B4 – Provide Facial & Skin Care Treatment



NVQB28 – Provide Stone Therapy

|Therapist Name |Date |

|VTCT Number |Portfolio number |

|Client Name |Assessment |Yes |No |

|HSLO11 p |Standard |Summative |Formative |

|Male / Female New/ Existing | | | |

|(past records checked) | | | |

|H&SLO4 a,i,j,o,p |HSLO6 c,l |HSLO6 c,l |

|H&S LO5 c,e,l,m |General contra indication |Local contra indications |

|H&SLO6 n |May prevent full service |Service requiring adaption |

|Health & Safety check |( Bacterial infection |( Recent scar tissue |

|( Sterilised tools |( Viral infection |( Recent operation |

|( Hands sanitised |( Fungal infection |( Psoriasis |

|( Area free from obstruction |( Parasitic infection |( Eczema |

|( Adequate temperature |( Heart condition |(Varicose veins |

|( Adequate lighting |( Diabetes |(Sun burn |

|( Adequate ventilation |( Cancer |Temporary contra indications |

|( Materials disposed of in accordance to H & S |( High/low BP |Service may require adaption |

|regulations |( Undiagnosed lumps |( Medication |

|( Electrics checked |( Loss of skin sensation |( Bruising |

|( products dispensed correctly |( Deep Vein Thrombosis (DVT) |( Skin abrasions |

|( Stones disinfected |( Epilepsy |( Oedema |

|(Thermal tests |( Chemotherapy/Radio |( During Chemo/Radio therapy |

|(Follow Professional Ethics | |( Product allergies |

| | |( Pregnancy |

|HSLO6 d,n HSLO11 a |

|Lifestyle Question and Analysis (Questioning) |

| |

|Any medical history which may restrict or prohibit the service application? |

|Indicate any modification of treatment, or reasons why treatment could not be carried out: |

| |

|Currently taking any medication which may affect the appearance of the skin or skin sensitivity? |

| |

|Current dietary plan |

|HSLO4 h,l |

|HSLO6 e |

| |

|Pre treatment indemnity signature; information is correct at time of treatment: |

| |

|------------------------------------------- |

| |

| |

| |

| |

|Current fluid intake |

| |

| |

|Current Stress levels 1-4 |

| |

|Current exercise habits |

| |

|Smoker? |

| |

|Description of sleep patterns |

| |

|Treatment objectives |

|( Relaxation ( Balancing ( Uplifting ( Sense of well-being ( Local congestion (relief from tension |

|Treatment Areas |HSLO6 g,i,j |

| |Physical Characteristics(Visual) |

|( Face |( Mesomorph |

|( Neck, Chest & Shoulders |( Endomorph |

|( Abdomen |( Ectomorph |

|( Head |( Posture checked |

|( Arms & hands |( Posture abnormalities present? ________ |

|( Legs & Feet |( Skin Type assessed |

|( Back | |

|HSLO4 n, HSLO11 w | |

|Service Times: ( 75 mins ( 60 mins (30 mins | |

|HSLO7 c HSLO10 i |HSLO10 a |

|Products Used (Manual) |Equipment Used |

|( Basalt ( Marine |( Stone heater ( Cooling systems |

|( Marble ( Semi precious stones |( Accessories ( Stones |

|( Oil | |

|HSLO6 b,f,n,o HSLO 11 v HSLO 12 a,b,c,d |HSL11 c,d,e,f,m |

|After Care Advice |Techniques |

|( Recommended time intervals between services. |( Rotation of stones |

|( Modification of lifestyle patterns |( Alternation of hot and cold stones |

|(Encourage client to seek medical advice |(Hot stones only |

|(Time for questions |( Cold stones only |

| |( Combination of stone types and sizes |

| |(Chakras |

|Massage Techniques |Retail Opportunities |

|( Effleurage ( Petrissage ( Tapotement |( Products suitable to use at home |

|( Tapping ( Frictions (Tucking (Placement |( Progression of service plan |

|(Trigger points |( New product or service offered to the client |

|HSLO11 l |

|Client Evaluation e.g. polite, professional, capable. Explanation of treatment good/not enough. Please feel free to put any comments |

|down about the salon, therapist and treatments to enable us to provide a good service. Thank you. |

| |

| |

| |

|Client Signature Date |

|Therapist self evaluation |

|The technique I can do well is: |

| |

|I feel I need to improve on: |

| |

|I encourage my client to rebook for: |

|This is because: |

|Did they rebook with you? Yes/ No |

| |

|Therapist Signature Date |

|Assessor Feedback |

| |

| |

| |

|Oral questions asked relating to: |

|( H & S ( C.I’s ( Routine (Products ( Home care ( C.A’s ( Consultation |

| |

|Assessor Signature Date |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download