REGULATION. Requirements of the Vocational Qualification in Social and Health Care - Chiropodist Study Programme / Specialisation - Optional modules

Transcription

1 REGULATION 19 December /011/2011 Period of validity: effective 1 Jan until further notice REQUIREMENTS FOR VOCATIONAL QUALIFICATIONS Vocational Qualification in Social and Health Care - Chiropodist Study Programme/Specialisation - Optional modules Provisions on which the competence to issue the Regulation is based: Act 630/98, Section 13 (2) Decree 811/98, Sections 10, 12 Act 631/98, Section 13 (2) Amends National Board of Education Regulation No. 17/011/2010 of 17 February 2010 The Finnish National Board of Education has rendered its decision regarding amendment of the Qualification Requirements (the National Core Curriculum and the Requirements of the Competence-based Qualification) for the Vocational Qualification in Social and Health Care in accordance with the Annexe. The amendments shall apply to the following sections of the Qualification Requirements: Added the objectives of the Chiropodist Study Programme or Specialisation to Chapter 1.1 Objectives of the Vocational Qualification in Social and Health Care Added the new compulsory and optional modules to Chapter 1.2 The Structure of the Vocational Qualification in Social and Health Care Added the optional module Promotion of Oral and Dental Care and Working in Special Fields of Oral and Dental Care (10 cr.) as Chapter Added Chapter 4.A Chiropodist Study Programme or Specialisation, which includes Chapters 4.A.1 Chiropody (30 cr.) as a compulsory module and Chapter 4.A.2 Wound Care in Chiropody (10 cr.) as an optional module Added the optional module Promotion of the Mental Health of Children and Adolescents (10 cr.) as Chapter Added the optional module Sample-taking and Customer Service in Practical Nurse Work (10 cr.) as Chapter Amended Chapter Modules from upper secondary vocational qualifications Amended Chapter Module from further vocational qualifications Amended Chapter Module from specialist vocational qualifications. The Regulation must be observed in all upper secondary education and training (curriculumbased education and training) and competence-based qualifications starting after 1 January All education and training and competence-based qualifications that have been started prior to entry into force of this Regulation may be completed in accordance with Regulation No 17/011/2010 of 17 February 2010 by 31 December 2021, subject to the provisions of other statutes and regulations In curriculum-based education and training, the education provider must draw up and approve a curriculum in compliance with the provisions of these Qualification Requirements. When arranging preparatory training for competence-based qualifications, the provider decides its contents and how to arrange it in compliance with the Qualification Requirements. Those participating in training must be provided with an opportunity to complete the competence-based qualification as part of the training. The education provider, the competence test organiser and the Qualification Committee shall comply with the terms specified in this Regulation and shall not deviate from it in any way. Director General TIMO LANKINEN Timo Lankinen ANNEXE Counsellor of Education AIRA RAJAMÄKI Aira Rajamäki Requirements of the Vocational Qualification in Social and Health Care - Chiropodist Study Programme / Specialisation - Optional modules Finnish National Board of Education P.O. Box 380 (Hakaniemenranta 6), Helsinki, Finland, phone , fax , firstname.surname@oph.fi,

2 VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE, PRACTICAL NURSE Chiropodist Study Programme or Specialisation Optional modules Regulation 37/011/2011 Finnish National Board of Education Utbildningsstyrelsen 2011

3 CONTENTS Requirements for Vocational Qualifications Vocational Qualification in Social and Health Care... 1 VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE, PRACTICAL NURSE... 1 CONTENTS... 1 VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE, PRACTICAL NURSE OBJECTIVES OF THE VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE STRUCTURE OF THE VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE Promotion of Oral and Dental Care and Working in Special Fields of Oral and Dental Care... 4 Vocational skills requirements... 5 Assessment... 5 Ways of demonstrating vocational skills A. Chiropodist Study Programme or Specialisation A.1 Chiropody Vocational skills requirements Assessment Ways of demonstrating vocational skills A.2 Wound Care in Chiropody Vocational skills requirements Assessment Ways of demonstrating vocational skills Promotion of the mental health of children and adolescents Vocational skills requirements Assessment Ways of demonstrating vocational skills Sample-taking and customer service in practical nurse work Vocational skills requirements Assessment Ways of demonstrating vocational skills Modules from upper secondary vocational qualifications Module from further vocational qualifications Module from specialist vocational qualifications... 45

4 1 VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE, PRACTICAL NURSE 1.1 OBJECTIVES OF THE VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE The attached objectives of the Chiropodist Study Programme or Specialisation have been added to Chapter 1.1 Objectives of the Vocational Qualification in Social and Health Care. A practical nurse who has completed the Chiropodist Study Programme or Specialisation knows how to work in the chiropodist's vocation in social and health care and co-operate in a multidisciplinary expert network while acknowledging the responsibilities and limits of a practical nurse. He/she knows how to use researched information and approved care and operating instructions in his/her chiropody work. He/she knows how to guide a client or patient and various groups in promotion of health and well-being as well as foot health and in performing foot self-care. He/she knows how to prepare a chiropody treatment area in different environments and to work in an aseptic manner. A practical nurse knows how to prevent misalignments and stress injuries of the lower extremities and, in his/her work, take into consideration the chiropody needs of individuals of different ages, examine and identify changes in clients feet, compile a chiropody treatment plan and carry out a chiropody treatment. He/she knows how to provide pharmaceutical care and kinetic treatment as well as to plan and implement padding and to massage clients or patients feet. He/she knows how to carry out maintenance of the instruments and devices he/she uses, to assess chiropody treatment and to direct clients for further treatment. The practical nurse knows how to direct clients or patients to find services provided by social and health care. He/she knows how to provide guidance in the acquisition and use of mobility aids. He/she knows how to prevent health hazards related to his/her work and promote his/her own well-being at work and that of the working community. A practical nurse who has completed the Chiropodist Study Programme or Specialisation can work at health care centres, hospitals, rehabilitation centres and care institutions for the elderly in the public and private sectors. 1.2 STRUCTURE OF THE VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE VOCATIONAL QUALIFICATION IN SOCIAL AND HEALTH CARE, PRACTICAL NURSE, 120 cr. IN UPPER SECONDARY VOCATIONAL IN A COMPETENCE-BASED QUALIFICATION EDUCATION AND TRAINING 4. Vocational modules, 90 credits 4. Vocational modules The modules include a minimum of 29 credits of onthe-job learning, a minimum of 5 credits of entrepreneurship and a final project (2 cr.). 4.1 Compulsory modules for all Support and guidance of growth, 15 cr Nursing and care, 20 cr Rehabilitation support, 15 cr. The qualification comprises one compulsory study programme. 4.1 Compulsory modules for all Support and guidance of growth Nursing and care Rehabilitation support The qualification comprises one compulsory specialisation.

5 2 4.2 Study Programme in Customer Services and Information Management Customer services and information management, 30 cr. 4.3 Study Programme in Emergency Care Working in an emergency care service,20 cr. and Accident and emergency nursing, 10 cr., or Perioperative nursing, 10 cr Study Programme in Rehabilitation Rehabilitation, 30 cr. 4.5 Study Programme in Children's and Youth Care and Education Children's and youth care and education, 30 cr. 4.6 Study Programme in Mental Health and Substance Abuse Welfare Work Mental health and substance abuse welfare work, 30 cr Study Programme in Nursing and Care Nursing and care, 30 cr. 4.8 Study Programme in Oral and Dental Care Oral and dental care, 30 cr Promotion of oral and dental care and working in special fields of oral and dental care, 10 cr. 4.9 Study Programme in Care for the Disabled Care for the disabled, 30 cr Study Programme in Care for the Elderly Care for the elderly, 30 cr. 4.A Chiropodist Study Programme 4.A.1 Chiropody, 30 cr. 4.A.2 Wound care in chiropody, 10 cr Optional modules for all The student must select 10 credits from modules Module from the Vocational Qualification in Social and Health Care, 10 cr Accident and emergency room nursing, 10 cr Perioperative nursing, 10 cr Home care and nursing for the elderly, 10 cr Promotion of the mental health of children and adolescents, 10 cr Sample-taking and customer service in practical nurse work, 10 cr Modules from upper secondary vocational qualifications, 5 10 cr Module from further vocational qualifications Module from specialist vocational qualifications Module from polytechnic degrees Locally offered modules in the Vocational Qualification in Social and Health Care, 5 10 cr. 4.2 Specialisation in Customer Services and Information Management Customer services and information management 4.3 Specialisation in Emergency Care Working in an emergency service and Accident and emergency nursing, or Perioperative nursing 4.4 Specialisation in Rehabilitation Rehabilitation 4.5 Specialisation in Children's and Youth Care and Education Children's and youth care and education 4.6 Specialisation in Mental Health and Substance Abuse Welfare Work Mental health and substance abuse welfare work 4.7 Specialisation in Nursing and Care Nursing and care 4.8. Specialisation of Oral and Dental Care Oral and dental care Promotion of oral and dental care and working in special fields of oral and dental care 4.9 Specialisation in Care for the Disabled Care for the disabled 4.10 Specialisation in Care for the Elderly Care for the elderly 4.A Chiropodist Specialisation 4.A.1 Chiropody 4.A.2 Wound care in chiropody 4.11 Optional modules for all The candidate must select one module from modules Module from the Vocational Qualification in Social and Health Care Accident and emergency nursing Perioperative nursing Home care and nursing for the elderly Promotion of the mental health of children and adolescents Sample-taking and customer service in practical nurse work Modules from upper secondary vocational qualifications Module from further vocational qualifications Module from specialist vocational qualifications

6 Other optional modules in upper secondary vocational education and training, 0 10 cr Entrepreneurship, 10 cr Workplace instructor training, 2 cr In-depth and enhancing vocational modules, 5 10 cr Core subjects, 0 10 cr General upper secondary studies, 0 10 cr Modules providing individual in-depth vocational competence (modules that expand the scope of an upper secondary vocational qualification) Modules providing individual in-depth vocational competence (modules that expand the scope of an upper secondary vocational qualification) Business operations, 10 cr Business operations Modules from vocational qualifications (upper Modules from vocational qualifications (upper secondary vocational qualifications, further vocational secondary vocational qualifications, further vocational qualifications, specialist vocational qualifications) qualifications, specialist vocational qualifications) Locally offered modules providing individual in-depth vocational competence in curriculum-based vocational education and training Another study programme in the Vocational Another specialisation in the Vocational Qualification in Social and Health Care, 30 cr. Qualification in Social and Health Care Plaster casts and different support techniques in immobilisation, 10 cr. 5. Core subjects in curriculum-based vocational education and training, 20 cr. 5.1 Compulsory Compulsory Optional modules Mother 4 cr. 0 4 tongue Second 1 cr. 0 4 national language Second 1 cr. national language, Swedish Second 2 cr. national language, Finnish Foreign 2 cr. 0 4 language Mathematics 3 cr Physics and 2 cr. 0 4 chemistry Social, 1 cr. 0 4 business and labour-market subjects Physical 1 cr. 0 4 education Health 1 cr. 0 4 education Arts and 1 cr. 0 4 culture 5.2 Optional modules Plaster casts and different support techniques in immobilisation

7 Optional additional modules to compulsory core subjects, see above Environmental studies Information and 0 4 communications technology Ethics Cultural knowledge Psychology Entrepreneurship cr. 4 cr. In education provided in Swedish, the scope of studies in the second national language is 2 credits, the scope of compulsory core subjects is 17 credits and the scope of optional modules is 3 credits. The scope of compulsory studies is 1 credit each in both physical education and health education. The education provider may divide compulsory studies in physical education and health education differently, however, in such a way that their overall scope totals 2 credits. 6. Free-choice modules in upper secondary vocational education and training, 10 cr. The qualification modules comprise a minimum of 1.5 credits of guidance counselling Promotion of Oral and Dental Care and Working in Special Fields of Oral and Dental Care The Study Programme or Specialisation in Vocational Qualification in Social and Health Care can include, as a module optional for all, the module Promotion of Oral and Dental Care and Working in Special Fields of Oral and Dental Care through the student's or candidate's individual study plan or individualisation. Prior to commencing the studies in the optional module, the student must successfully complete the following modules compulsory for all in the Vocational Qualification in Social and Health Care: Support and Guidance of Growth (15 cr.), Nursing and Care (20 cr.) and Rehabilitation Support (15 cr.) as well as the Study Programme in Oral and Dental Care (30 cr.). Prior to the competence test in the optional module, the candidate must successfully complete the following modules compulsory for all in the Vocational Qualification in Social and Health Care: Support and Guidance of Growth, Nursing and Care and Rehabilitation Support as well as the Study Programme in Oral and Dental Care in a competence test. The scope of the module in upper secondary vocational education and training is 10 credits. In the competence-based qualification system, the education provider must have a valid contract for arranging the competence-based qualification in question or the education provider can purchase the competence tests from an education provider with a contract. A certificate of a completed upper secondary vocational qualification module is always

8 awarded by the Qualification Committee in charge of the upper secondary vocational qualification concerned. The Qualification Committee for the field approves the module in question as part of the Vocational Qualification in Social and Health Care based on the certificate. Vocational skills requirements Assessment The student or candidate is able to work within his/her area of responsibility in the promotion of oral and dental care comply with statutes, instructions and professional ethics within his/her field participate in promotion of oral and dental care for patients and clients of different ages within his/her area of responsibility assess the oral and dental care and oral health habits of clients of different ages work with clients to plan and implement an individualised plan for promotion of oral and dental care participate in the work of an oral and dental care team in orthodontics, oral surgery, prosthetics and stomatognathic physiology provide pharmaceutical care included in his/her work use the basic instruments, work methods and materials of his/her field adhere to aseptic techniques and occupational safety and prevent adverse health effects related to his/her work apply the knowledge basis of his/her field develop his/her own activities based on feedback given and assess his/her own competence monitor developments in his/her own field and identify topical challenges related to his/her work. The table comprises the targets of assessment and the assessment criteria for three levels of competence. In upper secondary vocational education and training, the targets of assessment also constitute the core contents of the module. 5 Target of assessment 1. Mastering the work process Systematic work and mastering the work as a whole Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate plans his/her work, plans his/her work in a supported by a customer-oriented multidisciplinary team in a manner in accordance customer-oriented manner with the treatment plan while complying with the and takes the special workplace operating characteristics of his/her method and taking his/her area of responsibility and field of operation and area workplace into of responsibility into consideration. consideration. entity. works in a cost-conscious manner, but occasionally needs support from the care team. assesses his/her own activities and manages changing situations. works in a costconscious manner. plans his/her work in a customer-oriented manner in accordance with the treatment plan, takes the special characteristics of his/her field of operation, area of responsibility and workplace into consideration and perceives the work as an assesses and justifies his/her own activities and changes his/her activities skilfully. works in a cost-conscious manner. in his/her own work, takes topical challenges into consideration and makes realistic proposals for development.

9 6 Target of assessment 2. Mastering the work methods, equipment and material Promotion of oral and dental care Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate participates in the assessment of the oral care habits and oral and dental health of clients of different ages. participates in drawing up an oral and dental care promotion plan. participates in implementation of the oral and dental care promotion plan. directs clients to carry out self-care. uses oral and dental care products and instruments correctly and safely and guides clients in their use. assesses the oral care habits and oral and dental health of clients of different ages in accordance with his/her area of responsibility. works with clients to draw up a realistic oral and dental care promotion plan. implements the oral and dental care promotion plan together with clients. motivates and directs clients to carry out selfcare based on their individual needs and ability to function. chooses and uses oral and dental care products and instruments correctly and safely and independently guides clients in their use. independently assesses the oral care habits and oral and dental health of clients of different ages in accordance with his/her area of responsibility. works with clients to draw up an individualised and realistic oral and dental care promotion plan. implements the oral and dental care promotion plan by using his/her professional interaction skills in a natural manner. actively motivates and directs clients to carry out self-care. finds alternative operating methods based on clients individual needs and abilities to function. works with clients to select and use the most suitable oral and dental care products and instruments correctly and safely, and independently guides clients in their use. Working in orthodontics, oral surgery, prosthetics and stomatognathic physiology in his/her area of responsibility, provides pharmaceutical care safely and guides clients in pharmaceutical care, but occasionally needs supervision. takes care of the preparedness and asepsis of the care environment and participates in orthodontics, oral surgery, prosthetic and stomatognathic physiology. guides clients in connection with treatments. in his/her area of responsibility, provides pharmaceutical care safely and independently and guides clients in pharmaceutical care. independently takes care of the preparedness, asepsis and aesthetics of the care environment and participates in orthodontics, oral surgery, prosthetic and stomatognathic physiology and works skilfully. guides clients in an individualised manner in connection with treatments in accordance with his/her area of responsibility. in his/her area of responsibility, provides pharmaceutical care safely and independently and guides clients in pharmaceutical care in a customer-oriented manner and justifies his/her decisions. independently takes care of the preparedness, asepsis and aesthetics of the care environment and participates in orthodontics, oral surgery, prosthetic and stomatognathic physiology and works skilfully in changing situations as well. actively and in an individualised manner guides clients in connection with treatments in accordance with his/her area of responsibility.

10 7 Target of assessment 3. Underpinning knowledge Mastering knowledge concerning promotion of oral and dental care Mastering knowledge of orthodontics safely uses the instruments and materials of orthodontics, oral surgery and prosthetics. safely and independently uses the instruments and materials of orthodontics, oral surgery and prosthetics. Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate knowledge of assessing the knowledge of assessing oral and dental health of the oral and dental clients of different ages and health of clients of mapping their oral care different ages and habits, but occasionally mapping their oral care needs supervision. habits. knowledge of compiling an individualised oral and dental care promotion plan and determining an individualised interval between treatments, but occasionally needs supervision. knowledge of motivating clients and guiding clients in self-care. knowledge of the effectiveness and safe use of oral and dental care products, instruments and pharmaceuticals, but occasionally needs supervision. knowledge of the methods, steps, devices, instruments and materials in orthodontics and instructions to be given to clients. knowledge of compiling an individualised oral and dental care promotion plan and determining an individualised interval between treatments. knowledge of motivating clients and guiding clients in self-care as well as concerning different health promotion practices and operating models. knowledge of the effectiveness and safe use of oral and dental care products, instruments and pharmaceuticals. justifies his/her actions with knowledge of the methods, steps, devices, instruments and materials in orthodontics. justifies instructions to be given to clients. skilfully and safely uses the instruments and materials of orthodontics, oral surgery and prosthetics or stomatognathic physiology in changing work situations. assessing the oral and dental health of clients of different ages and mapping their oral care habits. knowledge of compiling an individualised oral and dental care promotion plan and determining an individualised interval between treatments. knowledge of motivating clients and guiding clients in self-care in an individualised manner. information on different health promotion practices and operating methods. in his/her work, critically uses knowledge of the effectiveness and safe use of oral and dental care products, instruments and pharmaceuticals he/she has chosen. the methods, steps, devices, instruments and materials in orthodontics. diversely and in an individualised manner justifies instructions to be given to clients.

11 8 Mastering knowledge of oral surgery knowledge of the principles of surgical asepsis, oral surgery procedures, materials and instruments as well as guiding clients. justifies his/her actions with knowledge of the principles of surgical asepsis. demonstrates his/her knowledge of oral surgery procedures, materials and instruments and guiding clients. the principles of surgical asepsis and guiding clients. oral surgery procedures, the steps involved and devices, materials and instruments used in oral surgery. Mastering knowledge of prosthetics and stomatognathic physiology Target of assessment 4. Key competences for lifelong learning Learning and problemsolving knowledge of dental prosthetics solutions, materials and instruments as well as home-care instructions. justifies his/her actions with knowledge of dental prosthetics solutions, materials and instruments as well as the steps involved in prosthetic care and home-care instructions. Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate has a professional attitude has a professional towards receiving feedback attitude towards and develops his/her receiving feedback and actions based on feedback develops his/her received. actions based on assesses his/her own learning and skills. makes work-related choices and decisions and solves problems, but occasionally needs supervision. feedback received. assesses his/her own learning and skills and requests supervision, when needed. follows up on developments in his/her own field. independently makes work-related choices and decisions, solves problems and obtains additional information on his/her solutions. dental prosthetics and stomatognathic physiology methods, devices, instruments and materials as well as the steps involved in prosthetic and stomatognathic physiology care. diversely and in an individualised manner justifies instructions to be given to clients. acquires, analyses and assesses information and applies previous learning in changing work situations. identifies his/her own strengths and development needs and requests feedback, when needed. follows up on developments in his/her own field and identifies topical challenges. independently makes workrelated choices and decisions, solves problems and actively obtains additional information. justifies his/her actions by providing vocational information and actively obtains additional information.

12 9 Interaction and cooperation Vocational ethics Health, safety and ability to function encounters clients vocationally and acts in a responsible manner in a multidisciplinary team. works as a member of a multidisciplinary team in a friendly and professional manner. in his/her work, adheres to the social and health care sector codes of ethics. acts ethically and identifies ethically problematic situations in oral and dental care. in his/her work, takes client safety and the safety of members of the working community and the work environment (including radiation safety) into consideration. identifies risks related to the safety and ergonomics of his/her work environment. encounters clients vocationally and promotes their well-being by interactive methods and also acts in a responsible and cooperative manner. works in a natural and co-operative manner in a multidisciplinary team. in his/her work, adheres to the social and health care sector codes of ethics. acts ethically and identifies and reflects on ethically problematic situations in oral and dental care. in his/her work, takes client safety and the safety of members of the working community and the work environment (including radiation safety) into consideration. contributes to preventing safety risks in the work environment. encounters clients vocationally and promotes their well-being on his/her own initiative and in an individualised manner by means of interactive methods. applies the feedback he/she receives in his/her vocational development. works on his/her own initiative and in a cooperative manner in a multidisciplinary team. in his/her work, adheres to the social and health care sector codes of ethics. acts ethically and finds solutions to ethically problematic situations in oral and dental care. in his/her work, takes client safety and the safety of members of the working community and the work environment (including radiation safety) into consideration. assesses and develops the safety and ergonomic functionality of the work environment. Ways of demonstrating vocational skills The student or candidate demonstrates his/her vocational skills through work in the special fields of oral and dental health promotion and oral and dental care as a member of a care team in an oral and dental care unit either in the public or private sector. Vocational skills are demonstrated in the following work entities: systematic work and mastering the work as a whole, oral and dental care promotion and working in orthodontics, oral surgery, prosthetics and stomatognathic physiology. In addition, he/she must master knowledge of oral and dental care promotion and orthodontics, oral surgery and prosthetics and stomatognathic physiology as well as the key competences for lifelong learning. Work is carried out to the extent that it can be established that vocational skills meet the skills requirements. A vocational skills demonstration is to comprise mastering the work process completely; mastering working methods, equipment and material completely; mastering underpinning knowledge completely; key competences for lifelong learning completely.

13 If the vocational skills required for the module cannot be fully demonstrated in a vocational skills demonstration or a competence test, it is to be supplemented by other types of assessment of competence, such as interviews, assignments and other reliable methods. 4. A. CHIROPODIST STUDY PROGRAMME OR SPECIALISATION 4.A.1 Chiropody The student must pass the compulsory modules for all (Support and Guidance of Growth, Nursing and Care and Rehabilitation Support) before the study programme starts. The candidate must pass the compulsory modules for all (Support and Guidance of Growth, Nursing and Care and Rehabilitation Support) before the specialisation competence test. Vocational skills requirements The student or candidate is able to work in accordance with the value basis, operating principles and regulations of the social and health care sector work in co-operation in a social and health care multidisciplinary specialist network while acknowledging the responsibilities and limits of a practical nurse in his/her chiropody work, use researched information and care and operating instructions confirmed by the operating environment work in customer service and ensure privacy protection and information security apply his/her language skills in customer service in chiropody guide clients or patients as well as various groups in promotion of health and well-being and foot health as well as foot self-care prevent generation of malpositions and stress injuries of the lower extremities consider the chiropody needs of individuals of different ages in his/her work work in an aseptic manner and prevent the generation and spreading of infections prepare a chiropody treatment area in different care environments and choose the work instruments, materials and supplies needed examine and identify changes in clients feet in his/her chiropody work, take changes caused by illnesses in the lower extremities into consideration draw up a written chiropody treatment plan based on an examination assist clients or patients in chiropody treatment situations carry out a chiropody treatment on clients or patients provide external pharmaceutical treatment in chiropody and monitor its effectiveness massage clients or patients lower extremities plan and implement kinetic treatment maintaining the functionality of the feet plan and make padding which protects the skin of the feet provide maintenance for instruments and devices used in chiropody assess the chiropody treatment he/she provided and direct clients for further treatment guide clients and patients in the use of social and health care services as well as in acquisition and use of mobility aids guide health care personnel and clients or patients assistants in issues relating to chiropody prevent health hazards related to his/her work and adhere to occupational safety and health instructions plan the commodification of his/her own competence and potential entrepreneurship develop his/her actions on the basis of feedback received and assess his/her skills and also develop his/her occupational field.

14 11 Assessment The table comprises the targets of assessment and the assessment criteria for three levels of competence. In upper secondary vocational education and training, the targets of assessment also constitute the core contents of the module. Target of assessment 1. Mastering the work process Planning and carrying out one s own work Compiling, implementing and assessing the chiropody treatment plan Economical and highquality activity Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate plans his/her work in a customer- or patientoriented manner and in keeping with his/her operating environment. works in a systematic and target-oriented manner and adheres to the instructions provided. identifies clients or patients chiropody needs and compiles a customeroriented written plan for client or patient guidance and chiropody care, which he/she implements and assesses. as a member of a team or network, is responsible for information processing and client or patient records in a manner that ensures the quality of chiropody care as well as the legal protection of clients or patients and those carrying out the work. independently plans his/her work in a customer- or patient-oriented manner and in keeping with his/her operating environment and perceives his/her work as a whole. works in a systematic and target-oriented manner and acts appropriately. identifies clients or patients chiropody needs in a customer- and resourceoriented manner, compiles a customer-oriented written plan for client or patient guidance and chiropody care in accordance with the National Nursing Classification or the plan in use in each operating environment, and independently implements and assesses it in accordance with the instructions of the operating environment. is independently responsible for information processing and client or patient records in a manner that ensures the quality of chiropody care as well as the legal protection of clients or patients and those carrying out the work. independently plans his/her work in a customer- or patient-oriented manner, taking special characteristics of his/her operating environment into consideration and adapts his/her actions in a flexible manner. works in a systematic and target-oriented manner and acts appropriately and flexibly in changing situations. identifies clients or patients chiropody needs diversely and in a customer- and resource-oriented manner, compiles a customeroriented written plan for client or patient guidance and chiropody care in accordance with the National Nursing Classification or the plan in use in each operating environment, and implements and assesses it in a versatile and critical manner. is independently and coherently responsible for information processing and client or patient records in a manner that ensures the quality of chiropody care as well as the legal protection of clients or patients and those carrying out the work.

15 12 Planning competence commodification Target of assessment 2. Mastering methods, equipment and material Taking health, safety and ability to function into consideration Customer service and communications carries out chiropody as a member of a team or network in a costconscious manner while adhering to care and operating instructions as well as quality recommendations confirmed by the operating environment. plans competence commodification with supervision. carries out chiropody independently and in a costconscious manner while adhering to care and operating instructions as well as quality recommendations confirmed by the operating environment and assesses the quality of chiropody care. in his/her work, plans and surveys opportunities to commodify his/her own competence. Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate as a member of a team or network, assesses the foot health of clients or patients, supports clients or patients in promoting health, well-being and nutrition, and, supported by the team or network, implements foot health promotion for clients and patients of different ages and in different life situations by means of individual and group guidance. supports clients or patients in coping with social problems (e.g. marginalisation, loneliness, abuse, threat of domestic or partnership violence and substance abuse). in a responsible manner, serves clients or patients in appointment situations and over the phone and uses clear and respectful language. handles chiropody client billing with the help of instructions in accordance with the working community's practices. independently assesses the foot health of clients or patients, supports clients or patients in promoting health, well-being and nutrition, and implements foot health promotion for clients and patients of different ages and in different life situations by means of individual and group guidance. supports clients or patients and their next of kin in coping with social problems and intervenes as early as possible. provides individualised and responsible service to clients and patients in appointment situations and over the phone, uses clear and respectful language naturally and applies communication methods which substitute for speech. independently handles chiropody client billing in accordance with the working community's practices. carries out chiropody independently and in a costconscious manner while adhering to care and operating instructions as well as quality recommendations confirmed by the operating environment and assesses and develops the quality of chiropody care by making development proposals. actively plans and develops his/her entrepreneurial preparedness and realistically assesses opportunities to commodify his/her own competence. independently assesses the foot health of clients or patients, on his/her own initiative and diversely supports clients or patients in promoting health, wellbeing and nutrition, and plans and implements foot health promotion for clients and patients of different ages and in different life situations skilfully and in a motivating manner by means of individual and group guidance. supports clients or patients and their next of kin in coping with social problems and intervenes as early as possible, through his/her actions strives to prevent social problems and directs clients or patients to use specialist assistance. works independently and responsibly in individualised customer service, uses clear and respectful language fluently and flexibly applies communication methods which substitute for speech in demanding customer service situations as well. independently and responsibly handles chiropody client billing in accordance with the working community's practices.

16 13 Chiropody in accordance with instructions, prepares a functioning chiropody treatment area in, for example, a care facility, institutional care and home. examines the foot health of clients or patients of different ages using standard methods. determines the condition of the skin, nails, soft tissue, circulation in the lower extremities and the peripheral nervous system of clients and patients of different ages and the pain experienced by clients using standard methods. records client or patient information and draws up a chiropody treatment plan and records the treatment provided in accordance with instructions and handles the documents in compliance with statutes. safely and in a customeror patient-oriented manner treats skin lesions in the feet (e.g. warts, corns, callouses, fissures, blisters, inflammation of the nail wall) using standard treatment methods. safely and in a customeror patient-oriented manner treats changes in nails (e.g. overgrown nails, thick nails, fungus nails, pincer nails and ingrown nails) using standard treatment methods. prepares a functioning chiropody treatment area in, for example, a care facility, institutional care and home, taking clients or patients abilities to function into consideration in the preparation. examines the foot health of clients or patients of different ages using various methods extensively. extensively determines the condition of the skin, nails, soft tissue, circulation in the lower extremities and the peripheral nervous system of clients and patients of different ages and the pain experienced by clients using various methods. appropriately records examinations, the chiropody treatment plan and the treatment provided and handles the documents in compliance with statutes, taking patient safety into consideration. independently and safely as well as in a customer- or patient-oriented manner treats skin lesions in the feet (e.g. warts, corns, callouses, fissures, blisters, inflammation of the nail wall) using various treatment methods. independently and safely and in a customer- or patientoriented manner treats changes in nails (e.g. overgrown nails, thick nails, fungus nails, pincer nails and ingrown nails) using various treatment methods. skilfully prepares a functioning chiropody treatment area in, for example, a care facility, institutional care and home, taking clients or patients needs and abilities to function into consideration in the preparation. examines the foot health of clients or patients of different ages using various methods skilfully and diversely. determines the condition of the skin, nails, soft tissue, circulation in the lower extremities and the peripheral nervous system of clients and patients of different ages and the pain experienced by clients using various methods fluently and diversely. diversely and coherently records examinations, the chiropody treatment plan and the treatment provided as well as a further treatment plan and handles the documents in compliance with statutes, taking patient safety into consideration. flexibly selects customer- or patient-oriented treatment methods, justifying his/her choices, and skilfully and independently treats skin lesions in the feet (e.g. warts, corns, callouses, fissures, blisters, inflammation of the nail wall) using various treatment methods and ensuring safety. flexibly selects customer- or patient-oriented treatment methods, justifying his/her choices, and competently and independently treats changes in nails (e.g. overgrown nails, thick nails, fungus nails, pincer nails and ingrown nails) using various treatment methods and ensuring safety.

17 treats the skin of the foot and nails safely by means of external self-care pharmaceuticals, takes the effects and adverse effects of pharmaceutical care into consideration and also guides clients or patients in the use of external pharmaceuticals. selects individualised and suitable commercially available padding product for chiropody, uses these products in accordance with instructions and supervises their use. instructs clients or patients in foot exercises and provides passive kinetic treatment in accordance with instructions. as a member of a team or network, identifies chiropody clients or patients needs for social and health care services as well as rehabilitation and directs clients or patients to use basic level services. independently and safely treats the skin of the foot and nails by means of external self-care pharmaceuticals, takes the effects and adverse effects of pharmaceutical care into consideration and also guides clients or patients to use external pharmaceuticals and to monitor their effectiveness. selects the padding materials used in chiropody in a customer- or patientoriented manner, uses commercially available products as well as designs and makes an individualised padding product taking the client's ability to function into consideration and guides clients or patients in the use and maintenance of the padding product. independently instructs clients or patients in individualised foot exercises and provides passive kinetic treatment. identifies chiropody clients or patients needs for social and health care services as well as rehabilitation and directs clients or patients to use needs-based services. 14 independently and skilfully, ensuring safety, treats the skin of the foot and nails safely by means of external self-care pharmaceuticals, takes the effects and adverse effects of pharmaceutical care diversely into consideration and in a customer- or patientoriented manner guides clients or patients to use external pharmaceuticals and to monitor their effectiveness. selects the padding materials used in chiropody a customer- or patient-oriented manner, uses commercially available products and also skilfully designs and makes an individualised padding product taking into consideration its functionality, appearance and each client's ability to function and guides the use, maintenance and follow-up of the padding product in a customer- or patient-oriented manner and ensures further treatment, if needed. independently and actively instructs clients or patients in individualised foot exercises and diversely provides passive kinetic treatment. identifies chiropody clients or patients needs for social and health care services as well as rehabilitation and guides clients or patients in the use of various customeroriented alternative services.

18 15 Guidance Aseptic work as a member of a team or network, identifies chiropody clients or patients needs for assistive devices and directs clients or patients in their acquisition and use. works as a member of a team or network with chiropody clients or patients from different cultures. guides clients or patients in the self-care of feet (e.g. choice of shoes and socks, skin and nail care, foot hygiene, foot exercises) in accordance with recommendations. consults specialists for advice in assessing chiropody clients or patients needs for further treatment. guides social and health care personnel and clients' or patients' assistants in implementing chiropody. independently takes care of the cleanliness of clients' or patients' chiropody environments to prevent microbes or infections from spreading. takes care of his/her own hygiene and the cleanliness of protective clothing and uses protective equipment. on one's own initiative identifies chiropody clients or patients needs for assistive devices and directs clients or patients in their acquisition and use. in his/her work, takes the needs of clients or patients from different cultures into consideration. provides customer-oriented guidance on and motivates clients or patients in the selfcare of feet (e.g. choice of shoes and socks, skin and nail care, foot hygiene, foot exercises). if needed, directs chiropody clients or patients to other health care specialists. actively guides social and health care personnel and clients' or patients' assistants in implementing chiropody. independently and on his/her own initiative takes care of the cleanliness of clients' or patients' chiropody environments to prevent microbes or infections from spreading. takes care of his/her own hygiene and the cleanliness of protective clothing and also takes into consideration the possibility of spreading of infection and uses protective equipment as needed. independently identifies chiropody clients or patients needs for assistive devices and directs clients or patients in their acquisition and use and also takes the importance of assistive devices in promoting the ability to function into consideration. in his/her work, comprehensively takes the needs of clients or patients from different cultures into consideration. provides justified and customer-oriented guidance on and motivates clients or patients in the self-care of feet (e.g. choice of shoes and socks, skin and nail care, foot hygiene, foot exercises) and ensures the prerequisites for performing self-care. assesses chiropody clients or patients' needs for further treatment and, if needed, provides a referral and directs clients or patients to other health care specialists. actively and by diversely justifying guides social and health care personnel and clients' or patients' assistants in implementing chiropody. independently and actively takes care of the cleanliness of clients' or patients' chiropody environments to prevent microbes or infections from spreading, diversely ensures work and patient safety. takes care of his/her own hygiene and the cleanliness of protective clothing and also diversely prevents the spreading of infections by using protective equipment as needed.

19 16 Using instruments and materials Development of work implements chiropody in accordance with instructions and in compliance with an aseptic working order. works in accordance with instructions concerning asepsis in instrument maintenance. maintains the instruments and devices used in chiropody in accordance with instructions, cooperates with instrument maintenance and sends malfunctioning instruments and devices for maintenance in accordance with instructions. uses instruments and devices safely in chiropody. uses disposable products appropriately. co-operates in the multidisciplinary care network of chiropody clients or patients and works in his/her own area of responsibility. develops his/her vocational skills in chiropody in accordance with feedback he/she receives. plans and implements chiropody in compliance with the working order. independently works in instrument maintenance, taking the principles of asepsis into consideration. independently maintains the instruments and devices used in chiropody, cooperates with instrument maintenance and independently sends malfunctioning instruments and devices for maintenance. selects the instruments and devices used in chiropody in a customer- or patientoriented manner and uses them safely. uses disposable products appropriately, taking economic efficiency and the amount of waste generated when using them into consideration. on his/her own initiative, co-operates in the multidisciplinary care network of chiropody clients or patients and works in his/her own area of responsibility. requests feedback and develops his/her vocational skills in chiropody in accordance with feedback he/she receives, is interested in the field and seeks information related to the field in order to develop him-/herself. plans and skilfully implements chiropody in compliance with an aseptic working order. independently and skilfully works in instrument maintenance, taking the principles of asepsis into consideration and diversely ensures the quality of aseptic work. independently and skilfully maintains the instruments and devices used in chiropody and ensures their operating safety, flexibly co-operates with instrument maintenance and independently and on his/her own initiative sends malfunctioning instruments and devices for maintenance. selects the instruments and devices used in chiropody in a customer- and patientoriented manner, taking economic efficiency into consideration, and uses the instruments and devices skilfully and safely. selects and uses disposable products appropriately and economically and actively takes care of appropriate sorting of waste. actively and competently co-operates in the multidisciplinary care network of chiropody clients or patients, consults other specialists, communicates details of his/her activities and works in his/her own area of responsibility. assesses his/her actions, requests feedback and diversely develops his/her vocational skills in chiropody in accordance with feedback received, is interested in the field and diversely seeks information related to the field in order to develop him-/herself.

20 17 Target of assessment 3. Underpinning knowledge Mastering knowledge concerning chiropody examinations Mastering knowledge concerning chiropody Assessment criteria Satisfactory 1 Good 2 Excellent 3 The student or candidate in his/her chiropody work, justifies his/her actions in uses researched chiropody with researched information on the effects information on the effects of of illnesses on the lower illnesses on the lower extremities, the structural extremities, the structural and functional anatomy of and functional anatomy of the human body as well as the human body as well as physiology. physiology. in his/her chiropody work, uses researched information on the promotion of health and well-being, the structure and functioning of the body, nutrition and a person's ability to function and mobility as well as mobility aids. knowledge of illnesses (including neurogenic conditions and illnesses causing cardiovascular damage, mental health issues and memory disorders) and their effects on the lower extremities. basic knowledge of social problems, the effects of abuse of alcohol, illegal drugs and pharmaceuticals as well as smoking on the lower extremities. in his/her work, applies knowledge of the most common malpositions and stress injuries of the lower extremities, in particular feet, in people of different ages, their causes, symptoms and treatment principles. in his/her chiropody work, uses knowledge of the most common skin lesions and nail changes, their causes, symptoms and treatment principles. adheres to the principles of sustainable development and economic efficiency when selecting chiropody justifies his/her actions in chiropody with researched information on the promotion of health and well-being, the structure and functioning of the body, nutrition and a person's ability to function and mobility as well as mobility aids. knowledge of illnesses (including neurogenic conditions and illnesses causing cardiovascular damage, mental health issues and memory disorders) and their effects on the lower extremities. basic knowledge of social problems, the effects of abuse of alcohol, illegal drugs and pharmaceuticals as well as smoking on the lower extremities. knowledge of the most common malpositions and stress injuries of the lower extremities, in particular feet, in people of different ages, their causes, symptoms and treatment principles. information on the most common skin lesions and nail changes, their causes, symptoms and treatment principles. provides customer- or patient-oriented justifications when selecting chiropody instruments and actions in chiropody with researched information on the effects of illnesses on the lower extremities, the structural and functional anatomy of the human body as well as physiology. actions in chiropody with researched information on the promotion of health and well-being, the structure and functioning of the body, nutrition and a person's ability to function and mobility as well as mobility aids. illnesses (including neurogenic conditions and illnesses causing cardiovascular damage, mental health issues and memory disorders) and their effects on the lower extremities. actions with basic knowledge of social problems, the effects of abuse of alcohol, illegal drugs and pharmaceuticals as well as smoking on the lower extremities. the most common malpositions and stress injuries of the lower extremities, in particular feet, in people of different ages, their causes, symptoms and treatment principles. the most common skin lesions and nail changes, their causes, symptoms and treatment principles. diversely provides customer- or patientoriented justifications when selecting chiropody