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Evidence Guide: HLTSHU004 - Perform Shiatsu therapy health assessments

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

 

HLTSHU004 - Perform Shiatsu therapy health assessments

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine scope of client needs

  1. Explore and clarify client expectations
  2. Provide clear information about scope and limits of services to be provided
  3. Collect an accurate, relevant and organised health record and document in a form which can be interpreted readily by other professionals
  4. Recognise needs that are beyond scope of own practice and make referrals to other health care professionals according to clients needs
  5. Identify and respond to any barriers to information gathering and assessment
  6. Seek client information respectfully and sensitively, using purposeful, systematic and diplomatic questions
  7. Manage information in a confidential and secure way
Explore and clarify client expectations

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide clear information about scope and limits of services to be provided

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Collect an accurate, relevant and organised health record and document in a form which can be interpreted readily by other professionals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise needs that are beyond scope of own practice and make referrals to other health care professionals according to clients needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to any barriers to information gathering and assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek client information respectfully and sensitively, using purposeful, systematic and diplomatic questions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage information in a confidential and secure way

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make a physical assessment

  1. Provide information about the physical assessment process and obtain client consent to proceed
  2. Follow clinical and practitioner hygiene procedures
  3. Respect client dignity and anticipate sensitivities
  4. Seek client feedback on comfort levels
  5. Assess client through hara, back and meridian palpation
  6. Integrate observation and sensory information gathering techniques
  7. Use ongoing questioning with client to gain further information according to clients needs
  8. Accurately document information from the physical assessment
Provide information about the physical assessment process and obtain client consent to proceed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow clinical and practitioner hygiene procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respect client dignity and anticipate sensitivities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek client feedback on comfort levels

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess client through hara, back and meridian palpation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Integrate observation and sensory information gathering techniques

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use ongoing questioning with client to gain further information according to clients needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately document information from the physical assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop treatment plan

  1. Correlate results of physical assessment with case history
  2. Consider any available western medical information and incorporate into analysis within scope of own practice
  4. Analyse energetic patterns and differentiate by assessing signs and symptoms
  5. Identify condition according to stage and related implications by applying the eight principles of diagnosis
  6. Identify pre-requisites or contraindications to treatment
  7. Determine optimum type, duration and frequency of treatments
  8. Use professional judgement to draw substantiated conclusions about treatment needs
  9. Establish expected treatment outcomes based on the Shiatsu framework and evidence
  10. Accurately document proposed treatment plan
Correlate results of physical assessment with case history

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider any available western medical information and incorporate into analysis within scope of own practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Analyse energetic patterns and differentiate by assessing signs and symptoms

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify condition according to stage and related implications by applying the eight principles of diagnosis

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify pre-requisites or contraindications to treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine optimum type, duration and frequency of treatments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use professional judgement to draw substantiated conclusions about treatment needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Establish expected treatment outcomes based on the Shiatsu framework and evidence

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately document proposed treatment plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm assessment and treatment plan with client

  1. Discuss assessment, its implications and rationale for treatment with the client
  2. Assign and agree treatment priorities and expectations in consultation with the client
  3. Schedule times and session lengths suited to the required techniques and sequences
  4. Respond to client enquiries using language the client understands
  5. Discuss referral and collaborative options with the client according to needs
Discuss assessment, its implications and rationale for treatment with the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assign and agree treatment priorities and expectations in consultation with the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Schedule times and session lengths suited to the required techniques and sequences

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respond to client enquiries using language the client understands

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss referral and collaborative options with the client according to needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine scope of client needs

1.1 Explore and clarify client expectations

1.2 Provide clear information about scope and limits of services to be provided

1.3 Collect an accurate, relevant and organised health record and document in a form which can be interpreted readily by other professionals

1.4 Recognise needs that are beyond scope of own practice and make referrals to other health care professionals according to clients needs

1.5 Identify and respond to any barriers to information gathering and assessment

1.6 Seek client information respectfully and sensitively, using purposeful, systematic and diplomatic questions

1.7 Manage information in a confidential and secure way

2. Make a physical assessment

2.1 Provide information about the physical assessment process and obtain client consent to proceed

2.2 Follow clinical and practitioner hygiene procedures

2.3 Respect client dignity and anticipate sensitivities

2.4 Seek client feedback on comfort levels

2.5 Assess client through hara, back and meridian palpation

2.6 Integrate observation and sensory information gathering techniques

2.7 Use ongoing questioning with client to gain further information according to clients needs

2.8 Accurately document information from the physical assessment

3. Develop treatment plan

3.1 Correlate results of physical assessment with case history

3.2 Consider any available western medical information and incorporate into analysis within scope of own practice

3.3 Bring together eastern and western approaches to pathology

3.4 Analyse energetic patterns and differentiate by assessing signs and symptoms

3.5 Identify condition according to stage and related implications by applying the eight principles of diagnosis

3.6 Identify pre-requisites or contraindications to treatment

3.7 Determine optimum type, duration and frequency of treatments

3.8 Use professional judgement to draw substantiated conclusions about treatment needs

3.9 Establish expected treatment outcomes based on the Shiatsu framework and evidence

3.10 Accurately document proposed treatment plan

4. Confirm assessment and treatment plan with client

4.1 Discuss assessment, its implications and rationale for treatment with the client

4.2 Assign and agree treatment priorities and expectations in consultation with the client

4.3 Schedule times and session lengths suited to the required techniques and sequences

4.4 Respond to client enquiries using language the client understands

4.5 Discuss referral and collaborative options with the client according to needs

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine scope of client needs

1.1 Explore and clarify client expectations

1.2 Provide clear information about scope and limits of services to be provided

1.3 Collect an accurate, relevant and organised health record and document in a form which can be interpreted readily by other professionals

1.4 Recognise needs that are beyond scope of own practice and make referrals to other health care professionals according to clients needs

1.5 Identify and respond to any barriers to information gathering and assessment

1.6 Seek client information respectfully and sensitively, using purposeful, systematic and diplomatic questions

1.7 Manage information in a confidential and secure way

2. Make a physical assessment

2.1 Provide information about the physical assessment process and obtain client consent to proceed

2.2 Follow clinical and practitioner hygiene procedures

2.3 Respect client dignity and anticipate sensitivities

2.4 Seek client feedback on comfort levels

2.5 Assess client through hara, back and meridian palpation

2.6 Integrate observation and sensory information gathering techniques

2.7 Use ongoing questioning with client to gain further information according to clients needs

2.8 Accurately document information from the physical assessment

3. Develop treatment plan

3.1 Correlate results of physical assessment with case history

3.2 Consider any available western medical information and incorporate into analysis within scope of own practice

3.3 Bring together eastern and western approaches to pathology

3.4 Analyse energetic patterns and differentiate by assessing signs and symptoms

3.5 Identify condition according to stage and related implications by applying the eight principles of diagnosis

3.6 Identify pre-requisites or contraindications to treatment

3.7 Determine optimum type, duration and frequency of treatments

3.8 Use professional judgement to draw substantiated conclusions about treatment needs

3.9 Establish expected treatment outcomes based on the Shiatsu framework and evidence

3.10 Accurately document proposed treatment plan

4. Confirm assessment and treatment plan with client

4.1 Discuss assessment, its implications and rationale for treatment with the client

4.2 Assign and agree treatment priorities and expectations in consultation with the client

4.3 Schedule times and session lengths suited to the required techniques and sequences

4.4 Respond to client enquiries using language the client understands

4.5 Discuss referral and collaborative options with the client according to needs

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:

performed the activities outlined in the performance criteria of this unit during a period of at least 200 hours of client consultation work

prepared for and managed at least 60 Shiatsu health assessments - clients must include males and females from different stages of life with varied presentations

used the Shiatsu framework to assess therapeutic needs of clients, including:

hara palpation

observation

sensory information gathering techniques

use differential diagnostic techniques

interacted effectively with clients:

clearly articulated information about services, treatment options and rationale

engaged clients in decision making

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national and state/territory) for client assessment and treatment planning:

codes of conduct

duty of care

informed consent

mandatory reporting

practitioner/client boundaries

privacy, confidentiality and disclosure

records management

work role boundaries:

working within scope of practice

presenting symptoms that require referral to a medical practitioner

work health and safety

referral options for practitioners:

professional health services including complementary health modalities

community resources and support services

types and availability of further medical testing

factors and barriers that may impact on assessment, including:

physical

psychological

cultural

factors that affect individual health status, including:

constitution

lifestyle

diet

personal and medical history

values and attitudes

balance of rest and activity

physical environment

social environment

factors for consideration for different genders and ages

client information required for assessment and the scope and depth of information needed around:

client objectives and expectations

client history and its components

client current state of health

signs and symptoms:

onset

duration

location

quality and severity

non-verbal

different ways that signs and symptoms of conditions present and how these are interpreted in a Shiatsu framework:

physical

psychological

social

qi

features of signs and symptoms

principles and philosophy of Shiatsu therapy framework:

relationships between body types and symptoms according five phases theory

primary functions of meridians and meridian extensions developed by masunaga

yin and yang

character and function of tsubo (acu-points)

the eight principles of differentiation (ba gang bian zheng)

Shiatsu diagnostic techniques and considerations:

the four methods of diagnosis (si zhen)

back yu points and front mu points and diagnostic zones of hara

diagnostic ability of face, complexion, posture and vitality

palpatory diagnostic techniques and palpatory sensitivity to conditions of kyo/jitsu (empty/full) meridians

listening

smelling

Masunaga meridian palpation

possible reactions, contra-indications to treatment and/or limitations for assessment

pathophysiology of common disease states according to Shiatsu framework:

qi imbalances

physical

emotional

mental

relational dynamics within and between human behaviour, anatomy and physiology, pathology and the natural world

treatment planning techniques and considerations