When in Doubt Refer Them Out

At the college that I attended it was impressed upon us not to be afraid to refer a client to a doctor.

We are not allowed to diagnose, even if we know exactly what it is we are seeing it is out of our scope of practice to tell them what we suspect, but we are well within our scope to suggest or even encourage them to see a doctor or specialist.

Years ago I had a co-worker who told me she would never refer or suggest that someone should see a doctor

She did not believe that referring clients to a doctor is our responsibility as Massage Therapists, I said to her “but we are in a unique position to see areas of their body that they cannot see and conditions they may not be aware they have.” We have a responsibility to our clients to make them aware when something needs to be addressed by a doctor.

Depending on the situation or condition I might say something to the effect of  “you should have a dermatologist check this out” or “it might not be a bad idea to have a doctor take a look at that.”  They may ask you what you suspect or why you have made that suggestion, be careful not to cross the line into diagnosis, try not to sound alarming while at the same time let them know that it is a good idea to have it looked at to rule out any issues.

If it is something so concerning that you do not feel comfortable massaging the area or continuing the session then explain to them that you do not feel comfortable working on that area until it has been seen by a doctor, this could be anything from a suspicious rash to a suspected muscle tear or injury. You are well within your scope of practice to refuse to treat any area that you believe may cause further damage or injury to the client.

What if it ends up being nothing serious?

Well great! Both you and your client will feel better knowing that it was nothing serious, but what if you said nothing and it was?

The other night a client that I last saw a few months ago came in for a massage and said to me:
“I wanted to thank you, you saved me!” he said “You suggested I should see a dermatologist, and you saved me, it was stage one aggressive malignant melanoma”

They were able to diagnose and remove the cancer before it had a chance to spread and he is now being monitored regularly to make sure that it does not return.

This was not the first time someone thanked me for suggesting they should see their doctor or specialist, but it is the one that will forever reinforce my position on referring clients to a doctor or specialist.

We are in a unique position to help others

That is what we do, it is who we are! Don’t be afraid to speak up if you feel that your client should see a doctor, if you are wrong then you both gain peace of mind, and if you are correct you might just save a life!

 

Yours in Health and Wellness,
Kristeen Smart AKA Kristeen Kish
CAMTC Certified Massage Therapist
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Massage Tools and Liability Insurance

A cautionary post for fellow Massage Therapists and Student

I research things as I become curious about certain subjects, one of my recent curiosities was about a product which got me searching for more information on tools and liability insurance because I know that not all tools are covered by all liability companies and I usually search mine to find out what is excluded, but new products raise the question of what actually is included.

Personally my advice to anyone using any tools or exotic modalities would be to contact your liability insurance and ask about coverage just to make sure. I know that some insurance companies do not cover hot stones while others do not cover cupping, and many insurance companies strictly exclude T-bar use.

In my opinion we need to be diligent in making sure that what we utilize in our practice is covered. That being said I did find this post and thought to share it with you.

https://www.ctha.com/Forums/?b=21206

Massage Tools and Insurance

Hi Everybody!

Do you use any supplemental tools when massaging and do your insurers know this? If so, what are their requirements for insuring you to use that tool: an accredited course, confirmation of reading all the instructional material, paying an extra ‘tool-use’ supplment or something else?

I have been asked to write an article about this relevant topic as an ‘expert’ on massage tools (I designed and sell a massage tool called ‘The Kneader’ for both general public and professional therapist use).

Recently, I gave a workshop on our new venture, which is Kneader On-Site Massage. Only Level 3 on-site therapists attended, as it was to gauge if they liked On-Site Massage with the Kneader as much as we do. Thankfully, they did and they all bought 1-2 Kneaders in preparation for our Kneader On-site Massage course, which is hopefully going to be this summer.

One of the therapists contacted her insurers at CThA to make sure she was covered to use the Kneader, in the meantime, as a supplemental tool. They said she was not insured until she took an accredited course on how to use the Kneader (again, even as a supplemental tool during a standard massage treatment). This was not good news as lots of therapists have been buying and using the Kneader as a supplemental tool for several years now! What ensued was nearly two months of deliberation on the Kneader – my argument being that the product comes with a comprehensive manual and DVD and there are loads of clips and instructional material on our website and YouTube.

Thankfully, the CThA insurers have been very thorough and accommodating and have now confirmed that all their therapists are insured to use the Kneader as long as they have reviewed the manual and DVD and use the tool in accordance with the product’s instructional material. It’s a start but this is only one insurer of many and they are all of the same view (I’ve checked around) – if you use a tool (any tool), you need to take an accredited course in it to be insured when using it. I have queried about ‘one move’ tools like Bongers, The Knobbler and Omni Ball – if a tool only does one thing, how can you warrant doing a course in it? Massage tool use is on the rise in the industry, because therapists are always looking at ways to improve their treatments and their working lives. Subsequently, how many therapists are using tools to save their hands or enhance their treatments without realising that they are not ensured to do so? It’s a question that I fear a lot of therapists have not even considered and run the risk (however small) of being caught out on.

I would be grateful for any input and will post the article once it is published for your consideration.

In the meantime, all the very best!

Una
Kneads Must

We love to provide our clients with the best that we can offer them but we also need to always remember to protect not only our clients but our practice as well by making sure that our insurance coverage meets our needs when it comes to our services and products.

Yours in Health and Wellness,

Kristeen Smart AKA Kristeen Kish
CAMTC Certified Massage Therapist
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