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Elements and Performance Criteria

  1. Determine the scope of the assessment and the client's needs
  2. Obtain and record an accurate history of the client
  3. Manage the health assessment
  4. Make a comprehensive assessment of the client

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

Anatomical terminology and levels of organisation

Ayurvedic pathophysiology and ayurvedic disease processes

Ayurvedic physical signs and symptoms of disease

Anatomy and physiology according to various stages of life

Ayurvedic anatomy and physiology including

basic physiology including physiology of musculoskeletal system muscles posture and movement

ENT and other senses hearing and equilibration vision smell taste

gastrointestinal motility secretions movement of food digestion and absorption

general physiology including cell structure and function metabolism levels of organisation in the body

nervous system central peripheral and automatic nervous systems

respiratory system pulmonary function cardiovascular system heart circulation lymphatic system lymph immunity and allergy

urogenital and endocrine renal function micturition extracellular fluid metabolism thyroid gland hormones and reproduction

Ayurvedic diagnosis according to ayurvedic classification of disease

Ayurvedic Rog Vigyan and Chikitsa Sootra including disease of all the channels with their specific Samprapti Pooravroopa nidan Upashya and chikitsa along with western correlation

Ayurvedic anatomical systems including

musculoskeletal including muscles bones cartilage joints head upper trunk upper limb pelvis lower limb

nervous including peripheral autonomic and central nervous systems

cardiovascular including haemopoetic including vascular system spleen heart and pericardium systemic arteries systemic veins portal veins foetal circulation

lymphatic including thoracic viscera abdominal and pelvic viscera alimentary tract urinary and genital systems trunk and limbs deep and superficial lymph nodes

gastrointestinal including mouth salivary glands tongue pharynx oesophagus abdomen and peritoneum stomach small intestine large intestine liver biliary system pancreas

respiratory including larynx trachea lungs and mediastinum pleura

urogenital reproductive and urinary and endocrine including kidneys ureter and bladder male genital organs female genital organs thyroid parathyroid glands pituitary gland adrenal gland thymus gland

ENT and Special Senses including hearing and equilibration vision smell taste

continued

Essential knowledge contd

Basic knowledge of biochemistry

Basic knowledge of the physical relationship of the position on the tongue of the Doshas and organs

Clinical features and pathophysiology of common bacterial and viral diseases to assess the client stage severity and likely prognosis

Critical information required for diagnosis and treatment according to ayurvedic framework

Dietary impact on health and symptoms

Ethical and legal implications of enquiry

Factors affecting transmission of disease and choice of treatments of common infectious diseases

Identification of infectious organism indications complications epidemiology occurrence mode of transmission vectors incubation period period of communicability presentation diagnosis treatment management and prevention

Location of each Dosha or organ on the pulse

Pathophysiology and disease processes of common clinical diseases and interactivity between them to the level necessary to support the making of a screening assessment and assessment of the clients condition to support the practice of ayurvedic medicine

Pathophysiology and disease processes affecting the nervous system central and peripheral nervous tissue brain spinal cord and associated nerves sensory motor and integrative systems autonomic nervous system and

cardiovascular system blood clotting erythropoietin cardiac cycle

endocrine system thyroid parathyroid and adrenal glands pancreas calcium and bone metabolism pituitary gland pineal gland

ENT and special senses vision hearing smell taste

lymphatic system immunity allergy

respiratory system pulmonary function gas transport regulation of respiration respiratory adjustments

urogenital system renal function fluid balance male and female reproductive systems

Philosophical approach to diagnosis and treatment

Philosophy of ayurvedic diagnoses

Prostaglandins development inheritance DNA RNA introduction to genetics

Pulse diagnosis Nadi Pariksha

Symptomology and pathology according to ayurvedic practice

The state and quality of the tridoshas

The state of each individual organ found at the appropriate pulse position

continued

Essential knowledge contd

Terminology correct to discipline

The cost benefit ratio of special tests or studies

The causes of disease according to Ayurveda

The legal and ethical requirements for confidentiality

The physical relationship of the position on the pulse to the Doshas and organs

Time management requirements during consultation

Essential skills

It is critical that the candidate demonstrate the ability 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

Access and interpret uptodate information

Apply methods of keeping medical records

Communicate effectively to gain required information

Conduct external physical examination

Demonstrate communication skills

Demonstrate observation skills

Demonstrate recordkeeping skills

Demonstrate respect for practitioner client boundaries

Detect and record symptoms and signs present including precipitating factors relieving factors and associated manifestations

Identify location stage and characteristics of disease

Perform basic points diagnosis Marma Pariksha

Perform basic tongue diagnosis Jihva Pariksha

Perform nail diagnosis

Perform observation Darshana

Perform palpation Sparshana

Perform questioning Prashna

Request high precision laboratory andor radiology tests when required

Require the minimum number of additional tests

Understand and discuss medical reports

Use a range of ayurvedic medical equipment used in external physical examinations

Use equipment and technology competently and safely

Use terminology correct to discipline

Use the threefold and eightfold examination techniques

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 performance in the workplace or a simulated workplace defined as a supervised clinic is essential for assessment of this unit

Consistency of performance should be demonstrated over a range of workplace situations

Assessment may contain both theoretical and practical components and examples covering a range of clinical situations

Evidence is required of both knowledge and skills application

Assessment of sole practitioners must include a range of clinical situations and different client groups covering at minimum age culture and gender

Assessment of sole practitioners must consider their unique workplace context including

interaction with others in the broader professional community as part of the sole practitioners workplace

scope of practice as detailed in the qualification and component competency units

holisticintegrated assessment including

working within the practice framework

performing a health assessment

assessing the client

planning treatment

providing treatment

All procedures must be conducted according to legislative and regulatory requirements

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 should replicate workplace conditions as far as possible

Simulations may be used to represent workplace conditions as closely as possible

Where for reasons of safety access to equipment and resources and space assessment takes place away from the workplace simulations should be used to represent workplace conditions as closely as possible

Resources essential for assessment include

an appropriately stocked and equipped clinic or simulated clinic environment

skilled assessors

relevant assessment instruments

appropriate assessment environment

Method of assessment

Observation of performance in the work place

Written assignmentsprojects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning

Role play simulation

Examples of assessment notes

Research work or written reports of observations in a practical setting

Oral questioning on technique or assessment strategy

Case studies and scenarios as a basis for discussion of issues and strategies to contribute to best practice in the work environment

Related units

This unit should be assessed in conjunction with the following related units

HLTAYVC Apply ayurvedic diagnostic framework

HLTAYV615C Apply ayurvedic diagnostic framework

HLTCOMC Communicate effectively with clients

HLTCOM404C Communicate effectively with clients

HLTINC Comply with infection control policies and procedures

HLTIN301C Comply with infection control policies and procedures


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.

Factors likely to have a negative impact on assessment may include:

Cultural or gender factors

Disabilities

Emotional trauma

Lack of privacy or focus due to additional parties being present

Language difficulties

Other health care professional may include:

Allied health workers

Alternative health practitioners

Counsellors

Doctors

Social workers

Client history may include:

Accidents, injuries, operations

Childhood and adulthood illness

Date of presentation

Family history

General state of health

physical

emotional

allergies

dietary picture

sleep pattern

exercise

leisure activities

Hospitalisations

Identifying personal details

Main presenting complaint or reason for consultation

Medication, supplements and natural remedies - current and previous

Occupational history and environment

Other current medical treatment

Presenting symptom picture

Social lifestyle including social drug usage

Source of referral (if applicable)

Potential sensitivities may include:

Ability

Cultural heritage

Ethnicity

Gender

Language

Presenting disease state and personal history

Religious beliefs

Sexuality

Trividha Pariksha (Threefold examination method) includes:

Darshana (Observation)

Prashna (Questioning)

Sparshana (Touch)

The eightfold examination method includes:

Akriti pariksha ( general physical features, ie height, weight, deformation of limbs, nails, skin etc)

Druka pariksha ((eye diagnosis)

Jivha pariksha (tongue diagnosis)

Mala pariksha (stool examination)

Mutra pariksha (urine examination)

Nadi pariksha (pulse diagnosis)

Shabda pariksha (voice examination)

Sparshana (palpation)

The different stages of disease includes:

Aama stage

Niraama stage

Pacyaama stage

The different stages of progression of disease includes:

Bheda (differentiation or complication)

Prakopa (excitation or provocation)

Prasara (spreading)

Sanchaya (accumulation)

Sthana samsraya (relocation)

Vyakta (manifestation)