1-11-12 Wednesday

ETHICS


3 broader goals of course: critical thinking skills, personal empowerment, resources/authorities

Professional Ethics
-Integrity: respect boundaries, high moral standards, respect
-Personal responsibility
-Self-accountability
-Self respect

Key Terms
-values: what is important to you
-morals: good/bad, right/wrong
-principles: values and morals in action
-ethics: system or rules of conduct
-laws: formal, societal rules of conduct with consequences
professionalism

2 cornerstone duties
-non-maleficence: do no harm
-beneficence: do good

Clients rights
-respect
-informed and prior consent
-self determination - choose or refuse
-safety/competency and confidentiality

Therapeutic relationships
-client centered: co-creation. Every MT action is in service to client, who has a voice.
-Fiduciary relationship: based upon trust
-Power differential: client trusts specialist with their well being

Psychological Concepts
-Transference (counter): client unconsciously redirects feelings from prior relationship with caretaker figure toward MT
-Projection: client or MT attributes their own (uncomfortable) feelings to MT.
-Repression: client or MT removes painful experience, feelings from consciousness
-Denial: distorted interpretation of events, often rationalizing a diminished impact of reality

-6 steps in resolution P.11


MFR
for next class be in 'assessment' clothes
Quiz:
different forces: torque, sheer, etc.
3 primary components: collagen, elastin, ground substance and their basic function
3 things fascia responds to: time, heat, pressure
soul purpose of MFR: relieve pain and restore function
describe basics of diaphragm unwinding
know all diaphragms and where they are
vasomotor response


PHYS/PATH

Trigeminal Neuralgia aka tic douloureux
: nerve pain along 1 or more of three branches of CN V
usually older people 60+
CN V is irritated, cause is questionable
artery or vein wraps around CN V as it emerges from pons
sharp, electric, burning pain/sensation
can last up to 2 min. or several jabs in succession
Type 1: sharp blasts of pain on one side face, related to mild trigger
Type 2: long lasting burning pain, ache, with occasional blots of severe pain
triggers: ? chew, swallow, speak, draft, light touch
Tx: rule out tooth infection, sinus
acupuncture, anticonvulsant drug, microvascular surgery

Guillain-Barre Syndrome : acute inflammation and destruction of myelin layers of peripheral nerves (loss of feeling)
kind of like MS but after viral infection usually
-worry when it gets to diaphragm, no breathing
on both sides
starting distal, legs, moving proximal
S&S: symmetrical, fast, severe onset, reflex diminished, S&S are distinct, most have full recovery if they don't die (5-7%)

Headaches
-most self contained temporary problems
-some have serious underlying conditions
Types
-primary (freestanding) vs. secondary (symptom of another problem)
Tension-type HA: most common 90-92%
-mm tension, bony misalignment
-episodic or chronic
Vascular HA
-migraine - vasoconstriction
classic and common
trigger- weather, stress, food, hormones
cluster HA aka suicide HA: more common in men
sinus HA: allergy, infection
chemical HA: alcohol (hangover), decrease blood sugar, rebound HA med overusage
traction inflammation HA: tumor etc.
Tx- trigger management and journal


Meniere Disease
-inner ear dysfunction
*S&S: vertigo, tinnitus (ringing in ear), hearing loss, (fullness in middle ear)
mostly younger 20-50
men=women
causes? autoimmune, rupture in labyrinth ?
onset is fast
similar symptoms as neuroma - tumor, MS
Tx- BP management


Seizure Disorder: interconnecting neurons in brain give off bursts of energy
lots of triggers
causes: could be many things

partial seizures
generalized seizures
-absence seizure
-status epileptieus
diag. EEG, CT, MRI
tx. meds, diet


Sleep disorders: trouble sleeping
not sleeping=not healing
melatonin=sleep
cortisol?=wake
sleep cycles
Types:
-parasomnia: disrupts sleep (night terrors)
-dyssomnia: can't initiate, maintain sleep
-insomnia: apnea: no breath; central sleep apnea
-restless leg syndrome
-narcolepsy: sleeping attacks

circadian rhythm disruption
-certain times of days for certain things day/night rhythms
tired, irritable, grumpy, mood
tx: sleep hygiene, no caffeine, exercise

Vestibular Balance disorder
vertigo
CN VIII
vomit, dizzy
benign paroxysmal -- -- ?
labyrinthitis

meneirs disease
head injury
drugs, tumor, stroke
one S&S nystagmus: eyes move back and forth


Things for celebration:
CN: names and numbers and function
2 disease of CN, which, symptoms, who gets them
ear: 3 chambers, fluid inner, tympanic membrane, 3 bones, virtation? tube to equalize pressure
parts and function of eye: cornea, lens, sclera choriod retina, white part of eye, cone, rodss
action potential parts and players and relation
synapse: neurotransmitters
adrenergic? and coloergic?
nicotini? and muscoinic?
structure of nerve
meningines order and layer
corpus colosum; connect right and left
giri, sulcus, lobes and function
limbic system function
3 parts of brain stem and function
diencephalon
afferent/efferent-dorsal vs. ventral horn, reflex arch and parts
ventricles: function: produce cerebral spinal fluid
alzeimers, parkinsons, gillian berrie, meyer? disease, spina bif, polio and ms difference, stroke, key age groups ms/trigen