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Elements and Performance Criteria

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

Anatomy and physiology of the body systems

Basic nutritional requirements for the various ages and stages of life

Case analysis and management according to homopathic principles

Clinical disease

Data analysis techniques

Disease processes and the natural history of disease

Homoeopathic materia medica of sufficient scope and depth derivation of data systems of classification keynotes clinical indications to enable accurate differentiation of indicated medicines in a broad range of acute and chronic conditions

Homopathic symptomatology

Knowledge and understanding of types of further investigation available

Obstacles to cure

Referral process

Relevant testing and assessment options and procedures

Signs and symptoms of disease and disorderdysfunction

Susceptibility and sensitivity

The capabilities and limitations of homopathic treatment

The contribution of the different schools of thought and historical theories of clinical practice

The effects of medicinal disease

The importance of striking rare unusual and peculiar symptoms

The relationships between homoeopathic medicines

The use of alternating and intercurrent homoeopathic medicines and antidotes

Essential knowledge contd

The various approaches to prescribing including consideration of

totality of characteristic symptoms

keynote characteristic symptoms

central theme of a homoeopathic medicine

constitutional basis

miasmatic indications

use of organopathic medicines

prophylactic use

ladderlike prescribing

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 differential assessment

Demonstrate homoeopathic differential diagnostic skills

Effectively use homoeopathic repertories

Establish a meaningful totality from the clients signs and symptoms

Establish urgency for treatment required

Identify clinical signs of nutritional imbalance

Interpret investigative findings

Manage medical emergencies

Prioritise presenting conditions

Research allopathic drugs including iatrogenic potential interactions and requirements for withdrawal

Write referrals

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 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 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

Context of and specific resources for assessment	An appropriately stocked and equipped clinic or simulated clinic environment Relevant texts or medical manuals Relevant paperbased assessment instruments Appropriate assessment environment

Method of assessment	Observation and practical demonstration in the work place Written assignmentsprojects or questioning should be used to assess knowledge Case study and scenario as a basis for discussion of diagnostic technique Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting laboratory If successful a second assessment is to be conducted during workplace application under direct supervision Homoeopathic diagnosis from assessment notes or simulated assessments

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 should be assessed in conjunction with the following related units HLTCOMC Communicate effectively with clients HLTCOM404C Communicate effectively with clients HLTHOMB Perform clinical screening examination and assessment HLTHOM604B Perform clinical screening examination and assessment HLTHOMC Take the homopathic case HLTHOM610C Take the homœopathic case

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.

Assessment according to signs and symptoms of condition must include:	Chief complaint(s) Aetiology Chronological sequence of symptoms Physical generals - characteristic and common Mentals - characteristic and common Particulars - characteristic and common Concomitants And may include: Physical evidence Behavioural evidence Sensations Onset Duration Location Causation Direction of chief complaint Ameliorating and aggravating factors Symptom qualities (intensity, severity, nature of complaint) Non-verbal signs Functional and pathological disturbances

Classification according to stage of disease must include at least one of the following:	Acute disease - individual, sporadic, epidemic, acute, and sub-acute Chronic disease partially developed or incurable local or one sided manifestation as a physical and/or mental Chronic disease fully developed miasmatic disease, simple or mixed environmental, life style and iatrogenic influences Consequence of suppression of symptoms and/or discharges on the future development of disease Life threatening condition

Analysis techniques may include:	Boger's hierarchy Kent's hierarchy Boenninghausen's hierarchy Other more recent homœopathic hierarchical techniques Conceptual image Evolutionary totality Standardised case record method Perception of essence/core/whole state Totality of symptoms Keynotes and/or keynote combinations Strange, rare and peculiars Miasmatic interpretation Layer and lesion concepts Synthetic prescribing Homœopathic computer analysis

What is to be treated must include:

Natural course of disease includes:	Natural duration of disease Progress, extension, radiation and pace Probability of remission

Meaningful totality must include consideration of at least one of the following:	The relevant aphorisms in the Organon of Medicine 5th/6th Edition Hering's principles Boger's principles Kent's principles Boenninghausen's principles Other relevant basis for a totality

Prognosis and therapeutic expectations includes:	Cure Palliation of incurable condition Severe aggravation Progression of disease Reduction of miasmatic condition Changes in emotional state and/or relationship dynamics Removal of layer, lesion or acute state and emergence of new symptoms