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

HLTAYV609C Mapping and Delivery Guide
Perform ayurvedic health assessment

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTAYV609C - Perform ayurvedic health assessment
Description This unit of competency describes the skills and knowledge required to observe the condition of the client and gather information relevant to the case, according to an ayurvedic framework
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application This unit may be applied in a range of health settings
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not Applicable
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: Determine the scope of the assessment and the client's needs
  • Establish the client's purpose for consultation and identify the symptoms
  • Determine the client's eligibility for service using clinic/practitioner policies
  • Clearly explain services able to be provided and limits of available services
  • Explore and clarify the client's expectation of the service/clinic
  • Identify factors likely to have a negative impact on assessment in consultation with the client and wherever possible implement strategies to minimise the effects of these factors
  • Explain personal abilities, level of professional competence and parameters of role to the client and practise within these at all times
  • Refer client to other health care providers where the needs of the client are identified as beyond the scope of the services able to be provided, or if in the opinion of the practitioner the needs of the client are best met by doing so
  • Identify and promote the rights of care of the client
       
Element: Obtain and record an accurate history of the client
  • Seek information from the client for the client's history with all enquiries asked in a respectful, purposeful, systematic and diplomatic manner
  • Collect accurate and relevant in a well-organised form which can be interpreted readily by other professionals
  • Treat information as confidential and store securely at all times
       
Element: Manage the health assessment
  • Obtain informed client consent prior to conducting tests in accordance with legislative requirements
  • Pursue abnormal findings and investigate these in a deliberate, logical and appropriate manner
  • Assess the reliability of data obtained and where possible clinical correlation with the client's complaints is established
  • Use questions to clarify results and gain further information in a manner relevant to the client's needs and test results
  • Base decisions to carry out laboratory tests on the integration of previously obtained clinical data and history
  • Adhere to the protocol required by the agency in ordering tests
  • Allow adequate time during consultation to gather critical information
  • Identify and minimise factors that may interfere with the information gathering process
  • Identify, establish and observe essential requirements for the maintenance of clinical and practitioner hygiene
  • Anticipate potential sensitivities of the client are and adapt approach accordingly to take these into account.
  • Take steps to ensure the client's sense of dignity is maintained at all times
       
Element: Make a comprehensive assessment of the client
  • Apply trividha pariksha (threefold examination method)
  • Apply the eightfold examination method if further assessment if necessary
  • Determine causative factors of diseases
  • Determine different stages of disease
  • Determine the samprapti (pathogenesis in ayurveda)
  • Determine the different stages of progression of disease and state and location of ama
  • Perform ayurvedic differential diagnosis
  • Accurately record all information in a systematic manner in accordance with clinic guidelines.
       


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 performance in the workplace or a simulated workplace (defined as a supervised clinic) is essential for assessment of this unit

Consistency of performance should be demonstrated over a range of workplace situations

Assessment may contain both theoretical and practical components and examples covering a range of clinical situations

Evidence is required of both knowledge and skills application

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 practitioner's workplace

scope of practice as detailed in the qualification and component competency units

holistic/integrated assessment including:

working within the practice framework

performing a health assessment

assessing the client

planning treatment

providing treatment

All procedures must be conducted according to legislative and regulatory requirements

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 should replicate workplace conditions as far as possible

Simulations may be used to represent workplace conditions as closely as possible

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Resources essential for assessment include:

an appropriately stocked and equipped clinic or simulated clinic environment

skilled assessors

relevant assessment instruments

appropriate assessment environment

Method of assessment

Observation of performance in the work place

Written assignments/projects

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

Questioning

Role play simulation

Examples of assessment notes

Research work or written reports of observations in a practical setting

Oral questioning on technique or assessment strategy

Case studies and scenarios as a basis for discussion of issues and strategies to contribute to best practice in the work environment

Related units:

This unit should be assessed in conjunction with the following related units:

HLTAYV615C Apply ayurvedic diagnostic framework

HLTCOM404C Communicate effectively with clients

HLTIN301C Comply with infection control policies and procedures

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:

Anatomical terminology and levels of organisation

Ayurvedic pathophysiology and ayurvedic disease processes

Ayurvedic physical signs and symptoms of disease

Anatomy and physiology according to various stages of life

Ayurvedic anatomy and physiology including:

basic physiology - including physiology of musculoskeletal system - muscles, posture and movement

ENT and other senses - hearing and equilibration, vision, smell, taste

gastrointestinal - motility, secretions, movement of food, digestion and absorption

general physiology - including cell structure and function, metabolism, levels of organisation in the body

nervous system - central, peripheral and automatic nervous systems

respiratory system - pulmonary function; cardiovascular system - heart, circulation; lymphatic system - lymph, immunity and allergy

urogenital and endocrine - renal function, micturition, extracellular fluid, metabolism, thyroid gland, hormones, and reproduction

Ayurvedic diagnosis according to ayurvedic classification of disease

Ayurvedic Rog Vigyan and Chikitsa Sootra including disease of all the channels with their specific Samprapti, Pooravroopa, nidan, Upashya and chikitsa, along with western correlation

Ayurvedic anatomical systems including

musculoskeletal - including; muscles, bones, cartilage, joints, head, upper trunk, upper limb, pelvis, lower limb

nervous - including peripheral, autonomic and central nervous systems

cardiovascular (including haemopoetic) - including vascular system, spleen, heart and pericardium, systemic arteries, systemic veins, portal veins, foetal circulation

lymphatic - including thoracic viscera, abdominal and pelvic viscera, alimentary tract, urinary and genital systems, trunk and limbs, deep and superficial lymph nodes

gastrointestinal - including mouth, salivary glands, tongue, pharynx, oesophagus, abdomen and peritoneum, stomach, small intestine, large intestine, liver, biliary system, pancreas

respiratory - including larynx, trachea, lungs and mediastinum, pleura

urogenital (reproductive and urinary) and endocrine - including kidneys, ureter and bladder, male genital organs, female genital organs, thyroid, parathyroid glands, pituitary gland, adrenal gland, thymus gland

ENT and Special Senses - including hearing and equilibration, vision, smell, taste

continued ...

Essential knowledge (contd):

Basic knowledge of biochemistry

Basic knowledge of the physical relationship of the position on the tongue of the Doshas and organs.

Clinical features and pathophysiology of common bacterial and viral diseases to assess the client, stage, severity and likely prognosis

Critical information required for diagnosis and treatment according to ayurvedic framework

Dietary impact on health and symptoms

Ethical and legal implications of enquiry

Factors affecting transmission of disease and choice of treatments of common infectious diseases

Identification of infectious organism, indications, complications, epidemiology, occurrence, mode of transmission, vectors, incubation period, period of communicability, presentation, diagnosis, treatment, management and prevention

Location of each Dosha or organ on the pulse

Pathophysiology and disease processes of common clinical diseases and interactivity between them, to the level necessary to support the making of a screening assessment and assessment of the client's condition to support the practice of ayurvedic medicine

Pathophysiology and disease processes affecting the nervous system - central and peripheral nervous tissue, brain, spinal cord and associated nerves, sensory, motor and integrative systems, autonomic nervous system and:

cardiovascular system - blood, clotting, erythropoietin, cardiac cycle

endocrine system - thyroid, parathyroid and adrenal glands, pancreas, calcium and bone metabolism, pituitary gland, pineal gland

ENT and special senses - vision, hearing, smell, taste

lymphatic system - immunity, allergy

respiratory system - pulmonary function, gas transport, regulation of respiration, respiratory adjustments

urogenital system - renal function, fluid balance, male and female reproductive systems

Philosophical approach to diagnosis and treatment

Philosophy of ayurvedic diagnoses

Prostaglandins, development, inheritance, DNA, RNA, introduction to genetics

Pulse diagnosis (Nadi Pariksha)

Symptomology and pathology according to ayurvedic practice

The state and quality of the tridoshas

The state of each individual organ found at the appropriate pulse position.

continued ...

Essential knowledge (contd):

Terminology correct to discipline

The cost benefit ratio of special tests or studies

The causes of disease according to Ayurveda

The legal and ethical requirements for confidentiality

The physical relationship of the position on the pulse to the Doshas and organs.

Time management requirements during consultation

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:

Access and interpret up-to-date information

Apply methods of keeping medical records

Communicate effectively to gain required information

Conduct external physical examination

Demonstrate communication skills

Demonstrate observation skills

Demonstrate record-keeping skills

Demonstrate respect for practitioner / client boundaries

Detect and record symptoms and signs present including precipitating factors, relieving factors and associated manifestations

Identify location, stage and characteristics of disease

Perform basic points diagnosis (Marma Pariksha)

Perform basic tongue diagnosis (Jihva Pariksha)

Perform nail diagnosis

Perform observation (Darshana)

Perform palpation (Sparshana)

Perform questioning (Prashna).

Request high precision laboratory and/or radiology tests when required

Require the minimum number of additional tests

Understand and discuss medical reports

Use a range of ayurvedic medical equipment used in external physical examinations

Use equipment and technology competently and safely

Use terminology correct to discipline

Use the threefold and eightfold examination techniques

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.

Factors likely to have a negative impact on assessment may include:

Cultural or gender factors

Disabilities

Emotional trauma

Lack of privacy or focus due to additional parties being present

Language difficulties

Other health care professional may include:

Allied health workers

Alternative health practitioners

Counsellors

Doctors

Social workers

Client history may include:

Accidents, injuries, operations

Childhood and adulthood illness

Date of presentation

Family history

General state of health

physical

emotional

allergies

dietary picture

sleep pattern

exercise

leisure activities

Hospitalisations

Identifying personal details

Main presenting complaint or reason for consultation

Medication, supplements and natural remedies - current and previous

Occupational history and environment

Other current medical treatment

Presenting symptom picture

Social lifestyle including social drug usage

Source of referral (if applicable)

Potential sensitivities may include:

Ability

Cultural heritage

Ethnicity

Gender

Language

Presenting disease state and personal history

Religious beliefs

Sexuality

Trividha Pariksha (Threefold examination method) includes:

Darshana (Observation)

Prashna (Questioning)

Sparshana (Touch)

The eightfold examination method includes:

Akriti pariksha ( general physical features, ie height, weight, deformation of limbs, nails, skin etc)

Druka pariksha ((eye diagnosis)

Jivha pariksha (tongue diagnosis)

Mala pariksha (stool examination)

Mutra pariksha (urine examination)

Nadi pariksha (pulse diagnosis)

Shabda pariksha (voice examination)

Sparshana (palpation)

The different stages of disease includes:

Aama stage

Niraama stage

Pacyaama stage

The different stages of progression of disease includes:

Bheda (differentiation or complication)

Prakopa (excitation or provocation)

Prasara (spreading)

Sanchaya (accumulation)

Sthana samsraya (relocation)

Vyakta (manifestation)

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
Establish the client's purpose for consultation and identify the symptoms 
Determine the client's eligibility for service using clinic/practitioner policies 
Clearly explain services able to be provided and limits of available services 
Explore and clarify the client's expectation of the service/clinic 
Identify factors likely to have a negative impact on assessment in consultation with the client and wherever possible implement strategies to minimise the effects of these factors 
Explain personal abilities, level of professional competence and parameters of role to the client and practise within these at all times 
Refer client to other health care providers where the needs of the client are identified as beyond the scope of the services able to be provided, or if in the opinion of the practitioner the needs of the client are best met by doing so 
Identify and promote the rights of care of the client 
Seek information from the client for the client's history with all enquiries asked in a respectful, purposeful, systematic and diplomatic manner 
Collect accurate and relevant in a well-organised form which can be interpreted readily by other professionals 
Treat information as confidential and store securely at all times 
Obtain informed client consent prior to conducting tests in accordance with legislative requirements 
Pursue abnormal findings and investigate these in a deliberate, logical and appropriate manner 
Assess the reliability of data obtained and where possible clinical correlation with the client's complaints is established 
Use questions to clarify results and gain further information in a manner relevant to the client's needs and test results 
Base decisions to carry out laboratory tests on the integration of previously obtained clinical data and history 
Adhere to the protocol required by the agency in ordering tests 
Allow adequate time during consultation to gather critical information 
Identify and minimise factors that may interfere with the information gathering process 
Identify, establish and observe essential requirements for the maintenance of clinical and practitioner hygiene 
Anticipate potential sensitivities of the client are and adapt approach accordingly to take these into account. 
Take steps to ensure the client's sense of dignity is maintained at all times 
Apply trividha pariksha (threefold examination method) 
Apply the eightfold examination method if further assessment if necessary 
Determine causative factors of diseases 
Determine different stages of disease 
Determine the samprapti (pathogenesis in ayurveda) 
Determine the different stages of progression of disease and state and location of ama 
Perform ayurvedic differential diagnosis 
Accurately record all information in a systematic manner in accordance with clinic guidelines. 

Forms

Assessment Cover Sheet

HLTAYV609C - Perform ayurvedic health assessment
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Assessment Record Sheet

HLTAYV609C - Perform ayurvedic health assessment

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