ITEC Unit 16 - Spa Treatments Recommended minimum guided learning hours 93 Learning Outcome Students will be able to: 1. Understand and explain the history and concept of Spas 2. Understand and explain the importance of creating and maintaining the correct atmosphere and ambiance within a Spa 3. Understand and explain total care of the Spa environment Exfoliation 4. Understand and explain the various methods of exfoliation/desquamation 5. Understand and explain the application technique for exfoliation and desquamation and the point in the treatment at which they should be used 6. Understand and explain the contraindications to treatment Underpinning Knowledge The Greeks Romans Naturally occurring Spas Concept of the use of water for treatments Ensuring the Spa appeals to the 5 senses: Touch with massage Sight by changing colours Sound tranquil music Taste herbal teas Smell perfumed aromas possibly from essential oils All equipment Ensure equipment complies with legal requirements Wet area Consumables Changing and relaxation areas Salt scrubs General scrubs Peels Body brushing Salt scrubs General scrubs Peels Body brushing heart conditions) Haemophilia Any condition already being treated by a GP or another complementary practitioner Medical oedema Osteoporosis Arthritis Nervous/Psychotic conditions Epilepsy Recent operations Diabetes Asthma Any dysfunction of the nervous system (e.g. Muscular sclerosis, Parkinson s disease, Motor neurone disease) Bell s Palsy Trapped/Pinched nerve (e.g. sciatica) Inflamed nerve Cancer Postural deformities Spastic conditions Kidney infections Whiplash Slipped disc Undiagnosed pain When taking prescribed medication Acute rheumatism Abdomen (first few days of menstruation depending how the client feels) Haematoma Hernia Recent fractures (minimum 3 months) Cervical spondylitis Gastric ulcers After a heavy meal Conditions affecting the neck ITEC Unit 16 Spa Treatments Syllabus V3 Page 1
Steam and Sauna 7. Understand and explain the therapeutic effects of Steam and Sauna treatments 8. Understand and explain the differences between wet and dry heat 9. Understand and explain the safety procedures required for each treatment 10. Understand and explain the contraindications to Steam and Sauna Exfoliation should always take place at the beginning of a Spa treatment plan NEVER after any form of heat has been applied to the skin Cleanses by perspiration Relaxation Relaxes muscles prior to deeper treatment Steam produces wet heat Sauna produces dry heat Both methods deep cleanse Ensure the cabinets are wiped out with sterilising solution after every treatment Ensure the benches are covered with clean paper towels for each client Ensure the client showers before entering the cabinet and that swimwear or similar is worn Ensure that the treatment is explained to the client before commencement Ensure the correct temperature is adhered to Check temperature gauge Ensure the client stays in the sauna/steam room for maximum 10 minutes After 10 minutes they should take a warm shower or plunge in a warm pool (not freezing) Ensure the client drinks plenty of water Ensure that the client rests in the rest area and allows the body temperature to return to normal before leaving the Spa heart conditions) Haemophilia Any condition already being treated by a GP or another complementary practitioner Medical oedema Osteoporosis Arthritis Nervous/Psychotic conditions Epilepsy Recent operations Diabetes Asthma Any dysfunction of the nervous system (e.g. Muscular sclerosis, Parkinson s disease, Motor neurone disease) Bell s Palsy Trapped/Pinched nerve (e.g. sciatica) Inflamed nerve Cancer Postural deformities Spastic conditions Kidney infections Whiplash Slipped disc Undiagnosed pain When taking prescribed medication Acute rheumatism Abdomen (first few days of menstruation depending how the client feels) Haematoma Hernia Recent fractures (minimum 3 months) Cervical spondylitis Gastric ulcers After a heavy meal Conditions affecting the neck ITEC Unit 16 Spa Treatments Syllabus V3 Page 2
