Google Links

Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

Identify the impact of chronic health problems on the client and their family
Contribute to planning care for the client with a chronic health problem in a variety of health care settings
Perform nursing interventions to support health care of clients with chronic health problems
Contribute to an emergency response
Assist in evaluating the outcomes of planned nursing actions
- Report client response to nursing interventions to the registered nurse or other appropriate health care colleague
- Document client response to nursing interventions according to organisation policy and legal and professional 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

Activities of daily living

Admission and discharge processes

Age and gender considerations for practice

Anatomy and physiology

Application of nursing theory

Chronic rehabilitation strategies and techniques

Clinical manifestations of chronic disease states

Common sites where cancer develops

Cultural and religious considerations for practice

Emergency care and first aid procedures

Equipment used in chronic care environments

Health teaching principles and strategies

Legal requirements for practice

Medical nursing interventions and outcomes

Members of health care team and their roles

Organisation policy and procedure

Pathophysiology

Principles of bed rest

Principles of medical nursing and terminology associated with care of clients with chronic health problems including cancer and requiring restorativerehabilitation care

Problem solving process

Occupational health and safety legislation

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 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

Perform nursing interventions including

application of prosthesis

assist clients with chronic pain

assist clients with continence problems

assist clients with hypoglyceamia

assist clients with nasogastric tube feeds

baths and wet packs

blood glucose monitoring

care of indwelling catheters

complex nursing interventions

fundamental nursing interventions

incentive spirometry

observation of client undergoing peritoneal or haemodialysis

prevention of pressure and decubitus ulcers

range of active and passive exercises

rehabilitation and restorative care

use of nebulisersoxygen therapy

use of wheelchairs and walking aids

Use language literacy and numeracy competence as required

Use effective communication skills

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 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 written 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 units HLTAPB Confirm physical health status HLTAP401B Confirm physical health status

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.

Health care settings may include:	Residential aged care facilities Respite centres Short/long stay centres Community setting Hospitals

Plans of care could include:	Resident classification records Nursing care plans Clinical pathways Treatment plans Medical notes Client notes Manual and electronic storage systems

Chronic health problems include (but not be limited to):	Chronic asthma Chronic obstructive pulmonary disease Congestive cardiac disease Cerebrovascular accident Long term unconscious client Established tracheostomies Dementia Parkinson's disease Motor neurone disease Osteoarthritis Back pain Rheumatoid arthritis Chronic renal failure Diabetes Eczema Chronic pain Incontinence Palliative care

Common terminology and community-based care services associated with extended care may include:	Extended care Rehabilitative care Domiciliary care Hospital in the home Meals on Wheels

Terminology associated with life-limiting illness and range of life-limiting illnesses may include:	Multiple sclerosis HIV/AIDS Emphysema Motor neurone disease Hepatitis C Cancer Palliative care Palliative approach to care End-of-life Tumour Cachexia Prognosis

Clinical nursing interventions may include:	Achievement of activities of daily living Admission procedure Application of anti embolism stockings Assessment and care of clients with acute/chronic pain Assessment/observation of level of consciousness Assessment/observation of respiratory function Care of client with chest pain Care of client with nausea and vomiting Care of the airway Circulation observations Complications of bed rest Discharge of client First aid Fluid balance recording Incentive spirometry and peak flow measurements Monitoring blood transfusion Monitoring of intravenous therapy Neurovascular observations Preparation for medical procedure Preparation for surgical procedure Tracheostomy care (established stoma) Transfer of client - intra facility Transfer/evacuation of client to another facility Wound management

When communicating/caring for a client, the following may need to be considered:	Any physical or mental problems which may hinder communication (such as deafness or dementia, or disease processes) Individual consideration of the following socio-economic, physiological variables will be addressed (social, gender, emotional, intellectual, language, culture) All verbal and non-verbal interactions with client and colleagues in a range of appropriate interpersonal context Effective communication skills include non judgemental attributes, active listening, using culturally appropriate communication methods, non-verbal behaviour to indicate understanding of what is being said, responses that are culturally appropriate Potential resources required such as equipment, appropriate documentation, occupational health and safety guidelines