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    Learn Soft Tissue Manipulation Skills: The Medical Massage Practitioner’s Guide
    Learn Soft Tissue Manipulation Skills: The Medical Massage Practitioner’s Guide
    Learn Soft Tissue Manipulation Skills: The Medical Massage Practitioner’s Guide
    Ebook190 pages1 hour

    Learn Soft Tissue Manipulation Skills: The Medical Massage Practitioner’s Guide

    By Awilda Pelaez and Raymond Aaron

    ()

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    About this ebook

    This book was written as a guide to massage therapists that are inspired to grow their business, make accurate assessments, and formulate personalized treatment strategies.
    LanguageEnglish
    PublisherBookBaby
    Release dateSep 29, 2022
    ISBN9781772775167
    Learn Soft Tissue Manipulation Skills: The Medical Massage Practitioner’s Guide

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      Book preview

      Learn Soft Tissue Manipulation Skills - Awilda Pelaez

      PHASE 1

      Chapter 1

      Establishing Your Practice

      Scope of Practice

      I am licensed in New York State, and in my state, massage therapists are licensed as health care professionals and have the same responsibility to provide assessment and treatment services within their scope of practice as do other health professionals, e.g., physicians, nurses, physical therapists. Practicing in NYS without a massage therapist license is a class E felony punishable by up to four years in prison, under the New York education law 7801 and 7802.

      I urgently recommend you find what the scope of practice is in your state or country. And I encourage you to keep records of your updated license(s) and continue education courses just in case you get randomly audited.

      Scope of practice refers to the things a healthcare professional is allowed to do under their license and is clearly defined by national standards in the United States to protect the health, safety, and welfare of the public.

      Massage therapists will accurately inform clients, other health care practitioners and the public regarding the scope of their discipline and will represent their personal qualifications honestly, including education, experience, and professional affiliations upon request or in advertising.

      Massage therapists may work in one or more of the following areas: therapeutic or relaxation massage: to promote wellbeing, improve sleep, treat anxiety, tension, and enhance a range of systemic body functions such as circulation.

      Massage therapists also have a fiduciary responsibility to act on the best interests of their clients. Therefore, let us use our experience and knowledge to treat our clients honestly and confidently to the best of our abilities.

      Ethics and Standards

      Massage therapists must abide by professional conducts, principles, and guidelines. They are the behaviors, manners, and attitudes we must have every time with each client. The codes of ethics and standards of practice are as follows:

      •Commitment to high quality of service

      •Commitment to do no harm

      •Commitment to honest representation of qualifications

      •Commitment to uphold the inherent worth of all individuals

      •Commitment to respect client dignity and basic right

      •Commitment to informed consent

      •Commitment to confidentiality

      •Commitment to personal & professional boundaries

      •Commitment to honesty in business

      •Commitment to professionalism

      Professional ethics is also defined as the principle that governs the behavior of the person or group business environment. Like values, professional ethics provide rules on how a person should act toward other people and institutions in such an environment. These principles are: principles of justice, principle of beneficiation, principles of nonmaleficence, principles of accountability, principle of fidelity, principle of autonomy, and principles of veracity.

      In addition, your professional relationship with each client must be strictly confidential, respecting above all his/her rights to privacy. You must also adhere to the therapeutic treatment’s boundaries, which include transfer counter, transfer dual relationship informed, consent right of refusal and scope of practice.

      Additionally, the principles incorporating the characteristic and value that most people associate with ethical behavior are: honesty, integrity, promised keeping, trustworthiness, loyalty, fairness, concern for others, respect for others, law abounding, commitment to excellence, leadership, reputation, morals, and accountability.

      I hope you always strive to be a person of excellence and of great character, with outstanding behavior, good intentions, and fullness of integrity. Our clients rely on us and seek our services to get better. We should never abuse this trust and confidence!

      Professional Boundaries

      There is a very thin line between what’s ethical and what’s legal and you have to be careful not to cross it. As a massage practitioner it is crucial to keep boundaries. The most common boundaries are:

      Physical Boundaries: you can create limits on how and when you are touched. As well as who you’re comfortable touching.

      Emotional or Mental Boundaries: protect your right to have your own feelings or thoughts, to not have your feelings criticized or invalidated, or not having to take care of other people’s feelings.

      Professional Boundaries: are the limits to the relationship of a member, or staff and a person in their care which allow for safe, therapeutic connection between the staff member and that patient, protecting both the staff and patient.

      Social Boundaries: are objective forms of social differences manifested in unequal access to and unequal distribution of resources and social opportunities.

      Time Boundaries: the beginning and ending of a block of time set aside for a particular activity.

      Intellectual Boundaries: refer to thoughts and ideas. Includes respect for others’ ideas and awareness of appropriate discussions. Intellectual boundaries are violated when someone belittles or dismisses another person’s thoughts and ideas.

      Boundaries are simply defined as the limit between acceptable and unacceptable behavior. Boundaries are rules and limits that help provide safety and protection to both the client and the therapist.

      I highly recommend you to have a set of established professional boundaries for your practice when you are either on the phone, the treatment or communication with your patients.

      Approaches to Care

      Now that you are aware of the scope of practice, ethics & standards, and professional boundaries, and you follow these prerequisites, you are ready to assess and treat.

      The main goal is having the client in a resting position and comfortable. Here are the basic steps: check the height of the table, check if the bed is warm, check if the room temperature is comfortable, and use pillows or a bolster for body support.

      Hygiene and Sanitation

      The hygiene and sanitation of your office space and treatment room(s) are essential and crucial to maintain a healthy environment, and prevent diseases, viruses, and germs. Make sure to change the sheets, table covering and pillowcases, and to clean and disinfect any surface that the client has touched to prepare for the next appointment.

      As a massage therapist, you also need to maintain personal hygiene to minimize your risk of infection and also enhance your overall health. These are basic personal hygiene habits: Bathe regularly. Wash your body and your hair often, use deodorant, trim your nails, wash your hands, wear clean clothes, brush your teeth, use mouthwash.

      Regardless of the dress code for your place of business, it is essential that your personal appearance matches the level of your professionalism. Clients do pay attention and so should we!

      In addition, under the United State Department of Labor there is an Occupational Safety and Health Administration (OSHA). Its mission is to ensure safe and healthful working conditions for workers by setting and enforcing standards and by providing training, outreach, education, and assistance. Make sure to research and be informed of your local regulations in your state or country.

      Positioning and Draping

      First and foremost, draping is to protect the client’s privacy. Throughout the massage he/she should feel covered, warm, and comfortable. After the client consultation, the massage therapist will leave the room so he/she can get undressed to his/her level of comfort. The client then gets between the fitted sheet and top sheet.

      I recommend that you use sheets and blankets instead of a towel to cover the client because they are wider and offer more coverage and comfort. I believe the client feels more relaxed and less embarrassed to be undressed under the covers. A tensed body makes our job more difficult. So, our goal is to have our client nice and comfortable and relaxed.

      To start your treatment, you can position the client depending on his/her needs, physical condition, or disability. You could start in a supine position (face up) or prone position (face down).

      In addition, using your body properly in the administration of massage is essential. Proper body mechanics and posture is important for massage therapists because it helps in avoiding injury, fatigue, and helps make the best use of the massage therapist’s energy.

      Notes

      Chapter 2

      Set Your Treatment Time

      Patient Intake Form

      The importance of an intake form is to collect information from your client to understand his/her condition, medical history, medications, allergies, and contraindications. I recommend that you use just a few key questions in your intake form so as not to overwhelm the client and also, I recommend that you be proactive by sending it ahead of time. You can use software that fits your needs, but please do not forget to have this form signed on file for your records and to keep their signature as a reading consent for treatment (s) so you can protect yourself if there is any future dispute.

      Now with the completed intake form at hand you can prepare by reviewing the information before the appointment and have a better idea for their treatment, plus more time to focus on the first consultation. Also, remember to always review the intake form with them to make sure the listed information is correct. Keep in mind that there is always a chance of some non-mentioned issues and complications that can flourish during the first treatment. Some conditions may change for better or

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