CHCCCS015 - Provide Individualized Support - Mr And Mrs Jones Case Study - Nursing Assessment Answer

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CHCCCS015 - Provide Individualized Support - Mr And Mrs Jones Case Study - Nursing Assessment Answer
Assessment Task:

Underpinning Knowledge Questions

Activity 1A – PC 1.1

1.

a. Access a job description by searching the internet for any employment website e.g. Seek .
Find a Certificate IV Personal support or support worker job.
Attach this to your assessment.
Then
From this attachment make a checklist below of all your duties and responsibilities.

b. identify roles and responsibilities outside of your knowledge.

c. whom would you consult or report to?

d. How will you update your knowledge and skills?

a. From the care plan provided (see Appendix 2), Identify and list below the clients preferences and needs.

b. what would your duty of care be in relation to her needs and preferences?

Activity 1B – PC 1.2

Provide two examples of when support workers are required to provide feedback on individualised plans.

Activity 1C – PC 1.3

1. List all clients rights

2. Outline the client’s complaints procedure.

Activity 1D – PC 1.4

1. Why is it important to allow people to make informed decisions?

2. An individual plan notes that an elderly client has a need to be supported to gain exercise. There are many ways that services relating to exercise can be delivered. How would you help a client to make a decision about the way exercise is achieved? Identify at least 10 strategies you might use.

Activity 1E – PC 1.5

1. You are about to work with a client for the first time. Prior to providing support activities, what five things should you do?

2. Briefly explain the differences between policies, procedures and protocols.

Activity 2A – PC 2.1

1. How would you develop and maintain trust and rapport with your client?

2. Look at the list of behaviours. Identify four behaviours that you would use to generate a trusting relationship. Indicate your choices by placing a cross in the corresponding boxes.

Activity 2B – PC 2.2

Margaret is a 80-year-old female who has an intellectual disability. She enjoys art, reading and music.

She is not overly social and tends to spend time alone privately completing recreational activities. She has been a smoker for 40 years and usually smokes up to 8–10 cigarettes a day. She is able to go for walks for short periods at a time only.

Margaret is sensitive to loud noises in the environment, which causes her to become quite anxious and stressed. Being anxious or stressed causes Margaret to smoke more frequently through the day.

Margaret’s father passed away from lung cancer due to smoking when she was younger, so one of her goals is to cut back on smoking. She is hoping to smoke only 2 cigarettes per day.

Activity 2C – PC 2.3

1. Identify the type of equipment you might have to assemble for a person who cannot communicate verbally and cannot read or write.

2. You have to move a person from a chair to a bed. What type of equipment might you need to set up/ assemble in order to do this? 

3. You are working with a client who has poor vision and cannot read a computer screen. What might you need to do and what equipment might you need to set up or assemble to help them do this? 

Activity 2D – PC 2.4

What are the responsibilities of a support team in relation to the case study in 2B?

Activity 2E – PC 2.5

1. What is duty of care?

2. What is dignity of risk?

3. An elderly client is adamant that they want to continue to make their own meals rather than have a worker come in to do it. They have an unsteady hand and have previously burnt and cut themselves. You know that it is unsafe for them to continue making their own meals but need to respect their wishes. What would you do? How would you balance the duty of care requirements with the dignity of risk requirements?

Activity 2F – PC 2.6

1. Identify three potential workplace hazards.

2. What could happen if these hazards went unnoticed or unreported?

3. How could you address these hazards?

Activity 2G – PC 2.7

1. What should a clean environment include and what would you do to maintain a clean environment for your clients.

2. Summarise what a comfortable environment should do/include

Activity 2H – PC 2.8

1. It is essential to respect clients’ individual differences. List ways in which you can maintain a client’s dignity and privacy whilst providing them with support.

Activity 2I – PC 2.9

1. Why is it often necessary to seek assistance from other professionals and service providers to provide appropriate support?

2. You are providing support to a client who cannot read or write. Your organisation provides education services including literacy skills. The client, as a result of their poor literacy skills does not have a job. As a consequence, they do not have anywhere to live because they do not have the financial resources to pay for rent or living expenses. They have turned to alcohol as a way of coping with their circumstances.

Who might you need to seek assistance from in order to provide appropriate support? Provide at least four examples.

Activity 3A – PC 3.1, PC 3.2

1. Refer to Margaret’s case study in 2B and explain how you would monitor and review your own work.

2. What is self-evaluation?

Activity 3B – PC 3.3

Provide examples of circumstances that require you to make an adjustment or variation of a client’s individual plan.

Activity 3C – PC 3.3

1. In your own words, define self-determination.

2. How can you ensure that you support your client’s self-determination when in discussion with them and your supervisor?

Activity 4A – PC 4.1

1. What are staff required to do when they start working for an organisation to ensure that they keep private information confidential?

2. You are out to dinner with a number of friends. You want to tell them a story about a client that is really funny but also quite personal and embarrassing. Should you do this? Explain.

Activity 4B – PC 4.2

1. Identify at least five reasons and characteristics of report writing.

2. Your supervisor has asked you to write a report. What is the first thing you should do?

3. Give examples of formal reports and informal reports.

Activity 4C – PC 4.3

1. Give five examples of situations of potential or actual risk.

2. Choose three of your examples and explain how you would respond.

3. a. What are the risk reporting guidelines within an organisation?

b. how and whom would you report to?

Activity 4D – PC 4.4

You have identified that a client has unmet needs that cannot be managed by your organisation. You have referred them to another service provider who you are confident can meet their needs
1. What might happen if the referral process is unsuccessful? Provide at least four examples.

2. You are not confident that the client will follow through with the referral. What should you do? Provide at least eight examples

Activity 4E – PC 4.5, PC 4.6

1. Complete a piece of paperwork to your organisation’s standard. You can do this on your company forms or on the provided document, see Appendix 1. Attach this document to your workbook.

2. Identify five standard organisational practices related to the storing of documents

Assessment 2: Research Work/Case Study

Objective: To show you have the required knowledge for this unit.
The answers to the following questions will enable you to demonstrate your knowledge of:

  • Rationale and processes underpinning individualised support planning and delivery:

o basic principles of person-centred practice, strengths-based practice and active support
o documentation and reporting requirements

  • Roles and responsibilities of different people and the communication between them:

o carers and family
o person being supported
o health professionals
o individual workers
o supervisors

  • Service delivery models in the relevant sector
  • Legal and ethical requirements and how these are applied in an organisation and individual practice, including:

o privacy, confidentiality and disclosure
o duty of care
o dignity of risk
o human rights
o discrimination
o mandatory reporting
o work role boundaries – responsibilities and limitations

  • Factors that affect people requiring support
  • Practices that support skill maintenance and development
  • Indicators of unmet needs and ways of responding
  • Risk management considerations and ways to respond to identified risks

Questions

Answer each question in as much detail as possible, considering your organisational requirements for each one.
1. Define each of the following terms and give an example for each:

  • Person-centred practice and System-centred
  • Self directed support services
  • Strengths-based practice
  • Active support.

2. Provide 3 examples :

  • of when you would need to complete a client risk assessment?
  • of documentation required to complete as part of providing client support
  • of when members of the support team might be required to provide feedback

3. Describe the roles and responsibilities of each of the following groups in providing support to a client:

  • Carers and family
  • Person being supported
  • Health professionals
  • Individual workers
  • Supervisors.

4. In the community services sector there are a range of care models implemented across the provision of care and support.

5.
a. Read each scenario and match the scenario with the correct ethical issue or breach in the table below.

Scenario A
Betty converted to Islam in her late 30s and is now a practicing Muslim. Betty became confined to a wheelchair after a car accident in her late 20s.

Sarah, her support worker, often makes strong political and racial comments about Muslims living in Australia to both clients and colleagues. She is unaware that Bettty is a Muslim.

Scenario B
You overhear Connie, one of your colleagues, talking on the phone to her friend during her lunch break.

Connie is laughing to her friend over the phone about the mental health issues of one of her aged care clients and disclosing personal details.

