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

HLTAH403C Mapping and Delivery Guide
Deliver and monitor exercise program for mobility

Version 1.0
Issue Date: March 2024


Qualification -
Unit of Competency HLTAH403C - Deliver and monitor exercise program for mobility
Description This unit of competency describes the skills and knowledge required to support individuals participating in group physiotherapy programs designed to restore optimum movement and functional independenceTypical programs and treatments may include exercise regimes and the use of gym equipment
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The application of knowledge and skills described in this competency unit relate to functions that support programs developed by a physiotherapist and may take place in a range of health settingsAllied 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 mobility and movement program
  • Confirm program requirements against the prescribed information provided by the physiotherapist
  • Determine the clients' availability, according to the organisation's protocols
  • Gather necessary equipment for the mobility and movement program
  • Prepare the setting for the mobility and movement program
  • Obtain informed consent from the clients before commencing the mobility and movement program
       
Element: Conduct mobility and movement programs to restore optimum movement
  • Confirm client's understanding of exercise program based on treatment plan prepared by the physiotherapist
  • Guide the clients to complete the program according to prescribed treatment plan
  • Provide the clients with sufficient time, opportunity and encouragement to practice existing and newly developed skills
  • Encourage the clients to take advantage of planned and unplanned opportunities to integrate skills developed within the program into normal daily activities
  • Provide feedback to the clients to reinforce understanding and the correct application of the exercise program
  • Monitor the clients during and after the program according to the prescribed treatment plan, measuring devicesprinciples of exercise program design, , knowledge of biomechanics, and knowledge of the musculo-skeletal system
  • 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
  • Identify the need for modifications to the exercise program
  • Take appropriate and prompt action in response to any indicators of adverse reaction to the program/treatment according to relevant 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 recommendations and the organisation's protocols
  • Report equipment faults to the appropriate person(s)
  • Label or tag equipment faults, where possible remove from use if unsafe or not working and inform staff in line with organisation procedures
       
Element: Report and document information
  • 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 treatment program according to the instructions of the physiotherapist
  • Document information about the exercise program according to the organisation's protocols
  • 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 skill

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 demonstrated workplace application

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 work place (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:

A working understanding of the benefits of physiological effects and benefits of active functional exercise

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

Principles of exercise program design, including:

FITT formula - frequency, intensity, time, type

program phases - preparation, conditioning, recovery, adaptation

program types - sets and reps, circuit, single set to failure, matrix

A working understanding of the psychological effects of disability due to injury or disease and strategies used to cope with this

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

Relevant National and State/Territory legislation and guidelines, including Australian Physiotherapy Association (APA) Guidelines

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

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

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

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

Supervisory and reporting protocols of the organisation

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply active and passive therapeutic practice and treatment procedures

Undertake activity analysis - breaking activities down into component parts

Use procedures to move and position clients in a safe manner

Work with a group of individuals with specific mobility requirements

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 in a therapeutic/treatment relationship

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, where necessary

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

Clients may include:

Adults

Children and young people

Older people

People with communication difficulties

Settings may include:

Hospitals

Community health services

Private practice

Client homes

Aged care residential settings

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

Treatment and program aims may include:

Optimising quality of life

Management of secondary complications

Facilitating normal movements and developing adaptive skills to maximise the client's independence

Educating the client on the relationship between movement and function

Promoting the partnership between the worker and the client to achieve maximum benefit from a rehabilitation program and improve quality of life

Client needs and abilities may include:

Co-morbidity

Cultural needs

Cardiac risk stratification

Joint or muscle weakness

Orthopaedic conditions

Methods to determine client availability may include:

Face to face

Telephone

Written

Strategies to measure response to exercise may include:

Borg's scale

Rating of perceived exertion

Principles of exercise program design must include:

FITT formula - frequency, intensity, time, type

Program phases - preparation, conditioning, recovery, adaptation

Program types - sets and reps, circuit, single set to failure, matrix

Principles of biomechanics 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

Adverse reaction to exercise may include:

Severe shortness of breath

Dizziness

Pain

Muscle cramp

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
Confirm program requirements against the prescribed information provided by the physiotherapist 
Determine the clients' availability, according to the organisation's protocols 
Gather necessary equipment for the mobility and movement program 
Prepare the setting for the mobility and movement program 
Obtain informed consent from the clients before commencing the mobility and movement program 
Confirm client's understanding of exercise program based on treatment plan prepared by the physiotherapist 
Guide the clients to complete the program according to prescribed treatment plan 
Provide the clients with sufficient time, opportunity and encouragement to practice existing and newly developed skills 
Encourage the clients to take advantage of planned and unplanned opportunities to integrate skills developed within the program into normal daily activities 
Provide feedback to the clients to reinforce understanding and the correct application of the exercise program 
Monitor the clients during and after the program according to the prescribed treatment plan, measuring devicesprinciples of exercise program design, , knowledge of biomechanics, and knowledge of the musculo-skeletal system 
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 
Identify the need for modifications to the exercise program 
Take appropriate and prompt action in response to any indicators of adverse reaction to the program/treatment according to relevant protocols and guidelines 
Clean equipment according to manufacturer's recommendations, infection control requirements and organisation protocols 
Store equipment according to manufacturer's recommendations and the organisation's protocols 
Report equipment faults to the appropriate person(s) 
Label or tag equipment faults, where possible remove from use if unsafe or not working and inform staff in line with organisation procedures 
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 treatment program according to the instructions of the physiotherapist 
Document information about the exercise program according to the organisation's protocols 
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

HLTAH403C - Deliver and monitor exercise program for mobility
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

HLTAH403C - Deliver and monitor exercise program for mobility

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: