Hi guys,
I've had a personal website for a while and have just decided to update it and include a student resource site with past exam papers, basic A&P charts, massage routines etc.
I've teach musculo-skeletal anatomy & physiology to massage students and have tons of stuff lying around.
If there's anything specific you would like then let me know. Any suggestions will be welcomed.
Best of health,
Steve
Holistic Massage A&P ITEC -case studies
Hi thanks for these wonderfully detailed case studies. I am about to start my case studies and these will be really useful.
If any one needs some help or wants to swap info let me know,
in love and light,
joy and happiness,
with many blessings
and much laughter too.
June Elaine
HI I AM ABOUT TO START MY CASE STUDIES AND AM WONDERING COULD YOU E MAIL ME SOME SAMPLES AS THE FEED BACK YOU HAVE RECEIVED SOUNDS GREAT THANKS MY E MAIL IS marian@windwardenergy.ie looking forward to hearing from you mar.
hea there im doing holistic massage im bogged down with my case studies iv got to do holistic,gym instruction and aromatherapy but i dont no how to start them of can any 1 send me some sample clients 1 client so i can see what needs to be done
Case studies
Hi, I'm doing my ITEC Holistic Massage case studies now. I've sent one in to my tutor and she was very pleased so I will try to copy and paste here.
She did say that there was perhaps too much detail. My belief is better too much than too little. Hope this is of help.
Actually just noticed you can add attachments so I'll do that instead. OOOPS it was too big.
So copy and paste into word and hopefully you will be able to get the pages to line up.
Page setup Portrait, Top 1.8cm, bottom 2cm, left 2cm, right 1cm
Client Ref No: M001
_____________________________________________________________________________________
TREATMENT DETAILS
CLIENT PROFILE
JB is a man aged 55 and has been happily married for 25 years. He has 2 children living at home, age 20 and 22. One child has caused him concern in the past with major health problems for several years but these appear to be resolved now.
He is a self-employed contract computer project management consultant and is currently between contracts. His work involves a lot of computer work and therefore it is mostly sedentary. His work environment changes with each new contract which usually involves working and living away from home during the week returning at the weekends. Although staying in hotels is not ideal he enjoys the freedom of working for himself.
JBs health is generally very good but he does admit to being overweight. He does not smoke and drinks alcohol only at the occasional party. He enjoys his food, particularly fresh vegetables and drinks 2 glasses of water a day and 3 cups of black coffee. He takes a general mineral and vitamin supplement daily.
JB has no contra-indicators to holistic massage so GP permission is not required. JB has signed an informed consent form.
He has decided to have a massage session as he is currently feeling a little stressed due to his unemployed situation. He says this is unusual for him as he is normally very laid back.
He has also been experiencing some left hip and right shoulder joint discomfort which he attributes to working on his lap top at home.
TREATMENT PLAN
The benefits and the different aspects of holistic massage were explained and discussed and the plan is to receive treatment over four sessions, spaced at weekly intervals.
The initial treatment will be a full body massage to help relax and de-stress but also paying particular attention to the left hip, gluteus maximus, and the right shoulder, across and up over the scapula and up over the trapezius, into the neck area.
Further massage treatments will be adapted to JBs needs and will mostly be tailored to relieve his current stress related feelings.
Client Ref No: M001
TREATMENT RESULTS Treatment 1 Date: 9/12/2008
TREATMENT
As this is JB's first massage I began the session with him lying on this back so that he would feel more at ease and would be able to see me moving around him. I had discussed allergies with JB during the consultation so almond oil was used as the massage medium.
I proceeded through the classical movements of effleurage, petrissage and kneading to left arm and including wringing, hacking and cupping to left leg. Movements were mirrored on right leg and arm. Then moving onto the abdomen to perform circling to aid peristalsis the client asked if it was actually necessary so I finished with some smoothing effleurage.
Turning the client over to face down was awkward for him due to the shoulder and hip pain. Once I had ensured he was settled and comfortable I proceeded with the routine for posterior legs and glutes, checking throughout that the pressure used during kneading and hacking were at a comfortable level, more kneading and stronger effleurage was performed to the left hip area and gluteus maximus.
Moving onto the back area I decided to use extra kneading to the scapula and trapezius, with deeper petrissage around the scapula up to the shoulder, checking throughout with the client. I finished the back area with firmer effleurage strokes in circling motions, decreasing to gentler circling and strokes down the back from the scapula to the sacrum.
CLIENT FEEDBACK DURING TREATMENT
When asked JB expressed his dislike for the abdomen circling, he said it was an unpleasant sensation so I finished the area with gentle effleurage. He liked the kneading to his shoulders and up into the neck even though aware of some pain while it was happening.
CLIENT FEEDBACK AFTER TREATMENT
JB said that he felt much more relaxed and his leg and hip were more comfortable. He said that although the work on his upper back, shoulder and neck had been painful he did feel it was a lot looser and also felt warm.
POST TREATMENT ADVICE
General advice was given in a fact sheet and I advised him to drink more water which would help flush out the released accumulated toxins in his body and relieve the discomfort in his abdomen. But the most important advice was for JB to try to find a better position when using the laptop to improve his posture, ie correct table height, better chair which would help with his shoulder problem.
REFLECTIVE PRACTICE
JB was the first male that Ive massaged. His longer body meant that I had to alter my stance more often, changing to the striding position for the longer limbs. I also found some difficulty in reaching over his body to massage his glutes so that I had to stand on tiptoes. I will have to ask colleagues how they cope with the broader or larger figure. I didnt seem to be constantly checking with the client on pressure of the movements, just enough to adapt to his comments. The problem with the abdomen was overcome quickly and I will have to make a mental note to ask clients their preference before starting the deeper movements.
Client Ref No: M001
_____________________________________________________________________________________
TREATMENT RESULTS Treatment 2 Date 16/12/2008
CLIENT FEEDBACK FROM PREVIOUS TREATMENT
JB said that the hip joint pain had gone, not straight after the last session but he had not noticed over the last two days. He has bought a rolling chair and a computer desk to change his posture when using the laptop. He is still experiencing discomfort in his right shoulder but not as much as before.
He needed to use the toilet frequently the day of his last session.
He also felt extremely tired and had slept better.
He has increased his water intake and has also been taking a daily walk.
Before starting massage JB asked that the abdomen be left alone.
JB is still looking for employment and is beginning to feel the strain.
TREATMENT
Using almond oil as the massage medium I gave a full body massage to JB, concentrating on his right shoulder area. I kneaded the scapula and trapezius, and then petrissaged up around the medial side of the scapula making sure the pressure was not too hard for him. Further kneading was carried out over the shoulder area and into both sides of the neck which felt very tense. I asked the client if he would like to try a heat lamp on the area while I worked on the posterior legs and glutes. I then returned to the back and after removing the heat lamp, effleuraged and kneaded the whole scapula area up into the lower neck. This was followed with long downward strokes from the cervical vertebral area down to the sacrum.
CLIENT FEEDBACK DURING TREATMENT
JB said the kneading to the shoulder and neck was feeling slightly uncomfortable. He was happy to have some heat treatment to his shoulder. He did not respond when I returned to his back after working on his legs, he appeared to be asleep.
CLIENT FEEDBACK AFTER TREATMENT
JB was asleep by the end of the treatment. I spoke more forcefully to rouse him. He said he felt very relaxed and that his shoulder felt much more comfortable. He asked to use the toilet.
POST TREATMENT ADVICE
I advised JB to continue with his increased water intake and exercise. We talked about how much time he spends on his laptop and he agreed that he should take more frequent breaks, to rest his eyes and move his shoulders and upper torso.
REFLECTIVE PRACTICE
JB fell asleep towards the end of the session. Although I spoke to him he seemed reluctant to wake, but he did begin to rouse after I made more noise tidying up around him. I must ask the tutor how to manage clients who remain asleep.
The treatment itself appeared to go well and the heat lamp (that was my daughters) came in handy for his shoulder.
JB did not want his abdomen massaged today so I agreed to leave it out of the routine, adapting to the clients needs.
Client Ref No: M001
_____________________________________________________________________________________
TREATMENT RESULTS Treatment 3 Date 30/12/2008
CLIENT FEEDBACK FROM PREVIOUS TREATMENT
JB said that his shoulder was much looser and more comfortable. He had once again felt tired after the last session and had slept well that night. He was feeling the stress of not having work but was aware that the Christmas holidays were a major factor. He had increased his alcohol intake over the Christmas period and also knew he had eaten more than usual. JB said that his upper legs were causing him some problems, as hed been partying and dancing a lot. He asked if the session could finish by working on his back and shoulders.
TREATMENT
When cleaning JBs feet prior to massage I noticed that his heels were very cracked and that the edges of the soles of the feet were very dry. He appears to have very flat feet. As JB is not a hairy male I asked if he would like to try a massage cream for this session and he agreed.
The planned full body massage was carried out but with more attention concentrated on his feet, using effleurage and petrissage to the dorsal areas of the tarsals and metatarsals and paying particular attention to moulding of the soles using the palm of my hand. This method of treatment for the feet was used both during the posterior and anterior positions. When working on the posterior legs I was also able to massage the heels more thoroughly. I continued the massage to the front of the body, checking for client comfort and depth and firmness of pressure and performed kneading, wringing, hacking and cupping followed by deep effleurage to the upper legs both anteriorly over the quadriceps; biceps femoris, semimembranosus and semitendinosus and posteriorly over the hamstrings; rector femoris, vastus lateralis, vastus intermedius and vastus medialis, were used for longer periods at the clients request.
I finished by massaging JBs back and both shoulders with deep effleurage, petrissage of the erector spinae muscles either side of the spine, kneading of the scapula and trapezius, with petrissage on the upper vertebra up to the occipital, to relax the neck and shoulders which felt very tense.
CLIENT FEEDBACK DURING TREATMENT
JB said that he really enjoyed the feel of the massage cream when massaging his feet. When checking the pressure of the strokes he did ask for more work, especially hacking and cupping to his upper legs, particularly the posterior aspect as his legs were a little stiff after partying and dancing over Christmas. After completing his back it was obvious that he was deeply relaxed and actually sleeping.
CLIENT FEEDBACK AFTER TREATMENT
JB said he felt extremely relaxed and was enjoying the sessions more than at the start. His upper legs were feeling very warm and his feet were nice and soft but not oily as on previous sessions. He said he often gets dry and cracked heels and uses a specific Scholl cream for that purpose but not regularly. He said that he preferred the almond oil for body work but did like the feel of the cream on his feet.
POST TREATMENT ADVICE
I discussed with JB the benefits of using the Scholl cream on a regular basis if it helps the cracked areas. We also discussed a cutback in his alcohol and food intake. He will return to a having a daily walk now that Christmas is over.
Cont
Client Ref No: M001
_____________________________________________________________________________________
TREATMENT RESULTScont
Treatment 3 Date 30/12/2008
REFLECTIVE PRACTICE
This was the first time I had used massage cream and I do prefer the feel of it, for using on the client and the feel of it on my hands. JB asked for extra work to his upper legs which I was happy to do. The falling asleep and trying to wake the client is still an issue, although Im glad that the treatment does relax JB so well and is actually a compliment, Im still unsure on how to go about waking the client without making them feel uncomfortable or embarrassed. Turning the lights up and changing the music to something more up tempo helps, but bustling around and making more noise at the end of the hour does appear to work better.
Client Ref No: M001
_________
TREATMENT RESULTS Treatment 4 Date 6/01/2009
CLIENT FEEDBACK FROM PREVIOUS TREATMENT
During the past week JB said that he bought and used a new tube of Scholl Cracked Heel and Foot cream on his heels and that they feel much better. He said that the stiffness in his upper legs was still evident after the massage but was really improved after a good nights sleep. He is looking forward to this session.
JB is still unemployed but says the contract market is picking up now and he feels more optimistic. Since the last session he has been walking every day and feels he has lost any weight gained during the holiday. He hasnt been drinking alcohol since the New Year but found he enjoyed drinking more water which also means he is drinking less coffee.
TREATMENT
As planned this session was a full body massage treatment, using all the classical movements. This time I used grape-seed oil for the body and massage cream on the feet. I noticed that JB seemed to have tense muscles in most areas and tried to increase the firmness and depth of pressure checking with the client throughout although he said this was now unnecessary, as he was getting used to it all. JB prefers to finish with the back massage as he finds this more relaxing.