11. Understand and explain the importance of relaxation after treatment and care of the relaxation area 12. Understand and explain the correct procedure for treatment 13. Understand and explain the correct hygiene procedures 14. Understand and explain the first aid for heat exhaustion, burns and fainting Bodymasks/Wraps 15. Understand, explain and ensure appropriate client care at all times To allow the body temperature to return to normal The possible consequences of not doing so should be known: Dehydration Fainting Heart attack Coronary Collapse Ensure the cabinet is wiped out with sterilising solution regularly Ensure the benches are covered with clean towels for each client Ensure the client showers before entering the cabinet and that swimwear or similar is worn Ensure that the treatment is explained to the client before commencement Ensure the correct temperature is adhered to Ensure the client stays in the sauna/steam for maximum 10 minutes After 10 minutes they should take a warm shower or plunge in a warm pool (not freezing) Ensure that clients rest in the relaxation area or suite of relaxation rooms in the case of a Turkish bath and allow the body temperature to return to normal before showering and leaving the Spa If individual steam cabinets are used, a towel should be placed around the neck area to stop the steam escaping from the cabinet, otherwise the procedure is the same Ensure the cabinet is wiped out with sterilising solution regularly Ensure the benches are covered with clean towels for each client Ensure the client showers before entering the cabinet and that swimwear or similar is worn If individual steam baths are used, a towel should be placed around the neck area to stop the steam escaping from the cabinet Check the up to date procedure with St Johns/Andrews ambulance or Red Cross Checking consultation and contraindications Explain the treatment to the client Use appropriate protective sheets for the couch and floor area Help the client onto the couch protecting the clients modesty at all times Underwear must be worn (paper pants are acceptable) Ensure that all parts of the client are covered except the area being treated Cleanse the feet with an appropriate sanitiser Wash own hands Keep ensuring that the client is comfortable Adapt the treatment to suit the needs of the client as part of a weight loss programme or skin treatment Apply the mask/wrap in accordance with manufacturer s instruction Wrap the client in sheets/blankets/thermal blanket, whichever is most appropriate to the treatment, for the required treatment time Remove the mask/wrap at the end of the treatment Help the client off the couch protecting their modesty at all times ITEC Unit 16 Spa Treatments Syllabus V3 Page 3
16. Understand and explain contraindications to wraps and masks 17. Understand, explain and select a suitable mask for the area to be treated 18. Understand and explain the ingredients and their function in accordance with the manufacturers details 19. Understand, explain and apply the mask/wrap appropriately 20. Understand, explain and demonstrate thorough removal after treatment time has elapsed 21. Understand, explain and update client records accordingly heart conditions) Haemophilia Any condition already being treated by a GP or another complementary practitioner Medical oedema Osteoporosis Arthritis Nervous/Psychotic conditions Epilepsy Recent operations Diabetes Asthma Any dysfunction of the nervous system (e.g. Muscular sclerosis, Parkinson s disease, Motor neurone disease) Bell s Palsy Trapped/Pinched nerve (e.g. sciatica) Inflamed nerve Cancer Postural deformities Spastic conditions Kidney infections Whiplash Slipped disc Undiagnosed pain When taking prescribed medication Acute rheumatism Abdomen (first few days of menstruation depending how the client feels) Haematoma Hernia Recent fractures (minimum 3 months) Cervical spondylitis Gastric ulcers After a heavy meal Conditions affecting the neck Natural Specialised Anti-cellulite Firming/contouring Moisturising Paraffin wax Mud Detox Seaweed Mineral Natural Specialised Anti-cellulite Firming/contouring Moisturising Paraffin wax Mud Detox Herbal Seaweed Mineral Following manufacturers instructions Following manufacturers instructions Treatment plan Any reactions during treatment Any home care advice given ITEC Unit 16 Spa Treatments Syllabus V3 Page 4
Sea Water and Seaweed Treatments 22. Understand and explain the contraindications to seaweed treatments 23. Understand and explain the different types of seaweed and their uses 24. Understand and explain the benefits of seaweed treatments 25. Understand the history of seaweed treatments 26. Understand and explain the application of seaweed treatments 27. Understand and explain the home care procedure Water Treatment 28. Understand and explain the various ways in which water is treated to maintain hygiene 29. Understand and explain how the treatment of the water may affect the hydrotherapy treatment 30. Understand and explain the changes which occur in the body once it is immersed in water heart conditions) Haemophilia Any condition already being treated by a GP or another complementary practitioner Medical oedema Osteoporosis Arthritis Nervous/Psychotic conditions Epilepsy Recent operations Diabetes Asthma Any dysfunction of the nervous system (e.g. Muscular sclerosis, Parkinson s disease, Motor neurone disease) Bell s Palsy Trapped/Pinched nerve (e.g. sciatica) Inflamed nerve Cancer Postural deformities Spastic conditions Kidney infections Whiplash Slipped disc Undiagnosed pain When taking prescribed medication Acute rheumatism Abdomen (first few days of menstruation depending how the client feels) Haematoma Hernia Recent fractures (minimum 3 months) Cervical spondylitis Gastric ulcers After a heavy meal Conditions affecting the neck Brown Red Green Blue/green Deep cleansing Detoxifying Stimulating to the metabolism Weight loss Concept and origins of seaweed Masks Baths Creams Thalassotherapy Masks Baths Creams Water testing kit Ozone Chlorine Salt Ozone Chlorine Salt Temperature Buoyancy Effect on the skin Relaxation of the muscles ITEC Unit 16 Spa Treatments Syllabus V3 Page 5
Hydrotherapy 31. Understand and explain the contraindications to hydrotherapy treatment 32. Understand and explain the benefits of hydrotherapy treatment (thrombosis, phlebitis, hypertension, hypotension, heart conditions) Haemophilia Any condition already being treated by a GP or another practitioner Medical oedema Osteoporosis Arthritis Nervous/Psychotic conditions Epilepsy Recent operations Diabetes Asthma Any dysfunction of the nervous system (e.g. Muscular sclerosis, Parkinson s disease, Motor neurone disease) Bell s Palsy Trapped/Pinched nerve (e.g. sciatica) Inflamed nerve Cancer Postural deformities Spastic conditions Kidney infections Whiplash Slipped disc Undiagnosed pain When taking prescribed medication Acute rheumatism Under the influence of recreational drugs or alcohol Diarrhoea and vomiting Skin diseases Undiagnosed lumps and bumps Localised swelling Inflammation Abdomen (first few days of menstruation depending how the client feels) Haematoma Hernia Recent fractures (minimum 3 months) Cervical spondylitis Gastric ulcers After a heavy meal Conditions affecting the neck Kneipp theory Spa pool originally known as a Jacuzzi, underwater jet massage Jet shower (blitz/scotch) A lymphatic drainage massage with a high pressure jet of water where the temperature can be altered depending upon the type of treatment required e.g. toning or relaxation Hydrotherapy bath A foam aerated bath whereby ozone and/or oxygen are pumped through the bath. Alternatively underwater jets move along the reflex points of the body for massage treatment or the foam and jet massage can be combined in a treatment Some baths also have a separate hose which can be used by a therapist to give underwater massage. Affusion (Swiss shower) - This is where a client lies on a wet bed whilst a shower emits fine raindrops form above. A therapist then proceeds to massage the client whilst the shower continues. The temperature is controlled depending upon the results required. Alternatively the shower can be used to rinse off wraps, masks scrubs Flotation bath, tank, pool, bed ITEC Unit 16 Spa Treatments Syllabus V3 Page 6
33. Understand and explain the procedure for each treatment 34. Understand and explain the safety precautions to be taken with all of the above 35. Understand and explain any home care advice Treatment Evidence Spa Pool Jet shower (blitz/scotch) Hydrotherapy bath Affusion (Swiss shower) Flotation Ensure safety handles are available to ensure clients don t slip check the temperature gauge Never leave the client unattended Ensure a panic button is available (particularly for foam baths) When using the hydrotherapy bath ensure ½ the water is drained before the client attempts to get out Ensure clients get up slowly Ensure clients shower then relax until the body temperature returns to normal before dressing Ensure the water is the correct temperature for the treatment Ensure the water has been treated appropriately (spa pools) Ensure the entire spa area complies with health safety and hygiene regulations Diet Exercise Use of creams Baths Masks 4 Spa treatments to be performed and outcomes documented. Evidence must include 4 exfoliations and 4 body wraps/masks 3 Spa client consultations and instructions must be carried out to set up, monitor and shut down the following; steam, sauna and hydrotherapy. Outcomes must be documented as part of the client care and treatment process These are internally assessed by the college lecturer and verified by the ITEC practical Examiner Consultation Medical History Treatment Details Client Feedback Aftercare and Home care Advice Treatments should be evidenced through the consultation form for Spa treatment. See www.itecworld.co.uk for a sample consultation form and evidence of treatments guidance form ITEC Unit 16 Spa Treatments Syllabus V3 Page 7