ITEC Level 3 Certificate in Sports Massage Therapy (QCF) 500/8017/9. Unit Applying Sports Massage Methods to Non-pathological Tissue

Transcription

1 ITEC Level 3 Certificate in Sports Massage Therapy (QCF) 500/8017/9 Unit Applying Sports Massage Methods to Non-pathological Tissue Recommended Guided Learning Hours 120 GLH Credit Value 18 QCF Qualification Reference Number D/600/ Be able to work within agreed standards of practice 1.1 Explain the accepted standards of practice To include: Health and safety Legislation Code of ethics Code of conduct Working relationships Security Screening 1.2 Explain the importance of cleanliness, hygiene, dress, appearance, attitude and the standards to be applied 1.3 Apply professional standards of personal hygiene, dress and appearance 1.4 Ensure there is adequate Public Liability And Professional Indemnity Insurance To include: Describe the most efficient form of sterilisation: In the sports clinic In situ at a sports event Describe the best form of waste removal (particularly when contaminated): In the sports clinic In situ at a sports event Describe the importance of Hygiene procedures Correct work wear Standards Professionalism Attitude To include: Reasons for good personal hygiene Wash own hands Wipe the clients hands & feet Use clean towels for each client Put couch roll on top of towels Clean professional work wear or equivalent that is appropriate in the school /clinic/ on site Socks/tights and full flat shoes/trainers Remove all jewellery (except wedding band) from self and client No nail enamel Clean short nails Hair tied back off collar and face To include: A definition of Professional Indemnity Insurance; what it covers and the difference between a salon/clinic policy and for an individual therapist The source of the insurance Professional Associations Full amount and cover

2 1.5 Explain relevant and current health and safety legislation 1.6 Carry out equipment checks to ensure cleanliness and hygiene and that current health and safety requirements are met 2. Be able to prepare for sports 2.1 Explain the importance of having a chaperone present when working with children and vulnerable adults 2.2 Explain the importance of maintaining the dignity and comfort of clients throughout the sports massage process 2.3 Prepare work areas and To include: General compliance of the country therein Local authorities Governmental legislation Legal compliance Environmental Protection Work Place Regulations (Health, Safety and Welfare) Health & Safety at Work Management of Health & Safety at Work Regulations Health and Safety (First Aid) Regulations Dangerous Substances and Preparations 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 Fire Precautions (Workplace) Regulations Manual Handling Operations Regulations Employers Liability Working Time Regulations General Products Safety Regulations Cosmetic Products (Safety) Regulations Supply of Goods and Services Sale and Supply of Goods Consumer Protection Trading Standards Data Protection Disability Discrimination Mental Health Care Standards Medical Children To include: Regular servicing and checking of servicing records Check that the wires are fully insulated within the plugs Check that there are no trailing wires Check there is no water in the vicinity of the electrical equipment Check the equipment on self first before applying to the client PAT testing is carried out on all electrical equipment To include: Child/Adult Protection Duty of care Safeguarding of children and vulnerable adults Taking relevant steps to protect oneself against potential accusations To include: Checking consultation and contraindications Explaining the treatment to the client Helping the client onto the couch/seat protecting the client s modesty at all times Ensure that all parts of the client are covered except the area being massaged Cleanse the hands & feet with a medi-wipe or similar Wash own hands Keep ensuring that the client is comfortable Remove the massage medium at the end of the treatment if appropriate Help the client off the couch/seat protecting their modesty at all times To include preparation of:

3 equipment to ensure comfort and dignity for clients 2.4 Explain the material used for the range of sports massage methods 2.5 Prepare materials appropriate for the planned sports 2.6 Explain the importance of obtaining informed consent prior to assessments and application of sports massage 2.7 Explain the importance of working within the boundaries of informed consent 2.8 Demonstrate the correct procedures to obtain informed consent 2.9 Prepare client records as legally required 3. Be able to assess clients 3.1 Explain the importance of accurate client assessment 3.2 Explain the range of assessment methods used to Environment Couch Trolley Client Towels Use appropriate supports e.g. under the ankles, chest and forehead, knees, head, or wherever a support is appropriate for the sports massage movement To include: Couch and couch roll Other suitable surface Towels and bolsters Massage mediums: oil, talc, cream, specialised sports massage mediums Heat pads Ice packs To include: Prepare couch/other suitable surface Prepare supports/bolsters with couch roll Prepare trolley Prepare/use clean towels To include: Adequate disclosure of information: e.g. nature and purpose of massage, its risk and consequences, alternative course of treatment Competency Welfare of client Capacity for decision making Client choice Good practice Ethical principles Standards of conduct Integrity Respect Professionalism To include: When a client should be recommended to visit their GP or other medical practitioners When a client should be referred to a relevant health care professional Recognise when working within scope of own practices When you should refer a client to another Accredited Sports Professional To include: Personal or written permission from the parent/guardian/carer GP permission to treat Consultation form Signatures To include: Consultation form Medical history Contraindications Client signature To include: Contraindications Area treated Type of issue presented Treatment given Reactions Exercises given Home care advice To include:

4 gather information in the subjective and objective components 3.3 Carry out subjective assessments of clients 3.4 Carry out objective assessments of clients 3.5 Explain the importance of obtaining information on the possible cautions and contraindications to methods before commencing any sports massage 3.6 Explain the cautions and contraindications to sports massage Practical/Observation Consultation Treatment evidence Oral questioning To include: Client s personal and medical details Contraindications requiring medical permission Client medical history Previous medical history Type and level of pain To include: Observations Testing for fitness(agility, flexibility, strength) Posture and figure analysis Range of movement Active and passive Functional tests Palpation and physical examination Massage strategy Advice and guidance To include: An example of a consultation form can be found at Learners should demonstrate knowledge of the importance of the following: Private comfortable area Positive body language Positioning of the client (no barriers between themselves and client) Good communication skills (asking open and/or closed questions where appropriate) Trust Professionalism, confidence and enthusiasm Confidentiality Any contraindications to treatment Client profile Importance of planning a treatment programme bearing in mind the clients religious, moral and social beliefs Determining the nature and extent of the clients needs Agreement to the course of action Ascertain the clients consent to the treatment (where the client is not in a position themselves ascertain from the appropriate companion s agreement to the treatment) Explanation of any possible side effects to the treatment Explanation how the programme will be evaluated and the review process Where applicable clarify with the client information, which may be available to other, e.g. relevant health care workers Obtain the client s signature (or that of the companion) To include: Never treat unless the issue presented has been diagnosed and treatment has been recommended by a medical practitioner or equivalent Pregnancy Cardio vascular conditions (thrombosis, phlebitis, hypertension, hypotension, heart conditions) Haemophilia Any condition already being treated by a GP or another health professional, e.g. Physiotherapist, Osteopath, Chiropractor, Coach 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

5 When taking prescribed medication Acute rheumatism Acute trauma Tumour Open wounds Frostbite Acute soft tissue injury Bursitis Periostitis Myositis ossificans Risk of haemorrhage Mental incapacity Contraindications that restrict treatment Fever Contagious or infectious diseases Under the influence of recreational drugs or alcohol Diarrhoea and vomiting Skin diseases Undiagnosed lumps and bumps Localised swelling Inflammation Varicose veins Pregnancy (abdomen) Cuts Bruises Abrasions Scar tissue (2 years for major operation and 6 months for a small scar) Sunburn Hormonal implants 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 Allergic conditions Areas of altered skin sensation 3.7 Gather information relevant to the cautions and contraindications to sports and respond appropriately 3.8 Explain the importance of recognising client s presenting with pre-existing conditions and problems 4. Be able to devise sports massage strategies for clients 4.1 Explain the indications for sports massage 4.2 Devise sports massage To include: Consultation Oral questioning Listening Discussion Recording evidence To include: Passive, Active and Restricted Movement Range of Movement Degree of Swelling Variations in Tissue Temperature Muscle Tone and Bulk Adhesions Pre-existing conditions and problems Fatty Nodules To include: Physical examination including: Head Shoulders Back Pelvis Legs Feet Body alignment/posture Range of motion/joint function Comparison of strength of the muscles on each side of the body Muscle definition Active, Passive and Resisted movement Palpation To include: Longstanding pain and muscle spasm Chronic joint pain Chronic fatigue Tight muscles 4.2. To include:

6 strategies appropriate to client s needs, and within your scope of practice 4.3 Explain the importance of explaining the aims and objectives of sports massage to clients 4.4 Present the aims and objectives of agreed sports 4.5 Explain why it is important for clients to understand the nature and purpose of sports massage and the equipment used 4.6 Present the nature, purpose and process of sports to clients with justification 4.7 Outline situations when the massage medium should be removed 4.8 Explain the content of massage mediums in relation to allergic reaction and Sports massage strategies Pre-event During/between event Post event Corrective Preventative Conditioning massages To include: Professionalism Client understanding of treatment Client short, medium and long term goals of treatment To include: Effleurage Petrissage Frictions Tapotement Vibrations Specific Sports Massage Techniques (CTM, Cross fibre friction, pressure etc.) To include: Aims Objectives Equipment Thermotherapy Cryotherapy To include: Define thermotherapy to include: Heat Pad Hot Compress for pain relief Increased elasticity of collagen fibres Define cryotherapy to include: Ice for relief of pain Constriction of blood vessels Reduction of swelling Reduction of metabolism Reasons for contrast bathing To include: Nature Purpose Process To include: Ensure the massage medium is removed at the end of the treatment if required Do not let the client walk around in bare feet Ensure all surfaces are lined with couch roll Wipe couch and trolley with surgical spirit or similar at the end of each day Specific sporting events To include: Ingredients Allergies to ingredients Correct procedures for dealing with contra-actions

7 contraindication 4.9 Explain the possible adverse reactions to massage mediums and their identification 4.10 If necessary refer clients to a relevant professional 5. Be able to apply sports 5.1 Explain the importance of ensuring clients are correctly positioned 5.2 Demonstrate correct positioning of clients for sports massage 5.3 Explain the preparation of body areas for a range of sports 5.4 Prepare the relevant body areas for sports massage 5.5 Explain how to apply the range of sports massage methods in relation to technique 5.6 Apply sports massage To include: Contra-actions Signs and symptoms To include: GP medical practitioner Other sports professional Other massage therapist To include: Comfort Client care Positioning Ease of treatment Support: use appropriate supports e.g. under the ankles, chest and forehead, knees, head, or wherever a support is appropriate for the sports massage movement To include: Within the massage room In situ To include: Ensuring all parts of the client are covered except the area being massaged Cleanse the feet with a medi-wipe or similar Pre cleansing of area to be worked on if required To include demonstrating: Ensuring all parts of the client are covered except the area being massaged Cleanse the feet with a medi-wipe or similar Pre cleansing of area to be worked on if required To include: Effleurage Petrissage Frictions Tapotement Vibrations Sports Massage Strategies Movements should be performed correctly and on areas appropriate for issue presented and the client s needs To include demonstrating:

8 methods correctly and consistently to meet client presentations and needs 5.7 Demonstrate how to take account of the cautions and contraindications to sports 5.8 Record and respond appropriately to visual and oral feedback during the delivery of sports 5.9 Provide clients with appropriate materials and assistance to remove massage mediums when appropriate 6. Be able to evaluate sports 6.1 Explain the importance of accurate client reassessment 6.2 Re-assess clients 6.3 Gain feedback on the effects of sports from clients including any adverse reactions Effleurage Petrissage Frictions Tapotement Vibrations Sports Massage Strategies Movements should be performed correctly and on areas appropriate for issue presented and the client s needs To include: Health and safety procedures Observation of area to be worked on Correct treatment procedures To include: At the end of each treatment the client s feelings and any skin or other reactions should be recorded The following areas should be monitored: Outcomes achieved Effectiveness of the treatment Any change in demands Whether the treatment met the needs of the client Longer term needs of the client Encourage clients to express their feelings/requirement during the treatment Note client s reactions and make appropriate adjustments To include: Tissue Cotton wool Couch roll Surgical spirit To include: Aims Objectives Benefits of the treatment Improved performance Change in treatment plan To include: Review Evaluation Reflection Change to future treatment plan To include: At the end of each treatment the client s feelings and any skin or other reactions should be recorded The following areas should be monitored: Outcomes achieved Effectiveness of the treatment Any change in demands Whether the treatment met the needs of

9 the client Longer term needs of the client Encourage client to express his/her feelings/requirements during the treatments Note client s reactions and make appropriate adjustments 6.4 Explain the methods used for obtaining feedback from clients on the effects of sports massage 6.5 Measure client feedback against the aims and objective of your sports massage strategy 6.6 Explain why it is important to provide opportunities for further feedback 6.7 Provide appropriate advice and additional opportunities for client questions and/or feedback 6.8 Explain the importance of evaluating the effectiveness of sports massage 6.9 Assess the overall effectiveness of sports massage strategies To include: Observation Oral questioning Listening Discussion Recording evidence To include: Record evidence Evaluate Reflection To include: Future improvement to original treatment plan Improvement of problem area To include: Aftercare advice Home care advice Home exercises to improve problem area Re-assessment through question and answer session Re-evaluation To include: Improvement Professionalism Change in plan To include: Aims Objectives Plan Evaluation Reflection 7. Be able to produce, maintain and store client records

10 7.1 Explain the importance of accurate and confidential record keeping and safely storing records 7.2 Explain the details of sports massage and its effects that should be recorded 7.3 Produce records of sports massage sessions in the accepted formats 7.4 Explain the importance and process of referral to relevant professionals when necessary 7.5 Produce reports/letters of referral for relevant healthcare professionals 7.6 Explain the importance of following the directions of healthcare professionals 7.7 Explain the legal requirements for the storage of information on clients and the methods you have applied 7.8 Demonstrate the safe and secure storage of records To include: Professionalism Do not discuss the personal details of a client with another therapist Do not discuss the personal details of a client with another client Ensure the client realises that the only reason information would be disclosed would be to ascertain permission to treat from a GP or other medically trained practitioner Data Protection Accurate record keeping To include: Outcomes achieved Effectiveness of treatment Any change in demand Whether the treatment met the needs of the client Longer term needs of the client Encourage clients to express their feelings/requirement during the treatment Note client s reactions and make appropriate adjustments To include: Any contraindications Area treated Sports massage treatment Treatment given Any reactions Any exercises given Home care treatment Completion of consultation form Overall evaluation Reflective practice To include: Correct procedures for reporting/referring to relevant health care professionals Recognising own scope/limitations of working practices To include: Referral letters and reports To include: Advice and guidance Correct procedures Referral advice To include: Data Protection Understand national guidelines regarding the interpretation of collected data To include:

11 according to local protocol and legal requirements and destroy such records if legally required 7.9 Clarify when client records must be destroyed as legally required Assessment method Storing records in a secure place Code of Ethics Code of Practice Organisations protocol Correct procedures for the destruction of client records To include: Data Protection Destroying client records using correct procedures Unit Applying Sports Massage Methods to Non-pathological Tissue Practical Assessment All candidates will be examined via a practical examination of their technical skills and treatments techniques Treatment evidence Evidence of 15 Treatments to include: Consultation including medical history, treatment details, after/homecare advice, candidates and client signature and treatment date Unit Applying Sports Massage Methods to Non-pathological Tissue Practical assessment forms and marking criteria may be downloaded from Unit Applying Sports Massage Methods to Non-pathological Tissue must be evidenced through the use of signed and dated Consultation forms. See for sample form