Aboriginal and Torres Strait Islander Health Worker - Draft 2

HLTAHPR005 Promote awareness and prevention of chronic disease_Draft 2

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Unit application and prerequisites

UNIT CODE

HLTAHPR005

UNIT TITLE

Promote awareness and prevention of chronic disease

APPLICATION

This unit describes the performance outcomes, skills and knowledge required to provide clients with information about chronic disease, its prevalence in Aboriginal and/or Torres Strait Islander populations, and to encourage prevention and early detection.

 

It requires the ability to discuss risk factors, ways to reduce the risk of chronic disease, and to inform clients about chronic disease screening programs. It covers the coordination of follow up for any clients who advise of any health concerns.

 

Information may be provided to individual clients in the course of general health service provision, or during dedicated group education sessions.

 

Education about diabetes and cancer is covered by additional specific units.

 

This unit is specific to Aboriginal and/or Torres Strait Islander people working as health workers or health practitioners. They work as part of a multidisciplinary primary health care team to provide primary health care services and health education activities to Aboriginal and/or Torres Strait Islander clients.

 

No regulatory requirement for certification, occupational or business licensing is linked to this unit at the time of publication. For information about practitioner registration and accredited courses of study, contact the Aboriginal and Torres Strait Islander Health Practice Board of Australia (ATSIHPBA).

PREREQUISITE UNIT

Nil

COMPETENCY FIELD

Health Promotion

UNIT SECTOR

Aboriginal and/or Torres Strait Islander Health

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

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

  1. Provide information on chronic disease and its incidence.
    1. Communicate consistently in culturally appropriate and safe ways with clients, using plain language.
    2. Provide information about the incidence of different types of chronic disease in Aboriginal and/or Torres Strait Islander communities.
    3. Explain to clients the nature of different types of chronic disease, their impacts and potential complications.
    4. Use visual aids and provide culturally appropriate consumer based education resources about chronic disease to support client understanding.
    5. Encourage client questions and check understanding of information through appropriate questioning
    6.  
  1. Discuss chronic disease risk factors and healthy lifestyle choices.
    1. Explain risk factors for chronic disease in the context of local community, cultural and family issues.
    2. Provide information on ways to reduce the risk of chronic disease.
    3. Provide information about nutrition and lifestyle choices, and impact of unhealthy choices, including alcohol and smoking.
    4. Provide consumer based education resources and information on nutrition, exercise and weight management.
  1. Promote early detection of chronic disease.
    1. Discuss common signs and symptoms of different types of chronic disease and the importance of early detection.
    2. Explain to clients importance of regular check-ups and, screening tests in the early detection of chronic disease.
    3. Promote availability of chronic disease screening programs and advise how clients can access services.
    4. Describe chronic disease test procedures in ways that reduce client resistance and fear of participating.
  1. Encourage clients to discuss health concerns.
    1. Provide opportunities for client to share information about their health.
    2. Establish trust with client by demonstrating and respecting confidentiality.
    3. Support clients to identify and discuss any health concerns that could indicate chronic disease.
    4. Recognise situations requiring further investigation and take appropriate action, according to organisational procedures.
  1. Evaluate effectiveness of health education activities
    1. Seek and evaluate feedback from clients about value of information and education resources provided.
    2. Evaluate effectiveness of information provided from own perspective and identify areas for improvement.
    3. Provide ongoing feedback to relevant people based on clients’ views and own input.

FOUNDATION SKILLS

Foundation skills essential to performance in this unit, but not explicit in the performance criteria are listed here, along with a brief context statement.

SKILLS

DESCRIPTION

Reading skills to:

  • interpret detailed and sometimes unfamiliar plain language consumer based education resources.

Oral communication skills to:

  • provide information to clients using plain language and terms easily understood
  • ask open and closed probe questions and actively listen to determine client understanding of information.

Numeracy skills to:

  • interpret statistics presented as percentages and in charts and graphs.

Learning skills to:

  • use information provided in credible evidence based consumer resources to update and extend knowledge of different types of chronic disease.

UNIT MAPPING INFORMATION

No equivalent unit.

For details, refer to the full mapping table in the Draft 2 Validation Guide.

LINKS

Companion Volume Implementation Guide

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Performance evidence

TITLE

Assessment Requirements for HLTAHPR005 Promote awareness and prevention of chronic disease

PERFORMANCE EVIDENCE

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

  • provide information about chronic disease to Aboriginal and/or Torres Strait Islander clients to include:
    • two individual clients
    • one group of a minimum of three people
  • cover three different types of chronic disease across the client interactions
  • on each occasion:
    • provide information covering:
      • the incidence of chronic disease, generally, in Aboriginal and/or Torres Strait Islander communities, and the incidence of the particular type
      • the nature of chronic disease generally, and the nature of the particular type
      • functional impacts on body organs and systems, particular to the type of chronic disease
      • potential serious complications of chronic disease and potential for comorbidity
      • chronic disease risk factors and healthy lifestyle choices that can reduce risk
      • signs and symptoms of chronic disease, particular to the type of chronic disease
      • the importance of early detection
      • chronic disease screening programs and test procedures, particular to the type of chronic disease
    • seek and evaluate feedback from clients and provide to relevant people within the health service
  • discuss health concerns with two clients and respond by coordinating follow up assessments or appointments.

