CHCICS301B: Provide support to meet personal care needs, and CHCICS302B: Participate in the implementation of individualised plans



CHCICS301B: Provide support to meet personal care needs, and

CHCICS302B: Participate in the implementation of individualised plans


Assessor is to use this cover sheet to record the results of all the assessments in these units.
Assessment Tasks Outcome
Unit:
CHCICS301B: Provide support to meet personal care needs
CHCICS302B: Participate in the implementation of individualised plans
Student ID:

Student’s Name:

Assessor’s Feedback
Assessors: Please return this cover sheet to the student, 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
Assessor’s Signature
Date
Re-submission Satisfactory/ Not yet satisfactory
Short-answer questions
Assessment 1




Case Study 1

Assessment 2




Case Study 2
Assessment 2




Case Study 3
Assessment 2




Case Study 4
Assessment 2




Task
Assessment 3




Quiz    
Assessment 4




Assessor’s Feedback



Assessor’s name & signature: …………………………………………………………..
Assessment Instruction
To achieve a competent result for these units, you must satisfactorily complete all the assessment requirements listed below.

Assessments for these units are as follows:
Assessment Number
Type of Assessment
Description and location
Assessment 1
Short Questions
There are 26 short questions found in this booklet.  
Assessment 2

Case studies
There are four case studies found in this assessment. You are required to answer all questions.
Assessment 3
Task        
Perform this task.
Assessment 4
 Quiz
Answer this quiz.
Assessment 5
Personal journal
Each student is to keep a journal of their daily activities while on clinical placements.
Assessment  6
Work placement
Each student must complete 120 hours in a high-care facility.
Assessment 7

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
Instructions to the student:
Please read all the information given. If you do not understand any of the questions, please ask your trainer/assessor for assistance.
You must answer ALL the questions in your own words and get a satisfactory result.
1.        When delivering services to a client, you need to ensure that you are taking the client’s needs and preferences into account. List two sources where you can find documented and verbal information addressing client’s personal care needs.






2.        When delivering services to client, if you had to do something that you weren’t sure of or if task was out of your scope of practise, who would you ask for clarification?   




3.        a)   Put yourself in the client’s shoes and imagine that you were allocated a carer who is of the opposite sex to assist you in your ADL’s and attend to your personal hygiene. How would this make you feel?





          b)   If you notice that your client is uncomfortable during the personal hygiene process, list two courses of action you should take. 






4.        Clients from different cultures may have different needs. Explain how you can ensure that you take a client’s cultural needs into consideration when delivering services. You may cite an example of a specific culture. 









5.        To promote a client’s independence, we need to prepare, develop and use different types of aids, equipment and processes in a safe manner. List two different types of aids a client may use.






6.        When providing support to meet a client’s needs, there are many tasks a carer would have to undertake in a day.  List six tasks a carer would undertake when providing support.






7.        There is always an element of risks associated with the provision of personal care to clients.   
a.        List three elements of risks that you may encounter in providing care and services to clients.




b.        What will be your course of action in response to an identified risk?





8.      Imagine you are meeting a client for the first time. You discover that the client has a prosthetic leg (artificial leg). It looks complicated and you are not sure how to attach it correctly. 
a.           Would you strap it on and hope for the best? Explain your answer.





b.           Who will you turn to for further advice and guidance?







9.      It is important that all carers carry out work according to the workplace policies and procedures of the organisation they work in.
a.        Name two policies and procedures that you would come across in the industry.















b.      Explain briefly what each policy and procedures pertain to.

Report hazards


Privacy and confidentiality


Infection control


No-lift policy


Manual handling


10.    Briefly explain the procedure for maintaining and filing documentation



11.    As a carer, privacy and confidentiality is a key aspect of your duty of care. Explain your understanding of ‘privacy and confidentiality’.







12.    Give two differences and two similarities of working in a residential care setting and home and community care setting. 







13.    TRUE or FALSE. Write the correct answer.
a.        It is important to always confirm procedures and preferences and identify variations pertaining to activities of daily living with the client and confirm these requirements with the supervisor so that changes can be implemented in the individualised care plan.           



b.        It is not important to consider and confirm the clients’ level of participation in meeting their personal care needs and discuss this further with the supervisor in a manner that would acknowledge the clients as their own experts.                                                 


c.         Carers do not need to provide support according to the care plan, policy and procedures.



d.        A carer is required to work with the supervisor and the client and identify any required changes to the client’s care process in the care plan which will help support client’s self-determination.                                   


14.    Explain the meaning of ‘individualised care plan’.



15.    What policies and procedures would we need to be aware of when making an individualised plan? Choose the correct answer/s. (For online students, retain right option with appropriate letter and remove other options.)
a.      Privacy and confidentiality
b.      Client and family members’ participation
c.      Relevant health professionals’ participation
d.      All of the above
16.    If you were unsure about any part of the individualised care plan, who would you seek clarification from?



17.    Give four examples of information that need to be collected during the development of individualised care plan.








2.       
a.      Who is the person responsible for preparing the activities for the client? (Example, if a client requires physiotherapy to be part of their plan)






b.      Can you (the carer) plan the activities? Yes or No




19.    When meeting a client for the first time, there are a number of things you must do. List at least four things you must do and initiate.










20.    When providing and monitoring support to the client, why is it important to follow an individualised care plan? Give two possible reasons.






21.
a.      When assessing clients in the areas of daily living, it is not important for a carer to explain and confirm this process to clients; neither is it important to have knowledge of the assessment process as carers are not doctors or qualified nurses.                                                                   
True or False

b.      Fill in the blanks.
                       ACAT means _____________________________________________________.

c.      It is not very important to work closely with the ACAT team in regards to client assessment process. True or False






d.      List three resources/persons that will support the individualised plans. 





22.    You will often come across situations of risk in your work. Look at the three risks or potential risks that you might encounter. How might you minimise the risk, who would you report this to and how would you document the risk? Complete the table provided.
Risk
How would you minimise this risk?
Who would you report this risk to?
What documentation would you use?
Slippery floor




Aggressive behaviour of your client



Broken equipment





23. There may be incidents where your client may display ‘uncharacteristic’ or ‘inappropriate’ behaviour.
a.      Give three ‘uncharacteristic’ or ‘inappropriate’ behaviours that a client may display. 







b.      Who would you report this to?



24.   Care workers must have knowledge of how to report, complete and maintain documentation in line with their organisation’s policy and procedures. List two things this policy would incorporate? 



25.   When we provide support for our clients, it is important that we maintain a ‘Person-Centred Approach’ and use a ‘Strengths-Based Practice’. Briefly explain the meaning of the following phrases.
Person-Centred Approach





Strengths-Based Practice



26.   In developing individualised plan for a client, it is not important to consider the contemporary social aspect of client and their ability to participate in the community as there are more important things than this. True or False




True/False questions – CHCICS302B
Monitoring and reviewing care plans
CHCICS302B Participate in the implementation of individualised plans

Select the correct answer


True
False

Following best practice in assessment will reduce the likelihood of a care plan containing irrelevant or inappropriate activities.
True
False

Following best practice in assessment will prevent the care plan from containing irrelevant or inappropriate activities.
True
False

Managers, registered nurses, and other higher level staff are the only people responsible for monitoring the older person’s care plan.
True
False

Support activities should contribute to the older person’s independence.
True
False

Care plans are only used to address physical needs.
True
False

An older person’s ability to participate in support activities will never increase.
True
False

An older person may experience improvements or changes in their condition which means the care plan is no longer relevant.
True
False

Problems with service providers and service provision may be identified through the care plan review process.
True
False

Care plans should only be reviewed if problems are identified.
True
False

Aged care providers must have systems in place to review care plans regularly.
True
False

Care plans must be reviewed when the older person’s condition changes.
True
False

The older person, carers, health professionals and workers can provide valuable information about the relevance of the care plan.
True
False

Feedback about the care plan should be documented.
True
False

The care plan must be modified to reflect changes in care requirements and associated strategies.
True
False


Multiple Choice Questions – CHCICS302B
Implementing care plans
CHCICS302B Participate in the implementation of individualised plans
1. Plan work activities according to an individualised plan
2. Establish and maintain appropriate relationships with client (and carer)
4. Contribute to ongoing relevance of the individualised plan
5. Respond to situations of risk to the client within work role and responsibilities
6. Complete documentation and reporting


For each of the following questions, select the one answer that is most correct.

1. The best source/s of information about a client’s needs is/are:
a.      the client
b.      workers
c.      carers
d.      qualified professionals
e.      all of the above
f.       b & c
2. All clients should be treated exactly the same.
True
False
3. Sometimes worker will need to modify their communication styles to respond appropriately to the needs of individual clients.
True
False

4. Workers may need to treat clients differently to ensure they receive fair treatment.
True
False

5. Which one of the following statements is most true?
a. A client’s right to safety is more important than their right to autonomy and independence.
b. A client’s right to autonomy and independence is more important than their right to safety.
c. A client’s rights to autonomy and independence are just as important as their right to safety.
d. None of the above

6. Older people are not qualified to make judgements about the relevance of their care plan.
True
False

7. Active support involves:
a. Encouraging the older person to participate in their support activities
b. Providing as much support to the older person as possible
c. Doing things on behalf of the older person
d. None of the above

8. An aged care worker has an obligation to report situations where they believe an older person is being abused:
a. Always
b. Only if the client agrees
c. Only if the abuse is witnessed
d. Never

9. An aged care worker administers 10 mg rather than 1 gram of medication to the client. The aged care worker:
a. Does not have to report this as ‘have provided less than the recommended dose’
b. Must report this as the older person may experience an adverse reaction from receiving less than the prescribed dose
c. Must report this as they have exceeded the recommended dose
d. Should only report this if the older person experiences a reaction

10. An aged care worker has an obligation to report a hazard if:
a. They are directly responsible for creating the hazard
b. Someone is harmed
c. They are aware of the hazard
d. None of the above






Assessment 2 – Case Study
Case Study 1
Consider the following scenario and answer the questions that follow.
Mark is a carer who visits Mr Johnson in his home three times per week. Mark is to supervise Mr Johnson’s shower, assist him to dress and make his bed. Mark can see that Mr Johnson needs more than just supervision with his shower. Mr Johnson used to be able to turn the taps on easily, but now he seems to be finding this difficult. Mark also notices that Mr Johnson’s clothes and bed sheets are not being washed regularly. Mark reports to his supervisor that Mr Johnson’s health has deteriorated and documents this in client’s progress notes. Mr Johnson’s care plan is reviewed and a new care plan to support his personal care needs is implemented.
1.        Name a risk that Mark has identified with Mr Johnson.


1.        Should Mark consult with Mr Johnson about the changes needed in Mr Johnson’s care plan? Yes or No. Explain your answer.


2.        What would be the procedure for Mark to report what he has observed?


3.        What changes need to be made in order for Mark to be able to meet Mr Johnson’s needs?


4.        Would it be okay for Mark to ask his sister to come and help him to wash Mr Johnson’s clothes? Why/why not?
                                                                                                                                                    



Case Study 2
CHCICS301B Provide support to meet personal care needs
4. Recognise and report changes in client health and/or personal support requirements
5. Complete reporting and documentation

Zelda is a 73-year-old woman who entered Downs Nursing Home after the death of her husband, who had cared for her. She has had a slight stroke leading to poor mobility and has some vascular dementia. She is forgetful, repetitive and cries easily. She can walk with the aid of a walker but requires assistance and/or prompting in most aspects of personal care.
Today, when Lyn comes to Zelda’s room to assist her, she is surprised to find her lying down and her breakfast ignored. Generally Zelda eats well and watches TV at the end of her bed until it is time to be assisted with washing and dressing.
Lyn decides to try to get Zelda to eat a little, so cuts her toast and gives her a spoonful of scrambled egg. Zelda has trouble swallowing even a little egg and almost chokes.
Lyn assists her to sit on the edge of the bed, and Zelda says she feels okay and is ready for her shower. Lyn notices she is very pale, a bit shaky, and when she tries to smile, she has difficulty and her smile is lopsided – but Lyn is not sure if it was always that way.
Lyn decides to shower her to keep up with her schedule as Zelda seems okay. She helps her up, gives her the walker and assists her to the bathroom, where she sits in the shower chair and asks Lyn to wash her – which is unusual as Zelda likes to wash herself.
When Lyn gets back to the bedroom, she asks Zelda about clothes – she asks for a dress – and Lyn dresses her without much assistance. Zelda asks to stay in her room and Lyn thinks she now looks a bit hot and sweaty, so she had better make a report.

When providing personal care, particularly with activities of daily living care, workers are in a good position to communicate and observe any changes in clients, including physical changes, emotional and behavioural changes.

1. What did Lyn do wrong?




2.  List the observations Lyn should make in her report.




3. Write a brief report for inclusion in notes, looking at:
a. observations





b. noted changes




4. What follow-up do you think should be taken?


5. What might Lyn have thought of, given Zelda’s symptoms when she first went to the room?









Case Study 4
You are allocated Mr Jim Donaldson, an 84-year-old man suffering from stage 2 dementia.  You notice that Mr Donaldson seems to be forgetting things more frequently. Mr Donaldson usually can dress himself; however, on this day you notice that Mr Donaldson seem to be confused on which clothing to wear first. When Mr. Donaldson arrives in the day room, you notice that he is wearing his underwear on top of his pants. Upon seeing this, you quickly approach Mr Donaldson and politely guide him back to his room. You try to explain to Mr Donaldson that he is wearing his clothes incorrectly. However, Mr. Donaldson becomes very upset and agitated and lifts his fists up to hit you, screaming ‘Get out and leave me alone!’ You check to see if his room is safe and leave the room.
·                  You approach your supervisor and explain what happened. Your supervisor asks you to complete an incident report stating what happened. 
·                  Your supervisor also asks you to document the incident in the client’s progress notes in line with the organisation’s policies and procedures.

Complete the following documents
When writing progress notes and filling incident reports, the information must be factual and to the point, explaining what happened and what you did about it. All entries must be dated, timed and signed appropriately. In the space below, fill in what you would write in the progress notes and incident report from the information given in the above scenario.
Progress Notes
Date/Time
Progress Notes
Signature & Designation
































Incident Report Form
Person making the report:
Resident details
Name of resident:
Date of birth:
Room number:
Mobility status: (e.g. independent, requires assistance)
Walking aid usually used:
Transfer status: (e.g. independent, requires assistance, etc.)
Walking aid usually used:
Details of the incident
Date:

Time of incident:
Time resident found/reported:
Exact location:

What was happening before the time of the incident:

Was an injury sustained? Yes q  No q
If yes, please describe the nature of the injury:
Treatment required:
Doctor notified: YES  q   NO  q
Recommendations for future prevention




Follow-up required by whom:
Person informed of action:                                                                                     Date:
Signature of person making the report:                                                               Date:
Signature of facility/unit manager:                                                                       Date:



Assessment 3 – Task          
Technical tasks in personal care
1.      List three technical care tasks involved in personal care.







2.      Technical care may include the following areas:







3.      What should you ensure before assisting with technical care activities?






4.      Where can you find information/instructions on technical procedures?









Assessment 4 – Personal care quiz    

1.      List three important care worker responsibilities.
       







2.      List three ways to assist a client with false teeth to maintain good oral hygiene.









3.      Name three common types of equipment used in personal care procedures.






4.      Where do you store confidential documentation?






5.      Give four procedures you practice each day to maintain your personal hygiene.











6.        If you observe changes in your client while assisting with personal care, how would you proceed?



7.        You notice your client has what appears to be an ingrowing toenail and her toe is sore. What will be your course of action?



8.        A client’s weight is 66 kilos when you start recording. You record weekly over a month and get the following results:

Week 1 - 65.4 kilos
Week 2 - 64.8 kilos
Week 3 - 64.0 kilos
Week 4 - 63.3 kilos

a.        How much weight has the client lost each week? What is the total weight loss? What does the client now weigh?

Weight loss per week:

        week 1

        week 2

        week 3

        week 4

Total weight loss:


Weight now:


9.      In the next month, the client regains 1.3 kilos. What is now the total weight loss from her starting weight? How much does the client now weigh?


Next month after regaining:

Total weight loss is now:

Weight now :