Ongoing Treatment Plan Protocol

What should the candidate do to ensure the patient understands the ongoing treatment plan?

Why is it important for the candidate to estimate the number of treatments needed?

What is the purpose of presenting a fee schedule to the patient?

Why is it necessary for the candidate to check in with the patient about the proposed treatment plan?

What should a candidate do if a patient finds the proposed number of treatments or fee schedule unfeasible?

What right does a patient have concerning modifications to the treatment plan?

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______.

The candidate should estimate how many treatments the particular condition indicated can take to resolve or show improvement, and advise on the optimal frequency of treatment to ______ this.

The candidate will explain that ongoing re-assessments will help identify exactly how many treatments the patient will ______.

The candidate should present a fee schedule to the patient. This should include the appropriate duration of treatments for the condition being ______.

The candidate should check in with the patient to ensure that the number of treatments being proposed and the fee schedule is feasible for the patient; if not, they will need to propose an alternate ongoing plan that would better suit the patient’s ______ or schedule.

The candidate must ask the patient if they have understood everything proposed for the ongoing treatment ______.

Why is it essential for the candidate to estimate the number of treatments needed?

What is the purpose of ongoing re-assessments in the treatment plan?

Why should the candidate present a fee schedule to the patient?

What should a candidate do if a patient finds the proposed number of treatments or fee schedule unfeasible?

What right does a patient have concerning modifications to the treatment plan?

Why does the candidate need to check in with the patient about the proposed treatment plan?

The candidate should estimate how many treatments a particular condition can take to resolve, but they do not need to advise on the optimal frequency of treatment.

The candidate must propose an alternate ongoing plan if the proposed number of treatments and fee schedule is not feasible for the patient.

The candidate should present a fee schedule to the patient without including the appropriate duration of treatments for the condition.

The candidate is not required to check in with the patient to ensure that the proposed number of treatments and fee schedule works for them.

The candidate has no obligation to inform the patient that they have the right to modify or terminate the treatment plan at any time.

The candidate does not need to ask the patient if they have understood everything proposed for the ongoing treatment plan.

What is the recommended frequency of treatments for the initial 3 weeks of the ongoing treatment plan?

What is the purpose of the ongoing re-assessments in the treatment plan?

What should the candidate do if the patient finds the proposed number of treatments or fee schedule unfeasible?

What is the purpose of presenting a fee schedule to the patient?

How often should the patient come in for maintenance treatments once the condition is fully resolved?

What is the duration of each treatment session in the ongoing treatment plan?

Based on the assessment that was done, there is a chance that it may take more than one treatment to resolve the tension/pain in your left pectoral region. This is not uncommon. To start, it would be best to expect to come in for 1 treatment a week for the next 3 weeks. After that, I will continue by reassessing your left pectoral muscle to identify any changes and if any modification needs to be made to the treatment ______. If there has been no change after the next three weeks, or the condition is worsening, then we can reevaluate together to determine the next best course of action. If the condition is getting better, we can decide if one more weekly treatment would be beneficial. Then, as the condition resolves, you can spread your treatments out more to once every 2-3 weeks. Once the condition is fully resolved, it’s best to come in for occasional maintenance treatments every month or every two months. Do you have any questions about this schedule? This area would only require 45-minute treatments. A 45-minute treatment is $90, including tax. Is this feasible for you?

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______.

What is the purpose of ongoing re-assessments in the treatment ______?

The candidate should present a fee schedule to the patient. This should include the appropriate duration of treatments for the condition being ______.

How often should the patient come in for maintenance treatments once the condition is fully resolved? The patient can spread their treatments out more to once every ______ weeks.

What is the duration of each treatment session in the ongoing treatment ______?

The patient is recommended to come in for 2 treatments a week for the next 3 weeks.

If there is no change after the next three weeks, the treatment plan will be modified without involving the patient.

After the condition is fully resolved, maintenance treatments are recommended monthly or every two months.

The initial 3 weeks of the treatment plan involve coming in for one treatment per week.

The treatment duration for each session is 50 minutes.

The patient is expected to pay $100 for a 45-minute treatment session.

What should the candidate do if the patient finds the proposed number of treatments or fee schedule unfeasible?

What is the purpose of presenting a fee schedule to the patient?

How often should the patient come in for maintenance treatments once the condition is fully resolved?

What is the duration of each treatment session in the ongoing treatment plan?

What is the purpose of the ongoing re-assessments in the treatment plan?

The candidate must ask the patient if they consent to today’s treatment. The candidate can then: Ask if the patient approves of the ongoing treatment plan. Inform the patient that they can withdraw their consent at any time. If the sensitive areas consent form needs to be signed and has not been, it should be presented at this ______.

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______.

What right does a patient have concerning modifications to the treatment plan? The candidate must ask the patient if they have understood everything proposed for the ongoing treatment ______.

Based on the assessment that was done, there is a chance that it may take more than one treatment to resolve the tension/pain in your left pectoral region. To start, it would be best to expect to come in for 1 treatment a week for the next 3 weeks. After that, I will continue by reassessing your left pectoral muscle to identify any changes and if any modification needs to be made to the treatment ______.

The candidate should check in with the patient to ensure that the number of treatments being proposed and the fee schedule is feasible for the patient; if not, they will need to propose an alternate ongoing plan that would better suit the patient’s ______ or schedule.

The candidate must ask the patient if they consent to today’s treatment before presenting the sensitive areas consent form.

The candidate is obligated to inform the patient that they have the right to modify or terminate the treatment plan at any time.

The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment plan.

The ongoing re-assessments in the treatment plan are intended to identify any modifications needed based on the patient's progress.

If a patient finds the proposed number of treatments or fee schedule unfeasible, the candidate should propose an alternate ongoing plan that suits the patient better.

Why is it important for the candidate to check in with the patient before leaving the room?

In what scenario can a patient withdraw consent?

What should the candidate do if a patient finds the proposed treatment schedule unfeasible?

What is the purpose of ongoing re-assessments in the treatment plan?

When can a patient spread their treatments out more once the condition is fully resolved?

What should a candidate consider when estimating the number of treatments needed for a condition?

Do I have your consent to go forward with the treatment I have proposed for you? Agreeing to the treatment plan today does not mean that you cannot change your mind in the future. You can withdraw your consent at any time and I will discontinue the treatment. Lesson 12 - Closing Protocol Additional content has been loaded Top of page SKIP TO LESSON Lesson 11 - Consent Sample Script Lesson 12 of 20 Closing Protocol There should be one final check-in with the patient to see if they have any more questions. Then, the candidate should begin the closing protocol. The closing protocol should include the following: The candidate should ask the patient if they require assistance with undressing or getting onto the table. The candidate should inform the patient that they will leave the ______ to give them privacy to undress if they choose to, and to get onto the table and under the sheets. The candidate should also inform the patient that during the time they are out of the treatment ______, the candidate will wash their hands thoroughly. During the exam, the candidate will be provided with hand sanitizer and will not likely have access to a handwashing station.

If there has been no change after the next three weeks, or the condition is worsening, then we can reevaluate together to determine the next best course of action. If the condition is getting better, we can decide if one more weekly treatment would be ______. Then, as the condition resolves, you can spread your treatments out more to once every 2-3 weeks. Once the condition is fully resolved, it’s best to come in for occasional maintenance treatments every month or every two months. Do you have any questions about this schedule? This area would only require 45-minute treatments. A 45-minute treatment is $90, including tax. Is this feasible for you?

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______.

The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment ______. Why does the candidate need to check in with the patient about the proposed treatment ______?

The candidate is obligated to inform the patient that they have the right to modify or terminate the treatment ______ at any time. What is the purpose of the ongoing re-assessments in the treatment ______?

