Massage Therapy Initial Assessment: General Information Section

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Questions and Answers

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

therapy

Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

FICARAMS

After the introduction, the candidate should assess why the patient has sought ______: Why did you come in today?

treatment

What are you hoping to focus on during this massage ______ today?

treatment Signup and view all the answers

The patient’s name, address, phone number and date of ______ should be there.

birth Signup and view all the answers

The current date should be at the top - this is important as the health history must be updated every ______.

year Signup and view all the answers

After the introduction, the candidate should assess why the patient has sought ______: Why did you come in today?

massage Signup and view all the answers

Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

notes Signup and view all the answers

The patient’s name, address, phone number and date of ______ should be there.

birth Signup and view all the answers

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

therapy Signup and view all the answers

The current date should be at the top - this is important as the health history must be updated every ______.

visit Signup and view all the answers

What are you hoping to focus on during this massage ______ today?

session Signup and view all the answers

If this is the case the candidate should enquire about ______.

it Signup and view all the answers

What do you do on a day-to-day ______?

basis Signup and view all the answers

The candidate should be respectful of the possibility that the patient may be out of ______.

work Signup and view all the answers

If the patient has answered that they have had no prior massage therapy, it is prudent to clarify whether the patient has never had a ______.

massage Signup and view all the answers

Ask questions such as: What made you choose Massage Therapy for this ______?

concern Signup and view all the answers

The candidate should inform the patient that more information will be provided later about the treatment ______.

details Signup and view all the answers

Skin Condition If ‘skin ’ is checked then it must be clarified: Is the contagious?Is the a local contraindication or precaution?Where is the ?Is it in a specific area or is it the entire skin surface?Are there any precautions to take regarding types of lotion or oil?Does the patient have any topical medications that they have recently put on?This would require the therapist to wear gloves if the __ is not a local contraindication.Other Conditions Loss of Sensation/Weakness If this is selected, ask follow-up questions like: Sensation, weakness, or both?Where?When did it occur/start?

condition Signup and view all the answers

Existing questions. Do NOT ask these: Ask questions such as: What made you choose Massage Therapy for this ______?

condition Signup and view all the answers

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

therapy Signup and view all the answers

The candidate should inform the patient that more information will be provided later about the treatment ______.

plan Signup and view all the answers

Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

SOAP Signup and view all the answers

The current date should be at the top - this is important as the health history must be updated every ______.

visit Signup and view all the answers

Is it a constant condition or does it come and go? Are they experiencing it now? Can they accurately feel pressure? Do they require assistance with getting on or off the table? While this would be asked in the treatment planning station regardless of health history, it is appropriate to ask if this box is checked and weakness is the concern. Diabetes – If this is selected, ask follow-up questions like: Is it type 1 or type 2? Are they insulin-dependent? (Only if they state type 2 - recall that type 1 is always insulin-dependent). Do they have an insulin pump/port that the candidate should be aware of for techniques and positioning? Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-)? Allergies This is especially important to confirm the patient will not be allergic to any ingredients in the lotion that is going to be used. Confirm what kind of reaction the patient experiences. Is it anaphylactic or just a rash? Do they have medications for it, such as an EpiPen? Have they brought their EpiPen with them today? Epilepsy If this is selected, ask follow-up questions like: How often does the patient experience seizures? How do their seizures present? Do they get an aura or any indicator just before having a seizure? How long do their seizures typically last? Are there any triggers for their seizures that the therapist should be aware of to avoid? Cancer If this is selected, ask follow-up questions like: What treatment are they currently undergoing? Do they have a chemo port that could affect techniques and positioning? Have they been cleared by their oncologist for a treatment? Is it okay if the candidate contacts their oncologist in case of any need for clarification on treatment modalities? Arthritis If this is selected, ask follow-up questions like: Do you have arthritis, or is there a family history, or both? What type of arthritis? Which joints are affected? Are there any positions that they find uncomfortable due to their arthritis.

massage Signup and view all the answers

What are you hoping to focus on during this ______ today?

massage Signup and view all the answers

If the patient has answered that they have had no prior therapy, it is prudent to clarify whether the patient has never had a .

massage Signup and view all the answers

If this is the case the candidate should enquire about ______.

massage Signup and view all the answers

The candidate should inform the patient that more information will be provided later about the treatment ______.

massage Signup and view all the answers

After the introduction, the candidate should assess why the patient has sought ______: Why did you come in today?

massage Signup and view all the answers

If the patient has answered that they have had no prior massage therapy, it is prudent to clarify whether the patient has never had a ______.

massage Signup and view all the answers

Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-______)?

massage Signup and view all the answers

Is it type 1 or type 2? Are they insulin-dependent? (Only if they state type 2 - recall that type 1 is always insulin-dependent). Do they have an insulin pump/port that the candidate should be aware of for techniques and positioning? Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-______)?

massage Signup and view all the answers

Have they been cleared by their oncologist for a ______ treatment? Is it okay if the candidate contacts their oncologist in case of any need for clarification on treatment modalities?

massage Signup and view all the answers

Do they have arthritis, or is there a family history, or both? What type of arthritis? Which joints are affected? Are there any positions that they find uncomfortable due to their arthritis.

massage Signup and view all the answers

If this is selected, ask follow-up questions like: How often does the patient experience seizures? How do their seizures present? Do they get an aura or any indicator just before having a seizure? How long do their seizures typically last? Are there any triggers for their seizures that the therapist should be aware of to avoid?

Epilepsy Signup and view all the answers

If Tuberculosis (TB) is checked off, the patient will need to clarify if they have an active infection, tested positive and are awaiting a chest x-ray, or tested positive and had a chest x-ray and do not have an active infection. It would also be acceptable to ask if the patient received a vaccination in the past for TB as some vaccinated individuals test positive for the tuberculin test. Women PREGNANT GYNECOLOGICAL CONDITIONS If the due date is not filled out, it should be asked along with how far along the patient is - this will heavily impact positioning and treatment planning. Confirm if there have been any complications with the pregnancy so far. Confirm if there are any conditions that make the pregnancy moderate or high risk. Soft Tissue/Joint Discomfort This is where the candidate may find clues to a secondary concern. The candidate should ask the patient if the selected boxes are related to the primary concern. If the selected boxes indicate something different than the primary concern, the candidate should clarify if this indicates a secondary concern that the patient would like addressed. Yes: Follow the protocol for a secondary concern and go through OL DR FICARAMS. No: Clarify the following information: Are there any mobility or positional concerns? Is the area/joint of concern a local contraindication or precaution? General Health Status If the patient has indicated anything less than ‘______’ or ‘good’, the candidate should inquire: Is there a reason you feel your general health status is poor? Why did you indicate that your general health status is poor? Are any of the conditions we discussed not well controlled?

fair Signup and view all the answers

Skin Condition If ‘skin ’ is checked then it must be clarified: Is the contagious? Is the a local contraindication or precaution? Where is the ? Is it in a specific area or is it the entire skin surface? Are there any precautions to take regarding types of lotion or oil? Does the patient have any topical medications that they have recently put on? This would require the therapist to wear gloves if the __ is not a local contraindication.

condition Signup and view all the answers

Loss of Sensation/Weakness If this is selected, ask follow-up questions like: Sensation, weakness, or both? Where? When did it occur/start? Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

FICARAMS Signup and view all the answers

Diabetes – If this is selected, ask follow-up questions like: Is it type 1 or type 2? Are they insulin-dependent? (Only if they state type 2 - recall that type 1 is always insulin-dependent). Do they have an insulin pump/port that the candidate should be aware of for techniques and positioning? Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-______)?

massage Signup and view all the answers

Allergies This is especially important to confirm the patient will not be allergic to any ingredients in the lotion that is going to be used. Confirm what kind of ______ the patient experiences. Is it anaphylactic or just a rash? Do they have medications for it, such as an EpiPen? Have they brought their EpiPen with them today? Epilepsy If this is selected, ask follow-up questions like: How often does the patient experience seizures? How do their seizures present? Do they get an aura or any indicator just before having a seizure? How long do their seizures typically last? Are there any triggers for their seizures that the therapist should be aware of to avoid?

reaction Signup and view all the answers

Cancer If this is selected, ask follow-up questions like: What treatment are they currently undergoing? Do they have a chemo port that could affect techniques and positioning? Have they been cleared by their oncologist for a ______ treatment? Is it okay if the candidate contacts their oncologist in case of any need for clarification on treatment modalities?

