Client intake Flashcards
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
What is one reason a client might refuse a specific type of massage?
Previous negative experiences or concerns about discomfort.
What type of questions should a therapist ask about a client’s pain?
Questions about the location, intensity, duration, and triggers of the pain.
True or False: It is important to document a client’s goals for massage therapy.
True
What should a therapist do if they discover a new medical condition during the health history review?
Reassess the treatment plan and possibly consult with the client’s healthcare provider.
List two common types of massage techniques.
Swedish and deep tissue.
What is the purpose of asking about a client’s previous massage experiences?
To understand their preferences and tailor the session accordingly.
True or False: The SOAP method is only used in medical settings.
False
What should therapists document regarding client feedback after the session?
Any comments about their experience, such as pain relief or relaxation.
What information should be included in a massage consent form?
Client’s agreement to receive treatment and acknowledgment of any risks involved.
Fill in the blank: The _______ section of the SOAP note helps in planning future treatments.
Plan
What should a therapist do if a client has a history of fainting during massages?
Take precautions such as ensuring the client is well-hydrated and comfortable.
What is the role of the therapist in the assessment section of the SOAP note?
To evaluate the client’s condition and progress based on observed data.
True or False: Only physical conditions need to be addressed in a health history form.
False
What should be the first question on a health history form?
Do you have any current medical conditions or concerns?
List three types of information that should be collected about medications.
Name, dosage, and purpose of each medication.
What should a therapist note if a client has a high level of anxiety?
Modify the approach to create a more calming environment.
Fill in the blank: The _______ section of the SOAP note includes description of the client’s physical state.
Objective
What might be a red flag during a health history review?
Recent surgery or severe chronic illness.
True or False: It’s acceptable to massage over an area with an open wound.
False
What is the importance of asking about a client’s hydration?
Hydration can impact muscle recovery and overall treatment effectiveness.
What should therapists do if they suspect a client has a serious medical condition?
Recommend they seek medical advice before proceeding with massage.
What is the purpose of a follow-up question after the initial health history?
To clarify any ambiguous responses or gather more detailed information.
Fill in the blank: The ________ section of the SOAP note indicates what the therapist intends to do next.
Plan
What is a common contraindication for massage therapy?
Acute infections or fever.
True or False: It is important to document any changes in a client’s treatment plan.
True
What should a therapist ask about a client’s family medical history?
Any hereditary conditions that may affect the client’s health.
What is the benefit of keeping detailed SOAP notes?
They provide a comprehensive record for continuity of care.
Fill in the blank: A client’s ________ can help identify specific areas of tension during the massage.
Feedback
What should be included in a client’s profile for a massage therapy session?
Name, contact information, and relevant health history.
True or False: All clients should receive the same type of massage regardless of their health history.
False
What is one key aspect of the subjective part of the SOAP note?
Client’s personal experience and feelings about their condition.
What should a therapist do if a client expresses discomfort during the initial health history interview?
Reassure them and adjust the conversation to make them more comfortable.
What is the purpose of documenting a client’s progress over multiple sessions?
To evaluate effectiveness and adjust treatment plans as needed.
Fill in the blank: The ________ section of the SOAP note should include any relevant findings from the session.
Objective
What type of questions should a therapist avoid during a health history interview?
Leading or judgmental questions.
True or False: A therapist can perform a massage without a signed consent form.
False
What should a therapist do if a client has a known allergy to a product used during the massage?
Choose an alternative product that is safe for the client.
What type of information should be checked regarding a client’s physical activity?
Frequency, type, and any recent changes in activity levels.
What should be documented if a client reports improvement after treatment?
Specific areas of improvement and any changes to their condition.
Fill in the blank: The ________ section of the SOAP note allows the therapist to summarize their findings.
Assessment
What is the benefit of having a standard health history form?
Consistency in the information collected from all clients.
True or False: Clients should be encouraged to ask questions about their treatment during the session.
True
What should a therapist do if a client has a history of high blood pressure?
Monitor their condition closely and adjust the massage technique accordingly.
What kind of lifestyle factors should be considered when assessing a client’s health?
Diet, exercise, sleep, and stress management.
Fill in the blank: The ________ section of the SOAP note is where future treatment goals are outlined.
Plan
How often should a therapist update a client’s health history?
At least once a year or whenever there is a significant change.
What is the importance of client confidentiality in massage therapy?
To protect the client’s privacy and build trust.
True or False: A therapist should rely solely on their observations without client feedback.
False
What is one reason to review the SOAP notes from previous sessions?
To track progress and adjust treatments as necessary.
What should be the therapist’s approach if a client has a history of anxiety?
Create a calming atmosphere and communicate clearly throughout the session.
Fill in the blank: It’s important to ask about a client’s ________ to ensure comfort during the massage.
Preferences
What should be included in the assessment section for a client with chronic pain?
A detailed description of pain patterns and effectiveness of previous treatments.
True or False: It is acceptable to massage a client with a fever.
False
What is a potential risk of not collecting a thorough health history?
Increased risk of injury or adverse reactions during massage.
What should therapists do if a client has a new medical diagnosis since their last visit?
Reassess the treatment plan and ensure it aligns with their current health status.
Fill in the blank: The ________ section of the SOAP note includes the therapist’s observations about the client’s range of motion.
Objective
What is a common question to ask about a client’s pain level?
On a scale of 1 to 10, how would you rate your pain?
True or False: A client’s emotional state can affect their physical response to massage.
True
What should be documented if a client has a history of surgeries?
The type of surgery, date, and any complications that arose.
Fill in the blank: A thorough understanding of a client’s ________ is crucial for effective treatment planning.
Health history
