Quantcast

contra-indications

SalonGeek

Help Support SalonGeek:

Status
Not open for further replies.

Debs

Well-Known Member
Joined
Apr 28, 2003
Messages
1,621
Reaction score
36
Location
Essex
I would like to know the medical reasons for not being able to treat people without Dr consent for the following:
cancer
diabetes
heart disease
pregnant
chemotherapy/radiation treatment
I cannot find anything in any books that answer why, just that you have to have Dr consent, does anyone know the answers???????
 

Nailsinlondon1

CND Shellac Ambassador
Joined
Jan 12, 2003
Messages
7,494
Reaction score
393
Location
Greven, Germany
Well the reason's are plenty why there could be contra-indication. :twisted:
Any of those illnesses you have mentioned will require medication. :oops:
Medication can affect the way our body behaves.
The Human body is made up of loads of little cells, including the matrix (no not the film), the matrix is like an incubator for the cells that then becomes part of the nail plate. New cells push older cells towards the eponychium and the luna. And then become the Nail as we know it.
The nail plate is made up of Keratin, Keratin is a protein and is a composition of aminio acids.

The medication could change the way the Keratin will behave it'self. It can become sort of naughty or a bit like a teenager with to many hormones and no where to go on a Saturday night.
It could change the texture of a healthy nail, to the texture of an not so healthy nail. Again a bit like a Teenager who thinks no one loves them and no one understands what they are going through.
Enhancements like Extensions would only add to the problem rather then make the nails beautiful.
So natural Manicures would be advised here rather then Extensions.

We ask for a Dr. letter to cover ourself and to compley with our liability insurance. I am not rich enough yet, to be sued but I still tread carefully....
The letter then would be clipped to the client record card.
For future reference and any disputes you may have.

As for preggie Ladies, the body behaves in a strange way when you are pregnand, so you never know, how it will react to exhancements.
Pregnancy diabities aso.
But the good news is, once the pregnancy is over, the body eventualy returns back to normal

As Nail Technicians we are here to beautify and not to assume, so that we don't cause more problems to a client who has already her fair share.
Hence Contra-indications and Dr.'s notes.

I found that Dougs book on nail structure and product chemistry is a great source of information a must read for Technicians.
You could also try to get in touch with a dermatoligist/doctor and quizz him about this, I do it all the time. I am never ill, but always calling in there for some info.

I am sure Gigi , Sam or Samantha could add to this and probl. correct me if I am wrong.
hope this helps
love Ruth xxx
 

Debs

Well-Known Member
Joined
Apr 28, 2003
Messages
1,621
Reaction score
36
Location
Essex
I understand that any medication and certain medical complaints will affect the outcome of nail enhancements but I would have thought a disclaimer would be in order.
A lot of my manicure ladies are elderly and I feel if I was to ask them for a Doc note they won`t bother with treatment because they just want the pampering and a bit of social. If they have to go to Doc and pay for his signature then they will not bother with treatment.
My client record cards up till now have been the usual wholesaler ones, and I have added a bit about anything I should be made aware of.
What I really want to know is what could happen to anyone with any of those complaints if treatment went ahead. I`m also not convinced a Doc would know what was involved in nail enhancements to be able to honestly say it could go ahead or not.
 

Nailsinlondon1

CND Shellac Ambassador
Joined
Jan 12, 2003
Messages
7,494
Reaction score
393
Location
Greven, Germany
I understand that any medication and certain medical complaints will affect the outcome of nail enhancements but I would have thought a disclaimer would be in order.
To re-enforce the disclaimer legal, a doctors note would be in your favour should something go wrong. What if you went ahead and did it anyway???What if the enhancement caused more medical problems for the client????
Sore nailplate, allergic reaction, nail separation.......................
So it's not just the look and how long they may last that in in question here , but also other medical implications.

As a Technician you are there to advise on nail care and services.
That means if the contra-indication means no enhancements,then hey they don't get enhancements, with enhancements I mean Nail Extensions.
But it leaves the service wide open for natural nail care.

A lot of my manicure ladies are elderly and I feel if I was to ask them for a Doc note they won`t bother with treatment because they just want the pampering and a bit of social
The whole idea about medical background questions on a record card is , so you are aware that they have a health issue. So that you can then advice accordingly. You can still pamper and give them a great service, but you will do it in the safest way that you know how.

Not all of those Ladies will be suffering from any of the contra-indications you have asked about in your previous post.
All to many Nail Technicians preform the as I call it, The Ostrich Service, they stick their head in the sand and hope for the best.

It's a funny world out there and every body loves a great technician, but boy do they hate you when something goes wrong.
So be careful, be prepared, be informed but also be one step ahead . It set you apart from the Ostriches................
So happy nail services to you
love Ruth xxxx
 

The Geek

Grand Master Geek
Staff member
Administrator
Premium Geek
Joined
Jan 9, 2003
Messages
13,264
Reaction score
666
Location
Leeds, UK
Contra-Indications are indications that the service maybe contrary to their health and well being.

For instance, circulatory problems (i.e. heart disease and even pregnancy) can be worsened by massage.
Diabetics do not heal well in their extremities and frequently have loss of sensation in their extremities as well. A small cut or abrasion during a pedicure on a diabetic could easily become infected and get gangrenous without them even knowing they were knocked in the first place.
Chemotherapy and cancer generally go hand in hand. Clients undergoing this type of treatment are frequently onycholytic and can even loose nail plates.

All in all... contra indications are there to protect you and your client from your service affecting their health. Though I do know what you are saying about not wanting to scare a client away... you will scare far more away if your manicure kills someone :shock:

Check out Encyclopaedia of Nails... they cover some of this stuff.
 

Debs

Well-Known Member
Joined
Apr 28, 2003
Messages
1,621
Reaction score
36
Location
Essex
I do have the encyclopedia of nails and whilst it does cover contra-indications to treatments it doesn`t say why........You have explained a couple of them for me Mr geek when you say people undergoing chemo can get loose nail plates. Thats the sort of thing I want answers to really. And if, for example, I had a lady with heart disease could you not perform a manicure that wouldn`t include massage, or should I just refer her anyway.
When I refer my ladies to their GP I would like to be able to tell them why without alarming them.
Not sure if this makes sense at all now, I know I`m not making myself clear and I certainly want to do a professional job
 

Nailsinlondon1

CND Shellac Ambassador
Joined
Jan 12, 2003
Messages
7,494
Reaction score
393
Location
Greven, Germany
I have to say that I admire your thurst for knowledge.

I certainly want to do a professional job
You are inquisitive you want to know, the ins and outs (def. not an Ostrich Hun) to give your clients the best of your abilities.
The only way to learn is to ask questions until the answers make sense to you and if they don't, just keep asking them till they do.This is the best place for it!!!!
So go for it Hun...................
love Ruth xxxx
 

Mrs Geek

Sweet Heart
Premium Geek
Joined
Jan 11, 2003
Messages
6,709
Reaction score
477
Location
Yorkshire
Nailsinlondon1 said:
As for preggie Ladies, the body behaves in a strange way when you are pregnand, so you never know, how it will react to exhancements.
Pregnancy diabities aso.
But the good news is, once the pregnancy is over, the body eventualy returns back to normal
Great post Ruth :!: - just thought I'd tell you that I wore enhancements throughout BOTH pregnancies and my nails were fine but more oily than normal - everyone is different though so I am only speaking for myself 8) :rolleyes:
 

Nailsinlondon1

CND Shellac Ambassador
Joined
Jan 12, 2003
Messages
7,494
Reaction score
393
Location
Greven, Germany
Thanks Samantha
I must admit I was a bit worried about that post, I didn't want to sound to harsh and know it all, but just wanted to state the facts.


As for preggie Ladies, the body behaves in a strange way when you are pregnand, so you never know, how it will react to exhancements.
Pregnancy diabities aso.
But the good news is, once the pregnancy is over, the body eventualy returns back to normal
I should have added that the body returns eventually to normal but the size of the bags under your eyes increases. (Great if you like the Panda look).

I have had a few preggy Ladies and they where all fine, but then they didn't have any complications in their pregnancy either.
But still made them sign the Client form and got a Dr's note, just incase lol. They understood and where so pleased that I was responsible enough to do that.

Love Ruth xxx
 

Peppercorn Nails

Well-Known Member
Joined
Jan 12, 2003
Messages
582
Reaction score
4
Location
Bildeston, Ipswich
If any of my clients mark yes for any of the following

Diabetes
Cancer
Heart Problems
Pregnancy

I would need to have a Dr's consent form before I carry out any (enhancements or mani/pedi) treatment?

What about allergies, asthma, psoriasis or varicose/thread veins?

As Debbie said, if somebody has heart problems (or varicose/thread veins) could you not either do a light massage or no massage, but still carry out the treatment (mani/pedi)?

I think this subject is always vaguely covered in text books, as Debbie mentioned, they do point out that they are contra-indications but they don't go on to tell you why and what can happen.

Maybe you could write a novel on this one when you have some time, master Geek, Geek of all Geeks.

Thanks
Adele
 

groovynails

Well-Known Member
Joined
Feb 2, 2003
Messages
602
Reaction score
12
Location
dorset england
hey guys found tis on another site so not sure if the facts are correct but it may help someone

Clients with cancer, diabetes, heart problems and/or the elderly will usually experience some sort of problem during the course of wearing enhancements. Sometimes, these problems not only include excessive lifting due to the amount of medications the client has to take to control their illness, but can also include nail plate lifting. Clients with cancer can experience a yeast infection with apparent nail plate lifting because their bodies 'anti-bodies' can recognize the overlay as a foreign substance, and go racing to the site to do battle with the 'invader'. When they find that there is nothing there for them to 'fight', they end up turning on good tissue (and quite possible each other). This results in a yeast infetion and evident lifting.

Clients with diabetes, heart problems and the elderly are another story all together. Due to the other problems associated with these diseases (not so much age alone) that require medication, clients with heart problems and the elderly usually have very thin blood. They will blead very easily and the blood flow sometimes cannot be stopped easily and the client may end up in the hospital. My husband takes an aspirin every single day to keep his blood thin due to heart by-pass surgery. Because of this, he will get a nose bleed for absolutely no reason; in other words, he doesn't have to DO anything to cause it to happen - it just starts on its own. He has to be VERY careful not to get any kind of cut or tear to his skin because it will bleed freely for HOURS - even the tiniest cut that would hardly bleed on a healthy person. The elderly can experience the same type of problems because their skin loses elasticity and the ability to quickly heal. Diabetics also bleed easily and sometimes, the injuries do NOT heal at all and remain as open sores that easily become infected, which make them even harder to heal and take MUCH longer.

Now, I am not saying that applying enhancements to these types of clients are not allowed - there is no law against it; I am only saying that one MUST take extra precautions when servicing this type of client, and one may want to get a letter of approval fromm the clients physician before applying enhancements -- Especially for clients with cancer.



if its wrong hope someone may put us straight
 

Debs

Well-Known Member
Joined
Apr 28, 2003
Messages
1,621
Reaction score
36
Location
Essex
I`m beginning to be more informed thank you all of you. I want to know if a manicure treatment can be adapted to suit these clients rather than give no treatment at all.
 

Little Angel

Well-Known Member
Premium Geek
Joined
Jul 28, 2003
Messages
3,197
Reaction score
136
Location
Lincolnshire, England
hiya

i know this is old but, i have recently come across this problem myself. A client with , bless her!, cancer and heart disease. Well she had enchancements on which i removed just to be on the safe side as they had started to lift in the last 6 months before she was diagnosed. It was a puzzle to us as she had always worn them with no probs. :confused: Well i asked her to get the all clear from her doctor before i would replace them, he didnt give it :sad: so we did natural manicures on her. I adapted her manicure as she bruised really easily. This was to do with her medication, am not rough honest :o :eek:
I did all the usual manicure steps except for massage i very lightly applied hand cream and then we dipped her in parrafin, so instead of her 10 mins hand and arm massage we had a chat and she had a lovely parrafin treatment.
She is still having her cancer treatment so who knows one day................ :)
 

talented talons

Master Artist
Joined
Mar 24, 2004
Messages
3,176
Reaction score
71
Location
essex
Glad i looked at this, Its helped me learn alot. As was said earlier, you do read about all the contra-indications but they never really go into detail about treatment or how is best to work around it, if at all.

I know most of the time you are just advised not to do any treatments at all but surley each client has to be viewed on their own merits. Obviously some people do suffer with diabetes but, like my Nan, she is diabetic but only has to eat certain things and doesn't take medication for it as its only a mild form. So if your next client only has a mild form, (i know a doctors note would be needed) Then as long as you are very careful you should be able to carry out some treatments.

Thats what i think any way.:biggrin:
 

Debs

Well-Known Member
Joined
Apr 28, 2003
Messages
1,621
Reaction score
36
Location
Essex
Little Angel said:
hiya

i know this is old but, i have recently come across this problem myself. A client with , bless her!, cancer and heart disease. Well she had enchancements on which i removed just to be on the safe side as they had started to lift in the last 6 months before she was diagnosed. It was a puzzle to us as she had always worn them with no probs. :confused: Well i asked her to get the all clear from her doctor before i would replace them, he didnt give it :sad: so we did natural manicures on her. I adapted her manicure as she bruised really easily. This was to do with her medication, am not rough honest :o :eek:
I did all the usual manicure steps except for massage i very lightly applied hand cream and then we dipped her in parrafin, so instead of her 10 mins hand and arm massage we had a chat and she had a lovely parrafin treatment.
She is still having her cancer treatment so who knows one day................ :)
This is where it confuses me again........If the doctor hasn`t given consent to treatment..... although you haven`t done a massage on your client, do you still get doctors permission to do the manicure?
This is exactly where I was coming from....There are ways to adapt a routine to satisfy yourself and your client when they have medical issues but do you outline your procedure exactly, step by step and ask the doctor to ok it first or do you just alter the routine to suit without checking with the doctor?
 

mui

Well-Known Member
Joined
Jul 27, 2003
Messages
999
Reaction score
13
Location
Thailand
sawasdee ka

I had my nail enhancements on for all my pregnant i only take them off i think about 2 days b4 i go hospital because my auntie tell me doctor will not be happy you have long nail and new baby .

I work all my pregnant up to the day i have my baby i wore mask for make nails so not have any dust and the day i had my baby i do a pedicure for customer in my shop i go from my shop 12.30 afternoon i have my son at 4 afternoon .

For me was no problem to have nails or work every thing was good .

My mama speak not to have enhancement untill my baby 1 year old but i like so i have but i have short not too long .

Mui from Thailand
 

Cathie!

Well-Known Member
Joined
Mar 30, 2004
Messages
5,483
Reaction score
272
Location
South West England
This is a great thread - learned loads!

Anyone know of anywhere u can buy record cards with written reminders or tick boxes for the diseases etc we should be asking about during a consult? I have a crib sheet in my drawer - not v prof!

Cathie
 

Little Angel

Well-Known Member
Premium Geek
Joined
Jul 28, 2003
Messages
3,197
Reaction score
136
Location
Lincolnshire, England
nails@42ndstree said:
This is a great thread - learned loads!

Anyone know of anywhere u can buy record cards with written reminders or tick boxes for the diseases etc we should be asking about during a consult? I have a crib sheet in my drawer - not v prof!

Cathie
Hiya

go on to www.designernails.co.uk go into the NVQ section and there is a record card that you can download. Mine is based on this and i just print them off my comp and keep them in plastic wallets in a folder. ps i have added a cancellation policy to the bottom of mine, to deter those no-shows.
 

yogacat

Well-Known Member
Joined
Dec 28, 2003
Messages
294
Reaction score
6
Location
West Sussex
Right, i have to be careful how i phrase this to make sure that you hear what i'm trying to say...
As someone who is primarily a massage therapist, i have a slightly different perspective to offer. In no way am i saying that there is no such thing as a contra-indication, or that you shouldn't be careful.
As a therapist who has researched more than many into health matters, and who has for reference some of the best (and most expensive - eek!) books on some of these things, here are a few thoughts.
There are many conditions which you can treat (and help) using massage (which of course is a part of many mani/pedi treatments). To do this, however, you need to have extra knowledge in these areas, to be extra careful, and to cover yourself.
This can even apply to people who have cancer. IF YOU HAVE THE CORRECT KNOWLEDGE.
I am not implying that you go out and start treating people willy nilly. But i would like you to know that specialists in these areas can treat a more "difficult" client safely. Maybe some of you will go on to train more in these areas - maybe some of you already have, or maybe you never will.
I would like to make sure that no-one is saying "Oh, you have blah-blah condition, that means that you should never ever have massage" because that would be a real shame. There are sooo many conditions that can be treated and helped by the correct type of massage.

Phew! Hope that all came out right!
 
Status
Not open for further replies.

Latest posts

Top