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Evidence Guide: HLTTCM003 - Provide Traditional Chinese Medicine (TCM) remedial massage treatments

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

 

HLTTCM003 - Provide Traditional Chinese Medicine (TCM) remedial massage treatments

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client for treatment

  1. Interpret treatment plan and clearly outline how the treatment will be provided and managed
  2. Explain factors which may interfere with the effectiveness of the treatment
  3. Inform the client of possible physical or emotional reactions during and following a session and the appropriate course of action to take
  4. Follow established protocols to physically prepare the client for treatment
  5. Confirm client consent for treatment
Interpret treatment plan and clearly outline how the treatment will be provided and managed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Explain factors which may interfere with the effectiveness of the treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Inform the client of possible physical or emotional reactions during and following a session and the appropriate course of action to take

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow established protocols to physically prepare the client for treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm client consent for treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply therapeutic techniques

  1. Determine treatment sequence, location and degree of pressure according to assessment indications and treatment plan
  2. Apply TCM remedial massage techniques protocol
  3. Use the condition and response of the client as a continual feedback to the initial assessment
  4. Position client to optimise their comfort and support while allowing for optimum application of techniques
  5. Maintain appropriate therapist postures that ensure a controlled distribution of body weight
  6. Maintain client-focused attention throughout the treatment session
  7. Recognise reactions to treatment and respond promptly
Determine treatment sequence, location and degree of pressure according to assessment indications and treatment plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply TCM remedial massage techniques protocol

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use the condition and response of the client as a continual feedback to the initial assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position client to optimise their comfort and support while allowing for optimum application of techniques

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain appropriate therapist postures that ensure a controlled distribution of body weight

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain client-focused attention throughout the treatment session

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise reactions to treatment and respond promptly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide advice and resources for the client

  1. Educate client in relevant and practical techniques that support the treatment plan
  2. Answer client queries with clarity, using language the client understands
  3. Use honesty and integrity when explaining treatment plans, schedules and recommendations to the client
  4. Promote client independence and responsibility in treatment
  5. Discuss and agree on evaluation strategies
  6. Accurately document treatment provided and details of client communications
Educate client in relevant and practical techniques that support the treatment plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Answer client queries with clarity, using language the client understands

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use honesty and integrity when explaining treatment plans, schedules and recommendations to the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Promote client independence and responsibility in treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss and agree on evaluation strategies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately document treatment provided and details of client communications

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. Prepare client for treatment

1.1 Interpret treatment plan and clearly outline how the treatment will be provided and managed

1.2 Explain factors which may interfere with the effectiveness of the treatment

1.3 Inform the client of possible physical or emotional reactions during and following a session and the appropriate course of action to take

1.4 Follow established protocols to physically prepare the client for treatment

1.5 Confirm client consent for treatment

2. Apply therapeutic techniques

2.1 Determine treatment sequence, location and degree of pressure according to assessment indications and treatment plan

2.2 Apply TCM remedial massage techniques protocol

2.3 Use the condition and response of the client as a continual feedback to the initial assessment

2.4 Position client to optimise their comfort and support while allowing for optimum application of techniques

2.5 Maintain appropriate therapist postures that ensure a controlled distribution of body weight

2.6 Maintain client-focused attention throughout the treatment session

2.7 Recognise reactions to treatment and respond promptly

3. Provide advice and resources for the client

3.1 Educate client in relevant and practical techniques that support the treatment plan

3.2 Answer client queries with clarity, using language the client understands

3.3 Use honesty and integrity when explaining treatment plans, schedules and recommendations to the client

3.4 Promote client independence and responsibility in treatment

3.5 Discuss and agree on evaluation strategies

3.6 Accurately document treatment provided and details of client communications

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. Prepare client for treatment

1.1 Interpret treatment plan and clearly outline how the treatment will be provided and managed

1.2 Explain factors which may interfere with the effectiveness of the treatment

1.3 Inform the client of possible physical or emotional reactions during and following a session and the appropriate course of action to take

1.4 Follow established protocols to physically prepare the client for treatment

1.5 Confirm client consent for treatment

2. Apply therapeutic techniques

2.1 Determine treatment sequence, location and degree of pressure according to assessment indications and treatment plan

2.2 Apply TCM remedial massage techniques protocol

2.3 Use the condition and response of the client as a continual feedback to the initial assessment

2.4 Position client to optimise their comfort and support while allowing for optimum application of techniques

2.5 Maintain appropriate therapist postures that ensure a controlled distribution of body weight

2.6 Maintain client-focused attention throughout the treatment session

2.7 Recognise reactions to treatment and respond promptly

3. Provide advice and resources for the client

3.1 Educate client in relevant and practical techniques that support the treatment plan

3.2 Answer client queries with clarity, using language the client understands

3.3 Use honesty and integrity when explaining treatment plans, schedules and recommendations to the client

3.4 Promote client independence and responsibility in treatment

3.5 Discuss and agree on evaluation strategies

3.6 Accurately document treatment provided and details of client communications

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 TCM remedial massage client consultation work

prepared for and managed at least 100 different TCM remedial massage treatment sessions - clients must include males and females from different stages of life with varied presentations

used all of the following essential manual techniques according to the TCM remedial massage framework:

press (an fa)

rub (mo fa)

push (tui fa)

grasp (na fa)

acupressure (dian xue fa)

pinch (nie fa)

roll (gun fa)

knead (rou fa)

separate (bo fa)

twist (cuo fa)

vibrate (zhen fa)

shake (dou fa)

percussion (kou fa)

circumduct (yao fa)

stretch (bashen fa)

applied the following essential methods according to client needs:

cupping (ba guan)

skin Scraping (gua sha)

moxibustion (ai jiu)

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:

codes of conduct

duty of care

informed consent

mandatory reporting

practitioner/client boundaries

privacy, confidentiality and disclosure

records management

working role boundaries

working within scope of practice

presenting symptoms that require referral to a medical practitioner

work health and safety (WHS)

location of acupressure points on the 12 primary meridians, ren mai and du mai

TCM remedial massage techniques/methods and how to apply them, including what each technique does, what effects it might have and what the cautions and contraindications are, for the following:

press (an fa)

rub (mo fa)

push (tui fa)

grasp (na fa)

acupressure (dian xue fa)

pinch (nie fa)

roll (gun fa)

knead (rou fa)

separate (bo fa)

twist (cuo fa)

vibrate (zhen fa)

shake (dou fa)

percussion (kou fa)

circumduct (yao fa)

stretch (bashen fa)

contraindications to treatment:

the client who has excessive agitation, violent rage or deep sorrow conditions

the client who is extremely hungry

the client who has infectious and inflammatory diseases

the client who has circulatory condition which could result haemorrhaging

at client's bone fracture site

at client's skin area with eczema or tinea conditions

at a client's bleeding area

at a client's lumps and tissue change site

heavy manipulation/pressure to the client's abdomen and lumbosacral area during pregnancy or menstruation

heavy manipulation/pressure for a client who is old, young and frail

potential reactions during treatment and how to respond:

syncope

excessive sweating

discomfort

emotional reactions

muscular spasms

body temperature discomfort

potential reactions following treatment and appropriate client advice:

exacerbation of pain

muscle sensitivity

sleepiness

types of advice and resources that can be provided to clients for their use outside the clinical environment

diet

exercise

lifestyle

documentation requirements for recording treatment details

common disease states and functional problems of each body system

fundamental principles of biomechanics

major endangerment sites and therapist responsibility and limitations - areas where nerves and blood vessels lie close to the skin and are not well protected, including:

anterior triangle of the neck

posterior triangle of the neck

anterior throat

axillary area

twelfth rib dorsal body

inguinal triangle

umbilicus area

essential methods:

cupping (ba guan)

skin Scraping (gua sha)

moxibustion (ai jiu)