TLE-Q3 Las
TLE-Q3 Las
Health and safety is about preventing any person sustaining injury, being harmed in any way or
becoming ill at work. It involves following correct, safe procedures and taking every possible precaution
to protect everyone in the workplace. Health and safety laws and regulations apply to everyone whether
they are employers, managers, employees, self-employed, full- or part-time, paid or unpaid workers.
Health and safety issues refer to hazards and risks in the workplace and how to eliminate them.
• Consistently wash hands thoroughly between clients and prior to resuming treatment.
• Wash all linens in soap and hot water. Store and transport them in a sanitary manner.
• Always thoroughly sterilize table, headrest, equipment and other tools between clients.
• Know all local ordinances and health department regulations regarding the type of clinic you
operate or work in.
Draping is the technique of using a large towel or sheet to keep you covered while you're getting
a massage. This allows you to be totally nude under the sheet or towel and still feel safe, warm, and
unexposed. Using draping, the massage therapist only works on the part of the body that is exposed -
- your back, one arm or one leg, for instance. The rest of the body is covered.
Draping Methods
1. Posterior Leg - To drape the posterior leg,
• Gather the drape at the greater trochanter and at the ankle.
• Fold the bottom end of the drape at an angle across the
opposite leg while holding the drape at the greater trochanter
as a pivot point.
• With the lower, grab the fold of the drape and tuck it under the
opposite thigh.
• Fold the top section of the drape across the back, leaving the
gluteals exposed. With practice, this draping can be accomplished in three moves and provides a
clean line for the application of spa products from the toes to the top of the posterior superior iliac
spine (PSIS).
2. Anterior Leg- To drape the anterior leg,
a. Gather the drape at the anterior superior iliac spine (ASIS) and at the ankle. b.
b. Fold the bottom section of the drape at an angle across the opposite leg using the upper hand to
hold the drape at the ASIS as a pivot point c.
c. With the lower hand, grab the fold of the drape and tuck it under the opposite thigh.
d. Fold the top section of the drape across the belly, leaving the ASIS exposed.
3. Breast Drape - Align the top edge of the main drape with the bottom edge of
a hand towel or pillowcase. As the main drape is pulled down, the hand towel or
pillowcase becomes a breast drape and takes its place.
4. Anterior Pelvic Drape - After the breast drape is in place, continue to pull the main drape down until
the abdominal muscles are uncovered. Align
the fold of the main drape with the bottom
edge of a hand towel or pillow case. As the
main drape is pulled down, the hand towel or
pillow case will become a pelvic drape. Tuck
the bottom section of the pelvic drape between the legs leaving a safe distance between the tucking
hand and the genitals.
5. Turban Drape - This type of drape protects the client‘s hair from spa products and prevents heat
loss during a treatment.
a. Put a bath towel on the table before the
treatment.
b. Bring the bath towel up over the client‘s head
to cover the forehead or the eyes.
c. Using the hand as a wedge on each side of the drape, bring the side portions around the neck and
tuck them into the top of the body drape.
6. Gluteal Drape
a. Uncover the back and fold the drape
down to the gluteal cleft.
b. Grasp the folded edge of the main
drape and the bottom edge of the hand
towel or pillow case.
c. As the main drape is pulled down to expose the gluteals, the hand towel or pillow case replaces it.
d. Tuck the bottom of the gluteal drape between the legs, leaving a safe distance between the tucking
hand and the genitals.
e. Fold the edges of the gluteal drape to create clean lines for product application.
7. - Because spa products are applied to the clients while they are in a side-lying position, this drape
is different than it would be for a massage. It is important to ask clients
to wear disposable undergarments to preserve their modesty. The
sheet is kept over the client until he or she is moved into the side-lying
position. Undrape the client‘s upper body ( females should either wear
a disposable bra or hold a towel over their breasts) and place a bath
towel across the client‘s hip. Grasp the folded edge of the main drape and the bottom edge of the bath
towel. As the main drape is pulled down to expose the gluteals, the bath towel will replace it, and the
sheet is removed completely.
ACTIVITY: Demonstration
Take a photo/video of your demonstration on all the following draping methods. Identify and
paste it on your separate sheet of paper or send it on this email [email protected]
Lounging chair gives comfort to the client while waiting for their
massage.
RUBRICS
Item 25 15 10 Score
Tools Has additional Lack one Lack two or more
equipment aside
equipment used. equipment
from what has been
discussed .
Materials Has additional Lack one or two Lack three or more
materials aside materials materials being
from what has being used
been discussed
Supplies Has additional Lack one or two Lack three or more
supplies aside from supplies being materials being
what has been used
discussed
Name: ___________________________________________Grade & Section: _________________
Subject: TLE-10 (WM) Teacher: __________________________________ Score:____________
Massage therapists are required by health standards and professional ethics to provide a clean
environment for clients that ensures they don‘t pick up any diseases while they are at a spa or massage
clinic.
