Ethics: Medical Settings


6 CE Hours


This course addresses some of the challenges involved in caring for people who are ill, injured or dying. It gives tools to help integrate your practice into hospitals, nursing facilities and home care settings including topics such as ethical dilemmas, dissonance, mentorship and boundaries.

This course covers:

  • common ethical dilemmas that occur when working with people in illness care environments and strategies to reduce or cope with ethical dissonance
  • appropriate ways to present yourself as a professional in hospitals, nursing facilities and home care settings
  • recommended modifications for providing skilled touch to ill or injured people, including the common contraindications
  • recommended approaches to working with people who are seriously ill or dying
  • common areas for ischemia (pressure sores or decubiti) in immobile persons and the best therapeutic approaches for working with them

Featured Reviews

Very informative.

- Faye Waldrop, LMT

It was very helpful to have the key vocabulary word glossary. It was also interesting and helpful to see the ANA code for nurses, being a massage therapist.

- Debra Sheldon

This course is a must for someone new to working in a hospital/hospice situation.

- D.S. Saye, PT, LMT, Charleston, SC

Information is easy to understand and testing was straight-forward.

- Chris E., LMT, OTR/L Las Vegas, NV

I have worked with hospice patients and this was a great review, I recommend to all massage therapists who might find themselves caring for an ill loved one or anyone.

- Cheyenne Meadows NCTMB, ARCB, LMT, Licensed Aesthetician

The course was very easy to read/understand. I like how you included studies.

- Cheryl Henley, LMT - Mexico, MO

After 20 years of touch therapy, I was surprised to learn so much. Medical Settings is not my field but it has so much that I can and I will add to my practice.

- Carolyn Storey, MA, LMT, NCTMB

I learned so much info that I can carry on into my professional life.

- Ardyth O. Kromschroeder, Massage Therapist, Simi Valley, CA

This course provided the information needed to work in the hospital environment. It included what to expect with patients and boosted my confidence of working in the hospital setting.

- Amy Smith, CMT, Ashland, OR

This course has valuable information for therapists working in a medical setting

- Alicia Berg M.T., H.H.P. Dragon Spirit Bodywork Santa Rosa, CA

This is a wonderful medical ethics course! It refreshed and increased my understanding of how to approach ill clients. I would recommend this class to anyone, even if you are not intending to practice hospital-based massage.

- Jalim Ritch, Portland ME

I found this course a pleasure to do. It was given in a professional manner and I really enjoyed doing it.

- Jane Miller LPN, LMT York PA

I wish I had had this guidance last year when I was the MT for a Parkinson's Disease Study. Much of the emotions I experienced would have been more easily understood.

- Janie C-Richardson, CSMT, NMT, Tucker, GA

An excellent introduction into the care of ill/critically ill patients.

- Jennifer Jahns, LMT, Heaven Sent Massage Therapy - Omaha, NE

I thought the course was informative and interesting.

- Jennifer Mulkey, Carmel, California

I have been working as a Hospice Massage Therapist for three years and this was so helpful and confirmed many ideas I have learned. Very Helpful! Thanks

- Jodi Eaton, CMT

Health Positve is an excellent way to complete your CEUs. It allows you to take courses that provide interesting information on your schedule. The website is easy to navigate and puts all of the materials at your fingertips.

- Joellen, LMBT

I like the real-life situations that are listed. It makes me think how I would have reacted in that situation. Very Helpful!

- Julie C. LMT Back to Bases Massage Rogers, AR

This was a thorough and convenient course to fulfill my ethics requirement.

- Kathryn Bauer, LMT

Very clear and understandable directions, easy to read.

- Kathy Moore, LMT, NCMMT

I enjoyed the information on Working in Illness Care Environments. I wish I had this training years ago...I would have benefited.

- Kimberly Stenka, LMT O\'Neill, NE

I enjoyed the online availability of the course.

- Lindsay Ruth Sanderfur, LMT Melbourne Beach, Florida

Nice to be able to take the specific course I needed on my own time and at my own pace.

- Lisa Jamison, BS, LMT LIFT Performance Enhancement Tampa, FL

The course was very well done and the answers were found straight forward in the book. I am going to recommend your Ethics course to the Administration at my massage school for other professionals like myself.

- Melissa Bradbury L.M.T CT

I appreciated this course and its contents. I have worked in a nursing home for 5 years and I wish I would have had it prior to that. It gave me a better understanding for the physical and emotional needs of others. Thank you.

- Merrie C. Busch, LMT, Professional Health Care, Lincoln, NE

I think this course was well thought out and a good refresher as far as ethical boundaries in different situations.

- Monique M. Robison, NCTMB, Ely, NV

Material was very informative and covered some important areas of concern I had.

- Nancy O. Fournier LMT, BS

I am a MT in a hospital setting. It is hard to find CEU's for what I do. Thanks so much!

- Rochelle Hamilton LMT, NCTMB

I found that downloading the information and taking the test online was easy,efficient, and cost effective

- Royce Fore..Massage Therapy LMT

Great review, Enjoyed the bulleted layout, easy to read.

- Sarah Himes, NCTMB, AMTA Lewis Run, PA

Very informative and helpful in the quidelines given for interacting with the extended family to healthcare pracictioners as well as the patient.

- Sharon Thompson

This course gives a very thorough overview of preparation for working with hospital based clients.

- Sheri Pascarella, LCMT, Randolph, MA

I've been working in the field for awhile... it was good to have a verbal/black and white view

- Tara Howe, LMT, Phoenix, AZ

Course was clear, concise and very informative.

- Tricia DeBrabander

I really appreciated the reference material and the cited studies. These will be very helpful. Thank you.

- Melissa Austin, LMBT

Great information for practitioners just entering the field of medical massage, and a nice refresher course for those who have taken some time away.

- Cheryl Eccleston, LMT, NCTMB

Excellent course easy to read and understand.

- Cecilia Mercado, LMT, NCTMB

This is the first computer based course I have taken as I feel I learn well from the classroom. I was pleasantly surprised by this course. I was allowed to take my time and felt I learned as I participated. It was no longer just something I had to do for credit but something I actually enjoyed doing. Thank you.

- Arlyce Everson, LMT, NCTMB

This is an excellent course for any massage therapist who is planning to work in the hospital setting.

- Leverna Upton, LMT, NCTMB

Great course, well written and informative!

- Jacob Tucker, LMP, NCTMB

There is a lot of information, which is good and must be read often to retain it.

- Sherri Limb, LMT, NCTMB

An amazing course with very informative material! I look forward to incorporating this new learned information into my massage practice as well as daily interactions with everyone; as being compassionate and empathetic is extremely important for all aspects of life.

- Serena Carbonell, LMT, NCTMB

I am a massage therapist with my own business and a hospice volunteer. This course was very helpful for both.

- Nancy Rattray, LMBT

I appreciated the format. It was organized and the text flowed. I liked the tips and it was easy to go back to a topic to review.

- Darcy Dickson, LMT, NCTMB

The terminology was a good refresher. Nice course

- Stacy Rishette, LMT, NCTMB

i enjoyed this class was very easy to follow. will use this again soon

- Chelena Minhinnett, LMT

Excellent course, very helpful for when you start working in a medical setting. I have been working in a medical setting for three years and much of the course material was familiar to me.

- Anna Timmermans-Spijkers, LMT, NCTMB

Well Done. I found this course to be extremely valuable and useful and I appreciate the ease with which I was able to complete the course and test. Thank you!

- Pamela Weigelt, CMT, NCTMB

Excellent course for not only those considering expanding their practice to health care facilities, but, for any seeking how to improve upon client communications.

- Adam Kneib, LMT, NCTMB

As a hospice volunteer and massage therapist the information served to reinforce key areas to for me to keep in mind when working in a hospital setting. It also served as a welcome reminder for self care in order to continue in this most important work. Thank you, I enjoyed this course.

- Susan Price, LMT, NCTMB

This course was very informative and I've gained a better understanding of ethical medical massage.

- Shellie Wright, LMBT

This course contained valuable information for helping me be aware of how to proceed with future endeavors in my practice

- Gail D'Angiolillo, LMBT, NCTMB

This class gave detailed information on the physical, emotional, social, and hierarchical challenges inherent in doing massage in medical settings. The materials presented were very interesting and gave a good overview of what to expect in this type of work. I enjoyed the class!

- Catherine Angel, LMBT, NCTMB

Great course - especially since I work at a hospice.

- Mary Richardson, LMBT

This course was awesome!

- Dondi Gasper, LMT, NCTMB

Great and thorough content, very well laid out

- Kathleen Wellman, LMT

Content of this course was easy to understand and presented in a way to keep me interested all the way to the end of it. Test followed along quite well to information presented.

- Julie Omdahl, LMT

This was very helpful knowledge for both of my licenses. I have my LMP and NAR licenses and found the course to be helpful at looking at both aspects of my care for residents in a different manner.

- Sara Curtis, LMP

Learned a lot and will apply the knowledge to all ineraction with my clients as appropriate!

- Connie Strub, LMT, NCTMB

The author did an excellent job of presenting the topic, making in interesting, giving first-hand experiences and excellent references and scientific studies. I was very impressed with this course and also thought the test represented a full scope of inquiry for the information presented. Thank you.

- Kay Bene, LMT, NCTMB

I liked that I could print everything off and then go back and take the test on the computer. The content was very good. I have been working as a PTA, LMT for almost 10 years and this course seemed to apply more than past ethic courses have.

- Jennifer Lunkley, LMT, NCTMB

loved ..loved..loved..the content of the informative..glad i chose this course.

- Billie Fioretto, LMT, NCTMB

Regarding way to approach the needs of my client and myself with my care and concern, I didnt know there were resources and now I have more knowledge on how to get help. Thank you so much and it was at my own pace.

- Fikisha Tang, LMT

This course was very informative and easy to understand. I enjoyed it very much!

- Sydni Davis, LMT

It was great learning materials and was challenging.

- Carla Baldwin, LMT

Always great information.

- Michelle Killane, LMBT

Great course. Wish there were more hospital based massage programs.

- Deborah Yerkovich, LMT, NCTMB

As a rule I am not one to like to do things online. I guess that is the way the world is going. I hate sitting in front of a computer. This is a nice way to pace myself with my time by giving the option to print the materials out and work at my pace to get continuing education and return to the computer briefly to fill out the test and evaluation. Thanks for making it easier for me. I value the additional education.

- Judith Nimtz LMT, NCTMB

As a Massage Therapist who is also a Physical Therapist in an acute care hospital, I found the course content very relevant and informative.The ethics portion of this course is clearly presented and I look forward to reviewing it on an ongoing basis.

- Mary Ann Betenbaugh, LMBT

This course was well written and presented, concise, well organized and easy to understand. The test questions were helpful in learning the information by keeping my attention in an orderly pattern rather than random. Thanks so much for this helpful and well supported ethics class that was more interesting than any others I’ve taken. I especially appreciated the inclusion of standards of practice documents and a vocabulary list. The sections that helped me personally the most were: Therapeutic Relationships; Hospitals; and Caring for People Who Are Dying.

- Lee Ann Dail, CMT

I work in the healthcare environment and feel that this course covers the emotional and physical understanding of what is required in the environment.

- Annette Joubert, LMT, NCTMB

This is a very good course. I learned so much, and will be able to use it in my practice.

- Tina Barkman, RMT

This was an outstanding course, more interesting than any ethics course I have ever taken. Being on Oncology Massage Therapist in a local hospital and working closely with Hospice as well as providing Palliative Care on location for end stage patients, so much of the content reinforced and applied directly to my work. Thank you for offering something this specialized in the category of ethics.

- Janice Wheeler, LMT, NCTMB

I am a hospice volunteer massage therapist and this was so very helpful to me! I did not train with a hospice LMT and even with 9 years of experience at a massage clinic I had many questions that were answered in this training and learned so very much. I am also excited to join HBNM for support and practical tips. I had never heard of them until now. Thank you so very much! I love this work and it makes me feel much more confident in the medical setting!

- Amy Fontaine-Smith, LMT, NCTMB

Enjoyed the course. Information was enlightening and learned a lot about the future of Massage care in my area. I am looking forward to being able to work with the seriously ill in my community and using the information attained in this course.

- Pamela Ward, LMT, NCTMB

First time using your company. Usually, I prefer on-site courses, but must admit this course was an unexpected pleasure. I found this course to be informative and easy to follow. Also, your staff (Emma) was extremely courteous and helpful in my questions to her.

- Genie Owen, LMT

Great course. My first with the Institute for Integrative Healthcare.

- Doreen Glomb, LMT

Excellent course for anyone wishing to follow the path of medical massage.

- Linda H. Jensen, LMT

This course was challenging and made you think. Too easy isn't good. This was great.

- Tiffany Kott

This was a dynamite refresher course with useful information!

- Deborah Beaulieu, LMT

I found the course content very interesting especially about Hospice content. I've completed the Hospice Volunteer training program and plan to do massage therapy for Hospice. The course was very interesting and practical- Just the information I needed to work in the medical settings.

- Theresa Lynn Mims, LMT

I feel very well informed about hospital and hospice massage work from this course. The text was obviously based on deep personal experience and knowledge, and the clinical studies provided excellent support for the effectiveness of massage in hospital settings.

- Naomi Raine, LMT

This course was very informative on caring for the elderly, sick, and dying.

- Leah West, LMT

Great online course! Excellent presentation of the issues surrounding medical massage settings. Given my personal experience of practicing in various medical settings the class noted and discussed the issues surrounding working in different environments with sick patients in a clear, well-thought out manner.

- Margaret D'Arcy, LMT, BCTMB

I loved this course! It was so incredibly informative. I have been wanting to do Hospice Massage as well as work somehow in a clinical setting. This course gave me an excellent foundation. My interest has been peaked and I have been able to narrow down my desires for a work environment because of the descriptions of different care setting. I have printed many pages to keep on hand and refer to.

- Shannon McGinnis, CMT


  • Manual - 45 pages
  • Multiple-choice test - if you prefer to complete this program online please select the "Materials: Available online + Test: Available online" option
  • Certificate upon completion - if you prefer to print your certificate at home instantly, please select the online option

Display Certificates suitable for framing are available for $10 in addition to the certificate included with your tuition. Click here to order a Display Certificate.


The Institute is approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as a continuing education Approved Provider. Approved Provider 049478-00.

Credits also accepted by the AMTA, ABMP and NAHA.

For information regarding your specific state massage license requirements and approvals, visit our Massage Therapy Continuing Education Requirements page by clicking here.

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