Standard

Posted: 05/27/08

R State Standard £ Institutionally Developed College: N/A

NTT 106 – Clinic I

Course Description

Students begin clinical reasoning and provide supervised therapy services in the college clinic. Students will apply skills learned in previous courses to interview clients; document assessment findings; discern indications and contraindications; develop and implement proper treatment plans; and deliver and evaluate effective Swedish and Deep tissue sessions for a minimum of three clients per week. Student will continue to utilize wellness essentials, evaluate client/therapist communication, and improve professional work ethic. This course also includes a community service component. Topics include: documentation; effective communication skills; effective treatment; preceptor shadowing; case study; community outreach; and self care.

Competency Areas	Hours
Documentation	Class	0
Effective Communication Skills	D. Lab	0
Effective Treatment	P. Lab/O.B.I.	15
Preceptor Shadowing	Credit	5
Case Study
Community Outreach
Self Care

Prerequisite:	NTT 100, NTT 103, NTT 105, NTT 116
Corequisite:

Course Guide

Competency	After completing this section, the student will be able to:	Hours
		Class	D.Lab	P.Lab/ O.B.I.

DOCUMENTATION			0	0	20
	Collect data in the form of an Intake and Medical History, Release, SOAP note, and Referral Forms.
	Interpret data collected and then design a treatment plan with a therapeutic goal or outcome identified.
	Communicate with client and together establish a therapeutic goal to include: a. Reflexive Inhibiting b. Reflexive Stimulating c. Mechanical.
	Obtain client signature signifying an informed consent to treatment.
	Make proper use of medical terminology and abbreviations while charting.
	Make proper use of a key when charting.
	Observe and practice NCBTMB and OCGA Title 43 Professional Standards and Ethics as related to documentation.
	Reference MSDS as needed.
EFFECTIVE COMMUNICATION SKILLS			0	0	17
	Employ active listening skills during the interview and assessment process.
	Observe the clients body language and gestures during the interview to help discern between possible parasympathetic and sympathetic dominance as it will dictate therapeutic goal in treatment.
	Use feedback as a means to determine client expectations.
	Continue with verbal assessment skills throughout session.
	Inquire of and employ accommodations needed for special populations.
	Explain a proposed treatment plan to a client for the purpose of obtaining an Informed consent.
	Observe protocol with the exchange of medical information when beneficial and/or required for the treatment
	Observe and practice NCBTMB and OCGA Title 43 Professional Standards and Ethics as related to communication.
EFFECTIVE TREATMENT			0	0	30
	Conduct Assessments prior to treatment so as to inform the treatment plan.
	Conduct Assessments during treatment so as to immediately alter treatment if needed.
	Assess for responses to treatment in order to determine future techniques.
	Match intended therapeutic outcomes of the session with the physiologic effects of specific massage techniques/strokes to be employed.
	Administer Proper Draping, Positioning, and Bolstering of Client
	Observe and practice NCBTMB and OCGA Title 43 Professional Standards and Ethics as related to treatment.
	Conduct and document thorough re-assessments in order to determine treatment progress.
	Maintain a proper Therapeutic environment.
PRECEPTOR SHADOWING			0	0	12
	Assist preceptor by evaluating peers concerning charting, communication, maintaining a therapeutic environment, work ethics, and treatment administration.
	Justify the evaluation of peers.
CASE STUDY			0	0	16
	As a continuation of the case study from NTT 103, provide 3 uncompensated 60 minute massages for original volunteer that are spaced at a maximum of two weeks apart.
	Conduct initial interview using instructor approved and student designed client intake and informed consent forms.
	Establish and Document a treatment plan for each treatment session.
	Update client intake and informed consent as necessary during treatment sessions
	Conduct and Document assessments for each treatment session on instructor approved soap notes created by the student.
	Write a summary for each treatment to include: Justification for choice of techniques or methods for each treatment session in terms of goals or outcomes established and by comparing the clients past treatment progression.
	Write a narrative comparing the initial treatment from first quarter to the last treatment session of this quarter. Summarize and justify your progressive choice of treatment techniques showing your clients response to treatment. Explain any alterations to goals for future treatment that are being considered based on mutual agreement.
COMMUNITY OUTREACH			0	0	10
		Participate in community events by performing supervised chair and/or table massage while observing correct and appropriate assessments and applications per NTT 105.
SELF CARE			0	0	45
	Practice self care as evidenced in their assessment of personal: Physical and emotional wellbeing Nutrition Breathing patterns Biomechanical function
	Practice self massage techniques specific to their biomechanical needs.
	Use proper body mechanics.
	Implement personal stretching before and after a treatment session.
	Engage in a strengthening routine designed for career specific conditioning.

Suggested Resources

Agur, Annie M. and Dalley, Arthur F. (2004) Grant’s Atlas of Anatomy. (11^th ed.). Lippincott, Williams, and Wilkins.

Biel, Andrew R. (2005). Trail Guide to the Body. (3^rd ed.) Books of Discovery. ISBN: 978-0-9658534-5-3

Deglin, Judith and Vallerand, April H. (2006) Davis’ Drug Guide for Nurses. (10^th ed.). F. A. Davis

Fritz, Sandy. (2008). Fundamentals of Therapeutic Massage (4^th ed.) (Textbook & DVD). Elsevier: Mosby.

Lowe, Whitney. (1997). Functional Assessment in Massage Therapy. (3^rd ed.). Oregon: OMERI

Netter, Frank H., (2006). Netter’s Atlas of Human Anatomy. (4^th ed.) Elsevier Health Sciences.

Taber’s Cyclopedic Dictionary. (20^th ed.) F. A. Davis. ISBN-13: 978-0-8036-1207-5

Posted: 05/27/08