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Consultation and Documentation

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

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