Provide Support to People Living With Dementia - IT Assignment Help

Assignment Task

Assessment Declaration
This assessment is my original work and no part of it has been copied from any other source except where due acknowledgement is made.
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This assessment can be found in the: MS Teams Re-engineered Assessment for Semester 2 2020
The contents in this document is copyright © TAFE NSW 2020, and should not be reproduced without the permission of the TAFE NSW. Information contained in this document is correct at time of printing: 29 July 2020. For current information please refer to our website or your teacher as appropriate.
Assessment instructions
Table SEQ Table \* ARABIC 1 Assessment instructions
Assessment details Instructions
Assessment overview
The objective of this assessment is to assess your knowledge of skills required to effectively perform the tasks outlined in this unit. This includes knowledge of:
up to date research on dementia and the different manifestations of dementia
dementia as a progressive neurological condition
common indicators and symptoms of dementia
behaviours of concern, needs driven behaviour model and de-escalation procedures
progression of dementia and potential impact on the person with dementia, their family and significant others
principles of person-centred approach to support
relevant activities which enhance self-esteem and pleasure in the person’s life, minimise boredom, and distract from or eliminate behavioural and psychological symptoms of dementia
competency and image enhancement as a means of addressing devaluation verbal and non-verbal communication strategies.
Assessment Event number 2 of 3
Instructions for this assessment
This is a written case study and will be conducted as a take home assessment. You will be permitted to use your reference text and learning notes when completing this assessment.
You should allow up to 4 hours to complete this assessment.
This document is in four (4) parts:
Case study scenario
Short answer questions
Appendix
4. Assessment feedback
TAFE NSW policy related to Assessments
Outlined in ‘Every Students Guide to Assessment’ you will find all details pertaining to submissions, uploading, including your name on each page and the requirement for you to keep a copy of the assessment.
In the ‘Unit Assessment Guide’ which will be provided to you on the first day of class, you will find all details pertaining to how you must demonstrate competency to receive a satisfactory result for each part of the assessment.
This guide will also outline the due dates of assessments, what to do if you need an extension on a due date, how you will receive feedback and how you can appeal an assessment if you think it has been unfair.
Table SEQ Table \* ARABIC 2 Assessment instructions

Part 1: Case Study Scenario
To complete this part of the assessment, read the Case Study Scenario below and complete your written responses to questions 1 – 17 in the spaces provided in this document. Please ensure you take note of the required answer word length where indicated.
Once completed you must submit this assessment to the assessor for marking.
Case Study Scenario: Fran
Fran Agnesi is 68 years old and was diagnosed with Alzheimer’s disease 2 years ago. She lives with her son (Nick) and daughter-in-law (Margie) in a separated part of the house – it is a one bedroom flat and provides Fran with access to assistance when required, but also allows some privacy. Fran is widowed and her home was sold six (6) months ago. After Fran moved into her new home, Nick and Margie noticed that behaviours such as confusion, distress and agitation increased. Fran was usually a calm and happy person and very involved in helping others, so this was an unexpected change that the family were not expecting to deal with at this stage of their lives.
Fran was born in Italy and travelled to Australia as a young woman with her parents and siblings, and later met her husband, Peter, at her work. They raised four (4) sons and a daughter, and were devoted Catholics. Fran’s greatest memory was travelling to Rome and visiting the Vatican City with Peter when they were newly married. She talks about that trip often.
Fran was very involved in the social activities of the Catholic Church until her diagnosis – she volunteered her time to clean, do some administrative tasks and bake food for the congregation. She also attended many social events with other women, such as luncheons, bingo and playing cards. Fran still attends church on Sunday but can no longer drive, and has limited capacity in managing even simple tasks.
Nick works full time, and is often involved in work projects that take him interstate regularly. Margie works as a part time administrative officer at a high school. They have two (2) children; the oldest (Tom) is 23 years old, and their daughter (Gemma) is 18 years old. Both are involved in either study, work or socialising. Margie and Gemma supervise Fran regularly, and help with her shopping and some domestic chores.
Recently, after Margie required a stay in hospital following a medical procedure, Nick needed Tom and Gemma to help out while she was away. Due to increased behaviours of concern from Fran, and the complaints and resentment from her grandchildren, Nick decided after a few days that home care services were required to take away some of the pressure and responsibility from his family, especially as Margie is recovering and will have ongoing health issues. In the initial assessment, Nick had spoken about the problematic issues of recent increased behaviours of concern. These had increased while Margie was in hospital, and Nick was looking for support in using more effective strategies.
After a comprehensive assessment of needs, an individualised plan was developed. Part of this plan is included in the Appendix in Part 3 of this document.
You are a Support Worker who will be providing most of the care for Fran. Fran requires assistance with showering, dressing, grooming, and some domestic chores. You are attending their home for the first time and want to clarify how you can best meet Fran’s needs. Fran’s son, Nick, is also present.

Part 2: Short answer questions
Explain how you intend to apply a person-centred approach in the following interactions with Fran. Your answers for each must be between 20 to 60 words in length.
Interaction Person-centred approach
Assessment of needs Implementing activity Managing a behaviour of concern; refusal of care
As a support worker providing assistance for Fran for the first time, you would need to read her individualised care plan in preparation. Explain how you would use the information in Fran’s individualised plan (provided in the Appendix) to support her personal care needs when you arrived in the morning. Your answer must be between 50 – 300 words in length.

In the initial assessment for support from the Home Care service, Nick had spoken about the problematic issues of recent increased behaviours of concern. These had increased while Margie was in hospital, and after the meeting with Fran, Nick wants to talk to you about Tom’s interactions with his mother. Tom has had issues of aggression and drug use over the past two or three years, and he hasn’t been able to gain full employment. He observed Tom pushing and yelling at his mother one afternoon and is concerned that there may have been other times, as he is often left alone with Fran. He asks how these actions towards her may have contributed to her increased anxiety and agitation.
In the table below, outline four (4) signs you would observe for or enquire about to identify the signs of physical abuse, emotional abuse, financial abuse or neglect.
Type of abuse Signs
Physical i.
ii.
iii.
iv.
Emotional i.
ii.
iii.
iv.
Financial i.
ii.
iii.
iv.
Neglect i.
ii.
iii.
iv.

The outcome of the conversation caused you to believe that this may be a situation of physical and emotional abuse, and that Fran’s ongoing safety was at risk. Nick mentions that last night he suggested to Tom that he find alternative accommodation. Describe how you would manage this situation, including reporting requirements. Your answer must be between 100 – 200 words in length.
Fran needs a stable and familiar environment.
Explain why this is important. Your answer must be between 60 – 150 words in length.

What strategies would you use to address Fran’s need for a stable and familiar environment? Your answer must be between 60 – 150 words in length.
Describe four (4) verbal and four (4) non-verbal communication strategies you would when communicating with Fran to maximise her engagement.
Verbal:
i.
ii.
iii.
iv.
Non-verbal:
i.
ii.
iii.
iv.

Fran appears confused and anxious when you first meet her. Describe how you would use reality orientation to help Fran feel comfortable and reassured. Your answer must be between 50 – 150 words.
At one point during the meeting, Fran becomes distressed and starts to cry. She then moves away and opens and shuts drawers and cupboard doors in the dresser, banging them continuously. Using the table below, describe the different validation strategies you can use to help de-escalate this behaviour. Your answers for each strategy must be between 20 – 60 words in length.
Strategy Description
a) Allowing expression of distress b) Acknowledgement and validation c) Empathy, reassuring words, phrases and body language Fran’s need for purpose, enjoyment and routine can be met through appropriate activity. Outline four (4) different questions you would ask Nick to help understand Fran’s background and routines when developing appropriate activity.
i.
ii.
iii.
iv.
Nick explains that Fran tends to take things out of cupboards and drawers and rearrange them into other areas, or puts things away where they can’t be found. This behaviour is particularly an issue later in the afternoons. He finds these behaviours annoying and time consuming. He has started to put locks on some cupboards and drawers, and keep things out of her reach to try to minimise the chaos.
How would you explain the needs driven behaviour model to Nick to help him understand these behaviours and their underlying causes? Your answer must be between 50 – 150 words in length.
Using this information, as well as the information in the case study and individualised care plan, develop two (2) activity ideas for Fran that would incorporate the needs listed below:
Need Activity
i. Maintain independence by using existing skills and familiar routine i.
ii.
ii. Reflect cultural and other interests to bring back pleasurable memories i.
ii.
iii. Autonomy and dignity of risk balanced with safety and comfort i.
ii.
Nick talks to you about Fran’s behaviours of concern that he is worried will impact his wife’s recovery. Describe two (2) possible triggers for the following examples of behaviours of concern which you could discuss with Nick.
Behaviour of concern Possible reason/triggers for behaviour
a) Agitation or aggression i.
ii.
b) Wandering / searching i.
ii.
c) Disruptive vocalisations i.
ii.
d) Resistance to personal cares i.
ii.
Write a progress note after your meeting with Fran and Nick using the sample template in the Appendix.
Four (4) weeks after this meeting, you are involved in a review with your colleagues on the strategies in the individualised care plan used to reduce Fran’s behaviours of concern.
Explain how outcomes should be reviewed and evaluated. Your answer must be between 40 – 80 words in length.
Explain why outcomes should be reviewed and evaluated. Your answer must be between 40 – 80 words in length.
Using your own observations and feedback from colleagues, evaluate the goals for meeting Fran’s needs to manage her behaviours of concern. Write a hypothetical evaluation in the individualised care plan located in the Appendix that describes an outcome related to an implemented activity with Fran. Your answer must be between 40 – 80 words in length.
Describe how you would manage any documents that contain personal information according to documentation policies and procedures. Your answer must be between 50 – 100 words in length.

For many carers and aged care workers, supporting a person living with dementia can, at times, be stressful. When providing support to people with dementia, such as Fran, it is important that you know how to care for yourself.
How can you monitor your own stress levels? Your answer must include four (4) indicators of stress, and be between 30 – 80 words in length.

Outline four (4) self-care strategies you could use.
i.
ii.
iii.
iv.
What help is available in the workplace and in your community to assist you to manage your stress?
Part 3: Appendix
Individualised care plan
Individualised Care Plan Surname: AGNESI
Given name: FranD.O.B: 15/09/
Address: 66 Maple Cres, Gordon, NSW, 2072
Doctor: Dr John ROSSDate:
Assessment Goals Intervention/strategies Evaluation
Health conditions
Mild osteoarthritis in lower spine – diagnosed 2016
Varicose veins and associated dry, itchy skin and swelling in lower legs
Chronic gout in R big toe – diagnosed
Glaucoma diagnosed 2011 To monitor health condition
To manage symptoms Analgesics as prescribed
Physiotherapy for muscle and bone strengthening
Emollient to lower legs after showering
Notify RN of any increased pain, changes to the skin or any new symptoms
Heat pack for lower back pain (support workers must have prior training on how to apply) 7/10/2019 – no current inflammation in R big toe
Requires Panadol Osteo 3 times per day to manage lower back pain (as charted).
Has a heat pack for immediate relief if required.
Medication
Fran has her medication in a pre-dispensed blister pack, and must be prompted and supervised to take them. To achieve optimal health and wellbeing by taking prescribed medication Supervise Fran taking her medication from the blister pack as prescribed. Use the medication chart to guide correct medication and dosage
Medication is stored in a locked drawer in the bathroom Cognitive status
Diagnosed with Alzheimer’s disease in 2017
Takes Aricept to manage symptoms associated with memory loss and repetitive behaviours
Fran’s behaviours of concern are worse in the afternoon - she often paces and opens drawers and cupboard doors, rearranging items, and placing them in other locations. Family are often unable to find their belongings which has been a cause of tension in the household
Fran is easily irritable and may often refuse assistance or to perform tasks. If she feels anxious she may display aggressive behaviour, such as grabbing onto an arm/hand with force, yelling, or throwing items.
Fran can perform simple tasks but requires prompting and supervision. To manage symptoms such as memory loss and behavioural changes
To minimise behaviours of concern and apply person-centred care to gain trust and cooperation To provide meaningful activity to enhance competency, independency and self-worth
Fran requires supervision at all times due to problems with disorientation – recently moved from own home 6 months ago.
Fran requires prompting and guidance to manage tasks
Fran may become easily agitated – use calm approach, distraction Mobility
Fran walks at a slow pace but can mobilise independently and does not required a mobility aid.
May require some bed to stand transfer assistance in the morning due to lower back pain (osteoarthritis) Fran will maintain optimal independence Fran requires prompting and minimal hands-on assistance.
Fran can walk independently but requires supervision on uneven surfaces.
Fran may require some assistance in transferring out of bed in the mornings. Prompting is necessary
Ensure that Fran is wearing suitable footwear when mobilising
Encourage daily exercise Personal care
 

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