COMPETENCY BASED LEARNING

MATERIAL

Sector : HEALTH, SOCIAL AND OTHER COMMUNITY

DEVELOPMENT SERVICES SECTOR

Qualification
Title : HILOT WELLNESS MASSAGE NC II

Unit of Competency: PLAN THE HILOT WELLNESS

PROGRAM OF CLIENT/S

Module Title : PLANNING THE HILOT WELLNESS PROGRAM

OF CLIENT/S
 Competency-Based Learning Materials

PLAN THE HILOT WELLNESS PROGRAM OF

CLIENT/S
HOW TO USE THIS COMPETENCY-BASED LEARNING MATERIAL

Welcome to the Module in “Plan the hilot wellness program of

client/s”.
This module contains training materials and activities for you to
complete.
The unit of competency “Plan the hilot wellness program of
client/s” contains knowledge skills and attitudes required for Hilot
(Wellness Massage) NC II. It is one of the specialized modules at
National Certificate level II.
You are required to go through a series of learning activities in
order to complete each outcome of the module. In each learning
outcome are Information Sheets, Job Sheets. Follow these activities on
your own and answer the self-check, perform the procedural checklist
at the end of each learning outcome. You may remove a blank answer
sheet at the end of each module (or get one from your
facilitator/trainer) to write your answer for each self-check. If you
have questions, don’t hesitate to ask your facilitator for assistance.

Recognition of Prior Learning (RPL)

You may already have some of the most of the knowledge and
skills covered in this learner’s guide because you have:
been working for some time
Already completed training in this area

If you can demonstrate to your trainer that you are already

competent in a particular skill or skills, talk to him/her about having
them formally recognized so you don’t have to do the same training
again. If you have a qualification or Certificate of Competency from
previous training, show it to your trainer. If the skill you acquired is
still current and relevant to the unit/s of competency they may
become part of the evidence you may present to RPL. If you are not
sure about the currency of your skills, discuss with your trainer.
At the end of this module is a Learner’s Diary. Use this diary to
record important date, jobs undertaken and other workplace events that
will assist you in providing further details to your trainer or assessor. A
Record of Achievement is also provided for your trainer to complete once
you complete the module.
This module was prepared to help you achieve the required
competency, in Provide Housekeeping Services to Guest. This will be
the source of information for you to acquire knowledge and skill into
this particular trade independently and at your own pace, with
minimum supervision or help from your instructor.
Talk to your trainer and agree on how you will both
organize the Training of this unit. Read through the
module carefully. It is divided into sections, which cover
all the skills and knowledge you need to successfully
complete this module.
Work through all the information and complete the
activities in each section. Read information sheets and job
sheets and complete the self-check and perform the
procedural checklist. Suggested references are included to
supplement the materials in this module.
Most probably your trainer will also be your supervisor or
manager. He/she is there to support you and show you
the correct way to do things.
Your trainer will tell you about the important things you
need to consider when you are completing activities and it
is important that you listen and take notes.
You will be given plenty of opportunity to ask questions
and practice on the job. Make sure you practice your new
skills during regular work shifts. This way you will
improve both your speed and memory and also your
confidence.
Talk to more experience workmates and ask for their
guidance.
Use the self-check questions at the end of each section to
test your own progress.
When you are ready, ask your trainer to watch you
perform the activities outline in this module.
As you work through the activities, ask for written
feedback on your progress. Your trainer keeps
feedback/pre assessment reports for this reason. When
you have successfully completed each element, ask your
trainer to mark on the reports that you are ready for
assessment.
When you have completed this module (or several
modules), and feel confident that you have had sufficient
practice, your trainer will arrange an appointment with
registered assessor to assess you. The result of your
assessment will be recorded in your Competency
Achievement Record.
 LISTS OF BASIC COMPETENCIES

Unit of
Competency Competency Module Title Code
Number

Planning the
Plan the hilot hilot HCS222301
wellness program wellness
1 of program
client/s of client/s

Provide pre-service to Providing pre- HCS222302

2 hilot client/s service to hilot
client/s

Apply hilot wellness Applying hilot HCS222303

3 massage techniques wellness massage
techniques

Provide post advice Providing post HCS222304

4 and post-services to advice and post-
hilot clients services to hilot
clients
Refer to Lesson Information on Health History (CBLM in Wellness
Massage p. 67)

TASK SHEET 1.1-1

Title: HEALTH HISTORY
Performance Objective: After reading the lesson information you
should be able to know the past and present
medical history of the client.

Supplies/Materials : paper and pen

Equipment :

Steps/Procedure:
1. Divide the group into five.
2. Sharing of personal experiences about their past and
present health history.
3. Summarize the shared experiences by group.
4. Presentation of the output to the class.

Assessment Method:
Oral presentation

Performance Criteria Checklist 1.1-1

CRITERIA
YES NO
Did you….
1. Did you know the past and present medical
history of the client?
2. Did you identify past from present medical
history of the client?
Can I gather health information of my
3. client?

WELLNESS MASSAGE NC Date Developed: Document No.00

II Issued By:
TESDA
Plan the Wellness Developed by: Revision #00 Page 6 of 21
Program Clients
Refer to Lesson Information on Inter/Intra Personal Relationship
(CBLM in Wellness Massage p. 70)

SELF-CHECK 1.1-1
INTER/INTRA PERSONAL RELATIONSHIP

TRUE or FALSE:
Direction: Write the word TRUE if the statement is correct and
FALSE if it is incorrect.

_____________1. Establish the most inappropriate form of treatment, to

discuss and to agree with the client.
_____________2. Identify client’s needs and expectations of the
treatment.
_____________3. Develop mutual trust and gain the client’s confidence.
_____________4. Explain the treatment briefly to the client, including
the
procedure, expected effects.
_____________5. Build a rapport with the client and put him/her at
ease.

ANSWER KEY 1.1-1

1. FALSE
2. TRUE
3. TRUE
4. FALSE
5. TRUE
Refer to Lesson Information on Standard Operating Procedure
(CBLM in Wellness Massage p. 71)

SELF-CHECK 1.1-2

IDENTIFICATION:
Direction: Identify the 5s methodology used in the given
statement. Write your answer on the space provided.

_______ 1. It is the process of keeping everything in the workplace

clean.
_______ 2. It involves extensive training for workers to perform their
duties
for proper practices and policies in the workplace.
_______ 3. A process of sorting tools and parts in an order that
facilitates
their use.
_______ 4. This is a process for identifying whether certain items are
needed,
and those that are needed are immediately discarded to use
space effectively.
_______ 5. It is a process for keeping your workplace clean by
classifying
everything and eliminating unnecessary items.

ANSWER KEY 1.1-2

1. Seiso (sweep)
2. Shitsuke (self-discipline)
3. Seiton (systematize)
4. Seiri (sort)
5. Seiketsu (standardize)

Refer to Lesson Information on Health Concepts (CBLM in Wellness

Massage p.63-65).
 SELF-CHECK 1.1-3

Direction: Fill in the blank with the correct word to complete the
statement.

1. METAL controls WOOD by ________ it.

2. ________ controls EARTH by holding it in place with roots.
3. EARTH controls ________ by containing and absorbing it.
4. WATER controls FIRE by ________ it.
5. FIRE controls ________ by melting it.

ANSWER KEY 1.1-3

1. Cutting
2. Wood
3. Water
4. Extinguishing
5. Metal
 LESSON INFORMATION 1.1-1
HEALING CONCEPTS
Hilot
Traditional Massage/Healing Practice from the Philippines.

The Philippine Hilot massage therapy is an ancient art of treatment

using bare hands and herbs. It is a part of a traditional, ancient
culture of Filipinos. Filipinos in ancient times regarded Hilot as a
miracle art of therapy. Because of the deeper understanding of the
ability of that kind of care, people still believe in this miracle method.
It is a kind of therapeutic or physical manipulation that has a good
influence on the veins, bones and muscles, but in a different way than
an ordinary massage, because here we also use medicinal plants,
such as various herbs and banana leaves. Banana leaves are a
natural ioniser that works on bio-energy with its application to the
skin to a certain part of the body and determines which part of the
body needs necessary attention and recovers balance and harmony to
the body. Banana leaves also have an antiseptic effect. It has been a
useful way of treating illnesses from flu to sprains and even bone
dislocations. It is embedded in the Filipino culture and is still into
practice as an alternative medicine massage.

What is Hilot?

Hilot is the age-old indigenous Filipino healing practice associated

with elderly healers. It is relatively complex way of healing
methodology complete with philosophy, health concept, healing
concept and healing methodologies. The “Hilot” Master or
“manghihilot” could identify body illnesses or areas of energy
imbalance in the body through many unconventional methods like
pulse reading, hot and cold analysis, phrenology,
stool/urine/perspiration analysis. It is the oldest healing arts in the
Philippines. Most Hilot in the Philippines are either learned from
relatives, through hands on practice, or inherited from their
forefathers, passing the art from one generation to the next.

History

Hilot has been a Filipino Traditional Healing modality since pre-

written history of the Philippines. It is considered to be in existence for
more than a thousand years. While there are many forms of
indigenous therapeutic massage (generically known as hilot sa pilay)
in each of the ethnolinguistic groups in the Philippines, an eclectic
mix of massage techniques from these language/cultural areas has
been developed now to be known as “The Filipino Hilot”.

The practice of Hilot is a part of the Filipino way of life. Traditionally,

prior to the popularity of modern medical doctors, the ‘manghihilot’
was the health care giver of the community. Like all traditions, it has
seen its share of being pushed to the background at the arrival of new
methods, new medicines and new technology.

Lately, in the worldwide resurgence of alternative forms of medicine

and the research and study of the “old” ways of healing, Hilot is re-
established as the Filipino Healing Art based on scientific- universal
and natural laws.

Concept of Hilot

Like other systems of natural health care, the basic concept of traditional
Filipino healing is that health and wellness are maintained by balance
and harmony. On the other hand, discomfort, illness, and disease are the
results of imbalance and disharmony. In applying hilot, the therapist
identifies areas of energy imbalance in a client’s body through touch
diagnosis through the use of warm banana leaves and virgin coconut oil,
which is applied to the body before and after the treatment. Hilot
therapist first makes a review of the back with warm banana leaves.
Diagnosis of touch by using these leaves specify which body parts have
an unbalanced energy. Then, the therapist determines disrupted flow of
energy in the body and devotes to the problem until he/she creates the
balance and harmony and a sense of relief. From here, the therapist
proceeds to customize the treatment to remove or alleviate such
imbalances.

At the beginning of the session (pre-hilot ritual) the manghihilot

invokes Divine power to provide the energy for healing. This opening
ritual also acknowledges and invokes the natural power of the natural
surroundings. Then it summons the sick person’s inherent self-
healing powers to action.
Coconut oil is essential in all kinds of hilot massage to maintain warm
hands. The oil does not only lubricate the massage but it also keeps
the manghihilot’s hands warm.

After a hilot session, the person is usually warned not to bathe

for approximately twenty four hours so the oils can absorb into
the skin.

Ingredients and techniques of Hilot therapy:

- Virgin coconut oil

- Warm banana leaves
- Masseur applies pressure by 90% and 10% thumbs gentle massage
strokes
- Manually creating heat and reducing tension in conclusions,
- Patting and gently pinching for reducing pain and impairing
muscle development.

Special advantages of Hilot therapy:

- Softens hardened formations in areas of cartilage, tendons and

muscles,
- Allows good blood circulation in all muscle cells, which
tightens and improves the appearance of skin
- Reduces muscle pain
- Eliminates physical tension and pain
- Evokes a feeling of comfort,
- Relieves stress.

Advice after Hilot massage

After treatments it is advised to drink a lot of fluid like lemon grass

tea, ginger tea, green tea or hot water. Since after the massage your
body is exposed to heat, it is not good immediately to be exposed to
the cold, because our pores are getting closed in it. Give yourself time
to adjust the body.

At least the first two hours after the massage you should not eat
heavy, fatty food, it is not advised to drink alcoholic beverages and
smoke.

Making of a Hilot

The training of Hilot Practitioners or the “manghihilot” involves

learning the concepts and philosophy of traditional healing, instilling
an individual valuing process and its relevance to Hilot Healing and
understanding the body functions. The education of the
“manghihilot” is holistic, - holistic involving the biological, social,
behavioral and psychological aspects of life and living.

A good hilot practitioner would know the type of ailment his client is
suffering from just by looking at him and sensing his energy. A good
healer can tell if the elements in one’s body—fire, water, earth and
air—are in harmony. Fire refers to the body’s electric impulses;
water, the blood; the earth, bone and flesh; while air corresponds to
the air that one breathes.

To correct the imbalance in the patient’s energy that leads to a

distorted metabolism, a healer would have to give the patient a
massage to create the desired biochemical reactions that helps the
body heal itself.

Spotting a fake “hilot” should be easy. Anything that did not

conform to the natural law would cause pain, so if one felt sore
after a “hilot” massage then something was not right.

Variations of the term Hilot

There are many words used to refer to the healer(or Hilot). From the
Tagalog region there is “Hilot,” “Manghihilot,” “Hagod,” “Manghahagod,”
“Haplos,” “Albolaryo,” and “Mangagamot.” Also there is “Aplos” in Bontoc
region, “Unar” in the Kalinga, Apayao region, “Aptus” in the Ibatan
region, “Ilot” or “Ilut” in the Ibanag, Isneg, Ilocano, Itawis, Zambal and
Pampango region. Then there is “Ablon” in the Northern Ilocano region,
“Kemkem” in Pangasinan region, “Elot”
in the Ilonggo region, “Agud” or “Agod” in the Mindanao and
Maranao region, and “Hagod” in Bukidnon region.

The following are general principles observed by our folk

system of medicine in understanding health and illness.

A. Nature (“Panahon”: Time, Season, Weather Conditions)

influences man’s health

Filipino traditional medicine believes that time and condition of

nature greatly influence the health of the person. To remain healthy,
one must learn to abide by the law of nature or at least know how to
deal with the changes in the weather condition that can affect his
health. The following are some of the popular concepts that support
this view:

-“Taking a bath in the morning improves one’s health; while taking

a bath in the afternoon most especially when the sun is about to
set, can make a person anemic.”
- “There are ailments which are seasonal in nature, when it is
their time to come, one will just have to be ready to deal with
them.” Cough and colds, sore eyes, mumps are some of the
ailments which are looked upon as seasonal in nature.
- “Rheumatic pain attacks when it is about to rain.” Lolo’s and Lola’s
can’t do anything but get ready with their “oil” when it is about to
rain.

B. Hot and Cold Syndrome adversely affects man’s health

Filipino traditional medicine believes that hot and cold elements

affect one’s health. Illness is caused by hot or cold elements that
enter the body through the pores of the skin, food consumed, air or
vapor inhaled that cause imbalance or disequilibrium inside the
body. Here are some of our traditional “hot and cold syndrome”
concepts.
- “Usbong ng lupa” right after a rainfall can cause nausea or
headache.” -“Eating “cold” fruits in the morning can cause
stomach discomfort or indigestion;
- “Over-eating of “hot” fruits or food can cause skin rashes.”
- “Washing of hands and feet, or taking a bath when one is tired (a
tired body is hot) can cause pasma syndrome, a condition
characterized by unsteadiness of nerves and muscles of the afflicted
parts of the body.”
- “Going to sleep while the hair is still wet can cause the heat to
come up to the head and may result to insanity”
- “Drinking cold water or fruit juice considered “cold” like buko juice,
when one has fever can cause further imbalances to the system.”
- “One, who just had a bout with severe sickness such as typhoid
fever, influenza and the likes, must mix the water with boiled herbs
when taking a bath for the first time to protect himself from pasma.

C. There are Discomforts or Ailments that are caused by

Supernatural Elements

Filipino folk medicine believes that there are discomforts and

illnesses which are caused by supernatural elements. The following
are some of the examples of these cultural beliefs:

- Usog - is a strong “hot breath” possessed by a person with

inherently strong life-force that can cause to others a discomfort
characterized by stomachache, nausea and headache. Based on
experience, one who has usog can cause discomfort to those whose
life-force is naturally weak most especially the children.
- Nalamang lupa – is a discomfort caused by earth dwellers if they’re
disturbed in their daily activities. Sweeping the floor or ground with
the use of walis ting-ting after the sun has set can disturb the earth
dwellers.
- Naengkanto – is not really a physical ailment but a person who has
an engkanto for a friend or acquaintance shows strange behavior as
he talks to someone only he or she can see.
- Nabarang – is an ailment caused by a sorcerer called the
Mambabarang, who uses insects in inflicting harm to their victim.
The Mambabarang can instruct the insects to enter the body of an
intended victim either through his anus, ear or nose.
- Nagaway – an ailment caused by a Manggagaway through manikaan
and palipad hangin. The Manggagaway can make a person lose his
mind; make a woman pregnant and make her deliver a fish or a lizard
baby.
-Namatanda – is a discomfort or ailment caused by a disturbed or
offended
“nuno sa punso”. It is widely believed that an “old dwarf”, “kama-
kama” to the
Ilonggo, resides by an anthill. It is not an uncommon practice for a
Filipino to say “tabi-tabi po” when passing by an ant hill “punso” or
pee in an unfamiliar place lest he offends the dweller.
- Natabang / Nakitang – an ailment caused by Manugtabang or
Manugkitang, called in general as Manughiwit by the Hiligaynon.
Manugtabang is known to
cause the bloating of stomach of their victim; while Manugkitang
used fin of the fish called kitang, to inflict harm to their victim.

II. Folk System of Medicine Specialists or Practitioners

Common Essential Attributes:

- Use of rituals and prayer (a genuine specialist possesses a “librita”,
a small book)
- Claim of access to supernatural power
- Acknowledged and recognized in their community to have the ability
to heal
- The Albularyo – is a general practitioner. He is sought for his ability
to deal the case of the victims of sorcery, witchcraft and earth
dwellers. At the time of the Spaniards, they were called herbolario
due to their vast knowledge on herbal medicines.
- The Manghihilot – specialist in fractured bone, sprain, dislocated
joints, pinched nerves and other “sala” (generic term for muscle,
bones, and joint discomfort)
- The Magpapaanak (local midwives) – trained and experienced
practitioners who assist mothers in the delivery of their children.
Their practice includes hilot to correct inverted uterus, pre-natal
hilot to position the baby for easy delivery, post-natal hilot and
“suob” to hasten the healing recovery of the mother.
- Magluluop (Diviners) / Magtatawas – specialists in divining and
diagnosing illness through rituals and prayers

Types of Treatments

Traditional Hilot Massage

This is a traditional massage treatment. This combo of healing and

deep massage will harmonize the body’s elements, relax the mind and
heal the body. This method also employs Banana leaf strips, laced
with coconut oil and warmed over a candle flame. The banana leaves
are run through areas of the body and tends to stop or tug over energy
blockages. Otherwise, the leaf tends to smoothly slide over the skin.

Banana leaf also has some medicinal and herbal elements to it.
Banana leaves contain large amounts of polyphenols, including
EGCG antioxidants, found in green tea, and blueberries.
Hot Stone Hilot Massage

Many people find the warmth of the hot stones to be comforting and
get it for relaxation. Heated smooth, flat stones are placed on key
points on the body, and the heat relaxes muscles, allowing to work
the muscles without using deep pressure. The stones are heated and
doused in Virgin coconut oil and applied to the back. The heated
stones also promotes temperature balance in relation to Hilot theory
making this an excellent healing method.

Bentosa Cup Hilot Massage

Bentosa cupping massage is a healing method adapted from the

Chinese over 3,000 years ago. A lit candle is placed on the patients
back and immediately covered with a glass cup. A vacuum is created
by air heated by fire in a glass cup placed flush against the patient’s
skin. As the air cools in the cup, a vacuum forms that pulls up on the
skin, stimulating the acupressure effect. By creating suction and
negative pressure, Bentosa is used to drain excess fluids antitoxins;
stimulate the peripheral nervous system; bring blood flow to stagnant
muscles and skin; and loosen adhesion, connective tissue and
stubborn knots in soft tissue.
Traditional Foot Hilot Massage - Dagdagay

Dagdagay is a traditional Filipino foot massage originating from the

mountain province, is a therapeutic foot massage using rattan sticks.
Long motion and acupressure is applied to the soles of the feet to
restore balance and boost the body’s immune system. Similar to
Chinese foot reflexology and Thai foot massage, the Dagdagay is an
authentic Filipino foot massage that has been used for centuries and is
now redefining ancient and modern natural therapy.

Scalp Massage - Tiris

Tiris is a scalp massage that has been widely used in the Philippines
to rid patients of headaches. Scalp massage will help balance energy
in the mind and also relive stress. This technique has been practiced
by indigenous indios in the Philippines before Spanish colonization. It
has survived centuries and still exist today as a form of healing and
wellness.

https://pinoy-
culture.tumblr.com/post/28521495834/hilot-traditional-
massagehealing-practice-from

Refer to Lesson Information on After Care Services (CBLM in

Wellness Massage p. 197-199).
 SELF-CHECK 1.1-4

TRUE or FALSE
Direction: Write the word TRUE if the statement is correct and
FALSE if it is incorrect.

_______ 1. Drink plenty of water to eliminate toxins.

_______ 2. You may feel a little light headed after the hot stone
massage and
body massage aftercare.
_______ 3. Home care advice is not beneficial for the client, as it involves
them
in the treatment and encourages them to take control
of their condition.
_______ 4.Immediate bathing should be avoided, at least 2 hours after
the
service is advised.
_______ 5. Aftercare products may include but is not limited herbal
products
and body oils.

ANSWER KEY 1.1-4

1. TRUE
2. TRUE
3. FALSE
4. FALSE
5. TRUE
 TASK SHEET 1.1-2
Title: WELLNESS MASSAGE PROGRAM VARIATIONS
Performance Objective: After reading the lesson information you
should be able to create own wellness
program variations.

Supplies/Materials : paper and pen

Equipment :

Steps/Procedure:
1. Group the class into five.
2. Each group will list down related wellness massage
services that may be offered in massage spa salon.
3. Choose among the list of the services you want to offer in your
spa.
4. Make your own wellness massage program variations.
5. Present output to the class.

Assessment Method:
Oral presentation

Performance Criteria Checklist 1.1-2

CRITERIA
YES NO
Did you….
4. Did you identify wellness massage
services offered by massage spa?
5. Did you create your own wellness
massage program variations?
6. Are the chosen services targeted diverse
client groups, including men, couples,
teens, families, athletes and seniors?

Refer to Lesson Information on Clients’ Needs Assessment

(CBLM in Wellness Massage p. 77 and 187).
 SELF-CHECK 1.1-5
SEQUENCING:
Direction: Arrange the steps in the process of conducting
client satisfaction assessment. Write numbers 1-5
for its proper order.

_______ 1. Select who will be involved in collecting information

from
clients and prepare them for that role.
_______ 2. Decide on what you want to look at and learn.
_______ 3. Choose which method you want to use to collect
information
from clients about their satisfaction with your services.
_______ 4. Interpret the data you obtain from clients so you can
use to
improve services.
_______ 5. Share the results with staff and get them involved in
planning
improvements.

ANSWER KEY 1.1-5

1. 3
2. 1
3. 2
4. 4
5. 5