KNOWLEDGE EVIDENCE

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

  • organisational procedures for responding to client disclosure of health concerns
  • how to access current and credible:
    • consumer based education resources about different types of chronic disease
    • statistics for chronic disease in Aboriginal and/or Torres Strait Islander and other Australian populations
    • visual aids for chronic disease education
  • features of chronic disease, including:
    • complex causality
    • multiple risk factors
    • long latency periods
    • a prolonged course of illness
    • functional impairment or disability
  • prevalence and statistical incidence of chronic disease, generally, in Aboriginal and/or Torres Strait Islander populations compared to non-Aboriginal and/or Torres Strait Islander populations
  • the statistical incidence of the main types of chronic disease affecting Aboriginal and Torres Strait Islander people including those commonly affecting men, women and people of different ages
  • the survival and mortality rates for Aboriginal and Torres Strait Islander people and why outcomes are generally worse than for other Australians
  • the following knowledge for each of the below-listed chronic diseases of high incidence Aboriginal and/or Torres Strait Islander populations:
    • plain language definitions and explanations, and
    • the major signs and symptoms, and
    • basic pathophysiology sufficient to understand the impact/functional changes on relevant body organs and systems, and
    • the concept of comorbidity and an overview of the main complications that can result in the co-occurrence of other diseases or conditions:
      • cardiovascular disease
      • chronic respiratory disease including Asthma and obstructive lung disease
      • chronic kidney disease and end stage renal failure
      • chronic liver disease including hepatitis B, hepatitis C, alcoholic liver disease and cirrhosis
      • musculoskeletal conditions including arthritis
      • eye, ear and oral disease
  • modifiable and non-modifiable risk factors for chronic disease:
    • smoking
    • physical inactivity
    • unhealthy nutrition and body weight
    • consumption of alcohol at unsafe levels
    • use of illicit drugs
    • unsafe sexual practices
    • ageing
    • genetics
    • family history of chronic disease
    • high blood pressure
  • the importance of clients modifying their lifestyle to reduce the risk of chronic disease
  • key elements of national guidelines for physical activity
  • key elements of national guidelines for healthy eating and for weight loss and management
  • the impact of early detection and treatment on:
    • progression of chronic disease and health outcomes
    • reducing the risk of serious complications
  • for screening:
    • reasons for screening healthy and asymptomatic people
    • importance of health assessments and screening tests in the early detection and treatment of chronic disease
    • chronic disease screening programs available in the local community, state or territory, how to access these and any associated costs and benefits paid
    • the procedures for a range of chronic disease screening tests
    • general and cultural factors that influence an individual’s decision to participate in screening programs
  • appropriate actions to take in response to disclosure of health concerns:
    • completing an immediate health assessment and providing referrals
    • assisting clients to make appointments with medical practitioners for diagnosis or referral
    • activating follow up to ensure clients are tested
  • methods used to evaluate health education activities:
    • client evaluation questionnaires
    • informal conversations with clients
    • self-reflection on client responses to information including any difficulties in understanding
  • ways that Aboriginal and/or Torres Strait Islander health workers and practitioners can:
    • provide feedback on chronic disease awareness activities
    • contribute to the evaluation and planning of overall education and prevention programs.

ASSESSMENT CONDITIONS

Skills must be demonstrated in a health service workplace within a multidisciplinary primary health care team.

 

Evidence of performance must be gathered:

  • during on-the-job assessments in the workplace under live conditions while interacting with Aboriginal and/or Torres Strait Islander people, or
  • during off-the-job assessments in the workplace, not under live conditions, using simulated activities while interacting with Aboriginal and/or Torres Strait Islander people.

 

Evidence of workplace performance can be gathered and reported through third party report processes. (Refer to the Companion Volume Implementation Guide for information on third party reporting.)

 

Evidence can be supplemented by assessments in a simulated workplace environment using simulated activities, scenarios or case studies only when:

  • the full range of situations covered by the unit cannot be provided in the individual’s workplace, and or
  • situations covered by the unit occur only rarely in the individual’s workplace.

 

Assessment must ensure the use of:

  • current consumer based education resources about different types of chronic disease from credible sources
  • dietary and exercise guidelines from credible sources which could include those produced by government agencies and chronic disease support services
  • organisational procedures for responding to client disclosure of health concerns.

 

Assessors must satisfy the Standards for Registered Training Organisations requirements for assessors, and:

  • be an Aboriginal and/or Torres Strait Islander person who has applied the skills and knowledge covered in this unit of competency through experience working as an Aboriginal and/or Torres Strait Islander health worker or practitioner, or
  • be a registered health practitioner or a health educator with experience relevant to this unit of competency and be accompanied by, or have assessments validated by, an Aboriginal and/or Torres Strait Islander person.

LINKS

Companion Volume Implementation Guide

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