The candidate should present a fee schedule to the patient. This should include the appropriate duration of treatments for the condition being ______.

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______.

The candidate is obligated to inform the patient that they have the right to modify or terminate the treatment ______ at any time. What is the purpose of the ongoing re-assessments in the treatment ______?

The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment plan. The candidate has no obligation to inform the patient that they have the right to modify or terminate the treatment plan at any time. The candidate should present a fee schedule to the patient without including the appropriate duration of treatments for the condition. What is the recommended frequency of treatments for the initial 3 weeks of the ongoing treatment plan?

The candidate should check in with the patient to ensure that the number of treatments being proposed and the fee schedule is feasible for the patient; if not, they will need to propose an alternate ongoing plan that would better suit the patient’s ______ or schedule.

The candidate should estimate how many treatments the particular condition indicated can take to resolve or show improvement, and advise on the optimal frequency of treatment to ______ this.

The candidate will explain that ongoing re-assessments will help identify exactly how many treatments the patient will ______.

Effleurage and petrissage should be performed between each technique to flush the tissue and prepare it for the next technique. Effleurage and petrissage are types of ______ techniques.

The candidate should perform one final pass of petrissage and effleurage to soothe and flush the tissues before covering the patient with ______.

The candidate should ensure that the patient is fully covered before leaving the room. This is also an opportunity to check in with the patient and demonstrate ______ care.

If the candidate hears the 3-minute warning buzzer, they should prepare to complete the technique they are performing and then begin ______ the treatment.

The candidate should inform the patient that the treatment is over and that after the candidate leaves the room, the patient should get up slowly and get dressed. Remind them to drink water, have a snack, etc. This is part of the closing ______.

The closing of the treatment has the following elements: The candidate should perform one final pass of petrissage and effleurage to soothe and flush the tissues. After covering the patient with the linens, the candidate should perform two global closing ______.

The candidate should ask the patient if they require assistance with undressing or getting onto the table. The candidate should inform the patient that they will leave the ______ to give them privacy to undress if they choose to.

The candidate should inform the patient that during the time they are out of the treatment room, the candidate will wash their hands thoroughly. During the exam, the candidate will be provided with hand sanitizer and will not likely have access to a ______ station.

The ongoing re-assessments in the treatment plan are intended to identify any modifications needed based on the patient's ______.

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______.

Rocking and shaking are both passive movement techniques used for body manipulation, with rocking providing a gentle rolling or back-and-forth motion and shaking providing a light jostling sensation to relax the soft tissue. However, to differentiate between the two methods, a specific ______ for shaking is detailed below.

The candidate should confirm ______ for the rocking or shaking technique before proceeding with the treatment.

Shaking should be performed with the area ______ and properly draped to ensure effectiveness and comfort for the patient.

During the shaking technique, the candidate should move their hand back and forth perpendicular to the long axis of the bone or muscle fiber direction, ensuring that the muscle is ______ without excessive pulling or stretching.

The candidate should spend at least 7 to 10 seconds performing the shaking or ______ technique to achieve the desired effect on the patient's soft tissue.

After performing the shaking technique, the candidate should ensure the patient is comfortable and inquire about their ______ with the treatment.

Before initiating the shaking technique, the candidate should state that they are going to perform a shaking technique and specify the ______ of the patient's body where this technique will be applied.

To conclude the shaking technique, the candidate should gradually slow their movements to allow the patient's body to ______ rocking smoothly rather than abruptly stopping.

The candidate should use their hands, forearms, or loosely-held fists to gently push the patient's body during the rocking technique, starting at the hips and then moving to the shoulders and legs in a ______ and controlled manner.

The purpose of shaking is to move and relax the ______ of the muscle, providing the patient with a light jostling sensation to loosen the soft tissue without causing pain or excessive stretching.

The purpose of vibrations is to decrease pain and/or to stimulate ______ areas.

