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Giving aromatherapy treatment to the Elderly

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Does anyone have any experience/views on this? I feel I'm going round in circles a bit.

I have just started to work exclusively as a volunteer Aromatherapist with a local charitable organisation supporting the elderly in the community. I have just started making home visits.

I am finding that the elderly are usually receiving medication from their GP. In Aromatherapy terms, this is a "medical contraindication". I was ITEC trained and we were trained that GP consent is required for a medical contraindication (see Louise Tucker - Introduction to Aromatherapy page 99).

For the few clients I have seen so far, I have written to their GPโ€™s asking them if there is any medical reason why I can't treat their Patients. This approach has a number of drawbacks. Not only is it is going to be time-consuming from me as a Volunteer Aromatherapist, but I note from reading some of the past posts on the Healthy Pages forums that doctors are often reluctant to sign consent forms from Therapists as they may not be insured to do so. Also, another problem is that the Therapist is writing to the GP and is referring to confidential information about the patient's medical problems which is an area of confidentiality between GP and client.

I phoned ITEC to ask if they had any "policy" in this area. They told me that the Patient should be responsible for obtaining GP consent for Aromatherapy treatments so that the Therapist is not then responsible for writing to the GP referencing the client's confidential medical conditions. I checked on the ITEC site and see that they have a sample disclaimer. The ITEC sample disclaimer comes in two options. One option is that the client signs that they have GP permission and the other one is for the client to sign that they accept responsibility for their treatment.

Whilst this approach seems to be the best way to do things, I am concerned that elderly clients may not want to bother to go to the GP to discuss alternative treatments. If this is the case, the Patient may never progress to the point where they actually put themselves forward for treatment!

And if they don't go to their GP and they elect to sign a personal disclaimer and then they have a negative reaction to the treatment, the Therapist could be asked why they didn't insist that the Patient go to their GP for consent in the first place!

At the very least, if I take the approach to ask the Patient to obtain the OK from their GP, I am thinking that I would need to give the Patient a leaflet with some background information on the clinical effects of massage (lymph drainage, increase in circulation) as well as the effects of essential oils etc to take with them to their GP as some GPs may not have a good understanding of Aromatherapy.


Peter
 
Oh, I forgot to say that I also checked with my insurance provider (Balens) to ask if they had any requirements with regard to consent paperwork.
They said they did not. They said that as long as the Therapist takes detailed case notes, then they are happy from an insurance point of view.

Peter
 
Hi Aspire2heal

This seems to be a sticky subject whatever therapy you practice. I do aromatherapy, reflexology, massage and IHM, all of which require GP's permission if necessary. I recently wrote to a GP asking if he had any objections to my giving aromatherapy to his patient who was on beta blockers. He did not reply to me but wrote to his patient and told her that I was asking confidential information about her. Luckily this lady was a friend of mine and had seen the wording of my letter before it was sent. This really worried me about future correspondence with GPs. I now think that getting the patient to take responsibility for gaining permission is the best course.
 
Hi Peter

I am also ITEC trained. The emphasis does tend to be on the patient contacting their GP - or signing a disclaimer. Unfortunately, sometimes patients are forgetful or not fully aware of all their health problems and writing to the GP can be very helpful. The GP sometimes [more often nowadays] will charge for replying to your letter. They are under tremendous pressure in timings with patients and some simply will not reply leaving you in limbo wondering when you will, and if you will get a response. Some doctors simply dont want to reply because they feel it is your job and part of your profession to take that responsibility.

Often with elderly massage, the client will have a specific treatment rather than full body massage [although that isnt rare], and in writing to a GP I tend to write what I intend to do, the treatments I am going to give, and what the purpose of these treatments will be... [eg massage for pain relief in her knees, or hands etc... or gentle facial and hand massage purely for the purpose of stress relief and relaxation, reflexology on the hands... or feet... etc], or example if an elderly patient had given [as they should details of their medication and health problems] I'd say clearly why I was treating them, and mention that I was aware of them taking beta blockers, or drugs for controlling cholesterol and high blood pressure and then ask the doctor if there were any objections to my treating their patient. I don't normally ask specifically for medical information from the Doctor... what I would be asking is if they considered it safe and advantageous to give treatments to their patient - or not. In most cases I would write to ask if they had any objections to me treating their patient rather than asking any more than that from them.

I believe I have posted some sample letters [a long time ago and they will be out of date now - I've improved thankfully!]... and other people have... in the past. If you did a search for sample doctors letters in the Student section, you should find them.

If you want to write privately, I will be pleased to help.
Best wishes
Little Red
 
I have a couple of close freinds who happen to be GP's & I know that they are loath to get into correspondance with comp. therapists about patients. If I am dubious about a new client, I write to their doc and say that I have spoken to Mrs/Mr soand so, who has asked me to give such and such a treatment. I have only had one reply in many years - the doctor said that he saw no objection for his patient to receive my treatment, unless he was expected to pay!!!!
 
Many thanks for all the extremely helpful replies. I think I would summarise as follows:-

Therapist obtains GP consent

Pros

The client (particularly an elderly person) may feel reluctant to make a special trip to the doctor to obtain permission
The therapist can explain the effects of Aromatherapy in a covering letter
The therapist can explain to the GP the potential contraindications of essential oils to the conditions that the patient has presented

Cons

Doctors are often unwilling to give consent

As they feel that they are not insured to do so
Doctors are often unwilling to give consent as they believe the Therapist should take the responsibility
As they are not prepared to divulge confidential information

Even if the Doctor does give consent, they may not reply to order and this may hold a treatment.
Doctors may charge nowadays for this service
Time consuming for me as a Volunteer

I think given all this, I'm going to try to ask the clients to obtain prior permission based on some general information I provide them with to take to their GP. My only concern is that this may deter them in coming forward for free treatments. But I'm going to try it and see what happens.

Thanks again everyone.

Peter
 
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  32. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ(647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ(437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ๐Ÿ’ฏ๐Ÿ’ฏ - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Anna๐Ÿ˜˜- A stunning sexy girl from Hong Kong
  33. bnwellness_wilson:
    Blue Nile Wellness Center, we have young 4 beautiful girls are working today , new ใ€youngใ€open mind Ivy with great body. ๐Ÿ’‹Lina with large breasts and nice services. ๐Ÿ’‹cute fun great massage Cindy ๐Ÿ’‹and pretty GFE Ella are providing deep tissue and sensual massage, (tel:416-3985777) book appointment and walk in always welcome, back entrance and parking available, 350 Wil son Ave North York
  34. GoldenFlower:
    THURSDAY at ๐Ÿ’›โญ๐ŸŒŸGOLDEN FLOWER SPA๐ŸŒŸโญ๐Ÿ’›, 8380 Kennedy Rd, Unit C6 (Kennedy & Hwy 7), Markham, ON 905-258-0777: Jojo, Lucky, Sherry & Sonia Jojo is a beautiful 20Yr Hong Kong girl who can gently melt your cares away. Lucky is a slim & beautiful Cambodian lady with a special touch. Sonia comes from India with love.
  35. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  36. ASPA:
    ๐—ง๐—›๐—จ๐—ฅ๐—ฆ๐——๐—”๐—ฌ๐—”๐—ง ๐€ ๐’๐๐€: Fox, Coco & ๐—ฏ๐—ฒ๐˜€๐˜ ๐—บ๐—ฎ๐˜€๐˜€๐—ฎ๐—ด๐—ฒ ๐—ฅ๐—ฎ๐—ฐ๐—ต๐—ฒ๐—น[/color] ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ FOX is 26 years old with 34Cโ€™s, stands 164Cm tall and weighs 54Kg. Fox is very friendly and can provide a great girlfriend experience.
  37. Moneylee:
    Full season wellness center: New Young girl pretty face big boobs nice figure deep massage Candy, Young girl pretty face nice figure Thai deep massage Vivian,Young girl big breasted beautiful buttocks charming temperament big boobs Anjoo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  38. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(437) 818-8896โ˜Ž๏ธ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ MAY - ๐Ÿ”ฅHong Kong Service Queen with Open Minded Menu & Very Flexible Girl to Indulge in Your Wild Erotic Fetish and Fantasy๐Ÿ”ฅ Suki๐Ÿ˜is beautiful short petite tiny sexy student from Cambodia. Exotic features and model looks, Suki has a n
  39. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธHelen & Jenny. Helen is a sweet and very lovable Asian beauty with just enough curves to tease you, and an attitude to please you. Jenny has a medium build, nicely curved with a slim waist, pretty face, and very flexible skills. Jenny will make you very happy.
  40. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡New First Day Slim Petite Judy, Sexy Busty Thai Girl Vinnie, Tall Slim Sexy Chinese Vicky
  41. Sparkling Spa:
    CALIENTE STELLA & SEX GODDESS ZOE TODAY @โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave)โœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ
  42. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Sofia & Tracy. Cindy is on VACATION๐Ÿ˜ข, and is expected to return around April 7๐Ÿ˜. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch bbbj & cfs, and remains famous for one of the best doggy position views. A must see.
  43. Sunrise Health Centre:
    ๐Ÿ’ฅ Crystal & Tiana are here Today! Call/Text: (647) 325-8086 ๐Ÿ’ฆ We have Hot & Sexy Girls Every Day. They all do Extra Services & are Very Open-Minded ~ Drop In Anytime - Walk-Ins Are Always Welcome! Unit 27, 10 East Wilmot Street, Richmond Hill
  44. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ ANGEL, ASHA, MAY, AMANDA, PRIYA, AAVI, MALIYA, KANIKA ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  45. New Oriental Health Centre:
    ๐Ÿ’„ Happy is in Today ~๐Ÿ“ž๐Ÿ“ฒ: (647) 381-2688 ~ Make Your Day Incredibly Delicious | Our girls provide lots of service options & are Extremely Open-Minded ๐Ÿค— We're Open 9am - 2am everyday! Drop in to Unit 26, 10 East Wilmot Street, Richmond Hill.
  46. Bellagio Wellness &Spa:
    ๐Ÿ’—๐Ÿ’—๐Ÿ’— โ„๐”ธโ„™โ„™๐• ๐”ธโ„™โ„๐•€๐•ƒ ๐Ÿ’—๐Ÿ’—๐Ÿ’—๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ APRIL 11th , Tฬฝอ“Hฬฝอ“Uฬฝอ“Rฬฝอ“Sฬฝอ“Dฬฝอ“Aฬฝอ“Yฬฝอ“ ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ โ˜Ž๏ธ (905) 707-6866 ๐Ÿ•™๐ŸŒŸ๐ŸŒŸ๐ŸŒŸOpen 10:30-10:00๐Ÿ—บ#33-160 East Beaver Creek ๐Ÿ—บ 7 Rms ๐Ÿ›๐ŸŒŸ๐ŸŒŸ๐ŸŒŸTable Shower(TS)+Massage 2hr $120*,TS & massage 1hr $90, ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ$40/50/60 for 30/45/60min ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸAttendants: We have 6๏ธโƒฃ today ๐Ÿ€๐Ÿ€๐Ÿ€ ๐ŸŒน SOPHIE ๐ŸŒนCECILIA ๐ŸŒน๐Ÿ†• SUNNY ๐ŸŒน ERICA ๐ŸŒน ๐Ÿ†• OLIVIA ๐ŸŒน LUCY ๐Ÿ€๐Ÿ€๐Ÿ€ NEWSFLASH ๐Ÿ€๐Ÿ€๐Ÿ€ SOPHIE & ๐Ÿ†• SUNNY & ERICA & ๐Ÿ†• OLIVIA & CECILIA โ€˜ s BACK ๐Ÿ€๐Ÿ€๐Ÿ€ TODAY ๐Ÿ€๐Ÿ€๐Ÿ€
  47. bumika.vashi:
    (((เค†เคชเค•เฅ‹ เคฌเคฟเคจเคพ เคจเคพเคŸเค• เคฏเคพ เคจเค–เคฐเฅ‡ เค•เคฐเคจเฅ‡ เคตเคพเคฒเคพ เคธเคฐเฅเคตเคฟเคธ เคšเคพเคนเฅ‡ เคคเฅ‹เคน เคฏเคพเคฆ เค•เคฐเคจเคพ. ))) If you want Service without Drama or Tantrums, Remember it. Will Try To Give You The Best Possible Sweating Experience With Full Company. TAKE MY WORD.?? Don't Waste Your Time And Money In Some Other Place Where You are Really Upset Loosing Out Both Money And Fun. Ok Try With Our Girls Once Then Your Visit Will Be Regular To Me.... _________________N O T E_________________ If u like my services Please Please Do not forget to
  48. BarrySanders123:
    who would u recommend at Vaughan spa
  49. hasek:
    indian
  50. Lulu1980:
    Hi guys๐ŸŒนPhoenix blossom Spa โ™จ๏ธโ™จ๏ธโ™จ๏ธThere are 3 girls working every day๐Ÿ‘๐Ÿ‘๐Ÿ‘Unique table shower, body scrub, today yoyo and Chloe sexy body, Cici professional Thai massage๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘5124 Dundas St W Etobicoke โ˜Ž๏ธ416-816-3366๐ŸŒน๐ŸŒน๐ŸŒน๐ŸŒน๐ŸŒน
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