Final Exam Review.docx

Final Exam 1. Massage Therapy Scope of Practice - \"The practice of massage therapy is the assessment of the soft tissue and joints of the body and the treatment and prevention of physical dysfunction and pain of the soft tissues and joints by manipulation to develop, maintain, reha...

Final Exam 1. Massage Therapy Scope of Practice - \"The practice of massage therapy is the assessment of the soft tissue and joints of the body and the treatment and prevention of physical dysfunction and pain of the soft tissues and joints by manipulation to develop, maintain, rehabilitate or augment physical function, or relieve pain.\" (Massage Therapy Act, 1991) - Describes, in a general way, why a profession does what it does. - Delineates an area of exclusive jurisdiction for a profession. - Describes, in a general way, what a profession does, and the methods. 2. CPR & First Aid - Massage Therapists may have to deal with an emergency involving one of their clients or staff in their clinic or other setting where they are providing Massage Therapy. As it is expected that all regulated health professionals be adequately trained in the provision of cardiopulmonary resuscitation and first aid, it is a requirement for initial registration with the College of Massage Therapists of Ontario (CMTO) that all applicants provide proof of current certification in CPR at the Heart saver level or higher and in First Aid at the Emergency level or higher. The proof will be provided with the application for registration and be in the form of a photocopy of the issued certificates or wallet cards. - CMTO don't require or ask for CPR Certification, only school does. 3. Principles of Massage - General -- Specific -- General -- GSG - Proximal -- Distal -- Proximal -- PSP - Peripheral -- Central -- Peripheral -- PCP - Superficial -- Deep -- Superficial -- SDS General: Specific: Proximal: Distal: Peripheral: Central: Superficial: Deep: 4. Health hx 5. Sensitive Areas - Breast - Upper Chest - Inner Thigh - Glutes - First time you, client must sign consent of touching gluteal area. - Every time after, verbal consent is used. - **Other areas you must sign off every time.** 6. Inter-Professional Disagreement - Massage therapist has an obligation to advise the client if they have concerns about treatment methodology/philosophy used by other clinician. - will also need to advise the client if instructions are being received from a physician or clinic owner that the Massage Therapist believes should not be followed. - obligation to the client takes precedent over any employment obligations when the two values conflict. - The client is not placed in the middle of a disagreement between professional; - The client's consent is obtained prior to speaking with the other provider; - The concern is discussed with the other provider and an attempt is made to resolve the disagreement; - The client is provided with the most accurate information possible regarding the Massage Therapist's rationale for his/her treatment decision; and - The client's choice of provider and treatment approach is respected. - Massage Therapists should remember that in most cases there are several generally accepted treatment approaches to manage a condition. - Discussion of treatment alternatives, should focus on the pros and cons of the methods available. - Massage Therapists should avoid any assumptions or judgmental comments by the Massage Therapist about the practice of other professions. 7. Conducting Public Education Classes 8. Massage Therapy Practice - Can work anywhere but must follow standards of practice. 9. STRiVE **[15 Competencies of STRiVE]** Act with professional integrity Communicate Effectively Comply with legal requirements Function in a client-centred manner Apply the principles of sensitive practice Work within areas o personal knowledge and skills Maintain a safe work environment Maintain comprehensive records Maintain personal wellness consistent with the needs of practice Manage time and resources effectively Treat others respectfully Practice in a manner consistent with current developments in the profession Use an evidence-informed approach in your work Interact effectively with other professionals Practice in a self-reflective manner Who developed STRiVE? Why we need a STRiVE & its importance. STRiVE is CMTO's Quality Assurance (QA) Program and it is designed to fit the individual needs of all RMTs. STRiVE is made up of two parts: 1. Ensuring compliance with the Standards of Practice and Regulations, and 2. Supporting each RMT to be the best they can be! 10. **Electronic Medial Records** - Massage therapists are responsible for EMR's - RMTs who are Health Information Custodians (HICs) must: - take reasonable steps to ensure that clients' personal health information is as accurate, complete and up-to-date as necessary for providing treatment - ensure that client personal health information is protected against theft, loss and unauthorized use or disclosure and protected against unauthorized copying, modification or disposal; - notify the client at the first reasonable opportunity if their personal health information is stolen, lost, used or disclosed without consent if using electronic methods to collect, use, share, modify, retain or dispose of personal health information, RMTs must ensure an electronic audit log is maintained. 11. **Code of Ethics** Benefit Clients and serve their best interest Treat all clients with respect and dignity Not harm clients Be responsible and accountable 12. **Minister of Health** L 13. **RHPA -- Registered Health Professional Act** What is sexual abuse according to RHPA? - legislation was developed in 1991 to address the risk of sexual impropriety and sexual abuse by health care professionals in many professions including massage therapy. Sexual Abuse of a Patient is defined as: - sexual intercourse or other forms of physical relations between the member and the patient - touching, of a sexual nature, of the patient by the member - behavior or remarks of a sexual nature by the member towards the patient - Exception: "sexual nature" does not include touching, behavior or remarks of a clinical nature appropriate to the service provided. 14. **Registrar** Maureen Boon -- Registrar /CEO 15. **RMT License** - Goes to investigation first if there is a complaint - Can be suspended 3,6,12 months - If 2 years, license can be revoked 16. **Complaints & the CMTO** 17. **HCCA -- Health Care Consent Act** - March 29^th^ 1996 What is the purpose of HCCA? - HCCA & SDA (Substitute Decision Act) assists massage therapists in understanding the general procedures which they are obligated to follow in obtaining consent and outlines changes which make the consent process straightforward. What is Consent? - Must be documented - Must occur before the treatment/assessment/reassessment - Must be consistent with the massage therapy Scope of Practice - Must be voluntary - Must not be obtained through misrepresentation or fraud 18. **Receipts** Date of appointment; b. Name of client; c. Name of the RMT; d. Amount of the transaction; e. Signature and registration number of the RMT; and f. HST number (if applicable). 19. **Release Records** - transfer client records: upon retirement, moving practices or locations, or when otherwise requested by the client - Client health records must be retained for 10 years after a client's last visit, or 10 years after the day the client turned 18 (if they were under 18 at the time of their visit). - Destroying records must only be done after this time period, and in a way that maintains client confidentiality. When RMTs receive a written request, they must share copies of a client health record with: - The client - A personal representative of the client authorized by the client in writing to obtain copies of the record - If the client is deceased, a legal representative of the client - If the client is incapable, their substitute decision-maker 20. **Who's incapable of receiving treatment?** - Drunk, under the influence, rude - 16 years old OK to receive treatment - 15 years and below, unable 21. **Consent for Treatment** What is Consent? - Must be documented - Must occur before the treatment/assessment/reassessment - Must be consistent with the massage therapy Scope of Practice - Must be voluntary - Must not be obtained through misrepresentation or fraud Other information - If client is incapable, substitute decision maker can provide consent - RMT must document consent conversations 24 hours of treatment/assessment - If the RMT does not have sufficient information about the risks, benefits and contraindications of a modality or product, including topical products and lubricants, then consent cannot be obtained Consent must include a discussion with the client about the following six elements: - a\. The nature of the treatment; - b\. The expected benefits; - c\. Risks and side effects; - d\. Alternative courses of action; - e\. Likely consequences of not having treatment; and - f\. The client's right to ask questions about the information provided and that assessment or treatment will be stopped or modified at any time at their request. 22. **CMTO Sexual Abuse Complaint** **CMTO\ RHPA** **MTA** **HCCA** **QAP** **SDA** **HPPC** **OSCE**