To stimulate the circulation and give general relief, To prevent bedsore & To give comfort to the patient.

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Back Care
I. Purpose
1. To stimulate the circulation and give general relief.
2. To prevent bedsore
3. To give comfort to the patient.
II. Equipment
Alcohol 25%
Talcum powder
Bath towel
III. Procedure
1. Help the patient to turn on his abdomen or on his side with his back toward the
nurse and his body near the edge of the bed so that he is as near the operator as
possible. If the supine position is used and the patient is a woman, pillow under
the abdomen removes pressure from the breasts and favor relaxation.
2. Raise the camisa and gown.
3. Apply to back rubbing lotion or talcum powder to reduce friction. In rubbing the
back use firm long strokes and kneading motions. The amount of pressure to
exert depends upon the patient’s condition. Begun from neck and shoulders then
proceed over the entire back.
4. Massage with both hands working with a strong stroke. In upward than in
downward motions. Give particular attention to pressure areas in rubbing
(Alcohol 25%) to 50% is generally used for its refreshing effect, but rubbing lotion
may be used.)
5. Powder again the area at the completion of the rubbing process which should
consume from 3-5 minutes.
6. Turn patient on his back and put on camisa or gown.
7. Fix and make patient comfortable.

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Movements Used
1. Effleurage (stroking—is a long sweeping movement with palm of hand
conforming to the contour of the surface treated, over small surface (on the
neck) the thumb and fingers are used. Strokes should be slow, rhythmical and
gentle with pressure constant and in the direction of venous stream.
2. Kneading—performed with the ulnar side palm resting on the surface and the
fingers, and thumble grasping the skin and subcutaneous tissues which move
with the hand of the operator.
3. Friction—is performed with the whole palmar surface of the hand or fingers and
thumbs over limited areas. This movement is a circular from of kneading with
pressure against the underlying part of tissue which cannot be grasped.