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Ontario College of Reflexology Hand Reflexology and Session Records N201 - Hand Reflexology Course Chapter 5 Ver. 2.1

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Ontario College ofReflexology

Hand Reflexologyand Session Records

N201 - Hand Reflexology Course

Chapter 5 Ver. 2.1

ii

Table of Contents

Hand Reflexology Health and Session Records . . . . . . . . . . . 1Practicum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Practicum Requirements . . . . . . . . . . . . . . . . . . . . . . . 1Practicum Time Limit . . . . . . . . . . . . . . . . . . . . . 1

Reflexology Record Portfolio . . . . . . . . . . . . . . . . . . . . 1Reflexology Session Fees . . . . . . . . . . . . . . . . . . . . . . 1Volunteer Clients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Reflexology Health Record . . . . . . . . . . . . . . . . . . . . . 2Reasons for a Hand Reflexology Health and Session

Record: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Hand Reflexology Health Record - Filling in the Record,

Asking Questions and Noting PossibleContraindications . . . . . . . . . . . . . . . . . . . . . . . 2

Recording Observations . . . . . . . . . . . . . . . . . . . . . . . 4Hand Reflexology Session Record . . . . . . . . . . . . . . . 4

Sample Hand Reflexology Session Record . . . . . . . . . . . . . . 7Hand Reflexology Session Record . . . . . . . . . . . . . . . . . . . . 11N201 - Chapter 5 Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Hand Reflexology Session Records Order Form . . . . . . . . . 17

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Hand Reflexology Healthand Session Records

As part of the certification process forbecoming a Certified HandReflexologist, the student must

complete the following practicum procedures aspart of the course requirements. This gives thestudent practical experience, record keepingexperience, and exposure to a variety of clinicalconditions.

Practicum

Practicum Requirements

The student is required to give a minimumof 45 reflexology sessions (approx. 75 hours)and to record the sessions in the prescribedmanner that will be discussed later in thischapter. Each recorded reflexology session willbe referred to as a Reflexology Session Record,not a treatment or medical record.

Mid-Term Practical Assessment: When astudent has completed at least 10 to 15sessions, the student is required to book anappointment with their instructor for a Mid-Term Practical Assessment. The student willperform a complete reflexology session on theinstructor (working notes are allowed). Theinstructor will provide feedback on the student’spractical techniques and as well as providesuggestions to improve on the techniques. Theinstructor will also review the student’scompleted session records to ensure that therecords are completed properly.

Practicum Time Limit: A student hastwelve (12) months after the last class tocomplete the Reflexology Record Portfolio. Adistance education student has twenty-four (24)months to complete the portfolio. Any requestfor an extension must be made in writing to the

Dean of the College stating the reason for theextension and length of time required.

Reflexology Record Portfolio

The Reflexology Record Portfolio should beorganized and set up so that individual sessionscan be found easily. They can be contained in asingle package such as a binder book or filefolders to prevent the contents from being lost.

Reflexology Session Fees

Throughout the time period while thestudent is building up their reflexology recordportfolio as part of the practicum, the student isnot permitted to charge a fee for thereflexology session. The student’s ‘client’, whowill be referred to as a volunteer client, can onlymake an unsolicited ‘donation’ to the student.Such volunteer clients are to be made aware thatthe student is not a certified reflexologist, buta student reflexologist who requires practice aspart of the certification process.

Volunteer Clients

Source out volunteer clients for thepracticum. Some suggestions are familymembers, friends, a nursing home, or networkwith other reflexology students. The student canregister at a local health unit, nursing home orOCR for referrals to volunteer clients bybecoming a member with the option of beingplaced on the Student Referral Listing (seeMembership Application in Appendix B).Always seek permission with the personresponsible before approaching or working withvolunteer clients in a healthcare institution suchas nursing or seniors’ home.

Of the 45 session requirement, try tomaintain a ratio of about three (3) to five (5)sessions per volunteer client. This will give thestudent an opportunity to see progress in anindividual volunteer client and yet be exposedto a broader variety of physical conditions,types of hands, types of problems, different

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 1

kinds of pressure, and reactions to the practicumsession.

Try to incorporate a variety of individuals:both sexes, the elderly, and children.

When setting up an appointment with avolunteer client, the student should allow atleast an hour and a half (1½) or two (2) hoursfor each practicum session to work thoroughlywithout rushing the volunteer client. As youbecome more proficient, adjust the appointmenttimes accordingly.

Ask the volunteer client for their name,phone number, and what time slot will workbest for them, after informing them of theamount of time a session will take. Having aclear idea of people’s schedules will help thestudent to prepare their schedule and tocomplete the practicum within the time framethe student would like to finish.

Reflexology Health Record

The Reflexology Health Record will not bereferred to as a treatment or medical record. Foreach individual, a Reflexology Health Recordsheet should be filled in on the firstappointment by the volunteer client outliningtheir previous medical health. In addition, thevolunteer client or the parent/guardian of aminor volunteer client will sign the consent orwaiver at the bottom of the form, acceptingresponsibility for the reflexology session(s).

Reasons for a Hand Reflexology Healthand Session Record:

a) - Establishes a professional standard.b) - Provides a record of all sessions and dates

of the visits.c) - The student is able to track the client’s

improvement or progress.d) - To record any complications or questions

concerning the session.e) - It is invaluable to review the record to

refresh the student’s memory about this

person before seeing the volunteer client onsuccessive visits.

f) - To review and to remember tender reflexesand what the person's problems were or arestill ongoing.

g) - Adjunct to the volunteer client’s ongoingtherapies (medical or other).

Hand Reflexology Health Record -Filling in the Record, Asking Questionsand Noting Possible Contraindications

When filling in the Reflexology HealthRecords, make sure that it is recorded in ink.Record the day’s date in the form of: month,day, and year. Complete the records asthoroughly as possible. They could be used aslegal documents if required by a court of law.You will require the volunteer client’s fullname, address, and telephone numbers alongwith their birth date.

While filling out the Reflexology HealthRecord, you will be interviewing the volunteerclient, asking health and hand related questions.Keeping the individual’s health and well-beingin mind is important. Ask the questionsdiplomatically and keep all information on thevolunteer client’s record confidential.Although the information contained within thestudent’s portfolio is confidential, theconfidentiality will be maintained by thecollege when the portfolio is submitted formarking purposes. After marking is completed,the student’s reflexology record portfolio willbe returned to maintain the confidentiality ofthe volunteer clients.

Some questions to ask are (noting possiblecontraindications):

1. When did you last visit your doctor? - Askabout the visit and when; it may be related tothis session. Record the details in the Findings(Medical) space beside the Doctor’s Visit.

2. Have you ever had an accident/seriousillness/hospitalized recently/broken bones? -

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 2

Reflexology sessions could show tenderreflexes relating to accidents or illnesses.

3. Have you had any broken bones? - Be awareof recently broken bones as the reflexes will betender for that area. Do not work directly onareas recently broken, especially the hand.

4. Have you ever had surgery? - You can expectto find tender reflexes in areas corresponding tosurgical work done. Even with surgicallyremoved organs, the reflexes for the relatedareas can still be tender due to scar tissues.

5. Are you taking medication? - Be aware ofthe client’s medication and its side-effects. Ifunsure about the side-effects, look it up. Side-effects may show up in the session. Forexample, a side-effect of a particular medicationmay affect the kidneys, thus, the kidney reflexesmay be tender even though it may not bedysfunctional. Pain killers often affect thetenderness of all reflexes so that it may appearthat the patient is in good health. Be aware ofpossible side-effects.

6. Do you have heart problems? - May causeunnecessary strain in the circulatory andcardiovascular systems due to increasedcirculation and possibly affect pace makersand artificial heart valves. See Chapter 12,Circulatory System Pathological Conditions.Decrease the pressure on the related reflexesfor this condition.

7. Do you have a pacemaker? See above.

8. How is your blood pressure? - Decrease thepressure on the related reflexes for thiscondition. It may suggest stress and it is one ofthe major causes of high blood pressure.

9. Do you have any circulatory problems? -May cause increased stress on the Urinary,Circulatory, and Lymphatic & ImmuneSystems. See Chapters 9, 12, and 13 for relatedPathological Conditions. Decrease the pressureon the related reflexes for this condition.

10. Are you pregnant? / Which trimester? -Decrease pressure on the reproductive reflexesespecially in the first trimester due to theremote possibility of a spontaneous miscarriage.Although pregnancy is not a pathologicalcondition, one should be aware of any previouspregnancy difficulties such as premature births,previous miscarriages and difficult pregnanciesby decreasing pressure on all reproductivereflexes. A reflexology session will bebeneficial in the last trimester to help strengthenthe reproductive areas in preparatory for theupcoming birth (applicable only inuncomplicated pregnancies, otherwise decreasepressure on the related reflexes). See Chapter10, The Reproductive System. N.B. - Avoidworking on the Whiplash Reflex on pregnantwomen as it may induce labour. The whiplashreflex is also the LI-4 meridian point (largeintestine meridian) in acupressure oracupuncture (hands only - does not apply to thefeet). This is one of the meridian points thatmidwives use to help speed up the labourprocess.

11. Do you have any history of cancer? - Beaware of the possibility of tumours or cancersand the location of related reflexes. If thevolunteer client is receiving chemotherapyand/or radiation therapy, the elimination systemwill be affected due to the high level of toxicity.Although a reflexology session is verybeneficial in assisting the body to eliminatetoxins, it is suggested that a reflexology sessionnot be given (or very light pressure is used) fora few weeks if the volunteer client has justbegun the cancer treatment. This will give themedical treatment time to perform its intendedwork. See Chapter 13, Lymphatic and ImmuneSystems, and Chapter 12, Circulatory Systemfor pathological conditions.

12. Do you have diabetes? - Be aware of thiscondition and decrease the pressure on thereflexes. Overstimulated reflexes may cause thepancreatic islets to start producing insulin againand thus, cause a high level of insulin when thepatient uses artificial insulin. See Chapter 8,Endocrine System Pathological Conditions.

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 3

13. Do you have epilepsy? - Be aware of thiscondition and decrease the pressure on thereflexes. A reflexology session could initiate anepileptic seizure and/or convulsions. SeeChapter 15, Nervous System PathologicalConditions.

14. Do you wear any prostheses? - Ask if he orshe have any artificial limbs, hearing aids, orany other artificial parts that may explain tenderreflexes found such as the arm reflex for anamputated arm or ear and/or inner ear reflexesfor hearing-impaired persons who wear ahearing aid.

15. Do you smoke /have allergies? - Be awareof possible stress in the related immunefunctions; chest, breast, and thoracic areas;cardiovascular and bronchial areas.

16. Are you taking other therapies? - Theiranswer to this question will give you their levelof well-being and give them the idea that theyare responsible for themselves. Some examplesinclude; exercise, diet, herbs, vitamins,minerals, yoga, meditation, relaxationtechniques, surgery, medication, andchiropractic treatments.

17. Have you had Reflexology before / whoreferred you to us? - A volunteer client who hashad a reflexology session before knows what toexpect from a session. For those who have nothad a session before should be informed of whatis reflexology and what to expect from asession. See Chapter 1, History and Theory ofReflexology. “What Is Reflexology?” brochuresare available for purchase from OCR.

18. What is your occupation? - The answer willgive the student an idea of the volunteer client’slifestyle. For example, management positionsmay be stressful, and labourers may havephysical complaints, etc.

19. Who is your Doctor / Doctor’s telephonenumber? - It is important to have your volunteerclient’s doctor’s name and telephone number on

file so that you would have a contact in theevent of a consultation with the doctor or whena serious contraindication shows up during thesession that should be consulted with the doctor.

20. Present problems: - This will show thevolunteer client’s purpose in this visit.

21. Make it a point to ask the client, “Is thereanything else you would like to tell me?” - Thevolunteer client’s problems may be revealedhere if none of the above questions apply.

22. Ensure that the volunteer client or theparent/guardian of a minor volunteer client hasconsented to the reflexology session by signingand dating the Consent For ReflexologySession at the bottom of the Reflexology HealthRecord. This is to protect you as a studentreflexologist.

Recording Observations(reverse side of the Hand Reflexology HealthRecord)

- Ask on the second and subsequent visits,"How did you feel after the last session?" - Thiswill show how the volunteer client responded tothe last session. Record their response(s).

- Ask “How are you feeling today?” and recordthe volunteer client’s well-being.

- Document any observations made during thepresent session. This will show progressiveresponses to the reflexology sessions.

Hand Reflexology Session Record

The Reflexology Session Record is aworksheet for documenting observations madethroughout the session. See a sample copy at theend of this chapter.

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 4

Hand Notes

- Using an ink pen, record the date of thesession, the session visit number and on whomyou are working.

- During the hand examination and the handcleansing procedure (with diluted witch hazel),record any unusual hand conditionsobserved, such as arthritis, eczema, callouses,etc., and their location on the ReflexologySession Record.

- Mark in any observed tender reflexes withthe correct colour (blue ink for right hand andred ink for left hand) while working on thehands during the session.

- Using the legend symbols on the ReflexologySession Record, mark the location of anyobserved tender reflexes. Also, use descriptivewords with arrows pointing to the markedreflex. In addition, use one of four colours (hi-lighters) to highlight the recorded observations:

• yellow for tender areas• pink for swelling/puffiness areas• green for deposits• blue for bunion, corns and callouses

- The Sensitivity Scale of 1 to 5 is to be used foreach tender reflex located. For each tenderreflex, ask the volunteer client for theirinterpretation of the level of discomfort or pain,using the scale of 1 representing the leastamount of discomfort to 5 for intolerable pain.Record their responses with the correct colouredink on the Reflexology Session Record in theappropriate areas. Remember that these sessionrecords are to be used as a worksheetdocumenting the observations which can beused to see the volunteer client’s progress.

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 5

Hand Notes

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 6

Sample Reflexology Health Record Note: This form to be completed on thefirst visit only.

Name: Today’s Date: Doe, John A. Sept. 1/2000(Month/Day/Year)

Address: Tel. Res: ( )33 Town St. - Apt.6 905 444-4444

Town: Tel. Bus: ( ) Sugarville 905 334-3333

Prov./State: PC/Zip: Birth Date: Ontario V6V 2D2 06/11/1957(Month/Day/Year)

Last Medical Visit:____________________________________ Findings (Medical):_______________________________Spring 2000 High cholesterolHave you had any accidents? No G Yes What/When? ‘80-Skiing, torn kneeDo you have any serious illness? No Yes G What/When? N/AHave you been hospitalized recently? No Yes G Why/When? N/AHave you had any broken bones? No G Yes What/When? Left ankle - 1978Have you had any surgery? No Yes G What/When? N/AAre you on medication? No Yes G What/Why? N/ADo you have any heart problems? No Yes G What/When? N/ADo you have a pacemaker? No Yes G Where/When? N/AHow is your blood pressure? Normal G Not Normal Why? Stress, long work hoursDo you have any circulatory problems? No Yes G What? N/AAre you pregnant? (female only) No Yes G Trimester? N/AAny history of cancer? No Yes G What/When? N/ADo you have diabetes? No G Yes What/When? Type 2 Non-insulinDo you have epilepsy? No Yes G What/When? N/ADo you wear any prostheses? No (artificial limbs, hearing aids, etc)

Yes G What/Where? N/ADo you smoke / have allergies? No Yes G What/When? N/AAre you taking other therapies? No G Yes What? Nutrition counsel, vitaminsHave you had Reflexology before? No G Yes Who/When? 1980-85 - Jane DoeWho referred you to us? _______________________________ What is your occupation? __________________________Sister-in-law Office workerWho is your doctor? __________________________________ Doctor Tel. #: ____________________________________Dr. Brown (416) 555-1212

Present High cholesterol, chronic fatigue.Problems:

Consent for Reflexology Session:

I understand and accept that the sessions received are of therapeutic value only and fully accept responsibility forthe same.

Signature:(parent/guardian)

Date:Mr. John Doe Sept. 1/2000

Volunteer Client: _____________________________________________________Mr. John DoeDate Observations: (Sample)

09/01/2000

Enjoyed the first session very much. An enjoyablegentleman. Dorsal, Zones 4&5 is sensitive. Holds stress inthe shoulders. Digestive system requires greater attention.

10/01/2000

Had more energy 1st week after session. Still tired. Zones4&5 still sensitive. Deposits in shoulder reflexes areconsiderably less. Digestive system - gall bladder. Pain inUpper Abdominal area. Changes in diet affecting digestion.

Note: This form is to be completed bythe Reflexologist for each session

Sample Hand Reflexology Session Record

Date of Session: ____________________(mm/dd/yy)

Session Number: _________________Volunteer Client: ___________________________________

09/01/2000

Doe, John A.01

Hand Notes

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 10

Hand Reflexology Health Record Note: This form to be completed on thefirst visit only.

Name: Today’s Date:

(Month/Day/Year)

Address: Tel. Res: ( )

Town: Tel. Bus: ( )

Prov./State: PC/Zip: Birth Date:

(Month/Day/Year)

Last Medical Visit:____________________________________ Findings (Medical):_______________________________

Have you had any accidents? No G Yes G What/When?

Do you have any serious illness? No G Yes G What/When?

Have you been hospitalized recently? No G Yes G Why/When?

Have you had any broken bones? No G Yes G What/When?

Have you had any surgery? No G Yes G What/When?

Are you on medication? No G Yes G What/Why?

Do you have any heart problems? No G Yes G What/When?

Do you have a pacemaker? No G Yes G Where/When?

How is your blood pressure? Normal G Not Normal G Why?

Do you have any circulatory problems? No G Yes G What?

Are you pregnant? (female only) No G Yes G Trimester?

Any history of cancer? No G Yes G What/When?

Do you have diabetes? No G Yes G What/When?

Do you have epilepsy? No G Yes G What/When?

Do you wear any prostheses? No G(artificial limbs, hearing aids, etc)

Yes G What/Where?

Do you smoke / have allergies? No G Yes G What/When?

Are you taking other therapies? No G Yes G What?

Have you had Reflexology before? No G Yes G Who/When?

Who referred you to us? _______________________________ What is your occupation? __________________________

Who is your doctor? __________________________________ Doctor Tel. #: ____________________________________

Present

Problems:

Consent for Reflexology Session:

I understand and accept that the sessions received are of therapeutic value only and fully accept responsibility forthe same.

Signature:(parent/guardian)

Date:

Volunteer Client: _____________________________________________________

Date: (mm/dd/yy) Observations:

Note: This form is to be completed by theReflexologist for each session

Hand Reflexology Session Record

Date of Session: ____________________ (mm/dd/yy)

Session Number: ___________________ Volunteer Client: ___________________________________

Hand Notes

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 14

N201 - Chapter 5 TestStudent Name: __________________________________

Multiple Choice - Check the correct answer (/) in the appropriate box (one only).

1. The minimum number of session records required for the practicum is:“ a) 62“ b) 70“ c) 45

2. A reflexology session record is not a:“ a) treatment record“ b) medical record“ c) All of the above.

3. The reflexology session record is a worksheet for documenting:“ a) unusual hand conditions“ b) tender reflexes“ c) sensitivity by a scale of 1 to 5“ d) All of the above.

4. If requesting an extension, this must be made in writing to the:“ a) Teacher“ b) Dean“ c) Volunteer client“ d) All of the above.

True or False - Check the correct answer (/) in the appropriate box (one only).

5. “ True “ False - The Reflexology Record Portfolio should be organized in a binder or file folders.

6. “ True “ False - Students of Reflexology are allowed to charge a fee for the session.

7. “ True “ False - Becoming a student member of OCR allows the option to be placed on the Student

Referral Listing with the OCR.

8. “ True “ False - Students’ “clients” are referred to as “patients”.

9. “ True “ False - Always seek permission with the person responsible when volunteering in nursing

or seniors’ homes.

10. “ True “ False - A Reflexology Medical Record is filled in on the first appointment.

11. “ True “ False - A consent or waiver is signed at the bottom of the form, accepting responsibility for

the reflexology session(s).

12. “ True “ False - Health and Session Records establish a professional standard and are invaluable to

review.

13. “ True “ False - Health records are recorded in pencil and completed as thoroughly as possible.

14. “ True “ False - All information contained within the Reflexology Record Portfolio is kept

confidential by the student, teacher, and the college.

15. “ True “ False - We decrease pressure on reflexes with noted possible contraindications.

16. “ True “ False - Recording observations on the reverse side of the Health Record show how

volunteer clients respond to the previous and present sessions.

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 15

Hand Notes

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 16

Form C15-1104N201 - Hand

Hand Reflexology Session RecordsOrder Form

Name: _______________________________________________________

Address: _____________________________________________________

City: _____________________________ Prov/State: __________________

P.C./Zip: ________________________Country: ______________________

Tel#: ________________________ Email: ___________________________

Ontario College of Reflexology

One of the course requirements is to submit a minimum number of Hand Reflexology SessionRecords when attempting your practical examination. You are required to make copies of the formsfound in the chapter entitled “Reflexology Health Record” in your textbook.

If you are not able to make photocopies, you may purchase the Hand Reflexology Session Recordsin a packaged set from OCR that includes 30 blank pages of the Hand Reflexology Health Recordand 70 blank pages of the Hand Reflexology Session Record at nominal cost as shown below.

Please select / Cdn. Funds US Funds

CanadianResidents

$17.95 N/A

American (USA)Residents

$18.95 $18.95

International(Overseas)

$22.95 $22.95

Notes: Above prices includes 100 sheets as described above, shipping and handling charges andapplicable taxes.

Credit card orders will be processed in Canadian dollars only. Your credit card company willautomatically convert it to your currency.

Please send to:

Ontario College of ReflexologyPO Box 220

New Liskeard, ONP0J 1P0 Canada

Tel: (705) 647-5354 1-888-OCR-FEETFax: (705) 648-6247 Email: [email protected]

PaymentOptions

MoneyOrder VISA

MasterCard Amex

Acct. #:

Exp. Date:

Name on Card:

Signature:

Hand Notes

N201 - Hand Reflexology Course - Hand Reflexology Health and Session Records Chapter 5 - Page 18