Washington Institute of Natural Medicine

Services and Fees

Tiffany Miles

Tiffany Miles, PCP, CHHA
Direct Care Worker
Licensed Personal Care Provider/Certified Home Health Care Aide/Nursing Technician
Licensed through the DC Board of Nursing
Under the Direction of the Licensed Holistic Nurses
Trained in Massage for Health Care Practitioners
Certified Lymphatic Drainage

Lymphatic Drainage Manual Therapy - Lymphatic drainage manual therapy massage is a specialized body work technique that applies repetitive pressure at lymph node sites and a stroking technique along lymph vessels that stimulates the movement of lymph fluid. This therapy assists with post surgical swelling and inflammation due to numerous heath complaints such as sinusitis, arthritis, gastritis, back pain, neck pain and more. $125.00 for a 60 minute session.

Reflexology - The principles of reflexology embody techniques designed to keep the body's systems operating at peak efficiency. Providing gentle pressure along points in the feet can help achieve balance in the body by normalizing the function of the internal organs and stimulating the body’s natural healing process. $105 for a one-hour session

Acupressure - Acupressure uses light to moderate pressure which is applied to acupuncture points with the thumb, fingers, palms, forearms and elbows. Acupressure helps to bring the body into balance. 60 Minutes $125.00


Home Health Aide Training/Nursing Technician, Opportunities Industrialization Center, Washington, D.C., December 6, 2018
Certified Home Health Care Aide, Washington, D.C. Board of Nursing, March 18, 2019

Nursing Technician/Home Health Care Aide/Personal Care Provider Training and Scope of Practice
Anatomy and Physiology, diseases and it's effect of the body, medical terminology, patient care principals, activities of daily living, transferring and ambulation, vital signs, back rub/massage techniques, Passive Range of Motion of arms legs, hands/wrists, and feet (stretching, abduction, adduction), personal care and hygiene to promote circulation and prevent skin breakdown, Massage application of lotion/cream for skin dryness and to promote circulation and prevent skin breakdown, foot soak/bath and care with massage application of lotion, hand and nail soak/bath and care with massage application of lotion, psycho social care skills, warm or cold/ice pack application, gathering vital information about the patient/client's condition, assess physical conditions of patients/clients and reports to charge nurse or doctor, explains basic medical information to patients/clients, apply bandages/dressings after receiving the specialized training, perform specialized medical tasks or treatments during employment after receiving in-service training or continuing education classes. These tasks/treatments vary by practitioner all depending upon the additional training provided at the workplace.

Additional Training: Reminiscence Therapy is a treatment that uses all the senses — sight, touch, taste, smell and sound — to help individuals with dementia remember events, people and places from their past lives. As part of the therapy, care partners may use objects in various activities to help individuals with recall of memories.

©Washington Institute of Natural Medicine