counterskills - Alliance Healthcare
Transcription
counterskills - Alliance Healthcare
training skills July - August 2012 COUNTERSKILLS training programme Head and hair care hair loss 7 workbook head lice scalp conditions shampoos and conditioners colouring products styling products skill builder: advising confidently using WWHAM activities & assessment merchandising aid Supported by: Head and hair care Welcome am, cy support te Dear pharma ; Workbook and hair care lthcare. d a e H ls il k rs Counte Alliance Hea Welcome to ramme from lp customers suffering g ro p g in in a you to he 7 of the tr with k will enable roviding you This workboo hair care conditions, by p t common head d ea with head an how to diagnose and tr n o . n ly o te ti a a ri inform pprop complaints a and hair care ble to: you will be a k o o b rk o w f this By the end o hair ir and function of e ur ct ru st ed with the ha e th • Describe fferent common problems associat • Describe di ndruff, s including da m le ob pr t and scalp ea tr le products to • Identify suitab ss lo hair acist or other head lice and s to the pharm er om st cu r fe to re • Identify wheprnofessional available re healthca n the products ee tw be s ce fferen actical advice • Identify thestdi ith suitable pr w s er ad and hair om cu • Provide planogram to maximise sales of he • Utilise the ts care produc Alphega Pharmacy team continue to offer comprehensive support and training packages for the whole pharmacy team. For more information please contact: Member Support on membersupport@alphega-pharmacy.co.uk or speak to your Alliance Healthcare account manager. Content developed by: 2 Counterskills Head and hair care Market overview The total head and hair care market is valued at £1.16bn* annually and is made up of hair loss, head lice and mass hair care. Pharmacy contributes £49m to this. Pharmacy has a strong advantage in the head lice category. Shoppers are mostly young mothers, a demographic well suited to pharmacy, and often seek advice with their first purchase. This advantage is reflected in pharmacy’s 38% market share in head lice treatments. This is a seasonal category and sales peak during back to school periods. Hair loss is the fastest growing sub category within head and hair; its value has grown 57% since last year in the retail market, and even more in pharmacy. This is predominantly being driven by NPD. Hair loss can be a sensitive subject and people often seek advice with purchase, so it is important to have good, up-to-date product knowledge and handle any enquiries delicately. Although pharmacy’s share of the mass hair care market is very small at 3.4%, the huge value of this market means that there is still £38m spent in pharmacies each year; almost 80% of the value of head and hair overall. New product releases, TV advertising and offers have a big impact in this category, so offerings in store should be tailored towards popular brands and latest trends. 3% 18% Head & Hair Pharmacy Market Value HAIR LOSS 79% HEAD LICE HAIR CARE Merchandising guidelines; In order to help customers browse, your head & hair fixture should be grouped by sub-category; allocating space roughly in line with the contribution each area makes to the total value. So it would follow that mass hair care should make up roughly 80% of the fixture. Within this shampoos and conditioners should occupy around half, colourants 30% and styling 20%. Use the highest shelves for the medicated areas like hair loss, head lice and scalp treatments. Flow down into shampoos and conditioners, followed by colourants and then finishing with styling products at the bottom. Group products by brand and pair matching shampoos and conditioners next to each other on shelf. 1% 2% Head & Hair Total Market Value HAIR LOSS 97% HEAD LICE HAIR CARE As promotions are large drivers in mass hair care, on shelf point of sale material helps to draw attention and increase sales. Having products in a secondary location in store will also help drive impulse sales, try an area that has high footfall like on the route from the door to the pharmacy counter. Counterskills 3 Head and hair care Section 1: Introduction The word hair often refers to two distinct structures. The first structure is beneath the skin, and is called the hair follicle. This is located in the dermis (a layer of skin) and maintains stem cells which re-grow the hair after it falls out. The only living portion of the hair is found there. The second structure is the hair shaft. This is the hard thread part that extends above the skin’s surface. The hair shaft has no biochemical activity and is considered dead. A cross section of the hair shaft may be divided roughly into three zones. These are the: • Medulla • Cortex • Cuticle. The medulla The cortex The cortex is the main body of the hair composed of elongated and spindle shaped cells. It contains cortical fusi (irregular shaped airspaces of varying sizes), melanin (pigment which gives hair its colour), and/or large oval to round-shaped structures called ovoid bodies. These are commonly found near the root of human hair, although they may be present throughout the length of the hair. The cuticle The hair cuticle is the outermost part of the hair shaft. It is a hard shingle like layer of overlapping dead cells, some five to twelve deep. This gives the hair shaft strength and provides protection for the softer inner structure including the medulla and cortex. The cuticle controls the water content of the hair shaft. Much of the shine that makes healthy hair so attractive is due to the cuticle. The medulla is a central core of cells that is present in the hair. If it is filled with air, it appears as a black or opaque structure under transmitted light, or as a white structure under reflected light. If it is filled with a clear substance, then it appears clear or translucent in transmitted light, or nearly invisible in reflected light. The medulla has no particular pattern or structure to it. Hair shaft Cuticle Cortex Medulla Follicle 4 Counterskills Head and hair care Cuticles are often damaged by activities such as brushing, using heat (e.g. curling tongs) or chemical processing (e.g. perming). Everyday elements, such as the sun or wind can also cause wear and tear on the hair and damage the hair cuticles as well. Hair is generally consistent in colour and pigmentation throughout the length of the hair shaft. Two types of pigment give hair its colour: eumelanin and pheomelanin. Pheomelanin colours hair red. Eumelanin, which has two subtypes of black or brown, determines the darkness of the hair colour. Characteristics A low concentration of brown eumelanin results in blond hair, whereas a higher concentration of brown eumelanin will colour the hair brown. High amounts of black eumelanin result in black hair, while low concentrations give gray hair. All humans have some pheomelanin in their hair. Hair is made up of: • 80% protein, primarily keratin • 10-15% water • 5-10% pigments, minerals and lipids. These elements are deposited in the hair during its growth and/or absorbed by the hair from an external environment. Hair serves to keep us warm or to cool us down (when sweat evaporates from soaked hair) as well as to protect us from ultra violet light. Counterskills 5 Head and hair care Section 2: Hair loss Hair loss (alopecia) Hair loss (or alopecia) is not uncommon and affects around 50% of women and 90% of men. Hair is lost every day (between 50-200 hairs) as part of the normal hair growth cycle. Hair can be five years old before it is shed and a new hair appears in its place. As we age however, the amount of time a hair lasts for can be reduced (less than two years). Eventually re-growth stops, leading to thinning of the hair. This thinning can then lead to noticeable patches of hair loss on the scalp. This can be embarrassing and make people self conscious about their image. Symptoms Hair starts to thin and/or recede. It can be due to one or more of the following: he ageing process; hair can be lost in •Tresponse to a change in androgen levels (male hormone which exists in both men and women). This can start at puberty and continue into the late sixties hair loss and how it occurs can •Gbeenetics; inherited 6 Counterskills medication or therapy (such •Pasrescribed chemotherapy which may be used to treat cancer) can sometimes cause the loss of hair •Harsh treatment and styling of the hair. Treatment Treatment is with minoxidil. This is available in two strengths, 2% and 5%. The 2% can be recommended for both men and women and the 5% should only be used in men. It is rubbed into the scalp twice a day and usually takes three or more months for any effects to be visible. It should be used on an ongoing basis and can help to prevent further loss of hair and aids re-growth. It is only suitable for customers over 18 and under 60 years of age. Head and hair care MEMBE R RE T n TO W io at ho is it for? ou will need to know the age and gender of your customer Y to help you decide the best course of action INform W N WWHAM! Section 0: Lorem ipsun • PORTA IM hat are the symptoms? Refer to the Pharmacist if: The customer has severe scaling of the scalp or it looks like there may be an infection of the scalp H ow long have they had the symptoms? Refer to the Pharmacist if: Any symptoms are getting worse A ctions taken so far: Refer to the Pharmacist if: Medication has been tried already and caused irritation, itching or a burning sensation M edication, if any, taken at the moment? Refer to the Pharmacist if: The answer is yes Counterskills 7 Head and hair care ACTIVITY A woman of about 45 comes into your pharmacy. She says that large amounts of her hair have been falling out over the last few weeks. She asks for some advice on what she should do. Write in the box below what you would do in this situation. my r we ans Ask your Pharmacist to review your answer and discuss it with you if required. 8 Counterskills Product recommendations Head and hair care Regaine Key attributes: •Regaine for Men Extra Strength Scalp Foam 5% w/w Cutaneous Foam contains minoxidil – the only clinically proven medicinal ingredient available over the counter for hereditary hair loss •Regaine® Foam is designed to dissolve into the scalp where it is absorbed. The Foam is unscented and dries quickly •Results may be seen in as little as eight weeks ® •9 out of 10 men who used Regaine® Foam say they kept or re-grew hair after four months of using it twice daily. Clinically tested on 352 men suffering from hereditary hair loss2 Further information is available from McNeil Products Ltd, Foundation Park, Roxborough Way, Maidenhead, Berkshire, SL6 3UG. Why recommend: •95% of men are upset about their hair loss and 93% are worried about further hair loss1 OTHER ADVICE GSL 1 Cash et al. J Am Acad Dermat 1993; 29 (4): 570-571 2 Olsen et al. J Am Acad Dermat 2007; 57 (5): 767-774 Apply Regaine® Foam twice daily. Towel dry or blow dry hair before application. Apply Regaine® directly onto the scalp. If styling aids are used ensure Regaine is completely dry before application. Wash hands after application. Ensure Regaine® is completely dry before swimming. Let Regaine® dry before going to bed. It takes on average around four months before you see real regrowth. Viviscal Key attributes: •Food supplement that has been specially formulated to tackle the problem of thinning hair by supporting natural healthy hair growth •Supplements are scientifically formulated and exclusively contain Amino Mar C™ a 100% natural rich compound of marine extracts as well as the important nutrients Biotin and Zinc, which help to maintain normal healthy hair growth from within •Viviscal Fibres are scientifically formulated with Keratin, come in a range of colours and effectively cover up areas of thinning hair •Simply shake the fibres from the tub onto the areas of thinning hair, can be used by both men and women Why recommend: •One in three women will suffer with hair loss such as hormonal imbalance, stress and anxiety, illness, hair extensions and over styling or diet •Viviscal Man nourishes thinning hair and supports natural growth •Supplements are being widely recommended by beauty editors, models and celebrity stylists, making it a real buzz in the beauty world •Fibre results are incredible and undetectable giving a completely natural look •Fibres build hair density in just 20 seconds Take two tablets daily (one in the morning and one in the evening, taken with water after food) and expect to start to see results within three months. Supplements not suitable for those pregnant or breastfeeding, or for those allergic to fish, shellfish or seafood. OTHER ADVICE or dull, lifeless hair due to a range of factors Counterskills 9 Head and hair care Section 3: Headlice Headlice (or pediculus capitis) are small blood sucking insects that live exclusively on the human scalp. It is a very common problem which can be experienced by anyone although it is more common in children. They are passed by prolonged head to head contact which children tend to do whilst playing. Headlice cannot jump or fly and so this is the only way they can move from one head to another. The female louse lays her eggs on the scalp and these eggs hatch into the lice. The empty egg shells are white and are known as ‘nits’. Symptoms The symptoms of having headlice are: Persistent itching of the scalp • he appearance of empty white egg •Tshells in the hair or on the shoulders lack powder on the pillow which is •Bdigested blood excreted by the headlice. Treatment Treatment is with one or more of the following options: Insecticides: (such as phenothrin, permethrin and malathion). These kill the headlice and their eggs and should only be used if a live louse is found. They are either water or alcohol based formulations and should be used in accordance with the instructions. The treatment should be repeated seven days later to avoid re-infestation. Products are available as solutions, crème rinse and sprays • 10 Counterskills ustomers suffering with asthma or •Ceczema should be recommended a water based formulation as an alcohol based formulation may cause stinging or an asthma attack on-insecticides: (such as dimeticone, •Ncyclomethicone, isopropyl myristate, aniseed and ylang ylang oils). These smother the lice and eggs and should be repeated seven days later to kill any lice that have hatched following the first treatment. They are available as liquids, liquid gels and sprays et combing: This removes headlice and •W eggs. A fine toothed detection comb should be used on wet, well conditioned hair, making it harder for the lice to hold onto the hair shaft. After each combing, the comb needs to be checked for any eggs/louse and these should be removed after each downward comb otherwise all they are doing is spreading them across the head. It should be repeated every four days for at least two weeks to ensure the head is clear. Head and hair care Practical advice • egular wet combing of children’s hair R can prevent an infestation of headlice • dvise customers to check pillows and A bedding regularly for black powder • If headlice are found, inform those who they have been in close contact with to check if headlice are present • If headlice are found advise them to keep their distance until the infestation is cleared to avoid spreading to others •Explain to your customers that headlice like any kind of hair clean or dirty and that short hair doesn’t stop infestation f asked, headlice don’t live on pets or •Iother animals eople can build up a resistance to •Pinsecticides so it is advisable to only sell these when headlice are present ecommend that your customers repeat •Rtheir chosen treatment seven days later to make sure that any headlice which have hatched since the first treatment are killed. Counterskills 11 Head and hair care T MEMBE R RE N n TO ho is it for? Refer to the Pharmacist if: Treating children under the age of two W hat are the symptoms? Refer to the Pharmacist if: Customers are experiencing a second infestation of headlice in a month H ow long have they had the symptoms? Refer to the Pharmacist if: Any symptoms are getting worse A ctions taken so far: Refer to the Pharmacist if: Medication has been tried already and caused irritation, itching or a burning sensation M edication, if any, taken at the moment? Refer to the Pharmacist if: The answer is yes 12 Counterskills io at W INform WWHAM! Section 0: Lorem ipsun • PORTA IM Head and hair care ACTIVITY A woman comes into the pharmacy with five year old twin boys. She tells you that they both have headlice. She tells you they haven’t had headlice for at least 12 months but there has been a letter from school saying it is going round and unfortunately it looks like the boys have managed to get them. She would like to know which treatment you would advise her to use. Write in the box below what you would do in this situation. my r we ans Ask your Pharmacist to review your answer and discuss it with you if required. Counterskills 13 Head and hair care Product recommendations Hedrin Key attributes: Hedrin is No.1 because all Hedrin® branded treatments: •Are clinically tested for efficacy •Are skin-friendly •Have no unpleasant odours •Contain no known asthma triggers •Do not require laborious combing in order to work •May be used in pregnancy and on babies from six months old Why recommend: Hedrin 4% Lotion – Hedrin’s original and ever-popular licensed formula •Available on prescription and with many loyal users. Two applications overnight Hedrin Once – A quick solution that only takes one 15 minute treatment •Thicker gel formulation that’s clinically proven to kill head lice and eggs with just one 15 minute application Hedrin Treat & Go – A fuss-free solution for children who just want to go and play •Leave on the child’s hair while they play, go to school or sleep •Rinses out easily with no greasy residue. Two applications – eight hours or overnight •The only licensed non-pesticide head lice treatment in the UK Full Marks Key attributes: •Non-pesticide treatment •Clinically proven to kill head lice with a 10 minute treatment •Quick and easy to use Why recommend: •Clinically proven to kill head lice with a 10 minute treatment Head lice are common in children – about 1 in 10 primary school children will catch them each year. The tell-tale signs of head lice are either a live head louse, or their eggs – brownish if un-hatched or white if empty, or louse dropping which look like a dusting of pepper on pillows or clothes. 14 Counterskills OTHER ADVICE Head and hair care Section 4: Scalp conditions Scalp conditions aren’t usually serious but can cause discomfort and in some cases can be embarrassing. Common problems are: • Dandruff • Seborrhoeic dermatitis • Psoriasis. Dandruff Dandruff is the most common scalp condition you are likely to be asked about. It is caused by a build up of dead skin cells on the scalp which can occur: • When hair is not brushed regularly • By an overgrowth of a fungal yeast keratolytic. This includes salicylic acid, •Abenzalkonium. They help remove the build up of dead skin cells and can be found in combination with some antifungals. Practical advice should be used continuously •Sashampoos symptoms may return if stopped f one shampoo doesn’t seem to have •Ibeen effective, it is worth advising your customer to try another with different ingredients are should be taken when brushing/ •Ccombing the hair not to scratch the scalp at a healthy balanced diet with •Ebread, pasta, fortified breakfast cereals (fortified means the manufacturers of the cereals have added extra vitamins and minerals to the cereals) or lentils (all rich in vitamin B). • When there is a lack of Vitamin B in the diet. Symptoms The skin cells build up and form itchy white clumps which are visible in the hair and can fall onto the shoulders. Treatment Treatment is with shampoos containing the following: An anti-fungal. This includes zinc pyrithione, coal tar and arachis oil extract of coal tar, ketoconazole, selenium sulphide, ciclopirox olamine, undecenoic acid. They help reduce the overgrowth of fungal yeast • Counterskills 15 Head and hair care Section 4: Scalp conditions Seborrhoeic dermatitis Seborrhoeic dermatitis is when the skin is inflamed and causes dandruff. It is thought to be caused by the same fungal yeast that can cause dandruff. Symptoms This condition can be mild and is normally experienced in the same way as dandruff. It can however be more severe and the following symptoms are experienced: Patches of greasy, scaly and red skin develop, which then form yellow crusts which can be very itchy and raised, which in turn causes the scalp to become very sore • f these flakes fall onto other areas of •Ithe skin, it can infect these areas, most commonly the eyes. Treatment Treatment is with shampoos containing anti-fungals. Practical advice should be used continuously •Sashampoos symptoms may return if stopped f one shampoo doesn’t seem to have •Ibeen effective it is worth advising your customer to try another with different ingredients are should be taken when brushing/ •Ccombing the hair not to scratch the scalp colouring or perming •Athevoidhairbleaching, as this will further irritate the skin. 16 Counterskills Customers who have tried over the counter (OTC) shampoos with no success should be referred to the Pharmacist as they may require a prescribed intervention. When fer to re Head and hair care Psoriasis Psoriasis is a long term condition which can affect the scalp. A trigger is required for psoriasis to develop, which can be a throat infection, certain medications, an injury to the skin or stress. Skin cell renewal normally takes between 2128 days. In people suffering with psoriasis, this process is only between two - six days. It is not contagious but can look unattractive which causes embarrassment for the sufferer. There is currently no cure for it so any help you can offer to sufferers will be most appreciated. Symptoms aised red patches of skin or plaques •Rcovered with silvery white scales. The nti-fungals such as coal tar can be •Auseful as they help to remove scales and reduce inflammation acid helps to remove the build •Supalicylic of dead skin cells and can be found in combination with some anti-fungals. Practical advice are should be taken when brushing/ •Ccombing the hair not to scratch the scalp colouring or perming •Athevoidhairbleaching, as this will further irritate the skin on the scalp should be advised not to pick •Catustomers any scales as this will expose the layer of skin underneath which may then become infected. scales are dead skin cells waiting to be shed •The plaques can vary in size and shape. Treatment Treatment is with products containing the following: Emollients which can sometimes be enough to control the symptoms in mild psoriasis • When fer to re You should refer customers with psoriasis to your Pharmacist as they may need help from a specialist. Counterskills 17 Head and hair care n TO W hat are the symptoms? Refer to the Pharmacist if: A customer has severe scaling of the scalp or it looks like there maybe an infection of the scalp H ow long have they had the symptoms? Refer to the Pharmacist if: Any symptoms are getting worse A ctions taken so far: Refer to the Pharmacist if: Medication has been tried already and caused irritation, itching or a burning sensation M edication, if any, taken at the moment? Refer to the Pharmacist if: The answer is yes 18 Counterskills io at ho is it for? Refer to the Pharmacist if: Pregnant, breast feeding women and children under the age of 12 years should be referred to the Pharmacist INform W T MEMBE R RE N WWHAM! Section 0: Lorem ipsun • PORTA IM Head and hair care ACTIVITY A man of about 20 comes into your pharmacy. He explains that he needs you to find him a better dandruff shampoo than the one he has already as it is not getting rid of his dandruff. Write in the box below what you would do in this situation. my r we ans Ask your Pharmacist to review your answer and discuss it with you if required. Counterskills 19 Head and hair care Product recommendations Sebamed Everyday Shampoo 200ml Key attributes: •100% soap and alkali free •pH5.5 •Formulated with plant based active cleansing agents for gentle daily hair care and safeguards hair and scalp against dryness •Keeps hair structure intact for healthy shiny hair •Penetrates the structure of the hair shaft adding volume and a silky lustre •Pleasant delicate fragrance Why recommend: •Suitable for sensitive, dry and problem skin •Suitability as a therapy-supportive skin care in skin diseases •Gentle and mild with a high skin tolerance •Dermatologically tested. Sebamed Anti Dandruff Shampoo 200ml Key attributes: •100% soap and alkali free •pH5.5 •Active ingredient Piroctone Olamine ensures the gentle removal of flakes and dandruff •Gentle and mild to gently cleanse hair and scalp, removing visible signs of dandruff irritation •Contains moisturising and conditioning ingredients to revitalise the hair and scalp •Gentle and mild with a high skin tolerance •Clinically tested Why recommend: •Suitable for sensitive, dry and problem skin when a dry flaky scalp and dandruff are a persistent problem •Suitable for normal to Oily hair and scalp •Gently removes dandruff •50% reduction of dandruff after 2 weeks rising to 73% after 3 weeks. 20 Counterskills Head and hair care Section 5: Shampoos and conditioners Shampoo The purpose of shampoo is to clean the hair. However shampoo must not clean too well or all of the protective oils in the hair would be stripped out. Ingredients The main ingredients in shampoo are surfactants; chemicals which help remove the waxy oil secreted by hair follicles. A surfactant is a material that reduces the surface tension of water when used in very low concentrations. There are a number of different surfactants available. The most common one is called straight chain alkyl benzene sulfonates. The surfactant cocamidopropyl betaine is often used instead, due to its special properties. It is milder on the skin than the benzene sulfonates, so reducing the amount of the harsher surfactants needed. It has anti static properties, so hair doesn’t generate an electric charge. It is also a humectant, attracting moisture from the air, thus keeping hair from drying out. Lastly, it has antibiotic properties that can prevent spoiling of the shampoo. Other ingredients in shampoo include: Ammonium chloride/sodium chloride which are types of salt to thicken the shampoo • mmonium lauryl sulfate which is a high •Afoaming surfactant which is a type of sugar added •Gtolycol make shampoos opaque and pearlescent. It has tiny flakes that mix well with surfactants laureth sulphate which is •Saodium foaming surfactant derived from coconut oils. It is used to soften water and create a lather odium lauroamphoacetate which is •Sderived from coconut oils. It is used as a cleanser and counter irritant. This ingredient makes the product tear free •PEG-150 distearate which is a thickener itric acid which is an anti-oxidant to •Cpreserve the oils in the product and to prevent bacterial growth uaternium-15 which is a bacterial/ •Qfungicidal preservative olyquaternium-10 which is a •Pconditioning ingredient, providing moisture and fullness to the hair •Glycerine which is added as a humectant. pH balance pH stands for potential hydrogen. 7 is the neutral spot for pH but anything between 6.5 to 7.5 is considered to be a neutral range. If an acid is mixed with an alkaline then the pH will change. Anything above 7 is alkaline and anything below 7 is acid. A pH balanced shampoo is one that is adjusted to have the same pH as the hair. The cuticle of a strand of hair is covered with overlapping sheets, somewhat like the scales on a fish. Alkaline shampoos raise these scales, so they stand up. This makes the hair rough, look dull, and the hair shafts stick together due to the rough texture. Most shampoos are therefore made slightly acidic. A compound that releases more acidity is called a buffer. Typical buffering agents used in shampoo are sodium citrate or citric acid. Counterskills 21 Head and hair care Section 5: Shampoos and conditioners Acidic shampoos keep the cuticle smooth and lying flat on the hair shaft. Specialised shampoos Dandruff Shampoos have been developed specifically for customers who have dandruff. Dandruff shampoos contain fungicides such as ketoconazole, zinc pyrithione and selenium sulfide. They work by killing malassezia furfur, a type of fungus which produces dandruff. Coal tar and salicylate derivatives are often used as well. Coloured hair Coloured hair is more susceptible to dryness, coarseness, split ends, and fading. The most important thing to remember when treating coloured hair is moisture. Advise customers to purchase and use a shampoo that is labelled specifically for colour treated hair. These products contain extra moisturisers that will add moisture and smooth down the hair. Coloured hair shampoo has a low pH to prevent the hair drying out too much. They also have ingredients that close the cuticle to stop the colour escaping too quickly. This means that the colour will last longer, be brighter and more vibrant. Gluten or wheat free Some customers may suffer from eczema on their scalp. It may be that wheat and/or gluten (the protein found in many grains including wheat) is the cause, particularly if they are sensitive to this in food (e.g. celiac disease). Other reactions to wheat and gluten can include dandruff, thinning hair and hair that breaks easily. Customers who are on gluten free diets may prefer to use a gluten free shampoo. 22 Counterskills Greasy hair Greasy hair is due to a build up of the natural secretion of grease, or more correctly sebum, from glands in the scalp. The best shampoos for greasy hair are specially formulated to remove natural grease without damaging the hair. They will contain fewer oily or fatty substances than normal shampoo. Customers should avoid washing their hair every day as this will over stimulate the glands, creating more grease. This creates a vicious circle where the more the customer washes their hair, the greasier it gets. Advise the customer to use a mild pH balanced shampoo and wash their hair without rubbing the scalp too much. Alternatively they could try using a children’s shampoo as these are often mild enough for greasy hair. Finally, they should watch what they eat. Oily and fatty foods can contribute to greasy hair and scalp. Dry hair Dry hair occurs when moisture is absent from the hair shaft. Hair can dry out from the use of products like shampoos, hair sprays, perms, or hair dye. Some of these products can contain harsh chemicals like alcohol or ammonia which strip the hair of its natural moisture leaving it dry and sometimes dull. Using hair dryers can also cause dry hair because the heat removes the natural moisture from hair. To protect hair from drying out, customers should avoid using products with alcohol, ammonia or other harsh ingredients. Dry hair needs to be nourished using intensive moisturising shampoo or shampoo with oils such as coconut, olive and almond. Head and hair care Dry shampoo Dry shampoo is a powdered substance that is used to clean the hair when it is not possible or practical to use water and traditional shampoos. The idea behind dry shampoo is to remove excess oil from hair follicles without having to actually wash the hair using a traditional shampoo and water. It can also be used as a styling aid to achieve volume. Dry shampoo products contain some type of powder. The powder is worked into the hair in a similar way to the application of wet shampoos. The powder absorbs the excess oil present on the surface of the hair follicles. After leaving the dry shampoo for a short period of time, the residue is brushed or combed out of the hair. The end result is that the shampoo powder removes a significant amount of oil and the hair will appear healthy and manageable for several hours. Dry shampoo products are available as powders that are sprinkled into the hair as well as sprays that are sold in aerosol cans. Dry shampoo is not a permanent substitute for using wet shampoos. While dry shampoo works very well for the occasional application, the product does not clean as thoroughly as wet shampoos. Over time, a residue will be left in the hair that dry shampoo is unable to absorb properly. For this reason, dry shampoo should only be used from time to time rather than on a daily basis. cleansing action. Promotes hair growth. Is used for the treatment of devitalised, thin hair with dandruff alendula (Marigold) is used to lighten •Chair avender balances the production of •Lsebum from the oil glands making it beneficial for dry or oily hair •Nettles control dandruff •Yarrow gives volume to fine hair •Rosemary is good for greasy hair. Conditioners Hair conditioner is a thick substance which coats the cuticle of the hair, making it smooth and slippery. Conditioners help replenish the look and feel of the hair after shampooing. They can help moisturise, add shine and manageability, much like a fabric softener does to your clothing, after washed in a detergent. A conditioner should only be applied to the hair shaft and the ends. Never apply a hair conditioner to the scalp, as it will build up and create a limp look. Herbal shampoos There are many different herbs that are used in shampoo. A few of these are: Chamomile which is used to lighten blond hair • •Acacia Bark has an astringent and Counterskills 23 Head and hair care Section 5: Shampoos and conditioners Ingredients There are several hair conditioner ingredients, differing in composition and functionality. These are: Moisturisers. They are designed to hold moisture in the hair. Usually these contain high proportions of humectants. Humectants are compounds that attract and hold moisture on the hair • econstructors. These normally contain •Rprotein. Hydrolyzed human hair keratin protein is the best source, because it contains all 19 amino acids found in the hair. Human hair keratin protein has a low molecular weight. This enables it to penetrate the hair shaft. The main purpose of a reconstructor is to strengthen the hair cidifiers. These maintain the •Aconditioner’s pH at about 3.5. This pH will close the cuticle layer of the hair. The result is shiny, bouncy hair. This is a good ingredient for people with fine textured hair • etanglers. Most detanglers are D acidifiers. They have a low pH; between 2.5 to 3.5. They close the cuticle of the hair which causes tangles. Some shield the hair shaft with polymers (a chain of molecules) hermal protectors. These safeguard •Tthe hair against heat from blow drying, curling tongs, or hot rollers. They normally use heat absorbing polymers that distribute the heat, so your hair does not get heat damage lossers. Most glossers contain •Gdimethicone or cyclomethicone (very 24 Counterskills light oils derived from silicone). Used in small amounts they reflect light. They are one of the best products to control frizzy hair ils (EFA’s). These help dry/porous hair •Obecome more soft and pliable. EFA’s are the closest thing to natural sebum (sebum contain EFA’s). Types of conditioner Greasy hair Customers with greasy hair should be advised not to use a heavy conditioner as this will weigh their hair down. It will also make their hair look and feel greasy. Ideally they should use a lightweight formula and apply the conditioner only from the mid shaft of their hair, avoiding the root area. Alternatively they can use a leave in conditioner or detangler to help hydrate their hair further. For customers with extremely greasy hair, recommend a conditioner with teatree oil. Dry, curly, frizzy hair Customers should go for an intensive moisturising or oil based conditioner. These should be applied from the ends of the hair to the roots avoiding application to the scalp. Intensive moisturising conditioners contain ingredients such as cetyl, stearyl alcohol, panthenol and methicones, silicone or dimethicone, or essential oils and botanicals such as avocado, jojoba oil, or shea butter. Oil based conditioners are those that usually contain EFA’s. If the hair is damaged, the customer should leave the conditioner on the ends of their hair for a longer period of time before washing out. If their hair is extra frizzy, a light, leave in conditioner is recommended. They can apply Head and hair care the conditioner after shampooing and then, as the name suggests, leave it in. This type of conditioner can be used daily. Coloured hair The goal here is to build up weak areas in the hair shaft affected by colouring. Customers should use conditioners designed for colour treated hair and apply it primarily to the ends. These conditioners typically contain UV filters which work like sunscreen to prevent colour fading. Avoid conditioners that contain silicone, since they tend to strip colour. Using heat Customers who use heated rollers, heating tongs or straighteners should use a hair conditioning spray. This protects the hair from the harmful effects of the heat used when styling hair. Giving volume Conditioners that give body to the hair are called reconstructors. They contain protein. Protein conditioners coat the hair shafts and ends with a layer of protein that gives the appearance of thicker hair. It can fill in gaps if the outer cuticle is damaged, giving the hair a smoother look and adding shine. Protein conditioners must be applied daily. They can be applied to fine and limp hair or hair that is damaged. Reducing static After shampooing, the hair can be tangled and unmanageable. Acidifier conditioners have a low pH of between 2.5 to 3.5. This type of conditioner closes the cuticle layer of the hair, which in turn allows each individual strand of hair to remain separate from others. This helps the hair not tangle and creates more body. These type of conditioners can be used by all hair types, but work well on fine hair. Detangling conditioners are often separated from acidifier conditioners, but basically all detangling conditioners are acidifiers. However, some do have polymers added, like silicone, which will coat the hair shaft, making it look fuller. Hair masks Hair masks help remove oil and dirt from hair, provide additional moisture and counteract the damaging effects of colouring and styling, making it shinier and more manageable. They also act as a deep conditioner and can work alongside everyday conditioners. They help create the illusion of healthy hair while any damage to the hair grows out. These products should be used in accordance with the instructions and applied to shampooed damp hair for 10-20 minutes then rinsed out with warm water. They can be used once a week although most people find that a once a month application provides the desired effect. Hot oil treatments Hot oil treatments restore shiny and healthy looking hair. They are useful on hair which is dry, damaged, chemically treated or has been subjected to excessive heat styling. They tend to contain natural essential oils such as olive, jasmine, coconut and jojoba oils. The hot oil bottle should be placed in hot water to warm through (unless the oil is self warming) then be massaged through damp hair ensuring each strand of hair is covered. The hair should then be wrapped in a shower cap or warm towel and left in accordance with the instructions, usually around 30 minutes. The oil should then be washed out using a mild shampoo or one designed for dry/damaged hair. They can be used once a week. Counterskills 25 Head and hair care Section 5: Shampoos and conditioners ACTIVITY A woman of about 25 comes into your pharmacy. She says that she would like help choosing some shampoo and conditioner. When you ask her what type of hair she has, she replies that it is greasy. Write in the box below what you would do in this situation. my r we ans Ask your Pharmacist to review your answer and discuss it with you if required. 26 Counterskills Product recommendations Head and hair care Head & Shoulders Key attributes: •Leaves hair looking and feeling up to 100% dandruff free •Superior scalp care for great looking hair Why recommend: •Since 1950, head & shoulders has been at the forefront of scalp and hair science, significantly advancing the treatment of dandruff. Along with professional advice and expert insight they provide a wide range of products to care for your scalp and nurture your hair. Fast Key attributes: •FAST is a best-selling Canadian product with phenomenal sales worldwide •Makes your existing hair grow up to 99% faster in just 30 days •Contains a unique blend of proteins and aminos which feed the hair with essential growth nutrition Why recommend: •Perfect for slow-growing hair or to outgrow a bad haircut – both very common problems amongst women •All active ingredients are natural making it safe for daily use and on all hair types and all ages OTHER Upsell to customers who buy vitamins/ supplements for ADVICE hair growth. Display leaflets and point of sale prominently – most customers do not realise there is a product like FAST. Counterskills 27 Head and hair care Section 6: Colouring products There are a number of colouring products available for use at home. These are: • Temporary • Semi-permanent • Permanent. In order to get the most out of home colouring products, customers should be advised to consider their selection carefully and ensure they prepare and apply the product in accordance with the manufacturer’s instructions. They should also be encouraged to use aftercare products such as shampoos and conditioners which are specifically formulated for coloured hair. 28 Counterskills Temporary Temporary hair colour is available in a number of forms including rinses, shampoos, gels, sprays, hair mascara and foams. They tend to be brighter and more vibrant than semipermanent and permanent hair colours and used for a special occasion such as a costume party. Temporary colours should disappear after the first wash. If your customer has some or a lot of grey hair, temporary hair colour products may not cover the grey and result in a slightly lighter colour on these areas. Temporary hair colour is not designed to cover grey hair but may tone the hair so that the grey is not as obvious. Head and hair care Semi-permanent Semi-permanent hair colour tends to have two bottles of product which need to be mixed together. One is the developer and the other the colouring agent. Semi-permanent colour molecules are smaller than temporary colour molecules and so can penetrate the hair shaft, preventing it from being washed out for between six to eight washes. They contain no or small amounts of hydrogen peroxide or ammonia and so are gentler on damaged or fragile hair than permanent hair colour. The final colour of each stand of hair will depend on the original colour and condition. If the hair is dry or damaged, this will mean the hair shaft is more porous to the colour molecules. This may however give a more natural look as there will be subtle variations in shade across the head rather than a solid colour. It cannot however lighten the hair. Grey hair will not appear as the same shade as the rest of the hair, but semi-permanent hair colour blends the grey hair so it is not as obvious. If there is a lot of grey, it may be better for your customer to use a permanent hair colour. The benefit of using a semipermanent hair colour is that the colour fades gradually over time and through washing which means there will not be a line of regrowth. It can be applied in a number of ways. These are: All over colour. This is when the colour is applied to the whole head • • i and low lights. This is when the colour H is applied to chosen strands of the hair using a cap and pulling the strands to be coloured through holes in the cap, using a wand included in the kit which is not dissimilar to a mascara wand or using foil to wrap the dyed strands to protect the hair not being coloured pot colour. This is when the colour is •Sapplied to a specific patch of hair in colour. This is when the colour •Siscrunch applied to dry hair by scrunching it in using gloved hands then rinsing, achieving a more subtle effect. Permanent Permanent hair colour also has two bottles of product which need to be mixed together in the same way as semi-permanent hair colour. In order to achieve permanent colouring, the colour is mixed with hydrogen peroxide to create what is known as an oxidation dye. Permanent colour molecules are smaller again than semi-permanent colour molecules. They contain ammonia which is alkaline and opens up the cuticle scales on the hair shaft allowing these small molecules to penetrate the hair shaft. These small molecules attach themselves to the hydrogen peroxide which create much larger molecules which become trapped in the hair shaft and cannot escape no matter how many times the hair is washed. This process is called oxidation and is the basis of all permanent hair colouring. Permanent hair colour is the only colour which will lighten hair; others do not have the power to lift the base colour of hair. It is good for covering grey hair or adding additional depth or tone to natural hair colour. As it is permanent, re-growth will need to be re-coloured. Re-colouring can be carried out either by applying colour all over the hair (the Counterskills 29 Head and hair care Section 6: Colouring products instructions included with the product should be followed as the instructions for using permanent colour on already coloured hair are different to the first time of use) or by using a product specifically designed to colour root growth. Highlighting is when the bleach is not applied to the whole head but to strands of hair to give lift to the colour of the hair without having an all over block colour. This tends to give a more natural look. When your customer is considering which colour to go for, they may ask for your help. A good rule of thumb is if they have a high percentage of grey hair, they should go for a colour which is slightly lighter than their natural base to ensure good coverage and even colouring. Using a lighter colour should also compliment your customer’s complexion as they get older. If they have a lower percentage of grey hair, then a darker colour can be used. However it will need to be a dye which is specifically for grey hair as this tends to be stronger, to ensure the colour penetrates the hair shaft, which can be coarser. The end result is a combination of their natural hair colour and the shade of the product. This is why the same colour used on two different people may look different. Customers should be directed to look at the packaging of a particular product for an idea of the natural hair colour the product is suitable for and an idea of the expected result. Whether your customer is lightening all or some of their hair, they should keep checking the colour by taking a strand and wiping off the bleach to check how light it is. Once the desired colour has been achieved, the bleach should be washed off in accordance with the instructions. Customers should be advised not to leave bleach on for longer than the instructions as this can severely damage the hair. Permanent hair colour products are available as cream/lotion and foam/mousse. Bleaching and highlighting Bleaching and highlighting is the process of lightening the colour of the hair. Bleaches are alkaline and so open up the hair cuticle on the outside of the hair shaft, allowing the bleach to reach the hair shaft where the natural colour pigment is found. The pigment is stripped from the hair and then the oxidation process takes place to create the new colour. Bleach can be used to pre-lighten hair before another colour is applied. 30 Counterskills If your customer is lightening their hair much lighter than their current colour, you should advise them to choose a colour from the ‘ash’ family to avoid yellow undertones. Bleaching should not be carried out within four weeks of a previous bleaching or colouring application as it can damage the hair. Removing hair colour There are products available that remove hair colour to restore the hair to its natural colour. They deep cleanse the hair, removing silicone deposits and other barriers from the hair, leaving it in good condition and ready for further colour treatment. Head and hair care Silicone deposits can build up on the hair shaft from the use of cleansing and styling products which are designed to improve the shine, feel and condition of hair. This build up can create a barrier to colouring products. This can lead to patchy colour, poor lightening and inconsistent tone. In addition to preparing the hair for further colour treatment, colour removers can also be used to reverse an undesirable hair colour application. They work by shrinking the hair colour molecules within the hair shaft so they can be washed out. They take the hair colour back to its lightest shade so if the hair colour applied was darker than the natural colour; they return the hair to its natural colour. If however the hair colour applied was lighter than the natural colour, the natural pigment within the hair shaft has been chemically lightened. This will mean that the hair will be left lighter than the natural colour. In this situation, you can recommend that your customer applies a hair colour close to their natural colour (it is recommended that they select a shade lighter than their natural colour to ensure a realistic result). Skin allergy testing When customers are considering the use of home colouring products, they should be advised to carry out a skin allergy test as described on the packing and instructions of their chosen product. This should normally be carried out between 48 - 72 hours before use to ensure they are not allergic to the ingredients. Some people, particularly those who have previously had a black henna tattoo in the past, can suffer with an allergic reaction which can be slight to life threatening. Symptoms of a slight allergic reaction are irritant contact dermatitis, where the skin is itchy, red and inflamed on the areas where the product has been in direct contact. The more life threatening allergic reactions are when there are more wide spread symptoms such as itching and rashes occurring on other areas of the body, a general feeling of being unwell and in rare cases anaphylactic shock which requires immediate emergency medical attention. This test should be completed before EACH application, not just when changing from one product to another as an allergy can develop suddenly, unless your customer has: • Already had an allergic reaction to a hair colourant • Has an irritated or damaged scalp. If this is the case, you should advise your customer to consult a professional hair dresser and not use home colouring product. Counterskills 31 Head and hair care Section 6: Colouring products How to carry out the test To carry out the test, customers should always follow the instructions accompanying the product they wish to use as they vary from manufacturer to manufacturer. f colour does reach ears or hairline, it •Ishould be removed as soon as possible before it has time to stain. If it does stain the skin, baby wipes and eye makeup remover and sometimes just soap and water should remove the stain The test is normally carried out by removing earrings and, using a cotton bud, applying a small amount of the dye solution behind the ear (or if easier on the inner elbow), then leaving to dry and uncovered for the required time (normally 48-72 hours). If the dye is a two bottle product, a little of the solution from each bottle will need to be mixed and used to perform the test. The full product should not be mixed, only the small amount needed to perform the test as once the product is mixed it needs to be used straight away. If any irritation, rash or a feeling of being unwell occurs during this period, the product should be washed off immediately and not used. olour enhancing shampoos, •Cconditioners and mousses can keep Practical advice f using a dark or permanent colour then •Iuse a dark towel and if using bleach or a There are some general points that customers can be advised on when they are colouring their hair: ead the instructions thoroughly •Rbefore use • erform a skin allergy test before P each application of colour as per the instructions hen using semi-permanent and •W permanent products, advise your customers to place a small amount of night cream around their hairline. This will stop the dye from reaching the skin around the face and reduce the chance of staining 32 Counterskills colour vivid longer ear hats or hair products with •W sunscreens to prevent colour from fading and drying in the sun sk a friend to help apply the product as •Athis is easier than applying themselves ork methodically section by section •W when applying the product and if covering grey hair, start by covering this first so the colour is allowed to penetrate for longer highlighting kit, use a white towel ome doctors advise their patients to •Savoid any kind of chemicals during pregnancy. While there’s little concrete evidence that colouring during pregnancy is medically harmful, you should refer your customer to discuss this with their GP. Head and hair care ACTIVITY A woman of about 40 comes into your pharmacy. She says that she would like help choosing a hair colour as she has noticed a few grey hairs and wants to cover them and maybe try a new colour for a change. She has never dyed her hair before. She has medium brown hair and when you ask her what colour she is thinking of she says she is thinking of a dark brown with some plum tones. Write in the box below what type of product you would advice her to use and any practical advice you would give her. my r we ans Ask your Pharmacist to review your answer and discuss it with you if required. Counterskills 33 Head and hair care Product recommendations Live XXL Key attributes: •LIVE Color XXL is the leading vibrant brand •It offers a range of extra intense, extra long-lasting, vibrant colours Why recommend: •NEW Ultra Brights are three semi-permanent shades that can be used for all over colour, to top up colour vibrancy between permanent dyeing and for dip dyeing and artistic dyeing. For extra vibrancy they can be used on top of a lightening shade with no added damage to the hair •Max Blonde 00B is the blondest shade in the market, which offers up to eight shades of lightening •The three Luminance shades offer lightening and colour in one simple step, so people with naturally darker hair can achieve a more vibrant result •LIVE Color XXL Shake It Up is the first vibrant foam, that is easy and fun to use – shake, scoop and apply Colour B4 Key attributes: •Colour B4 hair colour remover is the safest and most effective way to reverse an undesirable hair colour application. Why recommend: •Safe •Gentle •Contains no harsh chemicals •Convenient to use •Recolour the same day •For safe removal of artificial hair colour •Can be used for multiple applications •Use before each new hair colour application, to provide the best possible results from a new hair colour Colour B4 takes you back to your lightest shade. If the artificial hair colour applied is lighter than your natural colour, the natural pigment within your hair has been chemically lightened. Although Colour B4 will remove the artificial dye, you will still notice your natural hair colour has lightened. Colour Stop Key attributes: •Locks and protects your hair colour after colouring •Helps reduce creeping oxidation that can cause warm and copper tone hues •Helps prevent peroxide or bleach from lightening the hair beyond the desired level •Contains UV Protector, honey and Vitamin E to help protect from sun damage OTHER ADVICE Why recommend: •Anti-oxidant •pH Balancer •Regular use can preserve colour tones and protect hair colour •Locks in moisture •Helps prevent colour fade and reduces damage It also acts as a shield if applied directly to the hair when sunbathing or at the beach, to protect from those harmful UV rays. 34 Counterskills OTHER ADVICE Head and hair care Section 7: Styling products Hairstyling products are used to change the texture, shape of hair, or to hold it in place in a certain hairstyle. Applied properly, most styling products will not damage the hair apart from drying it out. Most styling products contain alcohols, which can dissolve oils and chemicals which can cause build up, resulting in dull hair or a change in texture. Wax Hair wax is a thick hairstyling product containing wax, used to hold the hair. In contrast with hair gel, which contains alcohol, hair wax is pliable and does not dry the hair out so much. It is often referred to as pomade, putty, glue, whip, molding gum, or styling paste. The following are some of the ingredients typically found in hair wax: • Beeswax • Candelilla wax • Carnauba wax • Castor wax • Emulsifying wax • Japan wax • Lanolin • Ozokerite. Some waxes contain petroleum jelly and mineral oil. Sometimes petroleum jelly can be used alone as a wax. They may also contain perfume and colouring agents. The stiffest wax will have a high proportion of beeswax while the lightest may have a higher proportion of oils. Mousse Hair mousse is added to hair for extra volume and shine. It often comes in either a spray or cream form. It adds volume without clumps or build-up occurring. It should be applied when the hair is wet or damp. The customer should apply the mousse all over the hair and comb afterwards to make sure that the mousse is evenly spread. Hair mousse is a purple colour while in the can, but after it comes in contact with air it becomes an off white colour. Hair mousse can be used on naturally curly or permed hair to reduce frizz and define curl. Certain brands of hair mousse contain alcohol, which is fine for most hair types except dry. For dry hair, customers should choose a hair mousse that contains natural conditioners and vitamins, but no alcohol. Gel Hair gel is a hairstyling product that is used to stiffen hair into a particular hairstyle. The results it produces are usually similar to, but stronger than, those of hair spray and hair wax. Cationic polymers are one of the main components of hair gel. The positive charges in polymer cause the gel to stretch, making it more viscous (sticky). Gels come in different strengths signified by numbers. Higher numbered gels maintain a greater hold on hair, while lower numbers do not make the hair as stiff and in some products give the hair a wet look. Counterskills 35 Head and hair care Section 7: Styling products Spray Hair spray is used to hold hair in a particular style for a long period of time. Using a pump or aerosol spray, it sprays evenly over the hair. Its active ingredient is either a polymer or the chemical elastesse. Elastesse is a form of liquid elastic that keeps the hair stiff and firm without snapping. One of the polymers used is polyvinylpyrrolidine, which is also used to glue layers of plywood together. Sometimes a non water soluble polymer called polydimethylsiloxane is added to make the hold last a bit longer. Pytocalcious chemicals are also used in hair spray. These increase the amount of minerals in the hair’s root causing the hair to become stiff. Some hair sprays use natural polymers and solvents like vegetable gums dissolved in alcohol. One popular ingredient is gum arabic, which is made from the sap of certain species of the acacia tree. Volumisers Hair volumisers are used to temporarily add volume, body, and shine to thin or flat hair. Hair volumisers are also used by balding men to make their hair mass look dense. They come in shampoos, conditioners, sprays, waxes and lotions. Hair volumisers contain humectants, which work by attracting moisture from the surrounding areas to the hair strand; swelling the hair and making it look thicker. Various polymers present in the volumiser coat the hair strand, making it look thicker and shiny. 36 Counterskills Shampoo and conditioner forms of the volumisers are used just like ordinary shampoo or conditioners. The spray and lotion form of volumisers are used in damp hair, near the roots. Advise customers to apply the volumisers, flip their head downward and gradually blow dry their hair, with the air being blown along the hair shaft. Once the hair is dry, the customer can then flip their head up to create volume. Serum Hair serum makes the hair shiny and stops it from getting tangled by forming a thin protective layer on the hair strands. It replaces moisture lost due to exposure to the sun, heat generated from hair styling products and hair that has undergone chemical treatments like perming or colouring. Hair serum provides nourishment to the hair, making the hair shafts strong, so they don’t break so easily. It should be applied after washing hair. The effect of the serum remains until the next wash. Head and hair care ACTIVITY A man of about 20 comes into your pharmacy. He is going to a fancy dress party as a ‘Rocker’ and wants to know what hair styling product to buy for his hair. Write in the box below what you would advise him to purchase. my r we ans Ask your Pharmacist to review your answer and discuss it with you if required. Counterskills 37 Head and hair care Product recommendations Elnett Key attributes: •Disappears at the stroke of a brush •Elnett is micro-diffused so hair does not get stuck together and stays soft. Your hair sets without stiffness •Finest hairspray used by the finest stylists •Endorsed by Cheryl Cole – "Nothing holds me like it" Why recommend: •No.1 hairspray in the UK market •NEW L'Oreal Elnett Lumiere infuses your style with light from the first spray while perfectly holding your style for up to 24 hours Brylcreem Key attributes: •Men’s styling products to achieve a variety of looks •Available across a range of styling formats •Can be used for classic or modern styles •Offers cool, timeless and understated looks – without that crunchy finish Why recommend: Original •Great for dry, coarse hair with its strong conditioning properties Gel cream •A smooth, lightweight product that gives a natural hold Remouldable cream •Gives a strong remouldable hold without looking like your hair is overloaded 38 Counterskills See www.brylcreem.com for practical styling tips OTHER ADVICE Head and hair care Section 8: Check your understanding Complete the following multiple choice questions on Head and hair care. Ask your pharmacist to check your answers. ACTIVITY Question 1 Hair is made up of: A) 50% protein B) 80% protein C) 90% protein Question 2 Hair loss affects around: A) 80% of men and 20% of women B) 70% of men and 50% of women C) 90% of men and 50% of women Counterskills 39 Head and hair care Section 8: Check your understanding Question 3 Headlice spread from head to head by: A) Jumping B) Flying C) Crawling Question 4 Dandruff is caused by: A) A build up of dead skin cells on the scalp B) Washing hair too frequently C) Eating too many fatty foods Question 5 pH stands for: A) Plastic hydrogen B) Potential hydration C) Potential hydrogen 40 Counterskills Head and hair care Question 6 Dry shampoo is a: A) Liquid substance used to clean the hair B) Powdered substance used to clean the hair C) Foam used to clean the hair Question 7 Hair masks: (tick any that are true) A) Help remove oil and dirt from hair B) Provide additional moisture C) Make hair shinier and more manageable Question 8 Temporary hair colour: A) Is brighter than semi-permanent and permanent hair colours B) Covers grey hair well C) Stays in the hair for many weeks Counterskills 41 Head and hair care Section 8: Check your understanding Question 9 Semi-permanent hair colour consists of: A) A developer and a colouring agent B) A moisturiser and a colouring agent C) A developer and a detergent Question 10 Wax is sometimes referred to as: A) Mousse B) Gel C) Whip 42 Counterskills Head and hair care Look out for the next Counterskills workbook from Alliance Healthcare covering Infant feeding and childhood ailments Available September 2012 skills training September - October 2012 COUNTERSKILLS training programme Infant Feeding and Childhood Ailments 8 workbook infant feeding skin ailments childhood ailments skill builder: advising confidently using WWHAM activities & assessment merchandising aid Supported by: Queries relating to Counterskills should be directed to counterskills@alliance-healthcare.co.uk or 0203 044 8964 Content developed by: ©2011 Scientia Skills Limited Copyright in the whole and every part of the workbook belongs to Scientia Skills Limited (“the Owner”) and may not be used, sold, transferred, copied, adapted or reproduced in the whole or in part in any manner or form or in any media to any person without prior written consent of the Owner. Counterskills 43 Planogram Hair Care This planogram has been provided as a guide to help you optimise the sales opportunity on the Head and hair category. For a full listing see the ‘Star Ratings’ document included with this workbook which contains essential, additional and supplementary brands within pharmacy.