Vibrations are a light technique and should not cause any pain or discomfort to the ______.

The candidate should specify whether they will be performing static vibrations or running ______.

Coarse vibrations produce greater deformation than ______ vibrations.

With a static vibration, the candidate must ensure that their hand does not slide to other areas and maintains vibrations only in the indicated ______.

The candidate must propose an alternate ongoing plan if the proposed number of treatments and fee schedule is not ______ for the patient.

The patient can spread their treatments out more to once every ______ weeks once the condition is fully resolved.

The candidate must ask the patient if they have understood everything proposed for the ongoing treatment ______.

The candidate should present a fee schedule to the patient. This should include the appropriate duration of treatments for the condition being ______.

The candidate should check in with the patient to ensure that the number of treatments being proposed and the fee schedule is feasible for the patient; if not, they will need to propose an alternate ongoing plan that would better suit the patient’s ______ or schedule.

Stroking can have TWO (2) potential purposes: The purpose of stroking can be to have a relaxation effect. OR The purpose of stroking can be to have a __________ effect.

The candidate should confirm patient consent for the technique. If the stroking is to have a relaxing effect, it should be performed slowly and lightly, with soothing, even strokes from the fingers or palm along the area that is indicated. Soothing stroking is applied unidirectionally in the direction of ________ growth.

Rocking is a passive movement technique applied to the entire body. The purpose of rocking is to create movement around the joints and to have a ________ effect.

The candidate should ask the patient if they require assistance with undressing or getting onto the table. The candidate should inform the patient that they will leave the ________ to give them privacy to undress if they choose to, and to get onto the table and under the sheets.

The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ________.

The candidate is obligated to inform the patient that they have the right to modify or terminate the treatment plan at any time. The candidate must ask the patient if they have understood everything proposed for the ongoing treatment ________.

The candidate should check in with the patient to ensure that the number of treatments being proposed and the fee schedule is feasible for the patient; if not, they will need to propose an alternate ongoing plan that would better suit the patient’s ________ or schedule.

The ongoing re-assessments in the treatment plan are intended to identify any modifications needed based on the patient's ________.

The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment ________. Why does the candidate need to check in with the patient about the proposed treatment ______?

If a patient finds the proposed number of treatments or fee schedule unfeasible, the candidate should propose an alternate ongoing plan that suits the patient better. Based on the assessment that was done, there is a chance that it may take more than one treatment to resolve the tension/pain in your left pectoral region. This is not uncommon. To start, it would be best to expect to come in for 1 treatment a week for the next 3 weeks. After that, I will continue by reassessing your left pectoral muscle to identify any changes and if any modification needs to be made to the treatment ______. If there has been no change after the next three weeks, or the condition is worsening, then we can reevaluate together to determine the next best course of action. If the condition is getting better, we can decide if one more weekly treatment would be beneficial. Then, as the condition resolves, you can spread your treatments out more to once every 2-3 weeks. Once the condition is fully resolved, it’s best to come in for occasional maintenance treatments every month or every two months. Do you have any questions about this schedule? This area would only require 45-minute treatments. A 45-minute treatment is $90, including tax. Is this feasible for you?

The candidate should focus on addressing all concerns outlined in the exam. There may be anywhere from 3 to 5 concerns or assessment findings that could each be treated with a specific technique. It is important that the candidate identifies the concerns, their priority, and then addresses them in a logical order that keeps to the principles of massage. How many techniques am I expected to perform or demonstrate in this station?

While this is unlikely, it is a ______. The candidate should ensure that they address those 2 concerns but also think 'outside the box' to include a demonstration of 1 to 2 more techniques that would fit with the treatment exam. What if there are only 2 techniques or concerns indicated? Should I only perform 2 techniques?

Running out of time is a very real possibility in the OSCE. This is why it is ______ to address the primary concerns indicated first and then proceed to secondary concerns. If time runs out, at least the primary concern has been addressed. When the 3-minute buzzer sounds it is up to the candidate if they feel they can fit one more technique into the treatment. The candidate should wrap up the treatment by covering the patient and providing 1-2 global closing techniques such as light full-body compressions, static contact, soothing stroking, or gentle rocking. What if the 3-minute mark is called and I have not addressed everything indicated in the exam? Should I try and address everything or should I start to wrap up the treatment to give it a beginning and an end?

The candidate can then: Ask if the patient approves of the ongoing treatment plan. Inform the patient that they can withdraw their consent at any time. If the sensitive areas consent form needs to be signed and has not been, it should be presented at this ______. The candidate must ask the patient if they consent to today’s treatment.

The patient can spread their treatments out more to once every ______ weeks. How often should the patient come in for maintenance treatments once the condition is fully resolved?

The treatment duration for each session is ______ minutes. What is the duration of each treatment session in the ongoing treatment plan?

The candidate should estimate how many treatments the particular condition indicated can take to resolve or show improvement, and advise on the optimal frequency of treatment to ______ this. What should a candidate consider when estimating the number of treatments needed for a condition?

The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment ______. What is the recommended frequency of treatments for the initial 3 weeks of the ongoing treatment plan?

The candidate must propose an alternate ongoing plan if the proposed number of treatments and fee schedule is not ______ for the patient. What should a candidate do if a patient finds the proposed number of treatments or fee schedule un______?

The candidate must ask the patient if they have understood everything proposed for the ongoing treatment ______. What should the candidate do to ensure the patient understands the ongoing treatment plan?

The candidate should inform the patient of what position they will be performing the treatment and the purpose for this positioning. They should also include a general overview of how the treatment will proceed, what other positions they will be having the patient move into, and where they will be pillowing, throughout the duration of the treatment. The information about positioning is often delivered while the candidate helps the patient into the appropriate position and pillows. The candidate should then position and pillow the patient in the safest way for the area to be treated. The candidate should introduce the pain scale to the patient, indicating that while some techniques may be painful, none of them should go over a 4 out of 10. The candidate should remind and empower the patient that they do have the right to stop or modify the treatment at any time. The candidate should ask the patient if they have any questions and if they are okay to proceed with the treatment. The candidate should begin the treatment with TWO (2) general opening techniques over the sheets. The candidate can use this opportunity to introduce the treatment, check-in with the patient, and introduce the pain scale. Examples of opening techniques include: Light full body compressions, Soothing stroking, Gentle rocking, Static contact. After completing the opening techniques, the candidate should confirm consent for draping of the indicated area and proceed to undrape the patient in that indicated area. Once the patient is draped appropriately, the candidate must start their treatment with effleurage and petrissage to warm up the tissue. This is an ideal time for the candidate to introduce the first technique verbally. The only exception to immediately performing effleurage and petrissage is if the exam indicated myofascial work. As myofascial release is performed without lotion, it is most efficient for the candidate to perform it first before putting lotion on their hands and the patient’s skin. In this scenario, the candidate should start to introduce the myofascial release technique as they are completing their TWO (2) opening techniques. Lesson 5 - The Treatment Additional content has been loaded Top of page SKIP TO LESSON Lesson 4 - The Introduction Lesson 5 of 14 The Treatment Regardless of the massage technique being performed the candidate should follow the same basic formula for explaining each technique. This should include the following elements: The candidate should introduce each technique by stating the name of the technique they are performing. This station does not specify which techniques the candidate must perform, but will present a case. Therefore, it is imperative that the candidate clearly states which technique they have chosen. As this is a treatment station the candidate will also be evaluated on their choice of placement of the technique within the global treatment. The candidate should briefly explain the purpose of the technique, justifying to the evaluators and the patient why they chose this particular technique for this case/condition. The candidate should inform the patient of the expected sensation of the technique. Indicate to the patient what they should expect to feel when the candidate performs the technique to ensure patient care and safety. The candidate should confirm patient consent for the technique. The candidate should then perform the technique correctly according to its appropriate procedure. The candidate should ensure that they follow the principles of massage and perform the steps of the technique in the correct order. The candidate should be mindful to check-in with the patient regularly regarding pain, pressure, and comfort. For more details on procedures for techniques, please see Station 7: Techniques. Treatment Sequence Demonstration General Sequence of Treatment This is an example of the order that techniques should be used in during the treatment station.

Existing questions. Do NOT ask these: Why is it important for the candidate to estimate the number of treatments needed? The candidate is obligated to inform the patient that they have the right to modify or terminate the treatment ______ at any time. What is the purpose of the ongoing re-assessments in the treatment ______? Why is it necessary for the candidate to check in with the patient about the proposed treatment plan? The candidate is not required to check in with the patient to ensure that the proposed number of treatments and fee schedule works for them. The ongoing re-assessments in the treatment plan are intended to identify any modifications needed based on the patient's progress. The patient is expected to pay $100 for a 45-minute treatment session. How often should the patient come in for maintenance treatments once the condition is fully resolved? The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______. What is the purpose of presenting a fee schedule to the patient? The candidate should present a fee schedule to the patient. This should include the appropriate duration of treatments for the condition being ______. What should the candidate do to ensure the patient understands the ongoing treatment plan? Why is it important for the candidate to check in with the patient before leaving the room? The candidate must ask the patient if they have understood everything proposed for the ongoing treatment ______. The treatment duration for each session is 50 minutes. What is the purpose of ongoing re-assessments in the treatment plan? Based on the assessment that was done, there is a chance that it may take more than one treatment to resolve the tension/pain in your left pectoral region. To start, it would be best to expect to come in for 1 treatment a week for the next 3 weeks. After that, I will continue by reassessing your left pectoral muscle to identify any changes and if any modification needs to be made to the treatment ______. The candidate should estimate how many treatments the particular condition indicated can take to resolve or show improvement, and advise on the optimal frequency of treatment to ______ this. The candidate must propose an alternate ongoing plan if the proposed number of treatments and fee schedule is not feasible for the patient. How often should the patient come in for maintenance treatments once the condition is fully resolved? If a patient finds the proposed number of treatments or fee schedule unfeasible, the candidate should propose an alternate ongoing plan that suits the patient better. The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______. What is the duration of each treatment session in the ongoing treatment ______? The patient is recommended to come in for 2 treatments a week for the next 3 weeks. How often should the patient come in for maintenance treatments once the condition is fully resolved? The patient can spread their treatments out more to once every ______ weeks. What is the purpose of ongoing re-assessments in the treatment ______? What should the candidate do if the patient finds the proposed number of treatments or fee schedule unfeasible? The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment plan. The candidate should present a fee schedule to the patient without including the appropriate duration of treatments for the condition. What should a candidate consider when estimating the number of treatments needed for a condition? Why is it essential for the candidate to estimate the number of treatments needed? The candidate should advise on the optimal frequency of treatment to resolve the condition indicated in the ongoing treatment ______. Why does the candidate need to check in with the patient about the proposed treatment ______? What should the candidate do if the patient finds the proposed number of treatments or fee schedule unfeasible? The candidate should check in with the patient to ensure that the number of treatments being proposed and the fee schedule is feasible for the patient; if not, they will need to propose an alternate ongoing plan that would better suit the patient’s ______ or schedule. The candidate should inform the patient that it can often take more than one treatment to resolve a primary concern. The candidate should give the patient multiple opportunities to ask ______. The candidate is obligated to inform the patient that they have the right to modify or terminate the treatment plan at any time. What is the duration of each treatment session in the ongoing treatment plan? What is the purpose of the ongoing re-assessments in the treatment plan? What right does a patient have concerning modifications to the treatment plan? What is the duration of each treatment session in the ongoing treatment plan?