Purpose: Use anatomy & physiology to make safe service decisions; explain the why using correct terms (Obj. 1, 3–16).

Time: 30–40 minutes

Materials:

1. Your device (phone/tablet/computer)
2. Timer (phone)
3. This scenario set and response log (copy/paste template below)

How it works:

1. Set a 3-minute timer per case.
2. Read the case. Choose Go, Modify, or Refer.
3. In 2–3 sentences, justify your choice using system vocabulary (e.g., integumentary barrier, ulnar nerve, veins are superficial on dorsum, warm-not-hot for endocrine/neuropathy, short filing passes to avoid friction heat, insertion→origin strokes, respiration comfort).
4. Move to the next case until all are complete.

Cases (10 total):

1. Tingling on the little-finger side during shaping.
2. Top of foot is tender; client reports “tight shoes today.”
3. Client with diabetes unsure about water temperature for the soak.
4. Visible cracks in cuticle area with redness; no open drainage.
5. Client reports “cold feet” and ankle swelling at day’s end.
6. Client requests very hot towel wraps “to melt stress.”
7. Client gets dizzy when fully reclined; prefers more upright.
8. Client mentions pregnancy and heat sensitivity.
9. Client reports numb toe after tight sandals; skin intact.
10. Client felt burning during a previous salon’s e-file service.

Decision key (for self-check after submission):

1. 1 Modify (ulnar nerve; lighten pressure; short, cool filing passes; neutral wrist)
2. 2 Modify (dorsal foot = veins superficial; broad, light strokes; avoid deep compression)
3. 3 Modify (endocrine/neuropathy risk; warm-not-hot; verbal temp checks)
4. 4 Modify (protect integumentary barrier; conservative cuticle care; monitor; if worsening → Refer)
5. 5 Modify (circulatory/lymph; gentle rhythm; slight elevation; no deep compression)
6. 6 Modify (thermoregulation; warm, not hot; respiration comfort)
7. 7 Modify (respiratory; semi-upright; ensure fresh air; check comfort)
8. 8 Modify (endocrine/reproductive; extra bolstering; warm-not-hot)
9. 9 Modify (possible superficial nerve sensitivity/peroneal branches; gentle positioning; reassess)
10. 10 Refer if active pain/heat sensitivity persists; otherwise Modify future technique (short, cool passes; watch nail bed—senses pressure, not heat)

Student submission (paste this log): ADD AS A PDF UPLOAD OR PUT IN THE WRITE YOUR ANSWER SECTION

Grading rubric (100 pts):

1. Correct decision (Go/Modify/Refer) – 25 pts
2. Accurate A&P justification (system/tissue/nerve/vessel/thermoregulation terms) – 50 pts
3. Clear technique change(s) (pressure, temperature, position, filing passes) – 25 pts