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In general, a medical history includes an inquiry into the patients medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.
Evidence-informed practice allows RMTs to provide clients with accurate information ensuring that they can consent to their treatment, which is a fundamental principle of ethical care. RMTs should access research from a variety of sources, and not be limited to that provided only by massage therapy publications.
SOAP notes are an essential progress reporting tool for massage therapists, providing a detailed assessment of the clients condition and treatment plan. The acronym SOAP stands for Subjective, Objective, Assessment, and Plan.
A summary of the treatment given should be documented, including areas massaged and specific movements used. It is important to evaluate the treatment against the consultation to identify whether the treatment achieved the desired outcomes and to what extent it was effective in doing so.
The objective section documents the therapists observations of the clients condition. This may include information gathered during an assessment, such as range of motion, muscle tone, and skin condition. It may also include observations made during a massage, such as changes in muscle tension or skin color.
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People also ask

Massage therapists must keep all client information and communication confidential and should never share them with any third party without written consent from the client.
I am informed that I have the right to terminate the treatment at any time, and the right to alter the therapists pressure during the massage treatment. I am aware there are further alternatives offered such as chiropractic, acupuncture, reflexology, and physiotherapy etc. I have read the above consent.
EXCEPTIONS TO CONFIDENTIALITY RULES One of the most common scenarios is when a client is a threat to himself/herself or others, in which case a therapist must notify the person in danger or notify someone who can keep the client safe. In these circumstances, therapists often seek hospitalization for their clients.

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