Which technique should be avoided if a client is taking medication that weakens tissue integrity?

When working with clients whose tissue integrity may be compromised due to medication, it's crucial to choose techniques that are gentle and supportive of their condition. Skin rolling and wringing involve manipulating the skin and underlying tissues in a more vigorous manner, which could increase the risk of damage or bruising in tissues that are already weakened. This technique involves pulling and lifting the skin, which can place undue stress on delicate structures.

In contrast, techniques such as effleurage, petrissage, and tapotement may be applied with varying degrees of intensity but can generally be modified to ensure safety. Effleurage is a gentle gliding stroke, petrissage involves kneading which can be adjusted for firmness, and tapotement consists of rhythmic percussive movements that can also be performed with light intensity. Therefore, skin rolling and wringing are best avoided in this scenario to prevent further issues and to maintain the client's safety and comfort.