Sunday, October 18, 2009

Client-centred care
Client care will be different for every client, this is why it is important to make sure you take aboard everything that the client says so that the client can feel safe and well attended at all times during the massage. Appropriate draping should be maintained throughout the massage and the therapist needs to have contact on the client throughout the whole massage so that client knows where the therapist is at all times and therefore the client will not feel abandoned.

Informed Consent
Informed consent is getting approval from the client to follow through with the treatment plan. Therapists must make sure that the treatment plan is thoroughly explained to the client. Client forms are not a legal requirement for massage therapists but they are definitely highly advised for protection if anything was to go wrong.

Scope of practice
Scope of practice is the massage therapists working parameters. It is important not to step out your area of work and think that you are more competent or qualified than what you actually are. We can simply not diagnose a problem and need to remember that taking on a client above our limits is not ethical.

Confidentiality
Any information shared in the theraputic relationship must be kept completely confidential. Clients Name, details of his or her treatment, and information shared by the client during sessions must not be divulged to anyone. Legally all records must be kept in a file cabinet and when file cabinet is left alone it must be locked at all times so that confidentiality is assured.

Boundaries
Massage therapists must defined limits so that boundaries are clear to the client.
- Appropriate draping is important as linen clearly states boundaries.
-Appropriate clothing worn by massage therapist(tops that well covers breasts, and pants below the knee)
-Treatment plan explained thoroughly to the client.

Power Differentials
The therapeutic relationship will produce a power differential. In a massage situation the therapist hold authority as she or he is the professional with the training to treat the client. In saying this it is important that we do not make the client feel power-less and intimidated.

Relationship
Massage therapists need to know when to draw a line between the client and massage therapist. At all times therapists needs to be aware that this she/he is the therapist and the client is the client it is important to maintain a professional relationship and to not get involved with the client.

Transference and Counter-Transference is when the client becomes to attached to the therapist as the client brings their personal relationship into the therapeutic relationship. Counter-transference is when the therapist brings there unresolved issues or personal needs into the therapeutic relationship. This is seen as un ethical as it is crossing the boundaries of the therapeutic relationship.

References
Salvo, S G. (2003) massage therapy: principles of practice (3nd ed) saunders, st louis, missori

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