HLTMSG010 - Assess client massage needs

Students will also be expected to demonstrate the following knowledge:

• Commonwealth and State or Territory legal and ethical considerations for client assessment:

• codes of conduct
• duty of care
• informed consent
• mandatory reporting
• therapist and client boundaries
• privacy, confidentiality and disclosure
• records management
• work role boundaries:

  working within scope of practice
  presenting symptoms that require referral to a medical practitioner

• work health and safety

• health care options for massage clients:

• allied health services and other health modalities
• community resources and support services

• factors and barriers that may impact on massage assessment:

• physical
• psychological
• cultural

• factors that affect individual health status:

• age
• gender
• lifestyle risk factors
• personal and medical history:

  comorbidities
  sequelae and progression of disease
  mental and emotional health

• values, attitudes and beliefs
• balance of rest, activity and sleep
• physical environment
• social environment
• social determinants of health

• client information required prior to assessment:

• case history:

  physical health
  mental and emotional health

• client expectations:

  methods to clarify
  managing

• considerations for performing massage assessments:

• environment
• equipment
• client privacy
• client instructions

• assessment methods, how and when they are used:

• palpation
• observation
• listening

• cautions and contraindications to treatment and possible indications for referral:

• weak bone and joint instability
• neurological dysfunction
• vascular disorder
• symptoms outside of scope of practice
• excessive pain and abnormal responses to treatment
• protracted pain
• non-reproducible pain
• fatigue
• circulatory disorder
• inflammation
• lumps and tissue changes
• rashes and changes in the skin
• oedema
• sudden changes in mood
• infection
• changes in appetite, elimination and sleep habits
• bleeding and bruising
• nausea, vomiting and diarrhoea
• recent changes in body temperature

• major muscle anatomy:

• surface anatomy
• palpable bony landmarks
• actions of individual muscles and muscle groups:

  temporalis
  masseter
  frontalis
  sternocleidomastoid
  trapezius
  levator scapulae
  latissimus dorsi
  teres major
  rotator cuff
  rhomboids
  erector spinae
  quadratus lumborum
  pectoral
  abdominal
  hip flexors
  gluteal
  quadriceps
  hamstrings
  adductor
  calf including anterior and posterior
  deltoid
  elbow extensors and flexors
  wrist extensors and flexors
  forearm pronators and supinators

• skeleton:

  bones of the body
  major bony landmarks
  surface anatomy and palpable bony landmarks

• joints:

  synovial
  actions

• physiology:
• soft tissue:

  muscle contraction
  muscle physiology including reflexes, chemistry and proprioceptors
  tendons and ligaments
  fascia

• signs of cautions and contraindications:

  inflammation including cardinal signs
  injury including acute and chronic grades
  wound healing including stages
  pain types

• documentation requirements:

  accurate
  comprehensive
  legible
  in English
  using industry terminology and standard abbreviations.