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Evidence Guide: LMTMF6001A - Conduct comprehensive medical grade footwear assessments for clients with footwear-related medical conditions

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

 

LMTMF6001A - Conduct comprehensive medical grade footwear assessments for clients with footwear-related medical conditions

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

Provide potential client with information about services and products

  1. Services and products provided are outlined and general estimates of costs of services and products are provided
  2. Possible subsidised funding options for services or products are presented to client
  3. Client is provided with estimate of time required to conduct assessment and the general procedures associated with the assessment
  4. Client is advised on general and medical documentation and footwear and orthoses required for assessment
  5. Suitable appointment time and location for assessment are negotiated and confirmed
  6. Client's current walking condition and need for assistance in attending assessment are discussed
Services and products provided are outlined and general estimates of costs of services and products are provided

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Possible subsidised funding options for services or products are presented to client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client is provided with estimate of time required to conduct assessment and the general procedures associated with the assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client is advised on general and medical documentation and footwear and orthoses required for assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Suitable appointment time and location for assessment are negotiated and confirmed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client's current walking condition and need for assistance in attending assessment are discussed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Interpret prescription or referral information

  1. Prescriptions and referrals are reviewed to determine action to be taken
  2. Health, medical professionals or agencies are contacted to clarify issues or to obtain further information
Prescriptions and referrals are reviewed to determine action to be taken

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Health, medical professionals or agencies are contacted to clarify issues or to obtain further information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain pertinent personal and medical information from client

  1. General health status and personal information is obtained to establish client profile
  2. Detailed information is obtained regarding client medical history and present health status and condition
  3. Information is recorded accurately and completely to assist in determining possible plans of action
General health status and personal information is obtained to establish client profile

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Detailed information is obtained regarding client medical history and present health status and condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Information is recorded accurately and completely to assist in determining possible plans of action

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe general physical and emotional state of client and implement supportive actions

  1. Degree of mobility and level of assistance and support required by client are noted
  2. Client discomfort is minimised by providing walking aids or transport devices, as required
  3. A friendly and empathic communication style is used to reassure client and reduce anxiety or stress
  4. Other physical characteristics of client that may have an affect on future plans of action are noted
  5. The assessment environment complies with professional and accepted community standards for client comfort and privacy and OHS practices
  6. Other suitably qualified professionals are consulted with, if necessary to discuss concerns or issues arising from client physical or emotional state
Degree of mobility and level of assistance and support required by client are noted

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client discomfort is minimised by providing walking aids or transport devices, as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

A friendly and empathic communication style is used to reassure client and reduce anxiety or stress

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Other physical characteristics of client that may have an affect on future plans of action are noted

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

The assessment environment complies with professional and accepted community standards for client comfort and privacy and OHS practices

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Other suitably qualified professionals are consulted with, if necessary to discuss concerns or issues arising from client physical or emotional state

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify client's needs and expectations

  1. Client lifestyle and work needs are identified
  2. Client personal short- and long-term goals are identified
  3. Client expectations related to services and products to be provided are discussed and agreement reached between client and service provider
  4. Client questions about short- and long-term improvement in condition are answered honestly and frankly
  5. Client general suitability for service and products are determined and options discussed with client and medical or health professionals, as required
Client lifestyle and work needs are identified

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client personal short- and long-term goals are identified

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client expectations related to services and products to be provided are discussed and agreement reached between client and service provider

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client questions about short- and long-term improvement in condition are answered honestly and frankly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client general suitability for service and products are determined and options discussed with client and medical or health professionals, as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct physical assessment of foot and lower limb

  1. Physical examination of foot and lower limb is carried out and prescription and referral information compared with findings, if appropriate
  2. Presence and extent of medical conditions of foot and lower limb are identified, including types and grades of any skin conditions that may affect the provision of medical grade footwear and orthoses
  3. Range of motion of foot and lower limb, function of muscles and joints, status of joints, and other factors and abnormalities that affect the functioning of the foot are assessed against established norms
  4. Information is recorded accurately and completely
Physical examination of foot and lower limb is carried out and prescription and referral information compared with findings, if appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Presence and extent of medical conditions of foot and lower limb are identified, including types and grades of any skin conditions that may affect the provision of medical grade footwear and orthoses

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Range of motion of foot and lower limb, function of muscles and joints, status of joints, and other factors and abnormalities that affect the functioning of the foot are assessed against established norms

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Information is recorded accurately and completely

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Carry out measurements on foot, footwear and orthoses

  1. Appropriate measurement techniques are selected based on client's presenting medical problem
  2. Direct and representation measurements are taken related to shape and size of foot
  3. Gait analysis is performed to obtain baseline data of client's walk pattern, including any deviation from norms and lower back and pelvic consequences of client's gait
  4. Supplementary measurement techniques are used to confirm primary findings or to provide additional data
  5. Trial fit is conducted using commercial or client's footwear
  6. Footwear and orthoses are examined and measurements taken, as necessary
  7. Measurements are recorded within prescribed levels of accuracy
  8. Data derived from measurements is analysed and results recorded in client file using established procedures
Appropriate measurement techniques are selected based on client's presenting medical problem

