Perform massage health assessment Evidence Guide

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Evidence Guide: HLTREM409C - Perform massage health assessment

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

HLTREM409C - Perform massage health assessment

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

Determine the scope of the assessment and the client's needs

Establish client's purpose for consultation and identify the symptoms experienced
Determine client's eligibility for service using clinic/personal policies
Explain services able to be provided and limits of available services clearly
Explore and clarify client's expectation of the service/clinic
Define personal abilities, level of professional competence and parameters of role to the client and determine practice at all times
Identify factors likely to have a negative impact on assessment in consultation with the client and strategies implemented to minimise the effects of these factors wherever possible
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
Identify and promote the legal rights of the client

Establish client's purpose for consultation and identify the symptoms experienced

Completed
Date:

Teacher:

Evidence:

Determine client's eligibility for service using clinic/personal policies

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Explore and clarify client's expectation of the service/clinic

Completed
Date:

Teacher:

Evidence:

Define personal abilities, level of professional competence and parameters of role to the client and determine practice at all times

Completed
Date:

Teacher:

Evidence:

Identify factors likely to have a negative impact on assessment in consultation with the client and strategies implemented to minimise the effects of these factors wherever possible

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Identify and promote the legal rights of the client

Completed
Date:

Teacher:

Evidence:

Obtain and record an accurate history of the client

Seek information required from the client for the client's history in a respectful way with all enquiries asked in a purposeful, systematic and diplomatic manner
Collect and record accurate, relevant and well organised information in a form which can be interpreted readily by other professionals
Manage information in a confidential and secure way

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

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Manage information in a confidential and secure way

Completed
Date:

Teacher:

Evidence:

Prepare the client for assessment

Ensure the client's body is not unnecessarily exposed during assessment/treatment
Respect client boundaries at all times
Seek client feedback on comfort levels

Ensure the client's body is not unnecessarily exposed during assessment/treatment

Completed
Date:

Teacher:

Evidence:

Respect client boundaries at all times

Completed
Date:

Teacher:

Evidence:

Seek client feedback on comfort levels

Completed
Date:

Teacher:

Evidence:

Perform an assessment of the client

Obtain informed client consent prior to conducting assessment, in accordance with relevant legislation and regulations
Identify, establish and routinely observe essential requirements for the maintenance of clinical and practitioner hygiene
Anticipate potential sensitivities of the client, adapt approach is adapted accordingly to take these into account and take steps to ensure the client's dignity is maintained at all times
Assess client through palpation, observation and sensory information gathering techniques
Identify contra-indications to treatment

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

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Anticipate potential sensitivities of the client, adapt approach is adapted accordingly to take these into account and take steps to ensure the client's dignity is maintained at all times

Completed
Date:

Teacher:

Evidence:

Assess client through palpation, observation and sensory information gathering techniques

Completed
Date:

Teacher:

Evidence:

Identify contra-indications to treatment

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 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 may contain both theoretical and practical components and examples covering a range of clinical situations 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:	A fully stocked and equipped clinic or simulated clinic environment Relevant assessment instruments Appropriate assessment environment Skilled assessors

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 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 Examples of assessment notes Oral questioning on technique or assessment strategy

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: HLTCOM404C Communicate effectively with clients HLTHIR301B Communicate and work effectively in health HLTIN301C Comply with infection control policies and procedures

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:

Best practice massage therapy principles

Environmental physiology and the effects of drugs on the individual

Ethical and legal implications of enquiry

History, philosophy and beliefs of massage therapy within a health framework

Indications for massage

Indications, possible reactions and contra-indications to treatment

Physical signs and symptoms of disease

Structure and function of anatomical systems appropriate to massage therapy and the scope of practice

Technical and practical knowledge of treatment

Terminology correct to discipline

Understanding of physiology and anatomy according to massage therapy

Understanding of the fundamental principles of biomechanics and functional anatomy

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:

Demonstrate communication skills

Demonstrate communication skills to gain and convey required information

Demonstrate observation skills

Demonstrate record keeping skills

Demonstrate skills in using appropriate assessment techniques

Discuss and observe treatment protocols

Gather and interpret information through the tactile senses

Identify contra-indications for massage

Identify prominent bones/structure and phasic and postural muscles

Manage time throughout consultation and treatment

Observe and identify variations of posture

Palpate prominent bones/structure and phasic and postural muscles

Recognise and adjust to contra-indications for treatment

Use terminology correct to discipline

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 professional may include:	Podiatrists Osteopaths Energy therapists Physiotherapists Chiropractors Medical practitioners Registered nurses Social workers Alternative health practitioners Counsellors Other allied health care professionals

Client history may include:	Date of presentation Identifying personal details Source of referral (if applicable) Main presenting complaint or reason for massage Presenting symptom picture General state of health physical emotional allergies dietary picture sleep pattern exercise leisure activities Childhood and adult illness Accidents, injuries, operations Hospitalisations Occupational history and environment Other current medical/alternative health care treatment Previous occurrence of current complaint Medication, supplements and natural prescriptions - current and previous Social lifestyle including social drug usage Family history

Potential sensitivities may include:	Gender Ethnicity Language Religious beliefs Cultural heritage Sexuality Ability Presenting disease state and personal history

Established assessment procedures may include:	Observation Discussion Temperature Pulse Palpation Percussion 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

Contra-indications to treatment may include:	Massage therapists are not expected to diagnose any conditions but must be able to recognise the indications and contra-indications of conditions Massage is contra-indicated 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 local, sharp, dull, achy, deep, surface fatigue inflammation lumps and tissue changes rashes and changes in the skin oedema mood alterations, eg depression, anxiety infection changes in habits such as appetite elimination or sleep bleeding and bruising nausea, vomiting or diarrhoea temperature-hot or cold Endangerment sites are areas where nerves and blood vessels lie close to the skin and are not well protected anterior triangle of the neck posterior triangle of the neck axillary area medial epicondyle lateral epicondyle area of the sternal notch and anterior throat umbilicus area twelfth rib dorsal body sciatic notch inguinal triangle popliteal fossa

NTISthis.com

Evidence Guide: HLTREM409C - Perform massage health assessment

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

HLTREM409C - Perform massage health assessment

Determine the scope of the assessment and the client's needs

Obtain and record an accurate history of the client

Prepare the client for assessment

Perform an assessment of the client

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

Instructions to Assessors

Teacher: ___________________________ Date: _