Reference no: EM133504740

This unit describes the skills and knowledge required to respond to the goals and aspirations of older people and provide support services in a manner that focuses on improving health outcomes and quality of life, using a person-centred approach. This unit applies to support workers in residential or community contexts.

All aspects of the performance evidence must have been demonstrated using simulation prior to being demonstrated in the workplace. The following conditions must be met for this unit, use of suitable facilities, equipment and resources, including:
• relevant organisation policies and procedures
• relevant aids to assist with independent living

Part A - Questions

Question 1 a) Why is it important to reflect upon your own values, attitudes and beliefs whilst working with aged people?
b) Why should you not impose your values on older people?

Question 2 What is meant by flexible service provision in aged care? Give two (2) examples.

Question 3 What does ‘person-centred' mean in relation to providing support to older people?

Question 4 Give two (2) examples of how person-centred approaches can empower older people.

Question 5 What processes can you use to ensure a person's information remains private and confidential? Give two (2) examples.

Question 6 Why is it important for an older person to take shared responsibility for their own support?

Question 7 Give two (2) examples of services whose support can empower an older person.

Question 8 How does stereotyping impact on older people? Give two (2) examples.

Question 9 How do the myths of ageing impact on older people? Give two (2) examples.

Question 10 What is meant by ‘social devaluation' and how does this affect an older person's quality of life?

Question 11 List two (2) ways you comply with the legal and ethical considerations of service provision.

Question 12 Give two (2) explanations of how codes of practice relate to aged care service provision.

Question 13 What is meant by discrimination in relation to older people? Give two (2) examples.

Question 14 What is ‘dignity of risk' in relation to providing services to an older person? Give two (2) examples.

Question 15 What is meant by ‘duty of care' in relation to providing services to an older person? Give two (2) examples of how you can uphold your duty of care.

Question 16 What is meant by ‘human rights' in relation to providing services to an older person? Give two (2) examples.

Question 17 Give two (2) examples of the legal and ethical considerations relating to an older person's privacy.

Question 18 Give two (2) examples of the legal and ethical considerations relating to confidentiality within aged care.

Question 19 When is it legitimate to ‘disclose' private information about an older person in receipt of care?

Question 20 Why is it important to know the boundaries of your work role and responsibilities?

Question 21 What are the legal and ethical considerations for working with older people in relation to work health and safety? Give two examples.

Question 22 a) What does consumer-directed care mean?
b) How does this care provide support to older people?
c) What are the consumer-directed care implications for providing care?

Question 23 What is meant by ‘positive, active ageing'?

Question 24 What is meant by a ‘rights-based approach' in relation to older people? Give two (2) examples.

Question 25 Empowerment is the process of becoming stronger and more confident, especially in controlling one's life and claiming one's rights.
What strategies can you use to support the older person to be more empowered?

Question 26 What is disempowerment in relation to older people? Give two (2) examples.

Question 27 What is meant by ‘reablement' in relation to aged care service provision? Explain two (2) strategies you could use.

Question 28 a) What is the difference between palliative care and end-of-life care?
b) Explain what is involved when working with a person needing palliative care and a person at end-of-life.

Question 29 a) What are the incidents or circumstances that are required to be reported under mandatory/compulsory reporting in aged care?
b) What is the reporting timeframe required?

Question 30 What is meant by ‘neglect' in an aged care context? Give two (2) examples.

Question 31 What are some indicators that an older person has been neglected?

Question 32 What are some indicators that an older person has been neglected?

Question 33 What are some common indicators that an older person is being abused?

Question 34 If you suspect an older person is being abused, who should you report it to?

Question 35 List two (2) indicators of physical abuse in an aged care context.

Question 36 List two (2) indicators of sexual abuse in an aged care context.

Question 37 List two (2) indicators of psychological abuse in an aged care context.

Question 38 List two (2) indicators of financial abuse in an aged care context.

Question 39 Give a brief description of what residential care is and give two examples of the types of services available.

Question 40 Give a brief description of what home and community supports can be provided and give two examples of the types of services available.

Question 41 What is meant by ‘best practice' within aged care? Give two (2) examples

Question 42 Besides residential and community care options, what other services may be involved in providing support to an older person?

Question 43 Give a brief description of what referral networks do within aged care. Give two (2) examples.

Question 44 Give two (2) examples of physiological changes that affect some older people as they age.

Question 45 Give two (2) examples of psychological changes that can occur for older people as they age.

Question 46 Give two (2) examples of how the ageing process can affect sexuality and gender for older people as they age.

Question 47 What could you do to encourage an older person to take part in an activity in an aged care home or in the community?

Question 48 Give two examples of how you can support an older person to adopt healthy lifestyle practices.

Question 49 In respect of providing support to an older person, what is meant by a ‘risk'?

