Deliver and monitor exercise program for mobility Evidence Guide

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Evidence Guide: HLTAH403C - Deliver and monitor exercise program for mobility

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

HLTAH403C - Deliver and monitor exercise program for mobility

What evidence can you provide to prove your understanding of each of the following citeria?

Prepare for mobility and movement program

Confirm program requirements against the prescribed information provided by the physiotherapist
Determine the clients' availability, according to the organisation's protocols
Gather necessary equipment for the mobility and movement program
Prepare the setting for the mobility and movement program
Obtain informed consent from the clients before commencing the mobility and movement program

Confirm program requirements against the prescribed information provided by the physiotherapist

Completed
Date:

Teacher:

Evidence:

Determine the clients' availability, according to the organisation's protocols

Completed
Date:

Teacher:

Evidence:

Gather necessary equipment for the mobility and movement program

Completed
Date:

Teacher:

Evidence:

Prepare the setting for the mobility and movement program

Completed
Date:

Teacher:

Evidence:

Obtain informed consent from the clients before commencing the mobility and movement program

Completed
Date:

Teacher:

Evidence:

Conduct mobility and movement programs to restore optimum movement

Confirm client's understanding of exercise program based on treatment plan prepared by the physiotherapist
Guide the clients to complete the program according to prescribed treatment plan
Provide the clients with sufficient time, opportunity and encouragement to practice existing and newly developed skills
Encourage the clients to take advantage of planned and unplanned opportunities to integrate skills developed within the program into normal daily activities
Provide feedback to the clients to reinforce understanding and the correct application of the exercise program
Monitor the clients during and after the program according to the prescribed treatment plan, measuring devicesprinciples of exercise program design, , knowledge of biomechanics, and knowledge of the musculo-skeletal system
Identify and manage client compliance issues, including subjective and objective reporting of client response to the program, and report to the physiotherapist in a timely manner
Identify the need for modifications to the exercise program
Take appropriate and prompt action in response to any indicators of adverse reaction to the program/treatment according to relevant protocols and guidelines

Confirm client's understanding of exercise program based on treatment plan prepared by the physiotherapist

Completed
Date:

Teacher:

Evidence:

Guide the clients to complete the program according to prescribed treatment plan

Completed
Date:

Teacher:

Evidence:

Provide the clients with sufficient time, opportunity and encouragement to practice existing and newly developed skills

Completed
Date:

Teacher:

Evidence:

Encourage the clients to take advantage of planned and unplanned opportunities to integrate skills developed within the program into normal daily activities

Completed
Date:

Teacher:

Evidence:

Provide feedback to the clients to reinforce understanding and the correct application of the exercise program

Completed
Date:

Teacher:

Evidence:

Monitor the clients during and after the program according to the prescribed treatment plan, measuring devicesprinciples of exercise program design, , knowledge of biomechanics, and knowledge of the musculo-skeletal system

Completed
Date:

Teacher:

Evidence:

Identify and manage client compliance issues, including subjective and objective reporting of client response to the program, and report to the physiotherapist in a timely manner

Completed
Date:

Teacher:

Evidence:

Identify the need for modifications to the exercise program

Completed
Date:

Teacher:

Evidence:

Take appropriate and prompt action in response to any indicators of adverse reaction to the program/treatment according to relevant protocols and guidelines

Completed
Date:

Teacher:

Evidence:

Clean and store equipment

Clean equipment according to manufacturer's recommendations, infection control requirements and organisation protocols
Store equipment according to manufacturer's recommendations and the organisation's protocols
Report equipment faults to the appropriate person(s)
Label or tag equipment faults, where possible remove from use if unsafe or not working and inform staff in line with organisation procedures

Clean equipment according to manufacturer's recommendations, infection control requirements and organisation protocols

Completed
Date:

Teacher:

Evidence:

Store equipment according to manufacturer's recommendations and the organisation's protocols

Completed
Date:

Teacher:

Evidence:

Report equipment faults to the appropriate person(s)

Completed
Date:

Teacher:

Evidence:

Label or tag equipment faults, where possible remove from use if unsafe or not working and inform staff in line with organisation procedures

Completed
Date:

Teacher:

Evidence:

Report and document information

Provide client progress feedback to the treating physiotherapist
Report client difficulties and concerns to the treating physiotherapist in a timely manner
Implement variations to the treatment program according to the instructions of the physiotherapist
Document information about the exercise program according to the organisation's protocols
Use appropriate terminology to document client response, outcomes and identified problems related to the therapeutic exercise program

Provide client progress feedback to the treating physiotherapist

Completed
Date:

Teacher:

Evidence:

Report client difficulties and concerns to the treating physiotherapist in a timely manner

Completed
Date:

Teacher:

Evidence:

Implement variations to the treatment program according to the instructions of the physiotherapist

Completed
Date:

Teacher:

Evidence:

Document information about the exercise program according to the organisation's protocols

Completed
Date:

Teacher:

Evidence:

Use appropriate terminology to document client response, outcomes and identified problems related to the therapeutic exercise program

Completed
Date:

Teacher:

Evidence:

Comply with supervisory requirements

Assist with exercise program according to the instruction of treating physiotherapist
Provide client progress feedback to the treating physiotherapist
Report client difficulties and concerns to the treating physiotherapist in a timely manner
Implement variations to the exercise program according to the advice of the treating physiotherapist

Assist with exercise program according to the instruction of treating physiotherapist

Completed
Date:

Teacher:

Evidence:

Provide client progress feedback to the treating physiotherapist

Completed
Date:

Teacher:

Evidence:

Report client difficulties and concerns to the treating physiotherapist in a timely manner

Completed
Date:

Teacher:

Evidence:

Implement variations to the exercise program according to the advice of the treating physiotherapist

Completed
Date:

Teacher:

Evidence:

Assessed

Teacher: ___________________________ Date: _

Signature: ________________________________________________

Comments:

Instructions to Assessors

Evidence Guide

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 skill Observation of workplace performance 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

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 must include demonstrated workplace application Relevant guidelines, standards and procedures Resources essential for assessment include: Clients with exercise requirements Equipment Documentation Supervisory physiotherapist

Method of assessment	Observation of some applications in the work place (as is appropriate/possible) 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 Skills involving direct client care are to be assessed initially in a simulated setting (eg. laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision

Required Skills and Knowledge

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:

A working understanding of the benefits of physiological effects and benefits of active functional exercise

Principles of biomechanics, including

mass

force

speed

acceleration

work

energy

power

strength

momentum

force arm

resistance arm

axis of rotation

cam

pulley

Basic musculo-skeletal anatomy, including

joint types and function

major bones

major muscles

major joints

Basic anatomy and physiology

Anatomical terminology, including

flexion

extension

rotation

abduction

adduction

circumduction

inversion

eversion

pronation

supination

horizontal flexion

horizontal extension

Therapeutic exercise principles

Principles of exercise program design, including:

FITT formula - frequency, intensity, time, type

program phases - preparation, conditioning, recovery, adaptation

program types - sets and reps, circuit, single set to failure, matrix

A working understanding of the psychological effects of disability due to injury or disease and strategies used to cope with this

A working understanding of the signs of adverse reaction to different programs and treatment

Relevant National and State/Territory legislation and guidelines, including Australian Physiotherapy Association (APA) Guidelines

Roles, responsibilities and limitations of own role and other allied health team members and nursing, medical and other personnel

A working knowledge of factors that facilitate an effective and collaborative working relationship

A working knowledge of record keeping practices and procedures in relation to diagnostic and therapeutic programs/treatments

Work health and safety (WHS) policies and procedures that relate to the allied health assistant's role in implementing physiotherapy mobility and movement programs

Infection control policies and procedures that relate to the allied health assistant's role in implementing physiotherapy mobility and movement programs

Supervisory and reporting protocols of the organisation

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply active and passive therapeutic practice and treatment procedures

Undertake activity analysis - breaking activities down into component parts

Use procedures to move and position clients in a safe manner

Work with a group of individuals with specific mobility requirements

In addition, the candidate must be able 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:

Work under direct and indirect supervision

Communicate effectively with clients in a therapeutic/treatment relationship

Communicate effectively with supervisors and co-workers

Work effectively with non-compliant clients

Use skills in time management, personal organisation and establishing priorities

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.

Supervision refers to:	Instructing, advising, and monitoring another person in order to ensure safe and effective performance in carrying out the duties of their position The nature of supervision is flexible and may be conducted by various means including: in person through use of electronic communications media such as telephone or video conferencing, where necessary Frequency of supervision will be determined by factors such as: the task maturity of the person in that position or clinical placement the need to review and assess client conditions and progress in order to establish or alter treatment plans in case of students and assistants the need to correct and develop non clinical aspects such as time management, organisation requirements, communication skills, and other factors supporting the provision of clinical care and working within a team A person under supervision does not require direct (immediate) and continuous personal interaction, but the method and frequency will be determined by factors outlined above

Clients may include:	Adults Children and young people Older people People with communication difficulties

Settings may include:	Hospitals Community health services Private practice Client homes Aged care residential settings

Information may include:	Client care plan Exercise plan Client treatment plan Physiotherapist instructions Client record Checklists Case notes Other forms according to procedures of the organisation

Treatment and program aims may include:	Optimising quality of life Management of secondary complications Facilitating normal movements and developing adaptive skills to maximise the client's independence Educating the client on the relationship between movement and function Promoting the partnership between the worker and the client to achieve maximum benefit from a rehabilitation program and improve quality of life

Client needs and abilities may include:	Co-morbidity Cultural needs Cardiac risk stratification Joint or muscle weakness Orthopaedic conditions

Methods to determine client availability may include:	Face to face Telephone Written

Strategies to measure response to exercise may include:	Borg's scale Rating of perceived exertion

Principles of exercise program design must include:	FITT formula - frequency, intensity, time, type Program phases - preparation, conditioning, recovery, adaptation Program types - sets and reps, circuit, single set to failure, matrix

Principles of biomechanics may include:	Mass Force Speed Acceleration Work Energy Power Strength Momentum Force arm Resistance arm Axis of rotation Cam Pulley

Musculo-skeletal system may include:	Joint types and function Major bones Major muscles Major joints

Adverse reaction to exercise may include:	Severe shortness of breath Dizziness Pain Muscle cramp

Clinical standards, guidelines, policies and procedures may include:	Clinical standards (state and national) Industry professional bodies Industry standards (state and national) and associated legislative requirements Organisation policy directives Privacy Act Relevant Australian Standards Physiotherapy Registration Acts (State based)

Client compliance refers to:	Ability to follow instructions or suggestions Willingness to follow instructions or suggestions Cognitive decline

NTISthis.com

Evidence Guide: HLTAH403C - Deliver and monitor exercise program for mobility

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

HLTAH403C - Deliver and monitor exercise program for mobility

Prepare for mobility and movement program

Conduct mobility and movement programs to restore optimum movement

Clean and store equipment

Report and document information

Comply with supervisory requirements

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

Instructions to Assessors

Teacher: ___________________________ Date: _