HLTKIN506B
Perform an advanced kinesiology health assessment

This unit of competency describes the skills and knowledge required to observe the condition of the client and gather information relevant to the case to enable the correct assessment, planning and provision of an advanced kinesiology assessment

Application

The application of knowledge and skills described in this competency unit relates to functions necessary for working within a clinic as a kinesiology practitioner

Work at this level may be undertaken independently


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Determine the scope of the assessment and the clients needs

1.1 Establish and identify symptoms and signs being experienced

1.2 Determine client's eligibility for service using clinic policies and procedures

1.3 Explain services able to be provided and the limits of available services

1.4 Clarify client's expectation of the clinics service

1.5 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

1.6 Explain personal abilities, level of professional competence and parameters of role to the client

1.7 Refer client to other health care professionals 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

1.8 Identify and promote the legal rights of the client

2. Obtain and record an accurate history of the client

2.1 Seek information from the client for the client's history in a respectful way with all enquiries framed in a purposeful, systematic and diplomatic manner

2.2 Collect and record accurate, relevant and well organised information in a form which can be interpreted readily by other professionals

2.3 Manage information in a confidential and secure manner

3. Manage the health assessment

3.1 Obtain informed client consent prior to conducting tests, in accordance with relevant legislation and regulations

3.2 Allow adequate time during consultation to gather critical information

3.3 Identify and minimise factors that may interfere with the information gathering process

3.4 Identify, establish and maintain essential requirements for the maintenance of clinical and practitioner hygiene

3.5 Anticipate potential sensitivities of the client and adapt approach to take these into account.

3.6 Take steps to ensure the client dignity is maintained at all times

3.7 Pursue and investigate abnormal findings in a deliberate, logical and appropriate manner

3.8 Assess reliability of data obtained and establish appropriate clinical correlation with the clients complaint as soon as possible

3.9 Record all information in a systematic manner in accordance with clinic guidelines

4. Prepare the client for assessment

4.1 Ensure clients body is not unnecessarily exposed during assessment

4.2 Respect client boundaries at all times

4.3 Seek client feedback on comfort levels

4.4 Explain self responsibility model and clarify questions in a clear and comprehensive way

5. Make a comprehensive assessment of the client

5.1 Identify signs of condition according to a kinesiology framework

5.2 Elicit specific details of signs and symptoms of the presenting complaint(s)

5.3 Assess client through palpation, observation, sensation and by using kinesiology information gathering techniques

5.4 Conduct physical, mental / emotional, nutritional, and energetic lifestyle assessment

5.5 Use other assessment procedures as appropriate

5.6 Question client to clarify results and gain further information in a manner relevant to the clients needs and test results

5.7 Identify contraindications to balance

5.8 Conduct functional and special tests and make differential assessment

5.9 Observe and analyse static and dynamic variables of posture

Required Skills

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 assessment according to a kinesiology framework

Best practice kinesiology principles

History, philosophy and beliefs of kinesiology within a health framework

Manifestation of disease processes

Specialised assessment procedures and options allowing complex regional assessments

Specialised testing procedures as appropriate

Terminology appropriate to kinesiology practice

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:

Apply advanced assessment techniques

Communicate with people from diverse cultural and linguistic backgrounds and work through an interpreter if required

Demonstrate communication skills

Demonstrate observations skills

Demonstrate record keeping skills

Discuss and observe service delivery protocols

Gather and interpret information through kinesiology methods

Handle complaints effectively

Observe and identify variations of posture

Perform testing and assessment procedures

Read medical test results or documents

Recognise and adjust to contraindications balances

Use terminology appropriate to kinesiology practice

Evidence Required

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)

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 must be undertaken by an assessor who is formally recognised by an Australian kinesiology peak body

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:

qualified assessor who is also recognised by an Australian kinesiology peak body

relevant texts or medical manuals

relevant paper-based/video assessment instruments

Appropriate assessment environment

Method of assessment

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

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

Questioning

Role play simulation

Short tests and essays

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:

HLTKIN507B Plan an advanced kinesiology session

HLTKIN508B Apply an advanced kinesiology assessment framework


Range Statement

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 additional parties being present

Cultural or gender factors

Other health care professionals may include:

Osteopaths

Podiatrists

Naturopaths

Homoeopaths

Herbalists

Other energy therapists

Physiotherapists

Chiropractors

Medical practitioners

Registered nurses

Midwives

Social workers

Counsellors

Aromatherapists

Reflexologists

Bowen Therapists

Other allied health care professionals

Client history may include:

Date of session

Identifying personal details

Source of referral

Main presenting complaint or reason for session

Subjective evaluation of present condition

Maternal / paternal genetic predispositions

General state of health

physical

emotional

sensitivities

diet

sleep patterns

bowel habits

exercise

lifestyle

Childhood and adult illnesses

Accidents, injuries, operations

Vaccinations

Root canals

Hospitalisations

Occupational history and environment

Family history and relationships

Other current medical / alternative health care treatment

Previous occurrence of current complaint

Vibrational remedies / medication / supplements -current and previous / perceived side effects

Known allergies to medication / supplements

Social lifestyle including social drug usage

Primary health care provider

Previous occurrence of presenting complaint

Social lifestyle including social drug usage

Family history and relationship

Root canals

Vaccinations

Potential sensitivities may include:

Gender

Ethnicity

Language

Religious beliefs

Cultural heritage

Sexuality

Ability

Presenting disease state and personal history

Assessment will include attention to:

Active movements

Passive movements

Resisted movements

Functional movements

Current ability

Characteristics of pain

Client feedback and complaints

Established assessment procedures may include:

Observation

Discussion

Temperature

Pulse

Palpation

Range of motion tests

Muscle strength tests

Observation of variations of posture

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

Procedure which is conducted according to legislative and regulatory requirements

Contraindications to balancing may include:

Unwillingness to accept self responsibility model

Situations where client expects treatment for named medical disease or condition

Client expects practitioner to test for medically determined pathology parameters e.g. pregnancy, blood count, blood cholesterol, blood sugar etc.

Kinesiologists are not expected to diagnose any conditions but must be able to recognise the indications and contraindications of conditions

Kinesiology is contraindicated in all infectious diseases suggested by fever, nausea and lethargy until a diagnosis is received and recommended by a medical practitioner

Always refer for diagnosis when symptoms do not have a logical explanation. Indications for referral include:

pain

infection or infectious diseases

fatigue

lumps and tissue changes

inflammation

oedema

mood alterations e.g. depression, anxiety

changes in habits such as appetite elimination or sleep

bleeding and bruising

nausea, vomiting or diarrhoea

temperature - hot or cold

sudden loss of weight

fatigue, exhaustion

irregular sleep patterns


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable