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Sector: Health Social And Other Community

Qualification: HILOT WELLNESS MASSAGE NC ll
Unit of Competency: APPLY HILOT WELLNESS MASSAGE TECHNIQUES
Module Title: APPLYING HILOT WELLNESS MASSAGE TECHNIQUES
LO1. Prepare client for hilot wellness massage
LO2. Prepare self for hilot wellness session
Learning Outcomes:
LO3. Perform hilot wellness massage techniques

Developer/s: NILDA C. SORIANO

UNIT 1 PREPARE CLIENT AND WORK AREA FOR HILOT WELLNESS MASSAGE

AFTER READING THIS INFORMATION SHEET, YOU MUST ABLE TO:

1. Identify difference spa facilities.

2. Enumerate tools, equipment and materials used in spa hilot.

OBJECTIVES 3. Demonstrate how to properly used tools and equipment and materials.

4. Demonstrate the proper procedure in getting health and history of client

5. Perform client and work area organized and hygienic.

6. Politely and courteously in approaching client.

LESSON 1 1.1 Workplace policies and massage techniques

INTRODUCTION This lesson will discuss the relevant laws and workplace policies in Hilot Spa
TOPIC 1 Working Environment of the Spa Facilities.
Working Environment of the Spa Facilities.

The spa is an establishment that provides massage treatment(s) and at least two water applications as defined by this standard.
May also include sauna, scrubs and wraps, energy treatments, exercise, nutritional programmes, dietary programmes, yoga,
meditation, herbal treatment or other professional services provided for the well-being of the client. Always consider the opinion
and choices of the clients.

1. Working environment of the spa:

Preparation of client and workplace- The client should be informed about the spa. Stating from the
reception area till to the spa room. The client should be well informed about the different areas inside
the facility that lead to the following:

2. Reception area- A space in your establishment that serves as a greeting place and waiting
area for the client. It consists of; Receptionist desk/station, A comfortable and ergonomically
appropriate chair for the receptionist, Chairs for guests to use while waiting, A table to hold
literature or magazines or to provide a surface for visitors for their purses, their briefcases, or other
personal belongings while waiting.

The Spa Front Desk Receptionist is responsible for the reception area at the spa. Includes the greeting of all guests, answering
phone calls, assisting guests with questions regarding spa services and products, booking all appointments, checking the guest
into the computer system and charging for services performed. Additionally assists with transitional cleaning of locker room and
relaxation area as needed. Also, one of the receptionist‘s duties is to interview the client about their health history and to perform
contraindication.

3. Waiting area- room with seating where people can wait.

A waiting area is a room in a building used for entry from the outside. Sometimes referred to as a foyer,
reception area or an entrance hall, it often is a large room or complex of rooms.
 4. Comfort room- generally refers to a room with a toilet and sink, as well as a shower and
dressing rooms.

5. Spa Room/ Spa lodge with rest room- A room where the client was being massaged.It is also
a Restroom generally refers to a room where people can rest for a temporary period of time when
they are finish the service.

6. Wet Room - is a waterproof, open space with no steps, trays, or raised portions. It uses floor
space more efficiently, and can make your bath feel more luxurious and spa-like. There is a service like
body scrub; it is a popular body treatment that is basically a facial for the body: It exfoliates and
hydrates your skin, leaving it smooth and soft. A body scrub is done with an abrasive material—usually
sea salt or sugar—mixed with some kind of massage oil and an aromatic like essential oils. If the scrub
uses salt, it might be called a salt scrub, salt glow, or sea salt scrub.

7. Sauna bath- is a Finnish style sweat bath, usually consisting of a room constructed of soft
wood, containing a stove which is used to heat the room to about 180 degrees Fahrenheit. And steam
bath is fed with a steam generator which produces thick clouds of mist.

TOPIC 2 Relevant Law and guidelines of Workplace policies and procedures

Relevant Law and guidelines of Workplace policies and procedures

Health and safety is about preventing any person sustaining injury, being harmed in any way or becoming ill at work. It involves
following correct, safe procedures and taking every possible precaution to protect everyone in the workplace. Health and safety
laws and regulations apply to everyone whether they are employers, managers, and employees, self-employed, full or part time,
paid or unpaid workers. Health and safety issues refer to hazards and risks in the workplace and how to eliminate them.

Health and Safety at Work Act 1974

This is the main legislation covering health and safety in the workplace; other safety regulations and codes of practice come
under this main Act.

This Act states that employers‘/managers have a legal duty to ensure, so far as is reasonably practicable, the health, safety and
welfare for all persons at work.

The Health and Safety Executive provides information and publications on all aspect of Health and safety regulation,
implementing directives from the European Commission that used to be known as the six packs. These cover a wide range of
health, safety and welfare issues.

Those relevant to the therapist and dealt with in this text. The Act of 1974 and the new regulations mean that employers must
by law, provide a safe working environment for all members of the workforce, including those with disabilities and other
persons using their premises.

The Therapist‘s Role in Maintaining Health and Safety in their place of Work. The employer is responsible for the management
and control of health, safety and welfare issues, which will ensure a safe environment for all persons working in or attending the
salon/clinic. However, all therapists at work also have duty under the Act

This lesson also tackle on how to know the different hilot wellness massage area and environment based on the workplace
policies and procedures.

Workplace Policies and Procedures

-is a broad term and means all your surroundings when working. Your physical working environment is, for example, your work
tools as well as air, noise and light. But your working environment also includes the psychological aspects of how your work is
organised and your wellbeing at work.

Working Environment/ Spa Room

1. Room should be peaceful and quiet and calm.

2. Room should be warm, well ventilated and draught free.

3. Listening is subdued.

4. Use fragrance, potpourri or vase of flowers.

5. Play soft relaxing music

6. Use clean towels or blanket to cover cushion to support legs and legs

Massage table, mattress must be firm on the floor.

The Importance of Room Service/Home Service Massage to the client:

Comfortability of the clients is the most needed in performing massage.

The Room service is also essential in satisfying the client‘s availed massage or service. The following are its benefit:

• The place is well ventilated

• Equipments and materials are complete

• Availing in room service is cheaper than the home service.

• Facilities are accessible.

Having a massage in the comfort of your own home takes the hassle out of scheduling a massage and has numerous other
benefits.

• No Wasted Time

• Post Massage Relaxation

• Experience Deeper Relaxation in Your Home

• Quality Massages
 • Personalized Attention

Both home service and room service are essential to the client, but availed services always depend in the client. Always consider
the client‘s choice.

LESSON 2 1.2 Policy in the use of materials on Hilot wellness products, furnishing and paraphernalia

In this lesson the products and materials are stated as well as its uses. These products and materials are
INTRODUCTION
important and useful in performing the availed services of the clients.
TOPIC 1 Products and Materials

Products and Materials

1. Bath Towels-
This is used to cover the body while doing the massage

2. Face Towel/Hand Towel-

This is used to wipe and cover the body.

3. Short/Disposable Undergarment-
To be wear by the clients during the massage.

4. Lotion –
Used to rub all throughout the body during the massage.
5. Oil-
This is also applied to the clients need.

6. Basins-
Used to put water, warm and cold.

7. Bed Sheets-
This is used to cover the massage bed.

8. Pillow-
Used by the client while lying down.

9. Alcohol / Sanitizer-
This is being rubbed by the massage therapist before starting massage.
 10. Plants/ Herbs/ Oil / Essences-
Are applied to the clients. Depends what essence is being requested by the clients.

Hilot wellness furnishing and paraphernalia

TOPIC 2
Accessories/Tools/Equipment

Thermometer –an instrument for determining temperature

Stethoscope- an instrument for listening to the sounds made within the body, typically consisting
of a hollow disk that transmit the sound through hollow tubes to earpieces.

Sphygmomanometer- an instrument, often attached to an inflatable air bladder cuff and used
with a stethoscope, for measuring blood pressure in an artery.

Digital Sphygmomanometer- an instrument, often attached to an inflatable air bladder cuff and
used with stethoscope , for measuring blood pressure in artery.
 Massage Bed- is used by massage therapist to position the client to recieve a massage bed. L-
1.8M x W= 0.8M x H = 0.7M

Shower Room – a place in which a person bahtes under a spray of water

Lounging Chair- gives comfort to the client while waiting for their massage.

Optional Furniture and Equipment for a Spa

CD / DVD Player-
Is a device that plays disc produced under both the DVD-Video and DVD-Audio technical standards, two different and
incompatible standards.
Television Set-
A system for transmitting visual images and sound that are reproduced on screens.
Overhead Projector-
A device that projects an enlarged image of a transparency placed on the wall or screen by means of an overhead mirror.
Massage Belt-
The massaging motion of this belt is reportedly design to stimulate and sooth the muscles.
Head Massage-
Soothing head massager with music, which uses ―a combination of patented air pressure technology, vibration massage,
magnetic therapy, gentle heat and soothing music‖ to do whatever it is a good head massage does.
The proper usage of the materials and equipment should be done to maintain its quality and effectiveness upon using it. Each
area of the spa shall be equipped with the suitable and appropriate tools and operational equipment necessary for the efficient
and pro
fessional deliverance of services.

1. Clean, disinfect and store tools and equipment.

1. Always clean residual dirt and product from tools and equipment.
2. 1.2.Clean and disinfect tools and equipment, according to relevant health regulations
3. Store clean towels in a clean dry place, according to health regulations.
4. 1.4.Store cleaned and disinfected tools and equipment, according to health regulations

2. Maintain tools and equipment.

1. Clean, oil bottles, hot stones and glasses used in ventosa regularly.
2. Examine disposable glasses used in ventosa to detect imperfections and defects and replace as required.
3. Dispose of discarded glasses, according to relevant legislation and workplace policies and procedures.
4. Maintain all tools and equipment in working condition, according to manufacturer instructions.
5. Check electrical equipment for loose wires and refer to a licensed electrician for repair where required.
6. Maintain electrical equipment according to relevant legislative and regulatory requirements and manufacturer
instructions.
3. Organize work areas.
 1. Maintain work areas in a safe, uncluttered and organized manner, according to spa policy.
2. Set up work areas, according to the service to be provided.
3. Apply salon procedures for tidying work areas and placing items in designated areas.
4. Apply occupational health and safety procedures.

4. Clean work areas.

1. Apply spa procedures and legislative requirements that relate to the hygiene and safety of service and work areas.
2. Follow spa procedures, and local health regulations when cleaning work areas, according to area function.
3. Remove and dispose of waste promptly, according to spa procedures.
4. Report spills, food, waste and other potential hazards to appropriate personnel and remove from floors, according to spa
policy and legislative requirements.
5. Display signage promptly to indicate unsafe areas.
6. Use cleaning and maintenance equipment, according to manufacturer safety and operational instructions, and legislative
requirements.
7. Maintain and store cleaning and maintenance equipment after use.
8. Dispose of cleaning waste, according to spa procedures to minimize negative environmental impacts.
5. The usage of the products
 1. Products used in the provision of spa treatments shall be organic and/or natural.
2. Products used in the provision of spa treatments shall be biodegradable in nature
3. Products used shall be ethically sourced and manufactured, without exploitation of people or the environment.
4. The usage of the products shall be used in accordance with standard hygiene practices, and any unused portion shall not
be returned to the bulk container.
5. All specialist or specialized equipment shall be legally certified for use in the spa if required by local laws and all
equipment of the spa, whether in staff or guest areas, shall be kept hygienically clean and orderly at all times.

LESSON 3 1.3 Preparing client forhilot wellness program

This lesson will tackle on how to prepare client according to the hilot wellness program. This will ensure
INTRODUCTION information about the steps and procedures to perform the service effectively.

TOPIC 1 CLIENT PREPARATION

 PREPARE CLIENT ACCORDING TO THE HILOT WELLNESS PROGRAM

 Before starting your massage, require your customer to complete a short health history. This will help you tailor a needed
specific massage.
 Once in the massage room, you will exit, allowing time and privacy so for the customer undress to his /her level of comfort.
Give a clean sheet and blanket in which the customer will cover him/her with and lay on the massage area. You will knock and
enter to begin the session.
 Customer massage time is his/hers.
 Keep in mind , communication is the key to a great massage.
 During your session, the body of the customer will remain covered with the sheet except for the part that is being massaged.
 At the conclusion of the massage, you will leave the room to allow your client to change their clothes. After the massage, it is
important to tell the customer to drink water to hydrate the body and help flush out the toxins that have been released.
 The following are some pointers on what to do.

 The Greeting- you or the receptionist should be on hand with a warm greeting. Step out from behind the reception desk to
shake the clients hand and smile while making eye contact.

 The Tour- Escort the client into the treatment area. Point out where the bathroom is located and any amenities such as the
stream room or sauna the client might use on his or her next visit. Show the client into the treatment room and explain there to
 undress and hang clothing. It‘s a good idea to remind clients to remove jewelry before the session because lubricants can cause
jewelry to look tarnished and delicate pieces may be damaged during massage strokes. Use a small dish to hold personal items
so that jewelry is not lost or forgotten.

 The Interview- The client interview does need to be a complex process, but each of the items we preview here should be
discussed to ensure safety of both client and therapist.

 Transition to Massage- Before you leave the treatment room, show the client the massage table and explain the position you
would be.
 Prepare yourself for the Massage- usually, clients need more than 5 minutes to undress and situate themselves on the massage
table. Use this time to warm up your hands and to ground and enter your energy for the session.

2. PERSONAL HYGIENE PRACTICES

 Massage therapists are required by health standards and professional ethics to provide a clean environment for clients that
ensures they don‘t pick up any diseases while they are at a spa or massage clinic. On the side of the therapist the following
must be observed to ensure proper hygiene practice.
 A daily bath or shower should be taken to maintain cleanliness of the skin, hair , nails, and to remove stale sweat odor.
 An antiperspirant should be used to prevent excessive sweating and the odor of sour sweat.
 Hair should be clean and neat; it should be kept short or tied back from the face. Hair must never fall forward around the
therapist face and shoulders or touch the client.
 Nails must be well manicured and keep short; nails should not protrude above the fleshy part of the finger tip.
 Hands must be well care for; they must be smooth and warm for massage.
 Therapist shouldn‘t massage with cuts or abrasions on the hands.
 Jewelry should be removed or kept to a minimum of wedding ring and small ear studs.
 Underwear and tights should be changed daily ang washed in hot soapy water.
 White, short-sleeved overalls should be crisp, well laundered and changed frequently.
 Feet should be well cared for and washed and thoroughly once a day, using foot powder.
 A clean pair of tights should be worn each day; support tights will help prevent tired legs and varicose veins.
 Working uniform should not be worn out of the salon.
 Therapist suffering from colds and infections should not trear the clients if possible, but the wearing of a surgical mask will
greatly reduce the risk of cross infection.
 Therapist must washed their hands before touching the client and after cleaning the feel prior of the massage.

Preparations before the Actual Massage Services

 Preparation of Client:
 Speak to the client in a polite and friendly manner.
 Maintain client privacy at all times.
 Take the client‘s outdoor clothes or show her/him where to hang them.
 Show the client the treatment area and shower room.
 As the client to undress and give her/him a robe or towel to wear.
 As the client to remove all jewelry and place it in a bag for safe keeping.
 Instruct the client how to use shower.
 Bring the client back to the treatment area.
 Carry out a client consultation and discuss the treatment. As previously explained, the first consultation should take place
before every treatment.
 Explain fully and ask if the client has any queries. Allow time for the client to discuss problems and ask questions and answer
these fully.
 If the client has long hair, ask her/him to tie it up, or provide a protective cover.
 Psychological Preparation of the Therapist
 Preparing the mind enhances concentration and co-ordination and contributes to expertise and effectiveness of the massage.
 Develop a calm, tranquil but positive attitude.
 It is important to feel secure, confident and relaxed yourself as this is transmitted to the client both by your attitude and
through your hands
 Develop-co-ordination between mind and body.
 The hands and body must move as a whole – think of your foot position, posture, arm/hands position, speed, pressure and
rhythm.
 Develop sensory awareness.
 The ability to sense and visualize structures through the hands.
 Learn to synchronize speed, rhythm, and depth
 so that these remain consistent throughout the treatment. This will vary depending on the effects required.

3. Preparation of Working Area

 Ensure that the working area affords the client total privacy to change and receive treatment without being overlooked by
others.
 The area may be a curtained section in a large salon, an individual walled cubicle or a small massage room.
 The therapist should ensure there is enough space to walk around. Bed and work from all sides, and that there is room for a
trolley with commodities and a stool.
 The area should be warm , well-ventilated and draught free.
 It should be quiet, peaceful free from distracting noise. Soft relaxing music may be played, but check with the client –some
clients prefer to be quiet.
 The lighting should be soft and diffuse, not directed above the client and shining into his/her face.
 The colour scheme should be pale but warming, using pastel rather than harsh bold colours.
 The area must be spotlessly clean and dry.
  Items required during the massage must be neatly arranged on the trolley shelf sand protected with clean paper tissue or a small
sheet.
 A plentiful supply of clean laundered towels and linen should be to hand.
 Extra pillows, small support pillows or rolled towels should also be on the hand
 Shower and toilet facilities for the client‘s use should be accessible and regularly cleaned.
 A hand basin or sink should be available for the therapist to wash his/her hands.
 Disposable towels or hot air dryers should be used to dry the hands. These must all be scrupulously clean.
 A lined bin should be on hand for disposable waste.

 Preparation of Massage Couch

 Cover the entire surface with a towelling or cotton sheet- the fitter types are best as they stay neat and tidy.
 Next cover this with large bath towel or cotton sheet. This must be removed and boiled washed after each client and a clean
one re – applied. Many salons and colleagues use disposable paper sheets to save on the laundry- these is quiet acceptable, but
they can tear and crumple during the massage and may interfere with some movements.
 Use one or two pillows for the head. Cover these with pillow slips and then a towel.
 Fold two large towels and place them at the foot of the bed. These will be used to cover the client.
 Place extra pillows, large and small, and a rolled towel on a trolley for use extra support is required during the massage.

 Preparation of Trolley or Table

 The following items should be laid out on the top shelf of the trolley:
 Bottle of cologne- for cleaning the skin if the client has not taken a shower.
 A bottle of surgical spirit- to clean the feet
 A good quality oil, lotion, or cream- used as a medium for the massage.
 Talcum powder or corn starch- these powder may be used instead of oil or cream as a massage medium. They work well for
every hairy client.
 A bowl containing tissues and ball of cotton wool.
 A bowl for placing to ask the client‘s jewelry is sometimes used, but it is much safer to ask the client to place jewelry in his/her
bag and place this under the couch.
LESSON 4 APPLICATION OF PROPER DRAPING

This lesson will discuss about the different kind of draping as well as procedures and steps in applying proper
INTRODUCTION draping in accordance with workplace procedure.

TOPIC 1 Different Type of Drapings

Draping is the technique of using large towel or sheet to keep you covered while you‘re getting a massage.
 Draping is the technique of uncovering only the part of the body that is being worked on during massage Draping allows you to
be undressed to you comfort level underneath a sheet or and feel safe, warm, and unexposed. It also gives the massage therapist
the freedom to massage all parts of the body without being encumbered by clothing

 The therapist maintains a professional and ethical practice while avoiding embarrassment to the client or themselves.
 A sign of an experienced massage therapist is that they handle draping in a quick, deft way that makes you feel safe and
comfortable.

Draping In a Spa Setting

 You usually start face-down for your massage, with your face in a padded cradle that allows you to breath.
 The top cover is folded back to about two inches below the beginning of the gluteal cleft, so the therapist can work on the
attachment points of those big, important muscles.
 When finished, the therapist will cover your back up, then uncover one leg at a time. The therapist does a quick tuck of the
sheet or towel under the opposite thigh, while positioning the cover to expose as much leg as possible
 A private practitioner with whom you have an on-going therapeutic relationship might expose the buttocks as part of the
draping on the leg.

Time to Turn Over

 When it's time to turn over, the therapist will let you know. He or she will hold the sheet or towel up and instruct you to move
down so that you are fully on the table, then turn over slowly onto your back.
 As you're turning, the therapist places the sheet over your body, again, quickly, so you don't feel exposed. This is all considered
draping.
 The therapist then works their way back up the body while maintaining proper draping, massaging the front of each leg and
both arms.
 The therapist will let you know the treatment is over and give you further instructions, such as "I'll be waiting outside with
water." He or she leaves while you are still on the table, covered, unless you specifically need help getting up. In that case,
they are trained in how to assist you while still maintaining modesty.

APPLY PROPER DRAPING IN ACCORDANCE WITH WORKPLACE PROCEDURE

LESSON 2
Draping Methods

1. Posterior Leg – To drape the posterior leg

a. Gather the drape at the greater trochanter and the ankle.
b. Fold the bottom end of drape at an angle across the opposite leg while holding the drape at the
greater trochanter as a point.
c. With the lower, grab the fold of the drape and tuck it under the opposite thigh.
d. Fold the top section of the drape across back, leaving the gluteal exposed. With practice, this
draping can be accomplished in three moves and provides a clean line for the application of spa
products from the toes to the top of the application of spa products from the toes to the top of the
posterior superior iliac spine. ( PSIS)

2.Anterior leg – To drape the anterior leg.

a. Gather the drape at the anterior superior iliac spine (ASIS) and at the ankle b.
b. Fold the bottom section of the upper hand to hold the drape at the tuck it under the opposite
thigh.
c. With the lower hand, grab the fold of the drape and tuck it under the opposite thigh.
d. Fold the top section of the drape across the belly, leaving the ASIS exposed.

3. Breast Drape-

a. Align the top edge of the main drape with the bottom edge of a hand towel or pillowcase.
b. As the main drape is pulled down, the hand towel or pillowcase becomes a breast drape and
takes its place.

4. Anterior Pelvic Drape-

a. After the breast drape is in place, continue to pull the main drape down until the abdominal muscles are uncovered.
b. Align the fold of the main drape with the bottom edge of a hand towel or pillow case will become a pelvic drape.
c. Tuck the bottom section of the pelvic drape between the legs leaving a safe distance between the lucking hand and genitals.
 5. Turban Drape- This type of drape protects the client‘s hair from spa
products and prevents heat loss during a treatment.

a. Put a bath towel on the table before the treatment

b. Bring the bath towel up over the client‘s head to cover the fore
headed or the eyes.
c. Using the hand as a wedge on each side of the drape, bring the side portions around the neck and tuck them into the top of
the body drape.

6. Gluteal Drape- There are several ailments that can be relieved by massaging the glutes as well as many benefits to including the
glutes in full-body massage treatments.

o Massaging the glutes can relieve leg pain caused by inactivity, overstretching, tight muscles, sports injuries or bursitis.
o Massaging the glutes can relieve back pain caused by a fall, sciatica, a herniated disc or tightness in the glutes themselves.
o Improved range of movement and circulation.
o Improved athletic performance and faster recovery times.
o Massaging the glutes can be especially helpful for expectant mothers who frequently experience problems with strain on the
lower back muscles.

Following instruction as follow

a. Uncover the back and fold the drape down to the gluteal cleft
b. Grasp the folded edge of the main drape and the bottom edge of the hand towel or pillow case.
c. As the main drape is pulled down to exposed the gluteals, the hand towel or pillow case
d. Tuck the bottom of the gluteal drape between the legs, leaving a safe distance between the tucking hand and the genitals.
e. Fold the edges on the gluteal drape to create clean lines for product application.
1. Because spa products are applied to the client while they are in a side-lying position, this drape is different than it would be
for a massage. It is important to ask clients to wear despicable undergarments to preserve their modesty. The sheet is kept
over the client he or she is moved into the side-lying position.

PREPARE SELF FOR HILOT WELLNESS SESSION

UNIT 2
 AFTER READING THIS INFORMATION SHEET, YOU MUST ABLE TO:

 Perform personal hygiene practices in accordance with standard operating procedures.

OBJECTIVES  Perform pre-hilot procedure based on standard operating procedures.
 Identify and follow the Standard operating procedures in massage .

LESSON 1 2.1 Personal Hygiene of Hilot Therapist

This lesson will talk about the proper hygiene and the importance of it as well as the basic guidelines for proper hygiene in
INTRODUCTION accordance to the standard operating procedures. It also discuss about the preparation of the Health Care Provider before
performing the procedure to the client.
TOPIC 1 Importance of Proper Hygiene

Hygiene is very important when you massage, especially in these times where the threat of the new flu is hanging over us. We
as therapists are very aware of the situation and take our precautions.

Personal hygiene in the health care sector

Microbes spread easily in health care due to physical contact between health care professionals, patients and relatives. Maintaining
a good personal hygiene significantly reduces the risk of cross-contamination and transmission of contagious infections.
The importance of correct hand washing

According to WHO, hands are the main pathway of germ transmission during health care. Good and effective hand hygiene
is therefore one of the most important steps to avoid the transmission of harmful germs and prevent health care associated
infections.

BASIC GUIDELINES FOR PROPER HYGIENE

TOPIC 2
Basic guidelines for proper personal hygiene

The definition of good personal hygiene is often subjective, however basic hygienic guidelines for proper hygiene are:

● Avoid hand and/or wrist jewelry as well as piercings (that can come in contact with patients)
● Avoid long nails, nail polish and fake nails
● Always keep hair short, or fixed and beards and mustaches short
● Always use proper coughing and sneezing techniques
● No long sleeves – not longer than the elbow
● If you have an open wound, always use a water resistant band aid so that hands can be wash and disinfected
 Pay attention to using correct coughing and sneezing techniques in order to prevent microbes from spreading through the
air. The face must always be averted when sneezing or coughing, and it is important to use a paper handkerchief in front of
your mouth, or use your elbow. Immediately discard the handkerchief in a waste bin and disinfect your hands.

Hand disinfection or hand washing?

In health care, hand disinfection can only stand by itself when the hands are visibly clean
and dry, and hand washing should only be performed if the hands are visibly soiled or
wet. Before applying an alcohol-based disinfectant hands should be dry, as disinfectants
increase the skin‘s permeability and contribute to breaking down the skins barriers.
Know your hand hygiene – test yourself here.

Taking good care of nails and skin

To keep your hands healthy and fit for fight it is important to care for both hands and nails
by using lotions, or a moisturizer with high lipids content during the night if the hands
require extra care. Always asses your hands to keep good hand hygiene.

Gloves are a trusted friend

Gloves should be worn by health care professionals when performing tasks related to
personal hygiene or handling of bodily fluids. They can be used for clean and unclean
tasks to protect both health care professionals and patients from transmittable diseases.

Abena’s 4 tips for Infection Prevention

Together we can ensure a safe workplace

1. Avoid cross contamination: Never bring anything contaminated into contact with something
clean.
 2. Clean or discard: What is contaminated must be either cleaned or thrown away

3. Ensure basic hygiene: Apply proper personal - and hand hygiene

4.
5. Protect yourself: Use the right protective wear and the right gloves in the right way.

Infection Control and Prevention - Standard Precautions

● Standard Precautions.
● Hand Hygiene.
● Personal Protective Equipment (PPE)
● Needle stick and Sharps Injury Prevention.
● Cleaning and Disinfection.
● Respiratory Hygiene (Cough Etiquette)
● Waste Disposal.
Safe Injection Practices.
 Preparation of Healthcare Provider

DO’S IN HILOT MASSAGE

1. Dress and respectable manner,

2.Cut nail to a minimum and keep them clean.
3. Bring all you need from the treatment.
4. Partake of food and drink only when offered.
5.Be courteous and professional.
6. Answer question when ask and ask the question only when you must.
7. Leave soon after the treatment and when you have set the next appointment
8. Maintain therapist- patient relationship.
9. Be punctual.
10. Be accurate.
11. Check the any sign of injury.

DONT’S IN HILOT MASSAGE

1. Do not treat the patient within 30 mins before and after meal
2. Do not treat the pregnant patient specially in first trimester
3. Do not diagnose the patient
4. Do not palpate the sensitive area
5. Do not discuss another patient with another
6. Do not sexually involve with patient
7. Do not borrow from your patient
8. Do not press against bones
9. Do not press against traumatize area.
10. Do not prescribe medication.
11. Do not smoke before, during and after the treatment
12. Do not diriminate your patient.
13. Do not make promises.

LESSON 2 PRE HILOT PROCEDURE

INTRODUCTION This lesson will provide information in identifying and the need of studying the pre hilot procedure.
 VITAL SIGNS
TOPIC 1

Vital sign assessment includes heart rate, respiratory rate, blood pressure, oxygen saturation, respiratory effort, capillary refill
time and temperature. Vital signs are often considered to be the baseline indicators of a patient‘s health status.
Pain is another key indicator of patient well-being and should therefore be assessed and documented along with vital signs.
Heart Rate
Infants and young children should have their heart rate taken at the apex of the heart using a stethoscope. Patients who are older
with no cardiac condition may have a radial pulse taken. heart rate should be taken for one full minute
Respiratory Rate and Respiratory Effort
Respiratory rate should be taken for one full minute. Auscultation with a stethoscope will increase the ability to hear shallow
breaths.
Respiratory rhythm and depth should be evaluated using a manual assessment and observation of the patient's respiratory pattern.
Blood Pressure
Can be measured using a manual sphygmomanometer and stethoscope, by the palpation of pulse technique, with a Doppler or by
using an electronic BP device.

TOPIC 2 DIFFERENT VITAL SIGNS

Vital sign assessment includes heart rate, respiratory rate, blood pressure, oxygen saturation, respiratory effort, capillary refill time
and temperature. Vital signs are often considered to be the baseline indicators of a patient‘s health status.

Pain is another key indicator of patient well-being and should therefore be assessed and documented along with vital signs.

Heart Rate

Infants and young children should have their heart rate taken at the apex of the heart using a stethoscope. Patients who are older
with no cardiac condition may have a radial pulse taken. heart rate should be taken for one full minute

Respiratory Rate and Respiratory Effort

Respiratory rate should be taken for one full minute. Auscultation with a stethoscope will increase the ability to hear shallow
 breaths.

Respiratory rhythm and depth should be evaluated using a manual assessment and observation of the patient's respiratory pattern.

Blood Pressure

Can be measured using a manual sphygmomanometer and stethoscope, by the palpation of pulse technique, with a Doppler or by
using an electronic BP device.

DESCRIBE THE DIFFERENT VITAL SIGNS.

Vital Signs (Body Temperature, Pulse Rate, Respiration Rate, Blood Pressure)

Vital signs are measurements of the body's most basic functions. The four main vital signs routinely monitored by medical
professionals and health care providers include the following:

Body temperature

Pulse rate

Respiration rate (rate of breathing)

Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs.).

UNIT 3 PERFORM HILOT WELLNESS MASSAGE TECHNIQUES

AFTER READING THIS INFORMATION SHEET, YOU MUST ABLE TO:

1. Perform hygiene practices according to standard operating procedures.
OBJECTIVES 2. Identify the imbalances in the body in accordance with the hilot methods of scanning.
3. Properl execution of hilot strokes in accordance with the five (5) different kinds of strokes.
4. Determine hilot pressure areas in accordance with its characteristics, location and indications.
 5. Know the length of hilot wellness massage techniques performed according to workplace procedure.
6. Monitor/evaluated client response throughout the hilot wellness session and adapt hilot wellness massage techniques .
LESSON 1 METHODS OF SCANNING

INTRODUCTION In this lesson will state talk about on how to identify the importance of scanning.

TOPIC 1 IMPORTANCE OF SCANNING

Importance of Scanning

Importance of doing detailed consultation prior to massage

 To introduce yourself and get to know the client

 To establish in a rapport with the client and put his/her at ease
 To develop mutual trust and gain the confidence
 To gain information on the clients past and present state of mental and physical health
 To identify any contra-indications
 To gain insight into the clients lifestyle, responsibilities , work environment , leisure activities
 To identify the client‘s needs and expectations of the treatment
 To establish the most appropriate form of treatment and to discuss and agree with the client
 To explain the treatment fully to the client, including the procedure, expected effects, timing and frequency
TAWAS: Traditional Alternative/Asian Wellness Analytic System

TAWAS is a Filipino Traditional spiritual diagnostic system used by HILOT in determining the cause of illness of the
patient.Now a days , PJHA re-develop TAWAS as Hilot modality in determining illness through Traditional Alternative/Asian
Wellness Analytic System

Hilot Wellness Modern Tawas consist the following:

a. Palpation of hot and cold syndrome ( Pagkapa )

HilotPagkapa is done with the palm at surface of the hand palpating the body surface of the patient in determining
balance of hot and cold.

b. Palpation of skin tissues / and stiff muscles ( Pagsasalat )

HilotPagsasalatuses tips of the fingers in determining stiffness and knotting of muscles and tissues. The objective of
 this procedure is to palpate parts of the body for presence of lumps, protuberances, swelling.

c. Palpation the activities of the internal organs through pulse ( Pagpupulso)

HilotPagpupulso is a traditional Asian oriental way of determining the activity of internal organs by observing the
characteristics of the pulse.

d. Use of banana leaf in determining energetic balance (Pagsasala/Panghihila)

Uses banana leaf strip coated in virgin coconut oil and heated through a candle flame and apply to the body of the
patient to determine energetic balance.

LESSON 2 HILOT WELLNESS MASSAGE TECHNIQUE

INTRODUCTION In this Lesson, different procedures and implementation will be discussed.

TOPIC 1 DIFFERENT HILOT WELLNESS MASSAGE TECHNIQUE

The uses of equipment and tools in Spa Services

1 Massage – Massage services for relaxation of the body shall be provided.

Additional massage services for body, face or feet which provide other benefits of well-being may
also be provided.

2 Water applications – A spa shall provide a minimum of two water applications which provide
benefits of well-being. Water applications are defined as applications of water, hot or cold, natural, mineral
or thalasso in the form of:

1 Baths – immersion of the whole body or part thereof into a Services Standard

herbal, aroma, mineral, peloid or chromo therapeutic solution which shall provide benefits other
than cleansing. The bath

or soak may include air or water jets..

2. Floatation – standing body of water; chambers or tanks, in which the client floats for the purpose of rejuvenation. May or
may not include sight and sound deprivation.
 3 Plunge Pools – standing body of water large enough to immerse the entire body.

4 Soak – immersion of the whole body or part thereof into a herbal, aroma, mineral, peloid or
chromo therapeutic solution

5 Well-being Showers – natural flow or pressurized sprays and/or jets of water applied to the body
for experiential or Therapeutic purposes and which provide tangible benefits of well-being. Showers which
are provided just for cleansing are not considered as a water application under this standard.

7 Thermotherapy – Manual or mechanically applied heat and/ or cold, may be associated with traditional herbal product
/treatment.

Sauna – heated individual or shared chamber in which a client sits, lays or stands; for therapeutic purposes.

Steam – individual or shared space filled with heated water vapors in which a client sits, lays or
stands; for therapeutic purposes.

3. Scrubs and Wraps – application of natural resources e.g. herbs, foods, mineral or peloids for
relaxation, beautification, detoxification or other well-being benefits may be provided.

4. Traditional Massage or Traditional Treatments – Traditionally practiced massage or

treatments which may or may not be scientifically substantiated, but the belief of aboriginal or indigenous
local populations supports the health benefits of the treatment.

Other Strokes in Massage.

Hagod (long deep stroke)- are long deep strokes usually used for the extremities and the back.

Haplos -short light stroke

Pindot -one finger press

 Pisil -two or more finger press

Piga- grasping with the hand

APPLY OTHER HILOT WELLNESS MASSAGE TECHNIQUE

Massage therapy can be an important part of your health maintenance plan by: Reducing or eliminating pain. Pampering
oneself by scheduling a massage is the best experience imaginable.

So here are some handful tips on how making a fulfilling massage experience by preparing your client professionally

Introduce Yourself

Introduce yourself to your client and engage some short chatty conversation to make both of you at ease. It will also abolish
the strangeness feeling during the whole session.

Explain What to Expect During the Massage

It is significant to explain the little details about the massage session you‘re about to embark. Made some clarifications and
confirmation on what they should expect and listen attentively about their concerns

Ask for Your Client‘s Medical Condition

Before performing the actual massage, ask for any medical conditions and irritation that might trigger and worsen during the
activity. Better ask for a signed waiver from a doctor for approval of the impending massage. Also ask if your client has allergies in
any type of massage oils.
 Prepare for your Clients expected Session Mood

Massage can be soothing and more relaxing with a music turned up to keep a consistent atmosphere. Your goal here to make
your client feel good and comfortable, music can be distracting during his/her meditation.

Confirm if Massage will be Conducted Naked or with Clothing

Give what your clients want and make him/her comfortable throughout the session. Inform your client the necessity of
taking off the clothes (undergarments) especially when you‘re using oils and other lubricated massage lotions. Give your clients the
opportunity to decide what will keep him/her going without making distressing actions.

The best way you can give the utmost satisfaction to your client is by being polite and courteous all the time. During and
after the massage, keep an approachable persona and be mindful of your actions. Let your client have the best experience
throughout the massage activity.

Demonstration of acquired knowledge and skills is the main target in the succeeding topics. Along sides the discussions are
the precautionary measures focusing on the hygienic and safety practices in performing the wellness massage. Step by step
instructions to be assisted by video clippings of different techniques are provided.

The consultation is very important part of the treatment. Sufficient time must be allowed so that it is not rushed. This is t he
time to gather and exchange information. The initial consultation will be longest and provide detailed information, which must be
accurately recorded on a treatment card.

TOPIC 2 THE HILOT WELLNESS MASSAGE TECHNIQUE

Massage Pressure Areas

Basic Massage Pressure Areas

Hands
 The body has lines of energy that end in specific zones in your hand

Foot

Effects of Massage Strokes

When massage techniques are applied to the body, they can affect it through two different response path ways. Mechanical
responses to techniques occur as direct of the manipulation of the tissues from components such as pressure, range of motion and
the pushing, pulling, lifting , compressing, and twisting of the tissue. Changes to the body as a result of these effects include
increased circulation to the area, changes in fluid movement, increased pliability of the tissue , and reduction of adhesions.
The other type of the response is called a reflexive response and is result of changes directed through the nervous system.
Examples of reflexive responses include the reduction of blood pressure through the increased diameter of blood vessels, the
decreased arousal of the sympathetic nervous system and changes in hormone levels. While these responses are discussed
separately, they are closely related and often occur simultaneously.
Swedish massage Technique

This is also recommended for beginners. Swedish massage relaxes the entire body, reducing stress and increase the feeling of

wellbeing.

1. Effleurage
It is where the hands skim over the surface of the tissues. The word ‗Effleurage‖ comes from the French verb ―efflurer‖ which
means to skim to over . There are two manipulations within this group.
⮚ Effleurage
⮚ Stroke
Differences between Effleurage and Stroke
Effleurage

Effleurage must always follow the direction of venous return back to the heart and lymphatic drainage towards the
nearest group of lymphatic nodes. When performing effleurage hand contact is maintained during the return of the stroke ,
although little pressure is applied.

Stroke

Stroking may be performed in any direction. The pressure during effleurage maybe light, moderate or heavy, but
always increases at the end of the stroke towards the lymphatic nodes. The pressure of stroking is selected at the
commencement and is maintained throughout. It is maybe light, moderate, or heavy pressure depending on the type of
massage given

When performing stroking, the hands may maintain contact or may not lift off the part of return

⮚ Is more on long sliding, gliding and sweeping strokes with the use of forearms, relatively slow and smoothing strokes used
for spreading oil. In effleuragemovement is usually repeated several times to induce relaxation of muscle.

2. Petrissage

⮚ “petri” which means “to knead”. This technique is like kneading dough. The kneading, rolling, and squeezing strokes
stimulates the nerve endings, getting rid to impure substance in the muscle and increase circulation this then will promote
 cell repair.

3. Vibration

⮚ Is an oscillatory movement that shake and vibrates the body. This movement can be done rapidly or slowly. Vibration
technique gradually releases tension in the muscle being worked on.

4. Friction

⮚ This technique can be done by rubbing the back and forth. The movement creates heat, warming up muscles in the body to
the treated for deep massage technique.

5. Tapotement

⮚ This is a rhythmic tapping, pounding, and patting of the body. The motion is like drumming, you produce should with your
hands by cupping, hacking, and chopping. This technique is usually used as the last technique in a massage session.

TOPIC 3 DEMONSTRATE HILOT WELLNESS MASSGE TECHNIQUES

Other Types of Massage Techniques

1. Swedish Massage

one of the primary goals of the swedish massage technique is to relax the entire body. This is
accomplished by rubbing the muscles with long gliding strokes in the direction of blood returning to the
heart. Swedish massage is exceptionally beneficial for increasing the level of oxygen in the blood,
decreasing muscle toxins, improving circulation and flexibility while easing tension.

2. Deep Tissue-

Deep tissue massage therapy is similar toswedish massage, but the deeper pressure is
beneficial in releasing chronic muscle tension. The focus is on the deepest layers of muscle tissue,
tendons and fascia ( the protective layer sorroundingmuscles,bones and joints )
3. Shiatsu

Is an alternative technique that involves manual pressure applied to specific points on the body in an attempt to relieve
tension and pain. According to the Japanese healing treatment , shiatsu ( meaning finger pressure ) massage us thumbs, finger,
elbows and knees to concentrate pressure at certain energy pathways in the body called meridians

4. Reflexology

Foot reflexology massage can be a deeply relaxing and therapeutic modality for those suffering
from plantar fasciitis, ankle injuries or even everyday work and play. At massage envy, your massage
therapist will apply traditional swedish and sports massage techniques t the foot, calf and upper leg. This
will not only help relieve the pain, ankle pain, plantar fasciitis and common form of artritis, but can also
decrease stress and anxiety in in the entire body. In addition, a variety of stretches can be beneficial.

5. Thai massage

Thai massage uses passive stretching and gentle pressure along the body‘s energy lins to increase
flexibility, relieve muscle and joint tension and balance the body‘s energy system. Thai massage is both
deeply relxing and energizing.