College of Massage Therapists of British Columbia (CMTBC) Practice Exam

In treating a patient with cerebral palsy, what is the most appropriate action regarding disrobing before treatment?

1. Treat the patient clothed

2. Assist the patient in disrobing prior to treatment

3. Ask the patient for consent to assist them in disrobing

4. Tell the patient that a caregiver must come to help them undress

The correct answer is: Ask the patient for consent to assist them in disrobing

In the context of treating a patient with cerebral palsy, obtaining consent to assist them in disrobing is crucial. This approach respects the autonomy and personal dignity of the patient, acknowledging their right to be involved in decisions regarding their care. Given that cerebral palsy can affect a person's ability to perform tasks independently, such as disrobing, it is vital to ensure that the patient is comfortable with any assistance provided. By asking for consent, the practitioner demonstrates sensitivity to the patient's needs and boundaries, which fosters a trusting relationship. This is particularly significant in therapeutic settings, where physical contact and undressing can make patients feel vulnerable. Clear communication and consent help in building rapport and ensuring the patient feels safe and respected during the treatment process. In contrast, other options may not adequately prioritize the patient's agency. Treating the patient clothed might not allow for the full benefits of the massage therapy, while simply assisting without consent could lead to discomfort or anxiety. Declaring that a caregiver must come to help may disrupt the flow of care and could be seen as disempowering. Empowering the patient with the option for consent is the most appropriate and ethical course of action.