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The Wiltshire School of Beauty and Holistic Therapy

Diploma in Swedish Body Massage Training Manual © 1

The Wiltshire School

of Beauty and Holistic Therapy

Diploma in Swedish Body Massage

Practitioner’s Training Manual

W: www.wsbht.co.ukE: [email protected] T: 01793 73 77 33 M: 07767 794422

mailto:[email protected]



CONTENTS

1. Aims & Objectives

2. Course Details

3. Body Massage Introduction

4. Hygiene, Health & Safety

5. Professional Ethics & Standards of Practice

6. Massage Benefits, Mediums & Movements

7. Client Consultation

8. Contra-Indications

9. Contra-Actions

10. Aftercare

11. Equipment & Products

12. Storage & Insurance

13. What Happens Next?

14. Contact Details & Essential Reading

15. Self Assessment

16. Notes

17. Accreditation



1. AIMS & OBJECTIVES

AIMS

The aims of this manual is to teach students the basics of health and safety, the background, benefits, treatments, consultation, contra-indications, contra-actions, aftercare, equipment and products. The student will also learn the movements and techniques required to perform a professional treatment during the practical sessions.

OBJECTIVES

The objectives of this course are that by the end it the student will be able to perform a professional treatment in a safe and hygienic manner in a commercially acceptable time, along with experience of carrying out a consultation with the knowledge of the background, benefits, consultation, contra-indications, contra-actions, aftercare, equipment and products needed.

WSHBT advise you to read this training manual thoroughly along with other research before you take part in your practical

session.



2. COURSE DETAILS During this course you will learn how to perform a professional Full Body Massage treatment. You will learn how to:

prepare the treatment area

prepare the client for treatment

carry out a client consultation

carry out a full body massage

provide aftercare advice. You will also study:

related hygiene, health and safety

related anatomy and physiology

the history and philosophy behind massage

benefits of massage

massage movements

client consultation

contra-indications

contra-actions

aftercare. It is essential that you purchase “Massage in Essence” by Nicola Jenkins, to assist you with your course. This book is listed at the end of the manual.

You will attend 8 hours of training to study the practical elements required to perform a professional body massage, as well as using your own time to read the training manual and text book.

You will then be required to do some home study - practise until you are confident in providing the treatment to a high standard in an acceptable time, and revise the theory work. You will return to the school for a further 3 hours to discuss the case studies, file of evidence and carry out 2 practical assessments. Once you have successfully completed, you will receive The Wiltshire School of Beauty and Holistic Therapy Diploma in Swedish Body Massage.

Good luck and enjoy!



3. BODY MASSAGE INTRODUCTION The History of Body Massage

From the earliest of times, massage has been used by stroking or rubbing parts of our body that are experiencing pain. It is a universal instinct to rub ourselves when we are hurt. Dating back 3000 years, the ancient Romans, Greeks, Chinese and Egyptians have been known to use massage. Those who could afford to do so were rubbed with olive oil after they bathed to help keep their joints and skin supple. This soon developed into a full body massage; in fact Julius Caesar received massage to relieve his epilepsy. In Africa and Asia massage has always been valued and used as a healer and is today used widely in the UK as a way to treat ill health, for relaxation and as a preventative.



Benefits of a Full Body Massage Apart from the pampering aspect of the treatment, massage has many physiological and emotional benefits. The power of touch is huge and should not be underestimated as a luxury. Massage is known to: Physiological Effects & Benefits:

Can release joint restrictions and increase joint mobility

Relieves tight muscles, stiffness and spasms

Increases flexibility and range of movement in the muscles

Improves circulation delivering more nutrients to the muscles

Improves circulation releasing toxins and waste from the muscles

Reduces muscular fatigue and soreness in the muscles

Reduces ischaemia (poor blood-flow) easing localised pain & tissue dysfunction

Reduces oedema (excess fluid in the tissue) by increasing lymphatic drainage Strengthens the immune system

Combination of techniques used can stimulate and soothe the nervous system

Stimulates the parasympathetic nervous system leading to stress reduction

Releases endorphins (the body’s natural painkillers and mood enhancers) Improved circulation resulting in quicker regeneration and healthier skin

Increased production of sweat leading to better removal of toxins via the skin

Improved skin colour and elasticity leading to younger-looking skin

Increased sebum production improves skin’s suppleness & resistance to infection

Deepens respiration and increases lung capacity by relaxing respiratory muscles

Improves digestion and helps to relieve constipation, IBS, colic and wind

Psychological Effects & Benefits:

Reduces levels of stress and anxiety

Promotes deep levels of relaxation

Improves feelings of vigour and energy

Stimulates physical activity

Increases awareness of posture

Helps to alleviate depression

Rejuvenates the body and mind

Can enhance feelings of self-esteem

Eases emotional trauma

Promotes feelings of happiness

How Often Should We Have a Full Body Massage? This will depend on the client and the reason for treating. Some people like to receive a massage on a weekly basis but, at the least, it is advisable to have a full body massage once a month as a preventative measure.



4. HYGIENE, HEALTH & SAFETY

Maintaining a high standard of hygiene is essential. Not only from a health and safety perspective, but clients will not return if the salon, treatment area, or equipment are not clean. It is a legal requirement for employers to display an approved health and safety poster or to supply employees with an equivalent leaflet or information. It is recommended that you get copies of the following from your local council:

Health and Safety in the Workplace

Trade Descriptions Act

Data Protection Act

Sales of Goods Act

COSSH Regulations and Risk Assessment (Control of Substances Hazardous to Health)

Local Government (Miscellaneous Provisions) Act 1982

The Management of Health and Safety at Work Regulations 1992

The Workplace Regulations 1992

The Manual Handling Regulations 1992

The Personal Protective Equipment at Work Regulations 1992

The Health and Safety (Display Screen Equipment) Regulations 1992

The Electricity at Work Regulations 1992

Health and Safety (First Aid) Regulations 1981

RIDDOR – The Reporting of Injuries, Diseases & Dangerous Occurrences Regulations 1995

Fire Precautions (Workplace) Regulations 1997

Consumer Protection Act 1987.

All businesses are required by law to comply with the following health and safety acts, which are monitored and managed by The Health & Safety Executive (HSE) www.hse.gov.uk

Health and Safety at Work Act 1974 This protects your rights either as an employer or employee. The law states that the employer must provide a safe working environment, provide health and safety training for staff, produce a written policy of the company’s health and safety policy, and ensure that anyone on their premises is not exposed to any health or safety risks.

http://www.hse.gov.uk/



Trade Descriptions Act 1972

This act is particularly relevant to therapists as it relates to how the goods or services are described in any kind of advertising or promotional material. The act makes it illegal to mislead the public in any way or make any false claims about what you are able to do.

Data Protection Act 1984 This is only relevant if you are storing information about your clients on a computer. If so, you must register your business on the Data Protection register.

Sale of Goods Act 1994 This act protects your clients’ rights by insisting that any goods or services sold must be of a satisfactory standard, be suitable for the purpose described, accurately described, and provided in a reasonable time and for a reasonable price.

Control of Substances Hazardous to Health Act (COSHH) 1989

This act provides guidance on dealing with chemical substances that could enter the body and cause skin irritations, allergies, burns etc.

Local Government (Miscellaneous Provisions) Act 1982 The local authority is responsible for registering and licensing any businesses where invasive treatments, i.e. body piercing, epilation, acupuncture take place on the premises. This is to ensure that all equipment is sterilised, only fully qualified therapists are carrying out the treatments, waste products (especially needles) are disposed of correctly.

The Management of Health & Safety at Work Regulations 1992 This act outlines the responsibilities of the owner/manager of the business to protect the well-being of all who visit the premises, to keep a record of all checks they have made and also of any first aid treatments carried out on their premises.

The Workplace Regulations 1992 These regulations govern the appearance of all parts of the workplace, not just the treatment rooms. This would include suitable toilet facilities which are kept clean and tidy with adequate soap, towels, hot & cold running water etc. Proper ventilation, the areas are well lit, the area is at a comfortable temperature, is clear of all waste material (keep the walk ways clear of clutter), has up to date fire fighting equipment, has drinking water available.

The Manual Handling Regulations 1992 This relates to the appropriate posture when lifting to reduce the risk of injury and to safely carry out manual tasks required in the workplace.



The Personal Protective Equipment at Work Regulations 1992 This act requires you to provide the correct safety/protective equipment to carry out a particular task.

The Health & Safety (Display Screen Equipment) Regulations 1992

These regulations are relevant to anyone using a computer and require you to get regular eye tests, take regular breaks, and use the correct height adjusted chair.

The Electricity at Work Regulations 1992 This governs the use of electrical equipment in the workplace and ensures that any equipment is checked at least once a year by a qualified electrician. Any faulty equipment is removed from service, and written records are kept should an inspector wish to see them.

Health and Safety (First Aid) Regulations 1981 No matter how small your business is there must be first aid treatment available should an injury take place.

RIDDOR – The Reporting of Injuries, Diseases & Dangerous

Occurrences Regulations 1995 This outlines the correct procedure to adopt if a workplace accident occurs. An accident book is a must.

Fire Precautions (Workplace) Regulations 1997 This ensures that the safety of all those present is considered and planned for should a fire take place.

Consumer Protection Act 1987 This is designed to look after your clients’ interests and protect them from any product deemed unsafe.



Salon/Treatment Area Hygiene

Clean the salon thoroughly, daily.

Clean the treatment area before and after every client.

Use clean fresh smelling towels for each client, (dirty linen must be laundered at a minimum of 60◦C).

Creams, lotion and sprays should be dispensed from purpose-specific pump or spray bottles where possible, otherwise use a clean disposable spatula to remove products from bottles/jars.

Replace all lids after removing products from the bottles/jars.

Sterilise all tools.

Empty bins and dispose of contents accordingly.

Check all the plugs and wires on electrical equipment and make sure they conform to British Standards, and are professionally checked annually.

Make sure all fire exits are clear and accessible.

Make sure your client’s personal belongings are safe.

Protect client’s clothing by using towels. The towels may also be used to preserve the client’s modesty during the treatment.

Read all labels and follow all manufacturer’s instructions.

Know the hazardous warning signs.

Store products safely and in accordance with safety data sheets.

Report any faulty equipment/goods to your supervisor or supplier.

Have a first aid kit that complies with the Health and Safety (First Aid) Regulations 1981.



5. PROFESSIONAL ETHICS & STANDARDS OF PRACTICE

A Therapist should:

maintain the highest standard of professional conduct.

provide services in an ethical and professional manner in relation to clientele, business associates, health care professionals and the public.

practice within the professional boundaries of the practitioners training.

ensure client comfort and safety.

protect client privacy.

respect client confidentiality.

maintain anonymity of the client when discussing the client’s case with other professionals, unless written consent is obtained.

have adequate professional insurance.

never claim to cure a condition.

never treat a client with a condition that is contra-indicated to the treatment.

keep all records of treatments complete and up to date.

explain the treatment and answer any questions and queries prior to carrying out the treatment on the client.

never treat a minor or disabled person without prior consent from a parent or carer.

treat all clients in a professional manner at all times regardless of their colour, sex or religion.

refer clients to other professionals/GP where required.



Standards of Practice

The practice of good ethics is essential to the reputation of the field of beauty therapists and the welfare of the clients and practitioners of the therapies. The following is a statement of standards and ethics for therapists, including standards of ethical and proper behaviour.

A Therapist should:

conduct herself/himself in a professional, honest, and ethical manner.

promote professionalism.

establish goals with each client and evaluate the outcome at the end of each session.

promote the therapies within the community.

promote therapies with healthcare professionals and other practitioners.

truthfully and accurately represent their credentials, qualifications, education, experience, training and competence relevant to the practice.

maintain confidentiality of the client.

undertake continual professional development to enhance their skills.

A Therapist will:

take a full medical history on the client's first visit.

discuss and record any health problems, contra-indications, symptoms or diagnosis from a conventional medical practitioner.

use this information to decide whether treatment is suitable for the client.

explain the treatment to the client.

give a full and professional treatment.

give full and correct aftercare advice.

write up full details of the treatment on the client's record card.

on the client's next visit, discuss and record any changes that they may have noticed in their symptoms.

refer the client to their GP if necessary.



Skills and Personal Qualities

A Therapist should:

be comfortable touching people.

be a good communicator, able to explain treatments to clients and ask appropriate questions.

have good listening skills.

be able to make clients feel relaxed and comfortable.

have empathy with clients.

be able to respect professional boundaries.

know when to advise clients to seek conventional medical advice.

keep accurate written records.

respect confidentiality.

have business skills if they are self-employed.

Posture of the Therapist In order for you to be able to perform multiple massage treatments and extend your career in massage, it is essential that you ensure you have the correct posture as you massage.

If you are carrying out a number of treatments a day, you are going to suffer physically if you do not have the correct positioning yourself. It is essential that your hands are kept relaxed and loose at all times. If you have to carry out a good deal of petrissage, it may be worth investing in a mechanical massager which will prevent your hands from becoming damaged. To prevent injury, always ensure that your back is kept straight and that your neck is in the neutral position and not bent awkwardly. Keep your knees slightly bent in a squat or lunge position and make sure they are not locked.



If you are applying pressure during the treatment, it should come from your body weight, rather than from your own wrists. When you are using your hands and wrists, it is possible to reinforce your hands. It may be worthwhile investing in an adjustable height couch in order for you to work at the optimum height. These can come in various designs and prices. Your teacher will demonstrate the correct position during your practical training.



6. MASSAGE BENEFITS, MEDIUMS & MOVEMENTS

BENEFITS OF MASSAGE The muscles of the body can hold a great deal of tension and pain. A Full Body Massage can relax a person and relieve pain in the body. Massage will:

stimulate blood circulation bringing essential nutrients to the area

provide pain relief and a reduction of muscle tension

remove waste products

exfoliate the skin and add moisture from the medium

improve skin colour

aid joint mobility

help keep the skin soft and supple aided by massage mediums

relax the client

lower blood sugar levels

stabilise the metabolic rate. MASSAGE MEDIUMS Massage mediums are products used to allow the smooth flow of movements over the skin during the massage. The medium chosen depends on the client's condition or needs, skin type, the reason for massage and the client's requirements. Most massage therapists will chose oil such as sweet almond oil to massage with. A typical massage will use 20 – 30ml of oil. Other mediums available are talc, creams and gels.



MASSAGE MOVEMENTS The following massage movements are the most common used in a Full Body Massage.

Effleurage

This movement is performed with light even pressure, in a rhythmical, continuous way. The pressure can be varied according to the underlying structures and muscle bulk but should never be very heavy. This movement will prepare the tissues for deeper massage and link up individual manipulations. Effleurage is used at the beginning and end of the massage routine and is also known as the linking movement. You use the palmar surface of the hand, which contours round the shape of the body, using even pressure and a good rhythm. The uses of the effleurage movement are as follows:

to introduce the therapist’s hands to the client’s body

to apply the medium to the client’s skin

to begin the routine

to link movements together

to complete the routine. The effects of the effleurage movement are as follows:

relaxes the muscles

increases the blood circulation, which improves the skin temperature, therefore improving the colour

increases the lymphatic circulation, which will aid the absorption of waste products

aids desquamation, which helps to remove dead skin cells

aids relaxation prepares the muscles for further treatment

relaxes contracted, tense muscle fibres.



Petrissage

Petrissage is deeper than effleurage and is only performed on warm, relaxed muscle tissue. The movement may be performed with the palmar surface or the fingers or thumbs. The movement must be performed slowly and rhythmically. The pressure must be increased or reduced according to muscle bulk and the degree of tension. The effects of the movement are as follows:

The skin is stimulated, improving cellular functions and regeneration.

Increases the blood circulation, which improves the skin temperature therefore improving the colour.

Increases the lymphatic circulation, which will aid the absorption of waste products.

Aids desquamation, which helps to remove dead skin cells

Larger contracted muscles are relaxed.

Muscle tone is improved through compression and relaxation of the muscle fibres.

Variations on Petrissage:

Kneading is a circular technique by which the skin and its underlying structures (e.g. muscles, tendons, and ligaments) are moved in a circular rotating motion. Tissue is lifted and rolled away from the bone, and then back towards the bone with a squeezing compressive action.

Wringing - the soft tissues are compressed against their underlying structures before they are lifted. The lifted tissue is then pulled gently away from the underlying structures using the fingers of one hand, while the thumb of the other hand gently pushes the tissue back towards the underlying structures. In the cases of smaller areas of tissue, only the tips of the therapist's fingers and thumbs need be used to perform wringing movements. The larger the areas to be worked, the more of the therapist's hands are used to wring tissues effectively.

Skin Rolling is a technique by which the skin is lifted and rolled between the fingers and thumbs of both hands. This massage manipulation is commonly used on the abdomen, thighs, and back. It can also be used, with appropriate care, around some joints.



Tapotement

Tapotement is a technique that involves a percussion movement such as cupping, tapping, hacking and pounding. Tapotement is a stimulating manipulation that operates through the response of the nerves. The strongest effect of tapotement is due to the response of the tendon reflexes. The hands should be kept close to the body, no more than one inch from the body. The movement should be rapid, light, sharp and springy, with the hands loose at the wrists. The forearm muscles contract and relax in rapid succession to move the elbow joint into flexion and then allow it to quickly release.

The effects of the movement are as follows:

increases circulation

stimulates the skin and muscle reflexes

helps create the desired effect of a massage. Variations on tapotement:

Cupping - is generally applicable to the fleshy parts of the body, but not directly over bony protuberances, not over surface (superficial) nerves, not over paralysed muscles, and not during pregnancy. If in doubt about the safety of a movement don't perform it - seek advice from a tutor or medical professional. The whole of the palmer aspect of the hand is shaped into a "cup" configuration by slightly flexing the fingers and closing the hand into the form of a "cup" by adducting the thumb to meet the index finger. The hand is loosely held in this form and used to softly strike the client's body via a loose rhythmic action of the wrist. The centre of the palm of the hand does not make contact with the client and the hollow shape formed by the hand may give rise to the distinctive sound of this massage action. The speed of this action may be varied to suit the client and the area that is being worked. Variation of the speed of the cupping action determines the depth of the effect on the skin and its underlying structures. This is an extremely stimulating movement that is one of the more difficult techniques for trainee therapists to master.



Tapping - the therapist's hands are poised over the area to be worked on

while loose and relaxed. The tips of the fingers are then used to gently tap the area. Tapping is usually gentle but with sufficient intensity to produce a slightly hollow sound on contact with the client. Movements should be kept light and different fingers may be used. As with other tapotement techniques, tapping is usually only performed for relatively short periods of time before moving on the next movement in the sequence. Tapping is often appropriate for small areas of the body and even delicate areas such as the head and face because this is a very light percussion movement.

Hacking - it is generally applicable to the fleshy parts of the body only, but not directly over bony protuberance, not over surface (superficial) nerves, not over paralysed muscles, and not during pregnancy. If in doubt about the safety of a movement don't perform it - seek advice from a tutor or medical professional. During the hacking movement, the therapist's hands are held palms facing with the fingers and thumb outstretched from the arm and in loose contact with each other. The movement is actioned from the wrists and not from the elbows. Both hands are used to strike the client's body alternately. They are positioned just a short distance apart so that both hands work on the same area of the client, rotating so as to just clear each other during the action. As the wrists are rotated, causing the hands to alternately rise and fall, only the tips of the three medial fingers strike the client lightly and in quick succession. The fingers remain relaxed at all times so that the movement is light (i.e. the client should not be struck hard by "solid" objects in fast succession, but lightly so that the stimulation is provided by the speed, not the impact). The rate of a hacking movement may be typically 4-6 strikes per second. As variation of the speed/rate of this action determines the depth of the effect on the skin and its underlying structures, this will be determined by individual requirements.



Pounding - it is generally applicable to the fleshy parts of the body only,

(e.g. in some cases, pounding may be used on the thighs) but not directly over bony protuberances, not over surface (superficial) nerves, not over paralysed muscles, and not during pregnancy. If in doubt about the safety of a movement don't perform it - seek advice from a tutor or medical professional. During the pounding movement, the therapist's hands are loosely clenched into fists with the thumbs lying upper-most and flat against the clenched index fingers. The movement itself is similar to the hacking movement except that in the case of pounding it is the lightly clenched little finger of each hand that makes contact with the client (as compared with the ends of the three medial fingers in the case of hacking). Similarly, the movement is actioned from the wrists and not from the elbows, and both hands are used to strike the client's body alternately. They are positioned just a short distance apart so that both hands work on approximately the same area of the client. Note that pounding is one of the lesser-used massage techniques and may be omitted completely from some massage routines - even some Swedish Massage routines - in favour of other tapotement techniques.

Frictions

This is done with the cushion part of the fingers or the palm of the hand. Friction is always followed by effleurage, which soothes the area, and is ideal for removing

toxins and loosening hardened tissue around joints and tendons. It is extremely useful carried out in circular motions, usually clockwise, with several circular motions being used before the thumb is moved on to another area. Friction is carried out using a firm movement and moves the skin over the underlying tissue.

The effects of the movement are as follows:

releases harmful toxins, which may have built up in the body

loosens hardened tissues around joints and tendons

breaks down and removes unwanted deposits.



Vibrations A massage technique in which tissues are pressed and released in an "up and down" movement. This often takes the form of a fine trembling movement applied using the palmar surfaces or just some of the finger tips of either or both hands. This is not one of the most common massage movements but is used as and when appropriate. Its effects can include soothing irritated nerves, loosening scar tissue, relaxing muscles in the forearm, and stimulating circulation and glandular activity. Specific benefits of vibrations depend on where on the body they are applied.



7. CLIENT CONSULTATION A consultation is a one-to-one talk with your client. Here you will find out very important and confidential information that will help you to advise and give clients the best treatment. Always introduce yourself to your client. The consultation is often carried out in the room in which you are working and should be carried out before the client gets undressed in case there is any reason that they cannot be treated. There are three skills required as part of the consultation:

1. Observation - what can you observe about the client? Are they nervous, extrovert, holding their body in such a way that might give indications for treatments, poor posture etc?

2. Verbal Questioning – gain the information required.

3. Physical Examination – what can you physically see and feel on the client? This third part is only carried out once you have assessed that, so far, the client is suitable for treatment.

Approximately 15 minutes should be allocated to carry out the initial consultation. Ideally you should be sitting face to face or next to your client to create an open atmosphere. Avoid barriers such as a couch or a table coming between you. Holistic treatments treat the individual as a whole, taking into consideration general well-being, i.e. health, emotional, physical and mental states. You need to explain carefully to the client why you are carrying out a consultation. Use open questions to tactfully encourage the client to give you information that you need rather than interrogating them and asking lots of direct and often personal questions. Use the record card as a prompt rather than a list to tick off.

Record Keeping Records must be maintained for a number of reasons:

They provide contact details in case you have to alter or cancel an appointment.

So that you can monitor the client’s progression.

To track any aftercare advice that you have given the client.

As a backup in case the client has an adverse reaction to a treatment.

Another therapist should be aware of what treatments and products the client has had.



Important Information The following information should be recorded for all clients:

Personal details:

Full name, address, contact number, GP’s name and address.

A detailed medical background including:

Specific contra-indications These should be noted accordingly. You will probably find as you go through that the client will lead you rather than you having to read off a list, as this can be quite unnerving for the client.

Medication What medication are they taking and for what condition? If a client is taking medication it will give you clues to their health.

Are they consulting a GP on a regular basis or under a consultant and if so for what condition? If so you may need to check further their suitability for treatment.

Have they had recent surgery? You will need to consider scar tissue, and there may be post-operative precautions you need to take. Many people find it takes a while to get anaesthetic out of their system and may feel low.

Life changing illnesses Includes: arthritis, cancer, any disablement, AIDS, epilepsy, diabetes, stroke and depression.

Accidents What implications do these have? Have they had to have surgery? Do they need referral to other professionals? Will your treatment plan need adjusting?

Other Information:

Physical fitness How fit is the client? A client may think they are fit and many will say they are fitter than they really are. A resting pulse will give you a guide.

The client’s occupation and lifestyle These factors will give you a rough indication of free time and budget to consider before negotiating a treatment plan. This information will give you clues as to where the client may have stress and muscular tension.



Life changing conditions Includes: puberty, pregnancy, menopause, retirement, bereavement, divorce and any illness.

Hobbies It may be useful to find out the client’s interests, this will also give you an idea of levels of activity and spare time.

Personality, temperament and emotional state Not the sort of question you can ask but you can make a mental note of it. These factors will help to indicate which oils or zones to work on further.

Disclaimer and date Always add a disclaimer and the client’s signature to verify that the information the client has given you is, to the best of their knowledge, true and correct.

Client records can be stored electronically or filed manually and should be updated at every visit. If record cards are not updated and do not contain a history of services and dates, you may find your insurance invalidated. Records cards must be kept for three years, as medical claims can be made up for up to that period. If a client is under 21 years of age, it is recommended that their record card be kept until they are 21 years of age.

Client confidentiality must be protected at all times. If a salon holds computerised records, they must register with the Data Protection Register. If a salon only holds written records, this does not apply, but they must uphold the principles of the Data Protection Act and comply with the following:

All info information must be accurate and necessary to the service or treatment to be performed.

Individual client records must be available for the clients to view if requested.

All information must be stored securely by password protected computer file.

Any contra-indications and possible contra-actions must be identified and discussed prior to the service. In the case of medical referral, the practitioner should keep a copy of the GP’s letter with the client’s record card.

Always allow the client the opportunity to question and clarify any points before signing the record card.

On the following pages are examples of consultation forms which you can adapt to suit you.



Private & Confidential Client Consultation Form

Client Details

Client Ref: Telephone Number: Address: Mobile Number: Occupation: Postcode: Date of Birth: Email: Gender:

Medical History Do you or have you ever suffered from: High/low BP, depressive illness, pacemaker, epilepsy/fits, panic attacks, stroke, anxiety, diabetes, migraine/head pain, asthma, heart disease, pregnancy, operation, phlebitis, infectious illness, dysfunction of the nervous system, varicose veins, localised inflammation, bruising, open wounds, scar tissue, swelling, arthritis Allergies: Addictions: Phobias: Women ~ Date of last period: What therapies have you experienced to date? GP Referral Required? GP Name: Practice Name: Telephone Number: Address:

General Health / Lifestyle

General Health: Energy Levels: Stress Levels: Sleeping Patterns: Hours per day: Weight: Height: Diet: Alcohol: …… units per week Water: …… litres per day Smoker: Yes/No …… per day Hobbies, relaxation and exercise (type/frequency): Additional Comments:

CLIENT STATEMENT & AGREEMENT

I acknowledge that all the information on this consultation sheet above my signature is accurate and correct to the best of my knowledge. I accept full and complete responsibility for my own emotional and/or physical well being both during and after this therapy and/or training session. I agree to inform the therapist of any changes to my circumstances during any subsequent treatments. I realise that any advice given to me to carry out between sessions is important and I agree to make every effort to carry this out. I understand that no claim to cure has been made and realize that treatments should not replace conventional treatments. Signed: (Client) Date:



Private & Confidential Client Treatment Record

Client Ref: ………………………………………….

Date: Treatment:

Comments: Have there been any changes to your circumstances, medication and general health since your last treatment?

Client declaration: I declare that the information I have given is correct and to the best of my knowledge I can undertake treatments without any adverse effect. I have been fully informed about contra-indications and I am therefore willing to proceed with treatment.

Signed (Client):

Date:

Date: Treatment:



Signed (Client):

Date:

Date:

Treatment:



Signed (Client): Date:



8. CONTRA-INDICATIONS

A contra-indication is the presence of a condition which may make the client unsuitable for a treatment. The treatment may not be able to take place or the treatment may need to be adapted. When treating a client, if they show signs of any contra-indication, tactfully refer them to their GP for treatment/advice. Never tell your client what contra-indication they may have even if you are sure you know what it is. You may be wrong! If you are ever unsure about a contra-indication then do not treat the client, refer them to their GP. This way you are always protecting yourself and the client. Be very careful when dealing with contra-indications. It is a controversial subject and you never want to leave yourself open for further implications. We also have to consider other clients, always make sure that your place of work, implements, and you, are very clean to avoid cross infection. There are certain conditions that will prevent treatment occurring, or require a letter of approval from the client’s GP. These are as follows:

High/Low blood pressure – clients should have medical referral prior to treatment, even if they are on medication. There is a risk of a thrombosis (blood clot) which could travel to the brain.

Epilepsy – due to the complexity of the condition, medical advice should always be sought before treating a client. There is a theoretical risk that over stimulation or deep relaxation could provoke a convulsion (this has never been proven in practice).

Diabetes – this condition requires medical referral, as a client with diabetes is prone to arteriosclerosis (hardening of the walls of the arteries).

Severe circulatory disorders and heart conditions – medical clearance should always be sought before treating a client. Increased circulation may overburden the heart and can increase the risk of a thrombus.

Recent haemorrhage – this is excess bleeding, either internally or externally. Any massage should be avoided due to the risk of blood spillage from blood vessels.

Fever – there is a risk of spreading infection as a result of increased circulation. During a fever, the body temperature rises to fight the infection.



Cancer – medical treatment should always be sought before treating a client. There is a risk of spreading certain types of cancer through the lymphatic system. Once medical clearance has been given, treatments can help relax and support the immune system.

Undiagnosed lumps, bumps, swellings – the client should be referred to their GP for a diagnosis. Treatments such as massage may increase the susceptibility to damage in the area by the pressure and motion.

Varicose veins – clients may be more prone to thrombosis, so clearance from the GP will be necessary.

Medication – caution is advised in clients who take heavy dosages of drugs. This could affect their response to treatment, making it stronger due to the increased elimination of the drugs from the bloodstream.

Recent operation – depending on the site of the surgery it may be necessary to seek medical advice.

Acute infectious disease – due to being highly contagious.

Intoxication – the increase in blood flow to the head can cause dizziness.

Thrombosis or embolism – there is a theoretical risk that a blood clot may become detached from its site of formation and be carried to another part of the body.

Recent scar tissue – massage should only be applied once the tissue is fully healed and can withstand pressure.

Severe bruising – should be dealt with as a localised contra indication.

Allergies – ensure that any oils or products used do not contain substances to which the client is allergic.

Pregnancy - it is advisable to avoid treatment during the first three months. Some pregnant women may experience dizziness, so caution should be taken after the treatment.

Elderly - pressure should be altered when treating elderly clients as they are more susceptible to bruising.

Children - a lighter pressure should be given for children. Always have a parent present when treating.

Endangerment Sites There are some areas where special caution must be taken. Any area where blood vessels and nerves become more superficial must have a reduction in pressure. The popliteal space at the back of the knee is a very delicate area as the peroneal nerve runs through it. The hands should just gently skim this area.



9. CONTRA–ACTIONS

Contra-actions are reactions of a client caused by a treatment taking place. You must explain to your client what/if any reactions to expect during/after a treatment.

With all contra-actions tell your client that if they do not improve within 24 hours to get in touch with their GP for advice.

Below is a list of what contra-actions that could occur during or after Full Body Massage treatment:

light headedness

headache

extreme tiredness

heightened emotions

feelings of alertness

aching and soreness to muscles.

There are more contra actions listed in the text book. It is important to explain that these symptoms are part of the healing process, sometimes called a “healing crisis”. The symptoms will pass and are an evident sign that the treatment has been beneficial.



10. AFTERCARE It is very important to give your client clear instructions about what to expect and what to do at home in order to get the best from their treatments. This will help prolong the effects of the treatment. Explain to the client the following points:

drink plenty of water to aid flushing out toxins

avoid eating a large meal for several hours as the body needs energy for healing

avoid smoking

avoid alcohol, tea and coffee

rest.

It is essential to emphasise the importance of aftercare. Clients must be provided with clear written aftercare instructions to prevent adverse reactions and know how to deal with them. The client should sign to confirm that they will follow the aftercare regime and, if they are unwilling to do so, the treatment should not be carried out.

It is always good practice to give your clients a leaflet explaining the advice, this way you make sure they know and understand what to expect. Finally, ask the clients for feedback on the treatment; fill in their record card on your findings and ask when they would like to rebook.



11. EQUIPMENT & PRODUCTS It is advisable to use a massage chair/couch for both comfort to your client and yourself. As already stated it is wise to get a couch that can be height adjusted for the sake of your back. Ensure your couch has a breather hole to allow the client to lie face down without having to twist their neck. Obviously the use of oils is needed to lubricate the skin and to complement the treatment. A good supply of clean towels will be needed and also a clean uniform or appropriate clothing if you require. It will be necessary to either use bed roll, a clean covering sheet. or at least thoroughly clean the couch with an anti-bacterial cleaning product between each client.



12. STORAGE & INSURANCE

STORAGE Make sure you receive a copy of Material Safety Data Sheets (MSDS) from your suppliers. All staff must be trained on the use of products and equipment. Training manuals and information leaflets should be accessible to all staff.

Store your products correctly by following the guidance on the MSDS.

Carry out a risk assessment on each product or COSHH report if required.

Keep products in original containers where possible and ensure any decanted products are fully labelled in smaller, purpose built containers.

Keep all flammable products out of direct sunlight and at room temperature or below.

Mobile therapists must make suitable travel arrangements to avoid spillage and ensure safe working practice, and be professional in appearance.

INSURANCE

There are several types of insurance that are potentially relevant to you as a therapist. The most important are the ‘Professional Indemnity Insurance’ and ‘Public Liability Insurance’. Both of these are necessary in the unlikely event that a client decided to sue you.

Public Liability Insurance - This covers you if a member of the public, i.e. a client or passerby is injured on your premises or if their personal property is damaged in any way.

Professional Indemnity Insurance - This protects you should a client decide to sue you claiming personal injury or damage as a result of treatments carried out by you.

Employer’s Liability Insurance - This is only necessary if you hire others to work for you. This type of insurance would cover you should a member of your staff have an injury on your premises.

Product Liability Insurance - This insurance is important if you plan to use, manufacture or sell products as part of your business. This will protect you in the event that a client is dissatisfied with the product or experiences a reaction to using the product.



Car Insurance - If a car is used for business purposes, ensure that this is covered by the policy and that theft of equipment is included.



13. WHAT HAPPENS NEXT?

Well done, you are now ready to take part in your practical training to give you the knowledge of carrying out a Full Body Massage. You will need to practise on as many different clients as possible to gain experience and confidence. You will need to ensure that you can:

carry out an in-depth consultation and recognise contra-indications

perform a full body massage treatment

give aftercare advice.

You will need to produce written evidence that you have treated at least four different clients, with at least two treatments each. Include:

a completed consultation form for each client completed and signed diary sheet

a written evaluation of each treatment carried out

male and female clients

different age ranges

different body shapes and sizes. You will be required to complete the file of evidence that you will be provided with at your practical training session. You will be required to come back to the school, discuss the file of evidence and carry out a full body massage treatment. When you have passed you will then receive your Diploma in Swedish Body Massage. This will allow you to obtain insurance and carry out professional treatments. The school is available for support and guidance during and after your training. Further training or refresher sessions are available if required.

Well done and enjoy!



14. CONTACT DETAILS & ESSENTIAL READING

CONTACT DETAILS Head of Holistics : Allie Maisey Address : 706 Delta Office Park

Welton Road Swindon Wiltshire SN5 7XS

Telephone : 01793 73 77 33 Mobile : 07824 337333 Email : [email protected] Website : www.wsbht.co.uk ESSENTIAL READING Massage in Essence Nicola Jenkins Hodder Arnold ISBN 0340916788, 9780340916780 iro £12.99

Like us on facebook or follow us on twitter @wsbht



15. SELF ASSESSMENT

Do I have a good understanding of: Hygiene, health & safety □

Benefits of massage □

Massage movements □

Massage mediums □

Contra-indications □

Contra-actions □

Equipment & products □

Aftercare □

Can I: Set up my area □

Complete a thorough consultation □

Complete a full body massage □

Give aftercare advice □

Have I: Revised all the theory □

Evidence of at least four consultations □

Evidence of at least eight treatments □

Completed the File of Evidence □

Well done!



16. NOTES



17. ACCREDITATION

This course is accredited by:

The Guild of Beauty Therapists

The Guild of Holistic Therapists

Professional Beauty Direct

Associated Beauty Therapists WSBHT is registered with UKRPL

UK Register of Learning Providers No: 10027055

Medical Disclaimer It is advised that you take medical advice if you or any of your clients have a health problem. Any qualification from WSBHT will not qualify you to advise on any medical condition or to diagnose a condition.

Liability WSBHT will accept NO liability for any person for any type of loss or damage whatsoever resulting from the use of materials within any course held by WSBHT. Copyright All copyright and other intellectual property rights in these materials are owned by or licensed by WSBHT. Copyright, adapting or other use of all or part of these materials without written permission of WSBHT is strictly prohibited.

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