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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 workplace performance is essential for assessment of this unit 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 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 practitioners workplace scope of practice as detailed in the qualification and component competency units holisticintegrated 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	An appropriately stocked and equipped clinic or simulated clinic environment Relevant resource and information material Relevant paper based video assessment material Qualified assessors

Method of assessment	Observation in the work place if possible Written assignmentsprojects 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 laboratory If successful a second assessment is to be conducted during workplace application under direct supervision

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 andor Torres Strait Islander clients and communities

Related units	This unit should be assessed in conjunction with competency units related to planningdelivery of the specific complementary and alternative health care service being undertaken

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.

Range of life threatening conditions:	Cancer Illnesses where it is expected that death will be a direct consequence of the specified illness. This definition is inclusive of both a malignant and non-malignant illness. Life limiting illnesses might be expected to shorten an individual's life expectancy (Draft Standards for Providing Quality Palliative Care to all Australians. PCA November 2004).

Palliative approach services include:	Assisting in the psychological, cultural and spiritual aspects of care for the client Identify the clients, family and carer as the unit of care Maintaining the client's dignity Maximising self-care and self-determination for the client Participating in a team approach to address the needs of clients, families and carers ensuring a palliative approach Practice reflects an understanding of the impact of a palliative approach in an organisation Practice that reflects an understanding of the aims of a palliative approach Providing support for clients, family, worker and carer using a palliative approach Recognising symptoms of pain, discomfort and other symptoms and the clients need for pain relief Recognising the signs that death may be imminent Seeking advice from appropriate person e.g. supervisor, team leader or palliative care team Understanding the needs of clients approaching end-of-life

Support resources may include	Family and community resources Financial resources Inner resources Time resources

Strategies for selfcare may include:	Accessing additional for emotional support Health care treatment Professional supervision Respite from the demands of displaying warmth and empathy towards others Self monitoring and reflection Support for negotiating moral dilemmas Support for personal and spiritual growth

Worker emotional responses may include:	A range of emotions that may be demonstrated or displayed as a response to the process of loss and grief, for example: crying and feelings of sadness fear, anger, silence and may appear singularly or together and prolong the workers own grief poor concentration

Client need may include	Acute medical intervention Comfort Cultural and spiritual supports Emotional supports Pastoral care Personal care and hygiene Personal supports and relationships. Sexuality and Intimacy supports Social activities.

Treatment and support options may include	Family, friends, community, workplace Financial Intellectual, Time resource

Psychosocial factors affecting quality of life may include	Anxiety, depression, PTSD, risk of suicide Body image, self-concept and sexuality Denial of condition Family, social and workplace support Fear and stress experienced by family members, barriers to clients Gender issues Self concept and body image Sexuality issues Social impairment

Physical factors arising from disease and treatment process affecting quality of life may include:	Bowel problems Cognitive problems Devitalisation Disfigurement Fatigue Incontinence Lymphedema Malnutrition Nausea and vomiting Odour Oral symptoms Pain Pregnancy, lactation and fertility issues Respiratory problems Sleep problems Stage of life issues

Cultural factors effecting quality of life may include	Communication Cultural sensitivities about diagnosis and treatment Knowledge of interpreter services Language barriers

Practical and financial factors affecting quality of life may include	Access to treatment and resources Costs associated with diagnosis and treatment, supportive therapies, prostheses, and aids Costs associated with travel and accommodation Discrimination with regard to insurance, business dealings, access to loans Geographical location isolation Loss of income

Strategies for self care may include	Access intervention if needed Attention to nutrition, adequate sleep and exercise Context for personal and spiritual growth Professional supervision Reflective practice

Ethical issues may include:	Conflict between the client's and/or family's wishes and/or practitioner feelings Conflict that may occur in relation to personal values and decisions made by or for the client Decisions regarding medical treatment

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HLTCOM509B - Provide services for people with a life challenging illness

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement