Because it helps the relationship between the worker and the patient.
Would you feel safer with a muscular man, long hair, tattoos, and piercings. Or an elderly women with gray hair pulled back in a bun with a warm smile.
Your elbows should be glued to your ribcage as you lift/lower the weight. If you try to bring the bar to your chin, for example your shoulders will begin to move forward (shoulder flexion) and your exercise becomes a bicep-shoulder curl
It changed because now lots of people look at it as being "gross"
Congenital insensitivity (CIP)