What is a common reason to pause or modify MLD during a session?

• A. Patient discomfort, dizziness, or pain; signs of intolerance or skin irritation
• B. Weather changes
• C. Diet changes
• D. Time of day

Answer: (A)

During MLD, safety and how the client is tolerating the work come first. The most common reason to pause or modify is if the client experiences discomfort, dizziness, or pain, or shows signs of intolerance such as skin irritation. These responses mean the current pressure, pace, or position may be too much or not well suited to that moment, so stop to reassess. Check the client's comfort, breathing, and circulation, adjust the position and reduce the pressure or rate, and ensure the skin is well lubricated. After the client rests and symptoms subside, resume with gentler contact and slower drainage, or end the session if symptoms persist. Weather, diet changes, or time of day don’t typically require pausing the session; they may influence overall comfort, but the immediate trigger is the client’s intolerance signs.