Client intake Flashcards
(84 cards)
What does SOAP stand for in massage therapy documentation?
Subjective, Objective, Assessment, Plan
True or False: The subjective section of the SOAP note includes the client’s verbal feedback.
True
What type of information is recorded in the Objective section of a SOAP note?
Observable data such as physical findings and measurements.
Fill in the blank: The ______ section of the SOAP note summarizes the therapist’s findings and conclusions.
Assessment
What is included in the Plan section of the SOAP note?
The proposed treatment approach and goals for the next session.
What is the purpose of a health history form?
To gather relevant medical information and contraindications for massage therapy.
True or False: A massage therapist should only ask about current medications.
False
What type of allergies should a massage therapist inquire about?
Allergies to oils, lotions, or any other products used during the massage.
What should a therapist ask about regarding previous injuries?
Details about the nature, treatment, and recovery of past injuries.
List three conditions that should be noted in a client’s health history.
Diabetes, heart conditions, and skin disorders.
What is the significance of understanding a client’s stress levels?
It helps tailor the massage therapy to address tension and relaxation needs.
True or False: It is unnecessary to document a client’s response to the massage treatment.
False
What is the recommended approach if a client has a medical condition?
Consult with the client’s healthcare provider before proceeding with massage.
Fill in the blank: The _______ section of the SOAP note is where the therapist writes down their observations during the session.
Objective
What should a therapist do if a client reports pain during the massage?
Immediately address the issue and adjust the pressure or technique.
True or False: A client’s consent is not necessary before starting the massage.
False
What is the importance of documenting the date and time of each session?
It helps track the client’s progress and treatment history.
What type of information should be updated in a client’s health history form?
Changes in health status, new medications, or recent surgeries.
List two examples of subjective information a client might provide.
Feelings of stress and descriptions of pain.
What does the term ‘contraindications’ refer to?
Conditions or factors that serve as reasons to withhold certain treatments.
True or False: Massage therapy is generally safe for pregnant clients.
True, with appropriate modifications.
What should a therapist ask regarding a client’s lifestyle?
Questions about exercise, sleep patterns, and work-related stress.
What is the primary goal of the assessment section of the SOAP note?
To evaluate the effectiveness of the treatment and the client’s progress.
Fill in the blank: A thorough health history helps to identify ________ that may affect the massage.
Contraindications