CHCICS304B Work effectively with carers
Assessor is to use this cover sheet to record the results of all
the assessments in this unit.
Assessment Tasks Outcome
Unit:
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CHCICS304B Work effectively with carers
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Student ID:
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Student’s Name:
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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
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Title
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Satisfactory/
Not yet satisfactory
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Re-submission
Satisfactory/ Not yet satisfactory
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Short Questions
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Assessment 1
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Case study 1
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Assessment 2
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Case study
2
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Assessment 2
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Research
activity
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Assessment 3
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Assessor’s Feedback
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Assessor’s name & signature: …………………………………………………………………………………..
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CHCICS304B: Work effectively with carers
Assessments
To
achieve a competent result for this unit, 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
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Type of
Assessment
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Description and
location
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Assessment 1
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Short Questions
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There are 17
questions found in this booklet.
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Assessment 2
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Case study
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There are two
case studies found in this booklet. You are required to answer the questions
that follow each case study.
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Assessment 3
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Research
activity
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Follow the
instructions given in this research activity.
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Assessment 4
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Personal journal
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Each student is to keep a journal of their
daily activities while on clinical placements.
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Assessment 5
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Workplace observation
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Each student will be expected to cover some
aspects of this course at the workplace. Your assessor will give you more
details.
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Assessment 1 – Short questions
Instructions
to the student:
Please
read all the information given to you before answering. 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.
1.
When caring for a client, it is important to confirm the role the
carer plays in a client’s life. List two appropriate persons with whom you would
confirm this.
2.
Briefly explain why it is important to acknowledge the skills of a
carer when providing care to a person.
3.
Give two reasons why it is important for a
support worker to be aware of the family dynamics and family
roles in the life of a client, i.e. ‘who does what’ in the life of a
client.
4.
If you were unsure of your work roles/boundaries, who would you
confirm this with?
5.
Explain how you can show respect for your clients and their carer’s
privacy and confidentiality.
6.
As a support worker, you should
provide support to your clients according to relevant organisation and
government policy and legislation. List three relevant legislations or policies
that apply to carers.
7.
Define the term ‘carer’.
8.
What do you understand by ‘strength based philosophy and practice’?
Briefly explain.
9.
It is important to understand the complexity of carer’s roles, needs
and issues. List four common issues that carers face in delivering care.
10. Carer
plays an important role in supporting a client’s needs. Carers have their own
needs too. Reading from the resources and PowerPoint slides, list five carer’s
needs that we need to consider in care service delivery.
Assessment 2
– Case Study
Read the following case studies and answer the
questions that follow each.
Case Study 1
Louise Lambeth’s mum is 88 years old. Five
years ago, when Louise was 43, her mum moved in to live with her and her
husband and two children.
Back then, she could
drive her car and care for herself but wasn't coping with being in her own
home, so Louise built a small self-contained flat beside the family home and
her mum lived there happily.
Then came the first fall.
She lost the ability to drive her own car and therefore her independence began
to retreat. She got taxi vouchers and maintained the ability to go to her
centre to play bridge. Then she fractured her pelvis and spent three months in
a wheelchair.
“All of a sudden we
needed help and needed it fast,” Louise said. “Mum was no longer able to cook,
clean or care for herself.
“I immediately phoned the
Commonwealth Respite and Carelink Centre. They talked to me and helped me sort
out what I needed. They gave me the number of Hammond Care that has a branch
that supports working carers.
“It’s a wonderful service
that aids carers to enter or remain in the workforce. I was the client, not
mum. She was the ‘care recipient’. They worked closely with me to make sure my
needs were met by ascertaining how best to support mum while I was working.
“They could take her to
activities, shopping, cards, doctors, and appointments or just spend time with
her or do a little housework. It was extremely flexible and invaluable to both
of us.
“Often in-home care is
restricted by what they can and can’t do – not so with this service. The
service director, Belinda, came out often to see how we were going and they offered
a supportive role for me personally. The service cost $4.50 an hour (more if on
a weekend). It was subsidised by the government.
“It all happened so
quickly and easily for us and I only lost a day’s work. Being a casual employee,
that was particularly important as no work equals no pay.
