Pathology, Contraindications & Pharmacology

Lesson 12 of 18

Respiratory Conditions

Respiratory disorders affect breathing, oxygen exchange, or airway function. A client may need adjusted positioning, shorter sessions, or rest breaks, but acute breathing difficulty is not appropriate for routine massage. Contagious respiratory symptoms also raise infection-control concerns. Observe the client's usual capacity and respond promptly to changes.

Key points

• Asthma involves airway narrowing that may fluctuate; ask about triggers and the client's action plan.
• COPD may limit exertion and comfortable positioning; avoid compressing the chest or abdomen.
• Acute shortness of breath, bluish lips, confusion, or inability to speak normally requires emergency response.
• Fever, new cough, or suspected contagious infection may warrant postponing the appointment.
• Allow an upright or supported position if lying flat worsens breathing.
• Keep prescribed rescue medication accessible according to the client's plan; do not administer medication unless trained and authorized.

Key terms

Asthma

A condition involving variable airway inflammation and narrowing.

COPD

Chronic obstructive pulmonary disease, a group of persistent airflow-limiting disorders.

Dyspnea

Uncomfortable or difficult breathing.

Hypoxia

Insufficient oxygen availability at the tissue level.

Wheeze

A whistling sound that can occur with narrowed airways.