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  • Ontario College ofReflexology

    Hand Reflexologyand Session RecordsN201 - 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 mustcomplete the following practicum procedures aspart of the course requirements. This gives thestudent practical experience, record keepingexperience, and exposure to a variety of clinicalconditions.

    PracticumPracticum 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 studentspractical techniques and as well as providesuggestions to improve on the techniques. Theinstructor will also review the studentscompleted 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 students 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 (1) 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 peoples 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 clients

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

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

    refresh the students 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 clients 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 days 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 clients 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 individuals health and well-beingin mind is important. Ask the questionsdiplomatically and keep all information on thevolunteer clients record confidential.Although the information contained within thestudents portfolio is confidential, theconfidentiality will be maintained by thecollege when the portfolio is submitted formarking purposes. After marking is completed,the students 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 Doctors 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 clients 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 hig