On the side of the therapist the following must be observed to ensure proper hygiene practice.
a. A daily bath or shower should be taken to maintain cleanliness of the skin, hair and nails, and to
remove stale sweat odor.
b. An antiperspirant should be used to prevent excessive sweating and the odor of sour sweat.
c. Hair should be clean and neat; it should be kept short or tied back from the face. Hair must never
fall forward around the therapist‘s face and shoulders or touch the client.
d. Nails must be well manicured and kept short; nails should not protrude above the fleshy part of
the finger tip. Massage movements cannot be correctly performed if the nails are long, and long
nails may harbour dirt or bacteria. Nail enamel should not be worn as some clients may be
sensitive to the product and an allergic reaction may result.
e. Hands must be well cared for; they must be smooth and warm for massage. Therapists should
protect the hands with rubber gloves when doing chores. A good-quality hand lotion should be
used night and morning. Gloves should be worn in cold weather.
g. Jewelry should be removed or kept to a minimum of wedding ring and small ear studs. Rings,
bracelets and watches can harbour micro-organisms or can injure the client if dragged on the
skin. Long earrings and necklaces may jangle, producing a noise that is disturbing to the client.
h. Underwear and tights should be changed daily and washed in hot soapy water.
i. White, short-sleeved overalls should be crisp, well laundered and changed frequently (e.g. every
other day). The style should allow free unrestricted movement of the arms during massage.
j. Feet should be well cared for and washed and dried thoroughly once a day, using foot powder
if necessary.
k. A clean pair of tights should be worn each day; support tights will help prevent tired legs and
varicose veins. Well-fitting low-heeled or flat shoes without holes or peep toes will protect the
feet and avoid pressure points.
l. Working uniform should not be worn out of the salon. Outdoor clothing worn to work should be
changed in a cloakroom to prevent micro-organisms being brought into the salon.
m. Therapists suffering from colds and infections should not treat clients if possible, but the wearing
of a surgical mask will greatly reduce the risk of cross-infection.
n. Therapists must wash their hands before touching a client and after cleaning the feet prior to the
massage.
You don ‘t need to be a massage therapist to give a massage. You can use simple touch techniques
to help heal and soothe your friends and loved ones – and even yourself and relieve pain, to give
pleasure or simply to express love.
Basic Massage Pressure Areas
HANDS/ FEET
The body has lines of energy that end in
specific zones in your hand
ACTIVITY: Pressure Points
Direction: Use the diagrams above and Perform this massage technique on your Hands and answer
the follow up questions. Write it on a separate sheet of paper.
1. Diaphragm – Try taking nice deep breaths while stimulating this reflex. It will help you to relax quite
quickly and tune into your body.
How to do it: You'll notice that there's a line on your palm just under your knuckles, that's your marker.
Start at one end of the hand/foot, apply pressure and shuffle along, following that line. Then follow it
back the other way. Go over this area twice.
2. The head/Cerebrum – This relates to busy brains and busy lives. Stimulate the top of the thumb
and notice your head suddenly feel at ease.
How to do it: Palm side — apply firm pressure to the top section of the thumb or toe and press down
while making circular motions. Make sure you cover all of that top section and you'll be sure to have
sufficiently stimulated the head reflex.
3. The neck – When we are hectic there are two points that seem to tense up first, the neck carries a
lot of tension, with the shoulders coming in a close second.
How to do it: Palm side start from the right side of the the bottom section of the thumb, and shuffle
your way across that section horizontally, applying as much pressure as is comfortable. Alternatively
refer to the foot diagram and apply the same motion to relevant section of your toe.
4. The shoulders – Holding the world on your shoulders? Experience some relief by applying
pressure (as much as is comfortable) on this area.
How to do it: On the back of your hand/foot either thumb shuffle along the area in the diagram, go as
deep as feels comfortable and make circular motions.
5. The Adrenal point – This point encourages the body to produce cortisone, which will help with pain
relief and inflammation.
How to do it: Palm side — in between the stomach and kidney reflex in the diagram. Apply a firm,
deep pressure. You'll know when you've hit the spot as this one pinches slightly.
To the wrap up the treatment on that hand, squeeze your hand thoroughly once more and then firmly
grip the base of each finger individually and run your finger to the tip, gently pulling your digit in doing
so. Then apply the very same process to the other hand.
METHODS OF SCANNING
Importance of doing detailed consultation prior to massage
to introduce yourself and get to know the client
to establish a rapport with the client and put her/him at ease
to develop mutual trust and gain the client‘s confidence
to gain information on the client‘s past and present state of mental and physical health
to identify any contra-indications
to gain insight into the client‘s lifestyle, responsibilities, work environment, leisure activities etc
to identify the client‘s needs and expectations of the treatment
to establish the most appropriate form of treatment and to discuss and agree this with the client
to explain the treatment fully to the client, including the procedure, expected effects, timing and
frequency
1. Effleurage- It is where the hands skim over the surface of the tissues The word effleurage ‘comes
from the French verb effleurer, which means to skim over‘.
There are two manipulations within this group:
a. Effleurage - must always follow the direction of venous return back to the heart and the
direction of lymphatic drainage towards the nearest group of lymphatic nodes
b. Stroking - may be performed in any direction. The pressure during effleurage may be light,
moderate or heavy, but always increases at the end of the stroke towards the lymphatic nodes.
The pressure of stroking is selected at the commencement and is maintained throughout. It also
may be light, moderate or heavy pressure depending on the type of massage given.
2. Petrissage - This comes from the French verb pétrir meaning ‗to knead. There are five
manipulations in this group, but some can be further subdivided:
a. kneading - There are many forms of kneading. The terminology used for each one will tell you
what should be done, so study them carefully.
1. Palmar Kneading- this is kneading with the palmar surface of the hand. There are
different forms of palmar kneading.
2. Digital Kneading – this is kneading with the digits (i.e. the fingers) index, middle and
ring fingers are usually used.
3. Thumb Kneading – this is kneading with the thumbs.
4. Ulnar Border Kneading- this is kneading with the ulnar border of the hand (ulnar bone
or little finger side).
b. wringing - manipulation where the tissues are lifted away from the bone and pushed and wrung
from side to side as the hands move up and down. It must not be used on over-stretched muscles
or those with poor tone.
c. picking up - Picking up is also a manipulation where the tissues are lifted away from the bone,
squeezed and released. It may be performed with one hand or with both hands. It must not be used
on stretched muscles or those with poor tone.
d. skin rolling - This manipulation presses and rolls the skin and subcutaneous tissues against
underlying bone.
e. muscle rolling- This manipulation lifts the muscle away from the bone and moves it from side to
side in a rocking manner.
e. frictions - These are much localized manipulations performed with the fingers or thumb. They
may be applied transversely across muscle fibres or in a circular movement. They are deep
movements performed with much pressure.
3. Percussion or Tapotemen - where the hands strike the tissues There are four manipulations in this
group, named according to the position of the hands and the way in which they strike the part:
a. Hacking - This manipulation uses the ulnar border of the hand and the little finger, ring and
middle fingers to strike the tissues in a light, springy, brisk manner. The forearm must alternately
pronate and supinate to allow the fingers to strike the part. The hands strike alternately.
b. Cupping - Cupping (also known as clapping) is performed using the cupped hands to strike the
part alternately. The movements are light and brisk, producing a hollow sound.
c. Beating - This is a heavier percussion movement that is useful on very large heavy areas of
adipose tissue, particularly over the buttocks and thighs. The manipulation is performed by striking
the area with a loosely clenched fist. The back of the fingers and heel of the hands strike the part as
the hands alternately drop heavily onto the area.
d. Pounding - This, again, is a heavy percussion movement, performed by the ulnar border (little
finger side) of the loosely clenched fist. The side of the hands strikes the part alternately.
4. Vibrations - There are two manipulations in this group: shaking and vibration. Both produce
vibrations or tremors within the tissues. Shaking is a much bigger, coarser movement and produces
shaking of the muscle, while vibrations are fine movements that merely produce a tremor.
ACTIVITY: Crossword Direction: Fill the white squares with letters, forming words or phrases, by
solving clues (Across and down). Answer these in a separate sheet of paper.
ACROSS
3. This massage has four terminologies
for each one will tell you what should
be done
5. Shaking and vibration are the two
manipulations in this group.
7 This pressure is used at the start and
is maintained throughout depending
on the form of massage, the pressure
can be light, moderate, or high.
8 It is where the hands skim over the
surface of the tissues.
9 This is derived from the French verb
pétrir, which means to knead. This
category contains five manipulations,
but some can be further subdivided.
10 This is a more effective percussion
movement that can be used to strike
large areas of adipose tissue, such as
the buttocks and thighs.
DOWN
1 This technique involves lifting the
muscle away from the bone and
rocking it from side to side.
2 are extremely localized manipulations
carried out with the fingers or thumb.
They can be used either transversely
around muscle fibers or in a circular
motion. They are deep movements with
a lot of pressure.
4 also known as clapping, is a technique
in which the cupped hands alternately
strike the part. The motions are light
and brisk, and the tone is hollow.
6 is the effect of the hands on the
tissues. It has four manipulations, each
named after the location of the hands
and the manner in which they strike the
part.
Name: ___________________________________________Grade & Section: _________________
Subject: TLE-10 (Wellnes Massage) Teacher: ______________________ Score:____________
Massage Manipulation
Effleurage Technique
1. Ensure that the client is warm and comfortable.
2. Take up a walk standing position with the outside foot forward: make sure you can reach all
parts.
5. The strokes must be directed towards, and end at, a group of lymphatic nodes wherever
possible.
7. The hands maintain contact on the return of stroke but apply little pressure.
8. The movement must be smooth and rhythmical, with continuous flow and even pressure.
9. The whole of the palmar surface of the hand, fingers and thumb should maintain contact with
the body in a relaxed manner. (Do not extend, abduct or link the thumbs, and do not spread the
fingers out, as these habits will give uneven pressure.)
10. The hands usually work together with even pressure and rhythm. However, the hands may be
used alternately when care must be taken to maintain an even pressure under each hand and
to synchronize the flow and rhythm.
12. On small areas, one hand may work while the other supports the tissues. On very small areas
such as the face, fingers or toes, the thumbs only may be used in a sweeping action.
ACTIVITY: Demonstration
Direction: Work in pairs – a family member will play as a client/customer and you will be the
therapist. Demonstrate the massage manipulation at various speeds, depths, and rhythms. The client
will rate you using the checklist below. Write your checklist on a separate sheet of paper. Be Honest in
doing this activity.
C) ADEQUATE LIGHTING - Lighting must be adequate to enable people to work and move around
safely. It should be suitable for the treatment in progress; low soft lighting is desirable for some
massage routines.
D) CLEANLINESS AND HYGIENE - Premises must be cleaned regularly to the highest standard.
Floors, walls and ceilings together with furnitures and fittings should be washed and disinfected
when possible. All towels and sheets used should be boil-washed after each client. Hygiene is
discussed later in this chapter.
E) WASTE - Waste must be stored in suitable, covered bins and disposed of in accordance with
regulations. Disposable needles must be placed in a sharps box‘ for collection.
F) ADEQUATE SPACE FOR WORKING - Cubicles containing a couch, trolley, chair, stools and
waste bin should be large enough for the therapist and client to move around easily. There should
be adequate space for all staff to move around easily in the salon without having to negotiate
obstacles.
J) WINDOWS - These should be clean and open easily. Ensure that people cannot walk into them if
they are open.
K) SANITARY CONVENIENCES - Toilets and washing facilities should be available to all persons.
These rooms should be clean (cleaned and disinfected regularly), well lit and ventilated. There should
be hot and cold running water, soap (preferably in a dispenser), and drying facilities such as paper
towels or dry air machines (to prevent the spread of micro-organisms).
L) DRINKING WATER - An adequate supply of fresh drinking water must be provided, either direct
mains water, a chilled water dispenser or bottled water.
M) CHANGING ROOMS- These rooms must be clean, suitable and secure, where outer garments can
be removed and uniforms put on. Changing rooms are also desirable for clients although the cubicles
too may be used if privacy for the user can be ensured.
N) FACILITIES FOR RESTING AND EATING- Food and drink should not be consumed in the
treatment cubicles or in the salon. A clean room should be allocated for eating. Adequate comfortable
chairs should be provided as well as a table or tables on which to place food and drink.
ACTIVITY: Essay
1. Why does the spa need to observe Policies and Standards of the Workplace?
Criteria Points
Neat 1
Situational examples 2
Ideas and Content 2
TOTAL 5 pts
Name: ___________________________________________Grade & Section: _________________
Subject: TLE-10 (Wellnes Massage) Teacher: ______________________ Score:____________
Assessing your client‘s satisfaction with all aspects of the Wellness Massage services, you
provide valuable input to guide modifications and improvement in service delivery. The tool specifically
develops for this growing sector/industry provides some background on why it is important to collect
client satisfaction feedback. Furthermore, this tool discusses the timing, frequency, and options for data
collection. Additionally, the tool describes how to analyze and use client satisfaction results to plan
improvements in client services.
Direction: Look for a client (family member) and conduct Client Satisfaction Assessments. They will
rate your performance using the scale below. Be Honest and attach a pictures of your performance.
5 4 3 2 1
1. Massage therapist appearance
a. The therapist wear clean garment
b. Therapist has short hair or neatly tied
c. Has short nails
2. Communication
a. Instructions are being given from time to time
b. My queries were all answered well
3. Preparing clients for body massage
a. A short interview was carried out
b. A short orientation was done
4. Massage technique
a. I feel secure during the session.
b. use of oils and other essences were used
c. Pressure in every strokes suits to my need