About Us

About Us

What is Manual Therapies for the Hospitalized Patient (MTHP)?
Manual Therapies is one-on-one holistic care to patients, family and staff using the hands to provide comfort, relaxation and pain relief in a safe manner.  The use of presence, empathetic listening and compassion are used to build practitioner-patient rapport.

What is the Manual Therapies for the Hospitalized Patient Program?
Healing Services’ Manual Therapies for the Hospitalized Patient (MTHP) Program is approved by the Center for Health Sciences and is one of 14 internal education training programs. The course is designed for registered nurses to gain expertise in the holistic, relationship-based, hands-on care of patients, families and fellow staff. Teaching methods include didactic, theory, lab practical and clinical experience. The RN develops critical thinking, manual therapy (hands-on) techniques to promote comfort, relaxation, healing and symptom relief, interdisciplinary collaboration and evidenced-based and research knowledge and skills.

We welcome registered nurses to apply if they embrace the mission of the MTHP Program and are motivated to bring this holistic, hands-on care to the bedside and the units where they can impact patient, family and staff engagement and experience.

Cleveland Clinic, consistently ranked among the top hospitals in the nation by U.S. News & World Report, stands on the leading edge of academic medicine. As a result, MTHP students have the opportunity to be on the cutting edge of a developing practice for nurses. Nurses will participate in bringing back high touch to the high-tech inpatient environment. You will have the opportunity to interact with a team of holistic and spiritual care providers that will not only promote new skills you can incorporate into your nursing practice, but also encourage your growth as a person and professional, and promote your own self-care skills.

Nursing contact hours are awarded for the individual course modules within the MTHP program.

Cleveland Clinic Enterprise is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Who can apply?
The MTHP Program is for registered nurses licensed by the State of Ohio Board of Nursing.

For More Information
Please contact:
Karen Ellen Fink, Program Director
Phone: 216.445.9543
Email: finkk@ccf.org

Cleveland Clinic does not discriminate in admission, employment, or administration of its programs or activities, on the basis of age, gender, race, national origin, religion, creed, color, marital status, physical or mental disability, pregnancy, sexual orientation, gender identity or expression, genetic information, ethnicity, ancestry, veteran status, or any other characteristic protected by federal, state or local law. In addition, Cleveland Clinic administers all programs and services without regard to disability, and provides reasonable accommodations for otherwise qualified disabled individuals.

Program Description

Program Description

The program includes 40 classroom hours, 25 hours of independent study, and a competency-based clinical experiences. This course will prepare the learner to assess medical, pharmacological and laboratory data, as well as social and family history. The learner will analyze this data to form a holistic plan of care using both manual and energetic modalities to treat the hospitalized or medically frail patient. The learner will develop an evaluation style to modify further treatments. During this course the learner will complete topic modules that include case studies, quizzes, discussion, labs, role-playing and presentations. The learner will participate in one-on-one supervisory clinics that include hands-on experience with patients and families, charting and interaction with medical, nursing and ancillary staff. This course includes a self-care and research component. The opportunities for self-growth will be promoted through support groups with peers and the course instructor. The focus of care will be holistic and includes learning to promote the physical, emotional, mental and spiritual comfort of the patient, family, and staff.

All program classes are held at the Cleveland Clinic main campus located at 9500 Euclid Ave., Cleveland, OH 44195, in the Sydell and Miller Family Heart & Vascular Institute building.

Students completing the program will graduate with a Certificate of Completion.

Program Mission Statement

The mission of the Healing Services Manual Therapies for the Hospitalized Patient Program is to develop highly trained and educated manual therapy nurses capable of providing the best practices of holistic and relationship-based hands-on care to promote healing, relaxation and symptom relief to patients, families and fellow staff. Research, evidenced-based practice and holistic nursing theory are integral to this course.

Program Goals

At the completion of the program, the licensed registered nurse (RN) will:

  1. Have experience in treating the inpatient population’s pain, stress and symptoms related to medical conditions, procedures and treatments in a plan of care that honors their mind, body and spirit
  2. Be proficient in assessing the individual’s medical condition from the inpatient record, medication administration record and laboratory data
  3. Be proficient at identifying contraindications and precautions to manual therapy (regional or systemic) and will defer or modify treatment accordingly
  4. Triage the individual into appropriate treatment groups and will institute the appropriate modifications in pressure, site and positioning
  5. Maintain the EPIC record using the Cleveland Clinic Holistic Care templates using appropriate medical terminology, abbreviations and documentation in a timely manner
  6. Collaborate with the healthcare team (RN, resident, patient care nursing assistant) to coordinate the inpatient’s manual therapy experience by:
    • Receiving report regarding the condition of the patient
    • Post-therapy report to the immediate care team - RN, PCNA
  7. Be proficient at delineating post-therapy instructions to the patient, patient’s family and the patient care team to provide for post-session safety
  8. Apply The Caring Model (Watson) and the Modeling-Role Modeling Theory (Erickson) during the assessments and interventions
  9. Act in his/her scope of practice outlined in the Ohio Revised Code overseen by the Ohio Board of Nursing

Didactic and Laboratory Modules

The following education modules are included in the Manual Therapies for the Hospitalized Patient Program.

Title Description
Safely Applying the Manual Therapies Various manual therapy techniques for patients with various medical conditions; includes didactic, laboratory practice, kinesthetic exercises and practical applications.
Nursing Scope of Practice and Ethics for the Manual Therapies for the Hospitalized Patient Application of nursing scope of practice and ethics as defined by the Ohio Board of Nurses and the American Holistic Association. This will be the foundation of practice.
Medications and Manual Therapies for the Hospitalized Patient The synergistic effect of patient medication and the manual therapy techniques performed.
Laboratory Data and the Manual Therapies for the Hospitalized Patient The synergistic effect of patient laboratory results and the manual therapy techniques performed.
Medical Devices and Medical Procedures and Manual Therapies for the Hospitalized Patient The synergistic effect of medical devices and procedures and the manual therapy techniques performed.
Holistic Nursing Theories that Enhance The Manual Therapies for the Hospitalized Patient Nursing theories relating to holistic care as a foundation of manual therapy practice.
Evidenced Based/Research The use of evidenced based practice in manual therapies and holistic care.
Boundaries of Touch Applying boundaries of touch principles in manual therapy practice.
The Body Speaks What the Mind and Spirit Cannot/Energy Medicine – See the Body Speaks Comprehending the mind – body and psychoneuroimmunology aspects in holistic manual therapy practice.
Technical Standards

Technical Standards

All students applying for the MTHP Program must demonstrate the technical abilities and skills listed below. Accommodation can be made on a reasonable basis for individuals with documented disabilities, and they will be considered. All students should be able to perform in a reasonably independent manner so as not to compromise the integrity of the MTHP Program or their profession. All students must meet these minimum standards with or without reasonable accommodation.

The Cleveland Clinic MTHP Program commits to providing for the needs of admitted and enrolled students who are qualified individuals with a disability under Sections 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 (ADA) by providing reasonable accommodations to such students. Reasonable accommodations will be made to students on a case-by-case basis. It is the responsibility of the student to review the technical standards for this program and to make their needs known.

The Cleveland Clinic MTHP Program has established technical standards for the program that outline the physical, cognitive, emotional and social requirements necessary to participate fully in all aspects of academic and clinical education. A student’s ability to meet the standards is a prerequisite for admission and continuation in the program. Applicants and enrolled students must be able to meet all the standards with or without reasonable accommodations.

Reasonable accommodations may not:

