Assessor Resource

HLTAHW042
Implement a burns rehabilitation care plan

Assessment tool

Version 1.0
Issue Date: March 2024


This unit describes the skills and knowledge required to manage and promote the ongoing physical, physiological and psychological rehabilitation of a client recovering from a burn injury.

The unit applies to those Aboriginal and/or Torres Strait Islander Health Workers providing a range of primary health care services to Aboriginal and/or Torres Strait Islander clients and communities.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Assess the psychosocial impact of burn injuries on clients

1.1 Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact

1.2 Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others

1.3 Identify the social and cultural implications of a burns injury

1.4 Note possible signs of trauma and/or major mental health issues related to the burn injury

1.5 Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process

1.6 Involve family or significant others in the assessment process

2. Implement a care plan in response to psychosocial assessment

2.1 Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements

2.2 Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan

2.3 Document care plan in line with organisation and community requirements

2.4 Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement

2.5 Take action to minimise risk of harm to self or others during implementation of care plan

2.6 Support client to take a self-care approach to health in line with individual needs and organisational requirements

3. Develop scar management strategies

3.1 Identify factors affecting scar formation

3.2 Apply pressure garments correctly and with care

3.3 Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin

3.4 Implement methods to prevent or minimise contracture

3.5 Employ simple techniques to reduce itching

3.6 Instruct the client about basic massage techniques, as appropriate

3.7 Refer clients to allied health professionals, as appropriate

3.8 Discuss reconstructive options with allied health professionals and clients, if relevant

4. Incorporate nutrition and exercise in care plan

4.1 Explain to the client the importance of nutrition in burn recovery

4.2 Develop an exercise program in consultation with health professionals that encourages movement and ambulation

4.3 Instruct the client in basic exercises under the supervision of a health professional

4.4 Facilitate exercise through splinting/positioning

4.5 Use adaptive equipment where relevant

4.6 Discuss the consequences of not following an exercise program with the client and/or carer(s)

5. Refer clients in line with care plan

5.1 Identify and inform clients of community and health services that provide support to burns patients and/or their families

5.2 Make referrals in line with service policy and procedures

5.3 Follow-up with clients and families once referred

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role.

There must be evidence that the candidate has:

formulated care plans for at least three clients by:

collaborating with other members of a multi-disciplinary team to determine:

findings of psychosocial assessment

risk of harm to self and others

communicating care plans to each client and checking their understanding

using a motivational interviewing approach

correctly determining the appropriate rehabilitation therapies required in the specific circumstance of burns rehabilitation

carrying out rehabilitation procedures and education safely and effectively on at least three occasions, including:

positioning and splinting

oedema management

movement and ambulation

functional activity

adaptive aids

nutrition

supporting each client to take a self-care approach to health with provision of appropriate information and other measures

referring clients as necessary in accordance with service policy and procedures

following up with patients and their families once referred

educating and informing clients about psychosocial issues and possible services to assist recovery.

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role.

This includes knowledge of:

reconstructive options in relation to burns rehabilitation

principles of scar management, working in collaboration with allied health professionals

aims and consequences of rehabilitation exercise regimes – under the supervision of a health professional

psychosocial factors affecting burn injury clients:

risk to self and others

social and cultural implications

common individual reactions to a burns injury

possible signs of trauma and mental health issues

pre-existing factors in family and wider community that may impede or facilitate recovery and the healing process

family involvement

communication skills

community and health services which may support burns patients and/or their families with psychosocial needs

referral process in accordance with service policy and procedures.

Skills must be demonstrated working:

in a health service or centre

as part of a multi-disciplinary primary health care team

with Aboriginal and/or Torres Strait Islander clients and communities.

In addition, simulations and scenarios must be used where the full range of contexts and situations cannot be provided in the workplace or may occur only rarely. These are situations relating to emergency or unplanned procedures where assessment in these circumstances would be unsafe or is impractical.

Simulated assessment environments must simulate the real-life working environment where these skills and knowledge would be performed, with all the relevant equipment and resources of that working environment, including medical equipment, splints and pressure garments used in aiding wound recovery.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

Assessment must be undertaken by a workplace assessor who has expertise in this unit of competency and who is:

an Aboriginal and/or Torres Strait Islander Health Worker

or:

accompanied by an Aboriginal and/or Torres Strait Islander person who is a recognised member of the community with experience in primary health care.


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Assess the psychosocial impact of burn injuries on clients

1.1 Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact

1.2 Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others

1.3 Identify the social and cultural implications of a burns injury

1.4 Note possible signs of trauma and/or major mental health issues related to the burn injury

1.5 Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process

1.6 Involve family or significant others in the assessment process

2. Implement a care plan in response to psychosocial assessment

2.1 Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements

2.2 Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan

2.3 Document care plan in line with organisation and community requirements

2.4 Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement

2.5 Take action to minimise risk of harm to self or others during implementation of care plan

2.6 Support client to take a self-care approach to health in line with individual needs and organisational requirements

3. Develop scar management strategies

3.1 Identify factors affecting scar formation

3.2 Apply pressure garments correctly and with care

3.3 Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin

3.4 Implement methods to prevent or minimise contracture

3.5 Employ simple techniques to reduce itching

3.6 Instruct the client about basic massage techniques, as appropriate

3.7 Refer clients to allied health professionals, as appropriate

3.8 Discuss reconstructive options with allied health professionals and clients, if relevant

4. Incorporate nutrition and exercise in care plan

4.1 Explain to the client the importance of nutrition in burn recovery

4.2 Develop an exercise program in consultation with health professionals that encourages movement and ambulation

4.3 Instruct the client in basic exercises under the supervision of a health professional

4.4 Facilitate exercise through splinting/positioning

4.5 Use adaptive equipment where relevant

4.6 Discuss the consequences of not following an exercise program with the client and/or carer(s)

5. Refer clients in line with care plan

5.1 Identify and inform clients of community and health services that provide support to burns patients and/or their families

5.2 Make referrals in line with service policy and procedures

5.3 Follow-up with clients and families once referred

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role.

There must be evidence that the candidate has:

formulated care plans for at least three clients by:

collaborating with other members of a multi-disciplinary team to determine:

findings of psychosocial assessment

risk of harm to self and others

communicating care plans to each client and checking their understanding

using a motivational interviewing approach

correctly determining the appropriate rehabilitation therapies required in the specific circumstance of burns rehabilitation

carrying out rehabilitation procedures and education safely and effectively on at least three occasions, including:

positioning and splinting

oedema management

movement and ambulation

functional activity

adaptive aids

nutrition

supporting each client to take a self-care approach to health with provision of appropriate information and other measures

referring clients as necessary in accordance with service policy and procedures

following up with patients and their families once referred

educating and informing clients about psychosocial issues and possible services to assist recovery.

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role.

This includes knowledge of:

reconstructive options in relation to burns rehabilitation

principles of scar management, working in collaboration with allied health professionals

aims and consequences of rehabilitation exercise regimes – under the supervision of a health professional

psychosocial factors affecting burn injury clients:

risk to self and others

social and cultural implications

common individual reactions to a burns injury

possible signs of trauma and mental health issues

pre-existing factors in family and wider community that may impede or facilitate recovery and the healing process

family involvement

communication skills

community and health services which may support burns patients and/or their families with psychosocial needs

referral process in accordance with service policy and procedures.

Skills must be demonstrated working:

in a health service or centre

as part of a multi-disciplinary primary health care team

with Aboriginal and/or Torres Strait Islander clients and communities.

In addition, simulations and scenarios must be used where the full range of contexts and situations cannot be provided in the workplace or may occur only rarely. These are situations relating to emergency or unplanned procedures where assessment in these circumstances would be unsafe or is impractical.

Simulated assessment environments must simulate the real-life working environment where these skills and knowledge would be performed, with all the relevant equipment and resources of that working environment, including medical equipment, splints and pressure garments used in aiding wound recovery.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

Assessment must be undertaken by a workplace assessor who has expertise in this unit of competency and who is:

an Aboriginal and/or Torres Strait Islander Health Worker

or:

accompanied by an Aboriginal and/or Torres Strait Islander person who is a recognised member of the community with experience in primary health care.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
 
Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact 
Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others 
Identify the social and cultural implications of a burns injury 
Note possible signs of trauma and/or major mental health issues related to the burn injury 
Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process 
Involve family or significant others in the assessment process 
Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements 
Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan 
Document care plan in line with organisation and community requirements 
Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement 
Take action to minimise risk of harm to self or others during implementation of care plan 
Support client to take a self-care approach to health in line with individual needs and organisational requirements 
Identify factors affecting scar formation 
Apply pressure garments correctly and with care 
Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin 
Implement methods to prevent or minimise contracture 
Employ simple techniques to reduce itching 
Instruct the client about basic massage techniques, as appropriate 
Refer clients to allied health professionals, as appropriate 
Discuss reconstructive options with allied health professionals and clients, if relevant 
Explain to the client the importance of nutrition in burn recovery 
Develop an exercise program in consultation with health professionals that encourages movement and ambulation 
Instruct the client in basic exercises under the supervision of a health professional 
Facilitate exercise through splinting/positioning 
Use adaptive equipment where relevant 
Discuss the consequences of not following an exercise program with the client and/or carer(s) 
Identify and inform clients of community and health services that provide support to burns patients and/or their families 
Make referrals in line with service policy and procedures 
Follow-up with clients and families once referred 

Forms

Assessment Cover Sheet

HLTAHW042 - Implement a burns rehabilitation care plan
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

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Assessment Record Sheet

HLTAHW042 - Implement a burns rehabilitation care plan

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

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