CHCAC318A- Work Effectively With Older People

Assessment
To achieve a competent result for this unit you must satisfactorily complete all the assessments requirements listed below. Assessments for this unit CHCAC318A Work Effectively With Older People are as follows: Assessment Number Assessment Instrument 1 Type of Assessment Short Questions Description and location There are 33 questions found in this booklet. You will be given the opportunity to respond to each question in your own words in a written format or in special cases verbally. Assessment instrument 2 Case studies There are 4 Case studies. Read the case studies given and answer the questions that follow. Use your own words in answering these case studies. There are 5 research activities. Go to the internet and research on the issues and give a written report as per the instructions.

Assessment instrument 3

Research activity

Assessments 6-7 will be completed as part of your supervised Work Placement Assessment instrument 6 Personal journal Third party observation Instructions for the journal are in the supervised work placement booklet Your supervisor will conduct a work place observation where she /she will observe you in a work place setting demonstrating the practical application of the skills and knowledge that you have gained in relation to this unit. Your supervisor is required to observe you performing tasks in the workplace using the checklist provided. During the observation your supervisor will make a judgment as to whether you have met the required skill level for the qualification, or if further practice is required. Instructions and checklist for work placement are in the supervised work placement booklet

Assessment Instrument 7

Instructions to the Student

Please read all the information given to you before you start any assessment task. If you do not understand some or all of the questions, please ask your trainer / assessor for assistance. If you are uncomfortable with any of these questions, please contact your assessor who will make alternative arrangements. Attempt to answer ALL questions in your own words on the assessment paper provided. The questions are designed to assess your understanding of the unit as well as your underpinning knowledge .To satisfactorily complete this assessment task you are required to complete the whole assessment. To do this you will need to answer all questions correctly and demonstrate you have achieved the required knowledge to industry standards. This assessment is intended to be fair and flexible. If you feel that we should change any aspect of this assessment to be fair, equitable or flexible, immediately contact your assessor who will attempt to make alternative arrangements. Please Note: 1. This assessment may be re-assessed upon appeal 2. Upon notification of your assessment results, your trainer/assessor is able to provide you with additional information on interpreting the assessment outcomes and guide you on your future options. Students name & ID: Signature: Date:

Assessment Instrument1-Short Questions :

1. Name at least 3 issues facing the older people and their carers? (PC 1.1, EK )

i) ii) iii)

Health issues Issues regarding ageing Phycal and environmental changes during ageing

2.

List 4 common physiological, chronic age related conditions ( PC 1.1,EK O, N, R)

Ans: i)

Arthritis

ii) iii) iv)

Osteoarthritis Rheumatoid arthritis cholestrol

3.

List 3 normal physical changes associated with ageing that you would have to consider when delivering personal care to an elderly person? (PC, 4.2 5.1, EK O, N, R)

Ans: i) ii) iii)

Balancing ability Physical ability Loss of personal indentitiy

4. The population for the elderly has been predicted to double in 40 years time from 2009 (Australian Treasurer Wayne Swan). How do you think this increase will financially affect the government? (PC 1.3, EK M)

Ans: The govt. will have to provide extra aged care facilities and has to start more funded programs to the aged people. It will cost the govt. a lot of money in the coming years.

5.

Name 2 ways a work place demonstrate a commitment to access and equity for clients?(PC 6.2, EK ,)

Ans: Social justice, an ethical framework for advocacy, duty of care

6.

Give any 4 policies and procedures that we expect to find in a nursing facility. (EK)

Ans: i) ii) iii) iv) 7.

Duty of care Confidentialitu legislation privacy and dignity

After completing your qualification in aged care, outline what three job roles you would be expected to perform if employed in a nursing home?(EK) AIN, PCW, RCW

8.

State 2 ways you would monitor your own work to ensure you are providing the right quality of care to the clients? (EK)

Ans: i) ii)

Manager feedback Staff feedback

9.

How can the older person be assisted to recognise the impact physical changes associated with ageing may have on their activities of living? (PC 4.4) Ans: May loss visibility, may sleep less at nighthas fibrous tissue changes, skin elasticity

10. Give an example of 3 common physiological, chronic and age related conditions associated with aging.(EK)

Ans: i) ii) iii)

Aggressive behaviour Hostility Unnecessary crying

11. Give 5 rights and responsibilities of an old person in a nursing facility? How do you make clients aware of these rights and responsibilities? (PC 6.1, EK RS,)

Ans: Rights: respecting a clients rights to b: I) Informed II) Make decisions and choices III) Confidentiality IV) Privacy and dignity V) Hold their cultural beliefs Responsibilities: I) To perform your duites efficiently II) Explain policies and procedures to the client III) To do their work with honesty

12. When would a carer be said to be in breach of duty of care (PC 2.2) Ans: A breach fo duty of care is a failure to meet the relvent standards of care. This could be a carer doing something that shouldnot have done.

13. What does DVA stand for and what is its purpose? (PC 2.1) Ans: Department of Veterans Affairs. The purpose of DVA is to assist a significant proportion of older people by offering a range of services same as provided by HACC

14. Define HACC and provide 3 aims of the HACC program? (PC 2.1)

Ans: Home and Community Care( HACC) Aims: i) It delivers high quality, affordable and assessable services in community ii) The aim is to support these people to be more independent in home and community iii) They also provide high quality service for younger people with disability

15. Name 2 current philosophies of service delivery for old people.(PC 1.2, EK K, L)

Ans: i) ii)

Govt. should provide additional financial support to relieve the cost of care. There is an unmet need leading to reduced level of work force participating and high level of care

16. State 4 ways we can ensure Services are provided regardless of diversity of race or cultural, spiritual, or sexual preferences?(PC 6.6) Ans: i) Treat everyone with respect ii) Provide equal opportunity iii) Respect individuals iv) Treat them as human beings

17. List 3 strategies how you would promote primary health care and lifestyle practice for older people (PC 4.1)

i) ii) iii)

Regular physical activities like walking, running Maintenance and recovery of function after health problems Enhanced quality of life through improved physical and emotional well- being

18. Below are 2 types of abuse an older may be subjected to. Write down 2 examples of situations/ incidents that might lead you to suspect that a client you are caring for is, or has been the subject of these abuses.(PC 6.8) Physical abuse

Bruises, cuts and pain upon being touched

Psychological abuse Anxiety, depression, hopelessness

19. What do you do if you notice a client you are working with is going through any of these abuses? (PC 6.5, 6.8)

I will write it down in the care plan and inform my supervisor as a matter of priority.

20. What is the process of client complaints at your work placement facility(you can use another work place other than your work place)? How is this process communicated to the client / their advocate? (PC 6.7)

Ans: If your client is living in aged care home and receives Govt. funded aged care services in their won home and would like to speak to someone about their rights, then your client or client representative can contact any of the advocacy services.

21. How do you assist an older person with skin problems manage this problem?

Ans: Use sunscreen when going outside. Wear a hat and long sleeve shirt when in the sun. Use moisturiser if the skin is dry, do proper dressing if required. Apply skin ointment on a daily basis.

22. Read this document titled-Ageing in place-Before and after the 1997 aged care reforms found in this website and answer the questions that follow: http://www.aihw.gov.au/publications/aus/bulletin01/bulletin01.pdf a. Ageing in place was one of the specified objectives of the changes to the Australian aged care system which came about with the introduction of the Commonwealth Aged Care Act, 1997. What was the main objective of this policy?

Ans: The main objective of this policy was to explore the changes in services which were formely hostel type services prior to the reform.

b.

What is the advantage of this policy?

Ans: It was more cost effective service It has the increasing interest in the quality of life for the elderly. 23. What is category Resident Classification Scale (CRCS) and how and what is it used for?

Ans: It is a classification system, designed to distribute funding equitably across the residential aged care sector.

24. Maria holds a view that the elderly people in a Nursing home should not be allowed to have sex as they are weak and they have lost the desire. Why do you think Maria should keep this view to herself? (EK P, Q)

It is awrong view and may cause conflict and anger in elderly. 25. A quality framework cycle can be presented in many ways. We can have: Plan, Do, Check, Act(PDCA) cycle. Draw a the cycle to show this PDCA interaction (PC 8.1, EK F)

Ans: Plan--->Do-->Check-->Act

26. As a care worker, you will be expected to complete various documentations to contribute to the organisations quality systems. Such will include Workplace forms, Administration forms and Care forms. Give 6 examples of documents that you need to be able to fill when working in the community sector. ( PC 8.4. 8.5)

Ans: i) ii) iii) iv) v) vi)

Care plan Bowel chart Fluid chart Weight chart Incident form Progress notes

27. Due to age, the social life of the elderly person is devalued. What 3 factors do you think contribute to this social devaluation? Ans: i) ii) iii)

Health problems Diminished cognitive faculities Diminished ability to drive

28. What is one way that you can empower a client? (EK )

Ans: Involve them in making of the care plan.

29. What is disempowerment and how does this affect a client?

Ans: Disepowerment is the process of taking away your own personal power. Affects may include: i) Not valueing them ii) Making them more dependent iii) Make them more confused 30. The social model of disability is a concept which recognises that some individuals have physical or psychological differences which can affect their ability to function in society. However the social model suggests it is society that causes the individual with these physical or psychological differences to be disabled. In other words individuals with impairments are not disabled by their impairments but by the barriers that exist in society which do not take into account their needs. These barriers can be divided into three categories: environmental, economical and cultural (British Council of Disabled People). Classify the factors below as either Environmental or Cultural (EK Z) (i) Lack of lifts for the disabled to access high-rise buildings (ii) Comments that disabled people are sinners and evil (iii) Lack of brailed documents and instructions such as brochures for the blind

Ans: (i) (ii) (iii)

Environmental Cultural environmental

31. Confidentiality and privacy of the client and their Carer must be ensured by the Support Worker. Suggest three ways you can demonstrate respect for the confidentiality and privacy of carers and those they care for.( EK)

Ans: i) ii) iii)

Only discussing information with those who have the direct responsibility Getting signed consent efore releasing confidential information By locking away the clients file on a same place

32. Human Service Professionals and Older Persons Organisations can play key roles in developing approaches which reflect and advocate Positive Ageing approaches if they avoid the dangers of advocacy which reinforces negative stereotypes by a focus on deficits as if they were universal. Give 2 ways service providers can conduct work that minimises the effects of stereotypical attitudes and myths on the person?

Ans: i) ii)

Be client focused and caring Be able to care for person who may be of your age with chronic illness

33. Give 2 ways a facility can ensure their work practices reflect the organisations policies and procedures (8.3)

Ans: i) ii)

Align work with policies Have staff manuals.

Assessment Instrument 2-Case Studies

Case Study 1 Jose has been accepted in a Fariji Nursing home low care section. He is relieved that finally most of the issues he has been struggling with will be minimised (falls and burns while cooking due to poor sight) He has a good saving and expects to live comfortably in his old age. He has after all looked after himself in a fairly reasonable manner, going for holidays, camping, etc and he hopes this lifestyle will continue but in a different version. Jose loves life and wants to be happy. When Joses sister came to look for a vacancy, he did not receive any written information on the services offered by the facility and only got a verbal vacancy availability. On admission, no care planning took place, joses details were roughly entered in the register at the reception and he was shown his room. To his utter shock though, he realises that what he dreamt of was only a pipe dream. His first shock was getting a carer to assist with his daily needs that could not speak English at all. It was a nightmare conversing with this carer through whom he was expected to at least make known his other preferences. He also does not like the quality of the food Fariji Nursing home provides and thinks it is cheap and tasteless. He has complained that he would like a change at least in his daily routine as it is so rigid but he feels that no one is paying attention to him. He is particularly not happy that they almost forced him to go for a meditation class within the facility the other day. Even though attending this exercise was not put as a must, he felt there was so much pressure to attend, indirectly from all who talked about its benefits particularly for the elderly. He has requested Regina, his 67 years old sister to check out for other facilities as he would like to move out. Reginas answer is disheartening as what else is available is full, a bit more costly that Jose cannot afford and/or having a particular group of people it caters for e.g. Spanish speaking clients and so it would mean his language problems with his carer would only be multiplied if he moved out. He is very frustrated as he feels His views do not count when he shares them with the management of Fariji Nursing home He is not consulted when changes are made concerning his routine and recreational activities He cannot predict what will happen tomorrow He is growing thin and losing appetite due to the meals that are presented to him on a daily basis.

The Owner of Fariji Nursing Home thinks that Jose and other residents who are complaining are being fussy, after all, this is how he has operated for the last 2 years. He even thinks that the residents and their families are being racist (as he is from China) and says he will not change the way I operate as I think it is fair.

a. Did Fariji nursing home give enough information to Jose on services they offered to enable him make a choice?(PC 6.4) Ans: No

b. How would Fariji Nursing home take into account personal values and attitudes when planning and implementing care activities for their clients? (PC 4.3, 6.3)

Ans: i) ii) c.

Include the clients and their family members in care plan Ask their likes and dislikes What strategies should Fariji adopt that would empower the older people/or advocates in regard to their service requirements?(PC 6.3)

Ans: They should adopt a person centred approach I mean everyone should be treated as an individual. d. List at least one strategy that Farijis manager would employ to manage Joses complaints: (EK AE)

Ans: They could ask him to document his complaints.

Case study 2 (PC 3.4) Jack and Jill are twin brothers. They have had pretty much the same upbringing, gone to the same school, studied similar disciplines (Social work), married from the same culture, goes to church, likes socialising, loves meat pies, loves attention, and are now both in the same nursing home but in different rooms. Though sounding so much alike, why do you think the two should be treated as individuals? Ans: Their needs would be different even though they are alike.

Case study 3 As part of participating in quality in your workplace, you have all been told that once you identify a hazard, you need to complete a hazard form and inform your supervisor. You are an experienced carer and have been buddied up with a student who has come to your facility for placement for her Cert III in Aged Care qualification. Student cannot understand why she has to be bothered once she finds a broken chair as she has not been trained as a carpenter. She asks you how by filling the hazard form and informing the supervisor will improve the quality in the Nursing Home. Give at least one reason that will be contained in your answer

Ans: If she will fill up the hazard form then it will come into the notice of everyone that chair is broken and a handyman will fix it, so no one will be harmed or injured by the use of that broken chair. Case study 4 Marjory is 90 years old and living at home with the help of carers. You happen to be one of the carers who attend to her from Wednesdays to Sunday and the other Carer Lucia cares for her for the rest of the week. You report on duty one Wednesday and Marjory is obviously grieving. You ask her what has happened and she lets you know that after you left on Sunday her favourite pet bullet, named by her late husband died after being poisoned. Bullet has been very special to Majory especially since her husband passed on 2 years ago. Bullet has been Marjorys main comfort as it reminds her of most of her late husbands special moments with the family and Bullet. What is of great concern to Marjory is that when she had informed Lucia of the loss, Lucia had told Marjory to get over it and move on with life, it was only a dog and not a human being. Lucia comes from another country where dogs are not treated as pets but as guard dogs and nobody cares whether they are fed or not, whether they are sick or not and mostly they survive by eating the food remains from their keepers or butcheries wastes. How do you think Lucia should have communicated to Marjory? Give at least 2 examples: (PC 7.1, 7.2)

Ans: Lucia should talk to her in a calm way and could ask about the meomries she had with the dog, so that she could be relieved a bit. She could have asked her in a polite way if she wanted to do something in the memory of the dog.

Assessment Instrument 3-Research Activities

Research activity 1 Look at the information on confidentiality and privacy in an aged care in this website: http://www.accreditation.org.au/accreditation/privacy-and-confidentiality/ from this reading how can we ensure privacy and confidentiality is maintained by staff members of this agency? (RA1,PC 1.4))

Ans: i) ii) iii)

The specific information of a home is not shared with other homes or memersof public without written permission. Interview records are not left in view of others The reports do not disclose the indentity of residents or their repersetatives.

Research Activity 2 Look at the accreditation standards for aged care in this website http://www.accreditation.org.au/accreditation/accreditationoverview/ and answer the following questions (PC 8.2, (a) What is accreditation for an aged care facility? Ans: Accreditation is the process to assess the quality of care and services provided in a range of areas such as health care, long term residential care, aged care etc.

(b) Briefly explain what the accreditation process and the main elements of the process?

Ans: The process involves self-assessment, review or assessment of performance against predetermined standards y an external independent body and monitoring of ongoing performance. The main elements are the full audits and unannounced visits.

( c) Accreditation process is a continuous process. True or false/ explain

Ans:

True

Research activity 3 Read the document in the website below and answer the questions that follow: This document you can access online or ask your trainer for a copy. Its titled Overcoming ageism in service design and delivery http://www.health.vic.gov.au/agedcare/publications/conferencejuly99/preeve.pdf a. What is ageism? (PC 3.2) Ans: Ageism is a discrimination or unfair treatment based on persons age. b. What sort of things do we need to take into account to stop stereotying old people? Also indicate what assumptions to avoid about old people. (PC 3.2)

Ans: I) II) III) IV)

Treat everyone as an individual Do not assume they have ill health Dont assume they cant learn new things Dont assume mental impairments

c.

State 3 ways you as a carer you can adopt a non-ageist and accepting attitude when working with older people? (PC 3.2, 3.5)

Ans: I) II) III)

Treat them with respect Active listening Respect their personal values

Research activity 4 Read through this document titled A VISION FOR COMMUNITY CARE by Queensland government. Its found in this website or ask your trainer for a CD if you cant download it.Answer the questions that follow: www.health.qld.gov.au/hacc/docs/pdf/learn-res-dis3c.pdf (PC 1.2) a. The Vision for community care is underpinned by a philosophy of care. What is this philosophy of service delivery outlined here? What are the key characteristics of a connected, flexible service outlined here?

Ans: Care that places the client and their needs at the centre of decision making and the care provided. b. What are the key characteristics of a connected, flexible service outlined here? Ans: Access, assessment,client and carer involvement and participation.

c.

What type of Service Responses are available? Ans: Short term interventions Rehabitation Respite

d.

Look at the section titled demographics of ageing. According to statistics, how is the health of the older Australians as compared to the rest of the community. State the percentages in your

Ans: 66% of people of 65 or over role their health as good, very good, excellent.

e.

What is the life expectancy for the indigenous communities?

f.

Ans: 57 years males 62 years -- females What is Australias ageing population and what are the potential implications of this demographics to service providers?

Ans: 1996 12% 65 and over 2011 16% 65 and over Increase in services required

g.

Who can receive HACC services? Ans: Elderly and disabled people who faces difficulty performing everyday tasks.

Research Activity 5 Read this document titled A profile of aged care found on this website and answer the following questions: http://www.pc.gov.au/__data/assets/pdf_file/0009/83385/04-chapter2.pdf (EK) i. The regulated aged care sector has changed significantly over the past decade or so. What are the key trends in this sector? Ans: i) Increasing number of old Australians requiring services ii) Greater reliance on user contributions iii) Increasing emphasis on community care iv) Greater proportion of residents requiring high level care The aged care sector encompasses a broad range of services reflecting differing client needs and funding arrangements. It is also characterised by extensive government regulation and high levels of public subsidy. What are the 2 broad categories of aged care services?

ii.

iii.

Ans: i) Community(or home based) care services ii) Care provided in residential aged care facilities What Features characterise the social product system for aged care services?

Ans: i) ii) iii) iv)

Production of bundles of services tailored to the individual needs of clients High degree of direct contact between providers and clients The presence of many different organizations, governance arrangements, funding instruments and incentive mechanisms A marked variation in the cost of services provided

iv.

The National Strategy for an Ageing Australia (Andrews 2002a) was introduced to provide a strategic framework for a coordinated national response to the challenges associated with population ageing. The strategy is structured around four key elements: what are these?

Ans: i) ii) iii) iv)

A care system that has an appropriate focus on the health and care needs of older people A care system that provide services to old people that are affordable, accessible and of high quality A care system that provides integrated and coordinated access, assistance and information for older people A sustainable car system that has a balance between public and private funding and provides choiceable care for older people

v.

Name 4 government objectives in The Aged Care Act 1997

Ans: i) ii) iii) iv)

To provide funding that takes account of quality, type and level of care To ensure that care is accessible and affordable to all residents To provide respite for families and others who care for older people To help residents enjoy the same rights as all other people in Australia

vi.

What are the principles and goals of The Home and Community Care Act 1985

Ans: i) ii) iii) iv)

To ensure access to HACC among all groups of people To ensure that within available resources, priority is directed to persons within the target population most in need of HACC To ensure that HACC services are providedequitably between regions and are responsive to regional differences To ensure that services are cost effective , provide independence and avoids duplication

vii.

In order to meet the objectives outlined in the law, governments control key aspects of aged care by: allocating aged care places to approved providers, assessing client eligibility, funding services, setting prices and controlling quality. What is the quality assurance system based on?

Ans: i) ii) iii)

Legislation responsibilities , which are specified in Aged Care Act 1997 and in the aged care principles An accreditation based quality assurance regime, encompassing 4 accreditation standards A certification process to encourage improvement

viii.

What does the Quality of Care Principles 1997 standards cover?

Ans: That covers the quality of care and quality life dimentions of both residential and community aged care.

ix.

Which body monitors compliance with the quality standards

Ans: The Aged Care Standards and Accreditation Agency

x.

Who monitors compliance with other legislated obligations?

Ans: The department of Health and ageing

xi.

Since the 2004-05 Budget, Australian Governments have also allocated funding to the development of a quality assurance and monitoring system across a number of community care programs (CACP, EACH and NRCP). This system involves a three step process:what are these 3 steps?

Ans: i) ii) iii)

Self reporting against uniform quality standards Departmental monitoring through desk audits Validation visits

Assessment Tasks Outcome

Unit name: CHCAC318A Work effectively with older people Declaration I _____________________________________________ (insert your name) declare that these tasks are my own work. None of this work has been completed by any other person and I have not cheated, plagiarized or colluded with any other student. I have correctly referenced all resources and reference texts throughout these assessment tasks. I have read and understood JTI policy on Plagiarism, Cheating and Collusion and understand that if I am found to be in breach of this policy, disciplinary action may be taken against me BY JTI. I also agree that I have been properly informed and assessed by JTI. Student signature _______________________________________

Feedback to student/ comments

Assessor declaration I declare t hat i have assessed this trainee in the above unit of competency. I also declare that the assessment was fair, valid, reliable and consistent. Not Competent Not Competent Not Competent Competent Date: __________________________ Date: __________________________ Date:__________________________ Date: _________________________ date: _______________________________

Signature: _______________________