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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 Assessment may contain both theoretical and practical components and examples covering a range of clinical situations 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	Resources essential for assessment include an appropriately stocked and equipped clinic or simulated clinic environment an appropriated stocked nutritional medicine dispensary relevant texts journals or medical manuals relevant paperbasedvideo assessment instruments appropriate nutritional software and on line resources skilled assessors

Method of assessment	Observation in the work place Practical demonstration Written assignmentsprojects or questioning should be used to assess knowledge Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting If successful a second assessment is to be conducted during workplace application under direct supervision Oral questioning discussion and explanation of technique Role play simulation Client treatment logbooks

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 HLTNUTB Provide the nutritional medicine treatment HLTNUT607B Provide the nutritional medicine treatment

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.

Knowledge of nutritional medicines means:	Nutritional medicine philosophy first do no harm identify and treat the causes treat the whole person as an individual prevention is better than cure educate the client the healing power of nature Nutritional medicine principles empiric - respect for nutritional and natural medicine philosophy, tradition and empirical observation natural - natural is always preferable individuality - individuals have a unique interaction with their nutritional environment Nutritional medicine practice diet as therapy (health maintenance, therapeutic diets, dietary modification) therapeutic application of special and functional foods (food as medicine) cultural dietary perspectives therapeutic&preventive aspects of fasting/detoxification nutrient supplementation individual unique dietary needs Behavioural and lifestyle strategies

Specialised nutritional medicine treatment includes:	Using a high level of nutritional medicine knowledge to enable extrapolation of case study information to new cases Using research based evidence including literature reviews and critical assessment of research, as a tool in providing treatment Knowledge and understanding of nutritional medicine treatment of potential conditions/disease states of particular groups in society with specific needs Applying recommending, dispensing or prescribing diets, foods as medicine, supplements and vitamins All treatment or care delivered meets the requirements of relevant legislation and regulations Collaborating with or referring to other health care professionals as required

Factors which interfere with the effectiveness of treatment may include:	Other medical treatment being undertaken Client physical and psychological readiness and/or wellness Cultural factors Contraindications to treatment Post treatment activity Client capability of implementing treatment plan (e.g. dietary changes, dosage maintenance)

Responses to reactions may include:	Adjusting treatment accordingly Seeking appropriate expertise Discussing reaction with the client Adhering to clinic guidelines for response to accidents and emergencies Using of First Aid procedures according to St Johns, Australian Red Cross or other appropriate First Aid training Accessing local emergency services

Consent for treatment refers to:	Informed consent according to the local and national regulations and legal guidelines Treatment is given to minors/wards of state when only parent/guardian is present

Response to enquiries may include:	Providing (or directing to) information material Answering questions Following up with further information Providing of referrals

The treatment plan may include:	Prescription of nutritional supplements and vitamins Dispensing of extemporaneous preparations

Assessment of client health may include:	Antenatal, birth and post natal period information, apgar score, birth weight and feeding method and frequency Family history, maternal and paternal Growth and growth patterns Height, weight and head circumference measurements Changes in the pattern of growth over a series of measurements Recognise major milestones in development Relate the major milestones in personal and social skills fine motor skills, general motor skills and language development to a simplified standard milestone chart

Life stages refers to:	Neonate (birth to 28 days) Children Adolescence (puberty to adulthood) Adulthood Old Age Pregnancy and post natal period for women Peri-menopausal and post menopausal state for women

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HLTNUT608B - Provide specialised nutritional medicine treatment

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement