Anatomical draping guidelines, Study Guides, Projects, Research of Biometrics

Compliance with client drapping techniques in preparation for an examination

Typology: Study Guides, Projects, Research

2018/2019

Uploaded on 02/16/2019

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ANATOMICAL DRAPING GUIDELINES
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:
1. The CMTO has identified areas of sensitive practice, the gluteal region
being one of them. During informed consent the specific areas to be
undraped are discussed with the client during the nature of treatment.
This allows the client to be informed of the proposed areas to be
undraped. During informed consent the client is given the opportunity to
ask questions, and refuse certain aspects or all of the proposed
treatment. As well, they are informed of their right to stop or modify the
treatment at any point. These aspects of informed consent are designed
to give maximum protection to the client.
2. Standard 12 – Undrape the Client for Treatment. This standard includes
many points that must be performed with any draping. Including
informing the client before undraping the area, ensuring that the drape is
secure, adjusting the draping if the client requests, so long as both
therapist and client are comfortable. This standard affords the client
another opportunity to make alterations regarding the level of the
draping.
3. It is understood based on the Standards of Practice from the CMTO that
only the area of the body being treated is to be exposed.
SUPINE
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:
EDIX SCHOOL
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ANATOMICAL DRAPING GUIDELINES

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:

  1. The CMTO has identified areas of sensitive practice, the gluteal region being one of them. During informed consent the specific areas to be undraped are discussed with the client during the nature of treatment. This allows the client to be informed of the proposed areas to be undraped. During informed consent the client is given the opportunity to ask questions, and refuse certain aspects or all of the proposed treatment. As well, they are informed of their right to stop or modify the treatment at any point. These aspects of informed consent are designed to give maximum protection to the client.
  2. Standard 12 – Undrape the Client for Treatment. This standard includes many points that must be performed with any draping. Including informing the client before undraping the area, ensuring that the drape is secure, adjusting the draping if the client requests, so long as both therapist and client are comfortable. This standard affords the client another opportunity to make alterations regarding the level of the draping.
  3. It is understood based on the Standards of Practice from the CMTO that only the area of the body being treated is to be exposed.

SUPINE

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.

PRONE

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.

SIDE-LYING

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