Good Practice Guidline On Reflexology

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  • Publication of Traditional and Complementary Medicine Division, Ministry of Health Malaysia.

    Good Practice Guideline on Reflexology

    For reflexologists

    practicing in Malaysia

  • First edition 2011

    Copyright 2011, Ministry of Health Malaysia.

    All rights reserved. No part of this book may be reproduced,

    stored, or transmitted in any form or by any means, electronic

    or otherwise, including photocopying, recording, internet

    or any storage and retrieval system without prior written

    permission from the publisher.

    Published by:

    Traditional and Complementary Medicine Division

    Ministry of Health Malaysia

    ISBN 978-983-44754-9-9

    Cover design by :

    Siti Noraisyah Bt. Adam

    Cover artwork by:

    Dr Syahrir Sukarno Mohd Fadzil

    Ministry of Health Malaysia

  • Preface vi

    Part I IntroductIon and general Issues 1

    1. Introduction 2 1.1. Definition 2 1.2. Treatment concept 2 1.3. Objectives of treatment 2

    2. General considerations 2 2.1. Record keeping 2 2.2. Ethical issues 3 2.3. Cleanliness and sterility 4

    3. Practice facilities 4

    Part II clIent care decIsIon-makIng model 5

    4. Section I - Evaluative Phase 6 4.1. History taking 6 4.2. Examination 6 4.3. To treat or not to treat? 6 4.4. Indications 7 4.5. Precautions in client handling 7 4.6. Contraindications 8

    5. Section II - Treatment Planning Phase 9

    6. Section III - Treatment Phase 10

    7. Section IV - Discharge Phase 11

    Part III conclusIon 12

    8. Conclusion 13

    9. References 13

    Contents

    Good Practice Guideline for Reflexology

  • 10. Appendices

    Appendix 1 - Glossary of terms 15

    Appendix 2 - Process of care: Evaluative 16

    Appendix 3 - Process of care: Treatment Planning Phase 17

    Appendix 4 - Process of care: Treatment Phase 18

    Appendix 5 - Process of care: Discharge Phase 19

    Appendix 6 Client Screening Form 20

    Appendix 7 Consultation Form 21

    Appendix 8 Consent Form 23

    Appendix 9 List of Potential Client Reactions to Treatment 24

    Appendix 10 Different Types of Hand Hygiene 25

    Good Practice Guideline for Reflexology

  • Acknowledgements

    Special thanks to every individual and organizations who have in one way or another contributed comments and advices during the preparation of this Good Practice Guideline on Reflexology.

    Good Practice Guideline for Reflexology

  • vi T&CMD

    Good Practice Guideline for Reflexology

    Preface

    The Good Practice Guideline on Reflexology has

    been prepared by a team of officers from Traditional

    and Complementary Division, Ministry of Health, and

    Reflexology practitioners, with reviewers from various

    disciplines and institutions. It is intended for reflexologists

    involved in administering the therapy especially for

    therapeutic purposes.

    In preparing the guideline, we discovered that information

    on benefits of reflexology is difficult to obtain. There are

    many aspects of reflexology that has not been proven by

    good clinical trials. Therefore, it is impossible to give a

    completely evidence based facts. Where good evidence

    is not available, we have used other reference sources

    that are recognized worldwide.

    Realizing the fact that the decision to administer

    reflexology rests solely on the attending practitioner; we

    hope that this guideline will be able to assist them to

    wisely prescribe the therapy after careful assessment of

    risk and benefit.

    This guideline is not meant to be regulatory, but rather to

    act as a guidance that will benefit reflexologists practicing

    in Malaysia.

    Maintaining Medical & Health Professionalism

  • T&CMD 1

    Good Practice Guideline for Reflexology

    Part I

    Introduction and general issues

  • 2 T&CMD

    Good Practice Guideline for Reflexology

    1. Introduction

    1.1. Definition

    Reflexologyisthestudyandpracticeoftreatingreflexpointsandareasin

    thefeet,handsandearsthatrelatetocorrespondingpartsofthebody,using

    precisehandandfingertechniquestoimprovebloodandenergycirculation,

    inducerelaxationandenablehomeostasis.

    1.2. Treatment concept

    Reflexologyisofferedasacomplementarytherapytoapatientsexisting/

    current allopathic treatment. It is not, and should not be an alternative

    therapy.

    1.3. Objectives of treatment

    To achieve therapeutic effect by improving blood and energy circulation,

    induce relaxation and enable homeostasis. These three outcomes can

    activatethebodysownhealingsystemtohealandpreventillhealth.

    2. General considerations

    2.1. Record keeping

    2.1.1. General

    All recordsshouldbeentered inchronologicalorderand

    enteredascontemporaneouslyaspossible.

    Recordsshouldnotbebackdatedoraltered.

    Correctionsoradditionsshouldbeinitialled&dated.

    Files should include all relevant, objective information,

    extraneousinformationshouldnotbeincluded.

    Recordsmustbecompletetoprovidethepractitionerwith

    informationrequiredforsubsequentclientcareorreporting

    tooutsideparties.

  • T&CMD 3

    Good Practice Guideline for Reflexology

    2.1.2 Legibility & clarity

    All records should be neat, organized and complete to

    provideadequateinformationrequestedbyasubsequent

    healthcareprovider, insurancecompany,and/orattorney.

    A dated record of what occurred on each visit and any

    significantchangesintheclinicalpictureorassessmentor

    careplanneedtobenoted.

    Allentriesshouldbewrittenininkortypewritten.

    Entries should not be erased or altered with correction

    fluid/tape/adhesivelabels.

    Ifthecontentsarechanged,thepractitionershouldinitial

    anddatesuchchangesinthecorrespondingmargin.

    All recordsmust be in a language that hasbeen agreed

    upon, i.e. Malay or English, typewritten or in a legible

    handwriting.

    The clients records are confidential and should be kept

    properly.

    2.2. Ethical issues

    2.2.1. At all times during the provision of treatment to clients, practitioners

    should;

    Adhere to guideline for ethical conduct (refer to Code

    of Ethics and Code of Practice for Traditional and

    ComplementaryMedicinePractitioners).

    Maintainsclinicalboundariesduringthetreatmentthrough

    appropriateconductandcommunicationwiththeclient.

    Demonstrates responsible and caring concern for the

    client.

    Respondsappropriately to theclientsemotional reaction

    totreatment.

    Elicit clients ongoing feedback on progresswith clinical

    outcomes and provides the client with appropriate

    educationonongoingcare.

  • 4 T&CMD

    Good Practice Guideline for Reflexology

    Maintain an updated documentation on the treatment

    providedandtheclientsresponsetoit.

    Maintaincommunicationwiththereferringclinicianorother

    healthcareprofessionalasappropriate.

    2.3. Cleanliness and sterility

    2.3.1. Practitionersmustalwaysmaintainagoodpersonalhygiene.

    2.3.2. Practitionersshouldwashhisorherhandspriortotheexamination

    ofclientsandstartingtreatment.

    2.3.3. Thepremiseandallequipmentsusedshouldbecleanedregularly

    andaftereachtreatmentsession.

    2.3.4. Practitioners are required to take appropriate measures for

    prevention of infection (e.g. the use of personal protective

    equipments-PPE1)andobserveproperhandhygiene2.

    2.3.5. Allinstrumentsusedshouldbedisinfectedandsterilizedaccording

    totherecommendedmethodsofsterilizationanddisinfection.

    3. Practice Facilities

    3.1. Eachpracticefacilityshouldhaveadedicatedroomfortreatmentwhichis

    equippedwithaheight-adjustable/recliningcouch,equipmenttrayortrolley,

    andproperwastebins.

    3.2. Treatmentroomsshouldbewelllightedandventilated.

    3.3. Thereshouldbearegularcleaningschedulewhichisdiligentlyadheredto

    keeptheenvironmentcleanandsafe.

    3.4. Thereshouldbepropermanagementofspillage,soiled/contaminatedlinen,

    anddisposalofsharpsandclinicalwaste.

  • T&CMD 5

    Good Practice Guideline for Reflexology

    Part II

    Client care decision-making model

  • 6 T&CMD

    Good Practice Guideline for Reflexology

    4. Section I - Evaluative Phase

    Thissectionisconcernedwithadequatepractitionerspreparationandappropriate

    engagement of the clients information into the clinical process. It provides the

    foundation of the practitioners treatment process. The steps revolve around the

    formulationandconfirmationofthehypothesisabouttheclientsproblem.Itbegins

    withdatagatheringthroughclientexaminationandalsoinvolvestheconfirmationof

    theclientsproblem,thecreationofasummaryofclinicalfindings,andthedecision

    of whether to pursue treatment. Below are the steps involved in this process of

    informationgathering(Appendix2);

    4.1. History taking

    4.1.1. Priortotakingtheclientshistory,determinewhethertheclienthas

    aspecificdiagnosisonarrival.Ifthereisaspecificdiagnosis,then

    thehistorytakingwillincludequestionsrelatingtothatcondition

    andwillfocusonelicitinginformationtoassesstheclientscurrent

    condition.

    4.1.2. If it is a walk-in client, without a specific diagnosis, begin by

    elicitinggeneralinformationthatwillclarifytheclientspresenting

    problemandsuggestadiagnosis.

    4.2. Examination

    4.2.1.