massage Signup and view all the answers

It is good practice to ask the patient if they take any ______.

medication Signup and view all the answers

The patient may consider some of the information irrelevant, but obtaining a complete picture is the candidate's professional ______.

responsibility Signup and view all the answers

Candidates should be prepared to explain to a patient that knowing the patient’s medications is relevant to ______.

massage Signup and view all the answers

If the section on the form states ‘none’ or ‘no medications’ still ask: Does this include over-the-counter ______?

medications Signup and view all the answers

If Tuberculosis (TB) is checked off, the patient will need to clarify if they have an active infection, tested positive and are awaiting a chest x-ray, or tested positive and had a chest x-ray and do not have an active infection. It would also be acceptable to ask if the patient received a vaccination in the past for TB as some vaccinated individuals test positive for the tuberculin ______.

test Signup and view all the answers

If the due date is not filled out, it should be asked along with how far along the patient is - this will heavily impact positioning and treatment planning. Confirm if there have been any complications with the pregnancy so far. Confirm if there are any conditions that make the pregnancy moderate or high ______.

risk Signup and view all the answers

If the patient lists surgeries or injuries, treatment considerations are not needed.

False Signup and view all the answers

The candidate should clarify if 'N/A' means the patient has not had any previous surgeries or injuries.

True Signup and view all the answers

The candidate should ask if the patient went to physiotherapy after a surgery/injury.

True Signup and view all the answers

The candidate should confirm with the patient whether they have had no prior surgeries or injuries.

True Signup and view all the answers

If the patient answers 'no medications', the candidate shouldn't ask about over-the-counter medications.

False Signup and view all the answers

It is crucial for the candidate to ask if the patient has been cleared by their oncologist for a treatment.

True Signup and view all the answers

If left blank the candidate should confirm that the patient does not currently have a primary care . If the patient does have a primary care then the contact information must be added (that would be stated): I will need to add your doctor's information to this form and their contact information before we begin treatment today. If asked why this information is necessary the candidate should be prepared with an answer: If you require any of your health information to be shared with them I already have their contact information. It will help further protect your information; even though I will not release anything without your written consent, it does help me know who your doctor is in case a clinic calls inquiring about your health history or treatments. In the case of an emergency, I need your primary care __'s contact information.

physician Signup and view all the answers

The patient’s name, address, phone number and date of ______ should be there.

birth Signup and view all the answers

The current date should be at the top - this is important as the health history must be updated every ______.

visit Signup and view all the answers

Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-______)?

treatment Signup and view all the answers

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

therapy Signup and view all the answers

If a patient has not checked either the 'yes' or 'no' box regarding seeing another healthcare practitioner, they should be asked if they are seeing another healthcare practitioner for their primary concern.

True Signup and view all the answers

If a patient answers 'no' when asked if they are seeing another healthcare practitioner for their primary concern, they should be asked if they are seeing an HCP for any other condition.

True Signup and view all the answers

Written and signed consent for information release is not required if the patient states they have never seen another healthcare practitioner.

False Signup and view all the answers

If a patient is not allergic to any ingredients in the lotion that will be used, there is no need to confirm what kind of reaction they experience.

False Signup and view all the answers

If a patient has diabetes, it is relevant to ask if they have an insulin pump/port that could affect techniques and positioning.

True Signup and view all the answers

The candidate should not ask about over-the-counter medications if the patient states they are not taking any medications.

False Signup and view all the answers

The candidate should be respectful of the possibility that the patient may be out of ______.

town Signup and view all the answers

The patient’s name, address, phone number and date of ______ should be there.

birth Signup and view all the answers

If the patient has indicated anything less than ‘______’ or ‘good’, the candidate should inquire:

average Signup and view all the answers

If the section on the form states ‘none’ or ‘no medications’ still ask: Does this include over-the-counter ______?

medications Signup and view all the answers

If a patient has not checked either the 'yes' or 'no' box regarding seeing another practitioner, they should be asked if they are seeing another practitioner for their primary concern.

healthcare Signup and view all the answers

Cancer If this is selected, ask follow-up questions like: What treatment are they currently undergoing? Do they have a chemo port that could affect techniques and positioning? Have they been cleared by their oncologist for a ______ treatment?

massage Signup and view all the answers

What should a candidate do if a patient's health history form indicates the presence of internal devices or hardware?

Acknowledge it and clarify where the devices are located and if special precautions are needed Signup and view all the answers

What is the appropriate action if a patient's family history section is filled with 'N/A'?

Clarify that the patient has no family history of disease Signup and view all the answers

What should a therapist understand about family history of disease based on age of diagnosis?

Expect a true family history if a diagnosis occurred below age 60 Signup and view all the answers

What is not in the scope of a Massage Therapist regarding family history of disease?

Stating directly to the patient about their potential risks Signup and view all the answers

What should a candidate do if a patient's health status is indicated as 'poor'?

Inquire about the reasons for the patient's perception of poor health status Signup and view all the answers

If a patient lists 'N/A' for family history of disease, what should a candidate do?

Confirm that the patient has no family history of disease Signup and view all the answers

Study Notes

Patient Intake Process

Patient provides general contact information in the top section of the form.
Important to determine the primary reason for seeking massage therapy.
Assess primary concerns during the introduction phase by asking, "Why did you come in today?" and "What are you hoping to focus on during this massage?"
Ensure the current date is at the top of the form as health history must be updated every six months.

Assessing Patient History

Clarify whether the patient has had prior massage therapy, especially if they indicate none.
Questions should explore the reasons for choosing massage therapy and specific health concerns.
Special attention needed for any current or past skin conditions, including contagiousness or specific precautions required.

Follow-up Questions for Specific Conditions

Diabetes: Determine type (1 or 2), insulin dependency, and if the patient carries juice or snacks for potential hypoglycemic episodes.
Allergies: Confirm potential reactions to massage lotion and whether the patient carries an EpiPen.
Epilepsy: Inquire about seizure frequency, presentation, and potential triggers.
Cancer: Ask about current treatments, presence of a chemo port, and oncologist clearance for massage.
Arthritis: Explore types of arthritis, affected joints, and any positions that may cause discomfort.

Safety and Precautions

Ensure understanding of any medications the patient is currently taking, including over-the-counter options.
Confirm whether the patient has been cleared by their primary care physician or specialist for treatment.
Check for any active infections or contagious conditions, particularly tuberculosis.

Additional Patient Concerns

Assess skin conditions in detail; ask about the location and any topical medications used.
Maintain sensitivity to the patient's well-being, including potential dizziness or discomfort from prior therapy.
Follow correct procedures if patients indicate secondary concerns relating to mobility or pain.

Family History and General Health

Inquire if any family history of disease affects treatment, particularly regarding early age of disease onset.
If indicated health status is less than "good," ask about the reasons for this assessment, including management of existing conditions.

Always gather and document relevant health information, including primary care practitioner contacts for emergencies.
Patient consent for information release is not needed if they have never seen another healthcare practitioner.
Emphasize the importance of a comprehensive health history, even if the patient feels some information is unnecessary.

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Description

Learn about the top section of a massage therapy form where patients provide their contact information and primary reason for seeking treatment. Understand how to address any further questions about the primary concern by following the OL DR FICARAMS method.

Massage Therapy Initial Assessment: General Information Section

Podcast Beta

Questions and Answers

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

After the introduction, the candidate should assess why the patient has sought ______: Why did you come in today?

What are you hoping to focus on during this massage ______ today?

The patient’s name, address, phone number and date of ______ should be there.

The current date should be at the top - this is important as the health history must be updated every ______.

After the introduction, the candidate should assess why the patient has sought ______: Why did you come in today?

Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

The patient’s name, address, phone number and date of ______ should be there.

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

The current date should be at the top - this is important as the health history must be updated every ______.

What are you hoping to focus on during this massage ______ today?

If this is the case the candidate should enquire about ______.

What do you do on a day-to-day ______?

The candidate should be respectful of the possibility that the patient may be out of ______.

If the patient has answered that they have had no prior massage therapy, it is prudent to clarify whether the patient has never had a ______.

Ask questions such as: What made you choose Massage Therapy for this ______?

The candidate should inform the patient that more information will be provided later about the treatment ______.

Existing questions. Do NOT ask these: Ask questions such as: What made you choose Massage Therapy for this ______?

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

The candidate should inform the patient that more information will be provided later about the treatment ______.

Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

The current date should be at the top - this is important as the health history must be updated every ______.

What are you hoping to focus on during this ______ today?

If the patient has answered that they have had no prior ______ therapy, it is prudent to clarify whether the patient has never had a ______.

If this is the case the candidate should enquire about ______.

The candidate should inform the patient that more information will be provided later about the treatment ______.

After the introduction, the candidate should assess why the patient has sought ______: Why did you come in today?

If the patient has answered that they have had no prior massage therapy, it is prudent to clarify whether the patient has never had a ______.

Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-______)?

Have they been cleared by their oncologist for a ______ treatment? Is it okay if the candidate contacts their oncologist in case of any need for clarification on treatment modalities?

Do they have arthritis, or is there a family history, or both? What type of arthritis? Which joints are affected? Are there any positions that they find uncomfortable due to their arthritis.

Loss of Sensation/Weakness If this is selected, ask follow-up questions like: Sensation, weakness, or both? Where? When did it occur/start? Upon reviewing this section, any further questions about the primary concern should be addressed when going through OL DR ______.

It is good practice to ask the patient if they take any ______.

The patient may consider some of the information irrelevant, but obtaining a complete picture is the candidate's professional ______.

Candidates should be prepared to explain to a patient that knowing the patient’s medications is relevant to ______.

If the section on the form states ‘none’ or ‘no medications’ still ask: Does this include over-the-counter ______?

If the patient lists surgeries or injuries, treatment considerations are not needed.

The candidate should clarify if 'N/A' means the patient has not had any previous surgeries or injuries.

The candidate should ask if the patient went to physiotherapy after a surgery/injury.

The candidate should confirm with the patient whether they have had no prior surgeries or injuries.

If the patient answers 'no medications', the candidate shouldn't ask about over-the-counter medications.

It is crucial for the candidate to ask if the patient has been cleared by their oncologist for a treatment.

The patient’s name, address, phone number and date of ______ should be there.

The current date should be at the top - this is important as the health history must be updated every ______.

Do they have juice or a snack handy if they feel light-headed or dizzy (a common occurrence post-______)?

The top section of the form is where the patient fills out general contact information and indicates the primary reason for seeking massage ______.

If a patient has not checked either the 'yes' or 'no' box regarding seeing another healthcare practitioner, they should be asked if they are seeing another healthcare practitioner for their primary concern.

If a patient answers 'no' when asked if they are seeing another healthcare practitioner for their primary concern, they should be asked if they are seeing an HCP for any other condition.

Written and signed consent for information release is not required if the patient states they have never seen another healthcare practitioner.

If a patient is not allergic to any ingredients in the lotion that will be used, there is no need to confirm what kind of reaction they experience.

If a patient has diabetes, it is relevant to ask if they have an insulin pump/port that could affect techniques and positioning.

The candidate should not ask about over-the-counter medications if the patient states they are not taking any medications.

The candidate should be respectful of the possibility that the patient may be out of ______.

The patient’s name, address, phone number and date of ______ should be there.

If the patient has indicated anything less than ‘______’ or ‘good’, the candidate should inquire:

If the section on the form states ‘none’ or ‘no medications’ still ask: Does this include over-the-counter ______?

If a patient has not checked either the 'yes' or 'no' box regarding seeing another ______ practitioner, they should be asked if they are seeing another ______ practitioner for their primary concern.

Cancer If this is selected, ask follow-up questions like: What treatment are they currently undergoing? Do they have a chemo port that could affect techniques and positioning? Have they been cleared by their oncologist for a ______ treatment?

What should a candidate do if a patient's health history form indicates the presence of internal devices or hardware?

What is the appropriate action if a patient's family history section is filled with 'N/A'?

What should a therapist understand about family history of disease based on age of diagnosis?

What is not in the scope of a Massage Therapist regarding family history of disease?

What should a candidate do if a patient's health status is indicated as 'poor'?

If a patient lists 'N/A' for family history of disease, what should a candidate do?

Study Notes

Patient Intake Process

Assessing Patient History

Follow-up Questions for Specific Conditions

Safety and Precautions

Additional Patient Concerns

Family History and General Health

Documentation and Consent

Studying That Suits You

Description

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If the patient has answered that they have had no prior therapy, it is prudent to clarify whether the patient has never had a .

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