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					Reflexology Case study Three
Initial consultation 9/03/06
Client name Sex DOB Address Dr & Address Suzie Frayer (name has been changed for confidentiality) Female 7/11/1964 Concealed for data protection Concealed for data protection

Client reference 3

GP referral not required Client has never had a massage before & seems quite nervous.

Client Profile
A 42-year-old single female with no children. My client’s father passed away when she was very young, her mother & sister still live in Canada. Client has lived in England for the past 6 years & feels settled here with no intentions to go back to Canada. My client is self-employed & uses a computer for the majority of the time trading on the stock market. Her job is very intense & can have dramatic highs & lows depending on trading. Client feels she deals with the ups & down more effectively & is consciously operating to ensure work does not cause stress in her life. First impressions show this lady to be very bright & appeasing with a good sense of humour, she seems sensitive to the needs of others to the extent of being possibly being put upon. Her overtly bright expression & sunny disposition emulates a tower of strength, on the downside such a nature could constitute a brave face behind a smile in tough times. She comes across & very independent & self-sufficient & exceptionally giving & friendly. Client divorced for 2 years. Does not have contact with ex-husband who she lived with here in England & is happy with the arrangement. Client is very open to idea to help her with ailments & is willing to take on ways to improve her lifestyle for her health.

Lifestyle & diet
Alcohol Cigarettes Coffee/Tea Water Not very much, odd glass of wine with food No was never very good at it. 3 cups of decaffeinated & 1 cup of coffee a day 3 glasses of water daily No added sugar

Client has 3 meals a day including breakfast. Gets dizzy without breakfast Fresh fruit Fresh veg Protein Dairy Sweets 3 portions daily 2 portions daily Sourced from eggs, chicken & fish daily Cheese & milk in drinks Chocolate cake very often

Takes glucosamine as a supplement to help the arthritis in her knees. Hyperactive if drinks caffeine & sugar is known to affect her arthritis. Exercise consists of 2hr walk each day. Walks dog each day. Hobbies include walking the dog, painting (currently studying fine art part-time), drawing & reading. Client makes frequently for hobbies.

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Medical information
Sleep cycle is good & unbroken with 7-8 hours of sleep per night. Height Posture Blood pressure 5’ 8” Client gave impression she is not confident with this weight. Has slight lordosis & tends at a forward angle led by the upper body Average

Weight 12st

Bowel movements seem to be very good & regular at 7 per week. Operations in the past include surgery in 1973 when client was 9 years old on both knees to readapt misplaced kneecaps; client has two thick, prominent vertical scars across both knees. The kneecaps are higher than usual, readjustment was meant to prevent them from dislocating constantly. The operation did not have the desired effect & client now suffers from arthritis in the knees. She also suffers from lumbar & sacrum back pain & has done for many years. Client is prone to headaches; she spends much time in front of the computer & does not drink the desired amount of fluids. She is also prone to eczema although has not had an episode for a few years. Had chicken pox at a young age. Sugar appears to have a negative affect on clients knees & agitates her arthritis, her mother developed diabetes in her older age. Both mother, father have suffered from cancer, there has been a lot of cancer in the family. Father had spinal problems & was due an operation but sadly passed away. Sister & mother suffer with lower back pain, as does client. Client is often prone to sore throats & colds, although feels this is normal to others.

Overall reflexology treatment objectives
   Eases pain & tensions in lower back Release tension in knees Relax & promote deep sleep

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Reflexology treatment number 3A
Home stressors Work stressors 1 2 3 4 1 2 3 4 5 6 7 8 9 10 5 6 7 8 9 10

Date 09/03/06
rushing around to attend appointments

Reflexology treatment objectives
   Ease knee tensions & lower back pain: spine, knees, head, neck, hips Settle eczema on ear: ear, lymph nodes upper, spleen, lungs Reflexology treatment to generally relax & ground: Solar plexus, adrenal glands, pituitary

Foot observations Integumentary system
Client’s feet are quite warm with a slightly soft muscle tone with no particular odour. This could indicate a person with a good circulation but with a soft & sensitive nature. The majority of her feet are showing to be quite healthy in terms of colour except areas of yellow over the lungs & heels, a yellow hue is often indicative of frustrations & bitterness, it is also a sign of heightened toxicity in the system. Client’s toenails are quite thin with vertical ridges running across them; ridges can appear in the nails either vertically or horizontally & vertical ridges can often indicate poor general health for example poor nutrient absorption and/or iron deficiency. Looking at the areas of hard skin over both feet there is a predominance of yellowing hard skin over the lungs, left shoulder & heels. It has been suggested that eczema & asthma are interlinked & although my client does not & has not suffered from asthma she does however often get eczema over her ears. She is currently suffering from eczema on her ears & it will be interesting to see if the hard skin over the lungs clears when the eczema resides. There is also a small area of hard skin over the medial point of the sciatic reflexes; this area is situated on the upper medial aspect of the heel.

Skeletal/Muscular systems
Both knees are very tender especially the right knee. Shoulders are also tender with hard skin over the left shoulder; my client also has a nodule, this is likely to be an indication of fibrosis on her left scapular area. On both heels she has hard skin indicating that she often leans to the left. When checking my clients posture it is evident to see that she does lean to the left & her left shoulder is slightly higher. This is likely to be pulling the muscles around the scapular area, there are also signs of tension surrounding the nodule from Thoracic vertebra 3 – 7, and the nerve pathways from the area of the spine include nerve impulses to lungs, gall bladder, solar plexus, liver, stomach & pancreas. It is interesting to note that my client’s left knee appears to be the knee carrying most tension; it is likely that leaning to the left has caused the accumulation of pressure of the right knee. This misalignment of posture explains why the sciatic region on the feet has also formed dry skin. Leaning heavily to one side of the body also places pressure on the sciatic nerve. Lower back is very congested signifying a weakness. There is also a large amount of congestion showing over the lumbar back region.

Nervous system
Client’s solar plexus is very low on energy; the solar plexus consists of a network of sympathetic nerve ganglia in the abdomen, the solar plexus supplies the abdominal organs inferior to the diaphragm (Dougans 2005). Adrenal glands were quite tender and thumb rotations were used to massage & ease the nerve reflexes on the feet. When working on the spine tension it was evident on the left foot that nerve pathways from Cervical vertebra 1 relating to the face, brain, sympathetic nervous system & the ears were congested. Please note that client is currently suffering from eczema of the left ear & also tension on the face on the anterior surface of the feet.

Lymphatic & immune system
Client’s spleen appeared to be tense with hard skin over the reflex area on the feet. The lymphatic vessels on the anterior of the feet were very tender & nodules were located on the inner ear of the left foot with hard skin on the outer ear (5th toe). Slight tensions were also evident on the right foot ear reflexes but nothing as intense as the left.

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The outer eye reflexes were also quite tender & my client admitted to spending 8 hours a time on her computer without many breaks.

Respiratory system
There is dry skin over both lung areas although this is much more prominent on the left foot just bellow the 4th toe (inner ear) the hard skin over this reflex is also yellow indicating a high level of toxicity, this is likely to be linked to the residue of the eczema. Deep thumb walking was used to help stimulate the respiratory system.

Cardiovascular system
Circulation appears to be good judging on the colour of the feet, they are generally a healthy pink colour & feel warm.

Endocrine system
Pituitary & the hypothalamus reflexes are tender, hooking up & backing in techniques were used to get a precise amount of pressure applied to the pituitary gland. Small deep rotations were used on the pineal gland to help regulate the functions via the reflexes in the feet. Client has informed me that she often sleeps very lightly & therefore this could be the cause of the pineal glands tenderness.

Digestive system
There was slight tension over the gall bladder & deep thumb rotations were used to help regulate this gland. The gall bladder excretes the bile produced by the liver for food digestion; please note the low energy in the solar plexus (see nervous system) & probable connection to digestive imbalances. Dougans (2005) writes that in ancient times it was believed that the gall bladder ‘s energy governed the manner of all the other organs; it is thought that angry behaviour & impulsiveness is a suggestion of excess gall bladder energy & hesitancy a sign of weakness & discord. The liver was very low on energy; this is also a probable cause of the gall bladder tension. Client also has congestion & tenderness from the descending colon to the sigmoid flexure, sigmoid colon & rectum. Deep thumb walking was used to help peristalsis & encourage the removal of trapped waste in the colon.

Urinary system
The kidneys are very tender & thumb rotations were used to help stimulate kidney function. Client’s bladder area was also very tender, partially inflamed with a blue colouration. Client admitted that she had not been drinking very much water and also her diet had suffered due to stress recently.

Feedback on reflexology treatment
Client experienced a state of deep relaxation & even fell asleep part way through the reflexology treatment. She felt very relaxed & was surprised how relaxing the reflexology treatment was. Her knee tenderness appeared to have been relieved and her thoughts were much calmer. Client is relieved that her lumbar back pain has gone.

Homecare advice
My client was given a leaflet on the importance of water consumption during aromatherapy massage. I have encouraged her to try & drink at least 6 glasses a day, I have also encouraged her to drink smoothies, my client likes to make these for herself but has fallen out of the habit. Due to the stiffness my client experiences & the operations she has had, I have started her off with just one exercise Tadasana Mountain pose, this yoga pose will stretch out the spine whilst helping to realign the body.

Reflective practice notes
This is the first reflexology treatment this particular client has ever had. I was sure to proceed with a light reflexology treatment until my client became more accustomed to the sensation. It was impressive that my client was able to

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enter into a sleep state; this proved how relaxing reflexology can be. My client knows me from aromatherapy & holistic massage & it is probably that her trust in my care also allowed her to drift off into a relaxing state of mind.

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Reflexology treatment number 3B
Home stressors Work stressors 1 2 3 4 5 6 7 8 9 10 4 5 6 7 8 9 10

Date 16/03/06
fairly relaxed at home study, client has a poor reflection of her own skills

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Reflexology treatment objectives
   General relaxation & de-stress: spine, solar plexus, brain, adrenal glands Relieve headache had for 2 days: Pituitary, pineal, liver, large intestine, kidneys Knee stiffness & pain: knees, shoulders, hip, pelvic region

Foot observations Integumentary system
In terms of temperature, client’s toes & ankles are quite cold but the remainder of her feet are quite warm & red. Both ankles are also slightly stiff showing my client is quite tense. The balls of her feet & the heels have a very tough tone with hard skin on the right foot on the medial aspect of the heel (pelvic region). The remainder of the heel appears to have lost the additional hard protective layer of skin & is much softer than in reflexology treatment A. There is no particular odour or contraindications to the reflexology treatment.

Skeletal/Muscular systems
Both knees were very tender & again the left knee was more so than the right during this reflexology treatment. The shoulders are very tender & the nodule under the left scapular region is still present; pressure was applied & held on this area & rotations were also administered to try and break up the adhesive area.

Nervous system
Both adrenal glands were very tender & my client jumped out of her sleep state whilst I worked on the adrenal reflex of the left foot. My client was in a theta semi-conscious state of mind & quickly laid down to relax once more. Cervical vertebrae 1 was still showing signs of tenderness & client’s solar plexus appeared to be functioning normally.

Lymphatic & immune system
Although there was still tenderness showing on the inner ear reflex of the left foot, the nodule had gone & also so had the eczema in the ear. Client still has slight tenderness in the ear reflexes & also the eyes possibly due to slight sinus congestion. The spleen is still imbalance & showing more tenderness than in reflexology treatment A, deep thumb walking was used to help stimulate & massage this area.

Respiratory system
The dry skin over the lungs has diminished leaving only a section protected under the 3rd & 4th toe on the right foot; it is of most interest to note the hard yellow area of skin over the lung reflex inferior to the 4 th toe (inner ear) where the nodule was situated. Both the hard skin of this area & the nodule had cleared & so had the eczema. This indicates a probable connection between eczema & the lungs as mentioned in reflexology treatment A. Apart from this the respiratory system appears to be functioning normally. The right foot represents the masculine energies or the feelings regarding the past & the lungs are known to hold the tears.

Cardiovascular system
Hard skin has become apparent showing the heart requires additional protection, Circulation appears to be good judging on the colour of the feet, they are generally a healthy pink colour & feel warm. My client informed me during the consultation of this reflexology treatment that she has been feeling quite light headed, dizzy & also very emotional & weepy. My client may have been holding back emotionally potentially creating strain on the heart; my client is confused as to why she feels this way.

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Endocrine system
The pineal gland was very tender, my client said that she has not been getting very much sleep over that past few days. Her pituitary gland reflex was also very tender & rotations were used to help alleviate this. Linking techniques were also used with the pineal, pituitary & adrenal glands to help the flow within the endocrine system. My client informed me that she has just started a new relationship & as a consequence has been out & had quite a few late nights.

Digestive system
Liver function appeared to be greatly improved & the gall bladder reflex area seemed to be good. All areas of the digestion seemed to be clear of tension & congestion except the ileo-caecal valve; this area was tender showing client may have difficulty defining nutrient absorption in the small intestine & waste matter expulsion into the large intestine. Please note in reflexology treatment A the significance of toenails with vertical lines in relation to poor nutrient absorption. Rotations were used on the ileo-caecal valve & deep thumb walking on the small intestine to encourage the absorption of nutrients & easier passage through the ileo-caecal valve.

Urinary system
Kidney reflexes on both feet are still tender although a fifty percent improvement can be noted since reflexology treatment A. My client has informed me that she has been drinking more water as suggested last reflexology treatment & the ease of puffiness on the bladder reflex confirmed this.

Feedback on reflexology treatment
Again my client fell into a very deep state of relaxation at the beginning of reflexology treatment & then fell asleep. She was very tired & had not been sleeping well & therefore it was a privilege to see her relax so much to the point of snoring. Again she was very happy with the reflexology treatment & commented on how much lighter she felt. Also the headache she had been experiencing had gone.

Homecare advice
Due to my client working from home I have advised that she tries to go to sleep at the same time each night. I have informed her that this will help her circadian (body) rhythms establish themselves. Currently she will go to sleep at haphazard times throwing out her body systems especially digestion.

Reflective practice notes
My client appears to be enjoying the reflexology treatment & is very keen to look after herself. She is amenable to home care advice given & has increased her water intake & begun to consume her smoothies once again. Although my client was very teary & emotional after the first reflexology treatment she feels this was a good thing & has not been discouraged from reflexology.

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Reflexology treatment number 3C
Home stressors Work stressors 1 2 3 1 2 3 4 5 6 7 8 9 10 4 5 6 7 8 9 10

Date 31/03/06
Not sleeping very well lack of sleep makes concentration difficult

Reflexology treatment objectives
  General relaxation & de-stress: spine, solar plexus, brain, adrenal glands Work on Knee stiffness & pain again: knees, shoulders, hip, pelvic region

Foot observations Integumentary system
Both feet were very red & warm all over with a very good muscle tone. For the first time the feet have a sweet & sharp odour to them. According to Dougans (2005) the sweet smell is associated with the pancreas & an imbalance may be evident although nothing of great significance shows on the feet reflexes. Please note in reflexology treatment A (skeletal/muscular systems) the Thoracic nerve pathway associations to the pancreas. Overall the feet are quite dry with hard skin over the heels especially over the medial superior aspect of the sciatic nerve on the right foot. Both feet have signs of tenderness directly over the medial aspect of the sciatic nerve; this is not surprising due to the imbalance of posture identified in reflexology treatment A.

Skeletal/Muscular systems
Both knees are again still very tender & again the left knee is more so than the right, deep thumb walking & rotations were used to help alleviate this pain. The neck area is also very tense with more tenderness on the right side; also the occipital region is showing a large amount of tenderness. Client’s shoulder tension appears to have worsened with yellow hard skin formulating over the right shoulder, the nodule under the left scapular appears to be progressively worse. My client has confirmed that she was on her computer for many hours at a time over the past few days; this is the probable cause of the neck tensions & it is important that posture is revised in terms of deskwork.

Nervous system
Adrenal glands were slightly tender again during this reflexology treatment. The thoracic spine has calmed down considerably with tenderness only at thoracic vertebrae 4; the nerve pathways from this vertebra supply the gall bladder.

Lymphatic & immune system
Lower lymphatic drainage appears to be very sluggish & low on energy & finger walking was used to help encourage lymphatic drainage. The spleen reflex area appears to have relaxed slightly although there was still tenderness signifying a compromised immune system. Both the inner & outer eye on the left side are tender.

Cardiovascular system
Hard skin is still evident over the heart reflex area showing a requirement for additional protection over the reflex points for the heart. Circulation appears to be good with an even warm temperature over both feet. It is interesting to note that my client has met someone & is in the early stages of a new relationship prior to reflexology treatment B. This appeared to be the time that the heart reflex acquired additional layers of hard skin for protection, it is intriguing to consider whether my client feels protective about giving her heart away in relationships especially after experiencing a divorce.

Endocrine system
Again the pineal gland was very tender due to lack of sleep & late nights, also my client said that she did not get very much sleep at all last night. My client’s thyroid gland was also showing signs of tenderness. Pituitary & adrenals appeared to be good

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Digestive system
Everything appeared to be good except the flexure between the transverse & descending colon, the medial aspect of the sigmoid colon & rectum were very congested, deep thumb walking was used to help peristalsis & the expulsion of any waste matter in the colon.

Urinary system
Both kidney reflexes were tender & slightly more so than in reflexology treatment B. Clients bladder appeared to be good & she confirmed that she had been drinking plenty of water as recommended.

Feedback on reflexology treatment
My client said that she felt energised & slept very well for the next few days after reflexology treatment B, unfortunately she deprived herself of sleep during the week. During this reflexology treatment she slept all the way through possibly catching up on lost hours of sleep.

Homecare advice
Client has been encouraged to make time for appropriate sleep, it has been suggested that she considers power napping for 20 minutes whenever she is able to refresh if she is unable to allocate 7-8 hours of sleep a night. Her neck & thyroid are showing signs of tension & also her shoulders appear to be worse; this could be due to her posture at the computer terminal. Shoulder circling & shrugs have been recommended, also regular breaks.

Reflective practice notes
It is very interesting to note the hard skin on my client’s heart reflex since she has entered into a new relationship. Also her shoulder pains & neck tensions appear to be exasperated, this is likely to be due to lack of sleep & therefore additional pressure on the self to concentrate at the desk during working hours. My client is still enjoying the reflexology treatments.

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Reflexology treatment number 3D
Home stressors Work stressors 1 2 3 1 2 3 4 4 5 6 7 8 9 10 5 6 7 8 9 10

Date 14/04/06
Mood has been low over past few days work is not so productive

Reflexology treatment objectives
   Ease lumbar back pain: spine, solar plexus, knees, shoulders Energize & lift mood: head, pituitary, pineal, adrenal glands, diaphragm, kidneys Boost immune system as precaution with low mood: upper & lower lymphatics, spleen, eyes, ears, sinuses

Foot observations Integumentary system
Toes & heels of the feet were cold & took a while to warm. Vertical ridges were still prominent on the toenails; also my client had removed her nail polish revealing a yellow tinge to the nails. According to hps online yellowing of the nails or an elevation of the nail tips can indicate internal disorders long before other symptoms appear. These disorders include liver disorders, diabetes, problems with the lymphatic system & respiratory system. Muscle tone was soft all over & the feet were generally pale with redness on the toes & heels, the heels also had a yellow hue to them especially over the hard skin areas.

Skeletal/Muscular system
The knees were still quite tender especially the left knee. The neck area was also carrying a substantial amount of tension & hard skin appeared to have formed here, there was also hard skin over the right lung region, on both shoulders & over the medial sections of the balls of the feet. It has been two weeks since the last reflexology treatment & I am intrigued to find such a dramatic change in my client’s feet. During consultation prior to reflexology treatment D my client again informed me that she had not been sleeping too well & was also working for many hours at a time at her computer terminal. It is reasonable to assume that the additional hard skin over the shoulders & the neck region is due to poor desk ergonomics & posture whilst seated & working. Such factors would also be main contributors to the agitation of the nodule located just under the scapular region of the upper thoracic body.

Nervous system
Adrenal glands were showing more tenderness than in reflexology treatment C. Tension has accumulated at the occipital region of the spine, cervical vertebrae 1 & thoracic vertebrae 3-4 & 8. These particular vertebrae are interrelated to nerve pathways to the sympathetic nervous system, blood supply, brain, ears, chest, lungs, gall bladder, spleen & diaphragm. Tenderness & hard skin was also still evident at the sciatic nerve represented at the medial aspect of the heel, deep rotations were used to help release this tension & encourage desquamation of the epidermis & promote softening of the skin.

Lymphatic & immune system
Client has complained that her throat feels rather sore; this is understandable due to the accumulation of tension & tenderness in the throat region (at the nape of the hallux toes). Whilst using deep thumb walking across the neck reflex areas on the left foot my client cleared her throat. Her ear reflex on the right foot was slightly tender & rotations were used to help with this. The spleen reflex is tender but we can see slight improvements, please note that Thoracic vertebrae tensions are also related to nerve pathways to the spleen.

Cardiovascular system
The hard skin over the heart reflex appears to have cleared although the area is showing signs of slight tension. Although my client’s toes & heels were very cold they did warm & her feet held a good temperature & colour indicating that her circulation was very good.

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Respiratory system
My client’s diaphragm was carrying a lot of tension; this was worked to release tension & therefore enhance respiratory capacity. Please note tenderness on the spine at Thoracic vertebrae 8 as mentioned in the skeletal/muscular system. Also her lung reflexes especially on the right side are very soft in tone & quite yellow. Again it is plausible to conceive from the working of Kruchick (2004) & Stormer (1995) that my client could possibly have areas of grief that need to be resolved in relation to the past & her masculine energies. My client lost her father at a young age & the new relationship could be pushing sub-conscious buttons in relation to her loss in life of a masculine role model. This is purely & assumption based on my clients personal circumstance & the authors noted in the references. My client did confirm in the consultation that she has had a low mood over the past few days & did not know what the cause of this was.

Endocrine system
Client’s pineal gland is again very tense, although my client has reported sleeping lightly as usual but for longer hours. Her pituitary gland is quite tender & also her uterus area. My client is a few days towards the end of her menstrual cycle & therefore such hormonal changes & tensions are understandable. This is also likely to be interlinked with her low mood. The adrenal glands were quite tender & the additional tension in the neck made it difficult to know if the thyroid was also under pressure. The thumb walking across the neck reflex area would have soothed the thyroid & linking was used on the ovaries, pineal & pituitary to help regulate body cycles & rhythms.

Digestive system
On reflexology treatment A the gall bladder was quite tense & then relaxed during the next two sessions of reflexology. There has been a term break since reflexology treatment C & the gall bladder tension appears to have returned. Deep rotations were used to help release some of this tension & promote the bile excretions. The liver was also very low on energy similar to how it was in reflexology treatment A. My client confirmed that her water consumption had fallen again & she possibly was drinking more wine due to social events & her new relationship. The flexure at the corner of the transverse & descending colon appears to be congested; rotations & thumb walking towards the sigmoid colon were administered to release this.

Urinary system
Again both of the kidneys were tense especially on the left side, it is possible that they are operating to balance blood flow & blood pressure, erythropoietin is released from the kidney to stimulate red blood cell production, my client is coming to the end of menstruation & the kidneys are responsible for helping maintain red blood cell production. Also using a system called the angiotensin system, the kidneys contribute to the stabilization of blood pressure. In addition to the regulatory pressures on the kidneys, my client has also not been consuming the recommended amounts of water. Lack of water will also contribute to kidney tensions.

Feedback on reflexology treatment
My client was quite astonished to find that when I worked the right foot she felt considerably energised but relaxed when I worked on her left foot. She said that she felt very balanced & clear headed & felt that reflexology was more powerful than massage or aromatherapy. She has been a case study with myself for both holistic massage & aromatherapy. She was in no doubt that reflexology made a significant difference in comparison to the other therapies, helping her physically with pain but also emotionally & logically balancing her. My client stated that she felt more objective for a longer duration than she had with massage & would love to continue with reflexology in the future.

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Homecare advice
My client has been in a new relationship & has commented that it has taken her a while to become accustomed to her new routine. Eating, drinking & sleeping patterns have altered over the past four weeks or so due to the compromise & inclusion of another person. I have again encouraged my client to drink the recommended eight glasses or 1.5-2 litres of water a day & continue to have smoothies. She is very aware of this & we both feel that it will just take a while whilst see adjusts to her new routine.

Conclusive & reflective practice notes
My client’s main objectives included easing lower pain, knee tensions & helping to promote a deeper sense of sleep. It is interesting to note that my client’s lower back pain diminished & appeared to be resolved after reflexology treatment A. The area did appear to be very congested although no hard skin or tenderness was located. Over the course of the four reflexology treatments it was emerging that my client had a very poor posture whilst sitting at her desk, also her current change of lifestyle to encompass a new relationship was leaving her with reduced sleeping hours & lack of energy. The de-energized nervous system of the body meant the digestive functions were compromised. Having a build up of toxins & not enough water to help flush out such toxins would mean that my client’s arthritis would have been agitated & therefore knee pain exasperated. My client was very conscious that sleep was vital to her health but also understood that it would take a while for her to balance her own life with that of her new partners. My intuitive side sensed that my client could also possibly have memories & hurt triggered from her previous relationship & her father’s absence due to his death. At the beginning of reflexology treatment my client has hard skin over her lungs & eczema in her left ear. The hard skin over the left lung cleared with the eczema but an area of over the right lung remained. Grief & tears are thought in the world of esoteric medicine to be held in the lungs. Kruchick (2005, Stormer (1995), amongst other authors also agree that the right side of the body is reflective of the past or of the masculine energies. From this basis it is plausible to see the signs in relation to my client’s trauma regarding her father & consequent male relations. Braving another male intimate relationship could be triggering emotions that have been dormant & hence the disturbance of routine & sleep now experienced. My overall conclusion in relation to my clients targeted objectives show that further reflexology treatments would be required as a temporary support crutch whilst she establishes her new partnership. Her current sleep patterns, digestive fluctuations, alternations in mood seem to have derived from her entrance into a new dance of intimacy. My client feels the reflexology treatment are helping her to retain a sense of objectivity & balance psychologically, also she has verbally stated that the encouragement & aftercare does prompt her to eat healthier & consume better quantities of water. In relation to her posture I have recommended that she consults with an osteopath & also considers checking the ergonomics of her workstation to eliminate any probable cause due to bad equipment positioning. I feel my client has benefited from reflexology although we have only been able to consistently achieve one out of the three objective set. My client’s knee problems are chronic problems that would possibly require many reflexology treatments. I do feel that the reflexology treatments have raised her confidence & given her a sense of support & comfort

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