Safe and Effective Massage Techniques for Elderly Clients

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Safe and Effective Massage Techniques for Elderly Clients Transcript

Hello everyone, welcome in, thank you so much for being here with us today, hope you did
a say, we're almost to Friday, we'd love to know where you're tuning in from, so please
use the chat, I'm tuning in from Sunnis and Petersburg, Florida.
Awesome, well hello everyone and welcome to the Massage Magazine Insurance Plus webinar
series in session, you might also recognize us as Massage Magazine, form it for sure,
I'm Shannon, I'm excited to become those same today. If you're new to MIPS, we're an all-inclusive
liability insurance provider for the massage therapist, body with professionals, breaking
practitioners, and more across the United States. Our mission is to support you with quality
coverage that gives you peace of mind in your practice. We don't soften insurance, we also offer
a wide range of exclusive number benefits, including discounts on condition products,
up to 53 CE hours, looking at Azure, and a wide range of valuable resources tailored
to the massage and body work community with you. To learn more, I'll be dropping our
website link in chat for easy coding. Just some quick housekeeping tips, a reminder that
today's webinar will be about one hour long and if it's recorded, 30 will be emailed to
everyone by tomorrow. Today's webinar is also eligible for one NCP-TMB through to the CDE
credit hour. Sheila will be issuing the CE credit to all attendees like me now, shortly after
the webinar has concluded. We encourage you to ask questions, so feel free to use the chat or
the Q&A feature and we will be monitoring both correct. We'll also reserve the last 10 minutes
for a Q&A section. With that said, let's dive in. The topic of today's webinar is
safe and effective massage techniques for elder requirements. Please join me in welcoming our
presenter Sheila Alexander, a respected leader in senior wellness, reflexology, and massage therapy
for more than three decades of experience serving older adults in advance of the profession.
Sheila has been a licensed massage therapist since 1993 and a continuing education provider
since 2011. In 2004, she founded a successful massage and spa practice within a continuing care
retirement community where she developed specialized approaches to serving senior clients. After
retiring from hands-on practice in 2021, Sheila shifted her focus to educating fellow professionals
traveling across the country to teach her innovative senior spa method and help our
practitioners better use the new communities of the aging population. Welcome Sheila and thank
you for tuning in to MIPS in session webinars. Thanks Shannon. Now let me share my screen and get
started here.
Okay, this is not sharing. Let me go back.
Okay, can everybody see this? Looks good. Great. Well, first of all, I would like to thank
Massage Magazine for hosting this. I have made working with seniors my life's work and I'm just
really happy to share what I know about this population. First of all, I know that you all can see me
in the corner up there and as you can see, I am a young senior, so I take pride in being a baby boomer,
one of the 78 million strong baby boomers are those the generation born between 1945
and 1964. We are the largest generation in U.S. history. So as Roger Daltrey of the who
brought group saying in the song, my generation hope I die before I get old,
baby boomers expect excellence in services and quality of life.
So again, I would like to thank Massage Magazine for hosting this.
Here is my contact information and I found working with this population that when I was in the continuing
care retirement community, I had a brochure that said geriatric massage and spa therapies on it
and I had a lady in her 80s pick up the brochure and she said, oh, Sheila geriatric, she didn't want
to be called geriatric even though she was in her 80s. So I started thinking about that and I
tweaked the name senior massage and spa therapies and then eventually shortened it to senior spa.
And that seemed more well received. Even though I'm a senior, I don't want to be called a geriatric
either. So even though those terms are interchangeable, I just want to give you a little spin
on that to think about it differently. Here's my contact information. I am happy to help
you in any way that I can. So please reach out to me if you have questions, concerns,
ideas, but especially if you need any answers to questions and I will be happy to help you.
So I thank you for
Shannon asking where everybody is from. I had this slide up to ask people that but I noticed that we
have people in from Australia, Nova Scotia, Cancun. So the power of this
method is just really incredible. And so I just want to thank you all for being here.
So I love this quote by Leonardo da Vinci. The foot is a masterpiece of engineering and a work of art.
All right. So did you all know that your feet contain 25% of the bones in your body
and that the average person walks 75,000 miles in a lifetime. I know with the fitness devices now,
it's 10,000 steps a day, but that really adds up and can lead to changes in the bones, tendons,
and muscles that support our feet structures. And the pads of your feet can lose fat and muscle
over time, leading to less shock absorption. So some common foot problems. I mean, we know about
arthritis and bunions and I don't know if anyone here has had plantar fasciitis or have had
clients in the past that have had it, but it is very painful. And of course,
it's always worse in the morning. Neuropathy is a really common foot problem as well.
So restless leg syndrome is a very I just lost myself here. Let me go back.
All right. Can y'all can my team help me here? I tried to.
I don't know where my screen went. Oh, here we go.
Oh, I have a screen in front of my screen that I am trying to get rid of.
Hey, Matt, Shannon? Yes. The attendees are still able to see the PowerPoint.
I'm able to see it at the bottom, but I have the big zoom workplace
screen in front that I'm trying to minimize. And for some reason, I have I cannot minimize it.
I
I apologize. Y'all just hang there with me. We'll get this straightened out.
Sheila, are you able to see the screen with the PowerPoint?
I'm able just to see the very bottom.
Um, try dragging the window.
Okay, here we go.
I'm dragging the window and trying to.
It says either leave webinar. You drag it all the way down to the bottom.
Okay. Thank you. So restless leg syndrome. I see a lot of
is highly highly advertised as far as medication for that, but restless leg syndrome is a pretty
common ailment now, and it causes a powerful urge for you to move your legs.
Your legs become uncomfortable when you're lying down or sitting.
And some people describe it as a creeping, crawling, tingling, or burning sensation.
Now it is a neurological condition. And I have a study here at the bottom that
studied the efficiency of massage for the treatment of restless leg, which I thought was very
forward thinking. So you can go and pull that study up and read more about it.
Now I love this slide. When I was at the continuing care retirement community, I used to do education programs and this was one of the programs that I did, and I found, I found this slide, and I just thought it was really beautiful.
So it's a reflexology is an ancient therapy that was used by early Chinese, Egyptians, and North American indigenous tribes for healing, but it was not until the 19th century that the medical community, nursing, and complimentary and alternative medicine, or CAM,
practitioners began to explore it scientifically. So this study studies have been found
that are published in the field of foot reflexology have been increasing year by year.
So sometimes reflexology will be referred to as zone therapy.
And in reflexology, there are five zones on each side of the body, each of which spreads down the arm and is confined to a single finger, while also extending down the body and leg until it aligns with a corresponding toe on the foot.
So it does not, it does not use any drugs or chemicals and is the best choice for many health problems. It can reduce pain.
It helps maintain physical flexibility and athleticism. It relaxes the limbs, especially the hands and feet and the whole body.
It stimulates the body to release pain relieving chemicals, can be used as a means of preventing disease, promotes recovery from physical injury, especially the hands and feet, and triggers the release of endorphins and in keflins, which are pain relieving hormones that help to relieve pain and improve mental energy and well-being.
So reflexology in Asia, particularly within traditional Chinese medicine or TMC, is used not only as a therapeutic treatment, but also as a diagnostic tool to identify imbalances in the body's
Chi or vital energy. It's based on the principle that specific reflex points on the hands, feet and ears correspond to different internal organs and tissues.
So here's a study that was done in 2022.
Foot reflexology, the latest research development trends, and future directions.
So this study found that the number of articles produced published in the field of foot reflexology has been increasing year by year and the top three journals with the most articles or complimentary therapies in clinical practice, therapies in medicine, and the journal of alternative and complimentary medicine.
So foot reflexology has been shown to have a moderating effect on anxiety, fatigue, and cancer.
All right, where's my next slide here?
All right, for some reason, I can't forward it. Oh, here we go.
So here's another great study for caregivers. Caregiver delivered foot reflexology effects on patients and caregivers.
The aim of this study was to evaluate the effects of caregiver delivered foot reflexology on patients with cancer and their caregivers.
Clinicians should teach caregiving practices such as foot reflexology and know that these practices are a positive influence on both patients and caregivers. Now,
I know that we massage therapists have some great training and then we, of course, continue to get continuing education like you are today.
But we all know the power of touch and as long as you know what the precautions and the contraindications are, anyone can give focus touch that is therapeutic.
So some precautions or contraindications that you need to watch for, of course, are, you know, your regular bruises, broken skin.
You need to be careful with people that have a history of either blood clots, thrombosis, embolism,
open wounds, active infections, fractures, severe osteoporosis or active gout.
Now, for my folks in North Carolina and some other states, we have one of the real mavens or masters of reflexology
here in North Carolina. She's in the Chapel Hill area. She's been teaching for almost 40 years and her name is Claire Miller.
And I've taken her class. This is her book and you can order her book on her website. But this is the best
class. And she has the best charts that I have ever seen. Her background was a radiologist. So she
studied the body before she went to Massage School. And she noticed when she started studying reflexology
that the anatomy just follows perfectly on your feet for the body. So here's a chart of where the
different points or zones are in the feet. And I had a jug. I had a big, I had this enlarged and put this
on the back of my door in my treatment room. So when I was sitting at the foot of the table
doing reflexology on people, I could refer to this chart. And it was just a great learning tool.
I also had a color copy made of this and put it at the charge nurse's station. And they were just
absolutely fascinated by it. So her pioneering work, she's given me permission
to use this, but I wanted to give her credit for that and show you how you can find the resources
on her website. So the feet are really a door into the body. The head is the big toe
all along the arch is the spine. And then the heel is the hip.
So of course, many of the benefits are supporting blood flow and relieving pain from arthritis
to relieve heel and plantar fasciitis pain, ease ankle and pain discomfort, relieve stress and anxiety
and of course improve your mood and your well being. So another of course benefit is that it's
a completely natural treatment. It doesn't use any drugs or chemicals and is now the best choice
for many health problems. It can reduce pain, maintains flex physical flexibility and relaxes
the limbs and the whole body.
So the effects are well known to relieve the psychological symptoms of stress and reducing
anxiety and muscle tension. It can calm your mood, improving the quality of your sleep
and facilitating the feeling of well being.
So here's another study that was done in 2022 that you can go and refer to.
So foot reflexology has been shown to have a moderating effect on anxiety, fatigue and cancer.
It's an advantage to certain groups and generally doesn't have any any damaging side effects.
So I know everybody is sitting or if you have a standing desk or standing but I want to do
just a short interactive activity here called the ankle alphabet. At the
the retirement community where I was of course they had fitness classes and so they had a fitness
specialist and they also had an in-house physical therapist and both the physical therapist and the
fitness specialist recommended ankle strengthening exercises and I have a link down here for you
all to go to that can give you some more background but this is one
modality that I did with the reflexology. I did this active or passive so and you can you also
it's critical for you to do this for your own self-care. My brother is 78 and he has some help
issues and he's had several falls and I keep after him to do this whenever he's sitting in his
chair at the end of the day watching TV. So the ankle alphabet this will help stretch the muscles
around your ankle and improve the range of motion in your ankle joint. So I want everybody now
where you're sitting at your desk or if you're standing at your desk sit down and put your ankle
keep your leg straight but put your heel up on either another chair or turn your waist basket over
and put your heel on top of there and stretch your leg out and we're going to perform the ankle alphabet.
So you have one leg extended out in front if you have a pillow nearby place the pillow
under your cap so that your foot hangs over the other side and then we're just going to do this
one leg in the beginning so you're going to use your big toe to draw the letters of the alphabet
in the air. So begin with A, I do capital A and then B, C, D, E, F, G, H, I, J, K,
A, L, M, N, O, P, Q, R, S, T, U, V, W, X, Y, and Z.
Now I don't know about you all that I had some cracking that I heard of my ankle there but this
exercise takes your ankle through all range of motion. So another thing the fitness specialist
taught me is that your first line of defense in a fall is your ankle that can help to catch you.
If you have real stiff ankles and you're not and you're inflexible there you have a higher risk of
falls. So this is a really great self-care exercise that you can do yourself. This is a great
recommendation that you can give your clients because it's so easy where everybody sits down
and watches TV, everybody sits down and does their computer. I love to sit up in bed and read at night
and I do this in my bed as I'm reading. So it's a great recommendation for your clients. They're
always looking to us for ideas of how to take better care of ourselves. So you can use this
and do it actively like we just did or when I would work on folks in their hospital beds,
I if they were unable to move their ankles like we just did then I would do this passively
for first one ankle and then the other and then I would do both together. So you can still
have your clients reap the benefit even if it's passive they will still receive the benefits for that.
So why should we pay attention to our ankles? Well our ankles link our body to our feet supporting
our body weight providing balance and mobility to the foot. They guarantee stability and absorb
the friction caused by movement and I have another link down here for you all to get some more
information. Now limited ankle flexion leads to increased forces at the knee, hip pain caused by
poor ankle range and poor ankle range leads to to forward lean from the hip. So the importance
of ankle joint motion and active populations is significant and regarded as one of the most
important biomechanical defects in the body and I don't believe many therapists regard this as
highly as they should. There is very strong evidence to show that this reduction in ankle
joint motion is the primary cause of plantar fasciitis and forefoot pain and it is also the
contributory cause of many people's knee, hip and lower back pain. So strong ankles and flexible
ankles reduce the risk of injuries. So the benefits here are of course more balance,
better resistance, improved circulation, it prevents muscle atrophy,
you have better joint mobility and it guarantees stability. So strong and flexible ankles reduce
the risk of injuries such as strain, they provide more balance, they provide better overall resistance,
your ankles can be more resistant to any possible injuries, they improve our circulation and you
have better joint mobility allows for better overall physical performance. So the ankles are in
charge of guaranteeing stability and balance of the body because of their location,
ankles absorb the friction caused by different body movements. This is particularly important
when performing physical activities such as jumping, crouching, kicking, running, dancing,
etc. Here the ankles mobility and strength are crucial.
So this study found that falls are much more prevalent in older people with pain than in those
without pain and I've got a research citation here down here at the bottom. I just did a
I was a panelist with Ruth Warner a few weeks ago and she shared this
research citation for massage therapy and gait. So here you have it in black and white, how important
this is and that it's that you have research for it now.
So let me go back one and just say that
maintaining or improving your ankle but mobility can transform daily life. I mean imagine confidently
navigating stairs enjoying long walks in nature or simply feeling secure in your balance while
moving around your home. These movements and improvements foster a sense of independence
and empowerment crucial for aging gracefully, which we all want to do.
So angle mobility is crucial for a range of activities from walking and climbing stairs
to dancing and gardening. It affects your balance and gait directly influencing your risk of falls,
one of the most common and dangerous incidents for older adults. Research highlights that reduced
ankle range of motion can lead to compensatory movements in other parts of the body potentially
causing pain and injury. So I'm coming up about five minutes short of the 40 minutes that I had
gaged for our lecture here today. So that leaves a little bit more time for questions and answers.
So Shannon can we go? Well actually I'll come back to the questions but let me just put up this
disclaimer here but I also wanted to give you a list of sources at the end for those
research geeks out there that want to go on and find some more information on some of the resources
that I gave you all today and that you can also share with your clients. So let me go back
and we've got a couple more minutes here for questions and answers. So Shannon do you want to
start that period of the webinar now? Yeah thank you so much Sheila that was amazing information.
I heard great feedback from the chat. They love the foot alphabet. Should they be doing an
uppercase and lowercase which I found kind of funny and I did both exercises and uppercase
and lowercase. But then I was like oh it's it's a greater way for mobility but interested to see
what you think whether uppercase or lowercase with the foot alphabet exercise. I always I think
that you could do both but I always did uppercase because I thought that that was just a wider
range of motion but I think you could do oh I see somebody said upper cursive so nobody
writes cursive anymore. Okay and I also see someone commented that uppercase is what is done in PT
for ankle issues so that's really good to know but it's just such a simple but wonderful
self-care that you can share with your clients. That anybody can do really anywhere. You could
do it on a plane. If you travel um all of a seniors still write in cursive right on so you could do
that as well. So I I love these comments. Awesome and then I just want to address we had one question
from people in the Q&A. They just said that the medical news today.com link. They were having
trouble finding it but I do want to remind everyone that the slides and the link will be included in the
post-opinar follow-up email so make sure that that link is working so you guys can access that
article there so I'll make sure they're put that for you. Great. Awesome and then question from Phyllis.
Many uh any suggestions for working with seniors who have never had massage. Some can get very
resistant. I've often just offered to look gently in their hands to show them results.
I love that. Um everybody can experience a hand massage and because we we use our hands for everything.
Uh it's it's I think that that would be a great introduction because of course you don't have to
disrobe and even if someone has um rheumatoid arthritis or misshapen uh joints in their fingers
you can still do the palmer spreading that will um help um and and feel really good to help to balance
the body. Uh so I I I recommend that. Awesome and then question for Donna this is a cheaper
question so Sheila let me know if you need me to reiterate anything. Actually pardon me just a
minute can you turn your volume up a little bit? Yeah I think my volume might be up but I can just
speak a little louder if that works for you. That would be great. Thank you. No problem.
So two things. Do you wear vinyl gloves when working on clients who have athlete speed or choke
on this? Do I work do I wear vinyl gloves when we're working on clients with what?
Athletes speed or choke on this? I would not work on that person. Uh that their body is healing
and so um I would definitely recommend the angle alphabet but I think that you know athletes foot
that that is a type of infection and so that is um a contraindication. I would I that they they need
they need to heal before you work on them. Great. Um and then question from Michelle
can clients with fused angles benefit from the ankle alphabet? They have limited to RO and already?
Absolutely. It because they're they've had that surgery and had that fusion they're going to need
that ankle alphabet more than ever because even though the bones don't move like they used to
you can still stretch those tendons and the muscles and that is is and and that's your goal
is to make those tendons and muscles uh more flexible. So absolutely.
And then from Latisha great to see you again Sheila what is the most what is your most
favorite underrated tool or hack for working with seniors? Oh wow what a great question
let's see
you know I would say the reflexology I really would for the for the hands and feet. I mean first of
all the weight of my heart is through my feet. I have never had a job where I sat down except for
the job that I'm doing now. I'm a walker I'm a gardener I was in hospitality before I was in
massage and then I also worked in human services so I have always had really active jobs and you know
I've always just been on my feet and I just think that you can do like I said earlier the feet are
a door into the body. I um one of the
necessary indulgences that I give myself is a pedicure and I choose my pedicurist
by really how good a massage they do that because that's really important to me. I see how
how much I enjoy it what a benefit it is and the only I never could even though I home cared
my dad I could not do reflexology on him because he was so ticklish on his feet but I would lean
him back and then sparkle out and put moist heat on his face and do just basic skin care
but I just think foot massage can just benefit everyone.
Awesome question from Kate you mentioned reflexology having an impact on cancer a number of times.
Is there research to substantiate this and in what way does it impact cancer?
Well that is a great question and I'm going to answer that in two parts.
First of all I don't have any research citations for it but I just made myself a note
to to find that and the second answer to that question is that my sister passed away
10 years ago from cancer and when she was in the cancer unit in the hospital
they had a CNA come in and do foot massage and reflexology on her in the hospital.
So oncology units are recognizing the benefits and you know that that's what she
received in the hospital. So I have not done any CEs on oncology but of course my life
has been touched by cancer like everyone else has been.
So I just think that that is a great point and I'm going to find that and add that to this
presentation so thank you.
And then we have a question from Patricia.
Is it important to keep big toe pointed when doing the alphabet or is it okay to keep foot
loose and concentrate on able movement?
Well I think that I don't think that you should keep it you should keep the toe pointed
because that gives your foot focus and that is where your direct that's where your direction
comes from but of course you know you you don't want your angle to be stiff because you're trying
to keep it flexible. So I think you should be focused but keep your
keep your ankle relaxed and like the directions that I gave for that exercise to
let your support your calf and of course support your upper leg but then drop your
heel off of the end so that you have full full movement you know with your ankle.
Does it does that make sense?
I think it was pretty clear.
Pardon me?
So I think it was pretty clear.
Okay.
Awesome. And then question from Stephanie. Do you have any recommendations for lubricants
better suited for aging thin skin?
Can you back up and say that again please?
No. Do you have any recommendations for lubricants better suited for aging thin skin?
Well of course you need to be just super super careful.
I think for thinning skin I used a lot of acupressure because that way you can just
do the massage in in a release sequence with the with the points instead of pressure on the skin.
So I think that when I went to massage school in the 90s I took an extra 100 hours
in acupressure and that has just been so helpful. First of all from the chair massage that I did
because chair massage is an is acupressure but you can follow the same points
in senior massage with acupressure.
Awesome. Do you use any products when you're doing acupressure or any massage on the feet?
I use cryoderm products. I'll just give them a blurb.
I've used so many different lines over the years and I've really found cryoderm is the
best. They make a peppermint foot cream that I think is just excellent and of course we know
peppermint helps to oxygenate the body but you know there's a reason that the toothpaste companies
put mint in there. So first thing in the morning when you brush your teeth that mint is very
invigorating and so it helps you wake up. So that's what I use. I like cryoderm products.
Awesome and a question for Mary. Can the ankle alphabet benefit patients with painful neuropathy?
Absolutely. Absolutely. I had one of my residents that I've worked with for many years
that was such a she was a great candidate because she had neuropathy in both of her legs and she
would it would wake her up in the middle of the night. She'd have to get up and walk around and
you know eat a cracker and just you know walk around until that subsided she could move
and I would run into her. I'll never forget I ran into her in the hallway one day
and she had just had a session of foot reflexology the day before
and she said Sheila I just want to tell you how well I slept last night. She says I did those
alphabet that you recommended and she would never say reflexology. She just called it
flexology foot flexology so I didn't correct her. I just said okay well thank you but she was
a great candidate and just a real fan and advocate for the work and she
proved that it worked for her.
Awesome. Question from Sarah I was taught to slowly heat feet in back first and increase the heat
then followed with reflexology. It is more effective. How do you feel about this? Also can you use
nipples as a substitute for fingers or other tools? Yes and yes. I had several years in the
spa industry because I just wanted to learn that part of the industry and in the spa that I worked in
their protocol was to start everybody face down and to do hot towels on the feet at the beginning of
the massage and so of course it's great in cold areas of the country because your feet are always
cold but that is so relaxing to have heat on your feet and of course you know it vasodilates
the vessels so there's more circulation there plus it feels really good so that's a really great
that's a really great point and and if I can can I ask you the second part of that question
you said the heat and then
Well the second part um they asked can you also use knuckles as a substitute for fingers or other
tools? Absolutely and I and I did actually when I went to massage school I and this was 30 years
ago I remember some one of my teachers saying oh you really don't want to do reflexology that's
really hard on your hands well it is if you don't do it right but today we have so many great tools
and products and stones and tea bars but of course your knuckles are free and I found that that
is a really great technique to do up and down the arch of the foot with your knuckle because that's
the spine so absolutely I I use my knuckles for the reflexology part and then Claire Miller
who I referred to earlier she and a lady named Cynthia Loving that had a
uh aromatherapy product line called Loving Sense
Cynthia and Claire got together and put together a class called Hot Rock and Sweet Feet where
they used stones for the foot reflexology and incorporated that with aromatherapy oils which was
one of the coolest classes that I ever took
awesome um going back to the alphabet exercise give a question wouldn't lower case
ankle alphabet help find motor movements for the ankles? I've never been asked that before
um I think the goal with the ankle alphabet is to stretch the range of motion and to
increase that so I would my first got my gut feeling is that a larger movement is is better
because um it just increases um flexion extension inversion it just it your goal is to increase all that
right and then question from Donna do you use light touch acupressure like ginshin does on some
client's feet? It depends on their knee tolerance and desire that that depends on your client
uh so that is one thing that you need to find out uh in your intake because of of course we know
everybody's different there's not one um uh one style fits all uh that that's needs to come from
your clients knee desire and tolerance
and then question from Sarah how do you feel about stretching for seniors?
How do I feel about stretching for feet? For seniors. For seniors uh the more the better
absolutely the more the better we know there is no strength without flexibility
so uh I I do my yoga here I've got a mat I do that at least once a week
uh but I found I can't uh I am not of course as flexible as I was uh ten years ago so I I want
to keep up uh my flexibility so the more you stretch the better
Awesome and then Grace asks how do you handle an elderly client with ticklish feet?
Well um one thing I learned in this high school is that ticklishness is a sign of store tension
so of course we know that a light touch will set that um reflex off but usually a
uh a firmer touch uh won't set that response off but that again is your uh for your clients
uh knee desire and tolerance
Awesome Marcia asks how do I enlarge in the charts in Claire Marie's book?
Well I got permission from her to do that and I took it to um uh you know uh staples and uh they
made it the sizable wall chart but I got I got her permission for it so you will have to contact
her and get permission for that because that is trademarked
So
Awesome well thank you so much Sheila for your time and for everything we received great feedback
in the chat um I just want to remind everyone that the reporting will be sent out to everyone
by tomorrow so please be checking your email folders including your spam because sometimes
it can go to your spam folder um Sheila's links on her youtube or instagram senior spa
all of that will be included in the post webinar follow up email um as well as instructions
on how you're going to be receiving your seep credit um but Sheila will be providing that so
again just be on the lookout in your email inbox please and if you have any questions at all
there will be a contact in there so you can reach out directly um we thank you so much for your
time today and we hope everyone has a great rest of their weeks
Thanks everybody thank you massage amazing thanks Shannon thanks Matt
See you soon