Assessment 6 notes materials PDF

Preview

Summary

Hope this is useful for to use as a learning guide....

Description

Assessment Details Qualification Code: Title

CHC43015 Certificate IV in Ageing Support

Assessment Type

Assessment 2 Research Work/Project work

Due Date

28/10/2018

Location

AHIC

Term-Year

4th, 2018

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

Assessor Details Assessors Name Assessor Signature Date

NOT SATISFACTORY

Assessment 2 -Research Work/Project Work Instructions to the students  Answer the questions below in the spaces provided  Ensure all references are documented under each individual question.  Answers are to be written in ink

Group Work Research project 1: The larger group will be divided into 3 groups and each group will research and discuss best practice in conducting a risk assessment on an older person to minimise the risk of discomfort. The group will collectively provide information back to the large group in electronic file so that the following table can be completed by all students. The research task is to complete the table below.

Group 1 (Min 200 words)



Risk assessment on an older person to minimise the risk of discomfort. It is well known that there are several of different tools, as Provide examples of well as methods which can be used to determine older tools and/or methodology used to persons’ physical indicators of risk, for example: Official Pain assessment tools; determine and assess Official Mobility assessment tools; risk Physiotherapist careplan; Medical specialist careplans Falls risk in Hospitalized Older people; FRAT- Falls Risk Assessment tools; SAFE assessment tool; ACAT assessment. Mainly, different tools will be be used in distinct organization. Generally, the staff will need to be trained in advance.



Which physical indicators present in the older person

There are several indicators which could impact on the choice of assessment of risk for the older person. For instance: physical, psychological, emotional, contraindicators, withdrawal of consent, non-compliances. In case of physical indicator which could be included, most of them will be co-related to motor function and the ability to perform the activities of daily living independently. Consequently, any further issue which can cause deterioration in the

impact on the choice of assessment of risk tools?





What type of documentation is required to be completed to record the process of a risk assessment?

How can you ensure privacy, confidentiality and disclosure?

physical health, strength or independence of an older person may cause increased risk. Some health professionals are well trained to identify those indicators, such as physiotherapists, nursing staff and medical practitioners along with the older person and their care. Basically, each organization has their own policy concerning documentation which is demanded to be filled.

Written documentation helps communication between staff and with clients. It also impacts directly on the financial and human resources of the organization. Feedback is also another way through which you can report what is happening to your client. You will be required to document care, as well as incidents such as falls, and write down how your client has responded to the care provided. Verbal reports are used to ensure the person taking over the client’s responsibilities have information concerning the most current care needs of the person. Verbal reports are normally given at the start of each shift– handover or changeover report when care needs have changed during a shift and when changes occur in a client’s condition or needs such as if they have had a fall with an injury.

Keeping your system passwords private and secure. Making sure that you have logout the system. If you update records and events check that they have been loaded correctly. Always be sure of validity of the source which helps to ensure that information is from reliable contact. Before sharing the clients and patient’s information it is important to take consent from the client to other people. Always give the resident choice and options the person you are supporting, ensure you are talking with them as equal. While helping them to take a shower, changing their pads, etc. we should always ensure to offer enough privacy so that they do not feel vulnerable. Reference: https://www.regis.com.au/privacy-policy/ AHIC Student Learning Resource CHCAGE004-Implement interventions with older people at riskVersion 2.0/ Jan 2017. https://swsi.moodle.tafensw.edu.au/mod/book/view.php? id=417008

Group 2 (Min 200 words)



List some factors in the older person’s lifestyle that might affect their level of risk

A. some of the factors in the older person’s lifestyle that might affect their level of risk are as follows: 1. Physical Activity: Physical activity includes many types of issues which increase risk within an older person and this may consists of physical decline, abnormalities of gait and degenerative joint

diseases. 2. Diet: There are many factors that may contribute to diet issues like obesity, weakness due to under eating and also may increase the risk of dehydration. 3. Alcohol: It is important to ascertain information on the older people drinking patterns and amount of alcohol that they keep on premises where they are staying. Or they can also be encouraged to take extra care or ask for assistance if they have been drinking to a level that increases risks. 4. Psychological concerns: This may include loss of confidence or psychological factors such as depression and dementia which can impact on the level of risk for older persons.



How can dignity of risk be managed in an assessment?

B. Dignity of risk refers to the participants right to identify the need to be able to make an informed choice to experience life and take advantage of opportunities for learning, developing competencies and independence and in doing so, take a calculated risk  Participants: have a right to make choices about their health, and care , even if health care professionals believe choices endanger the persons health or longevity  DCC providers : Are charged with helping participants identify preferences, need and risk which allows for informed decision making Steps to facilitate the discussion 1. Understand the participants story and perspective 2. Understand what is important to the participant 3. Develop a plan to support participants priorities and goals 4. Implement and monitor the plan to support participants priorities and goals



List examples of tensions which may exist between an individual’s rights and the organisation’s responsibility to an

C. The examples of tensions which may exist between an individual's rights and the organization's responsibility to an individual are as follows: Consent and Confidentiality: Client refuses to disclose an issue to a relative which will affect discharge decisions or other future plans. You will need to consult your professional code of ethics to consider how to deal with the issue. You will need to discuss the

individual

issue with senior staff even if this compromises the relationship with the client. Good Practice: According to the Mental Capacity Act (2005), Clients are permitted to specify their needs and wishes which may be unwise sometimes. An understanding of people's right enables decision to be made regarding risk in the context of client's own life. This may create tension between professional judgment of the interdisciplinary team and individual's choice.

Group 3 (Min 200 words)



List health professionals that could be involved in risk assessment processes and what they assess



How can you ensure the older person is comfortable about the process and is able to participate throughout the process?

D. The health professionals that could be involved in risk assessment processes are listed below:  Medical practitioner: In the aged care facility, medical practitioner provides prescribed medicine to the resident. They assess the risk of any medicine such as overdose of medicine, side effects, drugs allergy.  Physiotherapist: Physiotherapist assesses the mobility and functions of joints, improve their movements.  Mental health carer professionals: Mental health care professionals provide care including mental illness or developmental disabilities of residents.  Other specialized workers: In the aged care facility other specialized workers includes continent nurse who assess the continence level of residents, Counselor who encourage the clients to discuss about their emotions, mental or lifestyle issues and experiences.  Cardiologist: They diagnose, assess and treat the cardiac conditions (defects of the heart and blood vessels) of the residents.  Nurse: Nurse plays a vital role in risk assessment process. Nurse assesses the health condition of the resident.  Occupational therapist: They assess the environment for risk and the hazards which can affect the residents. It is important to ensure that the older person is comfortable during the assessment process and is able to participate throughout the process. We need to minimize unnecessary discomfort to the older person involved in the process and ensure that all the following practical measures are taken:  We need to take consent from older people before assessment and consult with carer.  We need to reduce unnecessary movement by placing them in comfortable position, make sure







How do you determine the priority of risk minimization strategies at the implementing stage? List some ways that you or carers can monitor risk minimisation strategies How will you know if the strategies are not having the desired result and what are the reporting processes?

   

they have done toileting and are not hungry so that they can participate comfortably. Ensuring safety measures like side rails, comfortable pillows to prevent from risk of fall. We need to communicate with the older people in encouraging, respectful and supportive manner throughout the process. Support and encourage them to participate and involve them in decision making. Ensuring that the client understands what is involved in the assessment.

The priority of risk minimization strategies can be determined by following ways at the time of implementation:  Diagnostic: This strategies can be used to minimize the risk for older people using a range of medical and health specialist diagnostic tools which also include interviews and assessment with relevant health professionals.  Therapeutic: It includes a wide range of strategies which can be implemented in order to minimize the risk for an older people which includes a counsellor discussing methods to manage feeling of insolation, anxiety, and depressions.

Names of Group 1 members for Research project 1 Marcia Belas dos Santos Sachita Giri Roshani Khadka Shrijana Basnet Roji Timilsina Sofiya Khand Alisha Thapa Saisha Shah

Names of Group 2 members for Research project 1 Sabita Limbu Sanju Gautam Sangroshna Rai Manisha KC Sarina Sigdel Jaya Maharjan Krishna Kumari Gurung Pratikshya Bhusal

Names of Group 3 members for Research project 1 Sachita Ghotane Gurung Dina Thapa Magar Anjali Gurung Yasodha Sharma Manjila Pun Jyoti Dahal Akriti Dewang Rai Ashmita Dhakal Anu Goshai

Group Work Research project 2: The larger group will be asked to participate in a group discussion to make a list of the major risk areas for our ageing population. The research task will be to complete the table below of findings from the group discussion. The group will also be asked to prioritise the list according to needs and evaluate the Falls Assessment screening tool in Appendix 1. Priority of needs Major Major Major Minor Minor Major Minor Minor Minor Major

Major risk areas for ageing population Disease condition; Parkinson's disease Medications, including number and types of medications associated with falls, particularly sedatives, laxatives, analgesics and antipsychotics Foot problems, poor balance of the body Poor lighting Architectural barriers like messy furniture, staircase and slippery floor Visual impairment Cognitive impairment Underwent a surgical procedure Crowd, clutter frailty

Group evaluation findings of the Falls Assessment screening tool (Appendix 1) How does the screening assessment form meet the needs for a falls assessment

Comment on its ease or difficulty for users

Falls risk assessment is designed to identify falls history, risks factors for falling and for injury. The form assists with development and documentation of a falls prevention care plan and recording of consumer engagement, referrals, reassessments and discharge planning. According to this form, the screening assessment form meet the needs for a falls assessment because of the history of falls , mentally unstable , toileting. It indicates that Mr. Smith is likely to fall once in a month. Sometimes he is furious and confused about the person or place. Advantages of the falls assessment screening tool :  Identification of the falls history  Identification of the risks factors  Assists in the development of prevention care plan Disadvantage of the falls assessment screening tool:  Resident may feel irritation on continuous assessment  If appropriate answers are not recorded then effective plans cannot be made  There is disparity around what factors to include in the risks assessment process

How often should a falls assessment be conducted

Immediately after a fall; if there is changes in any medications as well as other factors then a falls assessment should be conducted.

Research Work/Project Checklist CHCAGE004 - Implement interventions with older people at risk Written Activity Checklist For this assessment, the student must complete the group work presentation and written response to questions. The research activity is to promote research skills, team work and collaborate skills among the students that will allow the student to display the required knowledge and skills that are essential when deciding overall competency. Student’s name: Assessor’s name: Student to provide evidence of their ability to:

Has the student satisfactorily completed the written activity?

Yes

No





Group work Research project 1: The larger group will be divided into 3 groups and each group will research and discuss best practice in conducting a risk assessment on an older person to minimise the risk of discomfort. The group will collectively provide information back to the large group in electronic file so that the following table can be completed by all students. The research task is to complete the table below.

Group Work Research project 2: The larger group will be asked to participate in a group discussion to make a list of the major risk areas for our ageing population. The research task will be to complete the table below of findings from the group discussion. The group will also be asked to prioritise the list according to needs and evaluate the Falls Assessment screening tool in Appendix 1.

Feedback to Student:

Result

 Satisfactory

 Not Yet Satisfactory

Assessor’s Signature:

Date:

Appendix 1 Falls assessment screening tool Ontario Modified Stratify -SS Falls Risk Screening Please read instructions for use

Item

MR Number…008………………… Surname ……Smith…………………. Date of Birth ……03/12/1940…………….. Please fill in if no patient label is available

Date: 28 /10 /2018 Falls Risk Screening Assessment

Value

Score

1. History of falls.

Did the patient present to hospital with a fall or have they fallen since admission? No  Yes  If not, has the patient fallen within the last 2 months? No  Yes 

Yes to any = 6

6

2. Mental Status

Is the patient confused (i.e. unable to make purposeful decisions, disorganised thinking and memory impairment)? No  Yes  Is the patient disorientated (i.e. lacking awareness, being mistaken about time, place or person)? No  Yes  Is the patient agitated (i.e. fearful affect, frequent movements and anxious)? No  Yes 

Yes to any = 14

14

3. Vision

Does the patient require eyeglasses continually? No  Yes  Does the patient report blurred vision? No  Yes  Does the patient have glaucoma, cataracts or macular degeneration? No  Yes 

Yes to any = 1

0

4. Toileting

Are there any alterations in urination (i.e. frequency urgency, incontinence, nocturia)? No  Yes 

Yes = 2

2

5. Transfer

 Independent use of aids to be independent is

Add transfer score (TS) and

2

0

score (TS) [means from bed to chair and back]

6. Mobility score (MS)

allowed Minor help, one person easily or needs supervision for safety  Major help – one strong skilled helper or two normal people; physically can sit  Unable no sitting balance; mechanical lift Independent (but may use any aid e.g. cane)  Walks with help of one person (verbal or physical)  Wheelchair independent including corners etc Immobile

1

2 3

mobility score (MS) If value total between 0-2 then score = 0 If values total between 3-6 then score = 7 1

0 1 2 3

Action total score (As validated tool patient at risk if total score ≥9)

Total =

Instructions for SCORING: 1. Complete the Falls Risk Screen questions in the Ontario Modified Stratify Tool-Sydney Scoring (SS) 2. Add the Transfer Score (TS) and the Mobility Score (MS) i. If values total between 0-2 then score = 0 ii. If values total between 3-6 then score = 7 iii. Total TS + MS to reach the total mobility score 2.

Total score provides risk level: as validated tool patient at risk if total score ≥9

-The total score is more than 9 which indicates that the patient is at risk. CONSIDER COMMUNICATION DIFFICULTIES WHEN COMPLETING CHECKLIST WITH PATIENT

29...