Chcage 001 Facilitate the empowerment of older people PDF

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CHCAGE001 Facilitate the empowerment of older people ASSESSMENT TASK 2 CASE STUDY 1: MARTA

1. How can the worker tell from the bruising pattern how the injury is likely to have occurred? How would this be different from bruising that occurred due to falling out of bed? The worker can tell the likelihood of occurrence of the accidental or abusive injury from the bruising pattern because accidental bruising often appears over bony prominences such as knees, elbows, shins, forehead, etc while intentional injury usually leads to bruising on the softer regions of thighs, abdomen, buttocks, cheeks, necks and anogenital regions. In this case, the grab marks on Marta’s hands are suspectable and these bruises do not occur by falling out from the bed. If Marta had fallen out of the bed, the bruising would be more likely to be on only one side of body. 2. What actions must the worker take to report the suspected abuse? The worker should carefully document the details such as the bruising pattern, its appearance and location in writing and have them photographed for evidence. He should notify it to the supervisor. He should also ensure that his actions are respectful of Marta’s rights and wishes. 3. What professional support service could Marta be referred for assistance? Marta can be referred to support service such as Seniors Rights Victoria for assistance. It provides assistance to elder people who are threatened or abused and safeguard the rights, dignity and independence of older people. 4. The worker no longer feels safe going to Marta’s house. This is very stressful for her as she does not want to admit that she feels unsafe and insecure. She is so worried about it that she can’t sleep at night. What could she do?  Talk to the supervisor  Undertake debriefing and counselling

5. You find out that your work colleague has been discussing Marta’s circumstances and your stress reaction in the lunchroom. What legislation and ethical requirements is your colleague breaching?  Privacy legislation  Code of ethics relating to confidentiality CASE STUDY 2: CATHOLIC SERVICE 1. Do you think the Catholic clients are being discriminated against? Explain your answer.

Yes, the Catholic clients are being discriminated against. They have the full right to attend the church as well as enjoy going out for coffee or shopping. It is the responsibility of the facility to find another priest who is able to attend the church on Tuesdays. But, instead of making provision for the residents, the staff member acted disrespectfully and disvalued their belief towards God. 2. What would be a better way of dealing with the concerns of the Catholic clients?  Discuss about the concerns of Catholic clients with priest what works better for everyone  Organise another time to go to town for coffee or shopping. 3. What action would you take if someone in the client group wanted to put in a formal complaint?  Refer to the supervisor  Give the client a copy of the client compliant guidelines and explain the compliant procedure  Listen to their concerns and identify possible solutions ASSESSMENT TASK 3: ROLE PLAY-MEET WITH BRENDA Care worker: Hi, Brenda. How are you? By the way, I am one of the staff of New Greens Aged Care. Brenda: Hi. I’m alright. I’m just worried that I might fall again, and I don’t feel safe in the shower. Care worker: I completely understand how you feel. It must be really hard for you to cope up with daily activities because of the knee replacement. Brenda: Yes, and I don’t know how I’m going to keep this house clean and tidy, but I don’t want to leave my house either. I have lived in this house for 50 years. Care worker: I completely understand your concerns. But Brenda, you don’t need to worry anymore. By analysing your concerns and situations, I think Home and Community care services is the best support service you may receive that will provide you ease with daily activities. This service includes:       

Domestic assistance such as showering, dishwashing, house cleaning, laundry, gardening, paying bills and so on. Social support- assistance to keep with essential activities such as shopping, banking, social contacts and activities. Nursing care- health care services by a registered nurse or enrolled nurse. Gardening and home maintenance- assistance with minor works in your home and garden. Personal care- assistance with task such as eating, bathing, grooming. Meals- preparation and delivery to the client at home or provided at a centre. Transport- assistance for you to attend physiotherapy twice a week; to go to church; to visit friends; to go for shopping

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Allied health- comprises a range of specialist services including podiatry, occupational therapy, physiotherapy, etc.

And above all, you have the right to determine your own needs and be actively involved in decision making process. So, Brenda what do you think about the support options? Brenda: That sounds really good. Care worker: In order to assess your needs, a person from HACC program will talk to you personally whenever possible at your home. HACC program are provided to maintain client’s autonomy and build capacity to do normal activities and live independently in the community. Brenda: Amazing. But I keep falling and how I will be able to do normal activities on my own? Care worker: Brenda, we can provide you mobility aids and equipment to prevent falls such as walker, wheelchair, and canes. And I understand your fear of fire as well. There are many risks of fire at home such as overloaded electrical system, fire from unattended cooking, candles and flames, flammable liquids and so on. Therefore, to prevent such risks, it is extremely important to follow fire safety precautions such as installing smoke alarm, placing fire extinguisher, making sure all the electrical appliances or cords are in good condition, never store flammable materials in your home. You can also contact emergencies services ‘000’ in case of fire. I hope this information were helpful to you.

Verbal questions a) What are the key issues facing Brenda?  Risk of fall  Unclean and untidy house  Inability to Attend physiotherapy  Transport  Unable to go for shopping  Fear of fire b) What is your duty of care when advising Brenda of her options?  Treat with respect and courtesy  Involve her to make decision about her own support  Discuss support options that best suits her need  Listen attentively to her concerns  Respect her decision c) How will the HACC program help Brenda to ‘age in place’? HACC program helps the senior citizen ensure they can live where they choose and get any help as long as they need. d) How can Brenda be involved in making decisions about her own care? She can choose how she want her home to be set up, what her health care choices are, which type of assistance she needs and many more.

e) During the roleplay, do you think you demonstrated a non-ageist and nonjudgemental attitude when talking to Brenda? Why you think you did or did not? Yes. I treated her with respect and love. I understand her situations very well and I put myself in her shoes instead of judging her. f) What are the five HACC services that may benefit Brenda?  Domestic assistance  Transport  Personal care  Nursing care  Social support g) What are two other services (outside the HACC program) that Brenda could access?  Residential respite care  Counselling h) If Brenda chooses to refuse all services, despite the risks involved, what should you do? I would try to convince her detailing the benefits of the services with respect and consideration. If she chooses to refuse all services, I would discuss this matter with family member and ensure that the support is provide from her family member.

ASSESSMENT TASK 4: PROJECT- SAFETY CHECK

Bathroom Safety Checklist Student name: Praneeta Budhathoki Date: 2020/3/11 Yes/No Comments Does the floor have a non-slip surface? No The tiles are slippery. Is access to the shower safe? No The shower area is small. Is there room for seat near the shower? Yes The shower seat perfectly fits in the shower space. Is there a rail in the shower and close to No the toilet? Is lighting adequate? No Not adequate enough for client especially in the pathway from bedroom to bathroom. Is heating adequate? Yes Perfectly fine. Is there sufficient room near the shower No Congested for carer to give area for the staff member to provide shower. assistance and support? Is there sufficient ventilation to prevent Yes Quite appropriate. condensation? Are there any other safety issues? Yes The door lock needs to be repaired.

1. Is the bathroom currently safe for the client and the personal care worker? Explain your answer. No, the bathroom is not currently safe for both client and the carer because  The tiles are slippery.  There is no handrail in the shower and toilet for convenience.  The care worker does not have the enough room for providing assistance and support when giving shower to Brenda.  There is no medical alert button near toilet for emergencies.  The lights in the bathroom is not adequate and poor lighting can increase risk of falling because of poor visibility. 2. What are your recommendations to make this bathroom safer for Brenda?  Installing handrail near shower and toilet  Ensure the handrails are slip-resistant  Availability of enough space for carer to provide support  Make door and lighting changes  Install night lights in the hallway  Use a raised toilet seat  Place non-slip mats in bathtub or shower 3. When talking to Brenda about any safety issues in her home, what should you consider? When talking to Brenda about any safety issues in her home, I should consider whether she is able to pay for all the expenses of those alternatives. I should also consider offering the solution to the problems to not to make her worried and scared when I am talking about these issues. ASSESSMENT TASK 5: PROJECT- PLAN AND IMPLEMENT AN ACTIVITY Assessment Task 5: PROJECT Student’s name: Praneeta Budhathoki Supervisor’s name: Ruth Date of activity: 14/02/2020 Obtaining information Write an account about how you obtained information about your client that covers the following points.  Asking the client directly  Discussing with supervisor and other care worker  Reviewing the client’s care plan  Observation Their goals and wishes  To stay healthy  To be independent  To be able to move normally as before The client’s social, cultural and spiritual needs  To visit friends  To be able to celebrate Christmas with friends and family

Plan activity

 To be loved by others Any physical and/or social barriers that affect this client’s quality of life  Lower activity level  Loss of social contacts  Illness and disability Services that are already being provided to client  Assistance with daily activities  Music therapy  Physical therapy  Social support What type of activity did you plan for your client?  Gardening How did this contribute to the client’s goals and wishes?  Increase physical activity and maintains mobility and flexibility  Sense of accomplishment  Reduce stress levels and promotes relaxation  Facilitate social interaction How did you involve your supervisor and the client in the development of the activity?  Planning the activity  Discussing about the benefits of the activity with them How did you make sure your activity was person centred?  Taking into account his preferences and expressed needs  Coming up with this strategy together with client and his family.  Making sure he is physically comfortable and safe How did you make the activity flexible enough to suit the client’s needs?  Ensuring they take frequent breaks  Reminding them to drink plenty of waters  Allowing him to decide when to stop doing gardening Were there any risks?  Sunburn, cuts, bruises  Falls  Dehydration from sun exposure What plans did you have to manage them?  Remove rocks, sticks  Provide shaded areas for gardening  Remind to drink water often  Provide hat, gloves Were any aids or equipment required?  Use of cane/walker  Use of adaptive tools and equipment  Use of stable chairs and tables Was the client able to make their own decisions about the activity? Explain your answer. Yes. The client was able to select the seed and deciding on where to plan them.

Implement activity

Briefly describe how the activity went. The activity went very well because the client felt live, healthy and happy after spending time digging, watering and planting flowers. How did you manage risk?  Gardening in the morning time to avoid sunburn  Removing rocks, sticks from the area  Providing plenty of water to drink  Encouraging to take frequent breaks How did you talk with your client to encourage them to participate?  Respectfully asking to choose the kind of activity he is interested at  Discussing about the benefits of that activity What feedback did you get from your client and other staff at the facility? The client felt really happy and a sense of accomplishment. Other staff complimented for successfully planning and implementing the activity. Are there any things you would do differently next time? I would lessen the need to bend over by planting in raised beds or containers. What other healthy lifestyle activities could your client be involved in?  Walking, swimming, socializing, participating in fun activities

ASSESSMENGT TASK 6: SUPERVISOR REPORT Area/skills to be confirmed

Yes

No

Did the students show respect for cultural, social and spiritual differences of clients? Communicating appropriately with older people to develop trust and develop relationships?

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Did the student maintain privacy, confidentiality and dignity of clients? Did the student

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Not able to confir m

Provide examples or comments on student’s skills and performance in this area The student was able to interact with one of the non-English speaking residents and communicate the cultural needs of the client. Understood client’s needs very effectively. Listens attentively to each and every words and experiences shared by residents. Built a strong bond with every resident. Greets them effectively Knocks the door before entering Maintains privacy while giving shower Maintains confidentiality of client’s information Follows health and safety policies

provide services to client by following workplace policies and procedures? Did the student encourage clients to participate in living activities as they are able, and provide support where needed? Look for opportunities to engage clients in healthy lifestyle practices? Recognise risk and take action to reduce this?

Demonstrate a flexible, adequate and person-centred approach to work?

Maintains privacy and confidentiality Understands code of ethics 

Allowing them to take a walk around by themselves Provide assistance with showering if the client is unable to do so

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Hand hygiene Use of bibs while serving food

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Ensuring the pan room and staff room door are locked. Ensure manual handling equipment are locked.

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Asks if the client feels comfortable sitting in chair or bed Seeks for feedback from the client about their care...