CHCHCS001 Student Assessment Workbook Questions & Answers

 

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CHCHCS001 Final Assessment-1

SHORT ANSWER QUESTIONS (SAQ)

 

ASSESSMENT 1:    SHORT ANSWER QUESTIONS (SAQ)

 

Q1: Briefly explain the purpose of the following Community Care Programs and the services offered by each program?

PROGRAM	PURPOSE	SERVICES
Home and Community Care(HACC)
Community Aged Care Packages (CACP)
Extended Aged Care at Home(EACH)
Department of Veteran’s Affairs (DVA) Program

 

Q2: What should a client service delivery plan include?

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Q3: Outline five communication considerations that you can use in order to create a positive relationship with clients.

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5

 

Q4: What are the two types of consent?

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2

 

Q5: What strategies can you put in place to involve clients in decision-making?

 

Q6: Give two reasons of why it is important to communicate with the person regarding your visit and the information?

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2

 

Q7: Explain the procedures you must follow when entering a client’s home to ensure them of your identity?

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3

 

Q8: List three strategies that could be used to engage appropriately with others in their place of residence?

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Q9: List three things that you should be aware of when engaging different people?

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Q10: Consider the following situations which are outlined below in the hazard Column. Identify

 

The hazards and associated risks, Possible control measures to minimise the risk of injury or illness, and the action you should take in each situation including any reporting requirements?

Hazard	Risks	Control Measures	Preventative Action/Reporting
Slippery floors
Mechanical aids including hoists and transfer equipment
Items contaminated with blood or body fluids
Sexual Harassment, work place bullying
Confused and aggressive clients

 

Q11: List at least 3 duty of care responsibilities for a worker, employer and case manager?

Worker	Employer	Case Manager
1. 2. 3. 4.	1. 2. 3. 4.	1. 2. 3. 4.

 

Q12: List four different ways that you can show respect and sensitivity toward the client and their place of residence?

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Q13: what procedures would you put in place to ensure fire safety in a client’s Home?

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Q14: What is the name of the ACT or regulations that cover requirements for smoke alarms in your state or territory? Briefly outline the legal requirements?

 

Q15: A person centered approach can contribute to the empowerment of people living in the community. List two advantages?

 

Q16: Explain in one or two sentences of why older people or people with disabilities are commonly dis empowered?

 

Q17: What are the Indicators of abuse and/or neglect? Give some signs of each of the following types of abuse:

• Physical
• Sexual
• Psychological
• Emotional
• Financial

 

Physical

Sexual

Psychological

Emotional

Financial

 

Q18. what equipment, resources and documents is needed to conduct an assessment in a client before proceeding to develop a care plan?

 

Q19. What type of information needs to be kept confidential? What practices will help ensure it remains as such within your organisation?

 

Q20. Explain how you make arrangements for follow up visits, recording and implementing them.

 

 

CHCHCS001 Final Assessment-2

PROJECT (PROJ) CASE STUDY (CS)

 

ASSESSMENT 2: RESEARCH PROJECT/CASE STUDY

 

Case Study: Renee and Mr. Rivers

 

Renee is a support worker who has just taken over the case management of Mr Rivers. Renee plans on visiting Mr Rivers to discuss his individual support needs and identify how he hopes to achieve his personal goals. Renee reads Mrs River’s individual plan and learns that he is a keen horticulturist and likes to keep his plants, flowers and hedges in excellent condition. Renee identifies that Mr Rivers has a broad knowledge of how to care for his garden, but is restricted in his ability to maintain it himself. The plan states that as a result of early onset parkinson’s disease, Mr River’s is unable to use his hands to cut, prune, weed, mulch or dig in his garden. One of Mr River’s personal goals is to maintain and care for his garden independently. This will allow him to work in his garden every day.

 

Renee begins preparing for her visit. She plans to visit Mr Rivers in his home next Wednesday morning but has not decided on a time yet. She thinks the visit will last two hours. Prior to her visit, renee conducts some online research to identify wheather she can source some specialist garden tools for Mr Rivers that would enable him to achieve his personal goal. Renee discovers a range of ergonomic gardening tools with enhanced grips and lengthened handles that relieve starin on a person’s joints. She also finds a pocketed gardening apron that would allow Mr Rivers to carry all his instruments around with him, rather than getting up and down repeatedly to fetch them.

 

Q1. Why is it important that Renee confirms the purpose of her visit with Mr River’s?

 

Q2. Why is it important that Renee confirms the time of her visit with Mr River’s?

 

Q3. Who else should Renee provide details to of her upcoming home visit with Mr River’s?

 

Q4. What could Renee do to confirm Mr River’s equipment and aid requirements when she visits him in his home?

 

Q5. Why is it important that Renee knows how to use gardening equipment safely?

 

Q6. What resources/and or documents could Renee provide to Mr River’s with on her first visit to his home?

 

Case study: Sharon and Rhonda

 

Sharon is a support worker for the city of Burwood in NSW. Sharon conducts a first home visit with Rhonda, a women in her 70s who has lived on her own for over 20 years. Rhonda takes good care of her home and prepares healthy nutritious meals for herself. The purpose of sharon’s visit is to discuss how she can teach Rhonda to use the internet so that she can do her grocery shopping, and other tasks, online. It is the middle of summer and at 11.00 am it is already 36 degree C. When Sharon arrives she is already feeling very warm. After identifying herself and invited into Rhonda’s home, Sharon realises the temp inside is even higher. Rhonda does not have a fan or an air conditioning unit running. Sharon asks Rhonda if she is hot and Rhonda replies, ‘Yes I am actually, I would like to purchase a fan but am unable to carry it home with me on the bus.’ During their discussion Sharon notices that Rhonda is sweating and fanning her face with her hand.

 

Q7: Identify two organisational policies/ and or procedures that Sharon must follow to ensure her own personal safety and security during home visits with Rhonda?

 

Q8: What hazard’s has Sharon identified in Rhonda’s home?

 

Q9: How could Sharon minimise the risk of the hazard occurring?

 

Q10: Describe two ways Sharon could ensure Rhonda has the opportunity to express her complaints, issues, or concerns during the home visits?

 

Case Study Kara and Chan

 

Kara is a support worker and has just taken over the case management of Mr and Mrs Chan , a couple in their 70s and of Chinese descent. Mrs Chan recently had a stroke . As a result she now depends on a wheelchair for mobility. Mr and Mrs Chan still live in the home they built when they were married more than 50 years ago. The house Is located in a quiet suburban area and Mr and Mrs Chan have very strong relationships with their neighbours. The home has been cosmetically updated over the years, but does not currently meet the physical requirements of Mrs Chan. Kara reads Mrs Chan’s individual plan and identifies her goal of becoming more independent and more confident in the use of her wheelchair. Kara visits Mr and Mrs Chan in their home and discusses the possibility of making modifications to the home so it is wheelchair accessible. This will allow Mrs Chan move around the house without any assistance, as well as shower herself and use the toilet on her own. Mr and Mrs Chan have the resources to make the modifications but verbally indicate that they are not confident enough to manage the arrangements. Kara remembers that there may be government funding available to assist Mr and Mrs Chan with the costs.

 

Kara also learns from Mrs Chan’s individual plan that the couple are practising Mahayana Buddhists. It is part of their religious practice that any visitiors to their home are required to remove their shoes and any head covering before entering. Mr and Mrs Chan always drink Chinese herbal tea with their visitors and prefer to use an antique tea pot that sits on their dining table while they drink tea.

 

Q11 Describe two ways that Kara should demonstrate respect and sensitivity towards Mr and Mrs Chan when she visits them in their home?

 

Q12 During the home visit, Mrs Chan asks Kara if she would make her a cup of tea. Describe how Kara should demonstrate respect towards Mr and Mrs chin home and belongings?

 

Q13 Explain Kara’s responsibility in implementing Mrs Chan’s individual plan?

 

Q14. How could Kara support Mrs Chan to become more confident using her wheelchair?

 

Q15. Identify two policies, protocols and/or procedures that Kara must follow when implementing Mrs Chan’s individual plan?

 

Case Study Thomasetti and Julia

 

Mrs Thomasetti has always been a quiet and withdrawn lady. She lives alone and has some distant family overseas. However, she has begun to withdraw more than usual into her own company. She rarely goes out, and lately the staff have been noticing a large number of empty beer bottles around her flat. She has stopped paying attention to her hair and clothes in the way she used to. Julia has been concerned about Mrs Thomasetti, and although she doesn’t know the reasons, she feels that she may be suffering from depression.

 

Q16. Describe one way that Julia could report her observations about the changes in Mrs Thomasetti’s behaviour?

 

Q17. Why is it essential for Julia to tell her supervisor about her concerns for Mrs Thomasetti?

 

Q18. Describe two services/ or groups that Julia could support Mrs Thomasetti to access that will fullfil her unmet needs for social interaction?

 

 

CHCHCS001 Final Assessments-3

SIMULATION OBSERVATION (OBS)

 

Assessment Task 3: Simulation Observation

 

Role Play

Scenario 1: Below is the attached Care Plan students to use as an information regarding the Client (one student to act as client and the other to act as a Home care Worker) and follow the interventions as stated in the care plan to complete the task.

 

• Students are requested to attend personal hygiene activities for Robert Smith and trainer to observe the act and mark off student by using the Observation Marking form. Students should demonstrate Knowledge to interpret a personal care support plan, including terminology, basic understanding/knowledge of human body systems, goals, objectives, actions
• Student is required to provide services to Robert at home or community support settings (Simulated Environment at NTA Simulation lab).
• Student is required to demonstrate the use of appropriate inter-personal skills:
  • establishing a positive relationship with the individual
  • seeking clarification of tasks
  • interpreting and following instructions

 

Q1. Assist client, as required, with any of the following activities:

 

a).  showering the client in their home using appropriate equipment

b).  Feeding the client and assisting with Cooking at home.

c).  Used appropriate communication skills to build relationship, seeking clarifications and interpreting and following instructions.

 

Student 1: Mr Smith(Client)

Student 2: Carer

Student 3: Carer

 

Care Plus Home Care Services Nursing Care Plan		Name:	Robert
		Surname:	Smith	DOB	12/11/1945
		Section	C	Room No	13; BED : 1
		MRN/CRN	100434312
Diabetic
	Communication
Preferred name: Mr Smith Care needs: Visual impairment

Goal: (expected outcome) Effective vision is maintained
Vision		Hearing
Aids	glasses                 magnifying glasses Clean and fit glasses daily Prompt 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 Observe for eye discharge		Ear care required
Speech and language		Comprehension issues (For example: inappropriate responses)
Language/s spoken English
		Orientate Mr Smith to time and place
Speech disorder/s
	Translate for resident Take time to listen Initiate conversation Use language cards Use picture cards
Other
Mobility
Care needs: Impaired mobility Goal: (expected outcome) To maintain safe movement
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	Aids	bed rail       slide sheet gait belt hoist            standing hoist

 

	wheeled walker			Hoist sling type and position of loop
Other					Other
		Provide direction Supervise movement Encourage to maintain mobility
Other
Toileting and continence Care needs: Urinary incontinence Goal: (expected outcome) Mr Lewis remain dry at all times

Continence
Bladder control	continent      incontinent   catheter     ( occasionally   frequently    total incontinence )
Bladder management	fluid balance chart  toilet  (times   0800 1200 1600 2000 ) Other   Prefers male care worker with toileting assistance
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              Uridome           kylie              bed pan Other Urinal to be used at night
Toileting regime	independent      supervise             some assistance/prompt       fully assist Adjust clothing  Position on toiletEncourage self-care            Clean perianal area Other     Prefers male care worker to assist with toileting
Showering, dressing and grooming
Care needs: Inability to manage own shower and dressing Goal: (expected outcome) To maintain optimum hygiene levels
Shower and washing
	independent   supervise       some assistance/prompt    fully assist shower            bath               spa bath        bed sponge flannel wash Frequency Daily                  Preferred time 0800 Adjust water temperature                         Encourage to optimise self care Other       Prefers male care worker for showering assistance

 

Transfer	walk to shower            wheelchair                   Other :Pelican Belt
Showering aids	bath trolley                  shower chair                Other
Toiletries	normal soap    deodorant       aqueous cream           moisturiser ( am 8 pm ) Other
Hair care	wash in shower           wash in bath                Preferred days: 2nd daily
Dressing and undressing
	independent   supervise         some assistance/prompt        fully assist callipers              splints                                        Other
Cultural dressing	N/A
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  Daily Hair removal Frequency
Nail/foot care	independent   supervise         some assistance/prompt        fully assist Podiatry visits 6 weekly. Do not cut nails – RN or podiatrist only
Teeth	none          some  ( upper       lower )            all Cleaning routine Toothbrush and paste: in morning after breakfast, in evening before bed
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 2000
Eating and drinking
Care needs: To maintain blood sugar at optimal levels

 

Goal: (expected outcome) Blood sugar levels will be within normal range for Mr Smith
Eating
	independent   supervise         some assistance/prompt        fully assist right-handed left-handed
Preferred place to eat	dining room    bedroom                     Other
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 0700 Usual time to bed 2030 Rest time ( am 1 pm) Preferred sleeping position Pillows required
Sleep Aids	massage music        hot packs          Other
Room	light on  door open  door closed   bedrail/protectors            Other
Night-time patterns
Other preferences (For example: hot drinks or snacks)
Night checks	every hour                   every 2 hours                Other
Specialised care plans
Refer to specialised care plans for	[X] Medications                [  ] Pain management              [ ] Wound care [  ] Therapy                       [ ] Restraint management
Social and human needs/activities
Care needs: Goal: (expected outcome)
Frequency of visit/contact by family/friends   Family visit every weekend. Frequent visits by friends intermittently during the week also.

 

Religion beliefs/practices Anglican Pastoral requirements                                    Attends place of worship (attends Anglican service at Care Plus Aged Care Facility) Cultural needs Hobbies/interests   Reading, chess, classical music       Employment history Retired Bank Manager
Behaviour
Care needs: Episodes of short term memory loss and confusion related to diagnosis of dementia Goal: (expected outcome) To reduce periods of confusion
Forgets meal times   Orientate Mr Smith to time and place Gain attention before speaking Speak loudly, clearly and directly Allow extra time for response Give step-by-step instructions Use repetition when difficulty persists
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
Interventions current and effective, nil changes made to care plan		Jai Seelam RN	Date: ……/……. /…….
Care Plus Aged Care Facility use only
Entered in progress notes	Date
Signed Review date	Print name		Position title

 

Practical Activities

a).  You are required to demonstrate the correct procedure in showering a client who requires assistance with Showering and other Activities of Daily Living.

 

Showering (Knowledge & Skills Demonstration)
Instructions for demonstration
Materials and equipment Towels, clients clothing, face washer, toiletries, Shower cubicle, commode chair (if applicable), and personal items.
Observation
During the demonstration of skills, did the candidate:	Yes	No	Assessor’s Comments
Check client care plan for client capability and/or specific needs required?
Wash hands as per infection control procedures?
If there is a risk of exposure to bodily fluids wear gloves, wash hands, and remove waste as per infection control policy?
Introduce himself or herself to the client and explain status (i.e. AIN)?
Organise appropriate equipment?
Explain the procedure to the client?
Ensure the client has given informed consent to the procedure?
Involve client in procedure through offering choice and encouraging independence throughout?
Provide privacy and dignity throughout the procedure?
Ask for assistance from another colleague if required for lifts or transfer as per Manual Handling policy?
Assist client to shower cubicle appropriately, whilst maintaining dignity and privacy?

 

Communicate appropriately with client throughout procedure?
Ensure water is at an appropriate temperature, and comfortable for resident before using?
Sets up client appropriately for shower?
Respond to the client’s needs throughout the procedure and maintain client safety at all times?
Ensure that independence was encouraged at all times?
Observe client for skin breakdown and reports any changes to appropriate person where applicable?
Shower client according to assistance required commencing from face and washing groin areas last?
Towel dry client completely before dressing as per assistance required?
Dress in appropriate clothing according to client choice, and weather conditions?
Allow resident to assist with own activities of daily living including grooming, brushing teeth/dentures, make-up?
Leave the client comfortable at the end of the procedure?
Wash hands according to infection control procedures?
Return &/or discard bed linen correctly and store client personal belongings & toiletries at end of the procedure?
Report any appropriate changes in client’s condition?
ORAL ASSESSMENT                          Answered Appropriately:   Yes        No
1. Why might you not leave a client alone in the shower? Assessor to note answer given.

 

2. A client who has suffered from a stroke is asking for the water to be hotter. When you check the water you notice that it is already really hot, and would possibly burn them if turned up. What is your response and why? Assessor to note answer given.	yes	no
The candidate’s overall performance met the required standard: Yes  q        No          q
Comments/observations/feedback
Student signature:
Assessor signature:                                                     Date:

 

b).  The candidate is required to setup and assist client with feeding.

 

Feeding a Resident
Instructions for demonstration
Observation
During the demonstration of skills, did the candidate:	Yes	No	Assessor’s Comments
Review resident records to check type of diet(i.e. Pureed, cutup etc) and level of assistance needed prior to commencement
Wash hands as per infection control procedures?
Introduce himself or herself to the resident?
Gives clear & relevant explanation to resident?
Positions resident appropriately?
Ensures residents clothing is protected appropriately?
Facilitates independent effort by the resident?
Places tray and food within easy reach (where appropriate)?
Ensures food temperature is appropriate
Sits with resident?

Paces procedure to suit resident?
Cuts food into bite size pieces (where appropriate diet type)
Leaves resident clean & tidy?
Re-positions resident appropriately?
Ends encounter appropriately?
Returns tray to mobile trolley or kitchen area?
Washes hands?
Report observations to RN?
Documents accurately in resident notes
ORAL ASSESSMENT                            Answered Appropriately:  Yes       No
1. Why is it important that a client’s fluid and nutritional intake are monitored daily? Assessor to note answer given.				Yes	No
2. How can you encourage fluid/food intake? Assessor to note answer given.				Yes	No
3. If a resident’s family member or carer asked you if they could feed them, how would you respond? Assessor to note answer given.				Yes	No
The candidate’s overall performance met the required standard:    Yes  q    No q

 

c).  For this activity you will be required to demonstrate your communication skills when dealing with a client at home. Your assessor will use the following checklist to ensure you meet the requirements.

 

Communication Skills Demonstration
Observation
During the demonstration of skills, did the candidate:		Yes	No	Assessor’s comments
Introduce themselves to client?
Maintain appropriate eye contact throughout conversation?
Ensure the environment was safe and comfortable for resident and self during interaction?
Maintain a relaxed and friendly approach during the interaction?
Maintain appropriate body language at all times?
Gain the resident’s trust appropriately prior to and during conversation?
Encourage appropriate conversation throughout interaction?
Re-orientate the resident as required throughout interaction?
Face resident throughout interaction?
Respond to resident appropriately?
Minimise distractions throughout the conversation?
Ensure resident was comfortable at completion of interaction?
Use simple, clear instructions &/or conversation during interaction?
Relieve any signs of distress or agitation using appropriate strategies?
Show empathy towards client throughout interaction?
Provide reassurance to client throughout conversation where required?
Leave the resident comfortable and safe at completion of interaction?
The candidate’s overall performance met the required standards: Yes  No

 

Scenario 2:

Below is the attached Care Plan students to use as an information regarding the Client (one student to act as client and the other to act as a Home care Worker) and follow the interventions as stated in the care plan to complete the task.

 

• Students are requested to attend personal hygiene activities for Liz and trainer to observe the act and mark off student by using the Observation Marking form. Students should demonstrate Knowledge to interpret a personal care support plan, including terminology, basic understanding/knowledge of human body systems, goals, objectives, actions
• Student is required to provide services to Liz at home or community support settings (Simulated Environment at NTA Simulation lab).
• Student is required to demonstrate the use of appropriate inter-personal skills:
  • establishing a positive relationship with the individual
  • seeking clarification of tasks
  • interpreting and following instructions

 

Q1. Assist client, as required, with any of the following activities:

a). 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.

b). Used appropriate communication skills to build relationship, seeking clarifications and interpreting and following instructions.

 

Student 1: Mrs Liz(Client)

Student 2: Carer

Student 3: Carer

 

Care Plan for Elizabeth Lancester:

 

Name: Elizabeth Surname: Lancester		DOB: 11/10/1932
Room No: 11		Date of Admission: 09/12/2006
Medicare No: 68827768687		Pension No: 32101000X
	Care alerts (write in red) For example: allergies, drug reactions, smoker, falls risk, diabetic

 

Falls risk
Communication
Preferred name: Liz 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     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 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, 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 Elizabeth to go to her room when she 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:                                                             ( p/title	)
Care Plus Aged Care Facility use only
Entered in progress notes	Date
Signed                                            (P/title) Print name                                    Position title                                                     Review date every 3 months

 

a).  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.

 

MANUAL HANDLING: USE OF A MECHANICAL LIFTER (KNOWLEDGE & SKILLS DEMONSTRATION)

Instructions for demonstration

 

Materials and equipment Mechanical lifter (also known as Stand Aid lifter, pixel lifter, &/or patient hoist), Patient, Bed, Chair, and assistant if required.
PLEASE INDICATE TYPE OF MECHANICAL LIFTER USED:
	Observation
During the demonstration of skills, did the candidate:		Yes	No	Assessor’s Comments
Check client care plan and select appropriate lift type?
Explain how you identify the appropriate sling to use
Use an assistant at all times throughout the procedure?
Wash hands as per infection control procedures?
Introduce himself or herself to the client?
Organise equipment & ensure surrounding environment is uncluttered?
Explain the procedure to the client &/or assistant?
Ensure the client has given consent to the procedure?
Provide privacy and dignity throughout the procedure?
Adjust the bed to the correct height before commencing?
Maintain Manual Handling principles at all times throughout the procedure; i.e. Bent knees, straight back, load close?
Check working order of lifter prior to lift?
Place the mechanical lifter sling on the client correctly?
Co-ordinate the transfer and instructions with the client & assistant throughout the procedure?

 

Respond to the client’s needs throughout the procedure?
Reassure client throughout the procedure?
Leave the client comfortable at the end of the procedure?
Wash hands according to infection control procedures?
Remove and store equipment appropriately on completion of the procedure?
Report any appropriate changes in client’s condition?
ORAL ASSESSMENT                      Answered appropriately:  Yes          No
1. Give an example of a mechanical lifting device other than the one you have used today, and give an example of a situation in which you would need to use it. Assessor to note answer given
2. Give an example of another situation where you might require the equipment you have used today? Assessor to note answer given
3. If you noticed the mechanical lifter was broken what would you do? Assessor to note answer given
The candidate’s overall performance met the required standard:  Yes    No

 

b).  Used appropriate Interpersonal skills to build relationship, seeking clarifications and interpreting and following instructions.

 

Interpersonal Skills Demonstration
Observation
During the demonstration of skills, did the candidate:	Yes	No	Assessor’s comments
The student has looked at the individual client plan – and understood his responsibilities here?
The student has demonstrated an understanding of what security protocols are in place at this client’s home?
The student has demonstrated an understanding of What (if any) potential hazards can you identify in this room?
The student has demonstrated an understanding of What are the potential risks to the client in this situation?
The student has demonstrated an understanding of What are the potential risks to yourself in this situation?
The student has demonstrated an understanding of How can you minimise these risks in this situation?
The student has demonstrated an understanding of how to Check that the client has a smoke alarm that is effective. Could you do anything to improve fire safety for the client?
Look back on your visit – were there any limitations e.g. a task that a client asked you to do that was not part of your duty?
The student understands What aspects of your care were person- centred or consumer directed?
The student was able to empower the client and give them dignity of risk?
Write up and file your report/notes on the visit using your organisational standards for documentation – bear in mind confidentiality and disclosure requirements
The candidate’s overall performance met the required standards: Yes o No o

 

 

ASSESSMENT METHOD 4: WORKPLACE OBSERVATIONS

 

Your WAP contains two forms that need to be completed:

a).  Work place Attendance Report

b).  Observation Checklist used to assess the following areas:

 

 

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