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Elements and Performance Criteria

  1. Consult with referred clients presenting with chronic conditions.
  2. Deliver prescribed exercise programs.
  3. Monitor and review clients responses to the prescribed exercise program.
  4. Provide advice regarding additional lifestyle modifications to enhance the management of the condition.

Required Skills

Required skills

communication skills to provide clear instruction and constructive feedback to older clients family members medical or allied health professionals

problemsolving skills to

identify exercises targeted at specific fitness components or medical conditions and make modifications where required

recognise conditions outside own scope of practice and make appropriate recommendations and referrals

team work skills to work collaboratively with medical or allied health professionals according to legal and ethical conditions

literacy and numeracy skills to enable the accurate interpretation of referrals and to record client exercise programs and calculate and adjust exercise duration and frequency

decision making skills to determine appropriate instructional techniques

planning and organising skills to plan and instruct the exercise session including accessing all required equipment and making appropriate modifications to equipment

interpersonal skills to interact effectively with older adults

observation skills to monitor the performance of older clients and recognise where and when modifications are required

literacy skills to accurately document and report on client progress

numeracy skills to manage the time of classes and facility schedules

Required knowledge

the medical and allied health sector to enable appropriate recommendations to be made to older clients and family members

principles of biomechanics and exercise science to enable the selection of exercises appropriate to participant conditions and needs

physiological social and emotional processes of ageing to enable effective planning of programs

age related health conditions to enable appropriate selection and modification of exercises

principles of exercise program design to enable development of a program for a specific condition or multiple conditions

relevant legislation and organisational policies and procedures to enable safe and appropriate conduct of exercise for older clients

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria required skills and knowledge range statement and the Assessment Guidelines for the Training Package

Overview of assessment

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

Evidence of the following is essential

communicates effectively with accredited exercise physiologist or relevant medical or allied health professional regarding relevant health and functional status of the referred client

effective communication skills to discuss aspects of exercise prescription with clients

when appropriate react to adverse events to deal with exercise program problems and issues

ability to correctly interpret the exercise prescription and make modifications consistent with prescribed parameters and scope of practice

safely and effectively delivers exercise for older clients with chronic conditions and recommends appropriate alterations according to clients physical and motivational responses

monitors and maintains the safety of clients exercise equipment and the exercise setting and applies effective contingency management techniques to deal with problems and issues that may arise during the exercise program

applies all relevant legal and ethical requirements when discussing and recording client information

demonstrates appropriate manner empathy and patience when working with older clients

develops a variety of sessions for physical activity classes for a range of client groups of older clients with chronic conditions

modifies individual exercises to accommodate the specific needs of the client

evaluates exercise sessions and modifies exercise plans according to feedback received from clients and own evaluation

Context of and specific resources for assessment

Assessment must ensure training of multiple exercise sessions that are of sufficient duration and breadth to allow the demonstration of competency and consistency of performance

Assessment must also ensure access to

a facility or venue where a variety of exercise modes and equipment are available such as a weights gym pool exercise room and open air

a range of real or simulated medical or allied health professional referrals for a range of older clients with chronic conditions

relevant documentation such as client record forms

a range of participant groups composed of older adults with a variety of chronic conditions

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge The following examples are appropriate for this unit

observation of instructing and monitoring exercise classes for older clients with unstable conditions

oral or written questioning to assess knowledge of ageing process specific medical conditions and how these relate to effective exercise planning

portfolio of plans for physical activity programs for older clients with different unstable conditions

thirdparty reports from a supervisor detailing work performance


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. 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) may also be included.

Medical or allied health professional may include:

sports physician

sports doctor

general practitioner

physiotherapist

accredited exercise physiologist

occupational therapist

remedial massage therapist

chiropractor

osteopath

accredited practising dietician

psychologist

aboriginal health worker

diabetes educator.

Chronic conditions may include:

asthma

autoimmune diseases

cancer

cardiovascular diseases

chronic fatigue

chronic obstructive pulmonary disease

diabetes

hepatitis

osteoarthritis

osteoporisis

renal failure

rheumatoid arthritis.

Relevant legislation may include:

Occupational Health and Safety

duty of care

privacy

codes of practice

fair trading.

Organisational policies and procedures may include:

Occupational Health and Safety

emergency procedures

risk management

use of client record systems

collection and use of client information

equipment use and maintenance

client supervision

incident reporting

client screening procedures

client referral procedures.

Risk factors may include:

family history

obesity

joint trauma and injury

menopause in females

repetitive occupational use

physical inactivity

eating disorders

low body weight and calcium intake

smoking.

Client needs may include:

consideration of adaptations of older clients

methods of instruction

time delivery to achieve outcomes

changes to environment and or spaces

adaptation and modification of equipment.

Cardiorespiratory conditioning may include:

Choice of exercises and location:

appropriate to condition and health needs

emphasis on functional capacity and activities of daily living such as mobility

gait, coordination, balance limitations

low initial fitness level, easily fatigued

inefficient movement

possible cognitive impairment

integration with muscular training:

prior improvement in strength, balance and range of motion

use of exercise machines and circuit training

low fitness level and need for gradual progression.

Muscular conditioning may include:

muscular endurance

muscular strength

muscular power.

Instructional techniques may include:

transitions between exercises or games

class structure variations

communication skills

verbal and visual instructions relevant to client conditions

technique correction.

Exercise programs may include:

cardiovascular

strength training

flexibility

agility

balance

posture and core stability

fundamental movement skills

aquatic exercise.

Modifications may include:

accommodations for the physical changes and unstable health conditions

accommodations for the social and psychological changes that occur with ageing

Older clients may include:

adults 50 years and over with:

one chronic condition

multiple conditions

Exercise equipment may include:

treadmill

cycle

ergometers

rowing machine

dumbbells and strength training equipment

small equipment

chairs

balance equipment

interactive equipment

circuit-based equipment

aquatic.

Symptoms requiring interjection may include:

shortness of breath at rest or with mild exertion

dizziness or syncope

orthopnea or paroxysmal nocturnal dyspnea

palpitations or tachycardia

intermittent claudication

unusual fatigue or shortness of breath with usual activities

illness or sickness

lack of functional strength

neck soreness or strain

pain on movement of any body part.

Procedures to respond to signs and symptoms requiring intervention may include:

cessation of activity

first aid

emergency medical assistance

referral.

Unstable condition may include:

musculoskeletal

sensory impairment

dementia

metabolic conditions

physical disabilities

neurological disorders

joint replacement

claudication

angina

stroke

COPD and or COAD.

Lifestyle modifications may include:

moderation of alcohol consumption

cessation of smoking

increased incidental activity

stress reduction

provision of health eating guidelines

provision of healthier choices.