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Elements and Performance Criteria

  1. Prepare for delivery of a client-specific exercise program
  2. Deliver exercise program based on treatment plan
  3. Assist with mobility and movement programs with clients unable to actively participate
  4. Clean and store equipment
  5. Document clientinformation
  6. Comply with supervisory requirements

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

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

Principles of biomechanics including

mass

force

speed

acceleration

work

energy

power

strength

momentum

force arm

resistance arm

axis of rotation

cam

pulley

Basic musculoskeletal anatomy including

joint types and function

major bones

major muscles

major joints

Basic anatomy and physiology

Anatomical terminology including

flexion

extension

rotation

abduction

adduction

circumduction

inversion

eversion

pronation

supination

horizontal flexion

horizontal extension

Therapeutic exercise principles

A working understanding of the basic anatomy and physiology of the skin and the principles of pressure area care

A working understanding of the principles of hour posture management

Essential knowledge cont

Knowledge of

A working knowledge of factors that facilitate an effective and collaborative working relationship

A working knowledge of record keeping practices and procedures in relation to diagnostic and therapeutic programstreatments

A working knowledge of the equipment and materials used in different programs and treatments

A working knowledge of the monitoring requirements for different programs and treatments

A working understanding of the basic reaction to pain within the body

A working understanding of the signs of adverse reaction to different programs and treatment

Client care plans goals and limitations of exercise therapy

Contraindications for exercise therapy

Disease processes relevant to the client groups

Infection control policies and procedures that relate to the allied health assistants role in implementing physiotherapy mobility and movement programs

Medical terminology required to operate effectively

OHS policies and procedures that relate to the allied health assistants role in implementing physiotherapy mobility and movement programs

Relevant national and stateterritory legislation and guidelines including Australian Physiotherapy Association APA Guidelines

Relevant organisation policies and procedures

Roles responsibilities and limitations of self and other allied health team members and nursing medical and other personnel

Supervisory and reporting protocols of the organisation

Essential skills

It is critical that the candidate demonstrate the ability to

Apply therapeutic exercise practices

Undertake activity analysis breaking activities down into component parts

Use manual handling required to assist the client

In addition the candidate must be able 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 the ability to

Work under direct and indirect supervision

Communicate effectively with clients for therapeutic support

Communicate effectively with supervisors and coworkers

Work effectively with noncompliant clients

Use skills in time management personal organisation and establishing priorities

Evidence Required

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 skills

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 andor Torres Strait Islander clients and communities

Context of and specific resources for assessment

Assessment must include demonstrate workplace performance

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 workplace as is appropriatepossible

Written assignmentsprojects 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


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

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

Client specific exercise programs may include but are not limited to:

Upper limb

Lower limb

Trunk

Cardiovascular

Passive movement

Active/functional exercise

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

Exercise plan may include but is not limited to:

Client details

Movement details, including:

direction

range

lever length

complexity

speed

Intensity details, including:

resistance

repetitions

muscle involvement

Clients may include:

Infants

Children

Adolescents

Elderly people

Settings may include

Hospitals

Acute care settings in hospitals

Community health services

Private practice

Client homes

Aged care residential care settings

Principles of biodynamic movement 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

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