Elements and Performance Criteria

RANGE STATEMENT

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.


Supervision refers to:
Instructing, advising, and monitoring another person in order to ensure safe and effective performance in carrying out the duties of their position
The nature of supervision is flexible and may be conducted by various means including:
in person
through use of electronic communications media such as telephone or video conferencing, where necessary
Frequency of supervision will be determined by factors such as:
the task maturity of the person in that position or clinical placement
the need to review and assess client conditions and progress in order to establish or alter treatment plans in case of students and assistants
the need to correct and develop non clinical aspects such as time management, organisation requirements, communication skills, and other factors supporting the provision of clinical care and working within a team
A person under supervision does not require direct (immediate) and continuous personal interaction, but the method and frequency will be determined by factors outlined above


Clients may include:
Adults
Children and young people
Older people
People with communication difficulties


Settings may include:
Hospitals
Community health services
Private practice
Client homes
Aged care residential settings


Information may include:
Client care plan
Exercise plan
Client treatment plan
Physiotherapist instructions
Client record
Checklists
Case notes
Other forms according to procedures of the organisation


Treatment and program aims may include:
Optimising quality of life
Management of secondary complications
Facilitating normal movements and developing adaptive skills to maximise the client's independence
Educating the client on the relationship between movement and function
Promoting the partnership between the worker and the client to achieve maximum benefit from a rehabilitation program and improve quality of life


Client needs and abilities may include:
Co-morbidity
Cultural needs
Cardiac risk stratification
Joint or muscle weakness
Orthopaedic conditions


Methods to determine client availability may include:
Face to face
Telephone
Written


Strategies to measure response to exercise may include:
Borg's scale
Rating of perceived exertion


Principles of exercise program design must include:
FITT formula - frequency, intensity, time, type
Program phases - preparation, conditioning, recovery, adaptation
Program types - sets and reps, circuit, single set to failure, matrix


Principles of biomechanics may include:
Mass
Force
Speed
Acceleration
Work
Energy
Power
Strength
Momentum
Force arm
Resistance arm
Axis of rotation
Cam
Pulley


Musculo-skeletal system may include:
Joint types and function
Major bones
Major muscles
Major joints


Adverse reaction to exercise may include:
Severe shortness of breath
Dizziness
Pain
Muscle cramp


Clinical standards, guidelines, policies and procedures may include:
Clinical standards (state and national)
Industry professional bodies
Industry standards (state and national) and associated legislative requirements
Organisation policy directives
Privacy Act
Relevant Australian Standards
Physiotherapy Registration Acts (State based)


Client compliance refers to:
Ability to follow instructions or suggestions
Willingness to follow instructions or suggestions
Cognitive decline

EVIDENCE GUIDE

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skill
Observation of workplace performance is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace
Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible


Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities


Context of and specific resources for assessment:
Assessment must include demonstrated workplace application
Relevant guidelines, standards and procedures
Resources essential for assessment include:
Clients with exercise requirements
Equipment
Documentation
Supervisory physiotherapist


Method of assessment
Observation of some applications in the work place (as is appropriate/possible)
Written assignments/projects or questioning should be used to assess knowledge
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Skills involving direct client care are to be assessed initially in a simulated setting (eg. laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision