ITEC Level 3 Diploma in Lymphatic Drainage MassageUnit 8 Lymphatic Drainage MassageRecommended guided learning hours – 50P...
12) Understand and explain the Holistic          • Greek term holosApproach                                         • Impo...
• Inflamed nerve • Acute rheumatism • Cancer                                                • Postural deformities • Spast...
• Remove all jewellery (except wedding band; religious                                                jewellery must be co...
ITEC Unit 8 Lymphatic Drainage Massage Case Studies 3 clients to be treated 3 times each and         To include: outcomes ...
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Lymphatic drainage massage syllabus


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Lymphatic drainage massage syllabus

  1. 1. ITEC Level 3 Diploma in Lymphatic Drainage MassageUnit 8 Lymphatic Drainage MassageRecommended guided learning hours – 50Pre-requisite – Candidates must hold the ITEC Level 3 Diploma in Holistic Massage or ITEC Level 3Diploma in Body Treatments or equivalentQCA Qualification Accreditation Number: 100/2443/8Unit 8 Lymphatic Drainage MassageLearning outcome Underpinning knowledgeStudents will be able to: To include:1) Understand the structure and function • Initial lymph vessels • Pre-collectors • Collectorsof the lymphatic system • Lymph vessels • Lymph angions • Lymph nodes • Cisterna Chyli • Lymphatic ducts • Lacteals • Peyers patches • Appendix • Thymus • Tonsils • Spleen • Adenoids2) Understand the formation, composition To include:and function of lymph • Proteins • Fluid • Cell debris • Foreign substances • Long chain fatty acids • Lymphocytes • Fibrinogen3) Understand and explain the location of To include:the main lymph nodes of the head, neck • Deep and superficial cervical • Submandibular • Submentaland body • Anterior auricular • Posterior auricular • Buccal • Occipital • Popliteal • Inguinal • Axillary • Supratrochlear4) Understand and explain the structure To include:and function of blood, the vessels in which • Arteries • Arterioles • Veins • Venules • Capillariesit is carried and the effect of lymphatic • Main arteries and veins of the head and neck • Plasmadrainage on them • Plasma proteins • Erythrocytes • Leucocytes • Platelets • Thrombocytes • The heart/lung circulatory system5) Understand and explain the position of To include:the main arteries of the head and neck • Carotid • Facial • Temporal • Lingual • Occipital • Maxillary6) Understand and explain the position of To include:the main veins of the head and neck • Middle temporal • Superficial temporal • Maxillary • Anterior facial • Common facial • Internal jugular • External jugular7) Understand and explain the To include:interrelationship between blood and lymph • The pulmonary circulation • Circulation of blood from theand the importance of maintaining heart • Arteries • Arterioles • Capillaries • Tissueshomeostasis in the body tissues • Venules • Veins • Lymphatic capillaries • Lymphatic vessels • Lymphatic nodes • Lymphatic ducts • Concept of the lymphatic system being the main transport system of the body • Active transport • Molecular motion • Osmosis • Diffusion • Filtration8) Understand and explain the effects and To include:benefits of lymphatic drainage on each of • Zero pressure and it’s effects on the lymphatic capillariesthe body systems and vessels • Calming effect • Pain reduction • Reflex arc • Increased immunity • Easing of muscle tension • Decongestive9) Understand and explain the inter- To include:relationship between the lymphatic • Integumentary (skin) • Skeletal • Muscular • Nervoussystem and other body systems and the • Endocrine • Cardiovascular • Respiratory • Digestiveeffect of lymphatic drainage massage on • Urinary• Reproductive • Immune • Cells and tissuesthose systems10) Understand and explain the To include;importance of achieving equilibrium in the • Osmosis • Diffusion • Active transport • Molecular motionbody tissues • Homeostasis • Filtration11) Understand and explain common To include:diseases and disorders of the lymphatic • Hodgkins Disease • HIV • Lymphoma • Elephantiasissystem • Lymphadenopathy • Mononucleosis (caused by Epstein – Barr virus) • Splenomegaly • Lymphoedema • Any localised infection • Immunological diseases • General Oedema (not medical) • Tonsilitis ITEC Unit 8 Lymphatic Drainage Massage Syllabus September 2007 – Page 1
  2. 2. 12) Understand and explain the Holistic • Greek term holosApproach • Importance of the treatment of the whole person in relation to holistic health and the power of touch • Concept of balance and harmony in the body (homeostasis)13) Understand and explain the term To include:integral biology ♦ The way in which our physical environment affects us and the way in which social, economic and environmental factors affect our health and social wellbeing To include: • Computers • Mobile phones • Processed food • Lack of fresh air • Stress • Lack of sleep • Jet lag • Lack of natural light • Financial problems • Poor ventilation • Lack of exercise • Chemicals • Pollution • Repetitive strain injuries14) Understand and explain methods of An example of a consultation form can be found atconsultation Students 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 • Consent • Any contraindications to treatment (as listed below) • Client lifestyle • Client profile • Importance of planning a treatment programme bearing in mind the client’s religious, moral and social beliefs • Determining the nature and extent of the client’s needs • Agreement to the course of action • Ascertain the client’s 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 practitioner, e.g. relevant health care workers • Obtain the client’s signature (or that of the companion)15) Recognise common ailments and ♦ Total contraindicationscontraindications to lymphatic drainage • Fever • Contagious or infectious diseasesmassage • Under the influence of recreational drugs or alcohol • Diarrhoea and vomiting • Residual Malaria • History of TB • Cardiac Insufficiency • Recent Thrombosis • Active Cancer • Medical Oedema • Undiagnosed lumps and bumps • Kidney Infections • Undiagnosed pain ♦ With medical, GP or specialist permission – In circumstances where written medical permission cannot be obtained the client must sign an informed consent stating that the treatment and its effects has been fully explained to them and confirm that they are willing to proceed without permission from their G.P. or specialist • Pregnancy • Cardio vascular conditions (thrombosis, phlebitis, hypertension, hypotension, heart conditions) • Any condition already being treated by a GP or another complementary practitioner • Medical oedema • Osteoporosis • Arthritis • Nervous/Psychotic conditions • Epilepsy • Recent operations • Diabetes • Asthma • Bells Palsy • Trapped/Pinched nerve ITEC Unit 8 Lymphatic Drainage Massage Syllabus September 2007 – Page 2
  3. 3. • Inflamed nerve • Acute rheumatism • Cancer • Postural deformities • Spastic conditions • Whiplash • Slipped disc • When taking prescribed medication • Gastric ulcers • Hernia ♦ Localised • Varicose veins • Bruises • Abrasions • Cuts • Sunburn • Skin diseases • Hormonal implants • Recent fractures (minimum three of months) • After a heavy meal • Abdomen (first few days of menstruation) • Pregnancy (after medical permission has been obtained, not on the abdomen16) Understand, explain and demonstrate To include:the superficial lymph drainage routes of • Always work proximal to distal or nearest lymph nodesthe body and the importance of working inthe correct direction17) Understand, recognise and explain To include:conditions that would benefit from • Cellulite • Sinusitis • Head aches • Migraineslymphatic drainage massage • Non-medial oedema • Stress • Poor Immunity • Sluggish Tissue Regeneration • Improvement of certain skin conditions • Chronic Fatigue • Any localised infection • Pain relief • Immunological diseases • Sprains • Strains • Scar tissue • Acne • Catarrh • PMT • Menopause • Allergies18) Understand, explain and demonstrate To include:factors that can affect lymph flow • Exercise/lack of exercise • Breathing • Digestion • Cold/heat • Tight clothing • Lymph drainage massage19) Understand, explain and demonstrate To include:the lymphatic drainage movements • Movements should be performed correctly and on areas appropriate for the movement • Movements should demonstrate the concept of zero pressure where appropriate • Movements should be adapted to produce a massage suitable for the client’s needs • Treatment should be proximal to distal20) Understand the importance of the use To include:of correct pressure • The concept of zero pressure and its effect on the skin and lymphatic system • Less pressure over bony areas or oedema21) Understand and explain the structures • To include all of the body systems in the anatomy andthey are working over, their function and physiology unit (particular emphasis should be placed on theeffect of lymphatic drainage massage neurological system )(zero pressure) on them22) Understand and explain appropriate To include:client care • Checking consultation and contraindications • Explaining the treatment to the client • Help the client onto the couch and protect the client’s modesty at all times • Ensure that all parts of the client are covered, except the area being massaged • Cleanse the feet with sanitiser • Wash own hands • Keep ensuring that the client is comfortable • Use appropriate supports, i.e. under the ankles, chest and forehead, knees, head • Adapt the lymphatic drainage massage techniques to suit the needs of the client • Help the client off the couch protecting their modesty at all times23) Understand and explain the correct • Wash own hands • Wipe the client’s feethygiene procedures • Use clean towels for each client • Put couch roll on top of towels • Wear clean professional work wear – socks/tights and full flat shoes ITEC Unit 8 Lymphatic Drainage Massage Syllabus September 2007 – Page 3
  4. 4. • Remove all jewellery (except wedding band; religious jewellery must be covered) from self and client • No nail enamel • Clean, short nails • Ensure the massage medium is removed at the end of the treatment • 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 day24) Understand and explain other To include:complementary therapies and the ways in • Homeopathy • Reflexology • Reiki/Spiritual Healingwhich they are performed • Yoga/meditation • Acupuncture • Shiatsu • Bach Flower remedies • Kinesiology • Bowen technique • Alexander technique • Herbalism • Chiropractic • Iridology • Acupressure• Stone therapy massage • Aromatherapy • Osteopathy • Swedish/Holistic massage • Indian head massage • Crystal therapy • Ear candling • Colour therapy25) Understand and explain the To include:importance of referral procedures • Only working within the realms of their own expertise as a therapist Demonstration of the understanding when a client should be referred to either: • GP • Counsellor • Other Complementary Therapist • Member of the social care or nursing team26) Evaluate and review the lymphatic • At the end of each treatment the client’s feeling should bedrainage massage treatment/programme recorded and any skin or other reactions 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 (particularly when working in a care environment)27) Understand and explain the To include:importance of giving appropriate home • Diet • Exercise • Stress levels • Fluid/water intakecare advice after treatment • Smoking habits • Sleep patterns • Hobbies • Interests • Rest • Relaxation • General care and lifestyle advice and the beneficial effects thereof • Generally helping clients and families to identify options to improve their health and social well being in terms of massage treatment • Helping clients and families to put their choices into action • Reviewing their progress ITEC Unit 8 Lymphatic Drainage Massage Syllabus September 2007 – Page 4
  5. 5. ITEC Unit 8 Lymphatic Drainage Massage Case Studies 3 clients to be treated 3 times each and To include: outcomes recorded • Consultation including thorough medical history and general lifestyle • Client profile (to include any current issues in their life) • Details of how the therapist conducted the treatment • Details of how the client felt during and after the treatment • Details of home care advice given • Overall conclusion of the case should be recorded including reflective practice after each treatment* (self assessment)*NB: Candidates should reflect on their own performance and the performance outcomes of the treatment ITEC Unit 8 Lymphatic Drainage Massage Syllabus September 2007 – Page 5