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

Basic principles of client education

Changing educational needs of the client as CKD progresses

Common pathology tests to diagnose and monitor CKD and their interpretation

Diverse cultural religious and spiritual factors underpinning client choices at end of life

Factors that can slow the progression of CKD

Fluid electrolyte and acid base balance

Health status monitoring

Immunity and the importance of vaccinations

Interventional and investigational procedures used in the diagnosis and the management of CKD

Management principles for various clinical manifestations of CKD and associated comorbidities

Meaning and interpretation of health check results for clients with CKD

Medicines in common use in management of clients with CKD including basic mechanism of action precautions contraindications and side effects

Nutritional considerations for clients with CKD

Pathophysiology of Stages to

Primary health care assessment and its interpretation

Principles of selfmanagement for the client with CKD

Relevant policies protocols and practices of the organisation in relation to the provision of palliative care

Risk factors for CKD

Signs and symptoms of uraemia and fluid retention

Structure and function of the urinary cardiovascular lymphatic and immune systems

Treatment options for clients with CKD including renal replacement therapies eg peritoneal dialysis PD and haemodialysis HD including theory terminology procedures risks and benefits at a basic level

Underlying environmental and social factors contributing to CKD in the general population in Australia and to the higher rates experienced within Aboriginal andor Torres Strait Islander communities

Understanding of own role and responsibilities and those of other health care team members in the delivery of care to clients with CKD

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 care plans for clients with CKD in consultationcollaboration with registered nurse

Apply interpersonal skills including working with others using sensitivity when dealing with people and relating to persons from differing cultural social and religious backgrounds

Deliver effective client education

Demonstrate a professional approach to health education knowledge of health systems and disease processes

Demonstrate accountability for personal outputs and client group outcomes

In consultation with the health care team contribute to effective plans of care to meet the educational needs of the client with CKD

Monitor health status of a client with CKD

Perform a primary health care assessment

Select effective communication strategies

Use appropriate communication skills nonverbal openness sensitivity nonjudgemental attitudes

Use written communication skills literacy competence required to fulfil job roles as specified by organisationservice at a level of skill that may range from reading and understanding client documentation to completion of written reports

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 competency in this unit

Candidates must demonstrate their ability to apply essential knowledge identified for this unit of competency before undertaking workplace application

Observation of performance in a work context is essential for assessment of this unit of competency

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion

Context of and specific resources for assessment

This unit of competency is most appropriately assessed in the clinical workplace and under the normal range of clinical environment conditions

Method of assessment

Observation in the workplace

Written assignmentsprojects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning verbal and written

Role play

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 andor Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal andor 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

Clients may include:

CKD conditions may include:

Clinical manifestations of CKD may include:

Common problems and complications associated with CKD may include:

Significant others may include:

Members of the health care team may include:

Client's self-management strategies include:

Information may include:

Scope of work role refers to:

Advanced care planning refers to:

Advanced care directive refers to:

Examples of advanced care directives are:

Holistic primary health care assessment may include:

Monitor health status may include:

Psychosocial impacts may include: