Dylan Crake RMT & R.KIN

Pre-Treatment

• Wash hands
• Assist client onto their side
• Ask if their Nitro medicine is near by
• Instruct client to tell you if they feel any distress, anxiety or nausea. Or if their heart rate or respiratory rate increases
• State you’ll be looking for flushing of skin or sweat as this could indicate distress
• State they should feel no pain and if they do, be sure to tell the you, the therapist

Positioning

• On right side
• 1 pillow under torso, 1 pillow under head
  • State this is to decrease pressure on aorta

Specific Treatment

• Start distally at arm
• State that there is NO fluid intent
• Squeeze hands, perform ROM of fingers, broad kneading, finger knead, C-Scoop, fine vibrations (for the arm)
• Static contact at back, around T4 and state this is to decrease the SNS
• Broad kneading , finger knead, fine vibrations, squeezing upper traps, gentle rocking ( for the back)
• Only treat posterior neck – State
• At toes and feet – squeezing, ROM of toes, broad kneading, finger knead, fine vibrations, C-Scoop
• Avoid popliteal fossa

Post-Treatment

• Grab by shoulders and assist up
• Ask if they feel any dizziness or light headedness ( postural hypotension)
• Ask if they need assistance getting up