What Makes Hospital-Based Massage Therapy Work? A Panel .
What Makes Hospital-BasedMassage Therapy Work?A Panel DiscussionPart 6 of the webinar series,“Hospital-Based Massage Therapy:Successes, Challenges, and Sound Advice”with Tracy Walton1Hospital-Based Massage Therapy: Successes,Challenges, and Sound AdviceTracy WaltonMS, LMTResearcherWriterEducatorOncology massage specialist2Hospital-Based Massage Therapy: Successes,Challenges, and Sound AdviceSpeakers will: Answer questions and provide guidance in hospital-basedmassage therapy Share hard data that have helped move massage therapytoward the standard of care Tell inspiring patient stories from in-hospital massage services Describe strategies for communicating and collaborating withmedical staff31
Featured HospitalsKaren ArmstrongBeaumont Health SystemsRoyal Oak, MIBriane PinksonDartmouth-HitchcockMedical CenterLebanon, NHCarolyn TagueCalifornia PacificMedical CenterSan Francisco, CASat Siri SumlerMD AndersonCancer CenterHouston, TXPaula GardinerBoston Medical CenterBoston, MA4Roadmap for Webinar General Resources in Hospital-Based MassageCompare & ContrastThemesQuestions for the Panel– Previous questions– New questions Research Resources5Resources in Hospital-BasedMassage Therapy Associations/Organizations Publications Research62
Resources in Hospital-Based Massage Therapy ACCAHC—Academic Consortium forComplementary and Alternative Health Care– Clinical Care Working Group (CWG)– Hospital-Based Massage Therapy (HBMT)Subgroup– Contact MK Brennan, MS, RN, LMBT, with info onyour program to share brennanmk@aol.com– ACCAHC Info, Conferences at www.accahc.org7Resources in Hospital-Based Massage Therapy Society for Oncology Massage– Sets standards for oncologymassage education– Lists hospitals providingoncology massage– Oncology Massage Healing SummitApril 19-21, 2013Northwestern HealthSciences UniversityMinneapolis, MNwww.s4om.org8Resources in Hospital-Based Massage Therapy Massage Therapy Foundation– Funds research– Funds community service– Education– Research literacy (online and face to face iontrainingsolutions.com93
AMTA Career Success Series “Working in a Health Care Environment”A guide from the AMTAFree downloadAvailable s/amta health care guide.pdfwww.amtamassage.org10Hospital-Based Massage NetworkAssociation of hospitals/individuals sharing information aboutprogramsDirected by Laura KochExtensive resourcesData collectedSample HBMT proposals in Exploring Hospital-Based MassageAvailable at Natural Touch ces in Hospital-Based Massage TherapyBooksMacDonald, G.Massage for the HospitalPatient and Medically FrailClient124
Resources in Hospital-Based Massage TherapyBooksMacDonald, G. Medicine Hands:Massage Therapy for People withCancerWible, J. Drug Handbookfor Massage TherapistsWalton, T. Medical Conditions andMassage Therapy13Resources in Hospital-Based Massage TherapyBooksDryden, G. and Moyer, C.Massage Therapy: IntegratingResearch and PracticeMenard, MB.Making Sense of Research: A Guideto Research Literacy forComplementary Practitioners (2e)145
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Notes about the program at Boston Medical Center2
Notes about the program at MD Anderson Cancer Center3
Notes about the program at Dartmouth-Hitchcock Medical Center4
Notes about the program at Beaumont Health Systems5
Notes about the program at California Pacific Medical Center6
Comparing Programs15Distribution and VolumeDr. Paula GardinerSat Siri SumlerBriane PinksonKaren ArmstrongCarolyn TagueBMCBoston, MAMDACCHouston, TXDHMCLebanon, NHBHSRoyal Oak, MICPMCSan Fran, CAAdditionalcontractorsInfusion roomChair massageOutpatient clinicStaff tricBirthing PavilionPediatrics/ICUAdult ICUCardiac FloorNeurologyNeuroscienceOutpatient chair ienceCardiac CareRehabEmergencyHospicePain unitOncologyAcute rehab(stroke, TBI, alliative Care(Everywhere butPsych & ER)2,700 sessions/yrfrom FT/PT staffPlus hrs done bycontractors 1,076 inpatientsessions/yr; 2,500 chairmassage sessions/yr10,800-13,200 1-hroutpatientsessions /yr360-450 short (1530-min) tient: 2,500/yrRad Onc & Chemovariable duringinternshipPall care 4 hrs/wkAmb Care 4 hrs/wkTable massage forstaff 2 hrs/wkChair massage forstaff 8 hrs/wkInfant massageinstruction 10families/wkInpatient &Outpatient:2 FT MTs1 PT MT 900 sessions/yrpaid 700-800sessions/yrinternship inrad/onc & chemo16CompensationDr. Paula GardinerSat Siri SumlerBriane PinksonBMCBoston, MAMDACCHouston, TXDHMCLebanon, NHInterns:No compensationContractors: 40/hrContractors: 55/hrSalaried FT:Base payrange 41K-68K;Benefits for midrange (52.5K) additional 15KKaren ArmstrongCarolyn TagueBHSRoyal Oak, MICPMCSan Fran, CAInterns:No CompensationInterns:No CompensationContingent(non-benefited)Employees: 26-36/massagePer DiemEmployees(Associates): 30-65/hrFT & PTBenefitedEmployees: 16-21/hr plusbenefitsSalariedEmployees: 30-65/hr(Bay area-wide levelof compensation forHBMT)Contractors: 35/hrSalaried PT HealingArts Practitioner: 25/hr plus benefits171
FundingDr. Paula GardinerSat Siri SumlerBriane PinksonKaren ArmstrongCarolyn TagueBMCBoston, MAMDACCHouston, TXDHMCLebanon, NHBHSRoyal Oak, MICPMCSan Fran, CAInternship ProgramTuitionSmall grants(Massage TherapyFoundation,Muscular TherapyFoundation)Fee for servicerevenue (small)PhilanthropyGeneral hospitalrevenueOutpatient fee forserviceSmall grants(Angie’s Spa)Grateful patientfundsInstitutionalsupportNursing budgetPalliative carebudgetPhilanthropic“Prouty Run”fundraiserFee for Service(Outpatient inpt)Small grants(private/community,Children’s MiracleNetwork)Donations (gratefulpatient)Internship tuitionPhilanthropic(general fundraisingfor all integrativeprograms)Internship tuitionFee for serviceinpatientsOutpatient fee forservice (selfsustains)Most massage isfreeOutpatient is fee forservice ( 5- 30/session donationStaff is 50/sessionAll inpatientmassage is freeOutpatient is fee forservice ( 60/hr)All inpatient andchair massage isfreeNo outpatient tablemassageOutpatient sessionsfee for service( 60/hr)Inpatient sessionsfee for service( 1/min.)Minimal freemassageInpatient massageFirst session fromstaff is free, afterthat, 40- 60suggested donationOutpatient fee forservice18Themes ChampionsOutcomesFree vs. Fee for ServiceFunding/SustainabilityThree pillarsClinical ServicesResearchEducation Getting help/self-help19Questions from Participants Lubricant? Any aromatherapy?More research?Protocols?What do I do? How do I start? What does it take?202
Karen ArmstrongBeaumont Health SystemsRoyal Oak, MIBriane PinksonDartmouth-HitchcockMedical CenterLebanon, NHCarolyn TagueCalifornia PacificMedical CenterSan Francisco, CASat Siri SumlerMD AndersonCancer CenterHouston, TXPaula GardinerBoston Medical CenterBoston, MA21Research Resources:Tips for Using Researchto Promote HBMTwww.pubmed.gov (published research)www.clinicaltrials.gov (research in progress)When searching at these sites:Avoid “massage therapy” “hospital-based”Instead, search by condition or treatmentMassage therapy cancerMassage therapy strokeMassage therapy migraineMassage therapy back pain22Research(some favorites)Mitchinson AR, Hyungjin MK, Rosenberg JM, Geisser M, Kirsch M, Cikrit D,Hinshaw DB. Acute postoperative pain management using massage as anadjuvant therapy: a randomized trial. Arch Surg 2007;142(12):1158-1167Grealish L, Lomasney A, Whiteman B. Foot massage. A nursing intervention to modifythe distressing symptoms of pain and nausea in patients hospitalized with cancer.Cancer Nurs. 2000 Jun;23(3):237-43.Post-White J, Kinney ME, Wavik K, Gau JB, Wilcox C, Lerner I. Therapeutic massage andhealing touch improve symptoms in cancer. Integrative Cancer Therapies2003;2(4):332-44.Jane SW, Chen SL, Wilkie DJ, Lin YC, Foreman SW, Beaton RD, Fan JY, Lu MY, Want YY,Lin YH, Liao MN. Effects of massage on pain, mood status, relaxation, and sleep inTaiwanese patients with metastatic bone pain: a randomized clinical trial. Pain152(2011) 2432-2442.Cassileth BR, Vickers AJ. Massage therapy for symptom control: outcome study at amajor cancer center. Journal of Pain and Symptom Management Sep 2004;28(3):244-9.233
Mitchinson et al. (2007)Sample size: 605 veteransUndergoing major surgeryProcedure: up to five 20-min back massagesControls: Individual attention, routine careFindings. Compared to controls, massageassociated with: Pain Short-term anxiety24Grealish L et al. (2000)Sample size: 87 inpatientsProcedure: 10-min foot massageControl: Quiet timeFindings. Compared to control, massageassociated with: Pain Nausea Relaxa on25Post-White et al., 2003Sample size: 164 outpatients in chemotherapyControl/Comparisons: Standard care, Healing Touch,Caring presenceFindings. Compared to control, massage associatedwith: Anxiety Pain Analgesic use Mood RelaxationNo change in nausea (!)264
Cassileth and Vickers, 2004Sample size: 1290 in- and outpatientsControl: NoneProcedure: 20-60 min. massageFindings. Compared to pre-massage values,post-massage values suggested:Pain 40%Nausea 21.2%Fa gue 40.7%Anxiety 52.2%Depression 30.6%27Jane et al, 2011Sample size: 84 inpatientsControl: attentionProcedure: 45 min. massage (3 sessions)Findings. Compared to control, massageassociated with:Pain Mood status improvedMuscle relaxa on 28Research ReferencesCassileth BR, Vickers AJ. Massage therapy for symptom control: outcome study at a major cancer center. Journalof Pain and Symptom Management Sep 2004;28(3):244-9.Corbin L. Safety and efficacy of massage therapy for patients with cancer. Cancer Control Jul 2005;12(3):158-164.Ernst E. Massage therapy for cancer palliation and supportive care: a systematic review of randomised clinicaltrials. Support Care Cancer. 2009 Jan 13.Grealish L, Lomasney A, Whiteman B. Foot massage. A nursing intervention to modify the distressing symptomsof pain and nausea in patients hospitalized with cancer. Cancer Nurs. 2000 Jun;23(3):237-43.Jane SW, Chen SL, Wilkie DJ, Lin YC, Foreman SW, Beaton RD, Fan JY, Lu MY, Want YY, Lin YH, Liao MN. Effects ofmassage on pain, mood status, relaxation, and sleep in Taiwanese patients with metastatic bone pain: arandomized clinical trial. Pain 152(2011) 2432-2442.Jane SW, Wilkie DJ, Gallucci BB, Beaton RD. Systematic review of massage intervention for adult patients withcancer: a methodological perspective. Cancer Nurs. 2008 Nov-Dec;31(6):E24-35. Review.Kutner J, et al. Methodological challenges in conducting a multi-site randomized clinical trial of massage therapyin hospice. Journal of Palliative Medicine 2010: 13:6;739:744. Click here for an abstract.Kutner J, et al. Massage therapy versus simple touch to improve pain and mood in patients with advanced cancer.Annals of Internal Medicine: September 16, 2008; 149:6;369-380.Lu W, Ott MJ, Kennedy S, Mathay MB, Doherty-Gilman AM, Dean-Clower E, Hayes CM, Rosenthal DS. IntegrativeTumor Board: a case report and discussion from Dana-Farber Cancer Institute. Integr Cancer Ther. 2009Sep;8(3):235-41.295
Research References, continuedMenard MB. Making Sense of Research (2nd ed). Toronto: Curties-Overzet Publications, 2010.Moyer, C, et al. Does massage therapy reduce cortisol? A comprehensive quantitative review. Journal ofBodywork & Movement Therapies (2011)15:3-14.Moyer C, et al. A meta-analysis of massage therapy research. American Psychological Association, Inc.2004;130(1):1,3-18.Myers C, Walton T, Small B. The value of massage therapy in cancer care. Hematology/Oncology Clinics of NorthAmerica 2008;22:649-660.Phipps S, Barrera M, Vannatta K, Xiong X et al. Complementary therapies for children undergoing stem celltransplantation: report of a multisite trial. Cancer 2010 Jul 12. (Epub ahead of print)Phipps S, Dunavant M, Gray E, Rai SN. Massage therapy in children undergoing hematopoietic stem celltransplantation: results of a pilot trial. Journal of Cancer Integrative Medicine 2005;3(2):62-70.Phipps, S. Reduction of distress associated with paediatric bone marrow transplant: complementary healthpromotion interventions. Pediatric Rehabilitation 2002;5(4):223-34.Post-White J, Kinney ME, Wavik K, Gau JB, Wilcox C, Lerner I. Therapeutic massage and healing touch improvesymptoms in cancer. Integrative Cancer Therapies 2003;2(4):332-44.Walton T. "Massage Research in Massage Practice," in Medical Conditions and Massage Therapy: A Decision TreeApproach. Philadelphia: Lippincott Williams & Wilkins, 2011.30THANK YOU,Paula, Sat Siri, Briane, Karen, Carolyn!--from ALL OF US31We b i n a r s Av a i la b le O n D e m a n dOther Webinars with Tracy Walton Massage in Cancer Care More About Cancer & Massage Cardiovascular Conditions & MassageAll Webinars Available at www.BenBenjamin.com326