Scenario C
Craig, one of the support workers, tells you during his handover that he noticed a few bruises on Ruth whilst bathing her before bedtime. Ruth is one of his youngest clients, who is only 13 years old. This is not the first time you have heard of her having bruises or abrasions on her body.

Scenario D
Christopher, one of the support workers, has been known as popular with the female clients. He likes to joke around with them and make them laugh. On occasion he brings in surprise treats or gifts for them.

Charlotte, one of his regular clients, tends to receive more gifts from him than the others. This includes flowers, clothes and chocolates. Christopher has also been observed to spend time with her beyond the hours of his shift.

Scenario E
Clients in wheelchairs who visit your recreational facility once a week have not been properly informed about the rotting ramp board at the front entrance. There is a side entrance clients can access safely, however they are not advised to use it as the front board seems to be holding up for the time being.

Scenario F
Katie has a mental illness and wants to go outside and put the fallen twigs that have accumulated in the garden into a big pile. Scott, his support worker tells him strictly that he’s not allowed to go outside for fear of him poking himself in the eye or falling over. Katie has fallen over in the garden once before. Scott locks the door and Katie begins to cry.

b. What are the key objectives of the UNCRPD?

c. Provide five examples of client rights.

6. There are a number of factors that may affect a person requiring support. For each of the following factors, give a scenario of how a person requiring support may be affected, both personally, and in relation to their support plan.

  • Finances
  • Housing
  • Relationships
  • Mental health
  • Bereavement
  • Illness
  • Career issues.

7. Provide three examples for each of the following skills development.

8. Describe the six step referral process that might be implemented as a response to unmet client needs.

9
a. To ensure an environment is comfortable, what temperature range should be maintained?

b. You inspect a room and notice that the hard surfaces in it are dirty (for example tables, benches, equipment). What should you do to make it clean?

c. What is the difference between a hazard and a risk? Provide an example that illustrates your explanation.

d. Describe the five tiered hierarchy of control that can be used to respond to identified risks.

Assessment 3: Simulation/Workplace Observation of Practical Skills

Objective: To demonstrate the required performance elements for this unit.
A signed observation by either an approved third party or the assessor will need to be included in this activity as proof of completion’
This activity will enable you to demonstrate the following performance evidence:

  • Used individualised plans as the basis for the support of 3 individuals

Answer the activity in as much detail as possible, considering your organisational requirements.
Use individualised plans as the basis for the support of 3 individuals.
You should:

  • Work with THREE clients to develop individualised plans in accordance with the service delivery model and guiding principles of your organisation
  • Follow all documenting and reporting procedure relating to the development and use of individualised plans
  • Recognise and respond to unmet and/or additional needs as they arise
  • Provide evidence of the support you have provided, ensuring that the clients’ anonymity is maintained.

Practical Observation 1

Client/Scenario:
Mr and Mrs Jones, are in their mid-eighties and live in their own home. Mrs Jones is recuperating from major surgery and Mr Jones is the main carer but needs some help with their living arrangements.

Used individualised plans as the basis for the support of 3 individuals Student must be able to demonstrate the ability to;

  • Determine support needs of the client

o Introduce oneself and be aware of role and responsibility
o Explain purpose of the meeting
o Analyse and identify client needs based on the information in the individual plan
o Explain the clients rights and complaints procedures

 Student must be able to provide support services;

  • Ask client respectfully about his/her goals, e.g. ability to manage own finances
  • Provide meaningful and relevant options for client to choose in relation to his or her needs.
  • Apply knowledge of appropriate services appropriate to the needs and requirements of the person.

Practical Observation 2 

Client/Scenario:
Rosemary is attending the home of Michelle Kleist she is 47 years old and is wheelchair-bound. Her care plan has some basic information but because this is the first day with Michelle, you will be required to determine and confirm her needs, the resources and equipment required.

Practical Observation 3

Client/Scenario:
Rosemary is attending the home of Michelle Kleist she is 47 years old and is wheelchair-bound. Her care plan has some basic information but because this is the first day with Michelle, you will be required to determine and confirm her needs, the resources and equipment required.

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