Assessment Workbook 1 - Learning Resources, RTO Training ... · PDF fileAssessment Workbook 1 ... reference your learner guide to complete this assessment. ... environment or making
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Part 1: Individualised Support.................................................................................. 15 Part 2: Independence and Wellbeing ....................................................................... 25 Part 3: Healthy Body Systems .................................................................................. 38
CASE STUDY ............................................................................ 58
Case Study 1: Abraham Chatzkel .............................................................................. 58 Case Study 2: Judith Comet ..................................................................................... 75 Case Study 3: Maximilian Mills ................................................................................ 86
The units of competency specify the standards of performance required in the
workplace.
This assessment addresses the following unit(s) of competency from CHC33015 – Certificate III in Individual Support Specialising in Aged Care: CHCCCS015 Provide individualised support
1. Determine support needs
2. Provide support services
3. Monitor support activities
4. Complete reporting and documentation
CHCCCS023 Support independence and wellbeing
1. Recognise and support individual differences
2. Promote independence
3. Support physical wellbeing
4. Support social, emotional and psychological wellbeing
HLTAAP001 Recognise healthy body systems
1. Work with information about the human body
2. Recognise and promote ways to support healthy functioning of the body
For complete copies of the above units of competency: Download them from the TGA website: www.training.gov.au
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Care Plan Name: Abraham Chatzkel (fictitious name)
My preferred name: Abe
My Birthday is: 16th January (he is currently 91 years old)
My Room number is: 23
I am allergic to penicillin
Social History: I was born in Israel. My mother is from Australia and my Father is from Israel. My family moved to Brisbane when I was 8. My father was the local grocery shop owner and on the weekends and afternoons after school I helped in the shop.
After I finished school I worked in my father’s shop until I went into the army for two years. While I was in the army I fought in the second world war. When I left the army I went back to work in the grocery shop, which I later inherited from my father.
I returned home from the war after learning my little sister’s husband left her and their daughter, a few months after she was diagnosed with cancer. I took care of my little sister and raised her daughter, Abigail, as my own after my sister passed away in 1960. I never married.
Before I moved here, I lived with Abigail and her family. She married a nice young man, Jacob, and they now have two lovely daughters, the twins, Aliya and Amira. Abigail stopped working when she had the girls, and just stayed home taking care of them, and also keeping me company.
I enjoy reading, especially stories about the time of the war. It reminds me of the time I spent with my mates.
I was diagnosed with renal cell carcinoma which has now spread to other parts of my body. I am now at Lotus Compassionate Care because my niece’s family is moving to New York and I did not want to move with them. I want to live the rest of my life here in Australia. With the twins old enough to go to school, I think it is time Abigail can go back to work and do things for herself. I am finding it more and more difficult to complete activities of daily living without assistance and I don’t want to be a burden to Abigail and her family.
Communication
My needs My Goals How you can help me
To be able to hear around me as I cannot hear very well
I would like to be able to hear what people are saying
Support me to use my hearing aid
Cultural and Spiritual
My needs My Goals How you can help me
To be able to keep following Jewish practices while in the centre
To follow the kashrut (Jewish dietary laws)
Help ensure that my food is kosher
To be able to pray three times a day
Assist me to say my prayers by reminding me of the time and SA
I like to sit out on the veranda each morning and listen to the radio
I like reading books
Enjoy the outdoors and listen to my favourite radio station in the mornings
Finish as many new books as I can
Support me to transfer to the Care Chair and wheel me out to the veranda. Ensure I have my hat on and sunscreen applied. Ensure I am not directly in the sun for too long (no more than 30 minutes).
Turn the radio on to ‘easy listening station’
Ensure that I am comfortable
Place the Feeding Cup with Spout with water within my reach.
Place the buzzer within my reach
Ensure I have new books to read and my spectacles within reach
Sensory
My needs My Goals How you can help me
To maintain visual ability
To continue being able to read my books
To continue to see the people I am talking to.
Help me to ensure my glasses are clean before I put them on and within reach for me when I am alone.
Mobility
My needs My Goals How you can help me
To maintain a level of mobility that will allow me to enjoy the outdoors
To continue being able to enjoy taking walks outdoors, especially early in the morning to watch the sunrise
To keep my muscles and limbs toned
Assist me taking morning walks using my walker when I can, or take me out on my wheel chair
Please assist me to transfer using the hoist and two staff members.
Personal Hygiene
My needs My Goals How you can help me
I require assistance to meet my personal hygiene care needs
To feel comfortable
Ensure my privacy and dignity is maintained
Speak with me about how you will assist me
Ensure the water in the washbasin is warm but not too hot
Use a soft washer and soap substitute to gently clean my skin
Gently dry my skin with a soft towel and ensure it is thoroughly dried.
Apply a protective barrier cream (please do not rub my skin) SA
To maintain my self-esteem. To maintain healthy teeth and gums.
Ensure that I am sitting upright
Assist me to clean my teeth with a soft, small-headed toothbrush and fluoride toothpaste.
Assist me to apply oral gel to my lips
Skin Care
My needs My Goals How you can help me
To maintain my skin integrity
To maintain comfort and prevent pressure injuries due to lack of mobility
Support and encourage me to move around and not stay in bed or sitting on my chair for long hours
Inspect my skin for redness
Report and document if you notice changes in my skin condition
Ensure the linen is free from
wrinkles and smooth
When conducting transfers be
careful not to pull, drag or knock my
skin
Ensure skin my skin is clean and dry
I have an air pressure ripple
mattress on my bed
Regular toileting to prevent me from
being incontinent.
Bowel Function
My needs My Goals How you can help me
I sometimes experience constipation
To have a bowel motion every day or every second day
Monitor my bowel motions and complete the bowel chart
Ensure I have the buzzer within reach if I need to go to the toilet.
If I have not had a bowel motion after the 2nd day, give me an aperient every morning until I have successful bowel movement. maybe also include encourage me to eat high fiber soft diet as per care plan and maintain fluid intake
Sleep
My needs My Goals How you can help me
I sometimes wake during the night
To have a restful sleep during the night.
Ensure I am comfortable before I go to sleep
Ensure the room is at a comfortable temperature
Ask me before you settle me for sleep if I am comfortable and reposition the pillows how I like it. SA
After reviewing Abraham’s care plan, you’ve determined that there are several aspects of the plan that are outside the scope of your role as a care worker.
1) What is your role in implementing Abraham’s individual care plan?
Guidance: List specific tasks that are within the scope of your role.
2) What aspects of the care plan are beyond the scope of your role? List at
least two.
Guidance: List specific tasks that are outside the scope of your knowledge, skills or job role
Abraham is an avid reader of books. Abigail promised Abraham that she will send
him new books every couple of weeks so Abraham can continue to enjoy his love
for reading.
Two months later, Abraham still has not received any letters or books from
Abigail. You tried giving him books from the centre’s library but he refused them.
He told you that he does not want to read books anymore.
Slowly, you noticed changes in Abraham’s disposition. You noticed that he
appears withdrawn, and rarely interacts with the other residents and care
workers in the centre.
In the morning, as you were about to help him get ready for his morning walk, he
very sadly tells you that he does not want to take a walk, and he just wants to go
back to sleep, hoping he does not wake up anymore.
When you asked him why he feels this way, he tells you that he thinks his family
has already forgotten about him, and he wishes to just stop waking up in the
morning. He further asks you if you could just give him “too much” pain
medication so all of his pain will go away.
4) Based on the scenario provided above, list two signs of additional or unmet
needs of the Abraham:
Guidance: take note of the physical, emotional and psychological risks involved in the situation, and identify the specific additional or unmet needs that must be addressed to mitigate these risks.