A client is visibly intoxicated when she arrives for her appointment. What is the best course of action for the practitioner to take?

When a client arrives visibly intoxicated, the best course of action is to explain that massage is contraindicated for someone in that condition. This is because intoxication can impair a person's ability to consent to treatment and can lead to increased risks during the massage, such as difficulty in communication, unpredictable responses to pressure, or potential for injury.

By informing the client that massage is not safe when intoxicated, the practitioner prioritizes the client’s wellbeing and safety. It's important to establish clear boundaries and ensure that the client is fully aware of their condition and the potential risks involved with receiving treatment while under the influence of alcohol or other substances.

Asking the client to return when sober or taking no action does not adequately address the immediate responsibility of the practitioner to ensure safety and ethical practice. While documentation is important in any professional setting, it should be paired with actionable steps to protect the client. Therefore, the most responsible response is to communicate the contraindications associated with massage under such circumstances.