must enhance their practice based on continued education and training from approved providers and remain within the scope of their practice and level of competency. Practitioners must rely on their professional standards, code of ethics, rules of conduct, state and federal regulations, organizational guidelines, and sound decision making models to inform their ethical practice. Massage and bodywork therapists are now integrated in health, fitness, and sports rehabilitation, and a variety of healthcare agencies and service providers. Corporate, educational, and government funded facilities will require strict adherence to ethical standards, state and federal regulations that protect the public. The professional therapists and bodywork professional must meet the challenge to adapt to the needs and demands of diverse communities with expanding health care needs. They must build a practice that projects high standards of ethical conduct and professional practice that welcomes all clients. Howard, K. (2011). Sexuality Issues: An Uneasy Client . Retrieved April 7, 2016 from: http://www.massagetherapy.com/articles/index.php/ article_id/1942/An-Uneasy-Client. Lee, C. (2016). Law And Ethics Role Play Scenarios, Ethics: Massage Therapy Roles And Boundaries. Retrieved November 7, 2016 from: http://moorecareercollege.edu/student-resources/Law-and-Ethics-Roleplay-Scenarios Katz R. (2006). When Professionals Weep: Emotional and Counter Transference Responses in End of Life Care . Retrieved November 14, 2016 from http://addictionceonline.com/articles/100932/When_Personal_Professional_Collide.pdf McIntosh, N. (2016). The Educated Heart: An Excerpt. Retrieved November 20, 2016 from http://www.massagetherapy.com/articles/index. php/article_id/508/The-Educated-Heart- Medical Dictionary. (2016). Definition of Tensegrity . Retrieved November 18, 2016 from: http://medical-dictionary.thefreedictionary.com/ tensegrity Moda Health. (2016). Medical Records Documentation Standards 2016 . Retrieved November 16, 2016 from: https://www.modahealth. com/pdfs/reimburse/RPM039.pdf National Center for Complementary, and Integrated Health, National Institute of Health. (2016). What the Science Says About the Safety and Side Effects of Massage Therapy . Retrieved November 20, 2016 from: https://nccih.nih.gov/health/massage/massageintroduction. htm National Center for Complementary, and Integrated Health Alternative, or Integrative Health. (2016b). What’s In a Name? Retrieved November 22, 2016 from: https://nccih.nih.gov/health/integrative-health. National Center for Complimentary and Integrative Health. (2016c). 2016 Strategic Plan . Retrieved November 22, 2016 from: https:// nccih.nih.gov/about/strategic-plans/2016 National Certification Board for Therapeutic Massage and Bodywork. (2008). Code of Ethics. Retrieved April 6, 2016 from: http://www. ncbtmb.org/code-ethics National Certification Board for Therapeutic Massage and Bodywork. (2009). Standards of Practice . Retrieved on November 16, 2016 from: http://www.ncbtmb.org/standards-practice National Certification Board for Therapeutic Massage and Bodywork. (2016). Board Certification . Retrieved November 20, 2016 from: http://www.ncbtmb.org/board-certification National Certification Board for Therapeutic Massage and Bodywork. (2016b). Glossary of Terms. Retrieved November 9, 2016 from: http://www.ncbtmb.org/download/glossary-terms-2-page National Certification Board for Therapeutic Massage and Bodywork. (2016c). Disciplinary Actions . Retrieved November 1, 2016 from: http://www.ncbtmb.org/disciplinary-actions National Certification Board for Therapeutic Massage and Bodywork. (2016d). Specialty Certificates. Retrieved November 22, 2016 from: http://www.ncbtmb.org/specialty-certificates/specialty-certificates National Hospice and Palliative Care Organization Ethics Committee. (2006). Ethical Principles: Guidelines for Hospice and Palliative Care Clinical and Organizational Conduct . Retrieved November 15, 2016 from: http://www.nhpco.org/sites/default/files/public/regulatory/ Ethics_Principals_NHPCO.pdf National Institute of Health. (2016). In the News: Cupping . Retrieved November 19, 2016 from: https://nccih.nih.gov/news/cupping National Institute for Occupational Safety and Health. (2015). Highlights of the NIOSH Health Hazard Evaluation of the Dallas Institute of Acupuncture and Oriental Medicine . Retrieved November 19, from: https://www.cdc.gov/niosh/hhe/reports/pdfs/2000-0341-2839.pdf NC Massage School. Health. (2016). Risks of Massage? Retrieved November 11, 2016 from: http://www.ncmassageschool.com/2013/05/ massage-therapy-health-information/ NC Massage School. (2016b). Why Were So Many Olympic Athletes Cupping . Retrieved November, 1, 2016 from: http://www. ncmassageschool.com/2016/09/athletes-cupping-rio-olympics/ Neeley, G. (2016). What You Need to Know About HIPAA Requirements . Retrieved November 6, 2016 from: https://www.massagemag. com/need-know-hipaa-requirements-35661/ Occupational Safety and Health Administration. (2016). OSHA Laws and Regulations . Retrieved November 7, 2016 from: https://www. osha.gov/ Quizlet. (2016). Medical Law and Ethics . Retrieved April 6, 2016 from: https://quizlet.com/23160950/chapter-1-13-medical-law-ethics- flash-cards/Chapter . Riedell, L. (2005). Ethically Navigating Difficult Bodywork Scenarios | Massage . Retrieved November 13, 2016 www.integrativehealthcare. org/mt/archives/2005/12/ethically_navig.html Sharkey, J. (2015). Concept Of Biotensegrity. Retrieved November 20, 2016 from: https://www.scienceofmassage.com/2015/11/concept- of-biotensegrity/# SunSpiral, V. (2010). Introduction to Biotensegrity . Retrieved November 19, 2016 from: http://www.magicalrobot.org/ BeingHuman/2010/04/introduction-to-biotensegrity. U.S. Department of Health and Human Services. (2016). Regulations and Policy : The Belmont Report. Retrieved November 7, 2016 from http://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/ U.S. Department of Health and Human Services. (2016b). HIPAA Privacy Rule . Retrieved on April 5, 2016 from: http://www.hhs.gov/hipaa/ for-professionals/privacy/. U.S. Department of Labor, Bureau of Labor Statistics. (2016). Occupational Outlook Handbook. Retrieved November 10, 2016 from: http:// www.bls.gov/ooh/healthcare/massage-therapists.htm United States Equal Employment Opportunity Commission (2016). Sexual Harassment. Retrieved April 6, 2016 from, Retrieved April 7, 2016 from: http://www.eeoc.gov/laws/types/sexual_harassment.cfm. WebMD. (2016). Cupping Therapy . Reviewed by David Kiefer. Retrieved November 18, 2016 from: http://www.webmd.com/balance/ guide/cupping-therapy Wood, G. (2016). 10 Things You Can Do Right Now to Welcome LGBTQ People to Your Massage Practice . Retrieved November 11, 2016 from: https://www.massagemag.com/10-things-you-can-do-right-now-to-welcome-lgbtq-people-to-your-massage-practice-41099/ Word Press. (2014). There I Go, Rising: A Tribute To Maya Angelou Volume 31 . Retrieved November 15, 2016 from: https:// wordsfortheweekend.com/2014/05/31/there-i-go-rising-a-tribute-to-maya-angelou-volume-31/ World Health Organization. (2014). Comprehensive Mental Health Action Plan 2013–2020 . Retrieved November 20, 2016 from: http:// apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R8-en.pdf?ua=1
variety of mental and physical conditions, and a diverse client base. Many insurance companies cover massage and bodywork therapy as these professions are gaining acceptance and value in the medical community as collaborative partners. This growth requires the massage and bodywork professional to increase their knowledge in the field of ethics including confidentiality and privacy issues included in the HIPAA Rules that govern the electronic sharing, maintenance and storage of protected client information. These positive changes in the profession increase the need for comprehensive knowledge and application of the principles of ethical conduct as the profession joins mainstream acceptance in the community. Therapists will face increased regulation as they are integrated into medical models, so best practice for informed consent, records maintenance, confidentiality, privacy regulations, professional standards of conduct will be closely monitored as a condition of practice. Therapists must recognize the importance of evidence based practice modalities to ensure the safety of their clients. They References 3B Scientific Therapy and Wellness Insight. (2016). The Future of Massage Therapy - 2015 and Beyond. Retrieved November 20, 2016 from: http://blog.3bscientific.com/therapy_wellness/ Adam, M.B. (2012). Adolescent Confidentially: An Uneasy Truce. Retrieved November 20, 2016 from https://cbhd.org/content/adolescent- confidentially-uneasy-truce Alliance for Massage Therapy Education. The Code of Ethics for Educators. (2012). Retrieved November 13, 2016 from: http://www. afmte.org/ American Massage Therapy Association. (2014). Top 5 Ways to Improve Client Communication. Retrieved April 7, 2016 from: https://www. amtamassage.org/articles/6/Student_Experiaence_Newsletter/index.html American Massage Therapy Association. (2015). Code of Ethics . Retrieved April 7, 2016 from: https://www.amtamassage.org/About- AMTA/Core-Documents/Code-of_Ethics.html?utm_source=%2fabout%2fcodeofethics.html&utm_medium=web&utm_campaign=redirect American Massage Therapy Association. (2015b). Ethical Dilemmas: Negotiating Conflict. Retrieved on April 5, 2016 from: https://www. amtamassage.org/articles/6/Student_Experience_Newsletter/detail/3347 American Massage Therapy Association. (2016). Industry Fact Sheet. Retrieved November 12, 2016 from: https://www.amtamassage.org/ infocenter/economic_industry-fact-sheet.html American Massage Therapy Association. (2016b). Consumer Views & Use of Massage Therapy. Retrieved November 10, 2016 from: https://www.amtamassage.org/research/Consumer-Survey-Fact-Sheets.html American Massage Therapy Association. (2016c). Glossary of Research Terminology. Retrieved November 8, 2016 from: https://www. amtamassage.org/infocenter/research_glossery-of-research-terminology.html American Massage Therapy Association. (2016d). Standards of Practice . Retrieved November 16, from: https://www.amtamassage.org/ infocenter/research_glossery-of-research-terminology.html American Massage Therapy Association. (2016e). Safety and Security - Risk Management. Retrieved November 6, 2016 from: https://www. amtamassage.org/career_guidance/detail/162 American Massage Therapy Association. (2016f). Self-Care Techniques . Retrieved November 7, 2016 from: https://www.amtamassage.org/ career_guidance/detail/163?typeId=7 American Massage Therapy Association. (2016g). Position Statements . Retrieved November1, 2016 from: https://www.amtamassage.org/ infocenter/research_amta-position-statement.html Armstrong, R.E. (2012). Protecting Yourself from Malpractice , Retrieved November 8, 2016 from: https://www.amtamassage.org/uploads/ cms/documents/ce_web_su12.pdf Armstrong, R.E. (2016). Protect Yourself & Your Practice . Retrieved November 19, from: https://www.amtamassage.org/professional_ development/ProtectYourself_ProtectYourPractice.html Associated Bodywork and Massage Professionals. (2015). Glossary . Retrieved November 8, 2016 from: http://www.massagetherapy.com/ glossary/ Associated Bodywork & Massage Professionals. (2016). Code of Ethics . Retrieved April 7, 2016 from: https://www.abmp.com/abmp-code- ethics Associated Bodywork & Massage Professionals. (2016b). Minor Consent Form Retrieved November 10, 2016 from: http://massagetoheal. abmp.com/minor_consent_form.pdf Bond, C. (2014). American Massage Therapy Association. Massage and Ethics. Retrieved November 7, 2016 from: https://www. amtamassage.org/articles/3/MTJ/detail/3058 British Cupping Society(2016). Why Are Some Olympians ‘Cupping’? Retrieved November 9, 2016 from https://www.britishcuppingsociety. org/why-are-some-olympians-cupping/ Carlin, A. (2016). Hospice Massage: Ethical Considerations . Retrieved November 24, 2016 from: http://www.massagetoday.com/mpacms/ mt/article.php?id=14315 Centers for Disease Control and Prevention. (2016). Therapeutic Drug Use . Retrieved November 8, 2016 from: http://www.cdc.gov/nchs/ fastats/drug-use-therapeutic.htm Corey, G., Corey, M. S., Corey, C., & Callanan, P. (2015). Issues and Ethics in the Helping Professions (9th ed.) Retrieved November 7, 2016 from http://files.eric.ed.gov/fulltext/ED565003.pdf Dail, N. (2012). The Value of Ethics . Retrieved April 7, 2016 from: http://www.amtamassage.org/uploads/cms/documents/nancy_dail_ value_of_ethics_handout_175.doc Elwyn, G. Frosch, D., Thompson, R., Joseph-Williams, N., Lloyd, A, et al., (2012). Shared Decision Making: A Model for Clinical Practice . Retrieved November 14, from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676/ Eyal, N. (2012). “Informed Consent ” . The Stanford Encyclopedia of Philosophy. Retrieved April 5, 2016 from: http://plato.stanford.edu/ entries/informed-consent/ Fife R. (2005). Ethical Dilemmas in Hospice Care . Retrieved November 11, 2016 from: www.hospicefoundation.org/teleconference/books/ lwg2005/fife.pdf Fitch, P. (2015). Fundamentals of Ethical Decision-Making: Origins of Treatment Room Conflict. Retrieved November 8, 2016 from: https:// www.amtamassage.org/articles/3/MTJ/detail/3287 Garcia, S.F. (2014). Newly Insured Americans Don’t Understand Basic Healthcare Terms. Retrieved April 5, 2016 from: http://www. theatlantic.com/...americans...understand-basic...terms/282914/ Ginn, K. (2013). Power and Professionalism . Retrieved April 7, 2016 from: www.amtamassage.org/uploads/cms/documents/ginn_summit. pdf GLAAD. (2016). Media Reference Guide - Lesbian / Gay / Bisexual Glossary Of Terms Retrieved November 11, 2016 from: http://www. glaad.org/reference/lgbtq Goodwin, J. Treatment Planning and Pharmacology. (2016). Retrieved November 6, 2016 from: https://www.amtamassage.org/uploads/ cms/documents/goodwin_julie Goodwin_-pharmacology_for_treatment_planning_ppt.pdf Haines, A. (2016). Supporting Transgender Clients in Your Massage Practice, Part 1: Trans 101. Guest post from Kat Mayerovitch Retrieved November 14, 2016 from: https://www.massagebusinessblueprint.com/supporting-transgender-clients-massage-practice-part-1-trans-101/ Hasday,L.R. (2002) The Hippocratic Oath as Literary Text: A Dialogue Between Law and Medicine,” Yale Journal of Health Policy, Law, and Ethics: Vol. 2: Iss. 2, Article 4. Published online, February 13, 2013. Retrieved November 14, 2013 from http://digitalcommons.law.yale. edu/yjhple/vol2/iss2/4.
ETHICS FOR THERAPEUTIC MASSAGE AND BODYWORK Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 76, or complete your test online at EliteLearning.com/Book
2. The nature of the practitioner-client relationship is a fiduciary one. This means: a. The client and the practitioner are subject to interpersonal dynamics. b. The client trusts that the practitioner will act in the client’s best interests. c. The client and practitioner are equal in the power differential. d. The relationship is not therapeutic.
1. All state licensing authorities, certifying/accrediting agencies, and professional associations establish their own standards of conduct and ethical guidelines for their members, and massage therapists need to: a. Memorize the AMTA, ABMP, and NCBTMB ethical codes. b. Ignore external ethical codes and create their own. c. Refer to the literature or websites of prominent organizations in other fields of study. d. Refer directly to the organizations and academic or training institutions with which they are affiliated as well as with state, local, and national associations and review the ethical guidelines that apply specifically to their practice.
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