HLTREF502B
Prepare for a reflexology treatment

This unit of competency describes the skills and knowledge required to interpret information gathered in the health assessment and prepare for a reflexology treatment of a client by negotiating a treatment management plan

Application

This unit may apply to work in reflexology in a range of settings and contexts


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Setup the workspace appropriately

1.1 Prepare the workspace in accordance with occupational health and safety standards

1.2 Ensure the environment is of a warm, inviting and healing nature

1.3 Display appropriate professional material

1.4 Use ergonomic equipment appropriate for both client and self

1.5 Provide clean, comfortable and professional standards soft furnishings

2. Obtain, record and analyse an accurate history of the client

2.1 Seek information required from the client for the client's history in a respectful way ensuring all enquiries are asked in a purposeful. systematic and diplomatic manner

2.2 Identify factors likely to have an influence on the assessment during the consultation process and implement strategies to minimize the effect of these factors wherever possible

2.3 Manage information in a confidential and secure way

2.4 Gather, record and organise information in a way which can be interpreted readily by other professionals

2.5 Take into consideration treatment, information and advice provided by other health care professionals in determining the strategy to be used in treatment

2.6 Assess information gathered and assign priority in consultation with the client using knowledge, experience and theoretical principles gathered

2.7 Use professional judgement to develop a treatment strategy from the data collected

3. Record physical observations of the foot

3.1 Record assessment of the feet and associated signs and symptoms in a thorough and objective manner

3.2 Relate structural abnormalities of the foot to the case history

3.3 Identify and assess skin conditions and incorporate into treatment plan

3.4 Systematically monitor and record client progress

4. Determine precautions and contra-indications

4.1 Recognise and identify signs and symptoms of conditions as a pre-requisite for treatment/care

4.2 Observe and record precautions/contra-indications to reflexology and incorporate into treatment plan

4.3 Advise clients to seek medical advice where appropriate

5. Inform the client

5.1 Address the client appropriately

5.2 Obtain informed client consent prior to conducting a Reflexology assessment

5.3 Explain clearly the services able to be provided and the limits of available services

5.4 Explore and clarify client's expectations of services/clinic

5.5 Define personal abilities, level of professional competence and parameters of role to the client and ensure these are practiced at all times

5.6 Discuss the rationale of the treatment/assessment plan with the client

5.7 Identify legal rights and responsibilities of the client and practitioner

5.8 Respond to enquiries from the client using a language the client understands

5.9 Discuss referral and/or collaboration with other health professionals with the client as appropriate

6. Manage the health assessment

6.1 Anticipate potential sensitivities of the client and respect their dignity at all times

6.2 Identify, establish and routinely observe essential requirements for the maintenance of clinical and practitioner hygiene

6.3 Investigate anomalies and imbalances detected on assessment further through appropriate questioning and analysis of client feedback

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:

Anatomy and physiology of the body systems

Basic understanding of the interaction of reflexology with other complementary therapies

Common disease states and functional problems of each body system

Community resources and support services

First aid and CPR

Knowledge and understanding of methods of preparing treatment and management plans

Legal and ethical considerations relevant to practice within a reflexology framework

Possible precautions/contraindications to treatment

Referral processes

Relevant assessment options and procedures

Signs and symptoms of disease and disorder/dysfunction

The clinical indications of treatment relevant to specific circumstances, first aid and injuries

The contribution of the different schools of thought and historical theories of clinical practice

The possible responses and contra-indications to treatment

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

Deliver a reflexology treatment within the timeframe available and/or appropriate to the client's condition

Demonstrate communication skills

Establish urgency for treatment required

Identify treatment options and establish treatment regimes

Prepare treatment plans

Prioritise presenting conditions

Provide advice within the scope of the practitioner's training

Understand and record data obtained from clients and incorporate into a treatment plan

Use interpersonal and questioning skills

Write referrals, appraisal letters for insurance companies and other documentation

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) 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

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:

Relevant texts or medical manuals

Relevant paper based/video assessment instruments

Appropriate assessment environment

Qualified assessor who is recognised by an Australian reflexology peak association

Method of assessment

Observation in the workplace

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

Short tests and essays

Oral questioning and discussions

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

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 after or in conjunction with the following related units:

HLTCOM404C Communicate effectively with clients

HLTHIR301B Communicate and work effectively in health

HLTOHS300B Contribute to OHS processes

HLTREF501B Work within the reflexology 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.

Professional material may include:

Qualifications

Code of Ethics

Association registration evidence

Charts, books

Business appointment cards

Brochures

Appointment book

Client record keeping facilities

Receipt book

Ergonomic support may include:

Massage table

Reflexology chair

Stool

Foot bowls

Soft furnishings may include::

Pillows

Bolsters

Linen

Factors likely to have an influence on assessment may include:

Language difficulties

Disabilities

Emotional trauma

Lack of privacy or focus due to additional parties being present

Cultural or gender factors

Age

Assessment of feet may include:

Overall appearance of the feet

Colour and texture of the skin

Bone and joint structure

Arch

Biomechanics

Signs of bacterial or viral infection

Signs of keratoses and other skin anomalies

Client History may include:

Date of presentation

Identifying personal details

Source of referral (if applicable)

Main presenting complaint or reason for reflexology treatment

Other treatments being undertaken

Presenting symptom picture

General state of health

physical

emotional

mental

allergies

dietary

sleep pattern

exercise

leisure activities

Childhood and adulthood injuries

Accidents, injuries and operations

Hospitalisations

Occupational history and environment

Other current medical treatment

Medication, supplements and natural prescriptions - current and previous

Social lifestyle including social drug usage

Family history

Signs and symptoms may include:

Physical evidence

Behavioural evidence

States of disorder

Test or examination results

Sensations

Onset

Duration

Location

Causation

Direction of chief complaint

Ameliorating and aggravating factors

Symptom qualities (intensity, severity, nature of complaint

Non-verbal signs and symptoms

Functional and pathological disturbances

Precautions and contra-indications may include:

Diseases and disorders of the feet

Thrombosis

Infectious/contagious diseases

Acute fever

Gangrene

Infectious skin diseases of the foot

Heavy medication

Unstable pregnancy

Diseases of the lymphatic and circulatory system

Diabetes

Clinical depression

Following surgery

First trimester of pregnancy

IVF treatment

Potential sensitivities may include:

Gender

Ethnic background

Language

Religious beliefs

Cultural heritage

Sexuality

Ability

Presenting disease state and personal history

Health professionals may include:

Client's general practitioner

Chiropractor

Dietitian

Naturopath

Podiatrist

Physiotherapist


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable