CHCCCS023 - Support Independence and Wellbeing Assessment Answer

ASSESSMENT OVERVIEW

ABOUT YOUR ASSESSMENTS

Assessment Task 1: Written questions

You must correctly answer all questions to show that you understand the knowledge required of this unit.

Assessment Task 2: Case studies

There are three case studies in this task. You are to read and complete the questions related to each.

Assessment Task 3: Role play

You are to participate in a role play with your assessor.

Assessment Task 4: Workplace observation

There are two parts to this observation task:

▪ Part A: Students are to be observed working with three clients (include their family/carers) to support their independence and wellbeing.

▪ Part B: Students must demonstrate their ability to report two fictional client situations by following their organisation’s relevant policies and procedures.

Workplace hours

The student must have performed the activities outlined in the performance criteria of this unit during a period of at least 120 hours of direct support work in at least one aged care, home and community, disability or community service organisation.

1. Written questions

2. Case studies

3. Role play

4. Workplace observation

5. 120 hours of direct support work in at least one aged care, home and community, disability or community service organisation.

Agreement by the student

Read through the assessments in this booklet before you fill out and sign the agreement below. Make sure you sign this before you start any of your assessments.

Have you read and understood what is required of you in terms of assessment?

◻ Yes

◻ No

Do you understand the requirements of this assessment?

◻ Yes

◻ No

Do you agree to the way in which you are being assessed?

◻ Yes

◻ No

Do you have any special needs or considerations to be made for this assessment? If yes, what are they? 

◻ Yes

◻ No

Do you understand your rights to appeal the decisions made in an assessment?

◻ Yes

◻ No

ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 1

Name:

Date of birth:

Student ID:

Unit:

▪ CHCCCS023 Support independence and wellbeing

Student to complete

Assessor to complete

Assessment Task

Resubmission?
Y/N

Student
initials

Sufficient/
insufficient

Date

Written questions

ASSESSMENT TASK 1: WRITTEN QUESTIONS

Task summary:

▪ This is an open book test – you can use the Internet, textbooks and other documents to help you with your answers if required.

▪ You must answer all questions correctly.

▪ Write your answers in the space provided.

▪ If you need more space, you can use extra paper. All extra pieces of paper must include your name and the question number/s you are answering.

▪ You may like to use a computer to type your answers. Your assessor will tell you if you can email them the file or if you need to print a hard copy and submit it.

Physical

Maslow's theory of the hierarchy of human needs is designed in a pyramid shape, according to the level of needs. In the pyramid physiological needs lie at the bottom. Maslow states that to satisfy other higher levels of intrinsic needs, humans are compelled to satisfy physiological needs first.

The basic physiological needs are:

1. Air

2. Food

3. Water

4. Sufficient sleep and rest

5. Home for shelter

6. Clothing

7. Health

8. Reproduction

9. Light

Urination and excretion

To satisfy other needs humans have to fulfill physiological needs for healthy living. To stay in the stage of homeostasis and breathing human needs air, food to prevent cravings, shelter to protect themselves from heat and cold

All these basic requirements are irreplaceable.

Psychological

Psychological feelings express the feeling of belongingness it provides comfort and a sense of security to the individual.

Psychological needs include:

1. Family

2. Friends

3. Trust

4. Love

Belongingness is the third feeling that a human need to satisfy after the satisfaction of physiological and safety needs.

Maslow in his theory states that there is an intense need for belongingness for humans to survive in this world. Being loved by someone gives strength and mental peace, a person feels comfortable and safe around the people who love him/her. Groups to which humans belong can be large or small it can be family members, colleagues, teams, couples, and communities. Everyone needs to be loved; love can be sexual or non-sexual. Depression, anxiety, and loneliness are more common in humans who are living alone without a companion; mental health gets affected when psychological needs are not satisfied. The study states that children who grew up in financially strong families are less depressed in comparison to those who face financial crises during childhood and adolescence.

Spiritual

Spiritual needs are required to improve the quality of living. These are:

1. Healing and empowerment of love.

2. Un-forgiveness.

3. Resentment

4. Guilt

5. Self-rejection

6. Shame

Grief

Spiritual needs when fulfilled help humans to connect with something higher and greater than them. It joints the connection of humans to faith and religious aspects. Humans get to know the moral and ethical values of their and others' life.

Cultural

 Cultural needs are required to express forms of expression. They include the way of living, language, and culture of groups and beliefs.

Cultural needs help humans raise their standard of living. Cultural practices help humans to express their thoughts in the form of their actions. Dressing forms are different for different cultures, creating variation in the way of living.

Social

Social belonging needs include:

· Family

· Friendship

· Intimacy

· Trust

· Acceptance

· Receiving and giving love and affection

Being social helps the person to deal with loneliness and depression.

It’s good to have someone with whom we can share feelings and trust them

Sexual

Reproduction is a boon to humans, sexual intercourse is provided as something natural, and being ashamed of it is not right. People should talk more often about sexual health.

Terms that are used to refer to sex are;

Coitus

Mating

Intercourse

In humans sexual intercourse is linked with both physical and mantelpiece, study shows that those who have regular sexual intercourse and have healthy sexual life with their partners are healthier as compared to those who are not involved in sexual activity.

Sex doesn't need to involve opposite genders, people of the same gender can also involve in sexual activity.

Sex is the part of living that provides both physical and mental pleasure.

Financial status affects both the mental and physical health of the person. Financial status is the key to survival in this world; people living with poor finance have to suffer for their living like having food, shelter, and clothes. Depression, overthinking, and anxiety are common problems found in people who suffer from a financial crisis.

For example members of a Family having good financial conditions have healthy mental status, and their children do not have to face problems for their living, while poor families are unable to provide services to their children and have to work more hours to earn their living. Ill-abuses like addiction to drugs and alcohol of any of the family member leads to financial crises. Sometimes being stressed by financial crises people choose illegal methods of earning, they are not ashamed of committing a crime raises the situation of insecurity in society.

When choosing a career or occupation some points need to be kept in mind like; whether you are interested in the job or not; during the job do you have to face financial crises, is the working environment safe and healthy.

Job or occupation dissatisfaction leads to mental health issues. For example, if a nurse I not satisfied with her job, she is doing work just to help her family financially. This dissatisfaction can cause incidents during her work, and may she forget the medication of patients, and her dissatisfaction can affect someone's health.

Organizations while providing jobs should ask the person who is interested in the job. Some issues like discrimination, violence, and sexual harassment during the job can also lead to job dissatisfaction and feeling to quit the job.

A person with a disability has to face financial crises, situations are different for a physically disabled person his socioeconomic status including education, healthcare services, and economic status gets affected. The quality of life gets altered as getting a job or work is a difficult task and giving a performance as required. Providing healthy financial status to such persons helps to reduce the risk of depression, lowers anxiety, and regain physical health.

Adaptation is a human tendency, the lifestyle of every individual is different and everyone is adapted to their way of living. Lifestyle includes individual work, daily activities, social and economic behavior, diet, and interpersonal relationships. Sudden change in the lifestyle of a person affects their well-being; millions of people are having unhealthy life because of these sudden changes.

 For example, A newly graduated nurse joined his first job in a different city which is quite far from his home. His lifestyle got to change as now he has to stay away from his home, lack of proper guidance and sources leads him towards unhealthy life. Not having a proper diet, on-time meals, sufficient sleep, and overload of work are a few changes that a person faces. Adults are at higher risk to get influenced by other companies, and smoking and drinking are the most common ill habits noticed in young people while staying away from home. Not having any friends and family in a new place make the person feel alone and depressed. These changes lead to malnutrition, bad habits adaptation, anxiety, depression, lack of social interaction, unhealthy physical

Self-actualisation refers to the tendency or the desire that one had to become more capable of something, pushing his/her comfort zone to achieve more.

It provides confidence and self-determination to a person in his work and a desire to grow in his field. Neglect of self-actualization drops the graph of development and progress while the realization of self-abilities helps the person to achieve more than he expected.

For example- The self-actualization of employees working in an organization helps them to know about their capabilities and how their work can increase their productivity rate. If the workers of an organization are aware of their abilities the development rate of the organization would boost.

Financial

Improper education because of financial issues

 Not having savings to fulfill accidental loss.

 Shortage of time of return bank or personal loans.

Sexual

Accidental STD

Injury causing sexual dys-functioning

Trauma causing genital injury

Physical

 Physical deformities

Not having good looks or facial features

Ashamed of body structure

Psychological

 Depression, inferior complex, isolated socially

 It’s the duty of a worker working in an organization to report abuse it's valid and the most appropriate thing that staff should do. Complaining or reporting the abuse can help the survivor to deal with the situation, it provides support and confidence to seek justice. Maybe continuous reporting can reduce the number of abuse-related cases.

Steps that are required to report an abuse case are:

1. Report the case to seniors: The staff member who gets to know about the incident should act responsive and report the case to the senior staff member, if the senior staff member is himself involved in abuse then report to the higher working person of the organization.

2. Provide immediate medical help: If the person gets injured during a physical or sexual assault, after getting the information about the incident senior staff member should call the doctor and ambulance immediately, provide first aid treatment, and use personal transport sources if an ambulance is not available. Support and comfort the victim to provide a safe environment. Preserving the shreds of evidence during giving first aid is also mandatory so that victims can seek justice. Like in the case of sexual assault the victim should not bathe or change cloth until the medical and police assessment gets done. Evidence is the major key to investigations, the culprit may try to hide or destroy them, and the senior staff member should keep an eye on or appoint someone trusted at the crime scene to prevent evidence loss.

3.Inform the nearby police station:

The senior staff member of both private and government organizations should inform the police as soon as possible and request them to reach the crime location immediately. Provide a safe environment to the victim until the police arrive. The evidence should not be disturbed, senior staff members have the right to take updates from the police about the incident and make sure that the other staff member would help the police conduct a proper investigation.

4.Guardians of the victim should be informed:

Parents or guardians of the victim have full rights to know what happened to their child. Senior staff members have to inform the victim's parents and request them to reach out immediately to support and comfort the victim. No fake information should be given to anyone; the case-related information's needed to be transparent.

The organization should provide support to the victim's parents to initiate the process of investigation as sometimes being feared of the situation they avoid seeking justice. The reputation of the organization is also attached to the scenario, the organization forced the victim not to take action, and staff members should try to avoid such things.

5. Support the victim: the victim is the one who suffered most in such cases, having the support of someone gives them hope to survive, and a senior staff member or other related persons should comfort the victim.

6.Inform the client of the process: the victim should know what is required to do, to overcome the situation and punish the culprit. There are higher chances that the victim attempt suicide to overcome fear and guilt. Proper care of the victim should be taken and keep monitoring to prevent life loss.

Prolonged sadness

1. Being alone for a longer duration

Not having close friends

Not involving in social activities

Distress

1. Feelings of sadness and loneliness

Not able to express feelings

Not having someone to care

Anxiety

Overthinking

Depression

Fear

Lack of engagement

 Staying home

No social contacts

Feeling isolated

Heightened level of emotional expression

Good communication

Quick decision making

Positive behaviour

· 1.candidiasis

· 2. Oral thrush

· 3. Dental caries

· 1. Running or Jogging

· 2. Exercise for cardiac

· 3.Dancing

· 4.streching

· 5.cardio exercises

· 1.personal hygiene contributes health and wellbeing as it removes dirt

· 2.It increases blood circulation

· 3.provided cleanliness and feel good

· 1.indigestion

· 2.constipation

· 3.diarhhea

· 4.gastritis

· 1.engaging in activities

· 2.engage in social groups

· 3.seek assistance

· 4.encourage to share and talk about concerns

When we talk about sex it refers to adult people and those who are attractive, beautiful, and physically able. Those who are at old age and moving towards their old age are not concluded in the age group who are sexually active or have sexual desire. Study shows that people are never out of age for sexual desire. Being sexually active doesn't always mean the same for everyone, for some old age people it refers to the affection, love, and care they expect from their partner. Everyone wants to be loved and get attention from the people they are attached to. MYTH: people of older age are unable to have sex as their body is not supportive. FACT: Being in old age it's common to get weekends but desire and passion always stay. The use of medication to treat the dysfunction can help older people to remain sexually active and a healthy lifestyle supports the process. For persons in old age involvement in sexual activities help to reduce depression, anxiety, loneliness, and mental instability.

In our society it is considered that people who are physically disabled are asexual, neither they have the sexual desire nor can have sex. Sexual desires are for everyone it's hormonal and a basic need for everyone abled or disabled doesn't matter. The way to express their sexual feeling is different for everyone for the physically disabled person, it's not possible to act like a normal person but still, sex involves attraction and affection for someone. Having someone to love in a way no other person can give the feeling of satisfaction to both partners. People with deformities are also to reproduce if they intend to have family and children it's not a matter of shame. Having family and children to love makes them less isolated. Myths about physically disabled persons need to be resolved to help these people in living a happy and healthy life.

● 1. Continuous discrimination from society

·

● Not having family support

·

● Face negligence and rejection

Jake is one of your clients and he is worried about ‘coming out’. His family is very religious and he doesn’t feel they will understand or accept him if he tells them the truth. Jake is in a serious relationship and his partner is putting pressure on him to announce the relationship to both families.

· 1. Jack is experiencing the feeling of loneliness and intense fear of losing his family or his partner whom he loved. In some, religions being asexual are taken as something not acceptable. Jack is not sure about his family’s reaction after knowing the truth about how they would react. He is also concerned about the humiliation by the society

·

· Motivate Jake to explain his feelings to his family, and let them know that having a partner of the same gender is not a crime or a matter of shame. Advice to request his family to join counselling related to homosexuals.

· Beyond blue

Lois has had a stroke, which has left her paralysed down her right side. Her needs are being assessed. Through the assessment process, it has been noted that Lois has the following needs:

▪ Lois is very keen to remain living in her home. Her son comes in to visit twice a week and there are neighbours who can assist with shopping etc.

▪ She needs assistance to shower and dress.

▪ Lois is right handed so paralysis on right hand side is restricting her ability to do many activities of daily living.

▪ Lois finds it difficult to walk with the crutches she was given when coming out of hospital. She is able to walk but does not think the crutches give her enough stability.

▪ Lois is worried about her security. She wonders about getting a personal alarm.

▪ She enjoys knitting but finds this impossible while her right hand is paralysed. She feels she needs something to do – perhaps learn a new language.

▪ Lois loves her garden. It is breaking her heart to see all the weeds growing.

1. Walking assistance

· 2. care during shower

· 3. exercise

· 4. assistance in classroom

· 5. personal alarm

· 6. seat in the shower

· 7. physiotherapy

8. long brush for helping in washing hair.

·

Strategies for Lois

Benefits

Carer support

Physiotherapy

Helps to plan suitable exercise according to health conditions

Documentation of exercise

Attending exercise group

Increase fitness

Provide motivation

Well-designed Clinical trials

Expands the variety of available treatments and gives people the chance to actively participate in their own healthcare coverage

Develop the plan

· 1.personal hygiene : attach grab bars in toilets

· 2.Placing rubber mats in the shower and shower chairs

· 3.adhere to a regular toileting schedule to control or decrease the incidence of incontinence

Infancy

Hands are fisted

The arms are flexed

Start showing a spontaneous social smile.

Infants started to express other emotions like sadness, anger, surprise etc.

Early/Middle childhood

Acquire the motor skills, small muscle groups which involve wrists, fingers etc. 

Children are likely to show more independence from their parents and family.

Starts thinking about the future.

Adolescence

This involves acne, more body hair etc.

Children show strong feelings and intense emotions.

Adulthood/

Late adulthood

Stamina, strength and suppleness starts to decline.

Many people realize a sense of hopelessness which can lead to the development of depressive illness.

Old age

Bones tend to shrink in size and density

Some older persons might feel that they are so useless, helpless and at the mercy of their physical problems, changes in living arrangement or negative events.

Residential care

The regular care and assistance offered at a typical aged care facility is referred to as "residential care.".

Integrated care

An strategy known as coordinated health care, sometimes known as interdisciplinary health care, is characterised by a high level of interaction and coordination among general practitioners.

Outreach services

Offering assistance to any group that wouldn't otherwise have accessibility to them is known as outreach.

Acute care

Acute care is a degree of medical treatment when patients are handled for diseases brought on by disease or trauma, for short but serious illness episodes, and while recovering from surgery.

Least restrictive principle

According to the idea of the lowest constraining means, public health initiatives should generally interact with people's autonomy as little as practicable or required..

Person-centred planning

The activity of choosing and arranging the activities and supports that an elderly person or an individual with an impairment may require in order to live in the society is known as person-centered planning (PCP). Most importantly, it is a procedure that the individual receiving support controls.

Strength-based approach

Methods that are built on an individual's assets—including interpersonal qualities and social and community networks—instead of their weaknesses are known as strengths-based approaches.

· 1. Statutory Funding model

· 2. Baseline Funding Model

· 3. Threshold Funding model

· Funding from personal savings

· Business loans

· Friends and family

· Alcohol and Drug foundation

· Arthritis Australia

· The Italo-Australian Welfare & Cultural Centre Inc (IAWCC)

· Sudanese women’s support group

· Cerebral Palsy Support network

· First people Disability Network (FPDN)

1. Because of their physical capabilities

2. Due to lack of knowledge

· 1. Set realistic goals

· 2. Use a planner

Ayesha is a client who wears a head covering due to her religious beliefs, and she is not originally from Australia. She has joined a community arts and craft class on Wednesday afternoons. Mary, who takes the class, treats Ayesha differently to the other women attending the class, speaking to her rudely and not paying her much attention. She has been overhead talking to one of the other ladies in the class how head coverings do not align with Australian values and Ayesha needs to start acting like an Australian now she is in Australia.

· The behaviour of the marry is an act of religious and cultural discrimination against ayesha. She is making Ayesha feel like she does belong to the same community. This will impact her negatively. 

· Anti-discrimination law of Australia.

When the breach of this Anti-discrimination law happens, this will result in disciplinary action against the offender. Legal proceeding against the offender.

Rachel used to work with Aleia, a young woman with a disability who struggled with alcohol addiction. She has not worked with Aleia for more than a year, as her case was transferred to another worker when she moved to another area. One of Rachel’s colleagues tells her that she saw Aleia at the local shops with her mother recently and Aleia was heavily pregnant.

Rachel looks for Aleia on Facebook and sees that her profile picture is of her newborn baby. But her page is locked down with all privacy settings and there is nothing else to discover. She also looks up the boyfriend and some other friends and family members whose names she can remember.

Rachel is worried that Aleia could have started drinking again during her pregnancy. She looks through the computer system and finds Aleia’s phone number and address. She wants to make sure both Aleia and the baby are okay, so after work she drives to Aleia’s home.

· Yes, Rachel has overstepped her work role boundaries. The foundation of the nursing practice across all the population is nurse-client relationship. This demands the appropriate use of authority. This is the responsibility of Rachel to take care about the health and well-being of the patient. 

· Aleia’s as a client has the right to privacy. This is the right of the individual to decide to whom, when and what extent their private individually identifiable health information is disclosed.

· The boundaries formed by an organization helps in establishing connection among the employees, this allows them to concentrate on their roles and responsibility, and also enables them to respect the individuals who are in higher and lower positions.

Frances is an elderly resident of an aged care residence. She still has good cognitive ability but her physical ability is very frail. Monday, Wednesday and Friday a personal care worker assists Frances with a shower. This is fine except that she would really like a shower on the weekend so she feels nice and fresh for her visitors. There is not enough staffing to add a shower to Frances’ schedule.

The bathroom has a non-slip floor and there are grab rails and a shower stool. Frances decides she will give herself a shower on Saturday mornings – she is very careful and manages to shower herself. Frances feels very independent and good about herself.

Later when she tells a staff member, they say ‘That was very silly of you – what if you had fallen?’ Another staff member tells her ‘Good on you, well done. I know how careful you always are not to fall – I think you will be fine.’

She decides to do this on a regular basis on Saturday mornings – after all she is an adult and shouldn’t be spoken to like a child.

· This is the responsibility of allowing Frances to maintain her dignity but at the same time, advise her on the risks that are involved in her actions.

· Every individual has the right to make their choices and decisions particularly regarding their life. Each individual has different ideas about what is important and what makes them feel best. When the individual makes their own decision it gives them the feeling of empowerment and fastens their process of recovery.

· 1.Registered Medical practitioners

· 2.Registered Teachers and early childhood teachers.

· 3.Police officers

· 4.Midwives

· 5.School counsellors

· The legal duty of taking Reasonable care so that others are not harmed and involves identifying risks and taking reasonable care in your response to these risks.

The professionals owe a duty of care to their clients or the people to whom they offer the services. The basic obligation owed by the Employer is the responsibility to take reasonable care for the protection of the employees against the foreseeable injury arising out of their employment.

Maintaining privacy and confidentiality is very important in building the trust between aged care patients and workers. The information can flow freely between the carers and clients. The trust-based-physician patient relationship can lead to better interactions an

d higher quality visits of the health.

· Examples of privacy breaches that individuals could experience include: storing confidential data on a system that isn't secure so that others can view the data. providing personal information on individuals, such as their bank account details, residential addresses, and medical history.

· In general, one can reveal a person's identity in which: The person has consented. The community is at risk of being harmed as a result of the condition of the patient, hence the data is in the interest of the public.

· The duties to appropriate nutrition, water, cleanliness, clothes, shelter, and hospital attention are all covered by Article 25 of the Universal Declaration of Human Rights, as are the privileges to social assistance that addresses unavoidable circumstances like disability, death of a spouse, poverty, and old age.

· 1. Protect the rights of the Patient

· 2. support physical well-being

· 3. Refer out all or some of the care

What do I need to hand in for this task?

Have I completed this?

Your answers to each question

□

ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 2

Name:

Date of birth:

Student ID:

Unit:

▪ CHCCCS023 Support independence and wellbeing

Student to complete

Assessor to complete

Assessment Task

Resubmission?
Y/N

Student
initials

Sufficient/
insufficient

Date

Case studies

▪ Case study 1 – Claude and Ray

▪ Case study 2 – Harry

▪ Case study 3 – Billy

ASSESSMENT TASK 2: CASE STUDIES

Task Summary:

Complete the questions that follow each case study.

Case Study 1 – Claude and Ray

Claude is a new client at New Greens Care Facility. He has come into care as he has had a stroke, and his male partner Ray is no longer able to look after him. Claude is finding it very difficult to adjust to life at the facility. Ray’s sister brings him in to visit Claude once a month as he is unable to drive, but she has never been able to accept their homosexual relationship. After 20 minutes or so she insists on leaving.

Claude confides to his carer that he misses Ray terribly. He might as well not come to visit anymore as Ray’s sister glares at them if they so much as hold hands and says they are disgusting. He yearns just to share some love and affection.

Clause is struggling to focus on anything because he adores Ray so much after their breakup.

Ray's sister finds it difficult to understand that her brother is gay, and because of this, she feels awkward, which leads Ray's brother find it difficult to deal with his breakup from his boyfriend.

Make arrangements so that Ray can visit Claude sometimes or twice a week so that they can then spend some time together.

Talk about the possibility of Ray moving into one of the self-care apartments that are connected to Claude's facility so that he can be nearer to Claude.

Look into ways for Ray to get to the institution without his sister, such as local transportation services, acquaintances, or the potential for the center to periodically pick and drop Ray off.

Depression, isolation, not wanting to be familiar with the place and avoid social activities

1.

Name: LGBTQIA (lesbian, gay, bisexual, transgender, queer/questioning (one's sexual or gender identity), intersex, and asexual/aromantic/agender)

Website address:

 https://www.merriam-webster.com/dictionary/LGBTQIA#:~:text=Definition%20of%20LGBTQIA,LGBTQIA%20adolescents%20the%20LGBTQIA%20community

2.

Name: LGBIT (Lesbian, Gay, Bisexual, Intersexual, and Transgender )

Website address: https://lgbit.ucr.edu/

Ray and Claude manage to get some time together – in fact, Ray is going to stay overnight. A trundle bed has been wheeled into Claude’s room for him to sleep in.

● Claude should use “Do not disturb sign” he could place on his door if he wishes.

You stop in to check on Claude and Ray and notice that they have set out and lit a lot of candles. While you think that is very romantic, you ask them to extinguish a number of candles, specifically those on the window sill and some on the floor.

Ray starts to put them out but Claude asks you why they need to.

● I would explain him about the risk of candles and instead convince him to use electric lights.

Organization: AFAC is the National council for fire and Emergency Services in Australia and New Zealand, creating synergies across the emergency management sector.

Web-address: https://www.afac.com.au/

· Use of electric lights instead of candles

· Helium balloons and flowers

You tell Claude and Ray you are finishing up your shift, and wish them a lovely evening. About 15 minutes later you leave the building and head to your car. You glance in the direction of Claude’s windows and can make out the flicker of candles on the window sill.

Before lighting it again, allow the candle to cool, trim the wick, and check for draughts. I will inform others immediately

Claude is much happier now Ray is able to visit regularly. However the other day they got a bit carried away in the dining room and offended some of the other residents who complained that their behaviour was putting them off their dinner!

Boost their confidence and take note of their complaints.

Give them a chance to share the reasons for their irrational behaviour.

I would make sure that my work does not hamper any one in my work place. Along with that, I will make sure not to impose or express my opinion which will harm other’s feeling

Case Study 2 – Harry

Harry has recently entered care. Through the assessment process it has been noted that Harry has the following needs:

▪ Needs assistance to get out of his chair.

▪ Has recently had hip replacement. Recovery has been slow and muscles are badly wasted.

▪ Likes to shower everyday but requires assistance.

▪ Incontinent.

▪ Enjoys reading novels, chess and reading the newspaper.

It might limit his ability to move, his social life gets limited as he can’t get out of his chair, he likes to shower everyday but he can’t this affects his personal hygiene.

● Wheelchair

● Personal support

● Accessible housing

● Assistive device

Exercise

It will help to stretch muscles and increase strength to help support the joints.

Assist to exercise and prevent from falling down

Eat healthy foods

It will help to built stronger immune system

Prepare foods as per dietary requirements

 Do his favorite activity

Read book, watch TV, play games as this helps to keep busy

Play games or watch TV

● Record level of pain and also document his everyday activities.

● Play indoor games like chess and watch TV or movies.

● Reading books.

You need to :

· Engage him in conversation and

· Let him know that you value his input and thoughts.

· To inspire self-reliance and social interaction with others.

· To reduces the risk of acquiring depression and anxiety related issues.

After two months in the residence, you notice that Harry is not relying on his walking frame anymore for short walks to the bathroom or the dining room. His muscles seem to be getting stronger and he is very pleased with himself when he doesn’t rely on his walking frame.

· Offering them the resources they need to maintain functioning independently is a key component of maintaining their independence.

· The use of spontaneous activity, movement, retraining ADLs, monitoring, and environmental modifications are among strategies that can support mobility and self-care.

· Walking ability improved by concentrating on certain muscles and weak points.

· Motivate him to move one position to another

Harry has just started leaving the residence once per month for a day to visit his daughter and her husband on her farm. They come and pick him up and then bring him back after the day is over. You notice after one of these trips that he has bruises all over his upper arms. You ask him how he got the bruises and he just shrugs it off and says it’s nothing, he hasn’t even noticed them. Harry is rather melancholy but you can see he is upset and he keeps rubbing the bruises.

A bruised forearm can be uncomfortable, limit your degree of motion, and frequently show up as a purple or yellow bruise. Trauma from a bicep or triceps injury might result in upper arm bruising. I will give immediate treatment and ask him about the issues calmly.

Case Study 3 – Billy

Billy is 25 years old and is very overweight. Because of this, mobility is difficult, his breathing is laboured and the doctor is concerned about his heart. Billy has an intellectual disability which makes communication difficult. Billy’s doctor has asked that he be given a diet and exercise program. He lives at home with his mother but he comes to your facility on a part-time basis.

● Eat green leafy vegetable and fruits

● Drink enough water

● Exercise regularly

● Follow dietary requirements

● The objectives of the diet and exercise that are planned for Billy will help to lead healthy lifestyle and reduce risk of chronic disease as well as promote a healthy body.

1.Blood cloths

2. Heart disease

·

3. Nervous system

·

1. In care plan it is necessary to include fruits, vegetables, and

2. exercise

3. Try to avoid sugary foods and meat with fat.

· Physiotherapist coordination

· Exercise assistance

· Remind and encourage Billy to go to the gym.

Billy can use wheelie chair or walking stick to assist with mobility.

● In order to help Billy help him recognize his strengths and achievements it is necessary to boost his confidence and encourage him.

● Community health centre

● Dietitian Association of Australia

● Diabetes Australia/ GP

● It is necessary for Body Mass Index (BMI).

You notice one day that Billy is not his normal self. When you walk with him to an activity that is planned for the afternoon, he becomes very short of breath and distressed. He stops walking and refuses to carry on.

After a short break he is able to continue walking, but you can tell he is still distressed. He is very quiet and doesn’t do much during the activity.

When his mother arrives to pick him up after the activity, she mentions that she is struggling to keep Billy out of the pantry and fridge. She tells you he often becomes angry if she denies him junk food, so she has been giving in to him.

I will invest time on patient to know the issues.

Be empathetic and non-judgemental

Billy’s mother tells you that Billy has been walking awkwardly and she has seen him rubbing his feet and ankles. She asks you what you think could be wrong and what she can buy at the chemist to make things better for him.

I will suggest her to focus on Eating habits and sleeping pattern of Billy.

Suggest some activities like exercise, deep breathing can reduce her stress.

What do I need to hand in for this task?

Have I completed this?

Your answers to all questions for each case study

□

Copies of each policy and procedure referred to in your responses

□

ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 3

Name:

Date of birth:

Student ID:

Unit:

▪ CHCCCS023 Support independence and wellbeing

Student to complete

Assessor to complete

Assessment Task

Resubmission?
Y/N

Student
initials

Sufficient/
insufficient

Date

Role play

ASSESSMENT TASK 3: ROLE PLAY

Task Summary:

In this task you are required to participate in a role play with your assessor.

You are a leisure and lifestyle assistant at a disability support centre. One of the people you provide care for is a 19-year-old named Cathy. Cathy has a spinal cord injury and is paralysed from the waist down so she makes use of a powered wheelchair. Before Cathy had her accident, she loved dancing and she was involved in dancing competitions.

Immediately after Cathy’s accident one year ago, she suffered terrible depression at the thought of never being able to walk, or dance, again. She lives at home with her parents but she visits the disability centre twice per week in the afternoons to socialise with other people in a similar situation to her own, and to engage in activities.

Cathy enjoys most of the activities she participates in at the centre. She is not so fond of the arts and crafts activities on a Wednesday, but this is the only class offered during the time on Wednesday she visits the centre. She especially loves the physical activities which are tailored to upper body fitness and ball sports, however, she only attends one of these classes per week and the centre runs three. Recently however, she has confided in you that she would love to find out about wheelchair dancing as a sport. She has been struggling to adapt to her new life since the accident and has been struggling with her depression on and off. The fact that she is not playing competitive sports anymore affects her greatly.

During the role play your assessor will be looking to see that you:

▪ Promote participation in activities that suit Cathy’s interests and needs

▪ Support her to discuss her own preferences and express her identity without imposing own viewpoint

▪ Consider her needs, stage of life, development and strengths

▪ Encourage her to continue building her independence

▪ Support her to identify and acknowledge her own strengths and manage her own activities

▪ Promote self-esteem and confidence

▪ Use supportive and effective communication

What do I need to hand in for this task?

Have I completed this?

You need to submit information you have researched about wheelchair dancing to your assessor during the role play

□

ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 4

Name:

Date of birth:

Student ID:

Unit:

▪ CHCCCS023 Support independence and wellbeing

Student to complete

Assessor to complete

Assessment Task

Resubmission?
Y/N

Student
initials

Sufficient/
insufficient

Date

Workplace observations

Part A

Part B

ASSESSMENT TASK 4: WORKPLACE OBSERVATIONS

Task Summary:

You will be observed by your assessor in the workplace completing a number of activities relevant to this unit.

There are two parts to this observation:

▪ Assisting three clients (include their family/carers) in the workplace with activities of daily living and/or supporting planned activities

▪ Following workplace procedures to report specific client incidents and/or situations..

Part A: Assisting clients

For this assessment task, you will work with three clients to support their independence and wellbeing while being observed by your assessor. These observations will take place at your workplace (or while you are on work placement).

Speak to your workplace supervisor so they can assist you in choosing suitable clients to work with. You will need to receive permission from the clients (or their family or care givers if the clients are unable to give permission themselves) and receive permission from your supervisor to work with each client. Complete the following permission form for each client.

You will need to plan your activities with each client before the observation. This could be something you normally do in the course of your work (or during your work placement) and may be assistance with activities of daily living such as feeding, dressing, shopping, leisure activities or something else you would normally do in a support role. You need to demonstrate that you can assist the individuals participate in activities that reflect their individual physical, social, cultural and/or spiritual needs.

Ensure the work environment is set up safely before you procced with the tasks and you have everything you need to carry out the tasks. You may need to obtain certain aids or resources or adapt the environment to cater for individual needs.

During the observations for Part A, your assessor will be looking to see that you do the following when working with each client:

▪ Access and follow the individual’s care plan

▪ Act respectfully in relation to the person’s social, cultural or spiritual differences

▪ Demonstrate an inclusive attitude and adapt the environment where necessary to cater for specific needs

▪ Discuss the activity, allowing them to take the lead role where they are able

▪ Allow the person to express their own preferences in relation to the activity

▪ Be considerate of the person’s age, circumstances and abilities

▪ Deal sensitively with any specific conditions that the person faces

▪ Support the person to acknowledge their own strengths and abilities to care for themselves as much as possible

▪ Remind the person of any potential risks throughout the task

▪ Provide support to undertake the task while encouraging independence wherever possible

▪ Communicate effectively, both verbally and non-verbally, taking into account individual needs

▪ Support the person to maintain a healthy and safe environment and promote healthful habits

▪ Support and monitor the person’s physical and emotional wellbeing during the activities and look for signs of distress or difficulty

▪ Promote self-esteem and confidence throughout the activities

▪ Use safe and predictable routines

▪ Seek support if needed and report variations in wellbeing to supervisor.

Working with Clients – Permission Form – Client 1

Family member or carer’s approval (obtain this if the client is unable to give permission themselves)

Dear

My name is

As part of my study I am required to work with a client to support their independence and wellbeing when participating in everyday activities.

I am asking your permission to work with for this project. 

The project will involve:

Observation by assessor

I will be supervised at all times during the task.

I would welcome your family member’s participation in this project if you would like to be involved.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval

I, ,

<Supervisor’s name> approve

<student’s name> to undertake this project with

<Client’s name>.

Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The student will be observed by their assessor during this assessment.

The student must seek approval of their planned activity prior to implementation.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

OR

Client approval (Use this if the client is able to give permission themselves)

Dear

My name is

As part of my study I am required to work with a client to support their independence and wellbeing when participating in everyday activities.

I am asking for your permission to work with you for this project. I will be observed by my assessor during this work.

I will be supervised at all times during the task.

I would welcome your participation in the project if you would like to be involved.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval

I, ,

<supervisor’s name> approve

<student’s name> to undertake this project with

<client’s name>.

 Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The student will be observed by their assessor during this assessment.

The student must seek approval of their planned activity prior to implementation.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

Working with Clients – Permission Form – Client 2

Family member or carer’s approval (obtain this if the client is unable to give permission themselves)

Dear

My name is

As part of my study I am required to work with a client to support their independence and wellbeing when participating in everyday activities.

I am asking your permission to work with for this project. 

The project will involve:

Observation by assessor

I will be supervised at all times during the task.

I would welcome your family member’s participation in this project if you would like to be involved.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval

I, ,

<Supervisor’s name> approve

<student’s name> to undertake this project with

<Client’s name>.

 Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The student will be observed by their assessor during this assessment.

The student must seek approval of their planned activity prior to implementation.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

OR

Client approval (Use this if the client is able to give permission themselves)

Dear

My name is

As part of my study I am required to work with a client to support their independence and wellbeing when participating in everyday activities.

I am asking for your permission to work with you for this project. I will be observed by my assessor during this work.

I will be supervised at all times during the task.

I would welcome your participation in the project if you would like to be involved.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval

I, ,

<supervisor’s name> approve

<student’s name> to undertake this project with

<client’s name>.

 Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The student will be observed by their assessor during this assessment.

The student must seek approval of their planned activity prior to implementation.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

Working with Clients – Permission Form – Client 3

Family member or carer’s approval (obtain this if the client is unable to give permission themselves)

Dear

My name is

As part of my study I am required to work with a client to support their independence and wellbeing when participating in everyday activities.

I am asking your permission to work with for this project. 

The project will involve:

Observation by assessor

I will be supervised at all times during the task.

I would welcome your family member’s participation in this project if you would like to be involved.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval

I, ,

<Supervisor’s name> approve

<student’s name> to undertake this project with

<Client’s name>.

 Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The student will be observed by their assessor during this assessment.

The student must seek approval of their planned activity prior to implementation.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

OR

Client approval (Use this if the client is able to give permission themselves)

Dear

My name is

As part of my study I am required to work with a client to support their independence and wellbeing when participating in everyday activities.

I am asking for your permission to work with you for this project. I will be observed by my assessor during this work.

I will be supervised at all times during the task.

I would welcome your participation in the project if you would like to be involved.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval

I, ,

<supervisor’s name> approve

<student’s name> to undertake this project with

<client’s name>.

Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The student will be observed by their assessor during this assessment.

The student must seek approval of their planned activity prior to implementation.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

Part B: Reporting client incidents/situations

For this part of the task, you will be required to demonstrate to your assessor that you are able to follow your workplace’s procedures related to reporting client abuse and/or neglect and changes in client conditions and/or wellbeing.

This observation will require the involvement of your supervisor, to whom you must report each fictional situation.

You assessor will need to be provided with these procedures prior to this observation, so they can ensure you are following them correctly. You must locate and give these procedures to your assessor.

You have been provided with three scenarios below about fictional clients.

Read each one prior to your assessor’s visit and make sure you are familiar with each client’s situation.

You must demonstrate that you can follow your organisation’s procedures to report your concerns about each client.

During the observations for Part B, your assessor will be looking to see that you can do the following for each fictional client’s case:

▪ Follow your organisation’s procedures to clearly and accurately report to your supervisor:

– what is happening in each situation

– your suspicions of client abuse

– any physical health situations impacting on client wellbeing

– any financial issues impacting on client wellbeing.

▪ Correctly answer the verbal questions asked by your assessor.

Scenario 1 – Rachella

Rachella Bryan is one of your clients. Rachella suffers from anxiety and depression, which also includes obsessive compulsive disorder (OCD) when she is experiencing severe anxiety. Her OCD tends to focus on household and personal cleanliness and order. She has reported spending many hours straightening up her home and cleaning the same area over and over.

She takes medication and is monitored by her GP. Rachella also has counselling once per fortnight.

Today Rachella is very fidgety. Her hands are red raw and the skin is cracked. She says she has been stressed because her workplace has announced redundancies. She has not been there for very long, so she is positive they will be letting her go. ‘First in, first out, right?’ she says with a humourless laugh.

When you ask her if she is okay she suddenly snaps at you and says “Of course I’m not all right – nothing is all right. You know nothing!! How can I pay my rent if I don’t have a job? No one can help me – I’m sick of everything – I just can’t go on anymore!’

After talking to Rachella more, you discover she has stopped taking her medication and has barely slept. She spent last night cleaning her bathroom, she said she feels like she has scrubbed away the porcelain of her bathtub. During the day she spent hours in her laundry organising her towels and bedding. Then she wasn’t satisfied with the order of the manchester and decided to reorganise them based on colour and size.

Rachella also suffers from rheumatoid arthritis and she says her knees and hand are in agony. She begins to weep and puts her head in her hands. When you approach her, she shouts at you to get away and not to touch her.

Scenario 2 – Lois

It has been some time since Lois Gould (refer to Assessment Task 1, Question 9) had her stroke.

Her physical condition has deteriorated further and she cannot use her crutches. She now uses a wheelchair. Her son, Hector, has moved into her home to care for her. You are visiting Lois for the first time in several months, Hector thought he could take care of her but has realised it is not as easy as he thought.

You arrive at Lois’s home to find Hector in the driveway, fussing around a brand new luxury car. You know this car would have cost close to $100,000 due to manufacturer name alone!

You compliment Hector on the new purchase, silently wondering how he can afford it as he is only working part time at the moment. Hector says he wants to make sure his mother is driven around in the style that she deserves.

You go inside and find Lois in her room, looking out the window at the backyard. She looks very tired and appears to have lost some weight since you last saw her.

You make some small talk and she says that Hector had some friends over the other night. They were quite loud and kept her awake until 3am. You notice there isn’t a glass of water or a cup of tea in Lois’s room, so you ask her if she would like one. She says yes, a cup of tea would be lovely.

When you throw the tea bag in the kitchen bin, you see it is full of cans of alcohol and smells of cigarettes. In fact, the lounge room smells of tobacco and the window is wide open – probably to air the place out. It is quite cold. The fridge is stacked with microwavable meals from the supermarket and pizza boxes.

You attend to Lois’s needs but she is hesitant to let you change her clothing – she requests a cardigan but says she is happy to wear to the top she has on already as it is fresh and clean and Hector helped her put it on earlier. As you help her with the cardigan, you catch Lois wincing a couple of times.

You notice that her bed is a bit messy and start to make it for her, even though she tries to distract you. The bedsheets are messy and there are stains on them, which look to be food or drink or maybe both.

Lois is looking more dejected so you decide to brighten up her spirits and ask her about the new car and how great it must be to travel in such luxury. She looks at you puzzled.

‘I’ve not been out in it. He didn’t even tell me he was going to buy it, he made me sign something last week after I had taken my meds and said it was to get some money from the bank so we can get some new carpet. When he came home with it we had an argument and he told me that I agreed that he should buy the car. I never said that but he told me I must be getting forgetful in my old age. He thinks I could be getting the start of dementia…maybe he did say car and not carpet…I am forgetting things lately, he said I’ve been forgetting my tablets.

‘I don’t go anywhere much anymore. Hector says it’s too hard to get my wheelchair in the chair and I will just slow him down.’ Her eyes tear up. ‘I would love to go sit by the lake and feed the ducks. Jennie next door said she would take me but Hector told her no, it’s not her responsibility to look after me.’

All of sudden Hector comes in and asks you to leave. When you say you are just finishing up, he asks you to hurry as he wants to take Lois out to the local supermarket. You say goodbye to Lois, who looks at you tearfully and avoids looking at her son.

As you leave, you do not see any signs of new carpet.

What do I need to hand in for this task?

Have I completed this?

Signed permission forms from each client and from your supervisor.

□