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:

  1. Person-centred practice
  2. Strengths-based practice
  3. 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

  1. cultural needs of a client?
  2. 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.

 

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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

 

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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