Presentation on theme: "Chapter 3: Clinical Decision-Making for Massage"— Presentation transcript:
1 Chapter 3: Clinical Decision-Making for Massage Outcome-Based Massage: From Evidence to Practice
2 ObjectivesAt the end of this presentation, you will have the information needed to:Describe the 4 phases of the clinical decision- making processDescribe how to formulate and select tests and measures for examinationList the steps in synthesizing clinical findings and creating a clinical problem listList impairments clinicians can treat with massage techniques and the related outcomes
3 Objectives (cont.)At the end of this presentation, you will have the information needed to:Formulate outcomes that are relevant to the use of massage techniquesOutline how to select massage techniquesIdentify how to use findings from the re- examinations to modify, refine, and progress interventionsDescribe how to identify the client’s discharge needs, plan for discharge, and discharge a client
4 Clinical Decision-Making The process by which therapists analyze client information and formulate and progress therapeutic regimens for their clients
5 The Clinical Decision-Making Process Not intended to be used in a linear, sequential mannerTherapists using clinical decision-making perform several steps of the process concurrently.They also cycle through the same steps of the decision-making process several times.Each time they repeat the steps, they expand on their information and refine their hypotheses.
7 The Evaluative PhaseProvides the foundation of the clinical treatment processThe steps revolve around formulating and confirming a clinical hypothesis about the client’s clinical problem or wellness goals.Begins with data gathering through the client examinationInvolves confirming the clinical problem or wellness goals, creating summary of clinical findings, and deciding to treat
8 The Treatment Planning Phase Identifying body structures and functions that are appropriate for treatmentSelecting treatment techniques to improve the client’s impairments in body structures and functions, functional limitations, or overall wellnessBegins with the summary of clinical findings from the Evaluative PhaseEnds with a written plan of care
9 The Treatment PhaseAn ongoing cycle of treatment, re-examination, and treatment progressionBegins after the therapist completes the plan of careThe end of this phase is not clearly delineated.There is a gradual transition from Treatment Phase to Discharge Phase.
10 The Discharge PhaseDischarge: the transition of the client from the therapist’s care to self-care or to treatment by another therapistBegins before the client’s discharge dateSpans the period from the initiation of discharge planning to the actual discharge date
14 Steps in the Treatment Planning Phase 7: Analyze Findings and Generate the Clinical Problem List8: Identify Functional Outcomes9a: Identify Treatable Impairments and Relevant Outcomes9b: Plan Compensatory Strategies
15 Steps in the Treatment Planning Phase (cont.) 9c: Identify Impairments Appropriate for Massage Techniques10 a,b: Select Treatment Techniques11: Generate the Plan of Care