CHC43415 Certificate IV in Leisure and Health (Release 2)
E1320
HLTAAP002 Confirm physical health status
Written assessment
Student name: XXXXXX
Student number: XXXXXX
Assessment number: 35123/02

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Competency details
HLTAAP002 Confirm physical health status
This unit applies to workers assisting in leisure and health activity programming in a range of contexts. It describes the skills and knowledge required to obtain and interpret information about client health status and to check a client’s physical health. It requires a detailed knowledge of anatomy and physiology.

Introduction
This document is Assessment 2 of the two assessments you are required to complete, together with structured workplace learning, for HLTAAP002 Confirm physical health status
This assessment is designed to gather evidence of competence, specifically to:
• Obtain information about physical health status
• Check physical health status
• Identify variations from normal physical health status
Assessment 2
Description
35123/02 Written assessment

Assessment 2
For this assessment, you will need to read each case study below and address each question in detail, demonstrating your skills and knowledge when confirming the physical health status of clients, relevant to your own work role.
Case Study 1: Julio
Julio’s job role requires him to meet and obtain physical health status information before delivering a health service to his clients. Julio has several methods which he uses to obtain information on the health status of his clients and then enters his findings and notes straight into the computer program designed to record health information.
This morning, Julio has met with a female, aged 42, with very fair skin and freckles. She presented in reasonable physical health and as they discussed her health issues, Julio referred to the notes taken from the last appointment. During the process of obtaining information from the client, Julio is shown a small raised, rough area of skin on the top of her ear that was flaky and red. She has also asked Julio about skin cancer and how it develops.
1. Provide an example of how Julio can obtain accurate information about the physical health status of this client while conducting his assessment using:
• Observations (approx. 50-80 words)
• Questioning (approx. 50-80 words)
• A review of documentation (approx. 50-80 words)
Observation
Questioning
A review of documentation
2. What could Julio ask to gather further information about the lesions on the ear? (minimum of three questions) (approx. 200-300 words)

3.
a. List the necessary information should be recorded in a health and medical history document and why? (approx. 100-150 words)
b. Is it necessary for Julio to note the additional health issue he identified with the skin lesion – provide your reasoning. (approx. 100-150 words)
4. Continuing from the client’s question regarding the small raised, and rough area of skin on the top of her ear that was flaky and red.
How should Julio manage the conversation in relation to:
a) What further assessment/s should be made to establish the condition and who should he refer the client to in this situation? (approx. 20 words)
b) What happens to the normal functioning of cells when they turn into a cancer or tumour including the loss of normal control mechanisms? (approx. 50-80 words)
c) Explaining two types of cell adaptions the body will perform when environmental changes occur. (approx. 50-80 words)
d) Outlining the environmental hazards that can increase the risk of cancer. (approx. 50-80 words)

Case Study 2: Annemarie
Annemarie has a client in her care that has been recently diagnosed with atherosclerosis after experiencing some angina pain.
This client is a 55-year-old male, and from his health and medical history records, Annemarie can see that he is not an active person and is overweight.
Annemarie knows that she needs to setup an individual plan to encourage more exercise and health lifestyle to support her client.
He does not seem to have a clear understanding of his condition and how he can aid in the management of it.
Provide detailed responses to the following questions to assist Annemarie with this client
5. Atherosclerosis is described as a ‘degenerative’ disease.
Explain what a degenerative disease is. (approx. 50-100 words)
6. To provide the client with the best care service, briefly outline the role of nutrition in preventing Atherosclerosis. (approx. 80-150 words)
7. How might the client’s metabolism be involved in the physical health status findings in this case study? (approx. 80-120 words)
Physical Health status What is the impact due to a low metabolism

Case Study 3: Antonella
Antonella has reacted badly to news from her doctor that she has contracted a health condition whilst overseas. The condition has some serious symptoms and will require long term treatment.
One of the symptoms includes a malfunction in Antonella’s ability to regulate temperature; for example, she may have sporadic sweating/fever like symptoms.
Her health care worker, Karen, is doing a physical health assessment for another intervention and Antonella is telling Karen about her concerns for her health.
8. Antonella’s response to her diagnosis was very negative and angry.
a. Explain why it is important for Karen to clarify the significance of Antonella’s health status. (approx. 50-80 words)
b. Outline how you would help Antonella understand the importance of her health status.
Ensure your response contains positive thinking patterns regarding her health to minimise trauma? Give at least two examples of how negative emotional responses can impact on health. (approx. 50-80 words)
9. Provide two (2) examples of how negative emotional responses can impact on health. (approx. 50-80 words)

Case Study 4: Alex
Alex has had a lot of experience assessing the health status of people with health care needs. He has a current certificate in First Aid and has worked in the field for five years. He is always very thorough with recording information in documentation.
Alex maintains a high level of alertness when conducting an assessment conducting observations and using effective questioning techniques. He feels confident that his methods to obtain all the relevant information are sufficient, this based upon his professional development throughout his career. Alex regularly attends meetings and is up to date with the organisation’s policies and procedures.
Recently a person attended the clinic who was very unwell, he had a temperature, and felt faint, and Alex had to rely on his training in the organisation’s emergency procedures to be able to deal with the adverse physical health condition seen in the person.
11. List the steps that should be taken before beginning the delivery of a health service or intervention.
a. Explain why is it important to do this? (approx. 200-250 words)
b. If Alex overlooked an important factor of a physical health assessment, what could happen if an intervention or delivery of a health service went ahead. (approx. 20 words)
12. Why is it important for Alex to be familiar with his job role and scope of practice, to effectively assess and confirm the physical health status of this client? (approx. 80-100 words)
13. Why is it important to undertake training in organisation’s policy and procedures for ‘emergency health situations’? (approx. 150-200 words)
Checklist
You must complete and submit the following.
Assessment 2
Responses to questions 1-13 relating to Case studies 1-4 0