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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 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

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	Massage therapy facilities Massage therapy equipment

Method of assessment	Observation in the work place if possible 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

Related units	This unit should be assessed after or in conjunction with the following related units HLTAPB Analyse health information HLTAP501B Analyse health information HLTREMC Provide remedial massage treatment HLTREM502C Provide remedial massage treatment HLTREMC Plan the remedial massage treatment strategy HLTREM503C Plan the remedial massage treatment strategy HLTREMC Apply remedial massage assessment framework HLTREM504C Apply remedial massage assessment framework HLTREMC Perform remedial massage health assessment HLTREM505C Perform remedial massage health assessment HLTREMC Provide specialised massage treatment HLTREM510C Provide specialised 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.

Clients may include:	Corporate organisations and companies Individual clients who may be: are usually committed and self-motivated to return female or male with or without a disability or special needs with or without social disadvantage and/or from minority ethnic and cultural groups

Common musculoskeletal injuries may include but are not limited to:	Bones Fracture Periosteal contusion Overuse Stress fracture 'Bone strain', 'stress reaction' Osteitis/periostitis Apophysitis Articular cartilage Overuse Chondropathy, eg, softening, fibrillation, fissuring, chondromalacia Dislocation Subluxation Overuse Synovitis Osteoarthritis Ligament Muscle Tendon Bursa Nerve Skin Normal muscle imbalances Tendinopathies Strain sprain Headaches

Contraindications for massage may include:	Massage therapists are not expected to diagnose any conditions but must be able to recognise the indications and contraindications of conditions Massage is contraindicated in all infectious diseases suggested by fever, nausea and lethargy until a diagnosis is received and recommended by a medical practitioner Always refer for diagnosis when symptoms do not have a logical explanation Indications for referral include pain,local, sharp, dull, achy, deep, surface fatigue inflammation lumps and tissue changes rashes and changes in the skin edema mood alterations, eg, depression, anxiety infection changes in habits such as appetite elimination or sleep bleeding and bruising nausea, vomiting or diarrhoea temperature,hot or cold Endangerment sites are areas where nerves and blood vessels lie close to the skin and are not well protected anterior triangle of the neck posterior triangle of the neck axillary area area of the sternal notch and anterior throat twelfth rib dorsal body sciatic notch inguinal triangle popliteal fossa

Massage techniques may include:	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 ...

Massage techniques (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

Programs may include the following:	Aim/purpose/outcomes of program Frequency of visits Number of individual clients Time allocated to individual clients Cost and payment Referral mechanisms Confidentiality processes Promotion to individual clients Reporting and evaluation mechanisms

Industry standard massage therapy principles may include:	Relevant national, state/territory or local massage therapy organisations' and/or associations' Code of Ethics or Code of Conduct documents/policies, regulations and guidelines Relevant national, state/territory or local government regulations and guidelines Accepted preventative practices adopted by self or peers to minimise safety hazards and risks in the same or similar situations Current and past good practice demonstrated by self or peers in the same or similar situation

Other health professionals may include:	Practitioners who can competently make assessments regarding conditions that may potentially be complicated by the application of massage techniques Medical practitioners Physiotherapists Chiropractors Osteopaths Other massage therapists with current competencies in modalities outside the scope of the practitioner, eg, specialising in oriental modalities Naturopaths/homeopath therapists Podiatrists Yoga/relaxation/tai chi instructors Dentists Exercise therapists Acupuncturists

Self-management program may include	Assisting the client in areas such as: activities or tasks to avoid self stretches or simple exercises simple temperature therapy techniques self-massage techniques workplace activities

Promotional activities may include:	Media announcements Employee functions Client functions Product launches Advertisements Web pages

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HLTREM512B - Provide remedial massage treatments within a corporate setting

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement