Sorry about such a late reply. This is what happen when you start moving from a country to country.
Usually the direction of movement is much more important in effleurage as it is the technique that 'move the blood'. Petrissage is more local, deeper and can help in blood circulation but only on a local level, hence its not that important the direction.
Usually I keep the direction of the effleurage on both the upper and lower limb to be 'toward the heart', but on the torso is not that important. Why? ask me that question please when we learn the cardiovascular system.
I love the question, Jen. Please more!

Thank you Dror, that’s super helpful information!

Hi Sim,
Thank you!
CHP can be used as:
1. massage professional association: you can become a member.
2. A verifying body to let you become a member of CNHC. I don't have this magic power.
So yes: if you want to become a member of CNHC, you will need to do it via CHP. You don't have to be a member of CHP for ever, just for one year at least.
Best wishes,
Dror

Thanks so much. This really resonates with me and I had already cancelled the appointment. Thank you, greatly appreciate the advice

Thanks Helen. First, you are right to be apprehensive about this client. I would have the same reaction. Being apprehensive would keep you out of trouble.
So, probably there are many contraindications: cancer, pacemaker, stroke...And also, you need to consider your knowledge of those conditions, your ability to assess those condition.
For example, some treatment of a stroke will be with a medication that make the book thinner. If they take this medication, then your treatment might be different. So, t here are many layers of these.
So, I think on this occasion, it might be too early for you to treat this client. But you might be ready with more knowledge later on in your journey.
Hope that this helps...
Dror