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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

Birth options and settings

Contraindications and precautions

Cultural perspectives on birth and birthing

Gestational disorders

Gestational disorders

Pre and postpartum disorders

The philosophies principles and tools of remedial massage practice

The theory of paediatric development

The theory of paediatric massage

The treatment of pain anxiety and other conditions during labour

Therapeutic principles and methods

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

Appropriately record details of client enquiries according to clinic guidelines

Communicate and work with parentguardiancarer where relevant when planning treatment

Correctly identify client information needs

Provide client with required information about their condition

Provide treatment appropriately to the needs of the client

Work or model work which demonstrates an understanding of the remedial massage framework

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 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 may contain both theoretical and practical components and examples covering a range of clinical situations 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 and manuals Appropriate modelsdiagrams Appropriate assessment environment Skilled assessors

Method of assessment	Observation in the workplace 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 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 Questioning and discussion

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 after or in conjunction with the following related unit HLTREMB Provide specialised remedial massage treatment HLTREM510B Provide specialised remedial massage 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.

Assessment may include:	Assessment of physical features Palpation Observation Listening Percussion Discussion/questioning Any other method in which the practitioner has been trained to a competent standard Procedure which is conducted according to legislative and regulatory requirements

Appropriate consent may mean:	Informed consent according to the local and national regulations and legal guidelines Knowledge of consensual age Attendance of appropriate adult for wards of State and minors as appropriate Possession of Blue Card where relevant

Remedial Massage women and children's health treatment may include the following methods:	To be performed in a variety of positions, ie, standing, seated, prone, supine and side recumbent lying, and through clothing as well as conventional table massage. These include but are not limited to: Passive joint movement techniques joints are moved through their range of movement, ie to the point of mild tissue resistance Passive soft tissue movement technique is applied with palmer surfaces of the hand, heel of hand and/or fingers jostling: shaking of the muscle from origin to insertion Gliding techniques effleurage: broad superficial strokes using the entire palm surface of the hands to cover large surface areas of the body Longitudinal stroking: deep gliding movement is applied in the direction of the muscle fibres through focal pressure using any of the following; fingers, palm, heel of hands, forearm and/or knuckles transverse gliding cross over stroke: pulling and pushing of the tissue using the hands in a criss-cross manner Kneading/petrissage technique is applied with palm surface of the hand, heel of hand and/or fingers soft tissue is mobilised with rhythmical circular rolling, squeezing or pulling movements Friction techniques superficial tissue is moved over an underlying structure in circular, longitudinal or transverse directions deep repetitive movements of short amplitude are applied usually with thumbs, fingers and knuckles friction techniques are believed to be beneficial in releasing adherent/scar tissue continued ...

Remedial Massage women and children's health treatment may include the following methods (contd):	Compressive techniques digital pressure compression: successive and rapid pressure, ie a series of short duration compressions, is applied to soft tissue between two structures, ie underlying bone structures and therapist's hand, or hand to hand Percussion: cupping, tapping, hacking, pummelling and flicking are applied rhythmically using the hands Temperature therapy conduction, eg heat packs and immersion baths friction Topical applications Deep tissue massage techniques Myofacial release: techniques conducted on superficial and/or deep tissues to: lengthen tissue reduce adhesions increase range of movement decrease compartment pressure restore elasticity Manual lymphatic drainage Trigger point release techniques: apply digital ischemic pressure and/or apply stretching after treatment. It incorporates: ischemic pressure stretching Stretching techniques: static stretching dynamic stretching proprioceptive neuromuscular facilitation stretching: contract-relax and hold-relax