HLTREM504C
Apply remedial massage assessment framework

This unit of competency describes the skills and knowledge required to interpret information gathered in the health assessment and make and review an accurate assessment over the course of remedial massage treatment

Application

This unit may apply to work in massage in a range of settings and contexts


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Analyse and interpret information received

1.1 Correlate results of the health assessment with case history

1.2 Recognise signs and symptoms of condition in the client and identify as pre-requisites or contra-indication for treatment/care

1.3 Assess information gathered and assigned priorities in consultation with the client using the knowledge and experience and theoretical principles applied by the practitioner

1.4 Gather, record and organise in a way which can be interpreted readily by other professionals

1.5 Analyse body patterns and differentiate by assessing signs and symptoms

1.6 Identify condition according to stage and related implications (eg acute/chronic) by applying principles of assessment

1.7 Use professional judgement to draw sound conclusions and prognosis from the data collected

1.8 Elicit all assessment signs and symptoms in a thorough and objective manner to avoid premature conclusions on the treatment plan

1.9 Monitor the client's progress systematically in order to confirm the clinical impression

1.10 Combine history and clinical data effectively to obtain a differential assessment, prognosis and treatment plan

2. Inform the client

2.1 Discuss rationale of the treatment assessment plan/prognosis is discussed with the client

2.2 Respond to client enquiries using language the client understands

2.3 Discuss referral and collaborative options with the client if necessary

Required Skills

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:

Anatomy and physiology of the body systems

Biomechanics

Clinical indications of treatment relevant to specific circumstances - first aid and injuries

Common disease states and functional problems of each bodily system

Community resources and support services

Data analysis techniques

Disease process

Human physiology

Knowledge and understanding of methods of preparing treatment and management plans

Knowledge and understanding of types of further investigation available

Legal and ethical considerations in treating clients with massage

Lifestyle factors relevant to treatment of specific conditions and diseases

Medical reports and diagnostic procedures

Orthopaedic tests

Pain and chronic pain syndromes

Pathology and symptomology

Possible obstacles and contra-indications to treatment

Referral process

Regional anatomy

Signs and symptoms of disease and disorder/dysfunction

Skeletal musculature

Supplementary measures in the management of the condition/system (dietary considerations, exercise)

Systems and regions of the body

The contribution of the different schools of thought and historical theories of clinical practice

The correct preparations required for specific treatment

The endocrine system

The ethical and legal implications of the practice of massage

The organisation of the body

continued ...

Essential knowledge (contd):

The principles and practice of treating common conditions

The processes of ageing

The processes of biological maturation

The reproductive system

The role of massage in alleviating depression and anxiety

The role of massage in auto-immune disorders

The role of massage in enhancing attentiveness

The role of massage in enhancing growth

The role of massage in immune disorders

The situation and referral patterns of trigger points

The structure and function of the body systems, including the:

articular system - classification of joints and types and ranges of motion

cardiovascular system

immune system

lymphatic system

nervous system

respiratory system

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:

Access and interpret up-to-date information

Apply differential assessment

Conduct orthopaedic tests

Demonstrate communication and negotiation skills

Demonstrate consideration of the impact of client vitality on selected treatment

Demonstrate differential diagnostic skills

Demonstrate interpersonal and questioning skills

Establish urgency for treatment required

Identify and describe a treatment outcome using accepted medical terminology

Identify bone landmarks, structures and individual muscles through palpation.

Identify treatment options and establish treatment regimes

Interpret investigative findings

Prepare treatment plans

Prescribe treatment according to the time-frame appropriate to the client condition and the treatment selected

Prioritise presenting conditions

Provide advice

Transcribe assessment findings and treatment in a client history using accepted medical terminology

Understand and discuss medical reports and other data relevant to the case

Write referrals, appraisal letters for insurance companies and other documentation

Evidence Required

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)

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 may contain both theoretical and practical components and examples covering a range of clinical situations

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 practitioner's workplace

scope of practice as detailed in the qualification and component competency units

holistic/integrated 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 texts or medical manuals

Relevant paper-based assessment instruments

Appropriate assessment environment

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

Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting
If successful, a second assessment is to be conducted during workplace application under direct supervision

Diagnosis from assessment notes or simulated assessments

Oral questioning

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

HLTREM505C Perform remedial massage health assessment


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.

Signs and symptoms of condition may include:

Physical evidence

Behavioural evidence

States of disorder

Sensations

Onset

Duration

Location

Causation

Direction of chief complaint

Ameliorating and aggravating factors

Symptom qualities (intensity, severity, nature of complaint)

Non-verbal signs and symptoms

Functional and pathological disturbances

Body patterns may refer to:

Posture

Range of movement

Muscle strength

Contra-lateral comparisons


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable