26890 Describe Effects of Brain Injury on Physical Function, and Implement Strategies To

NZQA registered unit standard 26890 version 1 Page 1 of 4

Title Describe effects of brain injury on physical function, and implement strategies to support a person after brain injury

Level 4 Credits 10

Purpose People credited with this unit standard are able to: describe the effects of brain injury on physical function, and strategies to support a person to improve physical function after brain injury; implement strategies to support a person to improve physical function after brain injury; and maintain, clean, and store equipment and items used by a person with impairment of physical function after brain injury.

Classification Health, Disability, and Aged Support > Brain Injury Support

Available grade Achieved

Explanatory notes

1 Codes and standards relevant to this unit standard include: Health and Disability Commissioner (The Code of Health and Disability Services Consumers' Rights) Regulations 1996; NZS 8158:2003 Home and Community Support Sector Standard.

2 References include: Accident Compensation Corporation. (2006). Traumatic brain injury: Diagnosis, acute management and rehabilitation. Wellington: New Zealand Guidelines Group for ACC, available at http://www.acc.co.nz (search for ACC2404); Centre for Neuro Skills Glasgow Coma Scale (GCS) available at http://www.neuroskills.com/assess.shtml, and http://www.shoestring- graphics.com/CP2020/medtech/glossary/glasgow.htm.

3 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.

4 Definitions Activity refers to the execution of a task or action by an individual. 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. Others refer to support workers, family/whānau, people in the community, peers, and colleagues. Participation refers to an individual’s involvement in life situations.

Community Support Services ITO Limited Ó New Zealand Qualifications Authority 2018 SSB Code 101814 NZQA registered unit standard 26890 version 1 Page 2 of 4

Service plan is 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

Describe the effects of brain injury on physical function.

Evidence requirements

1.1 The effects of brain injury on physical function are described in terms of resulting impairments.

Range resulting impairments may include but are not limited to – weakness, paresis, increased/decreased tone, balance and gait abnormalities, sensory impairment, co-ordination problems, swallowing difficulties, fatigue, incontinence, headache, nausea, dizziness, vestibular dysfunction, epilepsy, pain; evidence is required of a minimum of six resulting impairments.

1.2 The effects of brain injury on physical function are described in terms of their impact on the person.

Range mobility, sensory impairment, swallowing and nutrition, continence; activity, participation.

1.3 Risks and/or vulnerability arising from impairment of physical function are described in terms of the safety of the person after brain injury and others.

Outcome 2

Describe strategies to support a person to improve physical function after brain injury.

Range evidence is required for a minimum of two strategies.

2.1 Strategies to support a person with impairment of physical function after brain injury are described in relation to minimising risks to the safety of the person and others.

Range risks may include but are not limited to – physical vulnerability.

2.2 Strategies to support a person with mobility difficulties after brain injury are described in accordance with the person’s service plan.

Range strategies may include but are not limited to – transfers, use of mobility aids, use of splinting, strengthening, passive stretches, positioning, prompting, supervision, exercise programmes.

2.3 Strategies to support a person with sensory impairment after brain injury are described in accordance with the person’s service plan.

Range sensory impairment may include but is not limited to – visual, hearing, altered sensation, taste, smell; strategies may include but are not limited to – environmental management, education, use of supportive devices, supervision, therapy.

2.4 Strategies to support a person with swallowing difficulties after brain injury are described in accordance with the person’s service plan.

Range swallowing difficulties may include but are not limited to – aspiration, oromotor function, choking; strategies may include but are not limited to – education, managing the consistency and texture of food, positioning, supervision, prompting, nutritional supplements, therapy.

2.5 Strategies to support a person whose nutrition management is affected by the effects of brain injury are described in accordance with the person’s service plan.

Range effects of brain injury may include but are not limited to – appetite changes, impulsivity, side effects of medication, satiety, taste changes, oromotor dysfunction; strategies may include but are not limited to – prompting to eat, weight management, nutritional supplements.

2.6 Strategies to support a person with continence management after brain injury are described in accordance with the person’s service plan.

Range strategies may include but are not limited to – prompting, routine, continence plan, use of continence products, orientation, fluid and diet management, education, medication.

Outcome 3

Implement strategies to support a person to improve physical function after brain injury.

Range evidence is required for a minimum of two strategies for two people with two different conditions.

3.1 Strategies to support a person with impairment of physical function after brain injury are implemented in accordance with the person’s service plan.

Outcome 4

Maintain, clean, and store equipment and items used by a person with impairment of physical function after brain injury.

4.1 Equipment and items used by a person with impairment of physical function after brain injury are maintained, cleaned, and stored in accordance with the manufacturer's instructions, the person’s service plan, and the organisation’s policies and procedures.

Range may include but is not limited to – batteries charged, safety checks, cushions cleaned, hygiene maintained.

Planned review date 31 December 2016

Status information and last date for assessment for superseded versions Process Version Date Last Date for Assessment Registration 1 19 November 2010 N/A

Accreditation and Moderation Action Plan (AMAP) reference 0024 This AMAP can be accessed at http://www.nzqa.govt.nz/framework/search/index.do.

Please note Providers must be granted consent to assess against standards (accredited) by NZQA, or an inter-institutional body with delegated authority for quality assurance, 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.

Consent requirements and an outline of the moderation system that applies to this standard are outlined in the Accreditation and Moderation Action Plan (AMAP). The AMAP 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.

Comments on this unit standard

Please contact the Community Support Services ITO Limited [email protected] if you wish to suggest changes to the content of this unit standard.

Community Support Services ITO Limited Ó New Zealand Qualifications Authority 2018 SSB Code 101814