CHCHCS001 Provide home and community support services Assessment
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Assessment Detail:-
- Number of Words: 7000
ASSESSMENT TASK 1: WRITTEN QUESTIONS
Question 1
1. What is the purpose of the Community Care Common Standards?
2. What are the three Community Care Common Standards?
3. List five documents that must be kept to provide evidence of compliance against the Standards.
Question 2
Briefly explain the purpose of the following community care programs. For each program list the services available.
- Home and Community Care (HACC)
- Community Aged Care Packages (CACP)
- Extended Aged Care at Home (EACH)
- Department of Veterans’ Affairs (DVA) program
Question 3
Research current directions that the government is taking in relation to community based care. What are four reforms that are planned?
Question 4
1. Briefly explain the term ‘duty of care’.
Marco is visiting Kim in his home. Kim has mental health, alcohol and drug issues. When Marco gets to Kim’s house, he sees that she is clearly under the influence of drugs. Marco is unable to raise Kim, who has passed out on the lounge.
Marco is annoyed as he told her he would be coming today. Marco decides to leave Kim to sleep it off and come back later in the day to complete his visit.
2. Has Marco demonstrated his duty of care to Kim? Explain your answer.
Question 5
You are a community services worker in Adelaide. There is a new client, Alf, who requires support in his home while he recovers from a stroke.
It turns out that Alf lives in squalor and is a hoarder.
What are five controls that are suggested to work safely in this situation?
Question 6
1. List the legislation (title and date) that regulates privacy in your state or territory. Briefly outline the purpose of this legislation.
2. What are the key points of privacy legislation in relation to home and community care?
3. What are the major consequences of breach of confidentiality?
4. To whom should you refer breaches of confidence or other standards?
Question 7
1. Write down the responsibilities of employers and employees in relation to WHS in a home and community services environment.
2. Provide two examples of how you would meet work health and safety requirements in the following areas.
- Maintaining personal hygiene
- Wearing appropriate personal protective equipment (PPE)
- Ensuring safe manual handling
Question 8
Consider the following situations. Identify:
- the hazards and associated risks (at least two for each item)
- possible control measures the employer should put in place to minimise the risk of injury or illness
- action you should take in each situation, including any reporting requirements that need to be made.
Hazard
- Slippery floors
- Mechanical aids, including hoists and transfer equipment
- Cleaning products, sanitisers
- Contact with public
- Items contaminated with blood or body fluids
- Sexual harassment, work place bullying
- Clients who are confused and/or violent
Question 9
1. A person-centred support approach can contribute to the empowerment of people living in the community. What is the advantage of this?
2. In one to two sentences explain why older people, or people with disabilities, are commonly disempowered.
3. Read the following scenario and answer the questions:
Alberto has had a stroke.
Although his wife, Michaela has been able to provide love and support for Alberto, there are some things they just couldn’t manage.
Alberto and his case manager, John, have talked about his needs, with Michaela being involved in the discussion.
They are adamant about what Michaela can do for Alberto and the types of support they need. They ask for help with Alberto’s showering, dressing and transport as Michaela does not drive.
Alberto also wants to attend physiotherapy to regain his strength.
After a few months, Alberto is very happy with his progress. He is now quite capable of showering and dressing himself and has just been given permission from his doctor to drive again.
John meets with Alberto and Michaela to discuss changes to his care plan. It is agreed to cease the personal care and transport services, but in place of those John will receive some assistance with gardening and general maintenance, as he still finds balance and heavy work difficult.
- In what way does this scenario represent consumer-directed care?
- How do you think this approach has helped Alberto to recover from his stroke?
Question 10
Elsie is 80 years old. She lives on her own in an old country property five kilometres from town. Her nearest neighbour lives over 500 metres away and is often away from home. Elsie does not have a mobile phone. The house needs repair as the roof is leaking, but Elsie does not have the money for this.
1. What action could you take to make sure Elsie is safe, balancing her wish to be independent and be able to take risks?
2. List four things that could be done to reduce risks to Elsie’s safety and security.
Question 11
Gianni lives alone at home. His eyesight is deteriorating rapidly, however he is fiercely determined to stay in his own home until he dies.
He walks to the shops each day at 10.00am to do his shopping, but he is finding it harder to do with his bad eyesight.
The town where he lives is not the same as it was when he moved there fifty years ago. In those days it was a nice country town – now it is a growth area in the outer suburbs of Melbourne. There is a large problem in the area with high rates of unemployment and large rates of methamphetamine use.
1. What safety and security risks does Gianni face?
2. List four things that can be done to reduce risks to Giannis’s safety and security.
Question 12
1. What procedures can be put in place to ensure fire safety in a client’s home?
2. Research the legal requirements in your state or territory for smoke alarms to be installed in homes. Briefly explain the requirements.
3. What is the name of the Act or Regulations that cover requirements for smoke alarms in your state or territory?
Question 13
Explain the procedures you must follow when entering a client’s home to ensure them of your identity.
Question 14
Bunty has cancer.
She has undergone one program of chemotherapy and has been receiving HACC services due to her declining health needs.Bunty was very sick during the treatment, but her health gradually improved.
Last week Bunty was distressed to find out that her cancer is back. Her oncologist has strongly recommended a further chemotherapy program. If she does not have treatment she is likely to die within a month.
Bunty has decided not to have the second lot of chemotherapy – instead she wants to die at home. Her family are angry that she is giving in to the disease – especially as the oncologist has so strongly recommended further treatment.
1. Should Bunty do what her family and oncologist want her to do? Explain your answer.
The family approach you and ask if you can talk some sense into Bunty.
They ask you for legal advice about whether Bunty can be forced to take the treatment. They also ask you lots of technical questions about Bunty’s cancer and how treatment will work.
Bunty has given her consent for you to share information with her family, but you don’t really feel this is within the role of your job.
2. What should you do in this situation?
Question 15
What is meant by ‘emotional abuse’? Provide examples of emotional abuse that older people and people with disabilities are commonly subjected to.
ASSESSMENT TASK 2: CASE STUDIES
Case Study 1: Bernie and Glenys
Bernie and Glenys have been married for 47 years. Glenys has been diagnosed with dementia and requires constant care. Bernie has been caring for Glenys at home and is committed to her care.
Now Bernie has found out that he has terminal cancer. He will probably only have about six months to live. Bernie is distraught and worried about what will happen to Glenys after he dies.
One day while you are cleaning their bedroom, you find a stash of medications hidden behind the cupboard.
When you ask Bernie about them he looks very guilty. He says that they are his ‘insurance’ to make sure that neither he nor Glenys will suffer.
He also says that you should not say anything to Glenys or anyone else about them – he couldn’t bear for Glenys to be lonely when he dies.
You look at the medications and see that these are very strong.You realise that Bernie is considering ending his own and Glenys’s lives when he feels they can no longer cope.
1. You sympathise with Bernie’s situation, but what should you do in this ethical dilemma?
2. Identify two possible solutions that will assist Bernie to address his concerns and be comfortable to take different ‘end-of-life’ action.
3. How would you demonstrate respect and sensitivity to Bernie – imagine that your views are very different from his in this situation.
The workplace grapevine quickly becomes active. One of your colleagues comes rushing up to you, ‘Oh my goodness, I can’t believe that Bernie was going to murder his wife!’ she exclaims. ‘What did he say to you? Is he going to be arrested? Poor old Glenys – he kept on saying he wanted to care for her at home but all this time he just wanted to get rid of her.’
4. Explain how you would respond while still maintaining confidentiality.
Case Study 2: Candice
Candice is frail and has dementia. Her dementia has been caused by a history of drug and alcohol abuse. She lives at home with her niece, Nevaeh, who cares for her.
Candice receives support at home to shower and receives meals on wheels. Nevaeh is known to be an alcoholic and it is expected that she also takes illegal drugs.
Lately Candice has been losing a lot of weight. There has also been some unusual bruising on her arms and chest – Nevaeh explained that Candice often falls out of bed, especially if she has been drinking.
Nevaeh is drunk when you arrive today and you see that she is eating Candice’s meals on wheels.
You also find medications in the kitchen, which have obviously not been given to Candice for some time. When you ask Nevaeh about why she is eating Candice’s food, she says that there is no point in her giving it to Candice as she just spills it down herself.
When you ask her about Candice’s medication, Nevaeh says that these are old prescriptions that she doesn’t take any more (even though they are the medications listed on the care plan).
She then says, ‘Is it pension day today? Thank god! I’m desperate for some ciggies!’
She then races out, leaving you alone with Candice. You know that Nevaeh has access to Candice’s bank account.
1. What are three types of abuse that Candice may be subject to?
2. What action do you need to take? Remember to write down the documentation you may need to complete.
Case Study 3: Albert
Albert is dying. As he is enduring his last few days, he asks if he can tell you something.
You are happy to sit down for a chat,as you often enjoy a chat with him when you visit his home. Albert begins to talk.
You are shocked to hear him confess that, when he was a teacher during the 1960s and 1970s, he committed some sexual offences against girls and boys at the school where he was working.
Albert cries that he is truly sorry for what he did. Two days later he dies. His family assembles around his bedside and talk about what a gentle and good man he was.
You feel that Albert was genuinely sorry for what he did. You know that you are obligated to report all issues of child abuse, however you wonder if there is any need in this case – it all happened so long ago and Albert was such a nice man.
1. What action should you take in this situation?
2. What type of psychological damage may Albert have caused to the school children who are now in their 50s and 60s?