Learning Objective Lecture Content Suggested Resources Approximate Hours Introductory session

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1 SCHEME OF WORK APPLICATION FORM For each ITEC qualification, the lecturer/centre must complete a Scheme of Work indicating how the lecturer is planning to cover the ITEC syllabus throughout the course. Set out the planned sessions in terms of Learning Outcomes to be achieved. These should match those stated within the ITEC syllabus for each unit. Include all units of each course offered. Hours should meet the minimum guided learning hours listed within the syllabus. Qualification Title: Lymphatic Drainage Massage r(s) responsible: Total contact tuition hours proposed: 50 Learning Objective Content Suggested Resources Approximate Hours Introductory session College rules and regulations College mission statement ITEC rules and regulations Health & Safety Timetable Dates holidays etc. Syllabus Recommended books Using all the documents listed to ensure the students understand the college expectations and their commitment to the course Uniform Concept Holistic Approach term integral biology Lymph & Blood Understand the structure and function of the lymphatic system Understand the formation, composition and function of lymph Greek term holos Importance of the treatment of the whole person in relation to holistic health and the power of touch Concept of balance and harmony in the body (homeostasis) The way in which our physical environment affects us and the way in which social, economic and environmental factors affect our health and social wellbeing To include: Computers Mobile phones Processed food Lack of fresh air Stress Lack of sleep Jet lag Lack of natural light Financial problems Poor ventilation Lack of exercise Chemicals Pollution Repetitive strain injuries Initial lymph vessels Pre-collectors Collectors Lymph vessels Lymph angions Lymphatic nodes Cisterna Chyli Lymphatic ducts Lacteals Peyers patches Appendix Thymus Tonsils Spleen Adenoids Proteins Fluid Cell debris Foreign substances Long chain fatty acids Lymphocytes Fibrinogen 1 1. Lymphatic system. Circulatory system 5 Deep and Superficial Cervical Submandibular Submental Anterior

2 location of the main lymph nodes of the head, neck and body Auricular Posterior Auricular Buccal Occipital Popliteal Inguinal Axillary Supratrochlear structure and function of blood, the vessels in which it is carried and the effect of lymphatic drainage on them Arteries Arterioles Veins Venules Capillaries Main arteries and veins of the head and neck Plasma Plasma proteins Erythrocytes Leucocytes Platelets Thrombocytes The heart/lung circulatory system position of the main arteries of the head and neck Carotid Facial Temporal Lingual Occipital Maxillary position of the main veins of the head and neck Middle Temporal Superficial Temporal Maxillary Anterior Facial Common Facial Internal Jugular External Jugular interrelationship between blood and lymph and the importance of maintaining homeostasis in the body tissues The pulmonary circulation Circulation of blood from the heart Arteries Arterioles Capillaries Tissues Venules Veins Lymphatic capillaries Lymphatic vessels Lymphatic nodes Lymphatic ducts Concept of the lymphatic system being the main transport system of the body Active transport Molecular motion Osmosis Diffusion Filtration importance of achieving equilibrium in the body tissues Diseases & Disorders common diseases and disorders of the lymphatic system Osmosis Diffusion Active transport Molecular motion Homeostasis Filtration Hodgkins Disease HIV Lymphoma Elephantiasis Lymphadenopathy Mononucleosis (caused by Epstein Barr virus) Splenomegaly Lymphoedema Any localised infection Immunological diseases General oedema (not medical) Tonsilitis Common diseases and disorders of the lymphatic system Consultation methods of consultation An example of a consultation form can be downloaded from Private comfortable area Positive body language Positioning of the client (no barriers between themselves and client) Good communication skills (asking open and/or closed questions where appropriate) Trust Professionalism, confidence and enthusiasm Confidentiality Consent Any contraindications to treatment (as listed below) Client lifestyle Client profile Importance of planning a treatment Consultation form 4

3 Contraindications contraindications to lymphatic drainage massage programme bearing in mind the client s religious, moral and social beliefs Determining the nature and extent of the client s needs Agreement to the course of action Ascertain the client s consent to the treatment Where the client is not in a position themselves, ascertain from the appropriate companion s agreement to the treatment Explanation of any possible side effects to the treatment Explanation of how the programme will be evaluated and the review process Where applicable clarify with the client information which may be available to other practitioner, e.g. relevant health care workers Obtain the client s signature (or that of the companion) Total contraindications Fever Contagious or infectious diseases Under the influence of recreational drugs or alcohol Diarrhoea and vomiting Residual Malaria History of Tuberculosis Cardiac Insufficiency Recent Thrombosis Active Cancer Medical Oedema Undiagnosed lumps and bumps Kidney Infections Undiagnosed pain With medical, GP or specialist permission In circumstances where written medical permission cannot be obtained the client must sign an informed consent stating that the treatment and its effects has been fully explained to them and confirm that they are willing to proceed without permission from their G.P. or specialist Pregnancy Cardio vascular conditions (thrombosis, phlebitis, hypertension, hypotension, heart conditions) Any condition already being treated by a GP or another complementary practitioner Medical oedema Osteoporosis Arthritis Nervous/Psychotic conditions Epilepsy Recent operations Diabetes Asthma Bells Palsy Trapped/Pinched nerve Inflamed nerve Acute rheumatism Cancer Postural deformities Spastic conditions Kidney infections Whiplash Slipped disc Undiagnosed pain When taking prescribed medication Gastric ulcers Hernia Localised Varicose veins Bruises Abrasions Cuts Sunburn Skin diseases Hormonal implants Recent fractures (minimum three of months) After a Contraindications 3

4 Client Care appropriate client care Lymphatic Drainage Massage Understand, explain and demonstrate the lymphatic drainage movements Understand, explain and demonstrate the superficial lymph drainage routes of the body and the importance of working in the correct direction heavy meal Abdomen (first few days of menstruation) Pregnancy (after medical permission has been obtained, not on the abdomen Checking consultation and contraindications Explaining the treatment to the client Help the client onto the couch and protect the client s modesty at all times Ensure that all parts of the client are covered, except the area being massaged Cleanse the feet with sanitiser Wash own hands Keep ensuring that the client is comfortable Use appropriate supports, i.e. under the ankles, chest and forehead, knees, head Adapt the lymphatic drainage massage techniques to suit the needs of the client Help the client off the couch protecting their modesty at all times Movements should be performed correctly and on areas appropriate for the movement Movements should demonstrate the concept of zero pressure where appropriate Movements should be adapted to produce a massage suitable for the client s needs Treatment should be proximal to distal Always work proximal to nearest lymph nodes Client care Practical 1. Lymphatic drainage massage routine. Conditions 3 Understand the importance of correct pressure The concept of zero pressure and its effect on the skin and lymphatic system Less pressure over boney areas or oedema Understand, explain and demonstrate factors that can affect lymph flow Exercise/lack of exercise Breathing Digestion Cold/heat Tight clothing Lymph drainage massage structures they are working over, their function and effect of lymphatic drainage massage (zero pressure) on them To include all of the body systems in the anatomy and physiology unit (particular emphasis should be placed on the neurological system) Understand, recognise and explain conditions that would benefit from lymphatic drainage massage Cellulite Sinusitis Head aches Migraines Non-medial oedema Stress Poor Immunity Sluggish tissue regeneration Improvement of certain skin conditions Chronic fatigue syndrome Any localised infection Pain relief Immunological diseases Sprains Strains Scar tissue Acne Catarrh

5 PMT Menopause Allergies importance of referral procedures Only working within the realms of their own expertise as a therapist Demonstration of the understanding when a client should be referred to either: GP Counsellor Other Complementary Therapist Member of the social care or nursing team Evaluate and review the lymphatic drainage massage treatment/programme Effects of Lymph Drainage Massage effects and benefits of lymphatic drainage on each of the body systems inter-relationship between the lymphatic system and other body systems and the effect of lymphatic drainage massage on those systems At the end of each treatment the client s response should be recorded and any skin or other reactions The following areas should be monitored: Outcomes achieved Effectiveness of the treatment Any change in demands Whether the treatment met the needs of the client Longer term needs of the client (particularly when working in a care environment) Zero pressure and it s effects on the lymphatic capillaries and vessels Calming effect Pain reduction Reflex arc Increased immunity Easing of muscle tension Decongestive Integumentary (skin) Skeletal Muscular Nervous Endocrine Cardiovascular Respiratory Digestive Urinary Reproductive Immune Cells and tissues Interrelationship between lymphatic system and the other systems of the body 5 Hygiene correct hygiene procedures Wash own hands Wipe the client s feet Use clean towels for each client Put couch roll on top of towels Wear clean professional work wear socks/tights and full flat shoes Remove all jewellery from self and client (except wedding band, religious jewellery must be covered) No nail enamel Clean, short nails Ensure the massage medium is removed at the end of the treatment Do not let the client walk around in bare feet Ensure all surfaces are lined with couch roll Wipe couch and trolley with surgical spirit or similar at the end of each day Practical 1 Home Care importance of giving appropriate home care advice after treatment Diet Exercise Stress levels Fluid/ water intake Smoking habits Sleep patterns Hobbies interests Rest Relaxation General care and lifestyle advice and the beneficial effects thereof Generally helping clients and families to identify options to improve their health and Practical

6 Complementary Therapies other complementary therapies and the ways in which they are performed Case Studies 3 clients to be treated 3 times each Mock Practical Mock Theory social well-being in terms of massage treatment Helping clients and families to put their choices into action Reviewing their progress Homeopathy Reflexology Reiki/ Spiritual Healing Yoga/meditation Acupuncture Shiatsu Bach Flower remedies Kinesiology Bowen technique Alexander technique Herbalism Chiropractic Iridology Acupressure Stone therapy massage Aromatherapy Osteopathy Swedish/ Holistic massage Indian head massage Crystal therapy Ear candling Color therapy Consultation including thorough medical history and general lifestyle Client profile (to include any current issues in their life) Details of how the therapist conducted the treatment Details of how the client felt during and after the treatment Details of home care advice given Overall conclusion including reflective practice after each treatment To cover the full body ensuring grounding has been frequently accomplished To cover all theory work taught Different complementary therapies Mock theory paper