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Resources Al-Khafaji, Ali H. "Multiple Organ Dysfunction Syndrome in Sepsis: Background, Pathophysiology, Epidemiology." Medscape (updated January 27, 2020). overview. Al-Khafaji, Ali H. "How are Sepsis and Systemic Inflammatory Response Syndrome (SIRS) Differentiated?" Medscape (updated January 27, 2020). systemic-inflammatory-response-syndrome-sirs-differentiated. Bokhari, Amber Mahmood. "Bacterial Sepsis: Practice Essentials, Background, Etiology." Medscape (February 5, 2019). Faix, James D. "Biomarkers of Sepsis." Critical Reviews in Clinical Laboratory Sciences 50, no. 1 (March 2013): 23–36. Farkas, Joshua David. "The Complete Blood Count to Diagnose Septic Shock." Journal of Thoracic Disease 12, suppl. 1 (February 2020): S16–S21. Gritte, Raquel Bragante et al. "Why Septic Patients Remain Sick After Hospital Discharge?" Frontiers in Immunology 11, 605666 (February 2021). Huang, Min, Shaoli Cai, and Jingqian Su. "The Pathogenesis of Sepsis and Potential Therapeutic Targets." International Journal of Molecular Sciences 20, no. 21 (October 2019 ): 5376. ijms20215376. Mostel, Zachary et al. "Post-Sepsis Syndrome—An Evolving Entity that Afflicts Survivors of Sepsis." Molecular Medicine 26, no. 6 (December 2019). Nursing Times. "Post-Sepsis Syndrome: Overview of a Relatively New Diagnosis." (July 8, 2019). diagnosis-08-07-2019. Sepsis Alliance. "Losing Limbs to Sepsis: Limb Loss Awareness Month." April 1, 2019. losing-limbs-to-sepsis-limb-loss-awareness-month. Sepsis Alliance. "Post-Sepsis Syndrome." Updated January 21, 2021. sepsis-syndrome. Torrey, Trisha. "Sepsis and Septicemia Are Not the Same." Verywell Health. and-septicemia-2615130. a fever, and other symptoms can be scarily vague. It is far more likely that we might see a client who is recovering from sepsis rather than dealing with an acute infection. Some patients recover fully without long-term consequences, but as we have seen, the number of people with post-sepsis syndrome is increasing as survival rates for sepsis improve. Can massage therapy offer anything for a client with PSS? As always, the answer is, "It depends." Let's put this through a critical-thinking process to see where we land. Let's say we have a client with PSS, and their main complaints are about muscle weakness in their legs, severe low-back and neck pain, and milder joint and muscle achiness everywhere else. They want to see if massage therapy might help. Analyze the question. The client's goals are clear. What kind of massage therapy might improve symptoms of weakness and muscle and joint pain for this client with PSS? Identify relevant variables. Relevant variables in this situation include issues like whether they still have an active infection (delay massage until treatment is completed); what medications they use and the side effects of those medications; what their activities of daily living are—which gives us some ideas about their general energy levels and resilience; and finally, what their goals are and how to track whether they make progress. Other variables are more specifically related to their experience of PSS. Some of this will be revealed as you learn more about the client's experience. 40 m a s s a g e & b o d y wo r k n ove m b e r/d e ce m b e r 2 0 2 1

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