“Through Hammond Care, we
also had access to this incredible cottage for respite care called Jean Marion
Cottage. It takes only five clients at a time and has three staff during the
day and two at night. It’s a wonderful little house, and mum was happiest there
(so was I, as it was more like home than an institution). I only wish there
could be more places like this to support the frail and their families.”
At this stage, Louise’s mum was able to keep some control over her life by organising things with her support workers. Louise said her mum was often reluctant to ask her to do extra things as she knew how difficult it was juggling work, children, a husband and her mother.
At this stage, Louise’s mum was able to keep some control over her life by organising things with her support workers. Louise said her mum was often reluctant to ask her to do extra things as she knew how difficult it was juggling work, children, a husband and her mother.
“She could really be honest
with the support workers, not hide things in case I would worry (they always
told me things I needed to know). She could have a decent whinge and complain
about things that bothered her,” Louise said.
“Most of all, she could
tell them all the wise things I no longer listened to as I had heard them so
many times before. They found her interesting, fascinating and caring.
“Where was I in all this? Somewhere along the way of becoming a carer, I had lost our mother-daughter relationship. With mum in my home to watch everything and demand action, or follow through on advice she may have expressed, I became reluctant to share with her the day-to-day dramas of being a mum, wife, and worker.
“Where was I in all this? Somewhere along the way of becoming a carer, I had lost our mother-daughter relationship. With mum in my home to watch everything and demand action, or follow through on advice she may have expressed, I became reluctant to share with her the day-to-day dramas of being a mum, wife, and worker.
“I could no longer have a
decent whinge, complain about things that bothered me or listen to the wise
things I had heard so many times before. Life became a long list of things I
needed to do for mum.
“These were things I did
willingly, but also with a little sorrow as my morning greeting was received
with a list of things she had thought of in the early hours when she was awake
and thinking of what she could now no longer do.”
Then, things took a turn
for the worse for Louise’s mum. Heart failure meant a new level of care was now
required. Every day a new problem seemed to arise.
“When away from home, I
started to live in fear of every phone call. We had our own reserved room at
emergency, or so it seemed. Ambulance officers knew my mum, our house and our
dog. We began to not go far from home and that progressed to one of us always
staying behind with mum,” Louise said.
“Mum struggled on, trying so valiantly to stay on her feet. But my health, both physical and mental, began to plummet along with Mum’s. She was swollen with fluid and too frail to walk. Nights resounded with her calls for assistance and then it was often too late and beds had to be changed.
“I was already so stressed it didn’t take that many nights of little sleep before the dreaded day arrived. There I was, standing in her room crying, no longer able to cope. I felt I had failed my mum, and failed myself.
“Mum struggled on, trying so valiantly to stay on her feet. But my health, both physical and mental, began to plummet along with Mum’s. She was swollen with fluid and too frail to walk. Nights resounded with her calls for assistance and then it was often too late and beds had to be changed.
“I was already so stressed it didn’t take that many nights of little sleep before the dreaded day arrived. There I was, standing in her room crying, no longer able to cope. I felt I had failed my mum, and failed myself.
“The ambulance came and I
kissed my mum goodbye, not really realising that this was the last time I would
see her in her own home. I had to face reality and make that all-too-hard
decision. Mum was not going to get better and the level of care was now well
beyond my family’s capacity to cope.
“I couldn’t face it any longer, even when a rare EACH in-home care package was offered to mum. I had to make the final decision, not just for myself but for my family too. And it felt bad. The day I went to see mum in hospital and ask her thoughts on where to go in the future was one of the worse days of my life. But I knew I had to stay firm for myself and my family.
“Mum looked at me with love and told me it was time. She held me in her frail old arms and let me cry.
“The journey to and from the nursing home where she now lives has not been easy. Guilt and tears have been in the passenger seat with me on every trip. But ‘time heals’ and I am giving ‘time’ ‘time’. I once more have a mum I can now talk to, whinge and complain to, and I have the time to sit and listen to all of the wise things I now hear as if it’s the first time she has ever told me.
“And I am beginning to think that maybe, just maybe, I did the best I could for as long as I possibly could.”
“I couldn’t face it any longer, even when a rare EACH in-home care package was offered to mum. I had to make the final decision, not just for myself but for my family too. And it felt bad. The day I went to see mum in hospital and ask her thoughts on where to go in the future was one of the worse days of my life. But I knew I had to stay firm for myself and my family.
“Mum looked at me with love and told me it was time. She held me in her frail old arms and let me cry.
“The journey to and from the nursing home where she now lives has not been easy. Guilt and tears have been in the passenger seat with me on every trip. But ‘time heals’ and I am giving ‘time’ ‘time’. I once more have a mum I can now talk to, whinge and complain to, and I have the time to sit and listen to all of the wise things I now hear as if it’s the first time she has ever told me.
“And I am beginning to think that maybe, just maybe, I did the best I could for as long as I possibly could.”
1. How did Louise and her mother’s relationship change?
2. What are some of the changes that occurred that may
pose a risk to the care relationship?
3. How was Louise supported to achieve a positive
lifestyle outcome, according to her needs and preferences?
4. How was caring for her mother having a negative impact
on Louise?
5. If you were providing in-home assistance to Louise and
her mother and noticed the negative impact, who would you have reported this
to?
6. What was the risk posed by the negative impact on
Louise?
7. At this point, do you think the care plan needed to be
reviewed? If so, why?
8. What were Louise’s needs that you can identify from
this case study?
9. How did the support workers help Louise’s mother?
10. How did the support workers respect Louise as part of
the care team?
11. How did Hammond Care work with both Louise and her
mother to plan activities?
12. What were Louise’s strengths?
13. What were her mother’s strengths?
Louisa has been the primary carer of her 22-year-old
daughter Marion, who has a severe mental and physical disability and requires
24-hour care. Unfortunately, from Louisa’s continued lifting (mostly turning
her daughter in bed and so on), Louisa has ended up injuring her back and
shoulder and is no longer able to offer effective sustained care to Marion. As
a result, you have been employed as a support worker to take over Louisa’s
caring role.
Louisa is, however, very attached to her daughter Marion and feels
obligated to continue caring for Marion even when a support worker is around.
Louisa feels the personal touch she has always had with Marion should be
sustained. She therefore compromises to have the support worker assist Marion
but requests that she (Louisa) be allowed to continue turning Marion in bed so
she does not lose the personal touch with her daughter. Louisa knows she is
nursing her back and shoulder injuries and that these can get worse with time
if unchecked, but still feels she owes it to her daughter to turn her in bed.
Louisa does not use the slide sheet when turning Marion in bed. She
always says, ‘I prefer the traditional ways and I’m more confident that way.’ Marion
weighs 77 kilograms.
You observe this is not good for Louisa’s injured back and shoulder, but
every offer you make to train her on how to use a slide sheet is declined.
Louisa is hurting herself more and might end up being hospitalised. You know
too well this will only make her more distraught as she will be away from
Marion whom she loves dearly.
Louisa is also struggling with other issues, such as grief and loss, and
her inability to care for Marion comes through to her as another unwelcome
loss. Marion has not always needed care. She was a beautiful teenage girl six
years ago, and both she and Louisa were there for each other when Marion’s
father passed away in a tragic car accident. When Martin passed away, it was
hard for both Louisa and Marion but they both encouraged each other in the
storm then. As fate would have it though, Marion got involved in a terrible car
accident six months after her father’s passing. She was in hospital for eight
months, and at some point Louisa thought Marion would not make it. Louisa has
faithfully cared singlehandedly for Marion since she left the hospital. Louisa
is therefore also exhausted from long periods of care without much external
support.
1.
From this case
study/scenario, list four obvious carer issues/needs that you may need to raise
with your supervisor.
2.
How would you go planning
support activities for Louisa?
2.
In trying to assist
Louisa, you must provide an individualised plan support in a manner that
respects and includes her as part of this planning. True or False. Explain.
3.
What has changed in the
care relationship? Give two answers.
2.
Come up with two
suggestions on how you could help Louisa address some of her issues.
3.
You are afraid to discuss
your concerns with Louisa but you know she needs help and so you decide to
inform your supervisor about these carer’s issues. List two ways you think your
supervisor can help.
1.
Identify two strengths that Louisa could use to reaffirm and reassure
her.
2.
In trying to assist
Louisa, it’s important to confirm with the supervisor certain risks that may
warrant reassessment or review of Marion’s individualised plan. What are these
risks?
Research activity 1
Search
online for two organisations that support carers in your state, and explain
briefly what these organisations do. (Remember, in this unit a carer refers to
a family carer, or a friend carer, NOT the support worker.)