Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTTCM502D Mapping and Delivery Guide
Perform TCM remedial massage (An Mo Tui Na) health assessment

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTTCM502D - Perform TCM remedial massage (An Mo Tui Na) health assessment
Description This unit of competency describes the skills and knowledge required to observe the condition of the client and gather information relevant to the case using traditional chinese massage (TCM) remedial massage assessment techniques
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application This unit applies to work in a range of health settingsApplication of this unit should be contextualised to reflect any professional requirements, issues and practices specific to each workplace
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not Applicable
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Determine the scope of the assessment and the client's needs
  • Establish client's purpose for consultation and identify symptoms
  • Determine client's eligibility for service using clinic/personal policies
  • Explain clearly services provided and limits of available services
  • Explore and clarity client's expectations of the service/clinic
  • Identify factors likely to have a negative impact on assessment in consultation with the client and wherever possible implement strategies to minimise the effects of these factors
  • Define personal abilities, level of professional competence and parameters of role to the client and ensure they determine practice at all times
  • Refer client to other health care providers where their needs are identified as beyond the scope of the services able to be provided, or if in the opinion of the practitioner their needs are best met by doing so
  • Identify and promote legal rights of the client
       
Element: Obtain and record an accurate history of the client
  • Seek information required from the client for the client's history in a respectful way asking all enquiries in a purposeful, systematic and diplomatic manner
  • Collect and record accurate, relevant and well organised information in a form which can be interpreted readily by other professionals
  • Manage information in a confidential and secure way
       
Element: Manage the health assessment
  • Obtain informed client consent prior to conducting tests, in accordance with relevant legislation and regulations
  • Allow adequate time during consultation to gather critical information
  • Identify and minimise factors that may interfere with the information gathering process
  • Identify, establish and routinely observe essential requirements for the maintenance of clinical and practitioner hygiene
  • Anticipate potential sensitivities of the, adapt approach accordingly to take these into account and take steps to ensure the client's dignity is maintained at all times
  • Pursue and investigate abnormal findings in a deliberate, logical and appropriate manner
  • Assess the reliability of data obtained and ensure appropriate clinical correlation with the client's complaints is established
  • Base any decision to carry out laboratory tests on the integration of previously obtained clinical data and history
  • Adhere to protocol required by the agency in ordering tests
  • Accurately record all information in a systematic manner in accordance with clinic guidelines
       
Element: Prepare the client for assessment
  • Respect client boundaries at all times
  • Seek client feedback on comfort levels
  • Prepare a suitable environment to maximise client comfort
       
Element: Make an assessment of the client
  • Identify signs of condition according to TCM therapy framework
  • Assess client through palpation, observation and sensory information gathering techniques
  • Use other appropriate assessment techniques
  • Identify contraindications to treatment
  • Conduct assessment according to local regulation and legislative requirements
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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 performance in the workplace or a simulated workplace (defined as a supervised clinic) 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

Context of and specific resources for assessment:

An appropriately stocked and equipped clinic or simulated clinic environment

Relevant assessment instruments

Appropriate assessment environment

Skilled assessors

Method of assessment

Observation in the work place (if possible)

Written assignments/projects 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.

Examples of assessment notes

Oral questioning on technique or assessment strategy

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 and/or Torres Strait Islander clients and communities

Related units:

This unit should be assessed in conjunction with the following related units:

HLTCOM404C Communicate effectively with clients

HLTHIR501B Maintain an effective health work environment

HLTIN301C Comply with infection control policies and procedures

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Aetiology and pathology

Atheroma formation and oedema and their effects within the human body

Awareness of critical information required for assessment and treatment according to principles of TCM

Awareness of time management requirements during consultation

Bioenergetic concepts and the cardio-respiratory concepts in relation to exercise

Correct terminology

Diagnostic ability of face, complexion, posture and vitality

Disease causation, acute and chronic inflammatory processes, wound healing and haemorrhage processes

Disease processes and affecting factors for a range of common diseases

Environmental physiology and the effects of drugs on the individual sport

Ethical and legal implications of enquiry

Indications for massage

Infectious and immunity process

Jing Luo (meridian) theory

Legislative and regulatory requirements

Main paths of the human respiratory and cardiovascular systems and their physiology

Musculo-skeletal, digestive, integumentary, nervous, urinary, endocrine and reproductive systems

Neoplasms and pathological skin conditions

Normotensive and hypertensive characteristics

Palpatory assessment techniques

Philosophical approach to diagnosis and treatment

Physiology and anatomy

Physiology and anatomy according to TCM Remedial Massage framework

Primary functions of meridians and meridian extensions

Relationships between body types and symptoms according to five phases theory

Relevant testing and assessment options and procedures

Structure and function of anatomical systems

Structure and function of cells, tissues, blood and organs

Structure and function of skeletal, muscular; cardiovascular and lymphatic systems

continued ...

Essential knowledge (contd):

Symptomology and pathology according to TCM Remedial Massage framework

The basis of health and disease

The character and function of tsubo (acu-points)

The effects of hormones on the body

The formation and function of blood, essence and fluids

The history and development of TCM, anatomy and physiology

The influence of constitution and medical history on personal health

The influence of lifestyle, diet, personal history and values and attitudes on health

The influence of rest and activity on health status

The pathological process of thrombosis and embolism

The principles of human movement and biomechanics

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

The relationship between physical and social environment and health

The vital substances: Qi, Xue, Jing, Jin Ye

Understanding signs and symptoms of condition

Yin and Yang and Five Elemental Phases

Zang fu (organ) theory

Essential skills:

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Assess client using a range of TCM remedial massage assessment techniques

Communicate effectively to gain required information

Correctly use stethoscope, sphygmomanometer and an otoscope

Demonstrate assessment skills

Demonstrate communication skills

Demonstrate record keeping skills

Identify and describe major diagnostic zones of the body

Identify contra-indications for massage

Identify prominent bones/structures and major muscle groups through palpation

Read medical reports

Select and use appropriate assessment techniques

Use correct terminology

Use equipment and technology competently and safely

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.

Factors likely to have a negative impact on assessment may include:

Language difficulties

Disabilities

Emotional trauma

Lack of privacy or focus due to additional parties being present

Cultural or gender factors

Other health care professional may include:

Medical practitioners

Psychologists

Social workers

Counsellors

Other alternative/complementary health practitioners

Other appropriate assessment techniques may include:

Palpation

Observation

Listening and smelling

Taking of blood pressure, temperature, radial pulse rate and quality

Percussion

TCM pattern differentiation

Discussion/questioning

Or any other method in which the practitioner has been trained to a competent standard

Procedure which is conducted according to legislative and regulatory requirements

Client history may include:

Date of presentation

Identifying personal details

Source of referral (if applicable)

Main presenting complaint or reason for massage

Presenting symptom picture

General state of health

biological

emotional

psychological

social

spiritual

allergies

appetite and eating habits

bowel and urinary habits

menstrual cycle

sleep patterns

exercise

relaxation/leisure activities

Childhood and adult illness

Accidents, injuries, operations

Hospitalisations

Occupational history and environment

Other current medical treatment

Medication, supplements and natural prescriptions - current and previous

Social lifestyle including social drug usage

Family history

Potential sensitivities may include:

Gender

Ethnicity

Language

Religious beliefs

Cultural heritage

Sexuality

Ability

Presenting disease state and personal history

Contraindications to treatment may include:

Infection or infectious diseases

Pain local sharp, dull, achy, deep, surface

Fatigue

Inflammation

Lumps and tissue changes

Rashes and changes in the skin

Oedema

Mood alterations, eg. depression, anxiety

Changes in habits such as appetite elimination or sleep

Bleeding and bruising

Nausea, vomiting or diarrhoea

Temperature - hot/cold

Varicose veins

Recent severe sprains, bruises or whiplash injuries

Migraines

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Establish client's purpose for consultation and identify symptoms 
Determine client's eligibility for service using clinic/personal policies 
Explain clearly services provided and limits of available services 
Explore and clarity client's expectations of the service/clinic 
Identify factors likely to have a negative impact on assessment in consultation with the client and wherever possible implement strategies to minimise the effects of these factors 
Define personal abilities, level of professional competence and parameters of role to the client and ensure they determine practice at all times 
Refer client to other health care providers where their needs are identified as beyond the scope of the services able to be provided, or if in the opinion of the practitioner their needs are best met by doing so 
Identify and promote legal rights of the client 
Seek information required from the client for the client's history in a respectful way asking all enquiries in a purposeful, systematic and diplomatic manner 
Collect and record accurate, relevant and well organised information in a form which can be interpreted readily by other professionals 
Manage information in a confidential and secure way 
Obtain informed client consent prior to conducting tests, in accordance with relevant legislation and regulations 
Allow adequate time during consultation to gather critical information 
Identify and minimise factors that may interfere with the information gathering process 
Identify, establish and routinely observe essential requirements for the maintenance of clinical and practitioner hygiene 
Anticipate potential sensitivities of the, adapt approach accordingly to take these into account and take steps to ensure the client's dignity is maintained at all times 
Pursue and investigate abnormal findings in a deliberate, logical and appropriate manner 
Assess the reliability of data obtained and ensure appropriate clinical correlation with the client's complaints is established 
Base any decision to carry out laboratory tests on the integration of previously obtained clinical data and history 
Adhere to protocol required by the agency in ordering tests 
Accurately record all information in a systematic manner in accordance with clinic guidelines 
Respect client boundaries at all times 
Seek client feedback on comfort levels 
Prepare a suitable environment to maximise client comfort 
Identify signs of condition according to TCM therapy framework 
Assess client through palpation, observation and sensory information gathering techniques 
Use other appropriate assessment techniques 
Identify contraindications to treatment 
Conduct assessment according to local regulation and legislative requirements 

Forms

Assessment Cover Sheet

HLTTCM502D - Perform TCM remedial massage (An Mo Tui Na) health assessment
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTTCM502D - Perform TCM remedial massage (An Mo Tui Na) health assessment

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: