I assume you're refering to confidentiality for the client assessment - they can choose to have whomever they want present, butsince I don't use a loud-speaker system when discussing the intake form, it usually isn't a problem. They fill out the intake form, sign and date it with "the above is true to the best of my knowledge" statement or whatever. I can only go on what they tell me, and I will ask them to elaborate on anything that they put in the intake form that needs elaboration. If they choose not to put something in the intake form that is their choice. they are about to take their clothes off an climb onto a massage table (which I leave the room for), anyone they choose to keep in the room at that time they're probably fairly comfortable with and would not have a problem discussing sensitive issues if they were in the same room - it's not as if they are involved in the conversation or even able to hear it clearly. I have to say in all the years I have been doing home visits, it's usually either a small room for the privacy where you have a space challenge, or a large room with people at the other end of the room with the home theatre system going that couldn't hear a conversation at normal volume if you were sitting next to them, let alone at the other end of the room. I've not experienced no space AND people being in the same room for home visits.
Or do you mean client assessment ROM etc when there is not much room? I have to admit, home visits I don't worry about doing that kind of assessment, they're usually after stress reduction more than therapy.
There is nothing in my code of conduct that says the massage table must be positioned free from obstruction, nothing about no-one else is allowed in the room, nothing about keeping the room warm, nothing about not asking the client to contribute to the linen used.
Healthy and saftey issues for me or the client? I've massaged people in hospital beds, I can't get to the head of the bed, I can't get to one side due to hospital equipment, at least it is an electric bed that goes up to abetter height for me. I am not going to say "sorry, I can't work in this environment because I can't walk around the bed and it wider than a massage table anyway." I don't do hospital visits during visiting hours, ูntake form discussions usually aren't a problem compared with the usual questions they answering.
If their dog bites me during the massage, it's just the same issue to deal with as if their dog bit me before the massage.
Home and hospital visits are specified on my insurance.I don't quite see how the client's selection of environment would invalidate the insurance. If asking the client for an additional blanket caused problems because of something on the blanket, it would be impossible to put it down to the massage - they are living in the environment, they have continual exposure to all of the nasties in it. None of my linen that has been in contact with their environment is used on another client, it is all washed as it is for clinic appointments.
I tell them beforehand the space requirments for a table, when I get thereI ask for somewhere to wash my hands before and after the massage (if that was refused I would probably leave) I wash my hands while they are getting on the table.
They will get a massage as good as they will allow themselves to receive -people usually can tune out aspects of their environment that I may find disruptive, but if it is not disturbing them, I don't let it disturb me, I just work to the best of my ability that the enviroment allows.
If you find other people's environments disturbing, building a home visit business is probaly not the way to go, a nice controlled clinical environment would be a better option.
As for insurance being invalidated, I'm amazed at all the mobile beauty therapy doing waxing and extractions - broken skin in a home