CHC43015- Certificate IV in Ageing Support
| Assessment Details | |
| Qualification Code: Title | CHC43015- Certificate IV in Ageing Support |
| Assessment Type | Workplace Observation |
| Due Date | |
| Location | |
| Term-Year | |
| Unit of Competency | |
| Unit Code/Title | CHCAGE004 – Implement interventions with older people at risk |
| Student Details | |||
| Student Name | Student ID | ||
Feedback to Student
| RESULTS (Please Circle) | SATISFACTORY | NOT SATISFACTORY |
| Assessor Details | |
| Assessors Name
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| Assessor Signature
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| Date
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Instructions for Workplace Observation:
| Students |
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1. Your workplace assessor will complete this report whether they have discussed or observed you doing the task listed.
2. When the workplace assessor has signed off on all tasks, please sign, date
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| Workplace Assessor |
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1. Please determine if the student has performed all the tasks described in an effective manner to the required workplace standards and legislative requirements.
2. Or if you have discussed the task with the student.
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| Critical aspects of the assessment |
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1. The student being assessed must provide evidence of specific essential knowledge as well as required skills
2. This unit will be most appropriately assessed in the workplace or in a simulated workplace under the normal range of workplace conditions
3. It is recommended that assessment or information for assessment will be conducted or gathered over a period of time and cover the normal range of workplace situations and settings
4. Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace the assessment environment should represent the workplace conditions as closely as possible |
Workplace Observation
Performance Evidence:
The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:
- assisted with the assessment of risk and the implementation and evaluation of risk minimisation strategies for at least 2 older people, 1 in a simulated environment and 1 in the workplace, in a manner that is respectful of the older person’s dignity and privacy.
Task:
The student is required to undertake the journey of two different people,
- one in a simulated environment using a volunteer, and
- one in the actual workplace environment of a real person
The student will be observed by the workplace assessor (See attached workplace observation checklist for Simulated Environment Person 1 Page 48 and Actual work place Person 2 Page 58).
The student needs to complete the following:
- Assist in the undertaking of risk assessment (See attached FRAT form for Simulated Environment Person 1 Page 46 and the actual workplace Person 2 Page 56)
- Participate in the implementation of risk minimisation strategies (See attached FRAT form for Simulated Environment Person 1 Page 47and the actual workplace Person 2 Page 57)
- Evaluate the implemented risk minimisation strategies (See attached FRAT form for Simulated Environment Person 1 Page 47 and the actual workplace Person 2 Page 57)
- Provide information to the questions given in the Simulated Environment Activity Page 41-45 and the Workplace Activity Page 52-55.
SIMULATED ENVIRONMENT ACTIVITY
PERSON 1
- For the simulated environment observation activity, use the following scenario as a basis for the assessment and implementation of risk minimisation strategies:
Older person with decreased motor function and mobility resulting in a fall, in an aged care facility
In the simulated laboratory, a volunteer will act out the above scenario.
For the simulated activity provide the following information.
Part 1: Prepare the risk assessment (PC 1.1, 1.2, 1.3, 1.4, 1.5, 1.6)
- Explain how you would include and encourage the older person to participate in the process.
Answer- To include and encourage the other person in the process I will ask request the person to participate. I will clarify my roles and responsibilities and my limitation in the process and clarify the role and authority of other person in the process. I will use questioning techniques and probing techniques in polite and respectful manner to encourage open communication from another person.
- Describe who you would involve in the risk assessment process.
Answer- I will involve my co-workers, older person family member or legal guardian, health professional and pharmacist in the risk assessment process.
- Describe the information you would provide to the older person to clarify your role and the process and how to seek the older person’s permission and cooperation.
Answer- The information will be provided about the worker role, responsibilities, accountability and limitation in providing support. I will inform about the procedure that will be undertaken in implementation of health risk prevention and ask the person to give consent about caring out the implementation of risk minimising strategies and explaining the person how the cooperation can lead to achieve the desired result from this implementation in the aged care facility.
Part 2: Identify risks (PC 2.1, 2.2, 2.3, 2.4, 2.5, 2.6)
- Describe how the older person’s lifestyle can affect their level of risk.
Answer- The older person lifestyle in this case can be habits such as smoking or drinking alcohol that increases the chances and risk level. The intake of medications such as pain killers, sleeping pills and sedatives at this age can also lead to dizziness and loss of body balance which increases the risk of fall.
- Discuss the risk assessment tool and methodology will you use for the scenario selected.
Answer- The risk assessment tool and strategies that can be used for person with decreased motorfunction and mobility are fall risk assessment, physical, metal and psychological assessment(Taylor, 2011).
- Describe how you could use information from the carer to identify the older persons needs and issues.
Answer-The information from the carer can be used to identify the older person requirements and concerns by improving communication patterns with the older person based on the information gathered from the family members or other carers. The information can be used to as a supporting evidence to cope with health issues and physical concerns and understanding the medical history, behaviour and lifestyle of the older person.
Part 3: Implement a risk minimisation strategy (PC 3.1, 3.2, 3.3, 3.4)
- List the options and strategies that will minimise risk in line with the older person’s safety needs, priorities and specific requirements and minimise their discomfort.
Answer- The strategies to minimise risk in older person can be identification of unsafe conditions at the aged care facilities, proper footwear and proper lightening, minimum furniture in surrounding will certain the person safety needs to a greater extent(Pighills et al., 2011). Moreover, the use of assistive device while walking can help the older person to minimise the discomfort during physical movement.
- Explain how you can support the carer through this process
Answer- The carer can be supported through this process by removing the stigma associated with the caring responsibilities. And by developing a carer strategy along with acultural change in the workplace and the social system.
Part 4: Monitor the risk minimisation strategy (PC 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7)
- Describe how you would monitor the strategies.
Answer- The risk minimisation strategies can be monitored through evaluation of the strategy implemented, number of falls in current month as compared to previous months, measures of outcomes achieved, reduction of risk factors, increased risk factors, challengesfaced inthe implementation of the risk strategy.
- Describe how you would reassess and identify more appropriate strategies.
Answer- The existing risk strategy can be reassessed by finding the explanation for the failure to provide desire results this can be done by observation of the older person and appropriate risk strategies can be identified by assessing the type and level of risk and specific risk to older person and preparing a risk management plan in consultation with carers.
- Describe how feedback from the older person and the carer could be used to monitor the risk assessment plan.
Answer- The feedback from the older person and carer can assist in monitoring the effectiveness of the risk assessment plan by providing details for its proper compliances or issues faced in following the risk strategy(Pighills et al., 2011). This can be useful in finding more option for better implementation and fulfil the specific needs and address the concerns of the older person.
- How will you complete and store all relevant documentation?
Answer- The documentation will be stored and completed as per the organisation reporting standards and requirements. The information will be maintained in files as per organisation policies and in compliance with the privacy act.
- Using the attached risk assessment form, complete an assessment on the client given in the simulated environment scenario (A) on Page 38 and strategies to minimise falls risk.
WORKPLACE OBSERVATION checklist-PERSON 1
| The observation checklist is used by the assessor to observe the student demonstrating the application of the required skills and knowledge.
*The assessor needs to ensure that they take detailed notes on the performance of the student in the comments section provided.
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| Student Name: | ||||
| Assessor Name: | ||||
| The student is able to demonstrate satisfactorily the following: | ||||
| Yes | No | How and where actions were observed: | ||
| The student has performed each of the following actions successfully in their observation: | ||||
| Assist with the preparation for a risk assessment | ||||
| Confirmed assessment requirements with assessor or relevant health professional | ||||
| Sought older person’s permission and cooperation in the assessment process | ||||
| Communicated in a supportive and encouraging manner that is respectful of the older person and carer’s, rights, level of understanding and cultural background | ||||
| Provided information to the older person and/or carer to clarify own role, responsibilities and accountability | ||||
| Provided information to the older person and/or carer explaining the assessment process, including explanation of results | ||||
| Encouraged participation of the older person and their carer in assessment and further actions | ||||
| Contribute to the identification of risks | ||||
| Assisted with risk assessment ensuring to minimise unnecessary discomfort to the older person and maximised their participation | ||||
| Used the support of carers to identify risks | ||||
| Recognised the older person’s risk factors based on medical history, measurements and findings, in collaboration with assessor and/or relevant health professional | ||||
| Identified and reviewed factors in the older person’s lifestyle that might affect their level of risk | ||||
| Used appropriate tools and methodologies, within scope of role, to determine risk based on physical indicators presented by the older person | ||||
| Identified the older person’s needs, issues and concerns outside scope of own practice and referred to assessor and/orappropriate health professional | ||||
| Implement risk minimisation strategies | ||||
| Worked with the older person and carer to identify risk minimisation strategies that are consistent with the older person’s safety needs, priorities and specific requirements | ||||
| Identified and explained options to minimise risk to the older person and/or carer | ||||
| Implemented strategies in a safe and effective manner that minimised the older person’s discomfort | ||||
| Supportedcarer in contributing to the implementation of strategies, where appropriate | ||||
| Monitor risk minimisation strategies | ||||
| Identified any indicators of increased risk | ||||
| Identified when strategies are not having the desired result and possible reasons for this | ||||
| Monitored the effects of the strategies on the older person | ||||
| Reassessed and identified more appropriate strategies | ||||
| Worked with the older person and carer to assess the outcomes of risk minimisation strategies | ||||
| Discussed feedback from the older person and carer with assessor and/or or relevant health professional | ||||
| Completed, maintained and stored all relevant documentation and reports according to organisation policy and protocols in a timely manner | ||||
| Details of Students Performance: | ||||
| Feedback Given to Student: | ||||
| Result oSatisfactory oNot Yet Satisfactory | ||||
| Assessor Signature | Date: | |||
| Student Signature | Date: | |||
WORKPLACE ENVIRONMENT ACTIVITY
PERSON 2
- For the workplace environment observation activity, in consultation with your assessor, select a client to conduct a risk assessment on and provide the following information:
Fall risk assessment of an older person having vision problem
Part 1: Prepare the risk assessment (PC 1.1, 1.2, 1.3, 1.4, 1.5, 1.6)
- How would you include and encourage the older person to participate in the process?
Answer- To involve and encourage the older person in the process it is essential to create an environment of open communication and friendliness. This can be done by greeting the older person with name and offering coffee on meetingan talking in polite, respectful manner and listening to person concerns with genuine interests.
I will self-introduce and clarify the purpose of meeting, the assessment process and likely outcomes to be achieved. I will ask the person views, wishers, specific needs and what is the person desire from the process to encourage questions.
I will try to explain my roles, responsibility, authority and work boundaries and what I can do outside the scope of practise. I will also seek permission to continue the process, request for cooperation and consent to discuss the person case with other health professional for better implementation.
- Describe who you would involve in the risk assessment process.
Answer- It can involve the carer, family member or legal guardian, health professional, pharmacist, counsellors and optometrists and occupational therapists.
- Describe the information you would provide to the older person to clarify your role and the process and how to seek the older person’s permission and cooperation.
Answer-The information nned to be provided that as a support worker what things I can do and what cannot as a part of my work role and duty of care. The people involved and risk minimisation strategies that is planned, duration of the care plan to achieve desired results will give informed to the older person. To obtain older person permission I will explain the consequences if risk assessment is not undertaken and importance of cooperation in the assessment process for the better implementation.
Part 2: Identify risks (PC 2.1, 2.2, 2.3, 2.4, 2.5, 2.6)
- Describe how the older person’s lifestyle can affect their level of risk.
Answer- The lifestyle or habits such as high physical activity, outdoor activities, smoking and alcohol consumption, medications affect the body balance and gait(Huang et al., 2012). and also make low consciousness which increases the risk level and chances of falls.
- Discuss the risk assessment tool and methodology will you use for the scenario selected.
Answer- The assessment tool will include mobility, environmental hazard identification, fall risk assessment (actual no. of falls, fall risk potential), medication, psychological, cognitive and behaviour risk assessment, nutritional intake assessment for older person with poor vision(Bongue et al., 2011).
- Describe how you could use information from the carer to identify the older persons needs and issues.
Answer- The information received helps in identification of person specific requirements and concerns outside scope of practice and to identify the factors in lifestyle that raises the risk level. The information received can be used to develop more effective risk minimisation strategies and also to fulfil the social needs.
Part 3: Implement a risk minimisation strategy (PC 3.1, 3.2, 3.3, 3.4)
- List the options and strategies that will minimise risk in line with the older person’s safety needs, priorities and specific requirements and minimise their discomfort.
Answer- The strategies to minimise risk, fulfil safety needs and minimise discomfort can be provision of proper lightening, light exercise, use of assistive device (spectacles, walking sticks), training in mobility and orientation, adaptions to home to manage home hazards(Cameron et al., 2010). It is also required to undertake visual examination or vision assessment at regular intervals.
- Explain how you can support the carer through this process.
Answer- The career can be supported by backing in undertaking caring responsibilities, creating a carer strategy to manage home and work and leave management and by addressing the needs and concern of carers by discussing their responsibilities and providing awareness of support mechanisms.
Part 4: Monitor the risk minimisation strategy (PC 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7)
- Describe how you would monitor the strategies.
Answer- Evaluation of the existing risk strategy
Fall assessment – number of falls and reason for current and previous (Bongue et al., 2011).
Risk factors mitigates and discovered
Non-compliance with the strategy
- Describe how you would reassess and identify more appropriate strategies.
Answer- Finding the reasons for failure of existing strategy
Observation of workplace and progress report
Observation of older person physical, psychological and behaviour
Examining the level of specific risks
Consult with health professionals
- Describe how feedback from the older person and the carer could be used to monitor the risk assessment plan.
Answer- It can identify the instances of non- compliance. It also highlights the instances of adverse reaction in terms of physical, psychological or behaviour. It can identify the issues faced in implementing the strategy for older person and list any unattended needs and specific requirement of the older person.
- How would you complete and store all relevant documentation?
Answer- Documents completed according to the following:
organisation reporting requirements
Organisation standards, policies and procedure
Files maintenance in accordance to organisation policies
In compliance with Australian privacy principles factsheet 17.
References
Bongue, B., Dupré, C., Beauchet, O., Rossat, A., Fantino, B., &Colvez, A. (2011). A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly. Journal of clinical epidemiology, 64(10), 1152-1160.
Cameron, I. D., Murray, G. R., Gillespie, L. D., Robertson, M. C., Hill, K. D., Cumming, R. G., &Kerse, N. (2010). Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst Rev, 1(1).
Huang, A. R., Mallet, L., Rochefort, C. M., Eguale, T., Buckeridge, D. L., & Tamblyn, R. (2012). Medication-related falls in the elderly. Drugs & aging, 29(5), 359-376.
Pighills, A. C., Torgerson, D. J., Sheldon, T. A., Drummond, A. E., & Bland, J. M. (2011). Environmental assessment and modification to prevent falls in older people. Journal of the American Geriatrics Society, 59(1), 26-33.
Taylor, B. J. (2011). Developing an integrated assessment tool for the health and social care of older people. British journal of social work, 42(7), 1293-1314.
- Using the attached risk assessment form, complete an assessment on the client selected in the workplace and strategies to minimise falls risk.
WORKPLACE OBSERVATION checklist-PERSON 2
| The observation checklist is used by the assessor to observe the student demonstrating the application of the required skills and knowledge.
*The assessor needs to ensure that they take detailed notes on the performance of the student in the comments section provided.
|
||||
| Student Name: | ||||
| Assessor Name: | ||||
| The student is able to demonstrate satisfactorily the following: | ||||
| Yes | No | How and where actions were observed: | ||
| The student has performed each of the following actions successfully in their observation: | ||||
| Assist with the preparation for a risk assessment | ||||
| Confirmed assessment requirements with assessor or relevant health professional | ||||
| Sought older person’s permission and cooperation in the assessment process | ||||
| Communicated in a supportive and encouraging manner that is respectful of the older person and carer’s, rights, level of understanding and cultural background | ||||
| Provided information to the older person and/or carer to clarify own role, responsibilities and accountability | ||||
| Provided information to the older person and/or carer explaining the assessment process, including explanation of results | ||||
| Encouraged participation of the older person and their carer in assessment and further actions | ||||
| Contribute to the identification of risks | ||||
| Assisted with risk assessment ensuring to minimise unnecessary discomfort to the older person and maximised their participation | ||||
| Used the support of carers to identify risks | ||||
| Recognised the older person’s risk factors based on medical history, measurements and findings, in collaboration with assessor and/or relevant health professional | |||||
| Identified and reviewed factors in the older person’s lifestyle that might affect their level of risk | |||||
| Used appropriate tools and methodologies, within scope of role, to determine risk based on physical indicators presented by the older person | |||||
| Identified the older person’s needs, issues and concerns outside scope of own practice and referred to assessor and/orappropriate health professional | |||||
| Implement risk minimisation strategies | |||||
| Worked with the older person and carer to identify risk minimisation strategies that are consistent with the older person’s safety needs, priorities and specific requirements | |||||
| Identified and explained options to minimise risk to the older person and/or carer | |||||
| Implemented strategies in a safe and effective manner that minimised the older person’s discomfort | |||||
| Supportedcarer in contributing to the implementation of strategies, where appropriate | |||||
| Monitor risk minimisation strategies | |||||
| Identified any indicators of increased risk | |||||
| Identified when strategies are not having the desired result and possible reasons for this | |||||
| Monitored the effects of the strategies on the older person | |||||
| Reassessed and identified more appropriate strategies | |||||
| Worked with the older person and carer to assess the outcomes of risk minimisation strategies | |||||
| Discussed feedback from the older person and carer with assessor and/or or relevant health professional | |||||
| Completed, maintained and stored all relevant documentation and reports according to organisation policy and protocols in a timely manner | |||||
| Details of Students Performance: | |||||
| Feedback Given to Student: | |||||
| Result oSatisfactory oNot Yet Satisfactory | |||||
| Assessor Signature | Date: | ||||
| Student Signature | Date: | ||||
