Google links for HLTEN503B - Contribute to client assessment and developing nursing care plans

In-depth understanding of the structure and functioning of anatomy and physiology of the human body and pathophysiology of disease as addressed in unit HLTAP501A Analyse health information

Interpretation and analysis of client information

Legal and professional standards of practice

Principles of health assessment problem solving strategies and techniques for conducting health assessment

Wellness approach to health physiology and psychosocial

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 documentation principles

appropriate terminology

data collection instruments used in health care environments

legally compliant recording and reporting

types of data to be collected in health care environment

Apply information technology skills

Apply health care procedures

admission and discharge procedures

assessment of activities of daily living

assessment of pain

blood glucose monitoring

holistic client assessment

measurements temperature pulse respirations and blood pressure

neurological observations

neurovascular observations

observations

oximetry body mass index

physical assessment

specimen collection

urinalysis

Apply professional standards of practice

ANMC code of conduct

ANMC code of ethics

ANMC national EnrolledDivision nurse competency standards

stateterritory Nurse Regulatory Nurses Act

stateterritory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Contribute to health teaching

Use language literacy and numeracy competence required to communicate effectively with client group and record or report client outcomes

Use communication skills

establishing rapport

interpreter services

modification of communication techniques to suit age gender spiritual and cultural needs

questioning skills

Use interpersonal skills including working with others empathy with clients family and colleagues using sensitivity when dealing with people and relating to persons from differing cultural spiritual social and religious backgrounds

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 a work context is essential for assessment of this unit Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment	This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions prior to assessment in the clinical workplace 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

Method of assessment	Observation in the workplace Written assignmentsprojects Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Questioning verbal and writing Role playsimulation

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

Related units	This unit is recommended to be assessed in conjunction with the following related competency unit HLTAPB Analyse health information HLTAP501B Analyse health information HLTENB Apply effective communication skills in nursing practice HLTEN502B Apply effective communication skills in nursing practice This competency unit incorporates the content of HLTENB Undertake basic client assessment HLTEN403B Undertake basic client assessment

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.

Preliminary health assessment data collected may include:	Allergies Biographical information Client and/or family concerns regarding the illness or disease Co-existing health problems Current lifestyle patterns and behaviours Environmental factors and living circumstances Family history of presenting illness or disease in addition to length of symptoms Immunisation status Medications Past medical or surgical condition Presenting condition

Clinical nursing interventions or observations include:	Blood glucose level Blood pressure Body mass index Height and weight Neurological observations Performance of activities of daily living Sensory perception Skin colour, integrity and turgor Temperature/pulse/respirations Urinalysis

Age and gender considerations could include:	Age of consent Body image perceptions Confidentiality Female health concerns Male health concerns Maturation and physical development Need for parental consent Self esteem

Cultural, spiritual or religious data could include:	Cultural practices Culturally appropriate nursing actions Need for interpreter services Religious beliefs Spiritual beliefs Views on health and illness

Common terms associated with human behaviour may include:	Achievement Affect Emotion Mood Motivation Perception Sensation

Factors that influence health related behaviour may include:	age Culture Economic Educational Environmental Gender Geographical Physiological Psychological Social

The concepts of growth and development may include:	Cephalocaudal Cognitive Emotional Inclusive Interdependent Physical Proximo-distal Simple to complex Social

The theorists associated with theories of growth and development may include:	Erikson Freud Havighurst Maslow Piaget

Cognitive and motor development of infants (0 -1) may include:	Attachment and Bonding Emotional development - from excitement to jealousy Gross motor skills: rolling, crawling, walking Language development Memory Object permanence Percentile charts Reflexes Relationship development Spatial relationships Time

Toddler's development may include:	Assist rather than instruct Beginnings of independence and autonomy Cause and effect Completion of simple puzzles Fine motor skills pencil grip, using scissors, pulling up pants, washing hands Gross motor skills: walking, running, climbing, riding tricycles Love and affection Object permanence developing Offering choices Play alongside other children Routines Safe environment Self feeding continued ...

Toddler's development may include (cont):	Sensitivity from adults Slow down of physical growth Speech Temper tantrums Toilet training

Preschooler's development may include:	Construction activities Development of fears: dark, accidents Egocentric Endless questioning Fine motor skills: cutting, painting, drawing Gross motor skills: running, climbing, jumping, throwing, catching Increasing language skills: chatter, sing Learning requires the use of physical materials integrated into real life situations Need for exploration with in a safe environment Physical growth increases Playing with other children, actively looking for playmates Pre - operational phase (Piaget) Require acceptance and encouragement Rich and creative imagination Routines Safe environment Social interactions

School aged child's development may include:	Abstract and more flexible thought Appearance of secondary sexual characteristics Concrete operational phase (Piaget) Cooperation Fear, depression and detachment Generosity Height, weight and changes in proportion Helpfulness Independence Injury prevention Participation in team sports Peer group Permanent teeth Playground pecking order Problem solving skills Recognition of individual needs Self concept Self esteem Social self Timing and coordination

Adolescent development may include:	Abstract thinking Appreciation for double meanings and symbolism Body proportions Changes in height and weight - growth spurts Dating - behaviour, rejection and first love Emancipation from parents Formal operation phase (Piaget) Formation of Personal identity Identity V Role confusion (Erikson) Menstruation Muscle development Puberty Safety, protection and support Self image Sexual development

Major adolescent issues may include:	Alcohol consumption - binge drinking Career path Eating disorders Employment Gender identity 'Generation gap' Juvenile delinquency/crime Peer pressure Rape Road accidents Safe sex Smoking Substance use and abuse Teenage pregnancy Teenage suicide

Early, middle and older adult activities may include:	'Empty Nest' Children grow up and leave home Community work Community work Contribution to society/future generations Death of family members Developing a career Economic independence Finding a partner Grandparenthood Marriage Marriage disenchantment Menopause Mentors for younger generations Parent hood Reduction in Progesterone Retirement

Nursing record or reports may include:	Care plans Client referrals Clinical pathways Completion of client based assessment tools and observation charts Computerised reporting Drug orders Integrated notes Nursing notes Resident classification records Test results Written instructions

Biomedical equipment may include:	ECG machine/monitor Glass/tympanic/thermometer Glucometer Manual/electronic sphygmomanometer Peak flow meter Pencil torch Pulse oximeter Stethoscope Timing device with second hand Urine testing kit Weighing scales

Validations of findings include:	Checking of reading with a registered nurse, as appropriate Checks/comparisons on baseline observations Elimination of artefacts Use of manual versus mechanical; observations Visual and verbal assessment of the client

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HLTEN503B - Contribute to client assessment and developing nursing care plans

Google Links

Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement