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Evidence Guide: HLTAHW042 - Implement a burns rehabilitation care plan

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

 

HLTAHW042 - Implement a burns rehabilitation care plan

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

Elements define the essential outcomes.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess the psychosocial impact of burn injuries on clients

  1. Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact
  2. Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others
  3. Identify the social and cultural implications of a burns injury
  4. Note possible signs of trauma and/or major mental health issues related to the burn injury
  5. Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process
  6. Involve family or significant others in the assessment process
Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the social and cultural implications of a burns injury

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Note possible signs of trauma and/or major mental health issues related to the burn injury

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Involve family or significant others in the assessment process

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement a care plan in response to psychosocial assessment

  1. Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements
  2. Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan
  3. Document care plan in line with organisation and community requirements
  4. Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement
  5. Take action to minimise risk of harm to self or others during implementation of care plan
  6. Support client to take a self-care approach to health in line with individual needs and organisational requirements
Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document care plan in line with organisation and community requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Take action to minimise risk of harm to self or others during implementation of care plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Support client to take a self-care approach to health in line with individual needs and organisational requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop scar management strategies

  1. Identify factors affecting scar formation
  2. Apply pressure garments correctly and with care
  3. Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin
  4. Implement methods to prevent or minimise contracture
  5. Employ simple techniques to reduce itching
  6. Instruct the client about basic massage techniques, as appropriate
  7. Refer clients to allied health professionals, as appropriate
  8. Discuss reconstructive options with allied health professionals and clients, if relevant
Identify factors affecting scar formation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply pressure garments correctly and with care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement methods to prevent or minimise contracture

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Employ simple techniques to reduce itching

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Instruct the client about basic massage techniques, as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer clients to allied health professionals, as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss reconstructive options with allied health professionals and clients, if relevant

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Incorporate nutrition and exercise in care plan

  1. Explain to the client the importance of nutrition in burn recovery
  2. Develop an exercise program in consultation with health professionals that encourages movement and ambulation
  3. Instruct the client in basic exercises under the supervision of a health professional
  4. Facilitate exercise through splinting/positioning
  5. Use adaptive equipment where relevant
  6. Discuss the consequences of not following an exercise program with the client and/or carer(s)
Explain to the client the importance of nutrition in burn recovery

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop an exercise program in consultation with health professionals that encourages movement and ambulation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Instruct the client in basic exercises under the supervision of a health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Facilitate exercise through splinting/positioning

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use adaptive equipment where relevant

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss the consequences of not following an exercise program with the client and/or carer(s)

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer clients in line with care plan

  1. Identify and inform clients of community and health services that provide support to burns patients and/or their families
  2. Make referrals in line with service policy and procedures
  3. Follow-up with clients and families once referred
Identify and inform clients of community and health services that provide support to burns patients and/or their families

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make referrals in line with service policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow-up with clients and families once referred

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Assess the psychosocial impact of burn injuries on clients

1.1 Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact

1.2 Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others

1.3 Identify the social and cultural implications of a burns injury

1.4 Note possible signs of trauma and/or major mental health issues related to the burn injury

1.5 Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process

1.6 Involve family or significant others in the assessment process

2. Implement a care plan in response to psychosocial assessment

2.1 Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements

2.2 Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan

2.3 Document care plan in line with organisation and community requirements

2.4 Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement

2.5 Take action to minimise risk of harm to self or others during implementation of care plan

2.6 Support client to take a self-care approach to health in line with individual needs and organisational requirements

3. Develop scar management strategies

3.1 Identify factors affecting scar formation

3.2 Apply pressure garments correctly and with care

3.3 Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin

3.4 Implement methods to prevent or minimise contracture

3.5 Employ simple techniques to reduce itching

3.6 Instruct the client about basic massage techniques, as appropriate

3.7 Refer clients to allied health professionals, as appropriate

3.8 Discuss reconstructive options with allied health professionals and clients, if relevant

4. Incorporate nutrition and exercise in care plan

4.1 Explain to the client the importance of nutrition in burn recovery

4.2 Develop an exercise program in consultation with health professionals that encourages movement and ambulation

4.3 Instruct the client in basic exercises under the supervision of a health professional

4.4 Facilitate exercise through splinting/positioning

4.5 Use adaptive equipment where relevant

4.6 Discuss the consequences of not following an exercise program with the client and/or carer(s)

5. Refer clients in line with care plan

5.1 Identify and inform clients of community and health services that provide support to burns patients and/or their families

5.2 Make referrals in line with service policy and procedures

5.3 Follow-up with clients and families once referred

Required Skills and Knowledge

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Assess the psychosocial impact of burn injuries on clients

1.1 Respect Aboriginal or Torres Strait Islander people’s community values, beliefs and gender roles when assessing psychosocial impact

1.2 Undertake risk assessment of the client, identifying factors which may indicate risk to themselves or the safety of others

1.3 Identify the social and cultural implications of a burns injury

1.4 Note possible signs of trauma and/or major mental health issues related to the burn injury

1.5 Identify pre-existing factors in the individual, family and/or community that may impede or facilitate recovery and the healing process

1.6 Involve family or significant others in the assessment process

2. Implement a care plan in response to psychosocial assessment

2.1 Develop a care plan in consultation with the client and/or significant others, in line with organisation, community and confidentiality requirements

2.2 Address client’s rehabilitation needs and findings of routine psychosocial assessment in the care plan

2.3 Document care plan in line with organisation and community requirements

2.4 Communicate care plan to client and/or their carer(s) and negotiate as required to encourage full understanding and agreement

2.5 Take action to minimise risk of harm to self or others during implementation of care plan

2.6 Support client to take a self-care approach to health in line with individual needs and organisational requirements

3. Develop scar management strategies

3.1 Identify factors affecting scar formation

3.2 Apply pressure garments correctly and with care

3.3 Implement methods to minimise hypertrophy, increase scar pliability and protect burned skin

3.4 Implement methods to prevent or minimise contracture

3.5 Employ simple techniques to reduce itching

3.6 Instruct the client about basic massage techniques, as appropriate

3.7 Refer clients to allied health professionals, as appropriate

3.8 Discuss reconstructive options with allied health professionals and clients, if relevant

4. Incorporate nutrition and exercise in care plan

4.1 Explain to the client the importance of nutrition in burn recovery

4.2 Develop an exercise program in consultation with health professionals that encourages movement and ambulation

4.3 Instruct the client in basic exercises under the supervision of a health professional

4.4 Facilitate exercise through splinting/positioning

4.5 Use adaptive equipment where relevant

4.6 Discuss the consequences of not following an exercise program with the client and/or carer(s)

5. Refer clients in line with care plan

5.1 Identify and inform clients of community and health services that provide support to burns patients and/or their families

5.2 Make referrals in line with service policy and procedures

5.3 Follow-up with clients and families once referred

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role.

There must be evidence that the candidate has:

formulated care plans for at least three clients by:

collaborating with other members of a multi-disciplinary team to determine:

findings of psychosocial assessment

risk of harm to self and others

communicating care plans to each client and checking their understanding

using a motivational interviewing approach

correctly determining the appropriate rehabilitation therapies required in the specific circumstance of burns rehabilitation

carrying out rehabilitation procedures and education safely and effectively on at least three occasions, including:

positioning and splinting

oedema management

movement and ambulation

functional activity

adaptive aids

nutrition

supporting each client to take a self-care approach to health with provision of appropriate information and other measures

referring clients as necessary in accordance with service policy and procedures

following up with patients and their families once referred

educating and informing clients about psychosocial issues and possible services to assist recovery.

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:

reconstructive options in relation to burns rehabilitation

principles of scar management, working in collaboration with allied health professionals

aims and consequences of rehabilitation exercise regimes – under the supervision of a health professional

psychosocial factors affecting burn injury clients:

risk to self and others

social and cultural implications

common individual reactions to a burns injury

possible signs of trauma and mental health issues

pre-existing factors in family and wider community that may impede or facilitate recovery and the healing process

family involvement

communication skills

community and health services which may support burns patients and/or their families with psychosocial needs

referral process in accordance with service policy and procedures.