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Title / Observe, report, and document changes in a person’s condition in a health or disability setting
Level / 2 / Credits / 2
Purpose / People credited with this unit standard are able to observe, report, and document, changes in condition in a person receiving care or support in a health or disability setting.
Classification / Health, Disability, and Aged Support > Community Support Services
Available grade / Achieved
Explanatory notes
Version 3 was republished to correct errors in the replacement information.
1In the context of this unit standard, support should aim to maintain, improve, or restore a consumer’s independence and/or interdependence; utilise the consumer’s existing strengths; and – where possible – utilise the resources of the local community.
2Legislation and codes relevant to this unit standard include:
Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulations 1996 (the Code of Rights);
Health and Disability Services (Safety) Act 2001;
Health and Safety in Employment Act 1992;
Human Rights Act 1993;
Privacy Act 1993.
3New Zealand Standards relevant to this unit standard include:
NZS 8134.0:2008 Health and disability services Standards – Health and disability services (general) Standard;
NZS 8134.1:2008 Health and disability services Standards – Health and disability services (core) Standards;
NZS 8134.2:2008 Health and disability services Standards – Health and disability services (restraint minimisation and safe practice) Standards;
NZS 8134.3:2008Health and disability services Standards – Health and disability services (infection prevention and control) Standards;
NZS 8158:2003 Home and Community Support Sector Standard; available at
4This unit standard cannot be assessed against in a simulated environment. For assessment, candidates must demonstrate competence in the workplace through paid or unpaid employment, or in placements in a service provider workplace negotiated by an education provider.
5Definitions
Organisation’s policies and procedures are the policies and procedures of the employing organisation of the candidate and include ethical codes, standards, and other organisational requirements.
To report is to pass on information about a person's condition to the appropriate authority, as specified in the organisation’s policies and procedures.
Service planis a generic term that covers the individual or group plans (which may also be referred to by other names) that are developed by service providers for people receiving support (and may include their family/whānau as appropriate).
Outcomes and evidence requirements
Outcome 1
Observe changes in condition in a person receiving care or support in a health or disability setting.
Rangemay include but is not limited to – physical, behavioural, environmental, emotional;
evidence is required of an example of two changes observed either in one person or two different people.
Evidence requirements
1.1Observation relates to conditions documented in the person’s service plan.
1.2Observation relates to observations requested in the progress reports.
1.3Observation relates to changes in condition recorded in the progress reports.
1.4Observation relates to changes in condition not previously reported, as applicable.
Outcome 2
Report changes in condition in a person receiving care or support in a health or disability setting.
Evidence requirements
2.1Changes are reported in accordance with the organisation’s policies and procedures.
2.2Changes are reported in accordance with legislative requirements and the Code of Rights.
Outcome 3
Document changes in condition of a person receiving care or support in a health or disability setting.
Evidence requirements
3.1Documented change notes accord with the organisation’s policies and procedures.
3.2Documented change notes are accurate and effective.
Rangelegible, factual,permanent ink, date, time, signature, condition changes, response to care, legislative requirements.
3.3Documented change notes are described in terms of their impact on the achievement of a person’s independence goals.
Replacement information / This unit standard and unit standards 20964 and 23926 have been replaced by unit standard 28517.This unit standard is expiring. Assessment against the standard must take place by the last date for assessment set out below.
Status information and last date for assessment for superseded versions
Process / Version / Date / Last Date for AssessmentRegistration / 1 / 20 March 2008 / 31 December 2016
Revision / 2 / 21 January 2011 / 31 December 2016
Review / 3 / 19 March 2015 / 31 December 2018
Rollover / 4 / 17 September 2015 / 31 December 2018
Consent and Moderation Requirements (CMR) reference / 0024
This CMR can be accessed at
Please note
Providers must be granted consent to assess against standards (accredited) by NZQA, before they can report credits from assessment against unit standards or deliver courses of study leading to that assessment.
Industry Training Organisations must be granted consent to assess against standards by NZQA before they can register credits from assessment against unit standards.
Providers and Industry Training Organisations, which have been granted consent and which are assessing against unit standards must engage with the moderation system that applies to those standards.
Requirements for consent to assess and an outline of the moderation system that applies to this standard are outlined in the Consent and Moderation Requirements (CMR). The CMR also includes useful information about special requirements for organisations wishing to develop education and training programmes, such as minimum qualifications for tutors and assessors, and special resource requirements.
Community Support Services ITO LimitedSSB Code 101814 / New Zealand Qualifications Authority 2018 / / New Zealand Qualifications Aut