Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTAH401C Mapping and Delivery Guide
Deliver and monitor a client-specific exercise program

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTAH401C - Deliver and monitor a client-specific exercise program
Description This unit of competency describes the skills and knowledge required to deliver and monitor a therapeutic exercise program that has been developed by a physiotherapist to address requirements of individual clients with low levels of mobility or specific mobility needs
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The application of knowledge and skills described in this competency unit may relate to functions delivering and monitoring a lower limb exercise program, an upper limb exercise program, a trunk exercise program or a cardio-vascular exercise program that has been developed by a physiotherapist. This could take place in a range of health settings and may involve active, assisted active or passive movementWork performed requires a range of well developed skills where some discretion and judgment is required and individuals will take responsibility for their own outputsAllied health assistants operate within the scope of their defined roles and responsibilities and under supervision of a physiotherapistFor training and assessment pathways, experience in workplace application of the skills and knowledge identified in this competency unit should be provided as required to support allied health professions
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisite unitsThis unit must be assessed after successful achievement of pre-requisite units:HLTAP301B Recognise healthy body systems in a health care contextHLTCSD305D Assist with client movementHLTAH301C Assist with an allied health program
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Prepare for delivery of a client-specific exercise program
  • Obtain information about the client-specificexercise program from the physiotherapist
  • Determine client availability according to organisation protocols
  • Gather the equipment to deliver the client-specific exercise program, in line with client needs and specifications of the physiotherapist
       
Element: Deliver exercise program based on treatment plan
  • Confirm client's understanding of exercise program based on treatment plan prepared by the physiotherapist
  • Obtain informed consent from the client before commencing the exercise program
  • Report any client misunderstanding or confusion to the physiotherapist in a timely manner
  • Guide the client to complete the exercise program as directed by physiotherapist
  • Identify and note any difficulties the client experiences completing the exercise program, using observation, knowledge of biomechanics, and knowledge of the musculo-skeletal system and report to physiotherapist in a timely manner
  • Identify and manage client compliance issues, including subjective and objective reporting of client response to the program, and report to the physiotherapist in a timely manner
  • Provide feedback to the client to reinforce client understanding and correct application of the exercise program
  • Work with client to plan any follow up exercise sessions and dates
  • Seek assistance when client presents with needs or signs outside limits of own authority, skills and/or knowledge
  • Report client difficulties to the supervising physiotherapist for advice before continuing the prescribed exercise program
       
Element: Assist with mobility and movement programs with clients unable to actively participate
  • Monitor 24-hour posture management and identify any adjustment requirements according to directives form the physiotherapist
  • Assist physiotherapist to complete passive movement requirements
  • Monitor respiratory care requirements and conduct necessary action within the prescribed treatment plan and scope of role and responsibilities as defined by the organisation
  • Monitor action to control limb oedema and report any recommendations to the physiotherapist in a timely manner
  • Correctly position client according to client's condition, modesty and treatment/program activities and according to the directive of the physiotherapist
  • Talk to client about treatment/program activities and where possible seek feedback about comfort and understanding during the session where possible
  • Create a treatment/program environment that fosters clients to ask questions about progress and activities
  • Take appropriate and prompt action in response to any indicators of adverse reaction to the program/ treatment according to relevant organisation protocols and guidelines
       
Element: Clean and store equipment
  • Clean equipment according to manufacturer's recommendations, infection control requirements and organisation protocols
  • Store equipment according to manufacturer's requirements and organisation protocols
  • Check and maintain equipment according to organisation protocols
  • Report equipment faults to appropriate person
  • Label or tag equipment faults, where possible remove from use if unsafe or not working and inform staff in line with organisation procedures
       
Element: Document clientinformation
  • Use accepted protocols to document information relating to the exercise program in line with organisation requirements
  • Use appropriate terminology to document client response, outcomes and identified problems related to the therapeutic exercise program
       
Element: Comply with supervisory requirements
  • Assist with exercise program according to the instruction of treating physiotherapist
  • Provide client progress feedback to the treating physiotherapist
  • Report client difficulties and concerns to the treating physiotherapist in a timely manner
  • Implement variations to the exercise program according to the advice of the treating physiotherapist
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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 workplace performance is essential for assessment of this unit

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

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 and/or Torres Strait Islander clients and communities

Context of and specific resources for assessment:

Assessment must include demonstrate workplace performance

Relevant guidelines, standards and procedures

Resources essential for assessment include:

clients with exercise requirements

equipment

documentation

supervisory physiotherapist

Method of assessment

Observation of some applications in the workplace (as is appropriate/possible)

Written assignments/projects 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

Skills involving direct client care are to be assessed initially in a simulated setting (eg. laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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:

Principles of biomechanics, including:

mass

force

speed

acceleration

work

energy

power

strength

momentum

force arm

resistance arm

axis of rotation

cam

pulley

Basic musculo-skeletal anatomy, including:

joint types and function

major bones

major muscles

major joints

Basic anatomy and physiology

Anatomical terminology, including:

flexion

extension

rotation

abduction

adduction

circumduction

inversion

eversion

pronation

supination

horizontal flexion

horizontal extension

Therapeutic exercise principles

A working understanding of the basic anatomy and physiology of the skin and the principles of pressure area care

A working understanding of the principles of 24-hour posture management

Essential knowledge (cont):

Knowledge of:

A working knowledge of factors that facilitate an effective and collaborative working relationship

A working knowledge of record keeping practices and procedures in relation to diagnostic and therapeutic programs/treatments

A working knowledge of the equipment and materials used in different programs and treatments

A working knowledge of the monitoring requirements for different programs and treatments

A working understanding of the basic reaction to pain within the body

A working understanding of the signs of adverse reaction to different programs and treatment

Client care plans, goals and limitations of exercise therapy

Contraindications for exercise therapy

Disease processes relevant to the client group/s

Infection control policies and procedures that relate to the allied health assistant's role in implementing physiotherapy mobility and movement programs

Medical terminology required to operate effectively

Work health and safety (WHS) policies and procedures that relate to the allied health assistant's role in implementing physiotherapy mobility and movement programs

Relevant national and state/territory legislation and guidelines, including Australian Physiotherapy Association (APA) Guidelines

Relevant organisation policies and procedures

Roles, responsibilities and limitations of self and other allied health team members and nursing, medical and other personnel

Supervisory and reporting protocols of the organisation

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply therapeutic exercise practices

Undertake activity analysis - breaking activities down into component parts

Use manual handling required to assist the client

In addition, the candidate must be able 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:

Work under direct and indirect supervision

Communicate effectively with clients for therapeutic support

Communicate effectively with supervisors and co-workers

Work effectively with non-compliant clients

Use skills in time management, personal organisation and establishing priorities

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.

Supervision refers to:

Instructing, advising, and monitoring another person in order to ensure safe and effective performance in carrying out the duties of their position

The nature of supervision is flexible and may be conducted by various means including:

in person

through use of electronic communications media such as telephone or video conferencing

Frequency of supervision will be determined by factors such as:

the task maturity of the person in that position or clinical placement

the need to review and assess client conditions and progress in order to establish or alter treatment plans in case of students and assistants

the need to correct and develop non clinical aspects such as time management, organisation requirements, communication skills, and other factors supporting the provision of clinical care and working within a team

A person under supervision does not require direct (immediate) and continuous personal interaction, but the method and frequency will be determined by factors outlined above

Client specific exercise programs may include but are not limited to:

Upper limb

Lower limb

Trunk

Cardiovascular

Passive movement

Active/functional exercise

Information may include:

Client care plan

Exercise plan

Client treatment plan

Physiotherapist instructions

Client record

Checklists

Case notes

Other forms according to procedures of the organisation

Exercise plan may include but is not limited to:

Client details

Movement details, including:

direction

range

lever length

complexity

speed

Intensity details, including:

resistance

repetitions

muscle involvement

Clients may include:

Infants

Children

Adolescents

Elderly people

Settings may include

Hospitals

Acute care settings in hospitals

Community health services

Private practice

Client homes

Aged care residential care settings

Principles of biodynamic movement may include:

Mass

Force

Speed

Acceleration

Work

Energy

Power

Strength

Momentum

Force arm

Resistance arm

Axis of rotation

Cam

Pulley

Musculo-skeletal system may include:

Joint types and function

Major bones

Major muscles

Major joints

Clinical standards, guidelines, policies and procedures may include:

Clinical standards (state and national)

Industry professional bodies

Industry standards (state and national) and associated legislative requirements

Organisation policy directives

Privacy Act

Relevant Australian standards

Physiotherapy Registration Acts (state based)

Client compliance refers to:

Ability to follow instructions or suggestions

Willingness to follow instructions or suggestions

Cognitive decline

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Obtain information about the client-specificexercise program from the physiotherapist 
Determine client availability according to organisation protocols 
Gather the equipment to deliver the client-specific exercise program, in line with client needs and specifications of the physiotherapist 
Confirm client's understanding of exercise program based on treatment plan prepared by the physiotherapist 
Obtain informed consent from the client before commencing the exercise program 
Report any client misunderstanding or confusion to the physiotherapist in a timely manner 
Guide the client to complete the exercise program as directed by physiotherapist 
Identify and note any difficulties the client experiences completing the exercise program, using observation, knowledge of biomechanics, and knowledge of the musculo-skeletal system and report to physiotherapist in a timely manner 
Identify and manage client compliance issues, including subjective and objective reporting of client response to the program, and report to the physiotherapist in a timely manner 
Provide feedback to the client to reinforce client understanding and correct application of the exercise program 
Work with client to plan any follow up exercise sessions and dates 
Seek assistance when client presents with needs or signs outside limits of own authority, skills and/or knowledge 
Report client difficulties to the supervising physiotherapist for advice before continuing the prescribed exercise program 
Monitor 24-hour posture management and identify any adjustment requirements according to directives form the physiotherapist 
Assist physiotherapist to complete passive movement requirements 
Monitor respiratory care requirements and conduct necessary action within the prescribed treatment plan and scope of role and responsibilities as defined by the organisation 
Monitor action to control limb oedema and report any recommendations to the physiotherapist in a timely manner 
Correctly position client according to client's condition, modesty and treatment/program activities and according to the directive of the physiotherapist 
Talk to client about treatment/program activities and where possible seek feedback about comfort and understanding during the session where possible 
Create a treatment/program environment that fosters clients to ask questions about progress and activities 
Take appropriate and prompt action in response to any indicators of adverse reaction to the program/ treatment according to relevant organisation protocols and guidelines 
Clean equipment according to manufacturer's recommendations, infection control requirements and organisation protocols 
Store equipment according to manufacturer's requirements and organisation protocols 
Check and maintain equipment according to organisation protocols 
Report equipment faults to appropriate person 
Label or tag equipment faults, where possible remove from use if unsafe or not working and inform staff in line with organisation procedures 
Use accepted protocols to document information relating to the exercise program in line with organisation requirements 
Use appropriate terminology to document client response, outcomes and identified problems related to the therapeutic exercise program 
Assist with exercise program according to the instruction of treating physiotherapist 
Provide client progress feedback to the treating physiotherapist 
Report client difficulties and concerns to the treating physiotherapist in a timely manner 
Implement variations to the exercise program according to the advice of the treating physiotherapist 

Forms

Assessment Cover Sheet

HLTAH401C - Deliver and monitor a client-specific exercise program
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTAH401C - Deliver and monitor a client-specific exercise program

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: