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Compliance with client drapping techniques in preparation for an examination
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Draping of a body part serves two main purposes; it creates a boundary fro the therapist and client, and it gives the therapist access to tissues so they may be more easily worked. Respect for the client’s privacy and vulnerability must be considered in light of these two points. For this reason we have adjustment to our “default” draping for various areas of the body. As a therapist you want to perform the most effective treatment possible, and adequately accessing the client’s tissue facilitates this. The following draping guideline have been developed in accordance with the CMTO requirements, anatomical considerations, and the treatments required text – Clinical Massage Therapy (Rattray, F.). The following points must be considered when performing draping. These points are taken from the standards of practice or other guidelines set out by the CMTO:
Draping for neck treatments:
If client wants his/her arms under the sheet then drape line should expose the deltoid and to the level of the second rib at the level of the Manubriosternal joint. The drape line should be tucked under the upper arm.
If a client wants his/her arms on top of the sheet then the drape line should be tucked under the rib cage and to the level of the second rib at the level of the Manubriosternal joint.
Draping for upper limb treatments:
Draping is the same as for neck treatments. If the client wishes, the untreated arm may be covered as per client comfort.
Draping for abdominal treatments:
The upper margin of the draping is the inferior aspect of the xiphoid process. A towel is used to cover the chest and it is tucked laterally under the rib cage. The sheet is pulled down to the level of the ASIS and is tucked laterally under the pelvis. This will expose the lower 6 ribs and abdominal region. Because this will also expose the arms, extra towels can be used to cover the arms as per client comfort.
Draping for anterior lower limb treatments:
Drape line should follow the inguinal crease exposing all the adductors and anterior thigh muscles. The drape line exposes the ASIS and is tucked laterally under the pelvis/lumbar region.
Draping for a back treatment:
The drape line should expose the PSIS (but no more than ½ inch below it) and
be tucked appropriately under the pelvis. The gluteal cleft should never be undraped or exposed.
Draping for posterior lower limb treatments:
With Gluteals ( as the CMTO has deemed the gluteal region an area of sensitive practice it is especially important that students follow the 3 points addressed at the beginning of this notice) The drape line will travel superiorly following the lateral aspect of the sacrum up to the iliac crest and tucked laterally under the pelvis/hypogastric region. This drape is prone to coming loose and may be secured with an extra towel or reinforced with the opposite side of the sheet. Without Gluteals exposed; drape line should come up to the ischial tuberosity exposing the adductors, traveling laterally towards the greater trochanter at the gluteal fold but not exposing it, tucking under the hip at the greater trochanter.
Draping for lower limb
The drape line should expose the ASIS, iliac crest, and the lateral border of the
sacrum. The gluteal cleft is not exposed. This drape line is a combination of the anterior lower limb and posterior lower limb with gluteals exposed drapings. If the