I had planned to add in a chest, face, neck and head routine but although JB had shaved that morning, his session was in the evening and the re-growth was quite sharp. I did do some hand circles and knuckling to his pectorals and the anterior aspect of the trapezius over his shoulders and the sides of the lower neck. He declined the rest of this routine.
After completing the posterior aspect of the legs and the gluteus maximus muscles, I moved on to the back area and JB was once again asleep.
CLIENT FEEDBACK DURING TREATMENT
JB said that all the checking was unnecessary as he was finding it all very good.
JB said he was not bothered about having the massage to his face or head but was happy to have the chest and neck area done.
CLIENT FEEDBACK AFTER TREATMENT
Turning over from back to front lying down was a little difficult for him this time, he didnt know why. He said that the grape-seed oil was okay but he preferred the feel of the almond oil. The massage cream on his feet was great. He needed to use the toilet when he had finished dressing.
POST TREATMENT ADVICE
Spoke to JB about continuing with a regular routine of using the cracked heel cream, maintaining his daily walk, returning to his normal low intake of alcohol but perhaps not eating quite so much. He would feel better if he continued to drink more water.
The advice regarding computer use, such as having short frequent breaks and ensuring his working posture was comfortable was reiterated. I also advised him that he can continue to have massage treatments, if he wishes to, as they do provide some personal time away from his problems and they do appear to have helped reduce his stress levels and body tension with the related discomfort and pain. I suggested that he try some deep relaxation classes or meditation as a means of distressing when unable to have massage. Cont
Client Ref No: M001
TREATMENT RESULTScont Treatment 4 Date 6/01/2009
REFLECTIVE PRACTICE
JB appeared to be slow to relax today and a little grumpy too. There was a lot of tension in all his major muscle groups. He became more relaxed as the treatment progressed to the point where he fell asleep during the back massage. I was a little surprised to find his beard re-growth so noticeable but relieved that he didnt want the facial part of the massage. Some of that routine would have been rather painful on my inner fore arms.
I was a little annoyed with myself to find that I had almost run out of almond oil. I must ensure that I have enough in stock in future. Fortunately I had a sample bottle of grape-seed oil to try out. I am glad that I decided to install a toilet and small basin within the therapy chalet as it does get used by clients and allows me to wash my hands after cleansing clients feet but before starting the massage.
SUMMARY OF TREATMENT
JB has now completed four holistic massage sessions but he has expressed a wish to continue as he finds them very relaxing and a means of escape from his current situation.
The first session dealt primarily with the hip and shoulder pain which appear to have been caused by his posture when using a laptop computer at home. He did relax more as the session continued, but turning over was a problem this time.
The second session focused on his shoulder discomfort, since the hip was no longer troubling him. We used some heat treatment to the shoulder area which loosened the area before I massaged it. He relaxed so much that he fell asleep. He has made alterations to his lifestyle, walking regularly and drinking more water.
By the third session JB was more relaxed throughout the massage as his shoulder was feeling much more comfortable. I did notice that his heels were cracked and used massage cream to soften the area. This session also concentrated on his upper legs, where the muscles were very tense. JB was aware that hed put on weight over Christmas and he was feeling less stressed because his job prospects were on hold until the new year. He plans to return to his daily walking routine.
The last session was a relaxing massage to de-stress and remove tension throughout the body. JB said he is less worried as the consultancy work market is picking up but the tension found throughout his body didnt show this. Initially JB seemed a little grumpy, especially when I was asking about firmness and pressure of the movements but he soon relaxed and he said he had really enjoyed the session.
Chatting about the different massage mediums revealed that he liked the massage cream used on his feet but preferred the overall feeling of almond oil. JB didnt like the more oily feel of grapeseed oil. He is still interested in receiving massage treatments and will return on a less frequent basis.
Overall I think the sessions with JB went well, he didnt seem aware of any shortcomings on my part, except for the last session when he was grumpy and got a little short-tempered about the checks I was making about pressure of movements. Working on a man for the first time was interesting, different body shape and length, so that I had to use more body pressure. I certainly felt that I need to improve my overall stamina and fitness which will be necessary when treating more clients throughout the day.