  1. Fundamentally alter the nature of the training program.
  2. Compromise the essential elements of the program.
  3. Cause any undue financial or administrative burden.
  4. Endanger the safety of the patients, self or others.
  1. Visual (observation): Students must be able to demonstrate sufficient attention and accuracy in observation skills in all areas of this program, didactics, labs and clinical work. It is necessary for the students to have adequate visual capabilities for proper evaluation and treatment skills.
    1. Examples of the required visual skills include but are not limited to the following:
      1. Adequate observation of a patient (near and at a distance, recognizing non-verbal cues).
      2. Accurate visualization and discrimination of all reading materials, presentations, lab skills and chart data.
      3. Accurate identification in assessment changes.
  2. Oral-Auditory (Communication): Students must be able to demonstrate that they can communicate effectively and objectively in both the academic and clinic settings. The students must show evidence of effective written and verbal English communication skills. Communication includes not only speech, but also reading and writing. Students must be able to communicate effectively and sensitively with patients of all ages and genders, with varying degrees and types of medical issues, cultures, ethnicities and personalities. Students must also be able to communicate effectively and efficiently with other members of the healthcare team. In emergency situations, students must be able to understand and convey information essential for the safe and effective care of patients in a clear, unambiguous and rapid fashion. In addition, students must have the ability to relate information to and receive information from patients in a caring, articulate and confidential manner.
    1. Examples of the required oral-auditory skills include but are not limited to:
      1. Clear, efficient and intelligible articulation of verbal English language
      2. Legible, efficient and intelligible written English language
      3. Accurate and efficient English language reading skills
      4. Accurate and efficient expressive and receptive communication skills
      5. Ability to prepare and communicate concise oral and written summaries of patient encounters
      6. Ability to accurately follow oral and written directions
      7. Ability to accurately discern and evaluate various components of the spoken voice (pitch, intensity, timbre)
  3. Motor: The students should possess enough physical stamina to sufficiently complete the course of didactic and clinical experiences as required. Students need to possess coordination of both gross and fine motor skills, equilibrium and integrated use of the senses of touch and visions.
    1. Examples of the required motor skills include but are not limited to the following:
      1. Functional and sufficient sensory capability to adequately perform the techniques of manual therapies
      2. Physical stamina sufficient to complete long periods of sitting, standing, lifting or moving are required in the classroom, laboratory and clinical settings
  4. Cognitive (Intellectual-Conceptual, Integrative and Quantitative Abilities): To effectively problem-solve in the clinical setting and based upon the critical thinking skills required of the MTHP student, students must be able to demonstrate cognitive skills including but not limited to intellectual, conceptual, integrative and quantitative abilities.
    1. Examples of the required cognitive skills include but are not limited to:
      1. Ability to use the holistic nursing process - assess, analyze, integrate, formulate a plan of care, evaluate care and reassess.
      2. Ability to acquire, retain and apply new and learned information.
  5. Behavioral and Social: Students must possess emotional health and stability so they can exercise good judgment, promptly complete all responsibilities and develop mature, sensitive and effective relationships with patients, families, staff, classmates, professional colleagues and the community.
    1. Examples of the required behavioral and social skills include but are not limited to:
      1. Ability to function effectively under stress
      2. Ability to adapt to changing environments, display flexibility, compassion, integrity, motivation, interpersonal skills, and learn to function in the face of uncertainties inherent in the clinical issues and healing crisis of patients, families, staff, classmates, professional colleagues and the community
How to Apply

How to Apply

Eligible Applicants/Admission Requirements

Any registered nurse (RN) in the state of Ohio who has obtained and maintained a current Ohio Registered Nursing License and has achieved one year of full-time nursing experience can apply. Other admission criteria related to personal and educational readiness for this experience will be assessed.

Application Deadline

Classes** (Maximum class size is 10 learners)

  • March, second Thursday
    *All applications must be received by Feb. 1.
  • September, second Thursday
    *All applications must be received by Aug. 1.

**NOTE: There must be at least 4 qualified applicants registered to conduct the class.

Tuition and Fees

  • Application Fee: $10 (nonrefundable)
  • Cleveland Clinic Employees: $500 (Payment plans are available.)
  • NOTE: $40 deposit is due within two weeks of acceptance (Note: If a third party is paying the fee, we require a letter from the applicant to that effect).

Tuition Refunds

  • 100% of the course fee (minus the application fee) is reimbursable if the student withdraws before the course begins or in documented medical emergency cases.
  • 50% of the course fee is reimbursable if the student withdraws from the course up to the beginning of the second week.
  • 25% of the course fee is reimbursable for withdrawal during the second week.
  • No reimbursement will be made for withdrawal after the second week or for failure to receive credit for the course.

Admissions Handbook

Application Form

Faculty & Staff

Faculty & Staff

Manual Therapies for the Hospitalized Patient Program Director/Instructor
Karen Ellen Fink, RN, BSN, HNB-BC, LMT

Instructor, Library Sciences Research and Evidence-based Module
Loren Hackett, MLIS, AHIP

Director of Spiritual Care and Healing Services
Reverend Amy Greene, DMin

Director of Clinical Pastoral Education
Robert McGeeney, DMin

Manager of Healing Services
Barb Johnson, RN, HN-BC

Administrative Assistant Spiritual Care and Healing Services
Course Administrative Assistant

Jackie Tinsley