We b i n a rs Avai lab le O n D e m a n dDr. Ben BenjaminUnraveling the Mystery Series: Low Back Pain Cervical Pain Shoulder Pain Knee Pain Ankle Pain Hip & Thigh Pain Orthopedic Approaches to UpperBody DisordersOrthopedic Approaches toLumbo-Pelvic PainCarole Osborne Tom Myers Whitney LowePregnancy Massage 101Anatomy Trains:Clinical Applications ofMyofascial MeridiansBeyond Good PostureAnd Many More Tracy Walton Massage in Cancer CareCardiovascularConditions & MassageHospital-Based MssageAll Webinars Available at www.BenBenjamin.com33JOINThe Benjamin InstituteE-Mailing List&Receive a FREE Ebookon the Low Back34Keep Learningwww. BenBenjamin.com/Webinars.php357
Pediatrics PICU Orthopedics ICU Palliative Care (Everywhere but Psych & ER) 900 sessions/yr paid 700-800 sessions/yr internship in rad/onc& chemo 2,700 sessions/yr from FT/PT staff Plus hrs done by contractors 1,076 inpatient sessions/yr; 2,500 chair massage sessions/yr 10,800-13,200 1-hr outpatient sessions /yr 360-450short (15-30-min .
Y to schedule your massage appointment with our Massage Therapist. Member: Nonmember: 30 - 30 minute massage 35 - 30 minute massage 50 - 60 minute massage 60 - 60 minute massage 85 - 90 minute massage 95 - 90 minute massage PERSONAL WELLNESS TRAINING (YOUTH & ADULT) One-on-on
CROSSFIT (Mamaroneck, NY) Contact: Megan Vizzari e-mail: crossfittheflats@gmail.com phone: (914) 548-8854 . Swedish Massage, Sports Massage, Trigger Point Massage and Stretch Massage . o Specialty Services - Armaritual Therapy, Himalayan Salt Stone Massage, Hot Stone massage, Prenatal Massage and Cupping Therapy
The term “massage therapy” encompasses many techniques, and the type varies by a patient’s needs and physical conditions. 1 Common types include Swedish massage, deep tissue massage, sports massage, and chair massage. 2,3 In general, massage therapists treat patients by using touch to manipulate the muscles and other soft tissues of the body.
Massage your scar. This massage is only if you have had surgery. Do not massage until three weeks after surgery. Do not massage until all staples and clips have been removed. Your scar may feel very sensitive, tight or itchy. Scar massage will help reduce these feelings. This massage helps soften the scar and allows better blood flow to the area.
PL012 Prospera Massage Pen . pen massager . Relax at the office with Prospera's Massage Pen. Prospera's stylish massage pen is a ball-point pen, with a battery-operated massage function in its rubber -capped end. Your face, neck, shoulders and back will sigh with relief when you sooth them with the Prospera Massage Pen. An
Pre-requisite training oncology massage Cancer hospice and HIV training CME course at a massage school CME course and Walton Oncology Massage training Walton Oncology Massage training only No formal training Not specified 1 (5) 3 (16) 4 (21) 8 (42) 2 (11) 1 (5) Table 1. Demographics and Experience of Massage Therapist Participants (N 19) Mean .
TRAINEE MASSAGE THERAPIST - AMBER BEAUTY SALON BASED W1H 5TJ LEVEL 3 MASSAGE THERAPIST APPRENTICESHIP Job Description: Build relationships with clients that enter the salon Answer the telephone in a professional manner With training undertake: Full body massage, Swedish massage, Aromatherapy massage, Indian Head massage. Personal Skills:
TRAINEE MASSAGE COMPANY CALLED CJ O'SHEATHERAPIST - CUCUMBA SALON BASED W1F 8QB LEVEL 3 MASSAGE THERAPIST APPRENTICESHIP Job Description: Build relationships with clients that enter the salon Answer the telephone in a professional manner With training undertake: Full body massage, Swedish massage, Aromatherapy massage, Indian Head massage.
