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Evidence Guide: HLTCR402C - Support client daily living requirements in a community rehabilitation context

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

 

HLTCR402C - Support client daily living requirements in a community rehabilitation context

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

Clarify the relevance of supportingdaily living to rehabilitation goals

  1. Clarify rehabilitation plan details with the supervising health professional
  2. Work with the supervising health professional to identify daily living activities that need to be addressed as part of the rehabilitation plan
  3. Work with the supervising health professional to identify daily living activities that could enhance progress against rehabilitation goals
  4. Work with the supervising health professional and client to provide adequate and appropriate resources to promote independence
  5. Clarify with the supervising health professional concerns about client safety in relation to daily living activities
Clarify rehabilitation plan details with the supervising health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the supervising health professional to identify daily living activities that need to be addressed as part of the rehabilitation plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the supervising health professional to identify daily living activities that could enhance progress against rehabilitation goals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the supervising health professional and client to provide adequate and appropriate resources to promote independence

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clarify with the supervising health professional concerns about client safety in relation to daily living activities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work collaboratively to establish a routine that fosters maximum client independence

  1. Work with the health team to identify carer support provided to the client
  2. Work with the health team to identify other community workers/services providing support to the client
  3. Work with the client and health team to determine support routines that best suits the client's lifestyle and life routines whilst encouraging progression towards identified rehabilitation goals
  4. Promote benefits of daily living activities in the terms of the client's rehabilitation goals
  5. Identify opportunities for daily living activities in the client's home and community that will support rehabilitation goals, and discuss with the supervising health professional
  6. Discuss opportunities that are outside the rehabilitation plan with the supervising health professional
  7. Work with the client and other community workers/services to provide coordinated and consistent supports to the client
Work with the health team to identify carer support provided to the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the health team to identify other community workers/services providing support to the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the client and health team to determine support routines that best suits the client's lifestyle and life routines whilst encouraging progression towards identified rehabilitation goals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Promote benefits of daily living activities in the terms of the client's rehabilitation goals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify opportunities for daily living activities in the client's home and community that will support rehabilitation goals, and discuss with the supervising health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss opportunities that are outside the rehabilitation plan with the supervising health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the client and other community workers/services to provide coordinated and consistent supports to the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Support client to participate in activities of daily living that support rehabilitation goals

  1. Recognise client concerns about participating in daily living activities
  2. Under the supervision of the health professional, work with the client to develop strategies to overcome client concerns
  3. Under the supervision of the health professional, identify and report any aides, appliancesand modifications that might be required for participation in daily living activities and discuss with supervising health professional
  4. Under the direction of the supervising health professional provide information and support to the client to use any aides, appliances and modifications in a safe and effective way
Recognise client concerns about participating in daily living activities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Under the supervision of the health professional, work with the client to develop strategies to overcome client concerns

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Under the supervision of the health professional, identify and report any aides, appliancesand modifications that might be required for participation in daily living activities and discuss with supervising health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Under the direction of the supervising health professional provide information and support to the client to use any aides, appliances and modifications in a safe and effective way

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor impact of client involvement in daily living activities on rehabilitation goals

  1. Monitor outcomes that indicate involvement in daily living activity is supporting the rehabilitation goals
  2. Identify any negative impact of daily living activities and report to supervising health professional
  3. Recognise medical issues and risk factors related to activities of daily living
  4. Recognise wellness and medical issues prior to providing support
  5. Apply strategies to involve the client in the monitoring and evaluation process
  6. Provide client with regular feedback of progress
  7. Work with the client to self monitor progress
Monitor outcomes that indicate involvement in daily living activity is supporting the rehabilitation goals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify any negative impact of daily living activities and report to supervising health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise medical issues and risk factors related to activities of daily living

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise wellness and medical issues prior to providing support

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply strategies to involve the client in the monitoring and evaluation process

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide client with regular feedback of progress

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with the client to self monitor progress

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document client information

  1. Use accepted protocols to document information relating to the rehabilitation program in line with organisation requirements
  2. Provide regular feedback to the client's care team
  3. Use appropriate terminology and format to document the client's progress, including any barriers or challenges to the rehabilitation plan
Use accepted protocols to document information relating to the rehabilitation program in line with organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide regular feedback to the client's care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use appropriate terminology and format to document the client's progress, including any barriers or challenges to the rehabilitation plan

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 and skills

The assessment of the skills and knowledge should include observation of workplace performance

'Workplace performance' may need to be demonstrated under simulated conditions which approximate the workplace, in order to address safety requirements or in order to assess skills and knowledge which may not be possible to assess in the workplace

Evidence of workplace application should be provided as detailed in the unit of competency

Where observation is undertaken in the workplace for assessment purposes, the assessor must ensure that safety of practice and duty of care requirements are addressed appropriately

Assessment should be conducted on more than one occasion to cover a variety of circumstances to establish consistency

A diversity of assessment tasks is essential for holistic assessment

Access and equity considerations:

All workers in health and community services 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 issues facing Aboriginal and/or Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on Aboriginal and/or Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on Aboriginal and/or Torres Strait Islander clients and communities

Context of and specific resources for assessment:

This unit can be assessed independently, however, holistic assessment practice with other health and community services units of competency is encouraged

Resource requirements include access to all relevant resources commonly provided in the rehabilitation context, including:

relevant organisation policy and procedure manuals, legislation and standards

organisation mission statements, strategic and business plans

other documentation relevant to the work context such as:

rehabilitation plans

reports from allied health professionals

client consent

Method of assessment:

Observation in the work context

Written assignments/projects and/or questioning should be used to assess knowledge

Case study and case scenario as a basis for discussion of issues and strategies to contribute to best practice

Health professional feedback

Assessment practices should take into account any relevant speech, language or cultural issues related to Aboriginality, gender, disability or English as a second language

Where the candidate has a disability, reasonable adjustment should be applied during assessment

Language and literacy demands of the assessment task should not be higher than those of the work role

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:

Awareness of cross cultural issues in a community rehabilitation context

Community care service providers including managers, supervisors, coordinators, assessment officers and case managers

Work health and safety (WHS) issues and requirements, risk assessment and risk management associated with working in client homes and the community

Philosophy and values of community rehabilitation

Psychological impact of illness and/or injury, especially in relation to client participation in daily living activities and routines

Range of aides, appliances and modifications that could promote client participation in daily living activities

Range of community services that could be providing support to clients

Relevant national and/or state-based community services and programs such as HACC, CACPS, veteran's home care

The importance and meaning of home and belongings to clients and the nature and significance of working in the client's home and community settings

Understanding of principles and practices of self management

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 language, literacy and numeracy (LLN) competence appropriate to the requirements of the organisation and client group:

this may include, for example, oral communication skills for working with clients and the health team, literacy skills for clarifying the rehabilitation plan and for documenting client information

language used may be English or a community language

Apply WHS knowledge in home and community settings

Assist with facilitation of client involvement and participation in daily living activities within the context of rehabilitation plans and under supervision of an identified health professional

Assist with identification of opportunities for client participation in daily living activities that support rehabilitation goals

Assist with analysis of opportunities and concerns about client participation

Communicate effectively with relevant people in community rehabilitation context, including:

verbal and non-verbal communication with clients and colleagues, including members of multidisciplinary teams

cross cultural communication

communication that addresses specific needs of people with disabilities

Motivate client and build self esteem

Work within a multidisciplinary team

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.

Community rehabilitation refers to:

Support that contributes to reducing hospitalisation stay, minimising hospitalisation and easing the transition back to the community by supporting quality of life and community engagements of clients through:

supporting allied health and nursing professionals

providing direct and where relevant indirect support to clients

working within a community service and health framework

operating, under supervision and task delegation service models, in a multidisciplinary framework to maintain, optimise and enhance client functioning in the community

Supporting daily living may include but is not limited to:

Assistance with meal preparation and eating

Banking (within organisation guidelines for privacy, confidentiality and financial abuse)

Community participation

Entertainment

Gardening

Hobbies

Interests

Leisure activities

Public transport

Shopping

Socialising

Rehabilitation plan refers to:

A plan which:

is developed by a health professional in collaboration with the client and significant others

includes client focused goals with defined rehabilitation outcomes

may be multidisciplinary

includes time limited activities

is regularly reviewed

Supervising health professional might include one or more of:

Cardiac rehabilitation nurse

Diabetes educator

Dietitian

General practitioner

Occupational therapist

Physiotherapist

Podiatrist

Psychologist

Registered/division one nurse

Social worker

Specialist

Speech pathologist

Activities that could enhance progress may include:

Communication strategies to enhance community access and participation

Daily living activities that might support emotional wellness

Daily living activities that require effective communication skills and management

Daily living activities that require utilisation of effective cognitive skills and strategies

Daily living physical activities that might support physiotherapy or occupational therapy services

Other community workers/ services may include:

Community care service providers including managers, supervisors, coordinators, assessment officers and case managers

Community nurse

Community transport

Home and community care

Meals on wheels

Client concerns may include:

Endurance and fatigue

Fear of failure

Fear of rejection

Physical capacity

Stigma

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 communication media such as telephone or video conferencing, where appropriate

Frequency of supervision will be determined by factors such as:

the task maturity of the person in that position

the need to review and assess client conditions and progress in order to establish or alter treatment plans

the need to develop non-clinical aspects such as time management, communication skills and other factors that support the provision of clinical care and facilitate team management

a person under supervision may not require direct (immediate and/or face to face) and continuous supervision, however, the method and frequency will be determined by factors outlined above

Aides, appliances and modifications may include:

Augmentative and alternative communication (AAC) devices

Car modifications

Functional aids such as shower chair, stove top aids

Hearing aids

Home modifications

Mobility aids

Delegation refers to:

The delegating health professional conferring authority on a worker to perform specific activities

Delegation within the context of the rehabilitation plan

The authority specific to an individual client within a specific rehabilitation context and is not transferable to any other client

Delegated duties that cannot be transferred to another worker

Delegation instructions that must include:

specific rehabilitation requirements and their purpose

possible contra-indications, risks and how to respond

any other relevant instructions or information, especially information specific to the client

Supervisory relationships may include:

Client status driven

Direct e.g. face to face

Indirect supervisor e.g. off site and electronic communication

Outcome driven