treatments should be performed on these clients. Massages should be gentle. Reflexology by an expert reflexologist is a great massage for these clients during their pedicures. These clients should not have their fingers or feet soaked; low heat is applied when they are in heat mitts; don’t even consider medium heat because their skin may respond with a burn. Paraffin is not performed on these clients. Medications causing light sensitivity – Clients taking medications that cause them to be light sensitive cannot have LED treatments unless their physician says the exposure is acceptable. Manicurists must know the existing and past health conditions and medications of their clients and their relevance to the services they are providing their clientele. The only way this can happen is through a new client sheet that contains a health section. At each service, the manicurists should ask the client whether any health changes have occurred since the last service and note those changes in the client’s record for use in client evaluation at future appointments. podiatrist and never provide any opinion whatsoever about a condition for several reasons: ● The podiatrist referred to will not be pleased with any comment other than “You need to see a podiatrist, and this is whom I recommend.” ● The salon and nail technician may lose future referrals from this podiatrist or bring a call from him or her reminding the professional not to do such. ● It is against the law in every state for a non-medical professional to diagnose or treat a pathological condition . ● A nasty lawsuit may follow if the diagnosis is incorrect. ● The technician can be turned in to the state board for an illegal act. ● The salon and professional can lose their licenses. Nail technicians need to consciously practice how to avoid discussing possible conditions on the feet and offering medical advice other than “you need to go to a podiatrist.” If not, they will slip and provide an opinion for which they have no training and that is illegal to offer. Clients will ask, even press the technician for an opinion, so it is important to define what to say to avoid giving one. It is best to have the cards close by of a podiatrist with whom the salon has a relationship; provide the card to the client. Some technicians even call the office to make the client an appointment or will forward a picture taken on their phone to the office for the podiatrist. Referrals from the podiatrist of their patients can be nurtured when a nail technician refers clients to the podiatrist’s offices, especially if the nail technician is trained to work with the chronically ill ( www.medinails.com ) and uses an autoclave in implement infection control. Some technicians believe soakless services have a unique protocol and that special training is necessary. It does not. It merely means that in a manicure, the fingertips are not soaked, and in a pedicure the feet are not soaked in water, whirlpool or otherwise. That step is replaced by moisturizing and softening the hands and feet another way. It is known by several names: waterless manicure or pedicure, dry manicure or pedicure, soakless manicure or pedicure. Reasons for preferring soakless include: ● The protocol is not waterless. Water is used several times through wet towels. ● The protocol is not dry. Wet towels are used several times during the service. ● Soakless is exactly what it is. Neither fingers nor feet are soaked in water.
and UVA rays. The home-care lotions should be 10-15 percent AHAs, and the peels from the facial department that are applied to the calluses in some treatments should be no more than 30 percent AHAs. Some states do not allow nail technicians to use AHAs at all; others have no restrictions. Hormone replacement (HRT) – The person taking this medication (HRT) may have heightened responses to products that have AHAs and Retin A ingredients in them. The skin may become reddened to some degree, or possibly become irritated. (This will not happen if the AHAs are restricted to the calluses.) An added note: A client who is pre-menstrual may respond with more redness than usual to treatment products and exfoliation, even to use of an exfoliation glove or scrub. Chemotherapy – A person on chemotherapy is especially sensitive to irritation, so must be treated gently with products that cannot produce irritation. There is no way to know how their skin will respond because of the continued assault on their bodies. They are also very susceptible to infections and slow healing of any injury, no matter how miniscule. Only basic General information Massage of the hands and feet and arms and legs during a service should never produce pain or discomfort for any client. Always ask several times, quietly, if the movements are comfortable for the client, and change the pressure and movement she is uncomfortable. It is against the law in most states to perform services on anyone with an active infection of any kind, such as foot fungus, tuberculosis, hepatitis, HIV/AIDs, and any active skin condition of any kind that has open lesions. It is not discrimination; it is the law. (Check with your state on this policy. Instead, state rules may instruct you to use universal precautions and proceed.) Never cut or trim the cuticles of a client who has a chronic illness or is prone to infection. More and more states are changing their regulations to “no cuticle trimming” because they recognize the practice allows entry to pathological microbes. Only dead skin should be removed from the eponychium. The flat, even “shelf” of tissue on the anterior of the eponychium is not to be removed; it is the seal to prevent microbes from penetrating beneath. Diagnosing – not Diagnosing of skin and nail disorders can be a serious issue for nail technicians. Know that anything beyond saying a person’s condition is “out-of-normal” is illegal in every state and places the technician and the salon into a precarious position legally. Nail technicians must resist the temptation to say, “this looks like …” when discussing a condition on the feet or nails of their clients; it is a very dangerous phrase when working with them. No matter what, the nail technician must fully defer to a Soakless services A soakless service is an option for both hands and the feet and is an important service for every nail technician to learn, especially when performing pedicures. The reality is that every nail technician should know how to perform this service because many clients cannot be soaked. The reasons for choosing this type of service are: ● Those who cannot be soaked can still enjoy a manicure and pedicure. ● Those who fear contamination in a pedicure tub can enjoy a pedicure. ● The protocol is faster than soak services; it removes the necessity of cleaning and disinfecting the bowl or tub. ● It prevents dehydration of the skin by soaking. ● It is highly moisturizing. ● Some people just prefer the mitts over the soak
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Book Code: NTFL1024
EliteLearning.com/Cosmetology
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