Professional Documents
Culture Documents
TVL
Wellness Massage
NCII
Quarter 1 – Module 5/Week 6:
Plan the Wellness Program of
Client/s
Republic Act 8293, section 176 states that: No copyright shall subsist in any work
of the Government of the Philippines. However, prior approval of the government agency or
office wherein the work is created shall be necessary for exploitation of such work for profit.
Such agency or office may, among other things, impose as a condition the payment of
royalties.
Borrowed materials (i.e., songs, stories, poems, pictures, photos, brand names,
trademarks, etc.) included in this module are owned by their respective copyright holders.
Every effort has been exerted to locate and seek permission to use these materials from
their respective copyright owners. The publisher and authors do not represent nor claim
ownership over them.
Wellness Massage
NC II
Quarter 1 – Module 5/Week 6:
Plan the Wellness Program of
Client/s
Introductory Message
For the facilitator:
Welcome to the TLE/TVL - Wellness Massage NCII Self-Directed Learning Material (SDLM)
on Plan the Wellness Program of Client/s!
This module was collaboratively designed, developed and reviewed by educators both from
public and private institutions to assist you, the teacher or facilitator in helping the learners
meet the standards set by the K to 12 Curriculum while overcoming their personal, social,
and economic constraints in schooling.
This learning resource hopes to engage the learners into guided and independent learning
activities at their own pace and time. Furthermore, this also aims to help learners acquire the
needed 21st century skills while taking into consideration their needs and circumstances.
In addition to the material in the main text, you will also see this box in the body of the
module:
As a facilitator you are expected to orient the learners on how to use this module. You also
need to keep track of the learners' progress while allowing them to manage their own
learning. Furthermore, you are expected to encourage and assist the learners as they do the
tasks included in the module.
2
For the learner:
The hand is one of the most symbolized parts of the human body. It is often used to depict
skill, action and purpose. Through our hands, we may learn, create and accomplish. Hence,
the hand in this learning resource signifies that you as a learner is capable and empowered
to successfully achieve the relevant competencies and skills at your own pace and time.
Your academic success lies in your own hands!
This module was designed to provide you with fun and meaningful opportunities for guided
and independent learning at your own pace and time. You will be enabled to process the
contents of the learning resource while being an active learner.
What I Need to Know This will give you an idea of the skills or
competencies you are expected to learn in the
module.
3
Assessment This is a task which aims to evaluate your level of
mastery in achieving the learning competency.
1. Use the module with care. Do not put unnecessary mark/s on any part of the module.
Use a separate sheet of paper in answering the exercises.
2. Don’t forget to answer What I Know before moving on to the other activities included
in the module.
3. Read the instruction carefully before doing each task.
4. Observe honesty and integrity in doing the tasks and checking your answers.
5. Finish the task at hand before proceeding to the next.
6. Return this module to your teacher/facilitator once you are through with it.
If you encounter any difficulty in answering the tasks in this module, do not hesitate to
consult your teacher or facilitator. Always bear in mind that you are not alone.
We hope that through this material, you will experience meaningful learning and gain
deep understanding of the relevant competencies. You can do it!
4
What I Need to Know
This module was designed and written with you in mind. It is here to help you master the
lessons on Wellness Massage. The scope of this module permits it to be used in many
different learning situations. The language used recognizes the diverse vocabulary level of
students. The lessons are arranged to follow the standard sequence of the course. But the
order in which you read them can be changed to correspond with the textbook you are now
using.
This module was anchored on the Curriculum Guide in TLE/TVL - Wellness Massage NCII
under the Home Economics component.
Understand concepts related to the wellness program of clients.
LO1. Assess/Interview client
1.1 Identify vital information of the client
1.2 Explain wellness massage services and products
1.3 Explain the philosophy and science of wellness massage
1.4 Discuss the health and healing concept of wellness massage
1.5 Discuss the concept of wellness
1.6 Confirm wellness massage program
1.7 Update the client's records and documents
1.8 Evaluate client satisfaction
1.9 Check workplace qualities and procedure
5
What I Know
Multiple Choice:
Read and analyze each question carefully. Select the letter that corresponds to the best
answer and write it on a separate sheet of paper.
1. What process in 5S that keep your workplace clean by sorting and removing
everything that is not necessary?
a. seiketsu c. seiri
b. seiton d. shitsuke
2. Which process involves setting new standards for cleanliness. Everything must be
tidy and neatly arranged in its appropriate place?
a. shine c. systematize
b. sort d. standardize
3. Which of the following is the indication for massage?
a. cancer c. stress
b. epilepsy d. insomnia
4. It is something that may interact negatively with or a reason to avoid massage.
a. application c. indication
b. contraindication d. inflammation
5. What condition of the body wherein the area is becoming very red and hot or a rash
may appear?
a. inflammation c. infection
b. allergic reaction d. fragile skin
6. What contraindication affects a localized area of the body?
a. absolute contraindication c. local contraindication
b. general contraindication d. relative contraindication
7. Why should you need to understand the contraindication for massage?
a. To prevent any condition from getting worse.
b. There are dangers associated if certain conditions are present.
c. There is a risk of harming should the client be given a massage.
d. All of the above
8. What contraindication when under no circumstances should the client be given a
massage?
a. absolute contraindication c. local contraindication
b. general contraindication d. relative contraindication
9. Which of the following is a local contraindication?
a. bruises c. fever
b. cancer d. hypertension
10. Infections may be transmitted from client to therapist or from therapist to client
in this way. What kind of condition is this?
a. pins and plates c. cardio-vascular problem
b. lymphatic drainage d. skin contact and friction
6
Evaluate Client
Satisfaction
As a future massage therapist, you should be able to know what are the things that we have
to consider, especially in giving a massage. It is very much important to make our clients
safe and satisfied with the services given to them.
There are many considerations to follow, before and after giving a massage. It is our duty
and responsibility to give them safety and satisfying feelings.
What’s In
Let’s Review!
Give the correct answer to the following statement. Choose your answer from the box and
write it on a separate sheet of paper.
7
What’s New
DEFINITION OF TERMS:
What is It
MASSAGE INDICATION
As mentioned in the definition of terms that indication for massage is to provide someone
with a massage. The reason for giving them such treatment would be if they have pain or
tension in parts of their body.
Some of the general indications for massage include the following:
back pain,
neck or shoulder pain,
muscle spasm,
muscle weakness,
whiplash,
nerve injuries,
carpal tunnel syndrome,
sciatica,
poor circulation,
arthritis,
stress and anxiety,
constipation,
headaches and migraines,
sinus disorders
8
Benefits of the massage include:
relieve stress
lessen or reduce headaches
reduce edema (swelling in extremities not related to congestive heart failure)
strengthened immunity
improved mental function
improve range of motion (ROM)
reduce low back pain
MASSAGE CONTRAINDICATION
Absolute Contraindication
Something is an absolute contraindication when under no circumstances should the client be
given a massage. An example is that when someone has deep vein thrombosis under no
circumstances should they receive a massage to the lower calf.
Relative Contraindication
Something is a relative contraindication when there is some danger associated with the
provision of massage, but massage may be modified to provide safe treatment. An example
is a massage to the site of a recent injury where massage may be extremely useful and
effective but can only be provided by a suitably qualified therapist who can avoid any strokes
that would damage the newly healing tissues.
General Contraindication
Something is a general contraindication when the contraindication affects the entire body.
Local Contraindication
Something is a local contraindication when the contraindication affects a localized area of
the body.
UNDERSTANDING CONTRA-INDICATIONS
Massage must always be given to bring about improvement, either of specific conditions or
the general well-being of each client. Clients should always feel that the treatment is
beneficial and helping them to achieve their desired results. Massage should never be given
if there is any risk of harming the client or making any condition worse.
9
The effects of massage may be harmful in certain circumstances. The following explanations
will help you to understand why massage should not be carried out if certain conditions are
present. There are dangers associated with the following:
1. Cardio-vascular problems
Massage is thought to increase blood flow, which is desirable in many conditions but can
be dangerous in others.
2. Lymphatic drainage
The lymphatic system removes excess fluid from all over the body, returning it into the
bloodstream. Because massage increases lymphatic flow, the rate at which these toxic
substances are carried and spread around the body is increased. Be particularly aware if
the client has swollen or painful lymph glands; do not massage, and seek medical
advice.
6. Allergic reactions
The oil or cream etc. used as the massage medium may cause an allergic reaction
in some clients. This will produce excessive erythema: the area becoming very red
and hot or a rash may appear. Remove the medium immediately and wash it in
warm water.
7. Fragile skin
There is always a danger of breaking down fragile, thin skin, causing open wounds.
Particular care must be taken with diabetics and anyone on steroid treatments as
the skin may be fragile and healing may be slow. Plenty of lubrication and light
pressure only must be used.
8. Infections
It is common sense to avoid touching anything infectious such as athlete‘s foot,
eczema and also to treat someone if they have a contagious disease such as
chicken fox.
10
9. Inflammation
Deep massage worsens any type of inflammation, whether an inflamed injury,
irritable bowels or an inflamed arthritic joint,. Indications of inflammation include
heat, pain or discomfort, swelling, and redness. Light, gentle stroking, however,
may offer some relief and comfort. Threat undiagnosed inflammation under the skin
(any unusual lump or bump) with caution, It may indicate a cyst that might burst or,
more worryingly, a cancerous growth.
10. Cancer
One school of thought postulates that massage can spread cancer through the
lymphatic system. While this remains unproven and there is much evidence to
dispute the theory, it is a good idea to obtain permission from a doctor before
massaging people with cancer.
If you have these massage contraindications and you want a massage you should let your
therapist know about them. Hopefully, the massage therapist can work around these areas.
However, if they prove too severe massage may not be appropriate. In that case, the
therapist reserves the right to refuse treatment to ensure the maintenance of health
standards.
Other massage contraindications are more specific. You cannot get a massage if you have
these conditions because massage could cause these conditions to flare up making your
problem worse. Here are the conditions that fall into these categories;
Fever
Anytime you have a fever, whether from a cold, the flu or some other infection, you should
not get a massage. Massage increases circulation that may in turn help the infection
increase the severity of the fever and the infection.
11
Contagious Diseases
If you have a contagious disease you are putting your therapist and even your therapist’s
other clients at risk of getting it. Please be considerate to your therapist and cancel your
massage if you come down with a contagious condition.
Blood Clots
Massage can loosen blood clots. This could be dangerous because the clot could migrate to
the brain, lungs or heart. If you are aware of any blood clots, consult your doctor before the
massage to make sure that it will not be affected by massage therapy.
Pregnancy
Unless a therapist has been trained in prenatal massage, pregnant shouldn’t women should
not have massage treatment. It’s especially risky in the first 3 months of pregnancy. RMT
Kathy Pantalon is a Certified Doula and is well qualified to do pre and post natal massage.
Please give us a call to find out which therapist is the right one for you.
Kidney Conditions or Liver Conditions
Massage can put increased strain on both the liver and kidney if they are not functioning
normally. This occurs because massage increases blood flow, increasing the movement of
waste through the body. If you are experiencing a health problem with either your kidney or
liver, likely, massage will not be appropriate for you. Talk to a health care professional to see
if massage will aggravate any kidney or liver condition.
Cancer
Though massage is good at relieving some of the discomfort caused by cancer, it should
only be given by someone trained to work with cancer patients. The patient should obtain a
release form from his/her doctor to get treatment.
Inflammation
If you have inflammation of any kind massage to the area will further aggravate the situation.
Uncontrolled Hypertension
Massage increases blood flow. If you have high blood pressure that is not under control, the
increased blood flow that is a result of massage therapy may cause problems.
12
WHAT ARE 5’S METHODOLOGY
The name 5S refers to a set of five terms borrowed from Japanese, all beginning with the
letter S when transliterated. The equivalent terms in English also begin with an S. In
essence, these five terms represent the five steps toward operational and process
excellence (2009-2020 - Simplilearn Solutions)
1. Seiri / Sort:
Separate required tools, materials, and instructions from those that are not needed. Remove
everything that is not necessary from the work area.
2. Seiton / Store / Systematize:
Organize all tools, equipment, files, data, material, and resources for quick, easy location,
and use. Label all storage locations, tools, and equipment.
3. Seiso / Shine / Sweep:
Set new standards for cleanliness. Clean and remove all trash, grease, and dirt. Everything
must be clean, tidy, and neatly put in its appropriate place. Cleanliness provides a safe
workplace—and makes potential problems noticeable, e.g., equipment leaks, loose parts,
missing guards, loose paperwork, or materials.
4. Seiketsu / Standardize:
Engage the workforce to systematically perform steps 1, 2, and 3 above daily, to maintain
the workplace in perfect condition as a standard process. Establish schedules and set
expectations for adherence.
5. Shitsuke / Self-Discipline / Sustain:
Make 5S part of your culture, and incorporate it into the corporate philosophy. Build
organizational commitment so that 5S becomes one of your organizational values so that
everyone develops 5S as a habit. Integrate the 5S methodology into the performance
management system.
It is important to consider safety measures in the workplace. It is not the result of cleaning up
once a week or even once a day. It is the result of keeping the workplace cleaned-up all the
time. It is an essential factor in a good safety program, promoting safety, health production
and morale.
Besides preventing accidents and injuries, good housekeeping saves space, time and
materials. When a workplace is clean, orderly, and free of obstruction, work can get done
safely and properly. Workers feel better, think better, do better work, and increase the
quantity and quality of work.
13
What’s More
Directions: Fill in the blank to complete the sentence. Write your answer on a separate sheet
of paper.
1. During the _______________ of pregnancy, do not massage with any pressure on the
abdomen and lower back, this is the most common time for miscarriage.
2. Massage increases _______________, the rate at which these toxic substances are
carried and spread around the body is increased.
4. If you have _______________ that is not under control, the increased blood flow that is a
result of massage therapy may cause problems.
5. The oil or cream etc. used as the massage medium may cause an _______________ in
some clients.
6. If you have inflammation of any kind massage to the area will further _______________
the situation.
7. Avoid massaging if someone has just eaten, as the massage could make them feel
_______________.
8. Separate required tools, materials, and instructions from those that are not needed.
Remove everything that is ________________ from the work area.
9. _______________ all tools, equipment, files, data, material, and resources for quick, easy
location, and use. Label all storage locations, tools, and equipment.
10. Make 5S part of your _______________, and incorporate it into the corporate
philosophy.
14
What I Have Learned
Before giving a massage to a client, we should know first the indication and contraindication
to avoid danger to it. Some of the indications are
relieve stress
lessen or reduce headaches
reduce edema (swelling in extremities not related to congestive heart failure)
strengthened immunity
improved mental function
improve range of motion (ROM)
reduce low back pain
Contraindication means that massage treatment is not advisable or could not be carried out
due to the conditions that could put your client at risk and could also affect you and your
place of work.
Contraindications can be absolute, local, relative or general.
Absolute contraindication- Something is an absolute contraindication when under
no circumstances should the client be given a massage.
Relative contraindication - when there is some danger associated with the
provision of massage, but massage may be modified to provide safe treatment.
General contraindication- Something is a general contraindication when the
contraindication affects the entire body.
Local contraindication- Something is a local contraindication when the
contraindication affects a localized area of the body.
The following are the list of contraindications that was explained during discussions.
1. Cardio-vascular problems 9. Inflammation
2. Lymphatic drainage 10. Cancer
3. Skin contact and friction 11. Pregnancy and a full stomach
4. The healing process 12. Fever
5. Pins and plates 13. Contagious disease
6. Allergic reactions 14. Blood clots
7. Fragile skin 15. Kidney or liver conditions
8. Infections 16. Uncontrolled hypertension
15
What I Can Do
___________________________________________________________________
___________________________________________________________________
2. How will you extend your passion for massage as a future therapist to your client?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Scoring Rubric
16
Assessment
Multiple Choice:
Read and analyze each question carefully. Select the letter that corresponds to the best
answer and write it on a separate sheet of paper.
1. What process in 5S that keep your workplace clean by sorting and removing
everything that is not necessary?
a. Self-discipline c. Shine
b. Standardize d. Sort
2. Which process involves setting new standards for cleanliness. Everything must be
tidy and neatly arranged in its appropriate place?
a. Shitsuke c. Seiri
b. Seiketsu d. Seiton
3. What condition of the body wherein the area is becoming very red and hot or a rash
may appear?
a. inflammation c. infection
b. allergic reaction d. fragile skin
4. Why should you need to understand the contraindication for massage?
a. To prevent any condition from getting worse.
b. There are dangers associated if certain conditions are present.
c. There is a risk of harming should the client be given a massage.
d. All of the above
5. Which of the following is the indication for massage?
a. cancer c. stress
b. epilepsy d. insomnia
6. It is something that may interact negatively with or a reason to avoid massage.
a. application c. indication
b. contraindication d. inflammation
7. Infections may be transmitted from client to therapist or from therapist to client in this
way. What kind of condition is this?
a. pins and plates c. cardio-vascular problem
b. lymphatic drainage d. skin contact and friction
8. What contraindication affects a localized area of the body?
a. absolute contraindication c. local contraindication
b. general contraindication d. relative contraindication
9. What contraindication when under no circumstances should the client be given a
massage?
a. absolute contraindication c. local contraindication
b. general contraindication d. relative contraindication
10. Which of the following is a local contraindication?
a. bruises c. fever
b. cancer d. hypertension
17
Additional Activities
Word Search!
Look for the 10 words related to the indication and contraindication for massage. Copy and
write your answer on a separate sheet of paper.
1 6
2 7
3 8
4 9
5 10
18
Answer Key
19
References
“Implementing the 5S Methodology: The first steps Toward Workplace Efficiency”’ 2009-
2020 - Simplilearn Solutions, Accessed from
https://www.simplilearn.com/implementing-5s-methodology-to-achieve-workplace-
efficiency-article
“Indications and Contraindications for Massage: What You Need to Know” Sage Institute of
Massage. Accessed from http://www.sagemassage.edu.au/blog/indications-and-
contraindications-for-massage-what-you-need-to-know/
20
21