CHCAC317A Support older people to maintain their independence, and
CHCAC318B Work effectively with older people
Assessor
is to use this cover sheet to record the results of all the assessments in this
unit.
Assessment Tasks Outcome
Unit:
|
CHCAC318B
Work effectively with older people, and
CHCAC317A
Support older people to maintain their independence
|
Student ID:
|
|
Student’s Name:
|
Assessor’s Feedback
Assessors:
Please return to the student this cover sheet, along with the assessment
results and feedback. A copy must be
supplied to the office and kept in the student’s file with the evidence. Please complete the table above.
Tasks
included in this assessment:
Assessment Tasks
|
Title
|
Satisfactory/ Not yet satisfactory
|
Signature
|
Date
|
Re-submission
Satisfactory/ Not yet satisfactory
|
Short-answer
questions
|
Assessment
1
|
||||
Multiple
Choice
|
Assessment
1
|
||||
True/False
|
Assessment
1
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||||
Case
study 1
|
Assessment
2
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||||
Case
study 2
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Assessment
2
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||||
Case
study 3
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Assessment
2
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||||
Case
study 4
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Assessment
2
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||||
Case
study 5
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Assessment
2
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||||
Case
study 6
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Assessment
2
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||||
Case
study 7
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Assessment
2
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||||
Case
study 8
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Assessment
2
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||||
Project
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Assessment
3
|
||||
Assessor’s Feedback
|
|||||
Assessor’s name &
signature…………………………………………………………..
CHCAC318B Work effectively with older people, and
CHCAC317A Support older people to maintain their
independence
Assessments
To
achieve a competent result for these units,
you must satisfactorily complete all the assessment requirements listed below.
Your trainer/assessor will give you the timelines when these assessments need
to be submitted.
Assessments for these units are as follows:
Assessment Number
|
Type of Assessment
|
Description and location
|
Assessment 1
|
Short Questions
True or False
Questions
|
There are 38 questions on this task found in
this booklet. There are also some multiple choice and true/false questions
that need to be answered.
|
Assessment
2
|
Case Study
|
There are eight case studies found in this
booklet.
|
Assessment 3
|
Project
|
There is one
project found in this booklet.
|
Assessment 4
|
Personal Journal
|
Each student is to keep a journal of their
daily activities while on clinical placements.
|
Assessment 5
|
Workplace Observation
|
Each student will be expected to cover some
aspects of this course at the workplace. Your assessor will give you more
details.
|
Assessment 6
|
Third-party
observation
|
Each student will be expected to cover some
aspects of this course at the workplace and to get a report from the
supervisor.
|
Assessment 1 – Short questions
Instruction to the student:
Refer to your resources and PowerPoint slides and answer the
following questions.
1. The government
provides funding for various programs that assist older people who live in
their own homes. One of these is the HACC (Home and Community Care) program.
Describe the services available through the HACC program.
2. Australia’s
population is ‘ageing’. Briefly explain how you think this will affect the
funding and services available in the community for older people.
3. Routines are an
essential part of an older person’s lifestyle. Briefly explain why you think
it’s important to fit in your work around an older person’s routine?
4. When we enter
someone’s home, it is important to remember we are entering their personal,
private space. List three things we should do before entering.
5. It is important
to provide support and assistance in accordance with your organisation’s
policy, protocols and procedures. If you are instructed to provide care to a
client in their home, would it be okay to turn up at whatever time you like or
to do your work in whatever order you like? Briefly explain your answer.
6. An older person
may use many different types of equipment to support them with their ADL’s
(activities of daily living). If you knew your client needed their glasses to
enable them to see properly, explain how you would assist the person to wear
and use them correctly.
7. Part of your role
as a carer is to monitor your client’s activities and environment as well as to
promote independence.
a. Give an example of when you might observe the
older person as having difficulty with their ADL’s (activities of daily
living).
b. Who would you report this to?
8. When you are
providing care for your client in their home, it is important that it is safe
and secure. What three things might you check to make sure your client is safe
and secure?
9. If you checked
the smoke alarms in your client’s home and found the batteries to be flat,
briefly explain what your course of action should be.
10. As a carer, you
are expected to provide support and assistance in accordance with your
organisation’s policy and procedure. Give at least three policies and
procedures that you might apply to assist you
in completing tasks safely and correctly.
11. People grieve in
different ways for different reasons. It is important that you help your
clients through the grieving process.
a. Give three examples of
signs that would indicate that your client is experiencing grief and loss. Who
might you report this to?
b. Name at least three communication skills a carer should possess.
12. There are many
support services available in the community. If your client was interested in
joining a local church or social group for seniors, what would you do? How
would you provide them with information? Explain what your course of action
would be in this situation.
13. You may come
across hazards in the older person’s environment from time to time. Explain what
your course of action would be in removing and minimising identified hazards.
·
Poor lighting
·
Dial on the stove has numbers that are difficult to see
14. A carer should
always address recognised hazards in accordance with the organisation’s policy
and procedure. True or False
15.
Describe at least three key issues facing older people and their
carers.
16.
Using the two examples below, explain how these current philosophies of
service delivery would impact your work.
·
Changing societal expectations (consumerism), e.g. clients and their
families more willing to complain about poor service
·
Impact of ageing demographics, e.g. increasing number of older retired
people dependent on their pension in relation to the number of employed people
17.
As carers, we are expected to know and abide by government
legislations. List three legislations that apply to the delivery of services to
an elderly person.
18.
The Australian Government funds several programs that provide services
in the community, one of which is the DVA (Department of Veterans Affairs). Give
a brief explanation of the purpose and services offered by the program.
19.
Briefly explain the term ‘ageism’ and how your own personal values
affect how you carry out your work.
20. It is important to remember that as we age
our body begins to undergo normal physiological age-related changes. As carers
of frail old people, we need to be aware of these changes so that we can assist
our clients to recognise the impact of the ageing process and to outline
strategies to help them meet their needs and prevent potential risks.
a. List five of the common physical problems
associated with ‘ageing’.
b. List four chronic age-related conditions in
older people.
c. Briefly explain why you would need to be aware
of these problems.
21. Briefly explain how we, as
carers, can promote a healthy lifestyle practice for our clients.
22. Briefly explain the term
‘Duty of Care’.
23. It
is important that clients are informed of their rights and responsibilities, that
they are empowered with choices, their preferences are taken into consideration
when developing their care plans, and their lodging complaints are addressed.
List five ways a facility upholds their residents’ rights and interests.
24. Briefly
explain how you, as a carer, would support the older person and their advocate
to be aware of their rights and responsibilities?
25. When
you are at work, you will be required and expected to fill in documentation or
forms that contribute to the workplace quality systems. (For example, you may
fill in an ‘Improvement Request’ form which may help a workplace identify an
issue that can be addressed and improved, or fill in a ‘Behavioural Assessment’
form to identify what a person’s behaviours may be and when they are
occurring). Give two other examples of documentation that you may have to fill
and explain what each of these would be used for.
26. What
does the term ‘ageing in place’ mean?
27. Briefly explain what ‘accreditation’ is and the
main elements of this process in the aged care sector & home and community
care?
28. a. Explain briefly what ‘social model of
disability’ means.
b. How may the social model of disability
affect the individual’s quality of life?
29. As a carer, you will come across conflicting
situations between clients and even staff members. Explain the procedure for managing complaints.
30. How can we, as workers in community services,
promote positive ageing? List three ways in which you could do this.
31. Due to age, the social life of the elderly
person is devalued. Name two factors that you think contributes to this social
devaluation.
32. A client’s rights should be observed at all
times. Where can we find details of clients’ rights?
33. Briefly explain the
following principles in relation to working effectively with older people:
a. Empowerment
b. Disempowerment
34. Part of our carer’s role is to adopt
strategies to empower and advocate for older people to meet their goals and
meet their service delivery. True or False
35. As a carer, it is important to know our work
role and functions. Maintaining sustainability of the workplace, which includes
environmental, economic, workforce and social sustainability, is part of carer
staff work role. True or False
36. Part of our role and function as a carer is
to maintain basic management principles, such as people, paper and processes,
“Plan, Do, Check and Act Cycle”. True or False
37. As part of our work roles and adherence to
policies, procedures and legislation, it is acceptable to disclose a client’s
information to client’s friend. True or False
38. (CHCAC318B)
Quality assurance
|
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CHCAC318B Work effectively with older
people
1. Apply understanding of the
structure and profile of the residential aged care sector.
3. Demonstrate commitment to the
philosophy of ‘positive ageing’.
4. Apply understanding of the
physical and psychosocial aspects of ageing.
6. Support the rights and interests
of the older person.
8. Deliver services within a quality
framework.
|
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Here are details about feedback received at Sutherland Nursing Home:
Part A – Verbal Feedback
Mr and Mrs Walker, parents of Sara, a
young person in the nursing home, say to Nikki, an aged care worker, ‘We are
really concerned about Sara’s quality of life. None of the activities she is
involved in reflect her needs as a young adult. She rarely sees people her
own age and she never leaves the centre.’
1. What client rights are at risk?
2. What should Nikki do?
Part B – Letter of Complaint
To the Director of Nursing:
My mother, Mrs Reynolds, has been a
resident at Sutherland Nursing Home. We typically visit her in the afternoon.
Our last three visits have been interrupted by an aged care assistant who
arrived to wash our mother. She has always enjoyed a morning shower. I wonder
why her routine is not respected. I am also concerned that we do not get to
enjoy a lengthy visit with our mother. She enjoys our visits and is distressed
that they are cut short.
I would appreciate your immediate
attention.
Yours sincerely,
Jocelyn Gilliam
Answer the following:
1. What client rights are at risk?
2. What changes should be made?
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Part C – Collated Customer Feedback Forms
|
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1. Which client rights are addressed?
2. Which client rights are not
addressed?
3. Explain all of the reasons why
issues identified as a result of this survey must be addressed.
|
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TRUE OR FALSE Questions – CHCAC31A
Support clients in activities of
daily living
|
||
CHCAC317A Support older people to
maintain their independence
1. Support the older person with
their activities of daily living
2. Recognise and report changes in an
older person’s ability to undertake activities of daily living
3. Support the older person to
maintain an environment that maximises independence, safety and security
|
||
Carers should have the knowledge and
skills to support their clients to maintain as much independence as possible
in residential care.
Select the correct answer.
|
||
True
|
False
|
|
1. Older people should be
assisted to identify support services to promote their independence.
|
True
|
False
|
2. Clients must be made to
use support services if they will be beneficial.
|
True
|
False
|
3. Care workers need not be
familiar with details of support services.
|
True
|
False
|
4. Care workers should focus
on practical assistance for independent living.
|
True
|
False
|
5. Care workers should be
aware of aids/equipment to help with independence.
|
True
|
False
|
6. Needs are important,
preferences are not.
|
True
|
False
|
7. The care plan should
identify the client’s needs.
|
True
|
False
|
8. The care plan should
identify the client’s preferences.
|
True
|
False
|
9. A care worker is not
qualified to ask for a review of the care plan.
|
True
|
False
|
10. Difficulties with meeting
the requirements of the care plan should be reported to a supervisor.
|
True
|
False
|
11. Established routines
cannot always be met when clients move into care.
|
True
|
False
|
12. It is not worth trying to
meet old routines for clients in residential care; they must learn new ones.
|
True
|
False
|
13. Provision of culturally
appropriate care is only provided in ethnic-specific care homes.
|
True
|
False
|
14. Care homes can cluster
similar culture clients to try to provide more culturally appropriate care.
|
True
|
False
|
15. Care homes should have
guidelines on maintaining optimum independence for residents.
|
True
|
False
|
16. Privacy is too difficult
to provide in high-care residential aged care.
|
True
|
False
|
17. Confidential files must be
securely stored in locked cupboards.
|
True
|
False
|
18. Information on clients can
always be shared with their family members.
|
True
|
False
|
19. Confidential information
may be shared with professional staff to improve care.
|
True
|
False
|
20. Encouraging clients to
direct/share in their care processes is time-wasting.
|
True
|
False
|
21. Encouraging clients to
direct/share in their care processes maintains their dignity and self-esteem.
|
True
|
False
|
22. Issues, problems and
incidents with clients must be reported to the supervisor.
|
True
|
False
|
23. If incidents are reported,
there is no need to document them in care notes.
|
True
|
False
|
24. Assistive aids help
clients maintain independence.
|
True
|
False
|
25. All falls can be prevented.
|
True
|
False
|
26. The risk of falls should
be minimised in residential care.
|
True
|
False
|
27. The environment in
residential care should be assessed for risks.
|
True
|
False
|
28. Every residential care
home can be made totally safe.
|
True
|
False
|
29. If a piece of equipment is
faulty, report it and use it until replaced/fixed.
|
True
|
False
|
30. You can always figure out
how equipment works by trial and error when not trained to use it.
|
True
|
False
|
31. It is important to have
numeracy skills when weighing and measuring a client to calculate the amount
of change.
|
True
|
False
|
32. Client modesty is not important
if you are assisting with ADLs.
|
True
|
False
|
33. Strategies for care are
the same whatever the care environment.
|
True
|
False
|
TRUE OR FALSE Questions – CHCAC318B
The residential aged care sector
|
||
CHCAC318B Work effectively with older
people
1. Apply understanding of the
structure and profile of the residential aged care sector
|
||
Choose the correct answer.
|
||
True
|
False
|
|
1. High-level residential care is
suitable for people with chronic and complex conditions.
|
True
|
False
|
2. Low-level residential care is
provided for clients living in their own homes in the community.
|
True
|
False
|
3. The only issues facing older
people are those associated with physical illness and disease.
|
True
|
False
|
4. Client-centred care involves
focusing on the person rather than their conditions and/or diseases.
|
True
|
False
|
5. The Aged Care Act of 1997 is just
a guide. Providers can choose whether or not they wish to follow this guide.
|
True
|
False
|
6. A person’s income and assets do
not impact how much government funding they receive.
|
True
|
False
|
7. A person’s level of need is just
one of the many factors used by the government to determine funding
entitlements.
|
True
|
False
|
8. Government policies have an impact
on residential aged care providers.
|
True
|
False
|
9. Private residential aged care
providers are not affected by changes in government policies about aged care.
|
True
|
False
|
10. Australia’s population is ageing.
This is expected to increase the demand for aged care services.
|
True
|
False
|
11. Changing community expectations
have helped improve the quality of care provided by the residential care
sector.
|
True
|
False
|
12. Workforce sustainability is
concerned with the ability to attract and retain people with the required
skills to provide quality aged care.
|
True
|
False
|
Assessment 2 – Case
studies
Consider the following scenarios and answer the questions that follow.
Case Study 1
Ella is 83 years old and lives in a residential aged care facility. She
has lived in the facility for the past two years. Her eyesight is slowly
deteriorating, resulting in her walking into furniture. She also has recently
developed arthritis in her hands. She loves to read books and to do the
crossword in the newspaper. She is also an avid knitter. Now Ella cannot button
her blouse without help.
Briefly answer the following questions based on the case study.
1.
How would you help Ella to understand the physical changes that are
happening to her?
2.
How would you assist Ella to continue to do these activities?
3.
How can you communicate situations of risk or potential risk associated
with ageing to Ella?
Case Study 2
An older transgender woman with dementia, who had lived most of her life
as a woman but had never had sex reassignment surgery, was forced by staff of the
religious aged care facility where she was being cared for to live as a man.
One particular staff member had told her family and friends about the
‘disgusting, old woman’ and told them private information regarding the woman’s
personal details.
1.
Which two legislations relating to aged care are involved?
2.
Explain why the staff member should keep her views to herself.
3.
Is the aged care doing the right thing by forcing this woman to live as
a man? Briefly explain your answer.
4.
If this person was unable to express their opinion as they were afraid
to do so, what could you suggest and what would your course of action be?
SS01 –Pearson CHCAC317A
Support clients in
maintaining activities and independence
|
CHCAC317A Support older people to maintain their independence
1. Support the older person
with their activities of living
2. Recognise and report
changes in an older person’s ability to undertake activities of living
3. Support the older person
to maintain an environment that maximises independence, safety and security
4. Support the older person
who is experiencing loss and grief
|
Case Study 3
Charles entered Southern
Downs Aged Care Home after his wife died 18 months ago. He is 74 and has
lived in the area for 40 years, so he has many friends and acquaintances.
However, over recent months his visitors come less often, many being his age
and having difficulties of their own. Charles has diabetes and very bad
arthritis, particularly in his hips, but is mentally alert and very sociable.
He has an electric wheelchair to get around the home and a folding manual one
for when he goes out. He has no children and has only a sister who is 82 and
does not get in to see him very often. He does have one close friend, Paul,
who is a bit younger than him and who both visits him and takes him to
community activities.
Paul takes Charles to the
Bridge Club every Monday afternoon, to U3A on Thursday afternoon for music
appreciation, to an art group on Friday morning and on Sunday morning to the
church, which they have both attended for many years. Paul had a large car
that took the wheelchair easily and he was fit and able to assist Charles
with his mobility. Charles and his friend had been workmates and friends in
retirement. They shared many memories, having spent many good times together
with their wives, both now sadly passed away. Occasionally, Paul would take
Charles to the cemetery and take flowers to their wives’ graves. Charles has
a lovely framed photo of them all together at his 60th birthday. Paul had an
accident three weeks ago, breaking one ankle and straining the other. Charles
has not seen him since and is very upset, missing him and the outings very
much. Since Paul had his accident, Charles has moved their framed photo so he
can see it when sitting in his chair. Charles has become quite withdrawn
since Paul has been absent and now seems to stay in his room more and sleeps
frequently, lacking the stimulation.
1. Explain Charles’ reaction
to Paul’s absence.
2. How might you assist Charles
to regain his old routine?
3. How might you help Charles
become involved in other activities in and out of the home?
4. How might you get Charles
to talk to you about his needs?
5. Do you think Charles is
grieving? What indications does he give of experiencing loss and grief?
|
GB04 Pearson (CHCAC318B)
Duty of care
|
CHCAC318B Work effectively with older people
1. Apply understanding of
the structure and profile of the residential aged care sector
2. Apply understanding of
the home and community care sector
|
Case Study 4
Lara is a HACC worker. One
day, Mrs Williams, a client, exhibits the following signs:
•
shortness of breath
•
nausea
•
light headedness
Lara recognises that these
are the signs of a possible heart attack. She calls emergency services on
000. The paramedics arrive and take Mrs Williams to hospital. Mrs Williams
survives the experience but has reduced functioning on one side of her body.
After Mrs William is attended to, Lara calls her supervisor and completes an
incident/accident report form, and updates Mrs Williams’ progress notes.
Identify the actions that
Lara took to meet her duty of care.
|
Case Study 5
Pauline provides care in a
residential setting. One of the client’s visitors asks Pauline for a
painkiller. Pauline has painkillers in her handbag and offers one to the
client’s visitor, reasoning that over-the-counter medication can’t harm
anyone.
Has Pauline met her duty of
care? Why/Why not?
|
Case Study 6
The residential care setting
where Fatima works is busy. A registered nurse tells Fatima, ‘Help me out.
Give the clients their medication.’ She hands Fatima a number of medication
charts and a tray of medication. Fatima knows that she is not trained or
authorised to administer medications and hands the charts and medication back
to the RN, saying, ‘I wish I could help you, but I don’t have the training to
administer medication. I can’t help you.’ Later, Fatima has a quiet word with
the Director of Nursing and expresses her concerns about being asked to step
outside her job role. Has Fatima met her duty of care? Why/Why not? Has the
RN met her duty of care? Why/Why not?
|
SS03-Pearson (CHCAC318B)
HACC
|
CHCAC318B Work effectively with older people
1. Apply understanding of
the structure and profile of the residential aged care sector
2. Apply understanding of
the home and community care sector
4. Apply understanding of
the physical and psychosocial aspects of ageing
5. Apply understanding of
changes associated with ageing
|
Case Study 7
Mrs Korp is an older person
who was born in Edithvale. She lives in the house her husband William built.
Her three sisters live within a block of her house. Bowling three times a
week, attending Probus meetings and visiting with her sisters keep her busy. She enjoys the best possible mental,
physical and social health. In fact, her younger neighbours often remark that
they wish they had as much energy as Mrs Korp.
While gardening one day, Mrs
Korp slipped and fractured her leg.
Mrs Korp does not recover as
quickly as she would like. She struggles with mobility, transport, shopping
and home.
|
1. How could an ACAT help
her?
2. What sort of care would
be most appropriate for Mrs Korp – a Community Aged Care Package or Extended
Aged Care Home? Explain your response.
3. What is the government
policy of ‘ageing in place’? How can ageing in place help a person like Mrs
Korp?
4. What HACC services could
assist Mrs Korp during her recovery?
|
Case Study 8
Mrs Mueller is a war widow
with vision impairment, arthritis and a shoulder injury.
|
1. How could the DVA help
Mrs Mueller?
2. List the home
modifications that could help Mrs Mueller stay at home.
3. List the aids and
adaptive devices that might help Mrs Mueller maintain her independence.
|
Assessment 3 – Project
1. What are the two broad types of care that
currently make up the aged care system?
2. These are government programs that provide
community care and are currently funded by the government: HACC, CACP,
EACH and EACHD. Choose three programs
and give a brief explanation of each.
The following web sites are useful as
starting points for your research: