If we are moving to another practice, what do we need to do? Give clients notice ASAP in writing, posted in your clinic, reception. Let them know how they can access their file.
如果我们要转到另一个诊所，我们需要做什么？尽快以书面形式通知客户，张贴在您的诊所、接待处。 让他们知道如何访问他们的文件。
When is consent done? Before every treatment, assessment, reassessment.
何时完成同意？每次治疗前，评估，重新评估。
What is the Regulated Health Professions Act position on sexual assault of client? Zero tolerance – treating a spouse is considered sexual abuse
《受监管卫生专业法》对客户性侵犯的立场是什么？ 零容忍 – 对待配偶被视为性虐待
Worst form of client violation – sexual misconduct
最恶劣的顾客违规形式 – 不当性行为
Professional Misconduct – not getting written consent for sensitive areas
职业不当行为 – 未获得敏感领域的书面同意
Who could be a substitute decision maker for a client who isn’t capable of giving consent? Spouse, Adult child/family member, appointed by law
谁可以成为无法给予同意的客户/客户的替代决策者？配偶、成年子女/家庭成员，依法指定
Can a massage therapist be a substitute decision maker? NO.
按摩治疗师可以成为替代决策者吗？不。
For consent to be valid it must be voluntary, Informed, client must be capable.
要使同意有效，它必须是自愿的，知情的，客户必须有能力。
How do we know the client is capable? Repeat back in their own words.
我们怎么知道客户有能力？用他们自己的话重复一遍。
What do we need to have posted in our clinic for clients? Fee schedule. Client must be aware when they arrive.
我们需要在诊所为客户张贴什么？费用表。客户必须知道他们何时到达。
What are some examples of Power Differentials – Massage Therapist/Client, Doctor/Patient, Teacher/Student, Parent/Child
权力差异的一些例子 – 按摩治疗师/客户、医生/病人、老师/学生、家长/孩子
The reason we have laws (code of ethics) for how we act is because there is a power differential.
我们之所以有法律（道德准则）来规定我们的行为方式，是因为存在权力差异。
Who is responsible to maintain professional boundaries in the therapeutic relationship? Massage Therapist
谁负责在治疗关系中保持专业界限？按摩治疗师
Our minimum guidelines/rules and responsibilities are known as – Standards of Practice
我们的最低准则/规则和责任被称为 – 实践标准
Code of Ethics – is our morals and principals (how we treat our clients)
道德准则 – 是我们的道德和原则（我们如何对待客户）
If a client is showing affection for the Massage Therapist what is this known as? Transference
如果客户对按摩治疗师表达爱意，这叫什么？移情
IF the Massage Therapist is showing affection for the client this is known as Countertransference
如果按摩治疗师对客户表达爱意，这被称为反移情
Massage therapist can look for clients body language to know how the pressure of the massage is.
按摩治疗师可以寻找客户的肢体语言，以了解按摩的压力如何。
Is the Massage Therapist/Client relationship an equal relationship? No.
按摩治疗师/客户关系是平等的关系吗？不。
When can a massage therapist break confidentiality? Written authorization for lawyer/insurance company, a threat to self or others, child abuse (CAS children’s aid society), medical emergency, elder abuse
按摩治疗师什么时候可以打破保密规定？律师/保险公司的书面授权、对自己或他人的威胁、虐待儿童（CAS 儿童援助协会）、医疗紧急情况、虐待老人
If you were videotaping a client without their consent this would be – Sexual Misconduct
如果您在未经客户同意的情况下对客户进行录像，这将是 – 不当性行为
Becoming friends with a client is known as a – Dual Relationship – blurs boundaries, treat them differently then other clients, focus is no longer solely on the client.
与客户成为朋友被称为 – 双重关系 – 模糊了界限，与其他客户区别对待他们，重点不再仅仅集中在客户身上。
If you want to date a client – wait one year from the termination of massage therapist/client relationship
如果您想与客户约会 – 在按摩治疗师/客户关系终止后等待一年
Examples of Dual Relationships – Friends with our client, Family, colleagues, owner of business you work at, plus the therapeutic relationship – Damages the therapeutic relationship.
双重关系的例子 – 与我们的客户、家人、同事、您工作的企业的所有者的朋友，加上治疗关系 – 破坏治疗关系。
Consent Components – Goals, Areas treated, undraped, Risks, Benefits, Consequences to not having treatment, Empower client, Alternatives, Clothing, Questions, Consent – For consent to be valid it must be informed, and voluntary – cannot be obtained by misrepresentation or fraud.
同意组成部分 – 目标、治疗领域、未接受治疗、风险、好处、不接受治疗的后果、赋予客户权力、替代方案、服装、问题、同意 – 要使同意有效，必须知情且自愿 – 不能通过虚假陈述或欺诈获得。
Updating health history – record date we updated
更新健康历史记录 – 我们更新的记录日期
Can we treat a client who isn’t wearing underwear? Yes. According to standards of practice what areas must remained covered? Genitals/Gluteal Cleft
我们可以治疗没有穿内衣的客户吗？是的。根据实践标准，必须涵盖哪些领域？生殖器/臀裂
Client offers massage therapist an expensive gift, what is client showing signs of? Transference
客户向按摩治疗师提供昂贵的礼物，客户表现出什么迹象？移情
If client offers tip or gift, note in treatment notes.
如果客户提供小费或礼物，请在治疗说明中注明。
Time spent on direct client care – researching client condition, assessment, treatment, develop treatment plan.
花在直接客户关怀上的时间 – 研究客户状况、评估、治疗、制定治疗计划。
Consent and Fraud – having client sign up for certain number of treatments – Financial abuse of client
同意和欺诈 – 让客户注册一定数量的治疗 – 客户的财务虐待
Can you get signed consent for sensitive areas while client is on the table? No.
当客户在场时，您能否获得敏感区域的签署同意书？不。
Can you extend clients treatment time while they are on the table? No. Politely decline, suggest booking longer treatment next appointment.
当客户在手术台上时，您能否延长他们的治疗时间？ 不。礼貌地拒绝，建议下次预约更长时间的治疗。
Therapeutic relationship is to benefit the client.
治疗关系是为了使客户受益。
Who is more vulnerable in the Therapeutic Relationship? Client (power differential)
谁在治疗关系中更脆弱？ 客户端（功率差）
Professional Boundaries keep a safe environment for the client and for the therapist.
专业界限为客户和治疗师保持一个安全的环境。
How do we acquire consent for sensitive areas? Written consent, must have indication to work sensitive area.
我们如何获得敏感区域的同意？书面同意，必须有工作敏感区域的指示。
Doing trades/bartering with someone is an example of a dual relationships.
与某人进行交易/以物易物是双重关系的一个例子。
If you have romantic feelings for a client this is showing countertransference.
如果你对客户有浪漫的感觉，这就是表现出反移情。
Under draping standards massage therapist does not go under draping.
根据悬垂标准，按摩治疗师不进行悬垂。
Client has safe/private area to change.
客户有安全/私人区域可以更改。
If draping comes loose whose responsibility, is it to adjust draping- Massage Therapist
如果悬垂松动了谁的责任，是调整悬垂 - 按摩治疗师
When can a client’s genitals be undraped – 2 exceptions – woman in labour, child under 2.
什么时候可以解开客户的生殖器 – 2 个例外 – 分娩中的妇女、2 岁以下的儿童。
Before client’s first appointment we must make client aware of fee schedule, cancelation policy, inform client if health hx/assessment are included in treatment time
在客户第一次预约之前，我们必须让客户了解费用表、取消政策，并告知客户治疗时间是否包括健康医生/评估
Where do we keep client files? Filing cabinet where only authorized personal has access.
我们将客户文件保存在哪里？ 只有经过授权的人员才能访问的文件柜。
How much can you charge for cancellation fee? Percentage of treatment or the whole fee.
取消费用可以收取多少？治疗百分比或全部费用。
For a missed appointment what needs to be included on the receipt? “Missed Appointment”
对于错过的预约，收据上需要包含什么？“错过的约会”
Objective – what we see (client has crutches) – Subjective – What the client tells us – My arms hurt from using crutches
客观 – 我们所看到的（客户有拐杖） – 主观 – 客户告诉我们什么 – 我的手臂因使用拐杖而受伤
When we can refuse client’s – abuse from client, client has CI, condition is not something we work with, refuse payment
当我们可以拒绝客户的 – 来自客户的虐待，客户有 CI，状况不是我们处理的事情时，拒绝付款
If treatment goals have been met we discharge the client
如果达到治疗目标， 我们会让客户出院
Nonjudgemental treatment for all clients (Code of Ethics)
对所有客户进行非评判性待遇（道德准则）
Assertive communication (I statements) eg. I feel I can’t hear you very well, is there a way we can improve the classroom seating so I can hear.
自信的沟通（I 陈述）eg. 我觉得我听不清你，有没有办法改善教室的座位，这样我就能听到。
Treatment room – safe/clean for all clients, no spills. Wash our hands before and after every client. Clean linens for every client
治疗室 – 对所有客户安全/干净，无溢出物。在每位客户之前和之后都要洗手。为每位客户提供干净的床单
Fees for massage therapy are based on time.
按摩疗法的费用是根据时间计算的。
Through our interview and assessment we come up with a treatment plan for our client, keeping our client’s goals in mind.
通过我们的面谈和评估，我们为客户制定治疗计划，同时牢记客户的目标。