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.

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

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?

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?

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.

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.

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 12^th 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

NYS

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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