HLTAYV010
Select and advise on Ayurvedic medicines - dravyaguna


Application

This unit describes the skills and knowledge required to determine an Ayurvedic medicine treatment strategy based on an existing diagnosis, provide relevant advice to the client and complete treatment documentation.

This unit applies to Ayurvedic practitioners working with clients to address specific therapeutic needs.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine treatment strategy

1.1 Determine the treatment strategy, prognosis and therapeutic expectations according to the diagnosis, client needs and stage of life

1.2 Determine contraindications to treatment and modify treatment strategy accordingly

1.3 Consider treatment and advice information provided by other health care professionals

1.4 Evaluate the impact of disease phase or stage on treatment selection

1.5 Take into consideration possible client compliance issues in specific treatment options

1.6 Select medicines and administration method based on prakruti, vikruti, agni, seasons, ojas & strength of client

2. Provide advice and resources to the client

2.1 Clearly explain treatment rationale and expectations

2.2 Provide clear instructions for taking medicines, and negotiate if required

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

2.4 Negotiate the management of selected Ayurvedic medicines in relation to any other current medicines

2.5 Request client to monitor responses to the supplementsand to contact practitioner as required

2.6 Clarify and agree responsibilities of practitioner and client within the treatment plan

2.7 Explain and agree treatment evaluation strategies

3. Complete treatment documentation

3.1 Document accurate details of Ayurvedic medicines to be provided

3.2 Accurately record details of treatment recommendations in client file

3.3 Record arrangements for treatment review according to clinic guidelines

Evidence of Performance

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 400 hours of Ayurvedic client consultation work,

created at least 40 different client prescriptions. Clients must include males and females from different stages of life with varied presentations

selected medicines based on Ayurvedic principles, determining appropriate medicines based on the diagnosis, including:

information about the condition including phase or stage

prevalent season and sandhi

agni, prapaka, vipaka, malas

triguna/state of mind

available vikruti/medical data

ahara, vihar, aushadhi

kaya chikitsa

bhaishajya kala

available medical data

particular client issues or preferences

contraindications

planned strategies to balance rajasic and tamasic gunnas, to reduce ama generation, to eliminate the excessive build up of doshas, to open all srotamsi, to maintain optimum agni, to restore balance and ojas and to sustain health at all the four levels

interacted effectively with clients:

provided clear explanations about treatment rationale, expectations and affecting factors

provided clear instructions about administration of medicine

explained and agreed treatment monitoring and evaluation


Evidence of Knowledge

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 Ayurvedic medicines:

codes of conduct

duty of care

informed consent

mandatory reporting

practitioner/client boundaries

privacy, confidentiality and disclosure

records management

Therapeutic Goods Administration (TGA) requirements

work role boundaries

working within scope of practice

presenting symptoms that require referral to a medical practitioner

work health and safety

dravyaguna, including:

gunas, rasapanchaka and uses of:

minimum of 100 dravya

current scheduled or restricted Ayurvedic herbs

culinary herbs

groups of herbs used in Ayurveda, their contraindications, identification and distinguishing features, interrelationships and incompatibilities

Ayurvedic herbs with respect to their use for general symptoms, energetic, psychological and physiological indications

active principles of the medicines used for each dosha/condition/system

methods of administration for medicines

ubtans, lepas, base, essential and herb oils, resins, extracts, clays, balms, washes, lubricants, pastes, decoctions

contraindications to treatments

ways to address excessive ama/doshas

principles of chikitsa to achieve the following:

shad upkarma

vyadhiharam

prakrutisthapanam

prakrutivighataka

nidanparivarjana (ch. vi)

dhatushamya chikitsa (ch. su)

vishudha chikitsa (ch. ni)

svabhava chikitsa (ch. su)

pharmacodynamics of pharmaceutical and medicines and the theory of drug action, factors modifying drug effect and dosage, drug toxicity and toxicology

pharmacokinetics of Ayurvedic medicines – drug administration, absorption, distribution, metabolism and excretion

possible obstacles to cure and responses to treatments

Supplementary measures in the management of the condition/system:

dietary considerations

exercise

lifestyle

stress

interaction of treatments with foods, other herbs, nutritional supplements and drugs

principles of formulation (including dosage and duration of treatment) for:

avaleha

chitrakharitaki

drakshavelha

erand pak

haridrai khanda

haritakyadi rasayana

kutjavelha

musali pak

saubhagya shounthi pak

shilajatu rasayana

supari pak

triphala rasayana

ghritam - a minimum of 5

kashayam - a minimum of 5

choorana - a minimum of 10

guggulu – a minimum of 7

vati - a minimum of 5

lauh mandoor – a minimum of 2

asava and arishta – a minimum of 10

bhasmas - a minimum of 5

arka - a minimm of 2

shad bindu taila- a minimum of 5

swarsa

kalka

kwatha

hima

phanta

ubtan,

dravaka

ghrita

lavana kshara

lepa

mandoora

pishti

sattva

taila

varti


Assessment Conditions

Skills must have been demonstrated in the workplace or in a simulated clinical environment that reflects workplace conditions. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including:

client information – case notes, health record

private consultation area

Ayurvedic Formulary of India

Ayurvedic Pharmacopoeia of India

other Ayurvedic reference texts

online TGA references regarding labelling

information on scheduled herbs

modelling of industry operating conditions, including provision of services to the general public

clinic supervision by a person who meets the assessor requirements outlined below

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must:

have at least 5 years current clinical experience working as an Ayurvedic practitioner providing services to the general public

hold practising membership of an Australian professional body that represents Ayurvedic practitioners

fulfil the continuing professional development requirements of the professional body to which they belong


Foundation Skills

The Foundation Skills describe those required skills (language, literacy, numeracy and employment skills) that are essential to performance.

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency