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 the required range of situations relevant to the workplace

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

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:

A fully stocked and equipped clinic or simulated clinic environment

Relevant texts or medical manuals

Anatomical model

Relevant paper-based/video assessment instruments

Appropriate assessment environment

Method of assessment

Practical demonstration and observation in the work place

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

Explanations for plan preparations

Oral questioning and discussion

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 unit:

HLTCOM404C Communicate effectively with clients

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:

Awareness of critical information required for diagnosis and treatment according to shiatsu therapy framework

Community resources and support services

Ethical and legal implications of enquiry and treatment

Nutrition, hygiene and personal healthcare strategies

Physiology and anatomy

Possible obstacles to treatment

Possible reactions and contra-indications to treatment

Structure and function of anatomical systems

Symptomology

Symptomology and pathology

Technical and practical knowledge of treatment

The importance of breathing, exercise, hara strengthening

The principles of human movement and biomechanics

Traditional dietetics

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:

Communicate with people from diverse cultural and linguistic backgrounds

Demonstrate communication and negotiation skills

Demonstrate communication skills to gain and convey required information

Identify prominent bones/structures and major muscle groups through palpation

Identify treatment options and establish treatment regimes

Manage time throughout consultation and treatment

Prepare treatment plans

Read medical reports

Read medical reports and other data relevant to the case

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.

Therapeutic principles refers to:

Principles and practices of the shiatsu therapy framework

Contra-indications to treatment and possible complicating factors may include:

Infection or infectious diseases

Pain - local sharp, dull, achy, deep, surface

Fatigue

Inflammation

Lumps and tissue changes

Rashes and changes in the skin

Oedema

Mood alterations, eg depression, anxiety

Changes in habits such as appetite elimination or sleep

Bleeding and bruising

Nausea, vomiting or diarrhoea

Temperature - hot/cold

Shiatsu techniques may include:

A range of shiatsu sequences and techniques

Tsubo/acu-point techniques

Moxibustion

Stretching, posture and exercise techniques

Elbows, feet, knees, ball of thumb, hand pressure techniques

Meridian stretching techniques

Namikoshi, barefoot, and oshashi shiatsu zen shiatsu sequences and techniques

Hara diagnosis, tonification/dispersion and whole body sequence

Lifestyle and dietary advice

Demonstration and explanation of suggested yoga postures, stretches and movements

Dietary strategy - selection of specific foods preparation and combinations

Advice on medicinal drinks, poultices and meals

Spiritual and emotional counselling

Relaxation techniques

Meditation

Tai qi

Qi gong/yoga

Client constitution refers to:

Genetic foundation

Body type

Fitness

Mental attitude

Client compliance refers to:

Ability to follow instructions or suggestions

Willingness to follow instructions or suggestions

Discrepancies may include:

Client is unaware of the immediate danger of their condition

Client is over anxious about their condition

Client is unaware of maintaining causes acting on their condition

Practitioner is unaware of some implications of the client 's condition

Practitioner and client each have a different view of what the main problem is

Practitioner responsibilities may include:

Isolating the sick person

Providing advice on public health matters

Appropriate hygienic or sexual behaviour

Referring notifiable/communicable disease to a registered doctor

Commitment to the treatment plan

Discussing relevant contra-indications or potential complications to treatment

Reviewing of treatment plan

Effective response to client feedback and/or feedback

Client responsibilities may include:

Following instruction/advice during and post treatment

Advising practitioner of any relevant contra-indications or potential complications to treatment

Advising practitioner of compliance issues

Commitment to the treatment plan

Treatment evaluation strategies may include:

Discussing and reviewing of response to treatment

Reviewing achievement of treatment goals

Monitoring time frame for achieving treatment goals