Prevention of Medical Errors in a Massage Practice - Massage Magazine

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Image shows yellowish  "caution" portion    with the connection     "error" repeated connected  it, successful  bid   to exemplify  the conception  of aesculapian  errors.

Massage therapy is mostly considered to beryllium 1 of the safest wellness attraction practices disposable successful modern medicine; however, it is imaginable for a massage therapist to perpetrate a aesculapian mistake if they execute an erroneous prime oregon action. This nonfiction volition look astatine the prevention of aesculapian errors successful a massage practice.

In massage-related practice, applying the incorrect method would beryllium considered a aesculapian error; this would autumn nether the explanation of “misapplication.” Another imaginable mistake is erstwhile the massage exertion itself created a harmful effect. While massage therapy aesculapian errors seldom effect successful important bodily harm, it is captious to debar error.

Medical Errors Training is simply a Frequent Licensure Requirement

It is estimated that hundreds of thousands of medical errors hap successful the U.S. each year. Medical errors tin beryllium minimal, grave, singular, compounding, harmful, not harmful, realized, unrealized, adjacent misses and more. The astir catastrophic aesculapian errors tin effect successful death.

Because of the fig of errors, and the superior implications that tin effect from them, galore states and licensing boards necessitate wellness attraction professionals to implicit aesculapian errors prevention grooming to get and renew their licensure. 

Medical Errors successful Massage vs. Mainstream Medicine

Recognizing aesculapian errors successful massage signifier is antithetic from recognizing them successful mainstream medicine. Massage therapists bash not perpetrate the astir communal aesculapian errors, specified arsenic a delayed diagnosis, misdiagnosis oregon erroneous medicine administration, due to the fact that nary of these are wrong a scope of massage therapy practice.

While mainstream medicine mightiness usage a humor test, X-ray oregon exploratory country to find therapeutic interventions, a massage therapist chiefly relies connected communication, which includes learning the client’s idiosyncratic aesculapian concern for application. Client communications are captious to find the close techniques and guarantee the massage itself is appropriate.

The Most Common Massage-Related Medical Errors

In an extended reappraisal of published lawsuit reports, probe and ineligible action, our schoolhouse recovered the top magnitude of massage-related aesculapian errors occurred for 2 superior reasons:

1. Dismissing, not initiating and not actively engaging successful client communications.

2. Improper massage application, apt owed to inadequate grooming oregon planning.

While this nonfiction focuses connected these 2 superior causes, further massage-related aesculapian errors tin hap from incomplete grounds keeping, operating extracurricular of scope of practice and more.

Massage-Related Medical Errors Due to Inadequate Client Communications

One illustration of a preventable aesculapian mistake is simply a lawsuit wherever a therapist dismissed a client’s feedback that a stone was excessively hot during a blistery chromatic massage. The lawsuit was severely burned and sued aft the therapist assured them otherwise.

Another instance of a therapist dismissing lawsuit feedback resulted successful a astir $800,000 fiscal award. The lawsuit suffered from hematomas, a recently diagnosed ruptured disc with lumbar radiculopathy, and different injuries.

In the lawsuit, the customer, who was a licensed physician, stated she provided repeated verbal and nonverbal connection that the massage wounded and the unit was excessively hard. The therapist ignored her communications and continued the achy treatment.

The expert who testified connected behalf of the massage recipient additionally reported that the therapist did not initiate oregon prosecute successful communications with this lawsuit who was caller to massage and did not cognize what to expect.

Takeaway: Initiating, listening to and responding to lawsuit feedback could person helped debar this harmful error.

In different lawsuit, besides pertaining to a concern wherever due communications were not provided, an mishap unfortunate was expected to person rehabilitative attraction that was paid for by insurance. The therapist did not pass immoderate massage plans oregon goals, and it was insinuated by the lawsuit that the sessions were solely provided for exploitive fiscal gain.

Takeaway: Communicating a treatment plan with attainable goals and past reporting palpable changes successful symptom thresholds oregon hypertonic musculature could person helped found the treatment’s therapeutic and rehabilitative nature.

Improper Research Can Contribute to Medical Errors

Social media has provided platforms for massage therapists to scope retired to inquire questions astir lawsuit attraction and exertion techniques. Often, determination is not capable lawsuit item for commenters to supply capable advice.

Google searches and seeking proposal from strangers could supply incomplete, erroneous and unreliable information, which tin lend to mediocre readying and a aesculapian error.

Medical Error Examples Due to Massage Therapy Misapplication

In 1 case report, a 67-year-old antheral was recently diagnosed with venous thromboembolism aft a vigorous heavy insubstantial massage.

Takeaway: Applying assertive and excessive massage techniques wrong the geriatric population is often ill-advised, and could effect successful a life-threatening wounded similar this example.

In another event, vigorous massage was applied to a 62-year-old antheral who was taking the medicine Warfarin. This resulted successful a painfully ample 8-inch by 5-inch hematoma connected his back. He was hospitalized with orthostatic hypotension, flimsy anemia and required a humor transfusion. 

Takeaway: This massage was excessively assertive and excessive for the client’s aesculapian condition. Professional massage grooming urges america to usage airy unit lone connected clients taking humor thinners similar Warfarin, Heparin, Xarelto and Eliquis.

In yet different misapplication, a 51-year-old pistillate learned successful the exigency country that her ureteral stent was displaced aft experiencing terrible and recurrent left-flank symptom consequent to her heavy insubstantial massage, which included Rolfing techniques. Ureteral stents are not displaced with accepted massage application.

Takeaway: A thorough lawsuit intake process could person elucidated this uncommon contraindication to debar heavy penetrating massage implicit the section area.

There are several documented blistery chromatic massage incidents that see third-degree burns with keloid scarring. These resulted erstwhile massage therapists told clients to laic straight connected apical of blistery stones successful summation to laying placement stones straight onto the clients’ skin.

Takeaway: Updated blistery chromatic massage acquisition warns of the burn wounded risks with these practices.

While each of these clients whitethorn person benefited from massage practice, the attraction provided was incorrect, and resulted with important effect for each parties involved.

For Prevention of Medical Errors, Seek Ongoing Education successful Methods Practiced

Like each wellness attraction practices, massage therapy methods continually germinate to amended outcomes. Updated professional acquisition should beryllium sought to larn methods that are not harmless oregon effective.

Continuing acquisition tin reappraisal caller discoveries, techniques, precautions, contraindications and more. Massage therapists should continually bid successful their respective modalities to supply the champion disposable attraction and forestall avoidable aesculapian errors.

Medical Errors Are Often Preventable and Sometimes Debated

Some wellness attraction professionals disagree astir the quality of a existent aesculapian error. Beyond the statement is the ongoing effort to not origin harm.

Medical errors are immense and see incidents that tin beryllium illuminating. Self-awareness and self-assessment tin amended information and foster lifelong learning with the acquisition of experiential wisdom.

The incidents described successful this nonfiction tin beryllium interpreted successful galore ways. Regardless of the ineligible outcomes, the undeniable statement is that these aesculapian mistake examples were preventable. That is wherefore aesculapian errors prevention acquisition is important to becoming the champion supplier you tin be, to bash nary harm.

Wendy Hoon LangenWendy Hoon Langen

About the Authors

Selena BelisleSelena Belisle

Wendy Hoon Langen is simply a licensed doc adjunct and massage therapist who presently works arsenic a Barry University Associate Professor successful the Physician Assistant Program. Selena Belisle is simply a retired nonrecreational athlete, licensed massage therapist and laminitis of CE Institute LLC. Combined, they connection implicit 60 years of massage therapy acquisition successful their classes astatine CeInstitute.com arsenic NCBTMB approved continuing acquisition providers.

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