Part B - Case study questions

Case study (questions 1-7)
Lenny recently moved into a 96-bed aged care home in the town he has lived in for the past 20 years. The home is a non-profit organisation run by one of the main church groups. Lenny has Parkinson's disease and is happy that he is still able to move around the home in his wheelchair, mostly unassisted. After Lenny settles in, the lifestyle coordinator meets him to develop a lifestyle plan. The coordinator finds out that Lenny is a practising Buddhist and has enjoyed a long relationship with the local Buddhist community.
The coordinator gives Lenny an outline of the aged care home's programs that are run throughout the week. She invites Lenny to join in as she can organise a worker to help Lenny to get to the various rooms where the activities/programs are held. A few of the programs centre on the chaplain's programs. Lenny explains that he isn't interested in attending those activities and asks what activities are in place for Buddhists. The coordinator says Lenny is only one of three residents who follows a Buddhist faith and given the organisation was initiated by the church, they don't offer anything other than the programs that are currently run. Lenny tells the coordinator that he would like his information to remain private.
The next day, Lenny is having lunch in the dining room when a personal care assistant asks him to come to the church program, explaining it isn't a religious service but more a discussion group. The worker then states that she knows Lenny isn't religious, but she thinks he may enjoy the activity. Lenny feels embarrassed as others in the dining room overhear the conversation. He leaves the table and decides to have his evening meal in his room that night.

CS Question 1 Does the service have a legal responsibility to develop an individualised plan? If yes, why? If no - why not?
CS Question 2 What organisational policies and procedures have been breached and how?
CS Question 3 Has there been a breach of duty of care towards Lenny?
CS Question 4 What are Lenny's human rights regarding this situation?
CS Question 5 Have staff supported Lenny's rights? If yes, how? If not, why not?
CS Question 6 What strategies need to be in place to guide staff in relation to cultural diversity issues? Give two (2) examples.
CS Question 7 What mechanisms within the aged care sector are open to Lenny in regard to having his issues addressed?

Read the case study, then answer the questions that follow.

Case study (questions 8-12)
David is a worker with a local support service. He supports Geoff who has muscular dystrophy and is non-ambulant. David supports him with his personal hygiene and most of his daily living activities. Part of Geoff's support plan includes going to the local footy once a fortnight. However, this weekend the grand final is being held at the main football ground in town.
When Geoff and David get to the football ground, David sees a few of his mates sitting up in the stand. They wave David up to sit with them. David asks Geoff if he would mind if he sat with his friends. Geoff says he is happy to sit on the side as he is not able to get up to where David's friends are sitting. The footy game is great but later that night Geoff becomes angry that David left him on his own to watch the game. He decides that he is going to sue David for breach of duty of care.

CS Question 8
In your own words, write a brief definition of ‘duty of care'.
CS Question 9
Did David breach his duty of care to Geoff? If yes, how? If not, why not?
CS Question 10
Were there any risks or potential risks to Geoff? If yes, what were they? If no, why not?
CS Question 11
Has Geoff been abused or neglected? If yes, in what way? If no, why not?
CS Question 12
Is this occasion a reportable incident? If yes, why? If not, why not?

Case study (questions 13-16)

Cherrie has Down syndrome and also experiences episodes of mental health issues associated with having schizophrenia. Cherrie lives in her own unit, which has a small courtyard. She receives support with her daily living activities.
When the worker attends one morning, she finds Cherrie very upset, saying men in a helicopter came down close to the clothes line and stole all her underwear. She then states that a burglar has stolen her money from her little tool box (where she keeps her weekly spending cash and her bank book). Cherrie says she wants help to go to the police. The worker checks Cherrie's medication and notes that she hasn't taken her medication for 20 hours.
CS Question 13 What steps should the worker take to ensure a positive and respectful relationship with Cherrie is maintained?
CS Question 14 After checking Cherrie's little toolbox, the worker finds that there is no money in it. What steps should the worker take to follow up Cherrie's claim of being robbed?
CS Question 15 What could the worker do to support Cherrie to become more empowered in this situation?
CS Question 16 What are some assumptions about the situation and how might these influence a person's view of what has occurred?

Read the case study, then answer the questions that follow.

Case study (questions 17-20)
Adele has enjoyed an active life, playing golf and basketball through most of her adult years. She is now 68 years old and has received a diagnosis and sudden onset of osteoarthritis, resulting in her becoming unable to ambulate without support.

CS Question 17 How can you help Adele recognise changes regarding her ability to participate in activities because of the arthritis, versus changes associated with the usual ageing process?
CS Question 18 Given Adele has had an active sporting life, what types of activities could you support Adele to participate in?
CS Question 19 What aids and appliances could Adele use to support her to remain in independent living for as long as possible?
CS Question 20 Adele's sister arrives with an electrical foot massager, saying she believes it will help Adele's circulation and ease her arthritic pain. What suggestion/s will you give Adele around the use of the foot massager?

Read the case study, then answer the questions that follow.

Case study (questions 21-25)
Edith, 72, and Phoebe, 68, share a unit. Edith receives support because of a degenerative disease that limits her physical abilities. She is still able to ambulate using a walking frame. The support worker arrives to assist Edith out of bed in line with her care plan - daily showering and dressing. The worker discovers Edith and Phoebe together in bed. The worker is religious and views same-sex relationships as a moral sin.
Edith and Phoebe have also talked about wanting assistance to go to a women's dance on Saturday night.

CS Question 21 What should the worker do when they find the two women in bed together?
CS Question 22 How can the worker empower Edith and her partner to attend the dance?
CS Question 23 What processes or enablers will need to be put in place to ensure Edith is supported when attending the dance?
CS Question 24 In your own words, give a brief description of consumer directed care (CDC).
CS Question 25 How can you ensure you are providing services according to what Edith's preferences are?