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Elements and Performance Criteria

  1. Work within the context of community rehabilitation
  2. Work within a multidisciplinary team
  3. Provide holistic support to clients within the context of the rehabilitation plan
  4. Address risk identification, hygiene and infection control issues in home care and community settings
  5. Document client information

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

Awareness of cross cultural issues in a community rehabilitation context

Community advocacy groups

Community care service providers including managers supervisors coordinators assessment officers and case managers

Different frameworks approaches and models of rehabilitation

Human rights in reference to community rehabilitation

Importance of clients interests

Importance of clients networks in the rehabilitation process

Importance of principles and practices to enhance sustainability in the workplace including environmental economic workforce and social sustainability

International classification of functioning disability and health

Occupational health and safety OHS issues and requirements risk assessment and risk management associated with working in client homes and the community

Philosophy and values of community rehabilitation

Relevant national andor statebased community services and programs such as HACC CACPS veterans home care

Support groups and organisations within the community

The importance and meaning of home and belongings to clients and the nature and significance of working in the clients home and community settings

The importance and practice of participation social justice and equity

Understanding of importance of range of rehabilitation requirements

Understanding of medicolegal and legal implications of working outside the plans specifically treatment style plan

Understanding of principles and practices of self management

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

Apply language literacy and numeracy LLN competence appropriate to the requirements of the organisation and client group

this may include for example ability to read and comprehend a rehabilitation plan develop and implement a risk management plan report hazards and document client information

language used may be English or a community language

Apply OHS knowledge in home and community settings

Communicate effectively with relevant people in a community rehabilitation context including

communication that addresses specific needs of people with disabilities

cross cultural communication

verbal and nonverbal communication with clients and colleagues including members of multidisciplinary teams

Facilitate client involvement and participation in the rehabilitation process within the context of rehabilitation plans and under supervision of an identified health professional

Motivate client and build self esteem

Provide effective and sensitive support to people in community rehabilitation settings

Take into account opportunities to address waste minimisation environmental responsibility and sustainable practice issues

Work within a multidisciplinary team

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

The assessment of the skills and knowledge should include observation of workplace performance

Workplace performance may need to be demonstrated under simulated conditions which approximate the workplace in order to address safety requirements or in order to assess skills and knowledge which may not be possible to assess in the workplace

Evidence of workplace application should be provided as detailed in the unit of competency

Where observation is undertaken in the workplace for assessment purposes the assessor must ensure that safety of practice and duty of care requirements are addressed appropriately

Assessment should be conducted on more than one occasion to cover a variety of circumstances to establish consistency

A diversity of assessment tasks is essential for holistic assessment

Access and equity considerations

All workers in health and community services 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 issues facing Aboriginal andor Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on Aboriginal andor Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on Aboriginal andor Torres Strait Islander clients and communities

Context of and specific resources for assessment


This unit can be assessed independently however holistic assessment practice with other health and community services units of competency is encouraged

Resource requirements include access to all relevant resources commonly provided in the rehabilitation context including

relevant organisation policy and procedure manuals legislation and standards

organisation mission statement strategic and business plan

other documentation relevant to the work context such as

rehabilitation plan

reports from allied health professionals

client consent

Method of assessment

Observation in the work context

Written assignmentsprojects andor questioning should be used to assess knowledge

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

Health professional feedback

Assessment practices should take into account any relevant speech language or cultural issues related to Aboriginality gender disability or English as a second language

Where the candidate has a disability reasonable adjustment should be applied during assessment

Language and literacy demands of the assessment task should not be higher than those of the work role


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.

Community rehabilitation refers to:

Support that contributes to reducing hospitalisation stay, minimising hospitalisation and easing the transition back to the community by supporting quality of life and community engagements of clients through:

supporting allied health and nursing professionals

providing direct and where relevant indirect support to clients

working within a community service and health framework

operating, under supervision and task delegation service models, in a multidisciplinary framework to maintain, optimise and enhance client functioning in the community

Rehabilitation plan refers to:

A plan which:

is developed by a health professional in collaboration with the client and significant others

includes client focused goals with defined rehabilitation outcomes

may be multidisciplinary

includes time limited activities

is regularly reviewed

Values and philosophies may include:

Participation and equity

Social justice

Social role valorisation

Principles and applications of a range of different frameworks, approaches and models may include:

Carer centred

Case management

Client centred

Family centred

Functional

Impairment based

Interdisciplinary

International classification framework

Self management

Transdisciplinary

Delegated refers to:

Delegated duties that cannot be transferred to another worker

Delegation within the context of the rehabilitation plan

Delegation instructions that must include:

specific rehabilitation requirements and their purpose

possible contra-indications, risks and how to respond

any other relevant instructions or information, especially information specific to the client

The authority specific to an individual client within a specific rehabilitation context and is not transferable to any other client

The delegating health professional conferring authority on a worker to perform specific activities

Client's rehabilitation needs may include:

Ambulation

Communication programs, including support for:

use of alternative and augmentative communication (AAC)

rehabilitation programs for other communication needs

Community integration

Daily living requirements

Exercise programs

Leisure activities

Medication

Nutrition support and screening, including meal preparation and assistance with eating

Other activities that support specific therapy inputs

Participation in support groups

Psycho-social rehabilitation

Self management skills

Shopping

Transport

Wound dressing

Supervising health professional might include one or more of:

Cardiac rehabilitation nurse

Diabetes educator

Dietitian

General practitioner

Occupational therapist

Physiotherapist

Podiatrist

Psychologist

Registered/division one nurse

Social worker

Specialist

Speech pathologist

Supervisory requirements 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 communication media such as telephone or video conferencing, where appropriate

Frequency of supervision will be determined by factors such as:

the task maturity of the person in that position

the need to review and assess client conditions and progress in order to establish or alter treatment plans

the need to develop non-clinical aspects such as time management, communication skills and other factors that support the provision of clinical care and facilitate team management

a person under supervision may not require direct (immediate and/or face to face) and continuous supervision, however, the method and frequency will be determined by factors outlined above

Supervisory relationships may include:

Client status driven

Direct e.g. face to face

Indirect e.g. supervisor off site and electronic communication

Outcome driven

Additional people may include:

Community care service providers including managers, supervisors, coordinators, assessment officers and case managers

Community groups

Family

Friends

Personal care workers

Other supports may include:

Client networks

Community groups

Social groups