Long-Term Care Survey Alert

Tool:

These Indicators Can Help Tell You How a Resident Is Responding to Therapeutic Touch

Here's how you'll know that your touch is welcome, says skilled touch expert.

Positive Indicators (the person is responding to your attention and touch in a positive way)

• Body relaxation (i.e. shoulders drop, head drops forward, hands open, arms or legs uncrossed, mouth opens)

• Tight muscles soften/relax

• Sounds such as groans, "purr"

• Breath release or sigh

• Change in breathing pattern from chest to belly, fast to slow or irregular to regular

• Genuine smile

• Movement toward you

• Eye contact

• Stomach "gurgling"

• Change in skin color (from white to pink)

• Change in body temperature (from cold to warm)

• Emotional release or expression such as laughing, crying, talking

• Falling asleep, snoring

Negative Indicators (person is not responding well to your attention and/or touch)

• Holding or tightening of body parts

• Clenching fists and/or arm crossing

• Stiffening head or neck

• Clenching teeth or jaw

• Holding breath or change in breathing patterns from belly to chest, slow to fast

• Non-verbal "growl"

• Movement away from you

• Physical or verbal agitation Source: Ann Catlin, LMT, OTR www.compassionate-touch.org Handout from a presentation on skilled touch at the November 2009 American Association of Homes & Services for the Aging annual meeting.

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