Massage therapists have not traditionally been included in the group of health care practitioners expected to know about medications. The fact is, however, that massage practitioners often work with clients who are concurrently taking medications. It is also true that massage therapists are increasingly being asked to treat people who are quite ill and physically vulnerable. Whether the practitioner's practice is focused on relaxation work, rehabilitating athletic injuries, spa treatments, or any of the other types of therapies in which massage therapists are now trained, when a client is taking medications the treatment plan may need to be significantly modified and the therapist must be aware of potential new factors in the clinical presentation.
Massage Therapy & Medications is a groundbreaking text for massage students and practicing therapists alike. Written by a professional who has trained in both disciplines, this manual provides the basic pharmacology data a massage therapist needs. It includes information about common uses and effects of drugs, implications of how medications are administered, and client safety guidelines to incorporate into everyday practice.
About the Author
Randal (Randy) Persad graduated as a pharmacist from the University of the West Indies, Trinidad and Tobago campus, in 1986. He worked as a pharmacist and as a medical representative for a leading pharmaceutical company. When he moved to Canada a few years later, Randy encountered jurisdictional controls in pharmacy and decided instead to pursue his life-long interest in massage. He returned to school and completed the 2-year program at the Sutherland-Chan School & Teaching Clinic in Toronto. He became a registered massage therapist in 1991, and over the next few years built a private practice and worked at Sutherland-Chan as a teaching assistant and clinic supervisor. In 1996 Randy relocated to British Columbia. At that time B.C.'s massage therapy program was expanding to 3 years (3000 hours), and Randy was asked to help develop the province's new Massage and Medications curriculum requirement. He also created an accredited continuing education workshop on the same topic for practicing therapists. Currently, Randy directs the Registered Massage Therapy program at Utopia Academy in Vancouver. His company, Persad & Associates, provides continuing education workshops for massage therapists and educational consulting for massage programs.
Foreword 1
Outline 4
Learning Objectives 7
BASIC CONCEPTS AND GUIDELINES Chapter 1: Why Massage Therapists Need to Know How Medications Work 11 Chapter 2: Common Pharmaceutical Terms and Concepts 15
Drug Names 15
Drug Classification 16
Uses or Indications 18
Effects of Medications 19
Mechanism of Action 22
Half Life 25
Onset of Action 25
Bioavailability 26
Chapter 3: How Drugs are Administered to the Body 27
Oral Administraton 27
Application to Mucous Membranes 28
Topical Applications 29
Parenteral Administration 31
Implanted Catheters and Drug Pumps 34
Chapter 4: Drug Processing in the Body 37
Dissolving and Disassociating 37
Metabolism 38
Distribution 39
Elimination 41
Chapter 5: General Treatment Guidelines 43
Case History Form 48
Letter to Health Care Practitioner 53
COMMONLY PRESCRIBED MEDICATIONS AND TREATMENT PLANNING Chapter 6: Drugs for Managing Pain and Inflammation 79
Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) 79
Narcotic Analgesics 81 Skeletal Muscle Relaxants 84
Corticosteroids 86
Chapter 7: Drugs for Managing Cardiovascular Disease 97
Drugs that Improve Heart Function 101
Drugs that Increase Blood Vessel Diameter 104
Drugs that Alter Blood Coagulation Mechanisms 109
Drugs that Reduce Blood Volume 113
Drugs that Lower Blood Lipid Levels 115
Chapter 8: Drugs for Managing Diabetes Mellitus 125
Insulin Oral Hypoglycemic Drugs 131
Chapter 9: Drugs for Managing Respiratory Inflammation and Congestion 145
Drugs that Treat/Manage Allergic Reactions 148
Drugs that Increase Airway Diameter 150
Drugs that Manage Respiratory Congestion 153
Drugs that Suppress Coughing 154
Chapter 10: Drugs for Managing Mood and Emotional Disorders 163
Anti-Anxiety Medications 165
Antidepressants 168
Antipsychotic Medications 173
Chapter 11: Drugs for Managing Cancer 185
Antineoplastic Drugs 192
Antinausea or Anti-Emetic Drugs 199
Chapter 12: Drugs for Managing HIV/AIDS 209
Antiviral Drugs 213
Bibliography 226
Index 231
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