CHCCCS023

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Unicom College of Business Studies, Rustam, Mardam *

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2021

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Nov 24, 2024

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CHCCCS023 Support independence and well being Assessment Qualification: Training Package: CHC33015 Due Date: Week 4 Assessment Type: Assessment Guidelines Please read the following assessment guidelines carefully. 1. The purpose of this activity is to assess your knowledge and skills in 2. If you have any considerations that may affect your performance in the assessment, please inform your assessor immediately. Your assessor will provide you with a suitable alternative to complete this assessment. 3. Your assessor will mark your assessment and provide feedback and a grade to you via the assessment submission on Moodle. 4. If you feel the decision made by your assessor was incorrect you have the rights to appeal the grading through filling out an appeals form which will then be handle by the Academic Manager. 5. A “NYS” (not yet satisfactory) result of this task may be returned to you for a re-assessment. Re- assessments must be submitted by an agreed date with your assessor. 6. The re-assessment work must address the specific performance tasks beyond doubt for the assessor to issue a satisfactory (pass) result. A repeat NYS outcome could lead to an administration fee for further reassessment. 7. All work must be done individually. Copied work will not be accepted and By adding my name to this document, I hereby declare the work is my own and has not been copied from any other source. Student NAME: Monthakarn LUNTHALA Date: June 10, 2022 Student Signature: Monthakarn LUNTHALA

《 CHCCCS023 SUPPORT INDEPENDENCE AND WELLBEING 》《 CASE STUDY GAP ASSESSMENT 》《 This assessment is comprised of three case studies with scenarios and tasks that will assess your knowledge and skills relevant to the competency standard requirements of the unit. These case studies are hypothetical situations which will not require you to have access to a workplace, although your past and present workplace experiences may help with the responses you provide. The evidence of your successful completion of the other competency standards that are required to be performed in the workplace are all included in your Skills Workbook/Primary Skills Assessments. You are also required to submit a Mercury Colleges’ Student and Assessor Cover Sheet – Gap Assessment – Case Studies with your case study responses. 》 CHCCCS023 Case Study 1: Abraham Chatzkel Name: Abraham Chatzkel Age: 91 Date of Birth: 16 January 20xz Room # : 23 Abraham’s Care Plan is provided on the following page.

“ Abraham Chatzkel is a new client at Lotus Compassionate Care. Abraham never married and has no kids of his own. Before moving to the centre, Abraham stayed with his niece, Abigail, her husband, Jacob, and their two daughters, Aliya and Amira. Abigail is a stay-at-home mother, taking care of Abraham and her two kids. Abigail’s husband accepted a job in New York and moved there with the rest of family. Abraham did not want to move to New York with them and prefers to spend the rest of his life in Australia, where he has spent the most of his life. Due to the distance and the time difference, all communications between the centre and the family are done via phone call or email. For the purpose of this assessment, Abraham’s first day in the centre is 7 July, 20xx (current year). ” 〈 Care Plan Name: Abraham Chatzkel (fictitious name) My preferred name: Abe My Birthday is: 16 th January (he is currently 91 years old) My Room number is: 23 I am allergic to penicillin Social History: I was born in Israel. My mother is from Australia and my Father is from Israel. My family moved to Brisbane when I was 8. My father was the local grocery shop owner and on the weekends and afternoons after school I helped in the shop. After I finished school I worked in my father’s shop until I went into the army for two years. While I was in the army I fought in the second world war. When I left the army I went back to work in the grocery shop, which I later inherited from my father. I returned home from the war after learning my little sister’s husband left her and their daughter, a few months after she was diagnosed with cancer. I took care of my little sister and raised her daughter, Abigail, as my own after my sister passed away in 1960. I never married. Before I moved here, I lived with Abigail and her family. She married a nice young man, Jacob, and they now have two lovely daughters, the twins, Aliya and Amira. Abigail stopped working when she had the girls, and just stayed home taking care of them, and also keeping me company.

