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Guidelines for Massage Therapists by Donna Williams  This
article provides the reader with guidelines for massage therapists
who wish to aid cancer patients. Williams writes that cancer is defined
by "site, stage, type and grade." Understanding the client's
type and stage of cancer is essential information for the therapist
wanting to help the cancer patient. The concern has been that massage
might exacerbate metastatic cancer. In fact, the author points out
that no studies exist that conclude massage is contraindicated. Some
oncologists suggest relaxation massage. However, the cancer site should
be avoided. Deep tissue techniques should not be used. Other limitations
are discussed as well. Williams discusses "the cancer process,"
the four stages of treatment: "diagnosis/pre-treatment, treatment,
post-treatment/survivorship and advanced disease/relapse," and
what to expect of a client's physical and emotional condition in each
stage. The article concludes with a discussion of the "stages
of pain," and how the therapist can provide the client with relief
from stress, emotional release and a time of relaxation, as well as
relief from physical symptoms such as edema and nausea.
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