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Chapter 9
Consultation and Documentation
| Question | Answer |
|---|---|
| Meeting in which views are discussed and valuable information is exchanged and determine course of tx and set tone for relationship | Consultation |
| A healthy client coming in for general, relaxing, wellness massage will require only brief consultation to determine clients preferences,needs and concerns; intake form, P & P, and no contraindications. | True |
| First contact with practitioner and client is when | When make an appointment |
| 3 questions to screen prospective clients: | Previous experience w/massage, how did find you, main reason for appointment |
| What do you do during a consultation | communicate, review P & P, client needs/expectations, review intake and medical hx forms, preliminary assessment, tx plan |
| When greeting client be professional and friendly, courteous and sensitive | True |
| Body language is persons posturing gestures and facial expression is also called | Non Verbal communication |
| Signs you need to alter the massage | fidgeting, muscle contractions and flinching |
| Use open ended question in interview vs yes/no | True |
| Educational process where the client give written authorization of professional services based on info from therapist | Informed consent |
| List P & P's to be discussed during the initial consultation | Type of services, Business P &P schedule/cancellations, session procedures |
| Information gained during the interview is recorded and becomes part of the clients personal record | True |
| What can you used to help client show where pain is | Body diagrams - mark and pain scale |
| The assessment process does not end with the consultation but continues throughout the massage | True |
| Client files contain | intake, medical hx, tx plan, informed consent, Medical info release forms, SOAP notes, financial records and billing info. |
| SOAP documentation is what | Subjective (client says), Objective (therapist observes), Assessment/application (what you did, problem areas), planning (treatment plan) |
| Updating records with tx given, products, health and financial information is not needed | False |
| What is on release of information form | Client name, therapist name, name of person info is give to and time frame of when info can be released |
| When can you give out client information without a release of information form | Court of law or imminent threat of physical harm or abuse |
Created by:
Protire
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