CHCCCS015 Student Assessment Workbook Answers
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CHCCCS015 Final Assessment-1
SHORT ANSWER QUESTIONS (SAQ)
ASSESSMENT 1: SHORT ANSWER QUESTIONS (SAQ)
Q1: What is individualised plan? Why is it important to apply organization policies, protocols and procedures when developing care plan for an individual?
Q2: Give (3) three reasons of why is it important to confirm all the support activities with the client and family when developing a care plan.
1 |
2 |
3 |
Q3: Why is it important to develop support activities in a care plan that promotes client’s participation and independence?
Q4: What would you do if part of a person’s individualised plan requires support with a task that is outside the scope of your own knowledge, skills or job role?
Q5: Summarise the following:
- Person-centred practice
- Strengths-based practice
- Active support
a |
b |
c |
Q6: It is essential to ensure that your clients are aware of their rights. In general, outline the right
Q7: It is important to ensure that your clients are aware of the complaints procedure. Summarise the complaints procedure that is in place within your own organization?
Q8: List at least (3) three examples of
- cultural needs of a client?
- physical and sensory needs of a client?
CULTURAL NEEDS | PHYSICAL NEEDS | SENSORY NEEDS |
1. | 1. | 1. |
2. | 2. | 2. |
3. | 3. | 3. |
Q9: Give (4) four examples of the actions and activities that can support a client’s individualised plan?
1 |
2 |
3 |
4 |
Q10: Identify a typical aspect of a client’s individualised care plan. What is it?
What are the client’s preferences or strengths regarding this?
What are the organisational policies and procedures regarding this?
Q11: List (3) three communication techniques that could be used to develop and maintain trust of the client?
1 |
2 |
3 |
Q12: An elderly client is still living alone in the house they’ve lived in for 40 years. They are getting to the stage where the stairs are difficult to tackle on a daily basis and they have resorted to sleeping in their armchair every now and then. They are not ready to move out of their beloved home into a more practical bungalow. What equipment could help them remain in the home? How would you need to assemble this?
Q13: What is duty of care and Dignity of risk?
Q14: When you are providing assistance to a person to help maintain a safe and healthy environment, what would you do if you identify situations of risk or potential risk?
Q15: Give an example of a strategy you would use to help minimise an environmental hazard such as slippery or uneven floor surfaces?
Q16: Outline the different ways in which you can maintain a clean environment for your clients. Describe what a comfortable environment should include.
Q17: It is essential to respect clients’ individual differences. Give (3) three examples of the different ways that you can do this to maintain their dignity and privacy whilst providing them with support.
1 |
2 |
3 |
Q18: Explain how you would monitor your own work to ensure the required standard of support is maintained.
Q19: List (5) five examples of aspects within an individualised care plan that may need reviewing. Be as specific as you can.
1 |
2 |
3 |
4 |
5 |
Q20: Where would store the client file in care settings to ensure the information of the client are kept confidential at all time?
Q21: Define self-determination. How can you ensure that you support your client’s self- determination when in discussion with them and your supervisor?
Q22: When completing documentation and reporting you need to ensure that you comply with legislation. List at least (2) two requirements you must comply with?
Q23: Why is it important to refer and report signs of additional or unmet needs?
Q24: Mr. Joseph Stan was born on 12th May 1945, you are the nurse looking after Mr. Stan and he had a fall and has injured his head, whom do you report and how would you document in progress notes. (Use organization policies how do you write in the progress notes). Is it mandatory to report a fall?
Star Community Care Facility PROGRESS NOTES | NAME: | |
SURNAME: | ||
DOB: | ||
ROOM NO: MRN: | ||
DATE/TIME | All entries must be signed and designation recorded | |
Q25: What steps can you take to support a person who believes they have been discriminated against?
CHCCCS015 Final Assessment-2
PROJECT (PROJ) CASE STUDY (CS)
ASSESSMENT 2: RESEARCH PROJECT/CASE STUDY
Case study: You work with a number of people with different needs and there are certain areas where some people require support. Below are two scenarios outlining the types of support Roger and Mary need. For each scenario you are to outline the steps you would put in place, or suggestions you would make to help each person find support.
Q1: Roger is a 40-year-old male with an intellectual disability who is currently living in a group home. Roger has become very self-sufficient and has learned to cook, do his own shopping and washing. For a few years Roger has wanted to move to a flat so he could live by himself and this dream can now become reality as he has recently inherited some money which will allow him to be more financially independent and self-supporting. Roger currently works at a nursery and would like to live in a place where there is good public transport so he can travel to work easily. Roger needs support to help him find some suitable accommodation. He is unsure if he will have to rent a flat or if he can afford to purchase one. This is where you will need to give some support and advice.
You are required to outline what you would do to help Roger. What community advisory centres exist in your area that may be able to give financial advice if this is not within your skill and knowledge range? How would you help him look for a new flat, either a rental or one for sale? Outline what you would do to help support Roger find suitable options for him. What other elements need to be considered such as electricity, gas etc.? How would you explain to Roger how long these processes take?
Q2: Mary is 70 years old and lives alone in a retirement village. Mary recently had a fall and injured her hip and is about to leave the hospital and return home. As she is unable to stand for long periods of time, Mary requires support to do cleaning, laundry and cooking around her home but is unsure who to ask for help. Mary has asked you to support her to find suitable organizations that can help with domestic help.
You are required to outline the organizations that are available in your area to help Mary with her laundry, cleaning and cooking. What are her options? What are the costs? Are there benefits that will pay for these? Mary also has concerns about receiving delivered meals. Are they hot or cold? What time would they be delivered each day? What happens at weekends/public holidays? Are the meals pre-cooked and frozen or delivered fresh? Put together all of the above information so that you can present it to Mary and explain the options to her.
CHCCCS015 Final Assessments-3
SIMULATION OBSERVATION (OBS)
ASSESSMENT 3: SIMULATION OBSERVATION
Observation 1:
Observation Assessment Instructions:
- Read the scenario that typifies what occurs in an Aged Care When you believe, you understand the scenario, you will be asked to role play this with your fellow students.
- Your assessor will provide you with further instructions prior to carrying this assessment
- You must demonstrate appropriate behaviors to all the tasks to achieve a satisfactory result for this assessment. Refer to the observation sheet to get an understanding of what is required
- If you do not achieve this, you will be asked to re do the task
- You should be able to complete this role play in 15 minutes
- Read the care plan for Robert Smith and attend his personal hygiene activities. The trainer will be observing the act and marking off using the Observation Marking form.
- Role play with Student 1: Elisabeth or Robert
Student 2: Nurse
- In the role play you are needed to complete the following tasks:
a). You are required to demonstrate the correct hand washing technique, in accordance with infection control and organisational procedures.
b). You are required to demonstrate the correct procedure for transferring a client from bed to chair using the assistance of a mechanical lifter, in accordance with your organisational procedures Work Health and Safety procedures.
c). You are required to conduct interview and identify and document the care needs in the care plan.
d). The student’s is required to identify the goals of the client.
e). You are required to identify the risks
f). You are required to develop a care plan.
Practical Assessment Instructions:
All Students: Role Play
Scenario: The student’s works at an Care Plus aged care centre, to help facilitate consistency and relationship building each care worker normally cares and supports the same people. However, one of the student’s colleagues (Michael Davis) has left the organisation to move inter- state and the student is now required to take over the support of one of the people he worked with named Elizabeth Leicester(Liz).
Role Play Instructions: A fellow classmate or colleague is to play the role of Elizabeth Leicester. The student has been introduced to Liz and now the student must have a conversation with Liz and try to build rapport and establish a relationship. The student must also discuss the ongoing relevance of the care plan with Liz and then finally complete all relevant documentation. The student and person who plays the role of Liz must read the care plan (Appendix A – that follows) and try to act in these roles.
The last time the care plan was revised was three months ago and since then there has been two areas where Liz may need extra care with that she didn’t have before. One of the other carers commented that it may be helpful for Liz to have a wheeled walker as she has been having difficulty with walking since her knee replacement. Liz has also been forgetting to brush her teeth in the evening and after meals and so may need a reminder for this.
The student is to have the introduction meeting with Liz and go through the care plan to assess if there are other changes that need to be made other than or in addition to the two previously mentioned.
If the result of the assessment is that you are Not Yet Satisfactory, you may be required to retake the assessment.
Resources required for Practical Assessment
- Appropriate workplace or simulated work placement where assessment can take place
- Relevant organisation policy, protocols and procedures
- Equipment and resources normally used in the workplace
- Where for reasons of safety, space or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible
1). Care Plan for Elizabeth Lancester
Language/s spoken English | Comprehension issues (For example: inappropriate responses) | |||
Responds inappropriately when angry | ||||
Speech disorder/s | ||||
Translate for resident Take time to listen Initiate conversation Use language cards
Use picture cards |
||||
Other | ||||
Mobility | ||||
Care needs: Unsteady gait related to previous alcohol abuse
Goal: (expected outcome) Mobility will be safely maintained |
||||
Ambulation (walking) | Transfers | |||
ambulant (able to walk)
non-ambulant (unable to walk) |
independent weight bearing (able to stand) non-weight bearing (unable to stand)
1-staff assist 2-staff assist hip replacement knee replacement amputee ( left right ) |
|||
Aids | walking stick zimmer frame wheelchair quad stick wheeled walker | Aids | bed rail slide sheet gait belt hoist standing hoist
Hoist sling type and position of loop |
|
Other | Other |
Provide direction Supervise movement
Encourage to maintain mobility |
||||
Other | ||||
Toileting and continence | ||||
Care needs:
Goal: (expected outcome) |
||||
Continence | ||||
Bladder control | continent incontinent catheter (occasionally frequently total incontinence) | |||
Bladder management | fluid balance chart toilet (times ) Other | |||
Bowel control | continent incontinent constipation colostomy ( occasionally frequently total incontinence ) | |||
Bowel management | high fibre diet encourage fluid intake aperients bowel chart | |||
Continence aids | Day | Night | ||
Toileting | ||||
Toileting aids | commode urinal uridomekylie bed pan Other | |||
Toileting regime | independent supervise some assistance/prompt fully assist
Adjust clothing Position on toilet Encourage self care Clean perianal area Other |
|||
Showering, dressing and grooming |
Care needs:
Goal: (expected outcome) |
|
Shower and washing | |
independent supervise some assistance/prompt fully assist shower bath spa bath bed sponge flannel wash Frequency Preferred time
Adjust water temperature Encourage to optimise self care Other |
|
Transfer | walk to shower wheelchair Other |
Showering aids | bath trolley shower chair Other |
Toiletries | normal soap deodorant aqueous cream moisturiser ( am pm ) Other |
Hair care | wash in shower wash in bath Preferred days Sunday & Wednesday |
Dressing and undressing | |
independent supervise some assistance/prompt fully assist calipers splints Other | |
Cultural dressing | |
Dressing assistance | bra singlet buttons belt zips
stockings socks jewellery make-up shoes Assist with selecting clothing Other |
Grooming | |
Hair care | independent supervise some assistance/prompt fully assist Hairdresser |
Facial hair wet shave dry shave Frequency
Hair removal Frequency weekly |
|
Nail/foot care | independent supervise some assistance/prompt fully assist Podiatry visits monthly |
Teeth | none some ( upper lower ) all Cleaning routine |
Dentures | none partial full ( upper lower ) Night in out Cleaning routine |
Pressure area and skin care | |
Care needs:
Goal: (expected outcome) |
|
Norton Scale | Score [ ] low risk [ ] medium risk [ ] high risk |
Pressure relief aids | bed cradle sheepskin cushion bedrail/protectors Other |
Pressure area regime | Reposition in bed Reposition in chair Frequency special mattress (type ) personal chair Other/specific orders |
Skin care | emollient cream to dry skin areas ( daily twice daily ) Preferred time/s |
Eating and drinking | |
Care needs:
Goal: (expected outcome) |
|
Eating | |
independent supervise some assistance/prompt fully assist right-handed left-handed |
Preferred place to eat | dining room bedroom Other on verandah | |
Type of diet | normal soft modified soft (minced) puree | |
Special diet | high fibre diabetic enteral feeding (PEG/NGT) | |
Special instructions | ||
Aids | modified crockery modified cutlery bowl lipped plate built up cutlery clothing protector Other | |
Drinking | ||
independent supervise some assistance/prompt fully assist right-handed left-handed | ||
Aids | modified cup clothing protector | |
Thickened fluids | level 1 level 2 level 3 Type of thickener to be used | |
Sleep and settling routines | ||
Care needs:
Goal: (expected outcome) |
||
Usual time to rise 0600 Usual time to bed 2200 Rest time ( am pm )
Preferred sleeping position Back Pillows required 2 |
||
Sleep Aids | massage music hot packs Other | |
Room | light on door open door closed bedrail/protectors Other | |
Night-time patterns | Wakes up frequently |
Other preferences (For example: hot drinks or snacks) | Hot milk with 2 teaspoons of sugar |
Night checks | every hour every 2 hours Other |
Specialised care plans | |
Refer to specialised care plans for | [ X ] Medications [ ] Pain management [ ] Wound care [ X ] Therapy [ ] Restraint management |
Social and human needs/activities | |
Care needs:
Goal: (expected outcome) |
|
Frequency of visit/contact by family/friends Has a close friend, Mary Black, who visits monthly Religion beliefs/practices R.C.
Pastoral requirements Priest to visit Attends place of worship (day/s Saturdays ) Cultural needs Hobbies/interests Knitting, drawing and painting Employment history Barmaid for 30 years |
|
Behaviour | |
Care needs: Periods of aggressive behaviour
Goal: (expected outcome) Maintain safety and comfort during outbursts of aggression |
|
Additional comments (For example: special needs, restraint, routines, pain, palliative care, pacemaker) |
Terminal care recorded Yes No | |
Date care plan evaluated (document in progress notes) | Signature |
Name: ( p/title ) | |
Star Aged Care Facility use only | |
Entered in progress notes Date | |
Signed (P/title) Print name Position title Review date every 3 months |
Q1. Briefly describe the needs of liz with communication, Mobility, Personal Hygeine, Toileting and Nutritional needs in the form below
Practical Assessment Marking Form
S = Satisfactory NYS = Not Yet Satisfactory NA =Not Assessed Tick appropriate column |
||||
Communication |
S |
NYS |
NA |
Comments/Observations |
Mobility | ||||
Nutrition | ||||
Grooming | ||||
Dressing/Undressing |
showering | |||||
The student’s performance was: | Satisfactory | Not Satisfactory |
Scenario 2: Care Plan for Robert Smith
Name: Robert Surname: Smith | DOB: 11/10/1944 |
Room No: 11 | Date of Admission: 09/12/2008 |
Medicare No: 68827768687 | Pension No: 32101000X |
Care alerts (write in red) For example: allergies, drug reactions, smoker, falls risk, diabetic | |
Communication | |
Preferred name: Jessie |
Care needs: visual impairment
Goal: (expected outcome) |
||||
Vision | Hearing | |||
Aids | glasses magnifying glasses Clean and fit glasses daily
Able to clean own glasses |
Aids | hearing aids ( right left ) Adjust volume daily
Check batteries and clean aids daily |
|
Place objects in range of vision
Read aloud menus/letters/documents Assist to write Assist to use telephone |
Gain attention before speaking Speak loudly, clearly and directly Allow extra time for response Give step-by-step instructions
Use repetition when difficulty persists |
|||
Other | Other | |||
Eye care required | Ear care required | |||
Speech and language | Comprehension issues (For example: inappropriate responses) | |||
Language/s spoken English | ||||
Responds inappropriately when angry | ||||
Speech disorder/s | ||||
Translate for resident Take time to listen Initiate conversation Use language cards
Use picture cards |
||||
Other | ||||
Mobility |
Care needs: Unsteady gait related to previous alcohol abuse Goal: (expected outcome) Mobility will be safely maintained | ||||
Ambulation (walking) | Transfers | |||
ambulant (able to walk)
non-ambulant (unable to walk) |
independent weight bearing (able to stand) non-weight bearing (unable to stand)
1-staff assist 2-staff assist hip replacement knee replacement amputee ( left right ) |
|||
Aids | walking stick zimmer frame wheelchair quad stick wheeled walker |
Aids |
bed rail slide sheet gait belt hoist standing hoist
Hoist sling type and position of loop |
|
Other | Other | |||
Provide direction Supervise movement
Encourage to maintain mobility |
||||
Other | ||||
Toileting and continence | ||||
Care needs:
Goal: (expected outcome) |
||||
Continence | ||||
Bladder control | continent incontinent catheter (occasionally frequently total incontinence) | |||
Bladder management | fluid balance chart toilet (times ) Other |
Bowel control | continent incontinent constipation colostomy (occasionally frequently total incontinence) | |
Bowel management | high fibre diet encourage fluid intake aperients bowel chart | |
Continence aids | Day | Night |
Toileting | ||
Toileting aids | commode urinal Uri-dome kylie bed pan Other | |
Toileting regime | independent supervise some assistance/prompt fully assist
Adjust clothing Position on toilet Encourage self care Clean perianal area
Other |
|
Showering, dressing and grooming | ||
Care needs:
Goal: (expected outcome) |
||
Shower and washing | ||
independent supervise some assistance/prompt fully assist shower bath spa bath bed sponge flannel wash Frequency Preferred time
Adjust water temperature Encourage to optimise self care Other |
||
Transfer | walk to shower wheelchair Other | |
Showering aids | bath trolley shower chair Other | |
Toiletries | normal soap deodorant aqueous cream moisturiser ( am pm ) Other |
Hair care | wash in shower wash in bath Preferred days Sunday & Wednesday |
Dressing and undressing | |
independent supervise some assistance/prompt fully assist callipers splints Other | |
Cultural dressing | |
Dressing assistance | bra singlet buttons belt zips stockings socks jewellery make-up shoes
Assist with selecting clothing Other |
Grooming | |
Hair care | independent supervise some assistance/prompt fully assist Hairdresser
Facial hair wet shave dry shave Frequency
Hair removal Frequency weekly |
Nail/foot care | independent supervise some assistance/prompt fully assist Podiatry visits monthly |
Teeth | none some ( upper lower ) all Cleaning routine |
Dentures | none partial full ( upper lower ) Night in out Cleaning routine |
Pressure area and skin care | |
Care needs:
Goal: (expected outcome) |
|
Norton Scale | Score [ ] low risk [ ] medium risk [ ] high risk |
Pressure relief aids | bed cradle sheepskin cushion bedrail/protectors Other |
Pressure area regime |
Reposition in bed Reposition in chair Frequency special mattress (type ) personal chair Other/specific orders |
Skin care | emollient cream to dry skin areas ( daily twice daily ) Preferred time/s |
Eating and drinking | |
Care needs:
Goal: (expected outcome) |
|
Eating | |
independent supervise some assistance/prompt fully assist right-handed left-handed | |
Preferred place to eat | dining room bedroom Other on verandah |
Type of diet | normal soft modified soft (minced) puree |
Special diet | high fibre diabetic enteral feeding (PEG/NGT) |
Special instructions | |
Aids | modified crockery modified cutlery bowl lipped plate built up cutlery clothing protector Other |
Drinking | |
independent supervise some assistance/prompt fully assist right-handed left-handed | |
Aids | modified cup clothing protector |
Thickened fluids | level 1 level 2 level 3 |
Type of thickener to be used | |
Sleep and settling routines | |
Care needs:
Goal: (expected outcome) |
|
Usual time to rise 0600 Usual time to bed 2200 Rest time ( am pm )
Preferred sleeping position Back Pillows required 2 |
|
Sleep Aids | massage music hot packs Other |
Room | light on door open door closed bedrail/protectors Other |
Night-time patterns | Wakes up frequently |
Other preferences (For example: hot drinks or snacks) | Hot milk with 2 teaspoons of sugar |
Night checks | every hour every 2 hours Other |
Specialised care plans | |
Refer to specialised care plans for | [ X ] Medications [ ] Pain management [ ] Wound care [ X ] Therapy [ ] Restraint management |
Social and human needs/activities | |
Care needs:
Goal: (expected outcome) |
|
Frequency of visit/contact by family/friends Has a close friend named Mary Black, who visits monthly Religion beliefs/practices R.C.
Pastoral requirements Priest to visit Attends place of worship (day/s: Saturdays) Cultural needs Hobbies/interests: Knitting, drawing and painting Employment history: Barmaid for 30 years |
Behaviour | ||
Care needs: Periods of aggressive behaviour
Goal: (expected outcome) Maintain safety and comfort during outbursts of aggression |
||
Encourage Robert to go to his room when he displays aggressive behaviour | ||
Additional comments (For example: special needs, restraint, routines, pain, palliative care, pacemaker)
Terminal care recorded Yes No |
||
Date care plan evaluated (document in progress notes) | Signature | |
Name: ( title ) | ||
Star Aged Care Facility use only | |
Entered in progress notes Date | |
Signed Print name Position title Review date every 3 months |
Q2: Briefly describe the needs of Robert with Technical skills and sleep.
Practical Assessment Marking Form
S = Satisfactory NYS = Not Yet Satisfactory NA =Not Assessed Tick appropriate column |
||||
Technical Care Skills | S | NYS | NA | Comments/Observations |
Medications | ||||
Wound Management | |||||
Pressure Area care | |||||
The student’s performance was: | Satisfactory | Not Satisfactory |
ASSESSMENT METHOD 4: WORKPLACE OBSERVATIONS
Assessment Record
Student’s Name: | ||
Assessor Name: | ||
Location: | Date: | |
CHCCCS015 PROVIDE INDIVIDUALISED SUPPORT | ||
Circle answer | ||
The student’s written short answer questions were: | Satisfactory | Not Yet Satisfactory |
The student’s project was: | Satisfactory | Not Yet Satisfactory |
The student’s observational Assessment was: | Satisfactory | Not Yet Satisfactory |
The student’s work placement assessments were: | Satisfactory | Not Yet Satisfactory |
The student’s overall result was: | Competent | Not Yet Competent |
Comments: | ||
Assessors Signature: | Date: |
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