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Elements and Performance Criteria

  1. Work undertaken demonstrates an understanding of the context of tobacco use in society
  2. Provide information on smoking and its effects
  3. Provide information on smoking cessation treatments and their outcomes
  4. Screen clients for smoking

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

Barriers to quitting smoking

Basic human anatomy and physiology particularly the brain the lungs and the circulatory system

Basic pharmacology relevant to work being undertaken

Broad characteristics of the chemical constituents in tobacco smoke ie carcinogens mutagens and toxins

Common behavioural triggers associated with smoking

Common symptoms of nicotine withdrawal and their relationship to physical recovery

Evidence based key strategies for smoking cessation including the World Health Organisation Evidencebased Recommendations on the Treatment of Tobacco Dependence and the Australian National Drug Strategy Smoking cessation interventionsReview of evidence and implications for best practice in healthcare settings

Interaction of nicotine with various medications

Internationally accepted definitions of nicotine dependence including the DSMIV Diagnostic and Statistical Manual of Mental Disorders th Ed and the WHO International Classification of Disease ICD

Knowledge of context of tobacco use in society

Physiological links between mental illness and nicotine dependence

Process of neuroadaptation to nicotine

Processes of titration of nicotine dose and smoker compensation practices

Short and longterm known health effects of active and passive smoking

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 effective communication and interpersonal skills

Apply in depth knowledge of smoking and its effects and its impact on individuals and the community

Conduct screening for smoking

Locate existing statenationalinternational print and electronic primary sources of evidence relating to assessment and treatment of nicotine dependence

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

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

Context of and specific resources for assessment

This unit may be assessed on the job or through simulation

Consistency in performance should consider the work environment workers role and responsibilities in the workplace

Method of assessment

Assessment may include

Written assignment

Observation

Interview and questioning

Workplace documentation of practice

Related units

This unit is a prerequisite for

HLTPOPC Provide interventions to clients who are nicotine dependent

HLTPOP404C Provide interventions to clients who are nicotine dependent

Taking this unit alone does not qualify one to provide smoking cessation interventions

It is also recommended that this unit be undertaken with

HLTPOPC Assess readiness for and effect behaviour change

HLTPOP402C Assess readiness for and effect behaviour change


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.

Historical, social, political and economic context includes:

The statutory framework within which work takes place in the health and community sector

The historical context of work e.g. changing knowledge about best practice in treating nicotine dependence; changing approaches to working with clients; changing social context of work e.g. changing government and societal views of tobacco use and approaches to working with clients

The political context e.g. government policies and initiatives affecting treatment for nicotine dependence

The economic context e.g. the current economic situation as it relates to and affects tobacco use and the subsequent impact on client needs

Special groups include:

Pregnant and lactating women

Adolescents

Aboriginal and Torres Strait Islander people

People with smoking related diseases

People with a mental illness

Population based smoking cessation strategies include:

Health promotion campaigns

Health screening activities

Health education for groups

Development and dissemination of resources such as pamphlets

Working with businesses to promote smoking cessation among staff

Working with individuals

Health system

The underpinning values and philosophies of the sector may include:

A holistic and client-centred approach i.e. promotion of health and wellbeing

Early identification of health problems

Delivery of appropriate services based on evidence for best practice

Commitment to meeting the needs and upholding the rights of clients

Commitment to empowering the client

A commitment to access and equity must be demonstrated by:

A non-discriminatory approach to all people using the service, their family and friends, the general public and co-workers ensuring the work undertaken takes account of and caters for differences including: cultural, physical, religious, economic, social etc

Validated methods for assessing nicotine dependence include:

Fagerstrom test for nicotine dependence

TTFC + CPD (time to first cigarette plus cigarettes per day)

Suitable systems for recording client results include using:

Chart stickers

Smoking as vital sign

Computer prompts

Social, political and economic context of tobacco smoking may include reference to:

Aboriginal and Torres Strait Islander Complementary Action Plan 2003-2009