, we asked them to close their eyes and relax while we were massaging them. When we began massaging them accompanied by an instrumental music, they became more sleepy and calm, some even fell asleep. After massaging them, we asked them to return demonstrate what was done to them. It was overwhelming because they were able to remember the steps and do it to us as well. When we had our post- conference about it, most of them verbalized that they were relaxed and that they were happy and thankful that they have not only been able to relax but that theyve learned something new something they could also use when they are already discharged from the MMH. There are many kinds of therapy that can be conducted in the MMH. This Therapy will benefit the patients, in terms of relaxing, alleviating depression and anxiety. Moreover, we are also able to do the therapy for ourselves and we really felt how effective it was because our bodies were relieved and our stresses were lessened. We as a student nurse can use this in therapeutic terms and it has benefits to us also to our client in terms of reducing anxiety and improving immune system function. And we can counter act the insomnia and negative feelings during our toxic days. Even if we are always tired and sleepless preparing therapies for them, it was worth it, see them smiling, knowing that we were able to help our patients, and it is good that they learned something new from us.