Fundamentals of Nursing Q 538
Back Care is best described as:
A. Caring for the back by means of massage.
B. Washing of the back.
C. Application of cold compress at the back.
D. Application of hot compress at the back.
Correct Answer: A. Caring for the back by means of massage
Back care or massage is usually given in conjunction with the activities of bathing the client. It can also be done on other occasions when a client seems to have a risk of developing skin irritation due to bed rest. The goal when performing this procedure is to enhance relaxation, reduce muscle tension and stimulate circulation.
Option B: Help the patient to turn on his abdomen or on his side with his back toward the nurse and his body near the edge of the bed so that he is as near the operator as possible. If the supine position is used and the patient is a woman, a pillow under the abdomen removes pressure from the breasts and favors relaxation. Apply to back rubbing lotion or talcum powder to reduce friction. In rubbing the back use firm long strokes and kneading motions. The amount of pressure to exert depends upon the patient’s condition. Begin from the neck and shoulders then proceed over the entire back.
Option C: Massage with both hands working with a strong stroke. In upward then in downward motions. Give particular attention to pressure areas in rubbing (Alcohol 25%) to 50% is generally used for its refreshing effect, but rubbing lotion may be used. Powder again the area at the completion of the rubbing process which should consume from 3-5 minutes.
Option D: Effleurage (stroking) is a long sweeping movement with the palm of hand conforming to the contour of the surface-treated, over a small surface (on the neck) the thumb and fingers are used. Strokes should be slow, rhythmical, and gentle with pressure constant and in the direction of the venous stream. Kneading is performed with the ulnar side palm resting on the surface and the fingers, and thumb grasping the skin and subcutaneous tissues which move with the hand of the operator.