Elements and Performance Criteria

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.


Assessment according to signs and symptoms of condition must include:
Chief complaint(s)
Aetiology
Chronological sequence of symptoms
Physical generals - characteristic and common
Mentals - characteristic and common
Particulars - characteristic and common
Concomitants
And may include:
Physical evidence
Behavioural evidence
Sensations
Onset
Duration
Location
Causation
Direction of chief complaint
Ameliorating and aggravating factors
Symptom qualities (intensity, severity, nature of complaint)
Non-verbal signs
Functional and pathological disturbances


Classification according to stage of disease must include at least one of the following:
Acute disease - individual, sporadic, epidemic, acute, and sub-acute
Chronic disease partially developed or incurable
local or one sided manifestation as a physical and/or mental
Chronic disease fully developed
miasmatic disease, simple or mixed
environmental, life style and iatrogenic influences
Consequence of suppression of symptoms and/or discharges on the future development of disease
Life threatening condition


Analysis techniques may include:
Boger's hierarchy
Kent's hierarchy
Boenninghausen's hierarchy
Other more recent homœopathic hierarchical techniques
Conceptual image
Evolutionary totality
Standardised case record method
Perception of essence/core/whole state
Totality of symptoms
Keynotes and/or keynote combinations
Strange, rare and peculiars
Miasmatic interpretation
Layer and lesion concepts
Synthetic prescribing
Homœopathic computer analysis


What is to be treated must include:



Natural course of disease includes:
Natural duration of disease
Progress, extension, radiation and pace
Probability of remission


Meaningful totality must include consideration of at least one of the following:
The relevant aphorisms in the Organon of Medicine 5th/6th Edition
Hering's principles
Boger's principles
Kent's principles
Boenninghausen's principles
Other relevant basis for a totality


Prognosis and therapeutic expectations includes:
Cure
Palliation of incurable condition
Severe aggravation
Progression of disease
Reduction of miasmatic condition
Changes in emotional state and/or relationship dynamics
Removal of layer, lesion or acute state and emergence of new symptoms

EVIDENCE GUIDE

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
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 and practical demonstration in the work place
Written assignments/projects or questioning should be used to assess knowledge
Case study and scenario as a basis for discussion of diagnostic technique
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
Homoeopathic diagnosis from assessment notes or simulated assessments


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
HLTHOM604B Perform clinical screening examination and assessment
HLTHOM610C Take the homœopathic case