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

HLTNUT605B Mapping and Delivery Guide
Perform nutritional medicine health assessment

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTNUT605B - Perform nutritional medicine 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 a nutritional medicine framework
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application This unit applies to work in a nutritional medicine context
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 client needs
  • Establish client's purpose for consultation and identify the symptoms experienced
  • Determine client's eligibility for service using clinic/personal policies
  • Explain services able to be provided and limits of available services
  • Explore and clarify client's expectation of the service/clinic
  • Identify factors likely to have a negative impact on assessment in consultation with the client and implement strategies to minimise the effects of these factors wherever possible
  • Define personal abilities, level of professional competence and parameters of role to the client
  • Refer client to other health care providers where their needs are identified as beyond the scope of the services able to be provided, or if in the opinion of the practitioner their needs are best met by doing so
  • Identify and promote legal rights of the client
       
Element: Obtain and record an accurate history of the client
  • Seek client history from the client in a respectful way with all enquiries asked in a purposeful, systematic and diplomatic manner
  • Collect and record accurate, relevant and well organised information in a manner which can be interpreted readily by other professionals
  • Ensure information is treated and stored in a confidential manner
       
Element: Manage the health assessment
  • Obtain informed client consent prior to conducting tests in accordance with legislative requirements
  • Investigate abnormal findings in a deliberate, logical and appropriate manner
  • Assess the reliability of data obtained and establish, where possible, appropriate clinical correlation with client's presenting condition
  • Use questions to clarify results and gain further information in a manner relevant to client needs and test results
  • Determine need to carry out laboratory tests based on the integration of previously obtained clinical data and history
  • Adhere to agency protocol required 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 maintain essential requirements for the maintenance of clinical and practitioner hygiene
  • Anticipate any potential sensitivities of the client and adapt approach to take these into account, while ensuring the maintenance of client dignity
       
Element: Make a comprehensive assessment of the client
  • Observe and identify signs of disease/condition according to nutritional medicine framework
  • Seek specific details of signs and symptoms of the presenting complaint/s or health conditions
  • Employ other assessment techniques as appropriate
  • Record, accurately, 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

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

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 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

Context of and specific resources for assessment:

Resources essential for assessment include:

an appropriately stocked and equipped clinic or simulated clinic environment

skilled assessors

nutritional value tables for Australian foods and/or suitable dietary software

relevant manuals. texts, journals

appropriate assessment environment

Method of assessment

Observation of performance in the workplace

Examples of assessment notes

Written assignments, client treatment logbooks and short answer tests

Practical demonstrations and exercises

Research work or written reports of observations in a practical setting

Oral questioning on technique or assessment strategy

Role play simulation

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

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

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

Related units:

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

HLTCOM404C Communicate effectively with clients

HLTIN504C Manage the control of infection

HLTNUT403B Apply a nutritional medicine diagnostic framework

HLTNUT604B Manage work within a nutritional medicine framework


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

Anatomy and physiology according to various stages of life

Biochemistry

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

Critical information required for diagnosis and treatment according to nutritional medicine framework

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

Knowledge and understanding of

anatomical systems including muscoskeletal - including muscles, bones, cartilage, joints, head, upper trunk, upper limb, pelvis, lower limb

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

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

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

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

nervous - including peripheral, autonomic and central nervous systems

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

continued ...

Essential knowledge (contd):

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 natural/traditional medicine

Pathophysiology and disease processes affecting the nervous system

cardiovascular system - blood, clotting, erythropoietin, cardiac cycle

central and peripheral nervous tissue, brain, spinal cord and associated nerves, sensory, motor and integrative systems, autonomic nervous system

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, musculoskeletal system - processes affecting joints, muscles, tendons, ligaments and bones

Philosophical approach to diagnosis and treatment

Physiology including:

basic physiology - including physiology of muskoskeletal system - muscles, posture and movement; nervous system - central, peripheral and automatic nervous systems

cardiovascular system - heart, circulation

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

lymphatic system - lymph, immunity and allergy

respiratory system - pulmonary function

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

Physical signs and symptoms of wellbeing and disease

Relevant testing and assessment options and procedures

Symptomology and pathology according to nutritional medicine practice

Terminology correct to discipline

The cost benefit ratio of special tests or studies

The legal and ethical requirements for confidentiality

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 including the ability to communicate with a range of people from diverse cultural and linguistic backgrounds

Demonstrate observation skills

Demonstrate physical examination procedures

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

Determine the scope of the assessment and client needs

Identify location, stage and characteristics of disease

Make a comprehensive assessment of the client as relevant to nutritional medicine in practice

Manage the health assessment of the client as relevant to nutritional medicine practice

Obtain and record an accurate history of the client

Understand and discuss medical reports

Use a range of medical equipment used in external physical examinations

Use equipment and technology competently and safely

Use terminology correct to discipline

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:

Language difficulties

Disabilities

Emotional trauma

Lack of privacy or focus due to other parties being present

Cultural or gender factors

Other health care providers may include:

Doctors

Social workers

Alternative and complementary health practitioners

Counsellors

Dieticians

Client history may include:

Date of presentation

Identifying personal details

Source of referral (if applicable)

Main presenting health condition/complaint or reason for consultation

Presenting symptom picture

General state of health

physical

emotional

allergies/sensitivities

dietary picture

sleep pattern

exercise

leisure activities

Childhood and adult illness

Accidents, injuries, operations

Hospitalisations

Occupational history and environment

Other current medical treatment

Medication, supplements and natural remedies - current and previous

Social lifestyle including social drug use

Family history

Potential sensitivities may include:

Gender

Ethnicity

Language

Religious beliefs

Cultural heritage

Sexuality

Ability

Presenting disease state and personal history

Signs of disease/condition may refer to:

Precipitating factors

Relieving factors

Associated manifestations

Indications of stage and status of illness

Symptom qualities

Functional and pathological disturbances

Other appropriate assessment techniques may include:

Observation

Discussion

Taking temperature

Taking pulse and blood pressure

Palpation and auscultation

Percussion

External physical examination

Dietary analysis methods

Iridology techniques

Skin examination

Urine tests

Assessment of growth (height, weight, head circumference) and development

Overview of system by enquiring about the presence of previously diagnosed organic diseases and functional disorders

Any other method in which the practitioner has been trained to a competent standard

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 client's purpose for consultation and identify the symptoms experienced 
Determine client's eligibility for service using clinic/personal policies 
Explain services able to be provided and limits of available services 
Explore and clarify client's expectation of the service/clinic 
Identify factors likely to have a negative impact on assessment in consultation with the client and implement strategies to minimise the effects of these factors wherever possible 
Define personal abilities, level of professional competence and parameters of role to the client 
Refer client to other health care providers where their needs are identified as beyond the scope of the services able to be provided, or if in the opinion of the practitioner their needs are best met by doing so 
Identify and promote legal rights of the client 
Seek client history from the client in a respectful way with all enquiries asked in a purposeful, systematic and diplomatic manner 
Collect and record accurate, relevant and well organised information in a manner which can be interpreted readily by other professionals 
Ensure information is treated and stored in a confidential manner 
Obtain informed client consent prior to conducting tests in accordance with legislative requirements 
Investigate abnormal findings in a deliberate, logical and appropriate manner 
Assess the reliability of data obtained and establish, where possible, appropriate clinical correlation with client's presenting condition 
Use questions to clarify results and gain further information in a manner relevant to client needs and test results 
Determine need to carry out laboratory tests based on the integration of previously obtained clinical data and history 
Adhere to agency protocol required 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 maintain essential requirements for the maintenance of clinical and practitioner hygiene 
Anticipate any potential sensitivities of the client and adapt approach to take these into account, while ensuring the maintenance of client dignity 
Observe and identify signs of disease/condition according to nutritional medicine framework 
Seek specific details of signs and symptoms of the presenting complaint/s or health conditions 
Employ other assessment techniques as appropriate 
Record, accurately, all information in a systematic manner in accordance with clinic guidelines 

Forms

Assessment Cover Sheet

HLTNUT605B - Perform nutritional medicine health assessment
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

HLTNUT605B - Perform nutritional medicine health assessment

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: