LEVEL 3 DIPLOMA IN REFLEXOLOGY QUALIFICATION GUIDANCE

Transcription

1 LEVEL 3 DIPLOMA IN REFLEXOLOGY QUALIFICATION GUIDANCE England [ X] Wales [C00/0502/9] D4207-C3 Issue X Sep 17

2 About ABC Awards ABC Awards is a leading national awarding organisation which has a longestablished reputation for developing and awarding high quality vocational qualifications. We are committed to developing qualifications, which help learners and organisations, by cultivating the relevant skills for learning, skills for employment and skills for life We work with hundreds of centres nationally and thousands of learners achieve an ABC Awards qualification each year. Established in 1998, ABC Awards combines more than 180 years of examination and assessment expertise but at the same time integrates a responsive, flexible approach to the needs of our customers. ABC has an on-line registration system to help customers register learners on ABC s qualifications, units and exams. In addition it provides features to view exam results, invoices, mark sheets and other information about learners already registered. The system is accessed via a web browser by connecting to our secure website using a username and password. Sources of Additional Information The ABC website provides access to a wide variety of information Copyright All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the publishers. This document may be copied by approved centres for the purpose of assessing learners. It may also be copied by learners for their own use.

3 Contents Qualification Summary 1 Introduction 1 Aims 1 Target Group 1 Progression Opportunities 1 Unit Details 6 Recognition of Prior Learning (RPL), Exemption and Credit Transfer 51 Certification 52 Appendices Glossary of terms 53 This is a live document and as such will be updated when required. It is the responsibility of the approved centre to ensure the most up-to-date version of the Qualification Guide is in use. Any amendments will be published on our website and centres are encouraged to check this site regularly.

4 Qualification Overview Introduction The ABC Level 3 Diploma in Reflexology is made up of credit rated units developed in association with Skills for Health, the Sector Skills Council for the Health and Social Care Sector. Aims The ABC Level 3 Diploma in Reflexology aims to: focus on a range of practical skills and underpinning knowledge required in the Complementary Therapy industry provide occupational competency for employment as well as providing a sound platform onto further learning and training provide skills at Level 3 for those interested in the Complementary Therapy industry provide opportunities for staff in the Complementary Therapy industry to gain a Level 3 qualification qualify learners as Complementary Therapists at Level 3 in the Complementary Therapy industry sustain the interest of learners wanting to work in the Complementary Therapy industry encourage knowledge and understanding of the Complementary Therapy industry at Level 3 provide opportunities for learners to focus on the development of the major key skills and the wider key skills in a therapy context, such as communicating with clients, working with others and problem solving to provide opportunities for learners to develop a range of skills and techniques, personal qualities and attitudes essential for successful performance in employment as a Complementary Therapist meet the core curriculum of the regulatory bodies at the time of accreditation and to permit entry to the voluntary CNHC register Target Group The ABC Level 3 Diploma in Reflexology is part of a suite of ABC Complementary Therapy qualifications which enable learners to progress to Level 3 or Level 4 qualifications in Complementary Therapies. This qualification is designed for those learners who are aged 16+. ABC expects approved centres to recruit with integrity on the basis of a learner s ability to contribute to and successfully complete all the requirements of a unit(s) or the full qualification. Progression Opportunities Learners who successfully gain the ABC Level 3 Diploma in Aromatherapy can progress onto: further ABC Level 3 qualifications in Complementary Therapies Level 4 qualifications in Complementary Therapies 1

5 Centres should be aware that Reasonable Adjustments which may be permitted for assessment may in some instances limit a learner s progression into the sector. Centres must, therefore, inform learners of any limits their learning difficulty may impose on future progression. Tutor/Assessor Requirements We require those involved in the assessment process to be suitably experienced and / or qualified. In general terms, this usually means that the assessor is knowledgeable of the subject / occupational area to a level above that which they are assessing. Assessors should also be trained and qualified to assess or be working towards appropriate qualifications. Language These specifications and associated assessment materials are in English only. 2

6 Qualification Structure and Content ABC Level 3 Diploma in Reflexology Qualification and Pathways Level 3 Diploma in Reflexology Regulated The qualification identified above is regulated by both Ofqual and Qualifications Wales. Internal assessment, internal and external moderation Assessment Specific requirements and restrictions may apply to individual units within qualifications. Please check unit and qualification details for specific information Grading Pass Operational Start Date 01/09/2012 Review Date 31/07/2016 Operational End Date 31/07/2019 Certification End Date 31/07/2022 ABC Sector Health and Social Care SSA Sector 01.3 Health and Social Care Support from sector bodies Skills for Health Complementary and Natural Healthcare Council Additional guidance and advice to support this qualification ABC Administering Office and units is freely available to approved ABC centres. See ABC web site for the contact details of the administering office 3

7 Level 3 Diploma in Reflexology Rules of Combination: Learners must achieve a minimum of 63 credits from the four Level 3 mandatory units. Learners may also achieve a further 6 credits from the additional optional unit but these credits will not count towards this qualification Mandatory Units Level Credit Value GLH Page No. Provide reflexology for complementary therapies [K/503/7725] Principles and practice of complementary therapies [A/503/7776] Knowledge of anatomy, physiology and pathology for complementary therapies [R/503/7640] Business practice for complementary therapies [L/503/7779] Optional unit Healthy eating and well-being for the complementary therapy client [J/503/7747] Numbers in box brackets indicate unit number If learners achieve credits from units of the same title (or linked titles) at more than one level, they cannot count credits achieved from both units towards the credit target of a qualification Qualification Purpose D1 Confirm competence in an occupational role to the standards required No formal requirements, but it is recommended that learners should have five GCSE s at Grade C or equivalent. Learners may also have completed an introductory course Entry Requirements such as the ABC Level 2 Diploma in Complementary Therapies or equivalent. It is recommended that learners have completed or made arrangements to attend a first aid course Section 96/97 Pre LARA Aim Reference X Recommended GLH Recommended TQT Credit Value 63 Points Score See ABC web site / Qualifications Directory Contribution to Threshold See ABC Qualifications Directory ASL Option N/A Foundation Learning N/A Type of Funding Available See LARA (Learning Aims Reference Application) Minimum Qualification Fee See ABC web site for current fees and charges Unit fees are based upon a unit s individual credit value. Unit Fee Please see the ABC web site for the current fee charged per credit This qualification replaces the previous ABC Level 3 Diploma in Reflexology (Qualification Ref No 501/0961/3) Additional Information The units in this qualification appear within other ABC qualifications in Complementary Therapies. Learners who achieve these units can transfer the credit achieved towards the credit required for the following ABC qualifications 1 See Glossary of Terms 2 See Glossary of Terms 4

8 Level 3 Diploma in Massage Level 3 Diploma in Reflexology Level 3 Diploma in Complementary Therapies Please see ABC web site for qualifications that are eligible for Credit Transfer / RPL / Exemption 5

9 Unit Details Unit Title K/503/7725 Provide reflexology for complementary therapies Level 3 Credit Value 25 Guided Learning Hours 112 Unit Summary Learning Outcomes (1 to 3) The learner will 1. Be able to prepare for reflexology treatment The aim of this unit is to provide the learner with the knowledge and skills to carry out reflexology and to operate as a professional practitioner The skills developed by the learner include: communication skills, organisation skills, the ability to work unsupervised, how to adapt techniques according to the situation, the ability to plan and promote services and advise on aftercare The knowledge acquired by the learner will enable them to understand how the related body systems work, the effect reflexology treatments can have on each of these systems and the theory behind each technique performed It is recommended that learners have completed or made arrangements to attend a first aid course Assessment Criteria (1.1 to 3.8) The learner can 1.1 Prepare self, client and work area in accordance with current legislation and working practice requirements 1.2 Consult with clients to identify factors which may influence treatment objectives 1.3 Provide clear recommendations to the client based on the outcome of the consultation 1.4 Select materials and equipment to suit client treatment needs 1.5 Describe the requirements for preparing self, client and work area for reflexology treatment 1.6 Describe the environmental conditions suitable for reflexology treatment 1.7 Describe the objectives and possible benefits of reflexology treatment 1.8 Explain the contra-indications that may prevent or restrict reflexology treatment 6

10 1.9 Describe the influencing factors that need to be considered when carrying out a client consultation 1.10 Explain the reasons why the client may be referred to a healthcare practitioner 1.11 Describe the employer s and employee s health, safety and security responsibilities 2. Be able to provide a reflexology treatment 2.1 Communicate and behave in a professional manner 2.2 Position self and client throughout treatment to ensure privacy, comfort and well-being 2.3 Use working methods that meet professional, legal and organisational requirements 2.4 Carry out visual analysis of the feet 2.5 Perform and adapt reflexology treatment using materials, equipment and techniques correctly and safely to meet the needs of the client 2.6 During treatment locate underlying body structures 2.7 During treatment locate reflex points on the hands and feet 2.8 During treatment locate zones, transfer lines and cross reflexes on hands and feet 2.9 Complete treatment to the satisfaction of the client in a commercially acceptable time 2.10 Evaluate the results of treatment 2.11 Provide suitable aftercare and homecare advice 2.12 Record treatment accurately and store information securely in line with current legislation 2.13 Describe the history, philosophy and role of reflexology 2.14 Explain the principles of reflexology theory 2.15 Explain how reflexology techniques can be adapted to suit the individual characteristics of a client 2.16 Explain the principles of all reflexology techniques 2.17 Describe the importance of the supporting hand 2.18 Explain the uses of different media 7

11 2.19 Describe safe handling and use of products, materials, tools and equipment 2.20 Describe the importance of the correct maintenance and storage of products, materials, tools and equipment 2.21 Describe the contra-actions that may occur during and following treatment and how to respond 2.22 Explain the aftercare and homecare advice that should be provided 2.23 Describe the methods of evaluating effectiveness of treatment 3. Be able to reflect upon reflexology treatment 3.1 Reflect on own attitudes, beliefs, interests, priorities and values in relation to personal growth as a reflexologist 3.2 Evaluate own knowledge and practice of reflexology in relation to professional codes of conduct and current working practices 3.3 Identify own strengths and weaknesses in order to best serve self and client 3.4 Describe the basic elements of reflective practice 3.5 Describe how own self-awareness impacts on personal and professional life 3.6 Identify lifelong learning opportunities to plan for selfdevelopment 3.7 Describe how to record evidence of own knowledge and practical experience 3.8 Explain the importance of acting on own evaluation to improve reflexology treatment Mapping to National Occupational Standards This unit is linked to Skills for Health NOS CNH1, CNH2, and CNH11 This unit maps to the core curriculum of the Reflexology Forum (2006) 8

12 SUPPORTING UNIT INFORMATION K/503/7725 Provide reflexology for complementary therapies - Level 3 INDICATIVE CONTENT Learning Outcome 1. Be able to prepare for reflexology treatment 1.1 Prepare self, client and work area in accordance with current legislation and working practice requirements Current legislation and working practice requirements for self, client and work area to include carrying out a risk assessment of the work area prior to treatment Professional and legal requirements to include Code of Conduct Code of Practice Code of Ethics Health and Safety at Work Act (HASAW) Environmental Protection Act Workplace Regulations (Health, Safety and Welfare) Management of Health and Safety at Work Regulations Health and Safety (First Aid) Regulations Personal Protective Equipment at Work Regulations Provision and Use of Work Equipment Regulations Control of Substances Hazardous to Health Regulations (COSHH) Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) Electricity at Work Regulations (EAW) Fire Precautions Act Fire Precautions (Workplace) Regulations Manual Handling Operations Regulations Employers Liability Act Working Time Regulations General Product Safety Regulations Cosmetic Products (Safety) Regulations Supply of Goods and Services Act Consumer Protection Act Trade Descriptions Act Performing Rights Licence Local Government (Miscellaneous Provisions) Act Part I Licensing Data Protection Act 9

13 the Disability Discrimination Act Medicines and Healthcare Products Regulatory Agency (MHRA) requirements Prohibited Appellations Regulations Mental Health Act Children Act 1.2 Consult with clients to identify factors which may influence treatment objectives To include creating a suitable environment for the client consultation, taking into account confidentiality Consultation, to include medical history, parents medical history and family medical history. Evaluate information gained from the consultation process Create an agreed treatment plan, taking into account all aspects of lifestyle, diet, state of health and well-being, medication, family circumstances and employment Develop a therapeutic relationship in order that clients feel compelled to share detailed information with the therapist, creating a situation of trust and respect; responding not reacting; creating a treatment plan with the client s full agreement to establish that the therapy belongs to the client not the therapist. Confidentiality; empathy versus sympathy Work within the therapist s limits of training and boundaries 1.3 Provide clear recommendations to the client based on the outcome of the consultation Recognise the importance in determining the client s expectations of the treatment and challenging realistic versus unrealistic expectations prior to treatment, so that the client is fully aware of the limits of the therapy Identify key areas to work on within the treatment (reflexes and areas of the feet / hands requiring attention) to support a unique treatment plan for the client Discuss the importance of personalising the treatment for each client at each treatment, and the importance of gaining consent prior to treatment, on two levels for the client to own their treatment (feel listened to, safe, confident, in order to trust their therapist) for legal requirements Plan the treatment around the client s presentation: age, pain levels, stress levels, psychological and physical state of health 1.4 Select materials and equipment to suit client treatment needs Explain the importance and purpose of skin preparation and suitable cleansing methods Discuss the different medium for application of the therapy:- no medium, powder, liquid talc, creams, oils, cornflour, wax, pre-blended essential oils, vegetable / carrier oils Identify the different items of equipment needed to perform a treatment, to include couch / chair / bed, towels, pillows, covered bolsters, music (if desired and licence is in place), electrical equipment, etc. 1.5 Describe the requirements for preparing self, client and work area for reflexology treatment Professional work wear to include full, flat shoes (if worn); no jewellery, with the exception of a wedding band; clean, tidy hair, tied up off the face if long; clean hands with short, clean nails; any open cuts or abrasions covered with a waterproof dressing Preparation of self to include professional behaviour towards the client good personal hygiene, no body odour, no bad breath, no strong perfume, no chewing of gum or eating sweets during treatments; washing hands before, during and after the treatment as necessary; being punctual, polite, cheerful and friendly manner, open body language, positive attitude. Position self safely to avoid poor posture / injury 10

14 Preparation of client to include helping the client onto the couch / chair and protect client s modesty; sanitise the client s hands / feet prior to treatment; ensure client comfort and use appropriately covered supports as required; the importance of maintaining client comfort throughout the full treatment; questioning the client appropriately and using visual observation clues (such as body language) to assess client comfort Preparation of the work area to include risk assessment of the work area; code of practice; code of conduct; code of ethics; insurance; professional association membership; adhere to legislation relating to the therapy being carried out; addition of music (if licensed and required by client). Create a hygienic, warm and private treatment room, with temperature control, and other equipment suitable for the therapy being administered - suitable couch / La Fuma and trolley, cupboards for storing towels, massage medium and other equipment, towels, blankets, covered support pillows, pillows, etc. 1.6 Describe the environmental conditions suitable for reflexology treatment To include desirable characteristics of an appropriate treatment environment : safe use of equipment; care and maintenance of equipment; use of appropriate facilities to dispose of waste; hand washing in line with current infection control procedures; suitable room layout and appropriate professional equipment to include couch / chair / lafuma and trolley / table; ambience; lighting; ventilation; temperature; music and the ability of the therapist to be able to change / adapt all environmental conditions to suit the individual client. Discuss why the therapist aims to create the perfect environment for each individual client 1.7 Describe the objectives and possible benefits of reflexology treatment To include learning how to explain the effects of reflexology on the body and its systems specific to the client being treated, to be able to correctly identify aspects of the client s consultation and link it to the reflexology treatment so that the client receives the treatment that is best for them at that time To understand the importance of not diagnosing, not pertaining to cure, but to reassure and to encourage in order to create a positive treatment experience Benefits to include relaxation / invigoration, relief of tension, improved range of motion and flexibility, improved condition of skin, improved systemic function, improved sleep, increased energy, balancing of fluids within body, stress relief 1.8 Explain the contra-indications that may prevent or restrict reflexology treatment To include contra-indications, local contra-indications or cautions that may restrict or prevent treatment. There are many schools of thought regarding contra-indications - the more experience the reflexologist has, the less contra-indications there are (which implies that the reflexologist places boundaries on themselves due to lack of experience / knowledge / insecurities, rather than the conditions that the client presents with being contra-indicated per se) Total contra-indications to include gangrene, thrombosis, stroke, deep vein thrombosis (DVT), severe cellulites, contagious or notifiable diseases Restrictions to treatment to include: fever, diarrhoea / vomiting, pregnancy, skin disorders, cuts / abrasions, scar tissue, sunburn, recent fractures Caution when treating clients with the following disorders / conditions of the feet, hands and nails to include: athlete s foot, blue nails, bone spur/heel spur, bunion (hallux valgus), callus, chilblain, clubbed foot, corn, discoloured nails, heel fissures, flat feet, foot drop, hammer toe, high arch, ingrowing toenails, verruca, and other disorders of the nail (see unit R/503/7640 Knowledge of anatomy, physiology and pathology for complementary therapies Assessment Criteria 2.6) 11

15 1.9 Describe the influencing factors that need to be considered when carrying out a client consultation To include the importance of choosing a location to ensure confidentiality, the general state of the client; the initial rapport created by the therapist and the client; external influences such as noise, room layout (and positioning of client and therapist within the room, personal space); lateness for appointment; stress levels of client and therapist; emotional comfort perceived by the client from the therapist 1.10 Explain the reasons why the client may be referred to a healthcare practitioner Discuss the importance of working within the boundaries of the therapy studied and that, on occasion, it is necessary to refer to another healthcare practitioner in order for the client to receive the best help available for them at that time, and where the therapist feels that the treatment would be more successful at that time. Link reasons to contraindications / presenting conditions, consider physical and psychological issues. Duty of care To highlight that the referral can be made alongside reflexology treatment or instead of, depending on the client s needs. Referrals can be made to the client s GP, either whilst continuing reflexology treatment or postponing reflexology treatment Accident and Emergency another practitioner (reflexologist or therapist practising a different discipline) a support service (voluntary or statutory) Voluntary support services are limited to Cruse, WRVS, Age UK, RNIB, RNID, CAB, Samaritans, RELATE, Alcoholics Anonymous and the AIDS Helpline Statutory support services limited to Social Services, Benefits Agency, Local Borough Housing Department, medical or health centres and NHS Advice Line / Alert Practitioners of other therapies to include: Acupuncture, Alexander Technique, Aromatherapy, Bach Flower Remedies, Bowen Technique, Chiropractic, Counselling, Healing, Herbalism, Homeopathy, Hypnotherapy, Iridology, Kinesiology, Neurolinguistic Programming (NLP), Osteopathy, Physiotherapy, Reiki, Remedial and Therapeutic Massage, Therapeutic Touch, Shiatsu, Traditional Chinese Medicine, Yoga 1.11 Describe the employer s and employee s health, safety and security responsibilities To include the items of provision under the Health and Safety at Work Act (HASAW), Professional Insurances relevant to therapy, Professional Association Membership relevant to therapy and the Data Protection Act Other employer s responsibilities include making sure that all staff are appropriately trained know and understand the implications of legislation staff have a First Aid certificate Other employee s responsibilities include carrying out risk assessment of their work area storing and maintaining their equipment in the correct manner taking the correct hygiene measures using the correct sanitisation / sterilisation method if appropriate 12

16 Learning Outcome 2. Be able to provide a reflexology treatment 2.1 Communicate and behave in a professional manner To include the use of positive body language and good listening skills; carrying out a risk assessment; greeting the client professionally; explanation of the history of reflexology; how reflexologists work; purpose of the client consultation; client consent; procedure of treatment to include explanation of foot analysis, relaxation routine, treatment routine (with specific adaptations for individual experience); post treatment procedure; conclusion of the session To include creating a beginning and an ending to the therapeutic relationship in the treatment. Working within the Code of Practice and Ethics, and therefore maintaining professional boundaries within the treatment 2.2 Position self and client throughout treatment to ensure privacy, comfort and well-being To include preparation for work, receiving the client, the consultation process, carrying out the treatment, post treatment and concluding the session. Use of appropriate posture by the therapist for the therapy provided to avoid injury 2.3 Use working methods that meet professional, legal and organisational requirements To include working within the realms of the profession; professional conduct and code of ethics supporting the application of reflexology to clients in a professional setting. Workplace policy. Working within the therapist s training and abilities. Also refer to Assessment Criteria Carry out visual analysis of the feet To include interpretation of findings (temperature, texture, hard skin, colour and position of the feet and other anomalies) 2.5 Perform and adapt reflexology treatment using materials, equipment and techniques correctly and safely to meet the needs of the client To include assessment with the client of all aspects of the treatment prior to commencing the treatment, and gaining client consent to proceed with the treatment accordingly Helping the client on and off the treatment couch where appropriate. Ensure the client is supported correctly and is comfortable prior to the start of the treatment Relaxation routine to include massage techniques and the physiological and psychological effects of massage. Treatment routine to include reflexology techniques, additional reflexes selected according to client s presenting condition, supporting hand, end of treatment routine to include closing massage movements, allowing the client to relax and revive, offering the client water 2.6 During treatment locate underlying body structures Understand the physical underlying structures to include muscle, tendon, ligament, bone, nerve, artery, vein, within the regions of the feet, ankle and leg, and the hand, wrist and arm Be able to identify the obvious physical underlying structures to include muscle, tendon, ligament, bone, nerve, artery, vein and joints of certain body regions (where appropriate) that may be highlighted in a treatment due to the client s presenting conditions 2.7 During treatment locate reflex points on the hands and feet To include the use of appropriate hand / foot charts to establish correct position of the reflexes, comparison of different reflexology charts 13

17 2.8 During treatment locate zones, transfer lines and cross reflexes on hands and feet To include position of longitudinal and transverse zones of the shoulder, diaphragm, waist and pelvic line. Cross reflexes and their reason for use within a treatment. Using the hand instead of the foot to locate a reflex point. How zones relate to anatomical structures of the body and how the reflexes relate to anatomical structures of the body 2.9 Complete treatment to the satisfaction of the client in a commercially acceptable time Understand the importance of completing a treatment in a commercially acceptable time. Discuss what a commercially acceptable time is and whether it varies for each client, or if the therapist decides, prior to starting their business, how long each treatment will take Discuss events or situations that may disturb the smooth running / flow of the treatment and cause a therapist to overrun Consultation versus practical treatment time and client satisfaction - create a compromise to avoid spending too long on a consultation and not enough time on the treatment 2.10 Evaluate the results of treatment To include recording the treatment given, including both physiological and psychological reactions of the client, the reasons why a reflex may be sore / painful / lumpy / grainy / crystalline, etc., and why the therapist revisited or paid particular attention to some reflexes Results of treatment should also include client feedback; the psychological and physiological reactions to treatment; the effectiveness of the treatment and the outcomes achieved; whether the client s expectations were met and the longer term needs of the client; review of and changes to the treatment plan for the next treatment and the agreement of the client as to when the next treatment should be, based on the results and evaluation of the treatment by the therapist 2.11 Provide suitable aftercare and homecare advice To include the necessity for the therapist not to prescribe aftercare, purely to offer suggestion and opinion; that aftercare can be given in a general format to highlight the condition / issues with which the client has presented, namely in the realms of healthy eating, avoiding stimulants, fluid / water intake, exercise, posture, smoking habits, sleep patterns, hobbies and interests, time management, rest, relaxation techniques and stress levels Specific aftercare in the realms of self treatment of reflexology and referrals to other agencies or practitioners where applicable. Booking the next appointment, charging and taking payment for treatment, escorting the client from the area, cleaning and tidying the treatment area in preparation for the next client (cross infection / hygiene) 2.12 Record treatment accurately and store information securely in line with current legislation To include recording verbatim (where appropriate) what the client has said and how the client has responded to treatment. Any skin or other reactions should be recorded and recommendations for further treatment. Any aftercare or homecare advice given should be fully documented. Agree documentation with client. Create a confidential portfolio of clients and store information securely (Data Protection Act), if possible in a fireproof, lockable container. Where information is stored on a computer, it needs to be password protected 14

18 2.13 Describe the history, philosophy and role of reflexology To include the history and development of zone therapy and reflexology:- Chinese, American Indians, Sir Henry Head, Sir Charles Sherrington, Dr William Fitzgerald, Edwin Bowers, Joseph Riley, Joseph Corvo, Eunice Ingham, Dwight Byers, Doreen Bayly, Hanne Marquardt and any ongoing developments. To include the basic principles and tenets of the therapy. The role and use of reflexology as part of an holistic lifestyle should be explored as well as its own potential, through treating the whole person, of addressing the subtle energy and changes which can affect well-being. To include discussing the time and care with which the therapist s consultation, treatment plan and treatment meets the needs of the client, so reducing the need for allopathic treatments 2.14 Explain the principles of reflexology theory To include the concept and theories of how reflexology works : the healing process (crisis), Herings Law of Cure, placebo effect, pain gate theory, meridian theory, zone therapy, nerve impulse theory, electromagnetic theory, energy blockage theory, u-bend theory, endorphin-encephalin release theory, autonomic and somatic theory, proprioceptive theory 2.15 Explain how reflexology techniques can be adapted to suit the individual characteristics of a client Discuss how the therapist will check with the client at the outset of the treatment and during the treatment whether the pressure, speed and hold of the foot are suitable. To include the therapist noting any change in body language, tension in the body, any other changes to the client s general disposition through the treatment that may influence their technique and speed of application of therapy. To include the use of still hold (stationary hold of reflex / foot) if the client is experiencing any distress, before carrying on the treatment To include adaptation of techniques due to age (neonate, infant, children under 16, young female, elderly), gender (male, female), disability (mental, physical, wheelchair, without speech, physically hard of hearing, visually impaired), cultural factors, pregnancy, etc Explain the principles of all reflexology techniques To include relaxation techniques: effleurage, petrissage, foot wringing, lung press, toe rotations, ankle rotations, spinal stroking. To include reflexology techniques: finger / thumb caterpillar walking, pivot on a point, rotation on a point, hook-in and back-up, stationary hold 2.17 Describe the importance of the supporting hand To include use of the supporting hand for general and additional support, protection, leverage, stretching, maintenance of pressure, continuity of touch. Know how to place and use the supporting hand 2.18 Explain the uses of different media To include reasons why a therapist might chose one medium over another; the choice of the client in the decision-making process; advantages and disadvantages of different media: no medium, powder, liquid talc, corn starch / flour, cream / lotion, vegetable / carrier oil 2.19 Describe safe handling and use of products, materials, tools and equipment To include carrying out a risk assessment in the work area and how to safely handle all items pertaining to the treatment, using products according to manufacturer s instructions and without waste 15

19 Use of clean towels and couch roll for each client. Ensure that the trolley is laid out with everything that is needed before the start of treatment. Know how to deal with spillages in a safe and hygienic way. Use treatment equipment (such as the couch) safely no trailing wires, test electrical equipment annually. Ensure that current legislative controls and guidelines for the use of products and equipment are adhered to 2.20 Describe the importance of the correct maintenance and storage of products, materials, tools and equipment To include safe use and storage of treatment equipment (treatment couch / chair, table / trolley, chair / stool). Keep all equipment clean and use appropriate cleaning materials. Safe use and storage of treatment materials (cotton wool, tissues, couch roll, product, etc.), to include being away from temperature extremes; removal of products from jars; lids on jars correctly sealed; out of reach of children; COSHH; shelf life; stock rotations; sourcing and selecting treatment medium; allergies and sensitivities to ingredients in the medium chosen. Safe storage of paperwork in accordance with Data Protection guidelines 2.21 Describe the contra-actions that may occur during and following treatment and how to respond To include general reactions such as shivering, crying, laughing, sleeping, headaches, dizziness, increase of temperature / energy / sleep patterns, sweating, nausea, urge to urinate / defecate / flatulence. Recognise an increase in signs and symptoms. Specific reactions, e.g. to sensitive reflexes or reflex areas. Discuss the importance of being able to explain to a client about reactions such as these, and the healing process and Herings Law of Cure. Be able to reassure clients that these are a normal reactions and nothing to worry about 2.22 Explain the aftercare and homecare advice that should be provided To include linking the aftercare and homecare advice given specifically to the client s needs and information gained during the consultation process. Whilst not prescribing or diagnosing, explain the importance of general aftercare in relation to the treatment given, and the use of specific aftercare advice such as reflex points of the hands / feet. Any practical techniques for the client to try must be demonstrated by the therapist, finding out what the client likes doing and basing the homecare advice on that information 2.23 Describe the methods of evaluating effectiveness of treatment To include visual, verbal and non-verbal (body language), written (feedback form) methods, and their uses for each individual client Learning Outcome 3. Be able to reflect upon reflexology treatment 3.1 Reflect on own attitudes, beliefs, interests, priorities and values in relation to personal growth as a reflexologist To include the introduction to the philosophy of reflective practice. Understand the self and how the self develops and the factors that influence its development Own motivation for helping others the need to be needed: to be important or useful to someone the need to be liked the need for power, to control or organise the need for meaning the need to make meaning out of our life experiences, to put something back in to the communal coffer, self actualisation - Maslow Own beliefs and values, own motivation for helping others and personal blocks to listening and learning (equality, stereotyping, and labelling, why people sometimes stereotype others and the effects that stereotyping and labelling can have on individuals or groups) 16

20 3.2 Evaluate own knowledge and practice of reflexology in relation to professional codes of conduct and current working practices To include whether the therapist believes that they have the most current information regarding professionalism within the industry, and how they justify and demonstrate that they are working at that level. Review own knowledge against current National Occupational Standards (NOS) and current Core Curriculum. Review own Code of Practice and Ethics of membership body. Review current working practices against current legislative obligations 3.3 Identify own strengths and weaknesses in order to best serve self and client To include practical application of Johari s window model to help with identification 3.4 Describe the basic elements of reflective practice To include definition of reflection, history of reflection, Schon s model of reflective practice, other models (Bolton, Greenaway, Gibbs, Johns, Kolb, Rolfe et al, Atkins and Murphy) To include basic elements: what did I do, what were the reactions, would I do anything differently next time, have I performed an effective treatment? Examples of activities which develop reflective practice and personal growth case studies, journals, peer review, portfolio development, assessment of studies 3.5 Describe how own self-awareness impacts on personal and professional life To include the Johari s window model to create understanding of issues and concerns, and strategies to create a positive outcome The significance of valuing individuality, and the Social Influence Theory 3.6 Identify lifelong learning opportunities to plan for self-development To include research into further CPD courses available after completion of the qualification, and five year plan for self-development / goals / higher education qualifications 3.7 Describe how to record evidence of own knowledge and practical experience To include using a journal, diary, blogs, mentoring, practise hours log book, client study sheets, clinic assessment sheets, practically assessed treatment work, and case study information 3.8 Explain the importance of acting on own evaluation to improve reflexology treatment To include the use of self evaluation at the end of every treatment to highlight any areas of inconsistency or further developmental needs TEACHING STRATEGIES AND LEARNING ACTIVITIES Centres should adopt a delivery approach which supports the development of their particular learners. The aims and aspirations of all learners, including those with identified special needs, including learning difficulties/disabilities, should be considered and appropriate support mechanisms put in place METHODS OF ASSESSMENT This unit will be internally assessed, internally and externally moderated via a learner s portfolio and other related evidence, against the unit outcomes and assessment criteria 17

21 Minimum requirements when assessing this unit ABC expects that staff will be appropriately qualified to assess learners against the outcomes and criteria within the units. Generally teaching staff should be qualified and/or vocationally experienced to at least a level above that which they are teaching CASE STUDIES REFERENCE Reflexology Forum Core Curriculum for Reflexology A total of 100 treatments are required for the duration of training, including a minimum of 10 practice hours 3 client studies 40 case studies 27 clinic notes The remaining 20 treatments can be the choice of the centre, tutor or learner Practice Hours are those spent by the learner practicing basic relaxation and reflexology techniques at the beginning of their training. The tutor will not be present to observe the practice hours of the learner directly A minimum of 10 Practice Hours is required for assessment, together with a written record of the following date of practice time taken what was practised signature of recipient signature of learner A Client Study is defined as a "one-off" reflexology treatment performed on clients during contact hours/clinic sessions when the tutor is present to observe and assess the practical techniques employed by the learners in conducting the therapy. Clients must be unknown to the learners, and no learner should treat the same client more than once for assessment A minimum of 3 Client Studies is required for assessment, together with the following documents Consultation Form - which must include an introduction to / impression of the client and details of the aftercare advice given Foot Analysis Form Treatment Form Client Feedback Form These should be accompanied by a written tutor assessment in the learner s file A Case Study is defined as a course of reflexology treatments performed outside the contact hours/clinic sessions; the tutor will not be present to observe the practical skills of the learners directly. The number of individuals for case studies can vary (from 4 12), as can the number of treatments. However, a minimum of 40 Case Studies are required for assessment which should include the following documents Consultation Form - which must include an introduction to / impression of the client and details of the aftercare advice given Foot Analysis Form Treatment Form - detailing initial treatment and subsequent treatments 18

22 Client Feedback Form a final brief conclusion regarding the case study a bibliography (if the learner has used any form of research to support their case study) These documents should be presented in a file, with a feedback sheet from each client, a written tutor assessment and an index Clinic notes are brief notes used by practising therapists and serve to remind the therapist of appropriate information to help them to remember the client on their next visit. Clinic notes, legally, must always have the date written in full across the top of any written information In a working environment clients may book a course of treatments, or they may book only one treatment. This will be reflected in the clinic notes, as the number of clients may vary from a single client booking one or more treatments, to multiple clients booking a single treatment or a course of treatments A minimum of 27 Clinic Notes are required for assessment, together with the following documents Consultation Form - which must include an introduction to / impression of the client and details of the aftercare advice given Foot Analysis Form Treatment Form - dated notes detailing initial and subsequent treatments, brief comments that the learner chooses to note after a treatment to help with planning the next treatment, and a summary at the conclusion of the treatment(s) ABC has produced exemplars of the above forms which are available to registered centres. However, centres may choose to provide their own forms for learners if they wish to do so EVIDENCE OF ACHIEVEMENT All learners must compile a portfolio of evidence that shows achievement of all the relevant learning outcomes and assessment criteria. Evidence is not prescribed but may include any or all of the following* product evidence observation reports oral / written questions and answers reports / notes worksheets / workbooks witness statements recorded evidence (e.g. video or audio) photographic evidence case studies / assignments other suitable supplementary evidence simulation (see specific evidence requirement above) interview / discussion *The most appropriate evidence for the qualification should be used 19

23 Portfolios do not need to be very large and must contain the learners own work, not an abundance of tutor handouts Evidence does not have to be written Assessors may use any method that is reliable, valid and fit for purpose. Units should only be signed off once all the requirements of the unit are met All evidence must be clearly signposted and made available for the external moderator upon request ADDITIONAL INFORMATION All internal assessments must be accompanied by a signed Declaration of Authenticity (this document is available on the ABC web site Reflexology Forum Complementary and Natural Healthcare Council 20

24 Unit Title A/503/7776 Principles and practice of complementary therapies Level 3 Credit Value 13 Guided Learning Hours 30 Unit Summary Learning Outcomes (1 to 3) The learner will 1. Understand the key historical factors and theoretical background for complementary therapies The aim of this unit is to provide the learner with the knowledge and skills to enable them to practise complementary therapies Assessment Criteria (1.1 to 3.4) The learner can 1.1 Examine the history and origins of complementary therapies 1.2 Identify commonly available complementary therapies 1.3 Evaluate the theory of techniques used in commonly available complementary therapies 2. Understand the main influences on working within the complementary therapy industry 2.1 Summarise the legal obligations of working with clients and the general public 2.2 Explain the codes of practice and ethics relating to complementary therapies 2.3 Analyse the roles of professional organisations relating to complementary therapies 2.4 Evaluate the process of registration and regulation of complementary therapies 3. Understand the key aspects of good clinical practice 3.1 Identify the information required for assessment and treatment planning 3.2 Explain how to accurately record information, store records and ensure confidentiality 3.3 Evaluate appropriate referral procedures and protocols to use with clients and others involved in integrated healthcare 3.4 Identify effective communication skills when dealing with clients and colleagues in maintaining good practice 21

25 Mapping to National Occupational Standards This unit is linked to Skills for Health NOS CNH1 and CNH2 22

26 SUPPORTING UNIT INFORMATION A/503/7776 Principles and practice of complementary therapies - Level 3 INDICATIVE CONTENT Learning Outcome 1. Understand the key historical factors and theoretical background for complementary therapies 1.1 Examine the history and origins of complementary therapies Detailed history and origins of body massage China 3000BC, Japanese Shiatsu, Indian Ayurvedic medicine, the Greeks, the Romans, Per Henrik Ling, Physiotherapy and ongoing research aromatherapy the Egyptians, the Greeks, the Romans, the Arabs, China, India, the Great Plague, herbal influences, Culpepper, Gerard, World War One, Professor Gattefosse, Jean Valnet, Marguerite Maury and ongoing research reflexology Chinese, American Indians, Sir Henry Head, Sir Charles Sherrington, Dr William Fitzgerald, Edwin Bowers, Joseph Riley, Joseph Corvo, Eunice Ingham, Dwight Byers, Doreen Bayly, Hanne Marquardt and ongoing research Brief origins of the following Acupuncture Alexander Technique Bowen Technique Chiropractic Counselling Cranio-sacral therapy Emotional Freedom Technique Flower essences Healing (faith, Reiki, spiritual) Herbalism Homeopathy Hopi candles Hypnotherapy Indian head massage Iridology Kinesiology Neurolinguistic Programming Nutrition Occupational therapy Osteopathy Seated Acupressure massage Shiatsu 23

27 Sports therapy Thai massage Yoga therapy 1.2 Identify commonly available complementary therapies Provide a description of the commonly available complementary therapies listed above in Assessment Criteria Evaluate the theory of techniques used in commonly available complementary therapies Techniques used for the complementary therapies listed above in Assessment Criteria 1.1 Learning Outcome 2. Understand the main influences on working within the complementary therapy industry 2.1 Summarise the legal obligations of working with clients and the general public Insurance to include professional indemnity, public liability, buildings, business, business contents, car, personal accident, etc. Working within the following Acts which are the legislative requirements the Health and Safety at Work Act (HASAW) the Environmental Protection Act Workplace Regulations (Health, Safety and Welfare) Management of Health and Safety at Work Regulations Health and Safety (First Aid) Regulations Personal Protective Equipment at Work Regulations Provision and Use of Work Equipment Regulations Control of Substances Hazardous to Health (COSHH) Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) Electricity at Work Regulations Fire Precautions Act Fire Precautions (Workplace)Regulations Manual Handling Operations Regulations Employers Liability Act Working Time Regulations General Products Safety Regulations Cosmetic Products (Safety) Regulations Supply of Goods and Services Act Consumer Protection Act Trade Descriptions Act Performing Rights Licence Local Government (Miscellaneous Provisions / Licensing) Act 24