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I enjoy reading, especially stories about the time of the war. It reminds me of the time I spent with my mates. I was diagnosed with renal cell carcinoma which has now spread to other parts of my body. I am now at Lotus Compassionate Care because my niece’s family is moving to New York and I did not want to move with them. I want to live the rest of my life here in Australia. With the twins old enough to go to school, I think it is time Abigail can go back to work and do things for herself. I am finding it more and more difficult to complete activities of daily living without assistance and I don’t want to be a burden to Abigail and her family. Communication My needs My Goals How you can help me To be able to hear around me as I cannot hear very well I would like to be able to hear what people are saying • Support me to use my hearing aid Cultural and Spiritual My needs My Goals How you can help me To be able to keep following Jewish practices while in the centre To follow the kashrut (Jewish dietary laws) • Help ensure that my food is kosher To be able to pray three times a day • Assist me to say my prayers by reminding me of the time and guiding me to a quiet place for prayer. Recreation My needs My Goals How you can help me I like to sit out on the veranda each morning and listen to the radio I like reading books Enjoy the outdoors and listen to my favourite radio station in the mornings Finish as many new books as I can • Support me to transfer to the Care Chair and wheel me out to the veranda. Ensure I have my hat on and sunscreen applied. Ensure I am not directly in the sun for too long (no more than 30 minutes). • Turn the radio on to ‘easy listening station’ • Ensure that I am comfortable • Place the Feeding Cup with Spout with water within my reach. • Place the buzzer within my reach • Ensure I have new books to read and my spectacles within reach Sensory My needs My Goals How you can help me To maintain visual ability To continue being able to read my books To continue to see the people I am talking to. • Help me to ensure my glasses are clean before I put them on and within reach for me when I am alone. Mobility My needs My Goals How you can help me

To maintain a level of mobility that will allow me to enjoy the outdoors To continue being able to enjoy taking walks outdoors, especially early in the morning to watch the sunrise To keep my muscles and limbs toned • Assist me taking morning walks using my walker when I can, or take me out on my wheel chair • Please assist me to transfer using the hoist and two staff members. Personal Hygiene My needs My Goals How you can help me I require assistance to meet my personal hygiene care needs To feel comfortable • Ensure my privacy and dignity is maintained • Speak with me about how you will assist me • Ensure the water in the washbasin is warm but not too hot • Use a soft washer and soap substitute to gently clean my skin • Gently dry my skin with a soft towel and ensure it is thoroughly dried. • Apply a protective barrier cream (please do not rub my skin) Oral Care My needs My Goals How you can help me I require assistance to meet oral care needs To maintain my self- esteem. To maintain healthy teeth and gums. • Ensure that I am sitting upright • Assist me to clean my teeth with a soft, small-headed toothbrush and fluoride toothpaste. • Assist me to apply oral gel to my lips Skin Care My needs My Goals How you can help me To maintain my skin integrity To maintain comfort and prevent pressure injuries due to lack of mobility • Support and encourage me to move around and not stay in bed or sitting on my chair for long hours • Inspect my skin for redness • Report and document if you notice changes in my skin condition • Ensure the linen is free from wrinkles and smooth • When conducting transfers be careful not to pull, drag or knock my skin • Ensure skin my skin is clean and dry • I have an air pressure ripple mattress on my bed • Regular toileting to prevent me from being incontinent.

Bowel Function My needs My Goals How you can help me I sometimes experience constipation To have a bowel motion every day or every second day • Monitor my bowel motions and complete the bowel chart • Ensure I have the buzzer within reach if I need to go to the toilet. • If I have not had a bowel motion after the 2 nd day, give me an aperient every morning until I have successful bowel movement. maybe also include encourage me to eat high fiber soft diet as per care plan and maintain fluid intake Sleep My needs My Goals How you can help me I sometimes wake during the night To have a restful sleep during the night. • Ensure I am comfortable before I go to sleep • Ensure the room is at a comfortable temperature • Ask me before you settle me for sleep if I am comfortable and reposition the pillows how I like it. Nutrition and Hydration My needs My Goals How you can help me Sometimes I am unwell and refuse food To maintain a good nutritional intake • Support me to sit upright • Support me to eat a high nutrition soft diet. • Ensure I receive kosher meals • Record what I eat and drink in my food diary • When I feel unwell and refuse food inform the Registered Nurse. Environment My needs My Goals How you can help me When I am too hot or too cold I feel uncomfortable To be in an environment with a comfortable temperature • When you help me with my personal care ensure the room and water temperature is comfortable. • Support me to ensure I have warm clothing in cold weather and cool clothing in warm weather before I go out to the veranda • Ensure my bedroom is at an appropriate temperature Pain My needs My Goals How you can help me

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If I am experiencing pain I feel uncomfortable To maintain a manageable pain level so I can optimise my well-being • Report and document if I experience any pain. • Administer my pain relief medication as directed by my physician My Medical History I have diabetes and arthritis CHCCCS023 Scenario 1: Abraham’s Care Plan 7 July, 20xx After reviewing Abraham’s care plan, you’ve determined that there are several aspects of the plan that are outside the scope of your role as a care worker. 〉 1) List two specific tasks that are outside the scope of your knowledge, skills or job role (20-50 words). According to the information and also based on my knowledge, as a support worker we are not allowed to do bowel motions neither administrate medication to facilitate evacuation. Secondly we are not trained to evaluate skin and damages caused by the skin condition. 2) Describe Abraham’s oral health care requirements (40-60 words). According to the information given it is necessary to clean Abraham’s teeth with a soft, small-headed toothbrush and fluoride toothpaste and also it is necessary to apply oral gel to his lips. When doing this it is necessary to place him in a sitting upright position.

3) Abraham likes to talk about his days when he was in the army – Write two questions you could use to encourage Abraham to speak about this time. (5-15 words each) To encourage Abraham I could make the following questions: 1. Who has influenced you in the time you were serving the army? 2. What was the most memorable moment you have experienced while serving the army?

CHCCCS023 Scenario 2: The Case of Antonio Iglesias 〈 2 October, 20xx Abraham shares his room in the centre with Antonio Iglesias. He is originally from Spain. He loves listening to classic Latin music, and watching soccer on TV. They often have their radio and TV on Antonio’s favourite Latin channels. As Antonio got older, he became more and more nostalgic about his motherland and cannot stop talking about Spain—the food, the people, and the places. Antonio is very friendly. He loves to share stories about his adventures in Spain when he was younger. Antonio is also a devout Catholic and a very conservative man. On the other hand, although Abraham was born in Israel, he has spent most of his life in Australia, and cannot relate to Antonio feeling home sick. Unlike Antonio, Abraham is a very quiet and calm-natured man. He likes to keep to himself, read books, or write on his journal. Abraham has always been openly gay. Abraham still keeps a photo of his late partner, Kevin, on his nightstand. This makes Antonio feel uncomfortable. He often ends up preaching to Abraham about the sins of being gay and its consequences according to the bible. 〉 1) Describe the social, cultural and spiritual differences between Abraham and Antonio (10-50 words each). a) Social b) Cultural c) Spiritual a) Antonio is a more talkative person, he makes a lot of noise and is always talking or doing some activities. Abraham is very quiet and likes to read books or write in his journal. So, they have very different social needs. b) They are from different places, so they have different backgrounds and beliefs. Antonio was born and raised in Spain, so he misses his culture, but Abraham was raised in Australia, so he does not understand the feeling of being homesick. c) Antonio has different beliefs from Abraham, even because they are from different religions, but Antonio does not accept Abraham sexuality because he believes in the bible, and it says that being gay is a terrible sin. Consequently it makes Abraham feeling bad about himself.

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2) Taking into account, Abraham’s stage of life, development and strength when suggesting support activities, describe possible support activities you could recommend to Abraham to address the following needs (20-40 words each). a) social needs Group support or community activities. Abraham likes to read and write, so he could participate in some of the book clubs, but if he is feeling unwell to go out, video chat would be an option to still participate. b) cultural needs Would be good to Abraham to have some connection with the Jewish culture. Or because he was raised in Australia, he would like to participate in a group related to Australian culture. c) spiritual needs Abraham needs to talk with someone that understands his feelings and his beliefs, someone that is not going to judge him for his choices. A Jewish priest or even someone that shares similar values would be a good match to talk with Abraham.

CHCCCS023 Case Study 2: Judith Comet Name: Judith Comet Age: 96 Date of Birth: 3 November 20xz Room # : 7 Judith has been staying in the centre the past 4 years. Judith has 4 children. All of them have their own families, and are currently staying in different states across Australia. They have decided to place Judith in a home after she’s been diagnosed with stage IV colon cancer 4 years ago. Having cancer at such an advanced stage at Judith’s age, she was thought to have at least only a year to live. She was always in a lot of pain, and required regular and constant assistance to complete activities of daily living. It was clear that the family were unable to meet Judith’s needs, as it was becoming too difficult for them to take care of her. They decided to place Judith in the care of Lotus Compassionate Care hoping that it will provide her with a more comfortable environment, with all the professional support she needs to ease the symptoms, pain, physical stress, and mental stress brought about by her condition for the remainder of her life.

CHCCCS023 Scenario 1: The Reunion 30 November 20xx, 1:25PM Judith has been in your care since she arrived in the centre. However, the last two months, you have been away on a holiday. On your first day back, as you and another care worker were about to hoist her from the bed and onto her wheelchair, you noticed that Judith has sore, purple discolored and painful spots about 8cm across on both her shoulders, and a smaller one about 3cm across on the back side of her head. When she was on her side, you saw some bleeding through her pants and on the bed sheets from the upper part of her buttocks. It appears it has not been checked for at least a day or two. Her bed sheets were stained and smelled of faeces and urine. She looked in pain. You asked her if you could check what’s causing her pain. You found that she had an open wound about 2cm across and the skin surrounding it was very red and discolored. Judith cringed in pain as you gently assessed the condition of her skin. You later found out that she has not been out of her bed in two days. You asked her why she has not gone out of her bed, and she told you that she’s just been feeling too tired lately, and going out just takes too much effort. She asked you if she could just stay in bed and rest today. You noticed that she seems withdrawn. You also noticed that she’s lost a lot of weight since the last time you saw her about two months ago. 1) List two examples of changes in Judith’s physical condition that must be reported to the supervisors (5-10 words each). Judith has an open wound and is feeling pain. Judith has lost a lot of weight.

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2) Explain which of Judith’s physical conditions are affecting Judith’s wellbeing and overall happiness (40-60 words) Judith’s condition is getting worst, and with her withdraw her condition is declining. She says that she is tired and wants to stay in bed. It shows signs of depression and low self-steam which is affecting her physical and mental health. More time she spends in bed worst may she feel. 3) According to Lotus Compassionate Care’s Policies and Procedures, you are required to report to your supervisor and/or care manager when you note any of the following: o Changes in your client’s physical condition and how it is affecting their wellbeing o Changes in your client’s wellbeing o Required care/support that are beyond the scope of your role According to Lotus Compassionate Care’s policies, you are required to document this in the client’s progress notes. For the purpose of this assessment, your assessor will be your Lotus Compassionate Care’s Care Manager. Complete the Progress Notes Template for Judith below: Surname: A Given Name: B Room Number: 012 DOB: June 10, 2022 Care Manager: Zaharoula PROGRESS NOTES Date/Time Comments (60-80 words)

17/06/2022 10 am I am writing this report to inform changes on the wellbeing of one of the residents. Judith has been presenting changes in her physical and mental health which has raised a concern about her condition. She asked to stay in bed for several days because she is feeling tired and in pain, she also has presented a wound for staying so long in bed, and I would say that her personal hygiene is no longer important to her. I would like to ask for an evaluation from the psychologist and physician to see which improvements we could do in relation to the actual scenario. Signed: A Complete name: A Position: Support worker

CHCCCS023 Scenario 2: Nurse Naja 30 November 20xx, 1:25PM Judith asked you if you can get medication to help her with the pain. She started feeling pain on her buttocks and both shoulders two days ago but did not tell anyone until you were back from your medical leave. When you asked her why she did not tell anyone about it, she said she did not want to bother the nurse. This made you worry about Judith and asked her if there was anything else that was bothering her. You found out that she has not had any bowel movement in two days, and urinating has started to become painful for her. She asked if you can clean her wounds and give her pain medication. You explained to her that although you would love to help her, you are not qualified to perform those procedures on clients. You checked her care plan and found that her nurse’s name is Naja Nielsson. You explained to Judith that Registered Nurse Naja Nielsson would be the best person to clean her wounds and help her manage her pain with medication as prescribed by her doctor. Judith appeared worried when you mentioned the nurse’s name. She hesitantly tells you that the pain is gone and she feels fine. She tells you she does not need the pain medication anymore. 1) List two aspects of the scenario that describe physical health situations that are beyond your scope of support as a care worker (10-30 words each): As a support worker we are not allowed to evaluate and clean any wounds. We are also not allowed to administer medications without a prescription from the nurse or physician.

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CHCCCS023 Case Study 3: Maximilian Mills Name: Maximilian Mills Age: 85 No Care Plan is provide as it is not required for you to complete the tasks included in this Case Study. Maximilian Mills, or Max, is new at the centre. He was placed in the centre by his second wife, Marcia. Max’s 1 st wife passed away from cancer two and a half years ago. Max met Marcia, now 45 years old, a year later and got married soon after. Max had a boating accident shortly after their wedding. He had a hip replacement surgery and is still recovering. The doctor advised that Max should still be able to walk again with proper therapy. Max remains positive and hopeful to get back on his feet so he can come home to his wife again. Max was placed in the care of Lotus Compassionate Care after he was released from the hospital. Marcia feels Max would receive better care and support in the centre than at home with her. Max never had any children from his first marriage. Marcia is his only remaining family.

CHCCCS023 Scenario 1: The First Visit It has been two months since Max arrived at the centre, and Marcia has not yet visited since. One morning Marcia arrived in the centre to visit Max. She was carrying with her a basket of pastries and a file folder. The following day, you noticed Max staring blankly out his window and looking very sad. You asked if he was okay. Max explained that he was feeling sad because Marcia wants to sell their house in the country to move to a smaller house in the city. She says she is feeling lonely by herself in the big house and cannot take care of it on her own. Marcia told Max that if they sell their house, and move to a smaller house, they will be able to afford a private nurse so Max can stay home with her again. Marcia further suggested that if Max does not want to sell the house, Marcia will move to Darwin to live with her sister as she “simply cannot stay in that big, old house by herself anymore”. Max does not want to sell their house. He grew up in that house. But at the same time he wants to come home with Marcia. And he does not want Marcia to move to Darwin. Marcia will be back next week for Max’s decision, and it is putting a lot of stress on Max. You often catch him sitting quietly in a corner and staring blankly into space. There were also several times you’ve heard him talking to himself, weighing the pros and the cons of selling the house. This predicament is obviously putting a lot of emotional and psychological stress on Max. Although Max still tries to be cheerful and funny when you are around, you see him by himself more and more often, instead of watching TV with the other residents or playing chess with his roommate, like he usually enjoys doing. This has also made his roommate, Bobby worry about him. Bobby asked if you could talk to Max about his problems. For the purpose of this assessment, the incident happened on 15 June 20xz at 10:42 am.

1) Looking after your client’s wellbeing is a key aspect of your role as a care giver. This includes reporting any cultural or financial issues impacting your client’s wellbeing. Following Lotus Compassionate Care’s relevant policies and procedures, answer the follow-up questions below: a. Identify one possible risk to Max’s mental health brought about by his situation (10-30 words): According to the patient’s file it is possible to conclude that this situation may help Max to develop depression. b. List two examples of protective factors for mental health present in the provided scenario (10-30 words each): 1. Max could use the help of psychologist; 2. Max could be introduced to a hobby (such as paint class, book club, etc.) c. List two examples of cultural or financial issues that may impact on Max’s wellbeing (10-30 words each): 1. Financial issue: Max and Marcia don’t have enough money at the moment to take Max out of the clinic and pay for a private nurse; 2. Cultural issue: Max is attached to his family place and doesn’t want to sell the house.

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CHCCCS023

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