F05X 04 (AHP2)Implement physiotherapy mobility and movement programmes under direction for individuals to restore optimum movement and functional independence

About this Unit

This Unit applies to anyone whose role requires them to work, under the direction of a qualified physiotherapist, to support individuals participating in physiotherapy programmes designed to restore optimum movement and functional independence. Typical programmes and treatments could include exercise regimes and the use of gym equipment

This Unit has close links with Unit AHP 1 which covers working with individuals who have severely restricted movement / mobility. It is important to recognise that an individual’s condition may require both of the types of care described within AHP 1 and 2 at different stages within their treatment.

Scope

The scope is here to give you guidance on possible areas to be covered in this Unit. The terms in this section give you a list of options linked with items in the performance criteria. You need to provide evidence for any option related to your work area.

Equipment - equipment covers specified mobility appliances for the individual’s personal use and therapeutic equipment to facilitate movements and promote functional independence

Individuals include:

  • children and young people
  • older people
  • people with communication differences

Methods - methods used would include:

  • demonstration
  • facilitation
  • observation

Others -others could include:

  • family
  • informal carers and other healthcare support workers
  • colleague

Treatment / Programmes-treatment and programmes involve:

  • exercise regimes
  • equipment
  • gym equipment

Treatment / Programme aim - aims of the treatment/programme would include:

  • facilitating normal movements and developing adaptive skills to maximise the individual’s independence
  • educating the individual on the relationship between movements and function
  • promoting partnership working between you and the individual to achieve maximum benefit from a rehabilitation programme and improve quality of life

Evidence Requirements for the Unit

It is essential that you adhere to the Evidence Requirements for this Unit – please see details overleaf.

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Unit:F05 04 (AHP2) Implement physiotherapy mobility and movement programmes under direction for individuals to restore optimum movement and functional independence

F05X 04 (AHP2)Implement physiotherapy mobility and movement programmes under direction for individuals to restore optimum movement and functional independence

SPECIFIC Evidence Requirements for this unit
Simulation:
  • Simulation is NOT permitted for any part of this unit.

The following forms of evidence ARE mandatory:
  • Direct observation: Your assessor must observe you in real work activities which provide a significant amount of the performance criteria for most elements in this unit. For example the methods you use to assess the needs of individuals, how you communicate with the individual and other key people, and the steps you would take to ensure all health and safety requirements are met.
  • Reflective Accounts/professional discussion: These are recordings of your real work practice, which show your understanding of the human body and how you carry out the specific activities in their programme. You will need to describe and explain the methods you use to monitor the treatment and describe what action you would take should an emergency arise.

Competence of performance and knowledge could also be demonstrated using a variety of evidence from the following:
  • Questioning/professional discussion: May be used to provide evidence of knowledge, legislation, policies and procedures which cannot be fully evidenced through direct observation or reflective accounts. In addition the assessor or expert witness may also ask questions to clarify aspects of your practice.
  • Witness testimony: Can be a confirmation/authentication of the activities described in your evidence which your assessor has not seen. This could be provided by a work colleague or an external individual you deal with on a regular basis.
  • Products: For this unit, products may include records and reports related the treatment of an individual. You need not put confidential records in your portfolio; they can remain where they are normally stored and be checked by your assessor and internal verifier. If you do include them in your portfolio they should be anonymised to ensure confidentiality
  • Assignments/projects: you may have studied anatomy or health and safety related to your job role and have completed some formally assessed work as part of an in service course, this may provide evidence of knowledge and understanding which your assessor can use.

GENERAL GUIDANCE
  • Prior to commencing this unit you should agree and complete an assessment plan with your assessor which details the assessment methods you will be using, and the tasks you will be undertaking to demonstrate your competence.
  • Evidence must be provided for ALL of the performance criteria, ALL of the knowledge and the parts of the scope that are relevant to your job role.
  • The evidence must reflect the policies and procedures of your workplace and be linked to current legislation, values and the principles of best practice within the Health Sector. This will include the National Service Standards for your areas of work and the individuals you care for.
  • All evidence must relate to your own work practice.

Knowledge specification for this unit

Competent practice is a combination of the application of skills and knowledge informed by values and ethics. This specification details the knowledge and understanding required to carry out competent practice in the performance described in this Unit.

When using this specification it is important to read the knowledge requirements in relation to expectations and requirements of your job role.

You need to provide evidence for ALL knowledge points listed below. There are a variety of ways this can be achieved so it is essential that you read the ‘knowledge evidence’ section of the Assessment Guidance.

You need to show that you know, understand and can apply in practice: / Enter Evidence Numbers
Legislation, policy and good practice
  1. A factual awareness of the current European and national legislation, national guidelines and local policies and protocols which affect your work practice in relation working with individuals and groups to restore optimum independent movement and mobility

  1. A working understanding of your responsibilities under the currently European and national legislation, national guidelines and local policies and protocols on your actions within the physiotherapy treatment environment

  1. A working understanding of why it is necessary to obtain consent prior to working with an individual and the methods used to achieve this where the individual is not able to give their consent directly (e.g. because they are comatose, a child, or have communication differences)

  1. A working understanding of the signs of adverse reaction to different programmes and treatment

  1. A working understanding of the reasons why it is important to report signs of adverse reaction and the potential consequences of not doing so promptly

  1. A working understanding of the policies and guidance which clarify your scope of practice and the relationship between yourself and the practitioner in terms of delegation and supervision

  1. A working understanding of policies and guidance relating to the moving and positioning of individuals and the impact they have upon your work

Care and support of the individual
  1. A working understanding of the main types of programmes and treatments carried out with people who have restricted mobility and movement and the reasons for using them

  1. A working understanding of what is involved in monitoring an individual’s condition and why it is important that this is carried out accurately

  1. A working understanding of why you should seek to support and encourage the individual to promote their own health and well being and how this might be achieved

  1. A working understanding of the actions you should take if adverse reactions are shown

  1. A working understanding of the factors that facilitate an effective and collaborative working relationship

Materials and equipment
  1. A working understanding of the potential dangers associated with programmes, equipment and materials and the actions you should take to avoid them

  1. A working understanding of the equipment and materials which can be used in relation to different programmes and treatments and the uses of each

Records and documentation
  1. A working understanding of the information that should be recorded and the importance of doing this as soon as possible after working with the individual

  1. A working understanding of record keeping practices and procedures in relation to diagnostic and therapeutic programmes/treatments

  1. A working understanding of the sort of information that might be needed by the practitioner prior to or during the course of a programme or treatment

Specific health knowledge related to your area of practice
  1. A working understanding of what sort of information would be appropriate to give to a family member, informal carer or other healthcare worker around the individual’s programme/treatment

  1. A working understanding of the physiological effects and benefits of active functional exercise

  1. A working understanding of the anatomical structures involved in the different types of programme/treatment

  1. A working understanding of the pathology involved in the individual’s difficulties around movement and mobility

  1. A working understanding of the psychological effects of disability due to injury or disease and the strategies used to cope with this

Performance criteria
DO / RA / EW / Q / P / WT
  1. obtain consent from the individual before working with them

  1. correctly carry out the specified activities as directed and detailed within the individual’s physiotherapy treatmentplan

  1. seek prompt advice and assistance from a relevant contact where a programme activity or treatment called for is beyond your scope of practice

  1. progress through the specified programme in accordance with the individual’s needs and the agreed therapeutic goals

  1. encourage the individual to take advantage of planned and unplanned opportunities to integrate skills developed within the programme into their normal daily activities

  1. take appropriate and prompt action, in line with relevant protocols and guidelines, in response to any factors which indicate adverse reaction to the programme

  1. provide accurate and prompt feedback to the individual’s care team to support effective future planning

  1. ensure that the individual is correctly positioned, taking into account the individual’s condition, modesty and the treatment/programme to be carried out

DO = Direct ObservationRA = Reflective AccountQ = Questions

EW = Expert Witness P = Product (Work)WT = Witness Testimony

To be completed by the Candidate
I SUBMIT THIS AS A COMPLETE UNIT
Candidate’s name: ……………………………………………
Candidate’s signature: ………………………………………..
Date: …………………………………………………………..
To be completed by the Assessor
It is a shared responsibility of both the candidate and assessor to claim evidence, however, it is the responsibility of the assessor to ensure the accuracy/validity of each evidence claim and make the final decision.
I certify that sufficient evidence has been produced to meet all the elements, pcS AND KNOWLEDGE OF THIS UNIT.
Assessor’s name: …………………………………………….
Assessor’s signature: ………………………………………....
Date: …………………………………………………………..
Assessor/Internal Verifier Feedback
To be completed by the Internal Verifier if applicable
This section only needs to be completed if the Unit is sampled by the Internal Verifier
Internal Verifier’s name: ……………………………………………
Internal Verifier’s signature: ………………………………………..
Date: ……………………………………..…………………………..

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Unit: F05X 04 (AHP2) Implement physiotherapy mobility and movement programmes under direction for individuals to restore optimum movement and functional independence