The Wiltshire School of Beauty and Holistic Therapy · 2017-07-07 · syringes or solutions, but does work better as a preventative so it is a good idea to have treatments before

The Wiltshire School of

Beauty and Holistic Therapy

Diploma in Thermal Auricular Therapy

Practitioner’s Training Manual

W: www.wsbht.co.uk E: [email protected]

T: 01793 73 77 33 M: 07824 337333

mailto:[email protected]

The Wiltshire School of Beauty and Holistic Therapy

Diploma in Thermal Auricular Therapy Training Manual © 2

CONTENTS

1. Aims & Objectives

2. Course Details

3. Thermal Auricular Therapy

4. Hygiene, Health & Safety

5. Related Anatomy & Physiology

6. Client Consultation

7. Contra-Indications

8. Contra-Actions

9. Aftercare

10. Equipment & Products

11. Storage & Insurance

12. Routine

13. What Happens Next?

14. Contact Details & Recommended Reading

15. Self Assessment

16. Notes

17. Accreditation



1. AIMS & OBJECTIVES

AIMS

The aim of this manual is to teach you the basics of health and safety, and anatomy and physiology in relation to this course. This manual also covers the background, benefits, treatments, consultation, contra-indications, contra-actions, aftercare, equipment and products needed. You will also learn the movements and techniques required to perform a professional treatment during the practical sessions.

OBJECTIVES

The objectives of this course are that by the end it, you will be able to perform a professional treatment in a safe and hygienic manner in a commercially acceptable time, along with experience of carrying out a consultation with the knowledge of the background, benefits, consultation, contra-indications, contra-actions, aftercare, equipment and products needed.

WSHBT advise you to read this training manual thoroughly along with other research before you take part in your practical

session.



2. COURSE DETAILS During this course you will learn how to perform a professional Thermal Auricular treatment. You will learn how to:

prepare the treatment area

prepare the client for treatment

carry out a client consultation

carry out a thermal auricular treatment

provide aftercare advice. You will also study:

related hygiene, health and safety

related anatomy and physiology

the history behind thermal auricular therapy

benefits of thermal auricular therapy

ear symptoms and treatments

client consultation

contra-indications

contra-actions

aftercare. You will already hold a qualification in Anatomy & Physiology or be a practising therapist. You will attend a four hour training session, where you will be taught the practical element of the course. Once you have successfully completed the course and training, you will receive The Wiltshire School of Beauty and Holistic Therapy Diploma in Thermal Auricular Therapy, accredited by the Guild of Holistic Therapists.

Good luck and enjoy!



3. THERMAL AURICULAR THERAPY The History of Thermal Auricular Therapy Thermal Auricular Therapy, also known as Hopi ear candling, is an ancient form of therapy practiced by many people on a worldwide basis. Its name is taken from the Hopi Indians of North Arizona, USA, and means 'peaceful people'.

Hopi candling is a very safe therapy and its popularity is growing as more people become aware of its positive benefits. Ear candles are an ancient and natural therapy handed down by many civilisations. They were used as far afield as Asia, the Siberian prairies and, most notably, native America. It is believed that the Ancient Greeks used ear candles, initially probably for cleansing, purifying and healing on a spiritual basis, but then, much later, on a purely physical basis. However, the practice reached the modern world via the native North American Hopi Indians. Ear candles were used traditionally by Shaman healers. Ancient wall paintings (such as those found within the caves of the Grand Canyon) show the importance of ear candling in initiation rituals and healing ceremonies of the tribe.

How Thermal Auricular Therapy Works The candles and cones used are special spiral shaped, and made from natural ingredients such as beeswax, honey extracts, St Johns Wort, sage and chamomile. Ear candling looks to remove blockages within the ear canal without the need for syringes or solutions, but does work better as a preventative so it is a good idea to have treatments before the ears become too impacted with wax. The spiral shape of the cone causes air to be pulled down into the ear. As it burns, the cone's ingredients turn to vapour and the airflow creates a vibrational effect. Warmth, vibration and vapour massage the ear-canal, breaking down any blockages and loosing the ear wax to allow it to come out naturally.



Benefits of Thermal Auricular Therapy Many conditions can be helped, including:

Glue ear

Sinusitis

Migraine

Tinnitus

Excessive wax

Vertigo

Blocked tear ducts

Cold and flu symptoms

Loss of sense of smell

Lymphatic circulation (can be increased)

Stress

Ear pain

Lack of hearing, or even taste and smell (can be enhanced)

Loss of pressure in the ear (caused by, for example, frequent flying/sports such as driving).



Ear, Nose and Throat Although the ears may appear to be isolated structures, they are directly linked to the nose and throat. The visible part of the ear, the pinna, is connected to the ear canal, which ends at the eardrum. Beyond this membrane lies the middle ear, an air-filled space connected to the back of the nasal cavity and to the throat by a channel called the Eustachian tube. This tube ensures that the air pressure is the same on both sides of the eardrum. Our ears provide us with two vital but very different senses: hearing and balance. Sound detected by the ears provides essential information about our external surroundings and allows us to communicate in highly sophisticated ways, such as through speech and music. In addition, our ears contribute to our sense of balance, the largely unconscious understanding of the body’s orientation in space that allows us to maintain an upright posture and move without falling over. Ear problems and infections can upset this delicate balance.

Ear Symptoms and Treatment Hopi Ear Candles have been effective at treating a number of conditions that are associated with the ear, nose and throat. These are listed below for your information.

Colds

Colds can occur at any time of the year, although infections are more frequent in the autumn and winter. The initial symptoms of a cold usually develop between 12 hours and 3 days after infection. Symptoms include:

frequent sneezing

runny nose

sore throat

cough.

Bacterial ear infections are a common complication of colds.

Hopi Care - We recommend that, whilst suffering from a cold, Hopi ear candles are used every other day for a week, Whilst these treatments will not cure a cold, they may help to clear congestion and ease discomfort.



Sinusitis

The sinuses are air-filled cavities around the nose and eyes. Within the lining of the sinuses are many mucus-secreting glands. Mucus passes continuously through narrow channels that lead from the sinuses to the back of the nose. Sinusitis is an inflammation of any of the sinuses. Sinusitis may be acute (developing and clearing up rapidly) or chronic (long term). The most common cause of sinusitis is a viral infection such as the common cold. If the channels connecting the nose to the sinuses become blocked due to the viral infection, mucus collects in the sinuses. Symptoms depend on which sinuses are affected and may include headache, pain, and tenderness in the face that tends to worsen when bending down. If symptoms do not improve within 3 days, you should consult your doctor. Hopi Care - In the first few days of acute sinusitis we recommend daily treatment. Monthly treatments may then help to prevent the severity and frequency of attacks. Chronic sinusitis will probably require a weekly treatment for the first month, then once or twice per month for a further 2-3 months.

Ear Blockage

Blockage of the ear canal by earwax often causes a feeling of fullness and irritation in the ear. Earwax, produced by glands in the ear canal, cleans and moistens the canal. Usually, wax is produced in small quantities and emerges naturally from the ear. However, if the canal becomes blocked with wax, it causes a feeling of fullness and discomfort, and sometimes hearing loss. Hopi Care - To help clear wax blockage, one treatment may be sufficient, however 2-3 may be needed depending on the extent of build-up. Regular treatments every 6-8 weeks may help to relieve and prevent excess build-up.

Chronic Secretory Otitis Media (glue ear)

This is a persistent collection of fluid in the middle ear, common in children under 8 years old. Sometimes referred to as glue ear the middle ear becomes filled with a thick, sticky, glue-like fluid. It is the most common cause of impaired hearing in children under the age of 8. The middle ear is normally ventilated by the Eustachian tube. However, if this tube becomes blocked, possibly as a result of infection, the middle-ear may fill with fluid. Often, the blockage persists, causing chronic (long term) Secretory Otitis Media.



The symptoms may develop gradually and may initially go unnoticed. The symptoms tend to fluctuate and tend to be worse in the winter months. They may include: partial deafness, immature speech for the child’s age, and ear infections. If symptoms persist for several months, grommets will probably be inserted under general anesthetic to allow air to circulate around the middle ear. Hopi Care - An initial treatment of once per week for 1 month may be sufficient. Regular monthly treatments thereafter may be beneficial.

Allergic Rhinitis

Allergic rhinitis is the inflammation of the membrane lining the nose and throat due to an allergic reaction. It affects people who experience an allergic reaction after they inhale specific allergens. Allergic rhinitis may occur only in the spring and summer, in which case it is known as seasonal allergic rhinitis or hay fever, or it may even be perennial, which would mean it would occur all year round. The symptoms of allergic rhinitis can include:

itchy sensation in the nose

frequent sneezing

blocked, runny nose

itchy, red, watery eyes. Allergic rhinitis is more common in people who also have other allergic conditions such as asthma. Hopi Care - Dependent upon the severity of the condition, 2-3 Hopi ear candle treatments may be needed in the first week, then 1-2 times in the next 2-3 weeks. A monthly treatment may help to reduce the frequency or severity of attacks.

Tension Headaches

Moderate or severe pain affecting one or more areas around the head, often as a result of stress. Hopi Care - The pressure relief and relaxation brought about by a Hopi ear candle treatment can really help this condition. The frequency of treatment will depend upon the severity of the condition.



Tinnitus

Tinnitus is sounds heard in one or both ears in the absence of any external noise. People with tinnitus hear sounds that originate within the ear itself. These sounds may include ringing, buzzing or whistling. Hopi Care - Hopi ear candle treatment can help to reduce the symptoms of Tinnitus by aiding relaxation, however there is no known cure for Tinnitus and whilst some sufferers may find Hopi beneficial, others may not.

Ménière’s Disease

Ménière’s Disease (pronounced min-years) is a disorder of the inner ear that can affect hearing and balance. It is characterised by episodes of dizziness and tinnitus, and progressive hearing loss, usually in one ear. It is caused by an increase in volume and pressure of the endolymph of the inner ear.

Hopi Care - Hopi ear candle treatment can help to reduce the symptoms of Ménière’s by aiding relaxation, however there is no known cure for Ménière’s and whilst some sufferers may find Hopi beneficial, others may not.

http://en.wikipedia.org/wiki/Dizziness

http://en.wikipedia.org/wiki/Tinnitus

http://en.wikipedia.org/wiki/Endolymph

http://en.wikipedia.org/wiki/Inner_ear



4. HYGIENE, HEALTH & SAFETY

Maintaining a high standard of hygiene is essential. Whether you intend to work for yourself as a self employed therapist or as part of a salon, clients will not return if the salon, treatment area, or equipment is not clean. Your hands should always be washed after you have carried out the consultation, before you commence the treatment, and then again once treatment has been completed. Spillages should be cleaned up immediately, with a floor sign if the floor is still damp. The therapist should have a good access to their trolley and any product they are using. Dirty towels should always be placed in a covered bin after use on each client. If you are working in a salon, it is a legal requirement for employers to display an approved health and safety poster or to supply employees with an equivalent leaflet or information. If you employ 5 or more members of staff, it is law that you provide a health and safety policy.

Salon/Treatment Area Hygiene

Clean the salon thoroughly, daily.

Clean the treatment area before and after every client.

Use clean fresh smelling towels for each client, (dirty linen must be laundered at a minimum of 60◦C).

Creams, lotion and sprays should be dispensed from purpose-specific pump or spray bottles where possible, otherwise use a clean disposable spatula to remove products from bottles/jars.

Replace all lids after removing products from the bottles/jars.

Sterilise all tools.

Empty bins and dispose of contents accordingly.

Check all the plugs and wires on electrical equipment and make sure they conform to British Standards, and are professionally checked annually.

Make sure all fire exits are clear and accessible.

Make sure your client’s personal belongings are safe.

Protect client’s clothing by using towels. The towels may also be used to preserve the client’s modesty during the treatment.

Read all labels and follow all manufacturer’s instructions.

Know the hazardous warning signs.

Store products safely and in accordance with safety data sheets.



Carrying out a Risk Assessment

There is a legal requirement to provide a safe environment for staff and clients who may be using your premises. Carrying out a risk assessment will identify any hazards that could potentially cause harm. It is important that risks (hazards that are likely to cause harm) are minimised and that all staff are trained in the event of an accident. There are some potential salon hazards that will require a regular risk assessment, such as the space, any equipment and the security of people and money. This should be carried out by a nominated person/team, who will determine the severity of risk and put measures in place to reduce or prevent risks. Any chemicals that are being used should follow a procedure where they are stored, handled, and disposed of correctly, with accurate up to date records of which chemicals are being used. Systems should be reviewed regularly and updated if necessary and all staff, new and existing should be provided with up-to-date training on emergency procedures. Health and safety should not be the responsibility of “someone else”. Everyone has an obligation to support and protect each other. Records should be kept up-to-date, and spot checks should be carried out regularly. Staff should be supported and encouraged to give feedback to management and provide suggestions on improvements. By having an “open door” policy, suggestions can be made on ways to continually improve the safety for everyone. If there is ever a security breach, then the salon manager/owner must be informed, and then the salon procedure should be followed, which could involve witness statements, calling the police, notifying the data protection registry if applicable and also clients of the security breach.



5. RELATED ANATOMY & PHYSIOLOGY THE EAR AND ITS FUNCTION Our ears do more than just allow us to hear. They also help us to keep our balance, and it’s not until we have an ear infection or blocked ears that we appreciate this. The ear is made up of three main sections; the outer-ear, middle-ear and inner-ear. Each part has its own function. The outer-ear is made up of the pinna, which basically acts as antennae for collecting and trapping soundwaves. This is the part of the ear we can see, and is made up of cartilage and soft tissue. From here, soundwaves travel along the auditory canal, which is about an inch in length and diameter, into the middle-ear. Here, the soundwaves strike the ear drum (tympanic membrane), which causes the eardrum to vibrate and pass the vibrations onto the three smallest bones in the body; the ear ossicles. These ossicles then allow the sound to be changed to a mechanical vibration, which is amplified and sent into the inner-ear, where the cochlea is found. Alongside the cochlea are the semi-circular canals which control our balance. The cochlea is a fluid-filled organ which contains sensory hearing cells that changes the sound from mechanical vibration into electrical impulses. Travelling along the auditory nerve, the impulses are then sent to the brain, which then allows the brain to make sense of what it is we have heard.

The Eustachian tube is an important part of the ear when it comes to carrying out this treatment. The tube runs from the front wall of the middle ear down to the back of the nose and throat. Its main function is to provide ventilation and access to the air outside, as well as to equalise the air pressure on both sides of the eardrum. Children are more prone to ear infections, and also a condition called glue ear, because their Eustachian tube is shorter and narrower than an adults.



FACIAL MUSCLES The face has several relevant muscles. Below is a chart of their names, position and action.

Name Position Action

Frontalis Upper part of the cranium

Elevates eyebrows; draws the scalp forwards

Corrugator Inner corner of eyebrows

Draws eyebrows together (frowning)

Procerus Top of nose between eyebrows

Depresses the eyebrows (forms wrinkles over bridge of nose)

Orbicularis Oculi

Surrounds the eye Closes the eye (blinking)

Nasalis Over the front of nose Compresses nose (causing wrinkles)

Temporalis Runs downs the side of face towards jaw

Aids chewing; closes mouth

Masseter Runs down and back to the angle of the jaw

Lifts the jaw; gives strength for biting (clenches the teeth)

Buccinator Forms most of the cheek and gives it shape

Puffs out cheeks when blowing; keeps food in mouth when chewing

Risorius Lower cheek Pulls back angles of the mouth (smiling)

Zygomaticus Runs down the cheek towards the corner of the mouth

Pulls corner of the month upwards and sideways

Quadratus labii superiorus

Runs upward from the upper lip

Lifts the upper lip; helps open the mouth

Orbicularis Oris

Surrounds the lip and forms the mouth

Closes the mouth; pushes lips forwards

Mentalis Forms the chin Lifts the chin; moves the lower lip outwards

Triangularis Corner of the lower lip, extends over the chin

Pulls the corner of the chin down

Platysma Front of throat Pulls down the lower jaw; angles the mouth

Sterno – mastoid

Either side of the neck Pulls head down to shoulders; rotates head to side; pulls chin onto chest



Diagram of some of the Facial Muscles

SINUS CAVITIES There are four pairs of sinus cavities that are in the facial part of the skull, and it is possible for them to become blocked or infected. One of the main functions of the sinus cavity is to trap dust from the air, but they also add resonance to the voice. The mucus that the sinuses produce is required for cleaning the membranes of the nose and throat. When the cavities become blocked the area is very painful, producing tightness behind the eyes and ears. The cavities are found below the eyes (maxillary), above the eyes (frontal), between the eyes (ethmoid) and further above the eyes (sphenoid).



BONES OF THE SKULL & FACE The adult skull is usually made up of 22 bones. Many of them are small bones that make up larger ones. The most significant to you are:

Name Position

Frontal Makes up your forehead and also the roof of your eye sockets; joins with the parietal and temporal bones

Parietal Forms the roof and sides of the cranium

Occipital Situated at the back of the cranium

Temporal Situated on both sides of the cranium

Sphenoid Located at the front of the temples; contains a sinus cavity and houses the pituitary gland

Ethmoid Forms the roof of the nasal passage

Nasal Forms the bridge of the nose

Lacrimal The most fragile bone of the face and is part of the eye socket

Maxilla Forms the upper jaw and is the largest facial bone

Mandible Forms the lower jaw and is the strongest of the skull

Zygomatic Forms the angle of the cheeks



6. CLIENT CONSULTATION A consultation should always be carried out with your client on the first treatment, and should be a working document, being added to when circumstances change. The consultation will take many forms, one of which is a written document in the style of a medical questionnaire that you can carry out with your client. Here you will find out important and confidential information that will help you and your client devise the best treatment plan. Consultation will cover:-

Introduction

Personal details

Medication

Allergies

Contra-indication/contra-actions

Reasons for treatment

Products used

After care advice

Next appointment/recommendations Verbal and written communication is not the only form to take place, but body language will play an important role. The client may be fearful or not know what to expect on a first treatment, so you will be able to pick up their true feelings by paying careful attention to their body language. First impressions count, as a therapist you must be:-

Friendly

Happy/smiley/approachable

Confident in yourself and your knowledge of the treatment

Give confidence to your client As well as completing the consultation form, you will also carry out a visual and manual consultation with your clients. You must keep all your client records for future treatments. They must be confidential and kept in a locked cabinet, to ensure you follow the Data Protection Act, and for at least five years, after that they can be shredded safely. It is essential clients feel secure with the confidential information that they divulge to you as it could be of a sensitive nature. All clients have access to their own records and can ask to see them at any time. Treatment cards should be kept up-to-date, stating the treatment carried out, date and any product that you have used.



Always ensure you encourage your clients to give you feedback on your treatments. This can be done in many ways, such as suggestion boxes, anonymous questionnaires or on the consultation form. Make sure you act upon feedback that has been given to you, which will improve the client satisfaction, as well as repeat business. If a client does feel the need to complain, always act in a professional and courteous manner, and refer to the salon manager if applicable. If you are working as a self employed therapist, you have the option to offer another treatment at a reduced price. Ensure you record the complaint promptly and how you resolved it. By carrying out feedback, you can then reflect upon your own practice and learn how to improve the service that you offer. You could carry out peer observations on your colleagues (even if self employed) and learn assess your own strengths, weaknesses and opportunities.

Record Keeping Records must be maintained for a number of reasons:

They provide contact details in case you have to alter or cancel an appointment.

So that you can monitor the client’s progression.

To track any aftercare advice that you have given the client.

As a backup in case the client has an adverse reaction to a treatment.

Another therapist should be aware of what treatments and products the client has had.

Client records can be stored electronically or filed manually and should be updated at every visit. If record cards are not updated and do not contain a history of services and dates, you may find your insurance invalidated. Records cards must be kept for three years, as medical claims can be made up for up to that period. If a client is under 21 years of age, it is recommended that their record card be kept until they are 21 years of age.

Client confidentiality must be protected at all times. If a salon holds computerised records, they must register with the Data Protection Register. If a salon only holds written records, this does not apply, but they must uphold the principles of the Data Protection Act and comply with the following:

All info information must be accurate and necessary to the service or treatment to be performed.

Individual client records must be available for the clients to view if requested.



All information must be stored securely by password protected computer file.

Any contra-indications and possible contra-actions must be identified and discussed prior to the service. In the case of medical referral, the practitioner should keep a copy of the GP’s letter with the client’s record card.

Always allow the client the opportunity to question and clarify any points before signing the record card.

On the following pages are examples of consultation forms which you can adapt to suit you.



Private & Confidential Client Consultation Form

Client Details Client Ref: Telephone Number: Address: Mobile Number: Occupation: Postcode: Date of Birth: Email: Gender:

Medical History Do you or have you ever suffered from: High/Low BP yes/no Perforated eardrum yes/no Headache/migraine yes/no Ear grommet(s) yes/no Earache yes/no Cochlea implant(s) yes/no Tinnitus yes/no Infectious condition yes/no Glue ear yes/no Eczema/dermatitis yes/no Excess/compacted wax yes/no High temperature yes/no Catarrh yes/no Toothache yes/no Hay fever yes/no Recent head/neck injury yes/no Cold yes/no Under influence of drugs/alcohol yes/no Sore throat yes/no Recent operation/scar tissue yes/no Snoring yes/no Cysts/lumps yes/no Pressure problems yes/no Are you pregnant? yes/no Ménière’s disease yes/no yes/no

Allergies: Phobias:

What therapies have you experienced to date? GP Referral Required? GP Name: Practice Name: Telephone Number: Address:

General Health / Lifestyle General Health: Energy Levels: Stress Levels: Sleeping Patterns: Hours per day: General Diet: Alcohol: …… units per week Water: …… litres per day Smoker: Yes/No …… per day Hobbies, relaxation and exercise (type/frequency): Additional Comments:

CLIENT STATEMENT & AGREEMENT

I acknowledge that all the information on this consultation sheet above my signature is accurate and correct to the best of my knowledge. I accept full and complete responsibility for my own emotional and/or physical well being both during and after this therapy and/or training session. I agree to inform the therapist of any changes to my circumstances during any subsequent treatments. I realise that any advice given to me to carry out between sessions is important and I agree to make every effort to carry this out. I understand that no claim to cure has been made and realize that treatments should not replace conventional treatments. Signed: (Client) Date:



Private & Confidential Client Treatment Record

Client Ref: ………………………………………….

Date: Treatment:

Comments: Have there been any changes to your circumstances, medication and general health since your last treatment?

Client declaration: I declare that the information I have given is correct and to the best of my knowledge I can undertake treatments without any adverse effect. I have been fully informed about contra-indications and I am therefore willing to proceed with treatment.

Signed (Client):

Date:

Date: Treatment:



Signed (Client):

Date:

Date:

Treatment:



Signed (Client): Date:



7. CONTRA-INDICATIONS

As with any therapy, it is essential that the therapist carries out an in-depth consultation to be able to assess and determine if there are any contra – indications. A contra-indication is the presence of a condition which may make the client unsuitable for a treatment. The treatment may not be able to take place or the treatment may need to be adapted.

When treating a client, if they show signs of any contra-indication prior to the treatment taking place, then advise the client to get a letter from their GP, granting permission for you to treat them. This way you are always protecting yourself and the client.

There are certain conditions that will prevent treatment occurring, or require a letter of approval from the clients GP. These are as follows:-

High/Low blood pressure – clients should have medical referral prior to treatment, even if they are on medication. There is a risk of a thrombosis (blood clot) which could travel to the brain.

Epilepsy – due to the complexity of the condition, medical advice should always be sought before treating a client. There is a theoretical risk that over stimulation or deep relaxation could provoke a convulsion (this has never been proven in practice).

Undiagnosed lumps, bumps, swellings – the client should be referred to their GP for a diagnosis. Treatments such as massage may increase the susceptibility to damage in the area by the pressure and motion.

Intoxication – the increase in blood flow to the head can cause dizziness.

Allergies – ensure that any oils or products used do not contain substances to which the client is allergic.

Perforated eardrum.

Grommets.

Cochlear implants – a type of hearing-aid implanted in the cochlea.

Infection of the outer/inner-ear.

High temperature/fever/heavy cold.

Auricular Cysts



Recent head or neck injury.

Pregnancy - it is advisable to avoid treatment during the first three months. Some pregnant women may experience dizziness, so caution should be taken after the treatment.

Children - Always have a parent present when treating, and you must have a doctor’s referral letter.

The following conditions will require caution when treating:

Toothache

Serious medical conditions

Disorders of the nervous system

Recent operations/scar tissue

Bruising

Sunburn



8. CONTRA–ACTIONS

Contra-actions are adverse reactions a client may experience during or after a treatment. You must explain to your client what, if any, reactions to expect during/after a treatment.

With all contra-actions tell your client that if they do not improve within 24 hours to get in touch with their GP for advice.

Below is a list of what contra-actions that could occur during or after a Thermal Auricular Therapy treatment:

crackling of excess wax

feeling of fullness in the ear

increased urination due to stimulation of circulation

increased thirst due to increased urination

increase or changes in bowel movement

headache due to the elimination of waste

increase in mucus from nasal passages as sinuses are draining following facial massage

change in sleep pattern - usually better

increased appetite due to increase of metabolic rate

increased sensitivity in terms of emotions

feeling of tiredness, often leading to feeling revitalised

relief of stress and tension in muscles and joints

temporarily impaired hearing.

It is important to explain that these symptoms are part of the healing process, sometimes called a “healing crisis”. The symptoms will pass and are an evident sign that the treatment has been beneficial.



9. AFTERCARE It is very important to give your client clear instructions about what to expect and what to do at home in order to get the best from their treatments. This will help prolong the effects of the treatment. Explain to the client the following points:

drink plenty of water to aid flushing out toxins

avoid eating a large meal for several hours as the body needs energy for healing

avoid smoking

avoid alcohol, tea and coffee

rest

avoid swimming for two days

reduce dairy products, as they can cause excess mucus.

It is essential to emphasise the importance of aftercare. Clients must be provided with clear written aftercare instructions to prevent adverse reactions and know how to deal with them. The client should sign to confirm that they will follow the aftercare regime and, if they are unwilling to do so, the treatment should not be carried out.

It is always good practice to give your clients a leaflet explaining the advice, this way you make sure they know and understand what to expect. Finally, ask the clients for feedback on the treatment; fill in their record card on your findings and ask when they would like to rebook.



10. EQUIPMENT & PRODUCTS It is advisable to use a massage couch for both comfort to your client and yourself. It is wise to get a couch that can be height adjusted for the sake of your back and one that allows you to sit comfortably with your legs underneath it. Check the location of fire alarms as some candles may trigger them off Have everything ready before you start the treatment. All items should be in easy reach and on a clean trolley. You will need:

one pair of filtered ear candles or cones

a lighter/matches to light the candle

a bowl of water in which to extinguish the ear candles after use

cotton buds to gently wipe away any powder residue

tissues

a cloth, such as flannel or muslin with a hole for the ear, to protect clothing

massage oil

a clock to time candle burning

a bolster to place between the client’s knees

a blanket to keep the client warm

consultation form and pen

drinking water and a glass.

Gentle music is not necessary as it can overload the senses and distract from the pleasant sound of the candle burning, but lights should be dimmed if possible.



11. STORAGE & INSURANCE

STORAGE Make sure you receive a copy of Material Safety Data Sheets (MSDS) from your suppliers. All staff must be trained on the use of products and equipment. Training manuals and information leaflets should be accessible to all staff. Store your products correctly by following the guidance on the MSDS. Carry out a risk assessment on each product or COSHH report if required. Keep products in original containers where possible and ensure any decanted products are fully labelled in smaller, purpose built containers. Keep all flammable products out of direct sunlight and at room temperature or below. Mobile therapists must make suitable travel arrangements to avoid spillage and ensure safe working practice, and be professional in appearance.

INSURANCE

There are several types of insurance that are potentially relevant to you as a therapist. The most important are the ‘Professional Indemnity Insurance’ and ‘Public Liability Insurance’. Both of these are necessary in the unlikely event that a client decided to sue you.

Public Liability Insurance - This covers you if a member of the public, i.e. a client or passerby is injured on your premises or if their personal property is damaged in any way.

Professional Indemnity Insurance - This protects you should a client decide to sue you claiming personal injury or damage as a result of treatments carried out by you.

Employer’s Liability Insurance - This is only necessary if you hire others to work for you. This type of insurance would cover you should a member of your staff have an injury on your premises.

Product Liability Insurance - This insurance is important if you plan to use, manufacture or sell products as part of your business. This will protect you in the event that a client is dissatisfied with the product or experiences a reaction to using the product.

Car Insurance - If a car is used for business purposes, ensure that this is covered by the policy and that theft of equipment is included.



12. THE ROUTINE The full procedure should take around 40 -45 minutes

The room should already have been prepared in advance with all equipment to hand.

Carry out a full consultation.

Ask the client to lie on their back, with a pillow if necessary for comfort.

Step One - Initial Grounding (approx 6 minutes)

1. Place both hands lightly on the client’s crown chakra (top of head). Take a

few deep breaths, and ask your client to take a few deep breaths.

2. Move your hands down and place lightly over the client’s ear, and hold for a few moments.

3. Move your hands back to the crown chakra and leave for a few more moments, breathing deeply and slowly.

Step Two – Stimulation of Face Pressure Points (approx 10 minutes)

Ear candling treatments can be enhanced by the pressure points. Please follow the points on the separate diagram. Step Three – Ear Candle Application (approx 20 minutes)

1. Look inside the ear for any obstructions, and place the cloth over the ear.

2. Light the candle away from the client and place gently into auditory canal, with the candle seam facing towards the client’s face.

3. Holding the candle gently between your fingers, keep it as upright as possible. The client will experience a warmth, but also crackling sensation.

4. Keep the candle in place until it has burnt down to about 1cm above the label, which is about 2/3rds down.

5. Remove the candle and extinguish it in a glass of water.

6. Very gently, clean around the outside of the canal using a bud. Never push the bud into the ear.

7. Ask the client to turn over and repeat the procedure with the other ear.

8. Allow the client to lie back, and then massage up the back of the ear. Pull and stretch the ear, massage down the front of the ear towards the neck with the oil.



Step Four –Stimulation of Face, Cranium & Neck (optional) (approx 10 minutes)

Ear candling treatments can be enhanced by massage of the face, neck, scalp and ears, together with pressure points. Please follow the points of the separate diagram which you will be issued with on your practical training.



13. WHAT HAPPENS NEXT? Once you have completed the course satisfactorily, you will be awarded The Wiltshire School of Beauty and Holistic Therapy Diploma in Thermal Auricular Therapy. The school is available for support and guidance during and after your training. Further training or refresher sessions are available if required.



14. CONTACT DETAILS & RECOMMENDED READING

CONTACT DETAILS Head of Holistics : Allie Maisey Address : 706 Delta Office Park

Welton Road Swindon Wiltshire SN5 7XS

Telephone : 01793 73 77 33 Mobile : 07824 337333 email : [email protected]

Website : www.wsbht.co.uk Recommended Reading Ear Candling in Essence Lesley Hart & Mary Dalgleish Hodder Arnold ISBN 9780340926949 iro £14.99

Like us on Facebook or follow @wsbht on twitter



15. SELF ASSESSMENT

Do I have a good understanding of: Hygiene, health & safety □

Basic anatomy and physiology □

Contra-indications □

Contra-actions □

Equipment & products □

Aftercare □

Routine □

Can I: Set up my area □

Complete a thorough consultation □

Complete a thermal auricular therapy □

Give aftercare advice □

Well done!



16. NOTES



17. ACCREDITATION

This course is accredited by:

The Guild of Beauty Therapists

The Guild of Holistic Therapists

Professional Beauty Direct

Associated Beauty Therapists WSBHT is registered with UKRPL

UK Register of Learning Providers No: 10027055

Medical Disclaimer It is advised that you take medical advice if you or any of your clients have a health problem. Any qualification from WSBHT will not qualify you to advise on any medical condition or to diagnose a condition.

Liability WSBHT will accept NO liability for any person for any type of loss or damage whatsoever resulting from the use of materials within any course held by WSBHT. Copyright All copyright and other intellectual property rights in these materials are owned by or licensed by WSBHT. Copyright, adapting or other use of all or part of these materials without written permission of WSBHT is strictly prohibited.

Documents

The Wiltshire School of Beauty and Holistic Therapy · 2017-07-07 · syringes or solutions, but does work better as a preventative so it is a good idea to have treatments before