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Direct and representation measurements are taken related to shape and size of foot

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gait analysis is performed to obtain baseline data of client's walk pattern, including any deviation from norms and lower back and pelvic consequences of client's gait

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Supplementary measurement techniques are used to confirm primary findings or to provide additional data

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Trial fit is conducted using commercial or client's footwear

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Footwear and orthoses are examined and measurements taken, as necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Measurements are recorded within prescribed levels of accuracy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Data derived from measurements is analysed and results recorded in client file using established procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work collaboratively with other health professionals

  1. Roles and functions of other service providers are recognised and acknowledged within accepted ethical standards
  2. Health care professionals and other service providers are consulted, as appropriate, and in accordance with relevant legislation, for information, advice, assistance or cooperation
  3. Clients are fully advised as to indications and reasons for referral
  4. Client consent to release relevant information to other professionals or service providers is documented
  5. Client information is provided to other health professionals or service providers, in accordance with medico-legal requirements and ethics related to confidentiality
  6. Outcome of referral process is communicated to initiating practitioner or service provider, verbally or in writing
Roles and functions of other service providers are recognised and acknowledged within accepted ethical standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Health care professionals and other service providers are consulted, as appropriate, and in accordance with relevant legislation, for information, advice, assistance or cooperation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clients are fully advised as to indications and reasons for referral

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client consent to release relevant information to other professionals or service providers is documented

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client information is provided to other health professionals or service providers, in accordance with medico-legal requirements and ethics related to confidentiality

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Outcome of referral process is communicated to initiating practitioner or service provider, verbally or in writing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop a management plan and seek approval of client and other parties to implement plan

  1. All information provided by client, health professionals or agencies and measurements are analysed and prioritised to provide the basis for a plan of action
  2. Plan of action is formulated and options are presented to the client, in consultation with carers, health professionals or agencies, where necessary
  3. Client is allocated sufficient time to consult with other parties to make an informed decision about proposed plan of action
  4. Specifications are developed that reflect client needs, and current medical condition, and feasibility to produce footwear or orthoses
  5. Agreement is reached with client, and other parties if necessary, regarding costs, timelines and payment schedules to implement plan of action
  6. Prior to commencement of any stage of the plan of action, client is provided with a briefing to ensure complete understanding of processes, procedures and expected outcomes
All information provided by client, health professionals or agencies and measurements are analysed and prioritised to provide the basis for a plan of action

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Plan of action is formulated and options are presented to the client, in consultation with carers, health professionals or agencies, where necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client is allocated sufficient time to consult with other parties to make an informed decision about proposed plan of action

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Specifications are developed that reflect client needs, and current medical condition, and feasibility to produce footwear or orthoses

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Agreement is reached with client, and other parties if necessary, regarding costs, timelines and payment schedules to implement plan of action

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prior to commencement of any stage of the plan of action, client is provided with a briefing to ensure complete understanding of processes, procedures and expected outcomes

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 the Training Package.

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Demonstrates skills and knowledge to:

communicate with clients and carers in a manner consistent with the client's level of understanding of processes and procedures

liaise and consult with medical and allied health professionals

conduct physical examinations of the foot and lower limbs and obtain measurements

analyse gait and measure deviations from norms

identify client's gait, the relationship to different foot and leg muscles and any lower back and pelvic twists

identify requirement for referral to medical practitioner or other health professional

record and document measurements and other test results

use problem-solving approach to make decisions related to medical grade footwear or orthoses options

develop a plan of action and management plan

comply with the principles and standards of 'duty of care'

observe ethical standards of client confidentiality

follow up and review client's progress

perform administrative tasks associated with maintaining client records, financial record keeping and filing and storing client's foot tracings, impressions or casts

establish and maintain effective working relationships with clients and colleagues

identify limitation of own knowledge and skills and make referral to more appropriate service providers as required

clear, accurate and relevant communication, written and verbal, which meets professional and ethical standards

achieve multi-disciplinary collaboration and input when indicated

recognise primary accountability and responsibility for client

apply OHS policies in work operations

maintain accurate records

Consistently applies skills and knowledge when:

organising work

completing tasks

identifying improvements

using workplace practices

using OHS practices

recording and reporting accidents and incidents

assessing operational readiness of equipment used and work processes

recognising and adapting to cultural differences in the workplace, including modes of behaviour and interactions

completing work systematically with attention to detail without damage to goods and equipment

Context and specific resources for assessment

Assessment may occur on the job or in an appropriately simulated environment and requires access to work areas, materials and equipment and to information on workplace practices and OHS practices.

Guidance information for assessment

This unit may be assessed independently or in combination with other relevant units.

Required Skills and Knowledge

This describes the essential skills and knowledge and their level, required for this unit.

Demonstrates knowledge of:

problem-solving approach to carry out assessments of clients with foot-related medical conditions based on an appropriate level knowledge of anatomy and physiology

client medical condition classification system for determining medical grade footwear and orthotic options: (common medical conditions include orthopaedic, vascular, neurological, degenerative)

principles of biomechanics and kinesiology that directly influence the design and development of medical grade footwear and orthoses

names, locations and functions of foot, leg and pelvic bones

anatomy of the leg and foot single muscles, including:

names and attachment points

the way muscles run in the leg and foot

purpose of each muscle, and other muscles and ligaments that work with each muscle

the problems and consequences of the muscle not working correctly, including the effect of paralysis on individual muscles

gait patterns, including:

knowledge of biomechanics

detailed gait pattern analyses, such as deviations from norms, and gait pattern relationship to individual muscles

pathomechanics

consequences of defective gaits for lower back and pelvis

surgical and conservative physiotherapy procedures, including:

consequences of different types of foot operations, eg osteotomies

achilles tendon releases

re-routing of tendons, and other major surgical procedures

different types and grades of skin injuries and the appropriate referral strategy for each type of skin injury

dressing strategies for ulcers and the means of accommodating dressings in medical grade footwear

measurement techniques which include:

direct measurements - rulers and tape measures

representation - footprint (tracing ink pressure, draw in landmarks), casts (plaster impression, foam), foot tracing (90, 60 and 45 degrees)

indirect scale - footwear scales (Brannock devices)

shoe fittings (commercial and own)

extra non-footwear measures - pressures (pressure footprints), measurement techniques using scanners, computerised and video gait pattern analysers and other new technologies

Australian standards or industry standards used in the construction of footwear

follow-up and ongoing review process

practitioner and client relationship and factors which can affect this relationship

services provided by medical and allied health professionals

principles of medical grade footwear design and how they can be used to meet individual client requirements

general and medical grade footwear construction techniques, materials and tools and equipment used

available prefabricated footwear

safety and environmental aspects of enterprise production processes

operation of State and federal government departments (eg Department of Veterans' Affairs) and State health agencies relevant to medical grade footwear operations

health insurance funds and reimbursement or supplementary paying schemes eg Aids and Appliances Program, Department of Veterans' Affairs, Workers' Compensation, Brotherhood of St Laurence

health insurance and funding

industry and enterprise codes of practice

multi/cross-disciplinary principles and practices

relevant codes of practice and regulations governing other practitioners, allied health professionals and service providers

roles, capabilities and limitations of appropriate medical and allied health professionals, other practitioners, community resources and services

range of services capable of being supplied by other professionals and service providers

personal, professional and medico-legal accountability

maintenance of client and colleague confidentiality

team and group leadership and group dynamics

community expectations of practitioners

documentation requirements

conflict resolution techniques

individual attributes and differences affecting the practitioner/client relationship, regulatory requirements, copyright obligations and codes of practice

OHS practices, including hazard identification and control measures

quality practices

workplace practices

recording and reporting practices

Demonstrates skills to:

adhere to prescribed professional reporting processes

establish and maintain effective working relationships with associates and other professionals

work as a member of a multi/cross-disciplinary team

acknowledge limits of knowledge and skill and referring clients to other professionals when necessary

document information for referral to, or review by, industry associates and other professionals

objectively evaluate services and products of industry associates and other professionals

use appropriate communication skills to collect information from clients and provide advice and information that are commensurate with the client's language and cognitive abilities

use consultative skills for eliciting information from medical and allied health professionals

examine foot and lower limb and taking measurements using appropriate techniques

record and document all consultative, client and measurement data

use problem-solving and decision making skills to formulate plans of action and provide options for a variety of footwear problems

read, interpret and follow information on work specifications, standard operating procedures and work instructions and other reference material

maintain accurate records

communicate within the workplace

sequence operations

meet specifications

clarify and check task-related information

carry out work according to OHS practices

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. Bold italicised wording, if used in the Performance Criteria, is detailed below. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs if the candidate, accessibility of the item, and local industry and regional contexts.

Legislative/regulatory requirements

All work must comply with relevant Federal and State or Territory legislative or regulatory requirements.

Client may include people

referred for assessment by medical or health care professionals

making direct contact

Assessment may:

include the initial meeting of client and practitioner, ongoing during development of medical grade footwear and orthoses and as part of follow-up or regular client review

need to be verified by suitably qualified medical and health professionals to confirm the level and status of foot-related medical condition to be treated

Assessment environment may include:

on-site at enterprise

in a hospital or community health care centre

at a residential aged care or disability facility

at client or carer home

OHS practices

OHS practices must include hazard identification and control, risk assessment and implementation of risk reduction measures specific to the tasks described by this unit, and may include:

manual handling techniques

standard operating procedures

personal protective equipment

safe materials handling

taking of rest breaks

ergonomic arrangement of workplaces

following marked walkways

safe storage of equipment

housekeeping

reporting accidents and incidents

other OHS practices relevant to the job and enterprise