|
|
21.
Provide the following:
i.
One legislation in your
state/territory relevant to Voluntary Assisted Dying
ii.
The link to the
legislation
iii.
An overview of the
legislation
iv.
One section in the
legislation relevant to your role as a community service worker in palliative
care services
|
|
|
|
Legislation:
|
Advance Care Directives Act 2013
(SA)
|
|
Link:
|
https://www.legislation.sa.gov.au/LZ/C/A/ADVANCE%20CARE%20DIRECTIVES%20ACT%202013.aspx
|
|
Overview:
|
This Act allows people to make
advance care directives to provide binding instructions about their future
health care, end of life, living arrangements, and personal matters should
they lose decision-making capacity. It provides a legal framework governing
advance directives.
|
|
One section:
|
Section 7 - Advance care directives
by competent adults. This allows competent adults to make advance directives
appointing one or more substitute decision-makers and/or providing advance
care instructions to be followed if the person loses capacity. As a community
palliative care worker, you must comply with valid advance
directives.
|
|
|
|
Practical Assessment
Candidate Instructions
The Practical Assessment is a set of tasks
that must be completed in a workplace or in an environment with conditions
similar to that of a real workplace.
This assessment will help you demonstrate
skill requirements relevant to delivering care services using a palliative
approach.
The Practical Assessment includes the
following:
1.
Practical
Assignment
A series of written
practical tests assessing the candidates practical knowledge and understanding
of the unit of competency.
2.
Case Studies
Detailed scenarios and
simulated environments, providing all necessary information required to
complete relevant tasks and activities.
3.
Workplace
Assessment
A set of tasks or
activities completed according to set instructions and guidelines to meet the
requirements of the relevant unit. These tasks and activities require you to
have access to a workplace or a similar environment.
Practical Assignment
Overview
|
The goal of this practical assignment is to
assess your practical knowledge of:
▪
Process to seek
clarification and guidance from health professional regarding pain relief and
comfort provision
▪
Organisational policies
and procedures for the provision of both a palliative approach and palliative
care
▪
Processes for care of a
deceased persons body
This assessment is divided into four tasks:
1.
Task 1 Clarification
and Guidance From Health Professional
2.
Task 2 Provision of
Palliative Approach and Palliative Care
3.
Task 3 Organisational
Policies and Procedures for the Care of a Deceased Persons Body
4.
Task 4 Processes for
the Care of a Deceased Persons Body
For these tasks, assume that you are working
in a palliative care service (either in residential, home or community-based
environments).
You are required to:
▪
Access and review
documents containing relevant processes, as well as policies and procedures
▪
Answer the following
questions based on the documents you accessed and reviewed.
▪
Review the instructions
in each task included in this Practical Assignment.
▪
Record your responses as
required in the instructions for each task.
|
|
|
1.
Access and review your organisations processes for the
following:
i.
Seeking clarification and guidance from health professional
regarding pain relief provision
ii.
Seeking clarification and guidance from health professional
regarding comfort provision
After
completing this task, submit copies of the processes you accessed and
reviewed to your assessor.
|
|
|
|
i.
Outline your organisations process for seeking clarification
and guidance from health professional regarding pain relief provision.
Process for seeking clarification on pain relief
provision:
● Identify
the need for clarification based on your assessment of the patient's pain
levels and response to current pain management plan.
● Approach
the treating physician, nurse practitioner, or clinical nurse specialist to
discuss your concerns and seek advice.
● Provide
details about the patient's current pain symptoms, pain history, medications
and doses being administered, and your assessment of pain relief needs.
● Ask
clarifying questions about optimal pain relief approaches for the patient,
additional medications or interventions to trial, appropriate dose
adjustments, etc.
● Document
the advice and recommendations provided by the health professional in the
patient's medical record.
● Implement
the recommended pain management changes under proper supervision.
● Continue
monitoring patient's pain levels and provide feedback to the health
professional.
|
|
ii.
Outline your organisations process for seeking clarification
and guidance from health professional regarding comfort provision.
Process for seeking clarification on comfort provision:
● Recognize
situations where the patient appears uncomfortable or distressed despite
current comfort measures.
● Identify
any potential causes of discomfort based on your observations and
interactions with the patient.
● Approach
the nurse, doctor or other relevant health professional to discuss your
concerns.
● Provide
details about the type and duration of patient's discomfort, current comfort
interventions, and your assessment of potential contributing factors.
● Inquire
about additional strategies to improve patient's comfort and minimize
distress, for example: position changes, complementary therapies,
environmental adjustments.
● Document
any guidance received and implement recommended comfort measures under
supervision.
● Continue
monitoring patient comfort and provide updates on effectiveness of new
interventions.
|
|
Resources
required for assessment:
▪
Documents that contain:
o Processes for seeking clarification and
guidance from health professional regarding pain relief provision and comfort
promotion
o Policies and procedures for the provision of
palliative approach and palliative care
o Processes for care of a deceased persons
body
o Processes for ensuring that cultural,
spiritual and religious preferences are considered when caring for the
deceased
Contact
your Assessor/Training Provider to get some assistance in accessing the
resources required for the assessment listed here.
|
|
|
2.
Access and review your organisations policies and procedures
for providing care using a palliative approach and provision of palliative
care, specifically for the following:
i.
Supporting the person with personal care
ii.
Applying interventions for behaviours of concern shown by the
person
Answer
the following questions using the policies and procedures you reviewed as
reference.
After
completing this task, submit copies of the policies and procedures you
accessed and reviewed to your assessor.
|
|
|
|
i. Briefly
describe the purpose of the policy relevant to supporting the person with
personal careyou accessed and reviewed.
To
outline standards and procedures for assisting palliative care patients with
activities of daily living and personal hygiene in a dignified, respectful
manner.
|
|
ii. Outline
the procedures under the policy relevant to supporting the person with
personal care you accessed and reviewed inItem i.
Procedures for personal care:
● Assess
patient abilities and need for assistance with bathing, dressing, grooming,
toileting etc.
● Explain
procedures to patient and obtain consent.
● Ensure
privacy during care activities.
● Provide
care gently and at patient's pace; respect dignity.
● Ensure
patient comfort and safety.
● Document
care provided.
|
|
iii. Briefly
describe the purpose of the policy relevant to applying interventions for
behaviours of concern shown by the person you accessed and reviewed.
To guide appropriate
responses to distressed behaviors in palliative care
patients.
|
|
iv. Outline
the procedures under the policy relevant to applying interventions for
behaviours of concern shown by the person you accessed and reviewed in
Item iii.
Procedures
for behaviors of concern:
● Assess
behavior to identify potential underlying cause(s).
● Use
de-escalation techniques to minimize distress.
● Consult
nurse/doctor about medications or non-pharm interventions.
● Implement
prescribed interventions compassionately.
● Document
incident and actions taken.
● Debrief
and review effectiveness of response.
|
|
|
3.
Access and review your organisations processesfor care of the
deceased persons body. These processes include:
▪
Infection control
▪
Support for the family
▪
Support for others
▪
Handling of personal
effects and belongings
▪
Documentation
requirements
Answer
the following questions using the processes reviewed as reference.
After
completing this task, submit copies of the processes you accessed and
reviewed to your assessor.
|
|
|
|
i. Outline
your organisations process for infection control when handling a
deceased persons body.
Infection control process:
● Use
personal protective equipment like gloves, gowns
● Follow
safe handling procedures to avoid contact with bodily fluids
● Disinfect
any equipment used
● Bag and
dispose of soiled items properly
● Wash hands
thoroughly after handling body
|
|
ii. Outline
your organisations process for providing support to the family after
the persons death.
Supporting the family:
● Notify
family of passing compassionately and offer condolences
● Allow
family time with deceased to say goodbye
● Provide
information on next steps
● Offer
counseling support resources as needed
|
|
iii. Outline
your organisations process for providing support to others (e.g. the
persons friends, associates, carers and relevant others) after the persons
death.
Supporting
others:
● Notify
friends/carers of passing respectfully
● Make
counseling and bereavement support available
● Allow
visits/time with deceased if family agrees
|
|
iv. Outline
your organisations process for handling the personal effects and
belongings of the person after their death.
Handling
personal effects:
● Inventory
belongings and document them
● Consult
family regarding return of belongings
● Pack up
possessions respectfully for return
|
|
v. List the documentation
requirements your organisation needs to comply with after the persons
death.
Documentation
requirements:
● Record
time/circumstances of passing
● Note
condition of body and any preparations
● Document
notifications made and items returned
● Complete
required administrative paperwork
|
|
|
4.
Access and review your organisations processes for ensuring
that the following are considered when caring for a deceased persons body:
i.
The persons cultural
preferences
ii.
The persons spiritual
and religious preferences
Answer
the following questions using the organisational processes you reviewed as
reference.
After
completing this task, submit copies of the organisational processes you
accessed and reviewed to your assessor.
|
|
|
|
i. Briefly
describe the purpose of the organisational process relevant to ensuring the
persons cultural preferences are considered when caring for their
deceased body that you accessed and reviewed.
Purpose of cultural preferences policy:
● To ensure
the deceased's cultural practices and preferences are respected when handling
their body.
|
|
ii. Outline the
procedures under the processrelevant to ensuring the persons cultural
preferences are considered when caring for their deceased body that you
accessed and reviewed inItem i.
Procedures for cultural preferences:
● Consult
family and care plan to identify cultural needs.
● Follow
customs for washing, dressing, or preparing body.
● Use
culturally appropriate transportation and storage methods.
● Accommodate
cultural mourning rituals if applicable.
|
|
iii. Briefly describe
the purpose of the organisational process relevant to ensuring the persons
spiritual and religious preferences are considered when caring for their
deceased body that you accessed and reviewed.
Purpose
of spiritual/religious preferences policy:
● To honor
the spiritual beliefs and rituals important to the deceased.
|
|
iv. Outline
the procedures under the processrelevant to ensuring the persons spiritual
and religiouspreferences are considered when caring for their deceased
body that you accessed and reviewed inItem i.
Procedures
for spiritual/religious preferences:
● Consult
family and care plan regarding spiritual needs.
● Perform
applicable religious rituals before moving the body.
● Follow
faith-based customs for handling and storing body.
● Make any
required arrangements for place of burial, cremation
|
Case Study
Overview
|
The goal
of the case study is to assess your practical knowledge and skills in:
▪
Applying the principals
and aims of palliative approach when supporting people
▪
Respecting the persons
preferences for quality-of-life choices.
▪
Followingthe persons
advance care directives in the individualised plan
▪
Following end-of-life
care strategies
This
assessment is divided into six tasks with ten sub-tasks:
1.
Task 1 Recognising the
Persons Holistic Needs
2.
Task 2 Needs and
Issues Outside the Scope of Your Role
3.
Task 3.1 Identifying
the Persons Changing Needs
4.
Task 3.2 Documenting
and Reporting Changing Needs
5.
Task 4 Addressing
Concerns Relevant to Pain-Relieving Medication
6.
Task 5.1 Providing
Emotional Support to the Person
7.
Task 5.2 Addressing
Family Members Concern
8.
Task 5.3 Reviewing
End-of-Life Decisions With Family Members
9.
Task 6.1 Before
Jamess Death
10.
Task 6.2 After Jamess
Death
Each task
comes with a set of instructions. You must follow and perform these
instructions while being observed by the assessor.
|
|
You are
required to:
▪
Complete the tasks
within the time allowed, as scheduled in-class roll.
▪
Apply the principals and
aims of palliative approach when supporting people
▪
Respect the persons
preferences for quality-of-life choices.
▪
Follow the
personsadvance care directives in the individualised plan
▪
Follow end-of-life care
strategies
Resources
required for assessment:
To
complete this assessment, you will need access to the following:
▪
Organisational policies
and procedures for:
o Reporting information
o Documenting in a timely, accurate and
objective manner
▪
Progress Notes Template
▪
Person Centred Plan of
the person in palliative care
Additionally,
your Assessor or Training Organisation will need to organise your access to
the following:
▪
At least five volunteers
to participate in role play activities
▪
Environment for:
o
Conducting meetings
o Carrying out end-of-life care strategies
o Carrying out after-death care strategies
▪
Necessary materials and
resources, such as:
o Necklace
o Wedding ring
o Book
o Bag for storing the persons belongings
|
Lotus Compassionate
Care
|
SCENARIO
You are
working as a support worker in Lotus Compassionate Cares Palliative Care
unit. Read about Lotus Compassionate Care below:
Lotus Compassionate Care
(Username: newusername Password: newpassword)
Your role
involves:
▪
Applying principles and
aims of a palliative approach when supporting people.
▪
Respecting the persons
preferences for quality-of-life choices.
▪
Following the persons
advance care directives in the individualised plan.
▪
Responding to signs of
pain and other symptoms.
▪
Following end-of-life
care strategies.
▪
Managing own emotional
responses and ethical issues.
|
Case Study
James D.
|
SCENARIO
James,
68-years-old, has been diagnosed with metastatic lung cancer. He long ago
lost his wife, Catherine, with whom he had two sons, John and Marcus. The two
sons both have families of their own now.
He lived
alone, but due to his deteriorating health and increasing symptom distress,
he could no longer take care of himself. He had already been advised that his
prognosis is short and has decided to enter himself at Lotus Compassionate
Care.
It
depresses him so that he misses his wife very much. He wished Catherine was
there to keep him company and to comfort him in his darkest moments.
Furthermore, he has not spoken to John in a long time because of
disagreements from the past. Marcus, on the other hand, together with his
family, visits James whenever they can. It pleases James so much to see his
grandkids. He wishes to reconcile with John and sincerely hopes that his two
sons will be by his side before he dies.
On most
days, James prefers to be alone on the porch while reading a book. He does
not mingle that much with the other residents. He also used to be an active
member of the church, but his cancer had led him to feel hopeless, and he
could not help but lose faith in God.However, James has expressed his desire
to renew his faith when he entered Lotus Compassionate Care.
|
|
In his
first week, James is lively and alert, and he walks with the help of a
walking aid. He needs assistance with some of his activities for daily living
(ADLs), including walking up the stairs and showering. He tires easily and
encounters difficulty in breathing.
He has
complained about this persistent pain he has been feeling, which is worsening
over time. The pain medication he is on is only helping a little. Aside from
this, his appetite is poor, and he cannot sleep because of the pain. Changes
to Jamess care plan will be made to help him address these symptoms.
By the
second week, Jamess symptoms have improved. However, his fatigue has not
improved and only worsened. Now he spends more time in bed. Due to the
progression of his disease, he has started to become confused and disoriented
at times.
In his
third week, James becomes less responsive. He cannot eat food or take oral
medication anymore. He is restless at times, and he is now bedridden. He has
noisy respiratory secretions.
You can
accessJamess Individualised Support Plan here:
Individualised Support Plan James D.
(Username: newusername Password: newpassword)
|
Task 1
Recognising the Persons Holistic Needs
|
|
Identify
Jamess needs in the following areas.
- Three physical needs
- Four psychological needs
- Two social needs
- One spiritual need
- Four end-of-life needs
|
|
|
|
i.
Physical
|
|
a.
Managing cancer pain
|
|
b.
Assistance with ADLs like
walking and showering
|
|
c.
Difficulty
breathing/respiratory issues
|
|
ii.
Psychological
|
|
a. Missing his late wife
|
|
b. Desire to reconcile with estranged son John
|
|
c. Hope to see family before passing
|
|
d. Depression/hopelessness about prognosis
|
|
iii.
Social
|
|
a. Visits from son Marcus and family
|
|
b. Previously active church member
|
|
iv.
Spiritual
|
|
a.
Desire to renew Christian
faith
|
|
v.
End-of-life
|
|
a.
Company in final days
|
|
b.
Effective symptom
management
|
|
c.
Achieve closure with sons
|
|
d.
Funeral/burial preferences
|
Task 2
Needs and Issues Outside the Scope of Your Role
|
|
Which two
aspects of Jamess caseare outside your role and responsibility and will need
the assistance of others? Tick the boxes that correspond to your answers.
|
|
|
|
☐
|
i.
Assisting him with some of his activities of daily living
(ADLs)
|
|
☐
|
ii.
Administering pain medication
|
|
☐
|
iii.
Assisting him in meeting his hydration and nutrition needs
|
|
☐
|
iv.
Providing emotional support
|
|
☐
|
v.
Facilitating counselling and therapy to address his depression
|
|
|
|
Task 3
Recognising the Persons Changing Needs
Task 3.1 Identifying the Persons Changing
Needs
|
|
Identifythe
six changing needs of James as described in the scenario.
|
|
|
|
i.
Worsening cancer pain
|
|
ii.
Poor appetite
|
|
iii.
Inability to sleep due to
pain
|
|
iv.
Increasing fatigue
|
|
v.
Confusion and
disorientation at times
|
|
vi.
Restlessness and noisy
respiratory secretions as condition declines
|
Task 3.2 Documenting and Reporting Changing
Needs
|
|
Document
Jamess changing needs in the Progress Notes Template provided along
with this workbook.
For the
purposes of this assessment, refer to the following information:
▪
Clients address: Lotus Compassionate Care
▪
Date changing needs were identified: Refer to the date and
time you are completing this assessment
▪
Date completed: Refer to the date and time you are completing
this assessment
YOU WILL BE
ASSESSED ON YOUR
▪
Practical knowledgeofthe changing needs of the person
▪
Practical skills relevant to documenting and reporting the
persons changing needs
ASSESSORS
CHECKLIST
Before
starting this task, review the Case Study Assessment Task 3.2 Assessors
Checklist provided along with this workbook. This form lists the criteria
your submission must address to complete this task satisfactorily.
|
|
|
YOUR
ASSESSOR WILL
▪
Provide you with the following workplace documents for your
reference, and discuss these with you:
o Lotus
Compassionate Care policies and procedures relevant to reporting and
documenting, including:
●
Progress Reporting
Policies and Procedures
●
Privacy and
Confidentiality Policies and Procedures
●
Documentation Policies
and Procedures
o Progress
Notes Template
▪
Organise workplace resources required for you to complete this
assessment.
▪
Discuss with you the requirements listed in the Assessors
Checklist prior to the assessment.
▪
Address your queries and concerns regarding this task.
EVIDENCE TO
BE SUBMITTED
After
completing this task, submit the following to your assessor:
▪
Completed Progress Notes
▪
Lotus Compassionate Care policies and procedures relevant to:
o Reporting
o Documenting
o Privacy and
confidentiality
|
Progress Notes
Client
Information
|
Clients
Name:
|
James D.
|
|
Address:
|
Lotus
Compassionate Care
|
|
Date
|
Status/Description of the changing
needs of the person
|
Action point
|
Achievements
|
|
2/15/2024,
11am
|
James
reported worsening cancer pain in his back and chest over the past few days.
He rates the pain as 8/10. His current pain medication does not seem to be
helping much.
|
Will
notify nurse about worsening pain levels and need to review/adjust pain
management plan.
|
James
was able to express his pain concerns to me. Will continue monitoring his
pain and provide updates to nurse.
|
|
Date
|
Status/Description of the changing
needs of the person
|
Action point
|
Achievements
|
|
2/15/2024,
2pm
|
James
did not finish his lunch again today. Appetite seems to be decreasing. Only
had a few spoonfuls before stopping.
|
Will
inform nurse about poor appetite so nutritional supplements can be
considered.
|
Provided
encouragement and assistance so James could eat a little. Will monitor
appetite and note any changes.
|
Sign-Off
|
Date
completed
|
2/15/2024
|
|
Signed
by:
|
|
|
Status/role:
|
Support Worker
|
|
Signature
|
|
Task 4
Addressing Concerns Relevant to Pain-Relieving Medication
|
SCENARIO
Following
the changes made to Jamess care plan, his dosage of pain medication was
increased to address his worsening pain.
While
assisting James, you heard him say that the pain he is feeling is still the
same. He requested if the pain medication can be replaced with a different
one.
|
|
|
This
part of the assessment is a Role Play Activity.
In
this Role Play Activity, while being observed by the assessor, you are
required to report the concerns about pain-relieving medication to your
supervisor.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of concerns relevant to the use of
pain-relieving medication
▪
Practical skills relevant to reporting concerns on the use of
pain-relieving medication
OBSERVATION
FORM
Before
starting this task, review the Case Study Assessment Task 4 - Observation
Form provided along with this workbook. This form outlines all the
practical skills you need to demonstrate while completing this task.
|
|
|
YOUR
ASSESSOR WILL
▪
Organise access to the environment and resources required to
complete this assessment, including:
o One
volunteer to act as your supervisor.
▪
Advise you on the time and location of the assessment.
▪
Discuss with you the practical skills listed in the
Observation Form prior to the assessment.
▪
Brief you on your role in this assessment.
▪
Brief your volunteer/s on their role in the assessment.
▪
Address your queries and concerns regarding this task.
|
Supplementary Question
|
|
1.
Based on the previous
scenario, list two concerns relevant to the use of pain-relieving medication.
|
|
|
|
i.
The increased dose of
pain medication does not seem to be adequately controlling James's pain. He
reports his pain levels are still the same.
|
|
ii.
James has requested
trying a different pain medication, indicating his current medication is not
effectively reducing his pain.
|
Task 5 Complying with the Persons
End-of-Life Decisions
Task 5.1 Providing Emotional Support to the
Person
|
SCENARIO
James is
happy to know from Marcus that John will be visiting him later in the week.
Apart from that, he feels good after knowing that Lily, one of the residents
in Lotus Compassionate Care, had read the same book James had finished
recently. They had a wonderful conversation about their thoughts on the
characters.
Despite
that, James feels like the tightening in his chest has become worse,
especially whenever he coughs. He experiences headaches that happen several
times a day, which he attributes to the humid weather.He thinks having the
air conditioning set to a lower temperature would help alleviate his
headache.
I have so
many regrets in life.I wish I did not take life for granted. I dont want to
die yet, but the thought that death is near haunts me, James thinks to
himself, feeling desperate about his situation.
As you
assist James with his ADLs, he starts a conversation regarding the book he is
reading. You take the opportunity to segue into a conversation about how he
is generally feeling, including the pain he is currently experiencing.
|
|
|
This
part of the assessment is a Role Play Activity.
In
this Role Play Activity, you are required to provide emotional support to
James.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of the persons quality-of-life, pain and
comfort
▪
Practical skills relevant to providing emotional support to
the person
OBSERVATION
FORM
Before
starting this task, review the Case Study Assessment Task 5.1 -
Observation Form provided along with this workbook. This form outlines
all the practical skills you need to demonstrate while completing this task.
YOUR
ASSESSOR WILL
▪
Organise access to the environment and resources required to
complete this assessment, including:
o One
volunteer to act as James
▪
Advise you on the time and location of the assessment.
▪
Discuss with you the practical skills listed in the
Observation Form prior to the assessment.
▪
Brief you on your role in this assessment.
▪
Brief your volunteers on their role in the assessment.
▪
Address your queries and concerns regarding this task.
You
must also answer the questions that follow.
|
Supplementary Questions
|
|
1.
List the two aspects of
Jamess life that describes their quality-of-life.
|
|
|
|
i.
Having good
conversations with Lily about a book they both enjoyed
|
|
ii.
Looking forward to the
upcoming visit from his estranged son John
|
|
|
2.
List two experiences of
physical pain that James expressed.
|
|
|
|
i.
Worsening tightness in
his chest, especially when coughing
|
|
ii.
Frequent headaches which
he thinks are related to the humid weather
|
|
|
3.
Describe Jamess comfort
needs.
|
|
|
|
James's comfort
needs:
● Having the
air conditioning set lower to help relieve his headaches
● Effective
management of his chest tightness and coughing
● Emotional
support and reassurance as he expresses regret about the end of his life
approaching
|
Task 5.2 Addressing Family Members Concern
|
SCENARIO
In his
third week at Lotus Compassionate Care, James could not eat food or take oral
medication anymore.
Marcus
approaches you about his concern about this. He said that even though his
father refuses to take in any food, it is still wrong to not try to feed him.
He added that his father still needs food. Otherwise, he will
starve.Following such incident, you noted down the ethical issue that arose
from your encounter with Marcus.
James
previously instructed in his advance care directive that when the time comes
that he cannot eat or take in any fluid or medication orally, he should not
be fed anymore. Instead, he would just like to be provided with mouth care,
as per his care plan, and keep him pain-free and comfortable as much as
possible.He firmly expressed that he does not want to waste any more
financial resources for procedures that will most probably not work anyway.
|
|
|
This
part of the assessment is a Role Play Activity.
In
this Role Play Activity, you are required to:
▪
Support Marcus to express their concerns
▪
Appropriately respond to Marcuss concern
▪
Refer what has Marcus told you to your supervisor
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of the persons end-of-life decisions and
advance care directives
▪
Practical skills relevant to respecting the family as an
integral part of the care team
OBSERVATION
FORM
Before
starting this task, review the Case Study Assessment Task 5.2 -
Observation Form provided along with this workbook. This form outlines
all the practical skills you need to demonstrate while completing this task.
|
|
|
YOUR
ASSESSOR WILL
▪
Organise access to the environment and resources required to
complete this assessment, including:
o One
volunteer to act as your supervisor.
o One
volunteer to act as Marcus
▪
Advise you on the time and location of the assessment.
▪
Discuss with you the practical skills listed in the
Observation Form prior to the assessment.
▪
Brief you on your role in this assessment.
▪
Brief your volunteers on their role in the assessment.
▪
Address your queries and concerns regarding this task.
|
Task 5.3 Reviewing End-of-Life Care
Directives with Family Members
|
SCENARIO
In the
following days, James becomes less responsive. He cannot eat food or take
oral medication anymore. He is restless at times, and he is now bedridden. He
has noisy respiratory secretions.
Jamess
death is imminent. Marcus, fully aware of this, has requested that his father
be taken home if this is possible. However, James refuses to be taken
anywhere anymore as moving will only cause him pain and discomfort. James
does not have much time to live.
He also
noted the following in his advance care directive:
|
Part 3: What
is important to me my values and wishes
When decisions are being made forme, I want
people to consider the following:
My dying wishes: When the time comes, I want to be in a comfortable
environment and be free of pain, as much as possible it does not matter
where as long as my sons John and Marcus are there. I wish to have fixed
things with John by this time. I know that my faith has waned over the
years, mostly because of my illness, but I do wish to see a priest when the
time comes.
|
|
|
|
This
part of the assessment is a Role Play Activity.
In
this Role Play Activity, you are required to:
1.
Meet with John and Marcus to discuss Jamess end-of-lifecare
directives.
2.
Report relevant information to your supervisor.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge the persons end-of-life care directives
▪
Practical skills relevant to interpreting and reviewing the
persons advance care directives
OBSERVATION
FORM
Before
starting this task, review the Case Study Assessment Task 5.3 -
Observation Form provided along with this workbook. This form outlines
all the practical skills you need to demonstrate while completing this task.
YOUR
ASSESSOR WILL
▪
Organise access to the environment and resources required to
complete this assessment, including:
o One
volunteer to act as John
o One
volunteer to act as Marcus
o One
volunteer to act as the supervisor
▪
Advise you on the time and location of the assessment.
▪
Discuss with you the practical skills listed in the
Observation Form prior to the assessment.
▪
Brief you on your role in this assessment.
▪
Brief your volunteers on their role in the assessment.
▪
Address your queries and concerns regarding this task.
You
must also answer the questions that follow.
|
Supplementary Question
|
|
- List three signs of
Jamess deterioration or imminent death and dying.
|
|
i.
Becoming less responsive
|
|
ii.
Inability to eat or take
oral medications
|
|
iii.
Bedridden and restless
with noisy respiratory secretions
|
Task 6
Follow End-of-Life Care Strategies
Task 6.1 Before Jamess Death
|
SCENARIO
FollowingJamess wishes, you, your
supervisor, John and Marcus carry out Jamess end-of-life decisions.
You welcome the priest inside the premises
and lead him to James, who is lying still in his bed. You inform James of
everyone present for the prayer at the start.After the ceremony, you arranged
for James and John to speak privately with each other.
I wish my father had more time. I am happy
to have talked and reconciled with him, but I admit I regret that I should
have done this earlier., John says after his encounter with James. Marcus,
with a smile on his face, responded, Thats okay. Its better late than
never.
You proceed to Jamess room to talk to him
about his encounter with John. Theres nothing more I could ask right now.,
James said softly with tears in his eyes.
|
|
|
This part of the assessment is a
Role Play Activity.
In this Role Play Activity, you
are required to implement Jamess end-of-life care directives.
YOU WILL BE ASSESSED ON YOUR
▪
Practical knowledge of
end-of-life care strategies
▪
Practical skills
relevant to following end-of-life care strategies
OBSERVATION FORM
Before starting this task,
review the Case Study Assessment Task 6.1 - Observation Form provided
along with this workbook. This form outlines all the practical skills you
need to demonstrate while completing this task.
|
|
|
YOUR ASSESSOR WILL
▪
Organise access to the
environment and resources required to complete this assessment, including:
o Jamess Individualised Plan
o One volunteer to act as your supervisor
o One volunteer to act as James
o One volunteer to act as John
o One volunteer to act as Marcus
o One volunteer to act as Jamess priest
▪
Advise you on the time
and location of the assessment.
▪
Discuss with you the
practical skills listed in the Observation Form prior to the assessment.
▪
Brief you on your role
in this assessment.
▪
Brief your volunteers on
their role in the assessment.
▪
Address your queries and
concerns regarding this task.
|
Task 6.2 After Jamess
Death
|
SCENARIO
James died
on his bed early Thursday morning.
A few
hours after Jamess passing, you, with the help of ahired professional, John,
and Marcus, proceed with the dressing of the deceased body.
As per
Jamess wish, you placed his favourite necklace the one gifted by his wife
Catherine on his neck. On the other hand, you kept all his other things,
such as his wedding ring and book, and stored them in a bag.
Jamess
after-death care went on for a few hours. Apparently, both John and Marcus
are in distress, grieving their fathers loss.
|
|
|
This
part of the assessment is a Role Play Activity.
In
this Role Play Activity, you are required assist in Jamess after-death care.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of care strategies after death
▪
Practical skills relevant to following care strategies after
death
OBSERVATION
FORM
Before
starting this task, review the Case Study Assessment Task 6.2 -
Observation Form provided along with this workbook. This form outlines
all the practical skills you need to demonstrate while completing this task.
|
|
|
YOUR ASSESSOR WILL
▪
Organise
access to the environment and resources required to complete this assessment,
including:
o Jamess personal effects
and belongings that need to be handled appropriately, such as:
● Necklace
● Wedding ring
● Book
o Bag for storing Jamess
personal effects and belongings
o One volunteer to act as
James
o One volunteer to act as
John
o One volunteer to act as
Marcus
o One volunteer to act as the
hired professional
▪
Advise
you on the time and location of the assessment.
▪
Discuss
with you the practical skills listed in the Observation Form prior to the
assessment.
▪
Brief
you on your role in this assessment.
▪
Brief
your volunteers on their role in the assessment.
▪
Address
your queries and concerns regarding this task.
|
Workplace Assessment
Overview
|
The goal of this assessment is to assess
your practical knowledge and skills in:
▪
Applying principals and
aims of a palliative approach when supporting people.
▪
Respecting the persons
preferences for quality-of-life choices.
▪
Following the persons
advance care directives in the individualised plan.
▪
Responding to signs of
pain and other symptoms.
▪
Managing own emotional
responses and ethical issues.
The workplace assessment is divided into
eighttasks:
1.
Task 1 Support the
Person, Carer, Family, and Others
2.
Task 2.1 Implement
Advance Care Directives
3.
Task 2.2 Report
Clients Progress and Observations to Supervisor
4.
Task 3.1 Respond to
Signs of Pain and Other Symptoms
5.
Task 3.2 Report
Clients Progress and Observations to Supervisor
6.
Task 4.1 Reflect on
Work in Palliative Care
7.
Task 4.2 Access
Bereavement Care and Support of Other Team Members
8.
Task 4.3 Manage Own
Emotional Responses and Implement Self-Care Strategies
IMPORTANT
For Tasks 1 to 3, you will carry out EACH of
the specified tasks TWICE, once for each of the two clients you will be
supporting.
You must also submit two sets of evidence
for this task, one for each of the two times you will undertake this task.
These tasks must be done in the context of a
palliative care service (either in residential, home or community-based
environments) in a real workplace or a simulated workplace environment.The
candidate may be supervised either directly, indirectly or remotely.
Each task comes with a set of instructions.
You are to follow and perform these instructions while being observed by the
assessor and submit any required documentation.
Before starting this assessment, your
assessor will also discuss these tasks with you, as well as instructions and
guidance for satisfactorily completing them. They will also organise the
resources required for this assessment (listed below).
|
|
You are
required to:
▪
Complete the tasks within the time allowed, as scheduled
in-class roll.
▪
Review the instructions in each task included in this
Workplace Assessment.
▪
Apply principals and aims of a palliative approach when
supporting people.
▪
Respect the persons preferences for quality-of-life choices.
▪
Follow the persons advance care directives in the
individualised plan.
▪
Respond to signs of pain and other symptoms.
▪
Manage own emotional responses and ethical issues.
Resources
required for assessment:
To
complete this assessment, you will need access to the following:
▪
Workplace or a similar environment that will provide you
access to:
o Opportunities
for engagement with clients in palliative care or people who participate in
simulations and scenarios that involve provision of palliative or end-of-life
care in a range of contexts.
o Facilities,
equipment and resources that reflect real working conditions (including those
outlined in individualised plans) and model industry operating conditions and
contingencies
o Workplace
resources necessary for the provision of palliative care, including:
●
Relevant members of the care team, which includes the client
themselves, their family and carer, other people they identify, your
workplace supervisor and your colleagues.
●
Workplace templates, such as:
-
Meeting Minutes
-
Progress Notes
-
Self-Care Plan
|
|
●
Workplace documents, such as:
-
The clients individualised plan (which also contains their
advance care directives)
-
Documents containing candidates scope of job role (e.g.
employee contract, job description)
-
Documents containing relevant requirements, including
legislative and ethical requirements, as well as requirements applicable to
your state/territory
●
Organisational policies and procedures for:
-
Reporting information
-
Making referrals to the appropriate care team member
-
Managing own emotional responses and ethical issues
encountered
-
Bereavement care resources and support services
|
Preliminary Task
|
For this
workplace assessment, the candidate is required to support two clients in
palliative care.
Thus, the
candidate must perform Tasks 1 to 3twice, once for each of the two clients
that the candidate will be supporting in this assessment. These tasks must be
performed in a workplace or a simulated environment that reflects workplace
conditions
Before the
assessment, the assessor must consult the candidates supervisor to nominate
the following people:
▪
Client 1
o
Family member
o
Carer
o
Other relevant people identified by the client
▪
Client 2
o
Family member
o
Carer
o
Other relevant people identified by the client
Note: In
some cases, a family member and a carer can be one person.
The
assessor must then record the details above in the spaced provided on the
following pages. Additionally, the assessor must contextualise the assessment
tasks in this workbook and the Assessors Checklists and Observation Forms to
reflect the details above.
|
|
Workplace/organisation
|
Sunshine
Hospice
|
Client 1
|
Name
|
John
Smith
|
|
Illness/condition
|
Metastatic colon
cancer
|
|
Name of family:
|
Mary Smith
(wife)
|
|
Name of carer:
|
Mary
Smith
|
|
Other relevant
people:
|
Their son Michael
Smith
|
Client 2
|
Name
|
Jane
Doe
|
|
Illness/condition
|
Congestive
heart failure
|
|
Name of family:
|
David Doe
(husband)
|
|
Name of carer:
|
Sarah Jones (home
care nurse)
|
|
Other relevant
people:
|
Jane's friend
Emily Green
|
Task 1 Support the
Person, Carer, Family, and Others
|
|
While
being observed by your assessor, meet with the person, their family/carers,
and other relevant people identified by the person, and discuss with them:
▪
The persons needs and
preferences
▪
Quality of life
▪
Issues and challenges
encountered
Use your
organisations template for recording meeting minutes. You may also use the Generic
Meeting Minutestemplate provided along with this workbook.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of
principles of palliative care approach.
▪
Practical skills
relevant to supporting the person, their family, carers, and others
identified by the person.
OBSERVATION
FORM
Before
starting this task, review the Workplace Assessment Task 1 Observation
Form provided along with this workbook. This form lists all the practical
skills you need to demonstrate while completing this task.
YOUR
ASSESSOR WILL
▪
Organise workplace
resources required for you to complete this assessment.
▪
Discuss with you the
practical skills listed in the Observation Form prior to the assessment.
▪
Address your queries and
concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, submit a copy of the meeting minutes to your assessor.
You must
complete this task twice, once for each of the two clients you will be
supporting.
You must
also submit two sets of evidence for this task, one for each of the two times
you will undertake this task.
|
Meeting Minutes
Date: 2/20/2024
Location: Sunshine Hospice
Attendees:
● John Smith (client)
● Mary Smith (wife)
● Michael Smith (son)
● [Your name], support worker
Agenda:
● Discuss John's needs and preferences
● Understand quality of life priorities
● Identify issues and challenges
Discussion Points:
● John highlighted needing assistance with daily activities like
showering. Also interested in physiotherapy to maintain mobility.
● John values spending time with family - hopes to attend grandson's
upcoming basketball game.
● Mary shared concerns about John's loss of appetite and weight loss.
● Pain, fatigue, and shortness of breath are significantly impacting
quality of life.
Action Items:
● Schedule daily shower assistance for John.
● Arrange physiotherapy assessment.
● Discuss appetite concerns with care team.
● Review pain management plan.
Supplementary Responses:
- Needs outside my role:
● Conducting physiotherapy and mobility assessments
● Adjusting pain medication regimen
- Issues outside my role:
● Determining causes of and treating appetite/weight loss
● Managing respiratory issues
Meeting Minutes
Date: 2/21/2024
Location: Jane Doe's Home
Attendees:
● Jane Doe (client)
● David Doe (husband)
● Sarah Jones (home care nurse)
● Emily Green (friend)
● [Your name], support worker
Agenda:
● Understand Jane's needs and preferences
● Discuss quality of life priorities
● Identify issues and challenges
Discussion Points:
● Jane needs standby assistance walking due to fatigue and shortness
of breath. Also needs occasional help showering.
● Enjoying visits from husband David and friend Emily. Also loves
listening to music. These visits and activities are important for quality of
life.
● Significant anxiety and stress about the progression of heart
failure. Feels depressed and fearful about the end of life.
Action Items:
● Provide standby assistance and observe Jane's mobility.
● Schedule shower assistance as needed.
● Arrange for David and Emily to visit often. Play Jane's favorite
music sometimes too.
● Consult nurse about counseling to help address anxiety and
depression.
Supplementary Responses:
- Needs outside my role:
● Assessing mobility limitations and safety
● Adjusting heart failure treatment plan
- Issues outside my role:
● Evaluating and treating anxiety and depression
Supplementary Questions
|
|
1. Based on the information discussed in the
palliative care meeting:
i.
Identify the clients
needs that are outside your role.
ii.
Identify the clients
issues that are outside your role.
|
|
Client A
|
|
i.
Client needs that fall
outside your role as a palliative care worker
a.
Conducting physiotherapy
and mobility assessments
b.
Adjusting pain
medication regimen
|
|
ii.
Client needs that fall
outside your role as a palliative care worker
a.
Determining causes of
and treating appetite/weight loss
b.
Managing respiratory
issues
|
|
Client B
|
|
i.
Client needs that fall
outside your role as a palliative care worker
a.
Assessing mobility
limitations and safety
b.
Adjusting heart failure
treatment plan
|
|
ii.
Client needs that fall
outside your role as a palliative care worker
a.
Evaluating and treating
anxiety and depression
b.
Fatigue and shortness of
breath
|
|
|
2. Based on the palliative care meeting:
i.
Identify signs of the
clients deterioration
ii.
Identify signs of the
clients imminent death
|
|
Client A
|
|
i.
Signs of deterioration
that the client shows
a.
Loss of appetite and
weight loss
b.
Worsening pain and
fatigue
|
|
ii.
Signs of imminent death
that the client shows
a.
None observed yet
|
|
Client B
|
|
i.
Signs of deterioration
that the client shows
a.
Anxiety about disease
progression
|
|
ii.
Signs of imminent death
that the client shows
a.
None observed yet
|
Task 2 Follow the
Persons Advance Care Directives
Task 2.1
Implement Advance Care Directives
|
|
While
being observed by your assessor, provide support to the person in accordance
with their advance care directives.
STEPS TO
TAKE
- Access and review the
persons advance care directives (contained in the persons
individualised support plan).
- Implement the advance
care directives.
- Observe and document the
persons progress.
Use your organisations
template for recording client progress and observations. You may also use the
Progress Notes template provided along with this workbook.
- Meet with the persons
family/carer and other relevant people and share information about the
persons quality-of-life, pain, and comfort.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of
advance care directives and policies and procedures for providing palliative
care services
▪
Practical skills
relevant to following advance care directives
OBSERVATION
FORM AND ASSESSORS CHECKLIST
Before
starting this task, review the following forms provided along with this
workbook:
▪
Workplace Assessment
Task 2.1 Observation Form
This form lists all the
practical skills you need to demonstrate while completing this task.
▪
Workplace Assessment
Task 2.1 Assessors Checklist
This form lists all the
criteria your Progress Notes (or a similar document) submission must meet to
satisfactorily complete this task.
|
|
|
YOUR
ASSESSOR WILL
▪
Organise workplace
resources required for you to complete this assessment.
▪
Discuss with you the
practical skills listed in the Observation Form prior to the assessment.
▪
Address your queries and
concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, submit a copy of the progress notes you completed to
your assessor.
You must
complete this task twice, once for each of the two clients you will be
supporting.
You must
also submit two sets of evidence for this task, one for each of the two times
you will undertake this task.
|
Supplementary Questions
|
|
1. Complete the table below by:
i.
Writing down the
clients wishes, decisions, and/or preferences specified in their Advance
Care Directives (ACDs)
To do so, you must access
and review the clients ACDs. After which, submit this to your assessor.
ii.
Writing down a
description of your job role relevant to the specified ACD.
Access and review any
documents that contain descriptions of your job role (e.g. employee contract,
job description). After which, submit these to your assessor.
iii.
Explaining how you will
implement the specified ACD according to your job role.
|
|
ACDs
|
My Job role
|
How I will implement this according to my job role
|
|
Wants
family to be allowed to visit him daily.
|
Support worker
responsible for enabling access to family and loved
ones.
|
I will
coordinate with family on convenient visiting times and ensure they are able
to see John each day. I may need to advocate on their behalf if any issues
arise with visitation access.
|
|
|
2. Complete the table below by:
i.
Writing down the
clients wishes, decisions, and/or preferences specified in their Advance
Care Directives (ACDs)
To do so, you must access
and review the clients ACDs. After which, submit this to your assessor.
ii.
Writing down legislative
requirements relevant to the ACD provided.
Access and review legal
documents (e.g. legislation, regulations)relevant to the indicated ACD. After
which, submit these to your assessor.
iii.
Explaining how you will
implement the specified ACD according to the legislative requirement
specified.
|
|
ACD
|
Relevant legislative requirement
|
How I will implement this according to the legislative
requirements
|
|
Does
not want to be resuscitated if heart or breathing stops.
|
Advance Care
Directives Act 2013 allows a competent adult to make an advance care
directive refusing medical treatment.
|
I will ensure the do
not resuscitate request is documented appropriately in his care plan. I would
not provide CPR or life support measures against his wishes if an emergency
occurs.
|
|
|
3. Complete the table below by:
i.
Writing down the
clients wishes, decisions, and/or preferences specified in their Advance
Care Directives (ACDs)
To do so, you must access
and review the clients ACDs. After which, submit this to your assessor.
ii.
Writing down ethical
requirements relevant to the ACD provided.
Access and review
documents containing ethical requirements (e.g. code of conduct) relevant to
the indicated ACD. After which, submit these to your assessor.
iii.
Explaining how you will
implement the specified ACD according to the ethical requirement specified.
|
|
ACD
|
Relevant ethical requirement
|
How I will implement this according to the ethical
requirements
|
|
Wishes to have
favorite music played when possible.
|
Respecting
client preferences and quality of life.
|
I will play John's
preferred music genres frequently to honor his wishes and support his
wellbeing.
|
Task 2.2
Report Clients Progress and Observations to Supervisor
|
|
While
being observed by your assessor:
i.
Meet with your
supervisor to discuss the clients progress and your observations.
In your meeting with your
supervisor, discuss the following:
▪
The persons changing
needs and issues with respect to their individualised support plan
▪
The potential impact of
the persons end-of-life needs, issues, and decisions on the persons family,
carer and others
Refer to the progress
notes (or similar document) you have completed in Task 2.1.
ii.
After meeting with your
supervisor, meet with the relevant family/carer and other relevant people to
discuss the following:
▪
The potential impact of
the persons end-of-life needs, issues, and decisions on thepersons family,
carer and others
Note: You must meet with the relevant family/carer
and other relevant people in more than one instance, depending on the
organisations policies and procedures for monitoring.
iii.
Meet with your
supervisor to report information about the impact of the persons end-of-life
needs, issues and decisions on thepersons family, carer and others.
Use your
organisations template for recording meeting minutes. You may also use the Generic
Meeting Minutes template provided along with this workbook.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of
advance care directives
▪
Practical knowledge of
policies and procedures for reporting clients needs and progress
▪
Practical skills
relevant to reporting persons progress and changing needs
|
|
|
OBSERVATION
FORM
Before
starting this task, review the Workplace Assessment Task 2.2 Observation
Form provided along with this workbook. This form lists all the practical
skills you need to demonstrate while completing this task.
YOUR
ASSESSOR WILL
▪
Organise workplace
resources required for you to complete this assessment.
▪
Discuss with you the
practical skills listed in the Observation Form prior to the assessment.
▪
Address your queries and
concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, compile the following into a portfolio and submit this
to your assessor:
▪
A copy of the meeting
minutes from reporting the persons changing needs and issues
▪
A copy of the meeting
minutes from the meeting with the persons family, carer, and other relevant
people
▪
A copy of the meeting
minutes from reporting information regarding the impact of the persons
changing needs and issues
▪
Reference documents,
such as:
o Progress notes (or a similar document)
o Organisational policies and procedures for
reporting information
o Organisational policies and procedures for
making referrals to the appropriate care team member
You must
complete this task twice, once for each of the two clients you will be
supporting.
You must
also submit two sets of evidence for this task, one for each of the two times
you will undertake this task.
|
Task 3 Respond to
Signs of Pain and Other Symptoms
Task 3.1
Respond to Signs of Pain and Other Symptoms
|
|
While
being observed by your assessor, observe and respond to signs of pain and
other symptoms experienced by the person.
STEPS TO
TAKE
- Access and review the
persons advance care directives (contained in the persons
individualised support plan).
- Implement the advance
care directives.
- Observe and document the
persons progress.
Use your organisations
template for recording client progress and observations. You may also use the
Progress Notes template provided along with this workbook.
- Meet with the persons
family/carer and other relevant people and share information about the
persons pain and other symptoms.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of
signs of pain and other symptoms
▪
Practical skills
relevant to responding to signs of pain and other symptoms
OBSERVATION
FORM AND ASSESSORS CHECKLIST
Before
starting this task, review the following forms provided along with this
workbook:
▪
Workplace Assessment
Task 3.1 Observation Form
This form lists all the
practical skills you need to demonstrate while completing this task.
▪
Workplace Assessment
Task 3.1 Assessors Checklist
This form lists all the
criteria your Progress Notes (or a similar document) submission must meet to
satisfactorily complete this task.
|
|
|
YOUR
ASSESSOR WILL
▪
Organise workplace
resources required for you to complete this assessment.
▪
Discuss with you the
practical skills listed in the Observation Form prior to the assessment.
▪
Address your queries and
concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, submit the following to your assessor:
▪
Progress Notes (or a
similar document)
▪
A portfolio containing
the following supplementary documents:
o Individualised plan (containing the advance
care directives)
o Organisational policies and procedures for
completing documentation in a timely, accurate and objective manner
o Documents containing descriptions of your
job role (e.g. employee contract, job description)
o A copy of the meeting minutes from the
discussion with members of the care team (i.e. family, carer and relevant
others)
You must
complete this task twice, once for each of the two clients you will be
supporting.
You must
also submit two sets of evidence for this task, one for each of the two times
you will undertake this task.
|
Task 3.2 Report Clients Progress and
Observations to Supervisor
|
|
While
being observed by your assessor, meet with your supervisor to discuss the
clients progress and your observations.
In your
meeting with your supervisor, discuss the following:
▪
The persons pain and other symptoms
▪
Strategies implemented to manage pain and promote comfort
▪
Effectiveness of strategies implemented
Refer to
the progress notes (or similar document) you have completed in Task 3.1.
Use your
organisations template for recording meeting minutes. You may also use the Generic
Meeting Minutestemplate provided along with this workbook.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of the clients progress and effectiveness
of strategies implemented
▪
Practical skills relevant to reporting relevant information to
the supervisor
OBSERVATION
FORM
Before
starting this task, review the Workplace Assessment Task 3.2 Observation
Form provided along with this workbook. This form lists all the practical
skills you need to demonstrate while completing this task.
|
|
|
YOUR
ASSESSOR WILL
▪
Organise workplace resources required for you to complete this
assessment.
▪
Discuss with you the practical skills listed in the
Observation Form prior to the assessment.
▪
Address your queries and concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, submit the following to your assessor:
▪
Copy of the progress notes used as basis during the discussion
▪
Completed meeting minutes
You must
complete this task twice, once for each of the two clients you will be
supporting.
You must
also submit two sets of evidence for this task, one for each of the two times
you will undertake this task.
|
Task 4 Manage Own
Emotional Responses
Task 4.1
Reflect on Work in Palliative Care
|
|
Reflect on the following:
▪
Own emotional responses
to death and dying
▪
Ethical issues and
concerns encountered while working in palliative care
▪
Self-care strategies
that you can implement to manage own stress
Document your reflection in theSelf-Care
Plan (Part I)provided along with this workbook.
After completing this document, meet with
your supervisor to discuss your responses. Have your supervisor complete and
sign the declaration section of the Self-Care Plan (Part I).
YOU WILL BE ASSESSED ON YOUR
▪
Practical knowledge of
own emotional responses to death and self-care strategies
▪
Practical skills
relevant to identifying and reflecting on self-care strategies
ASSESSORS CHECKLIST
Before starting this task, review the Workplace
Assessment Task 4.1 Assessors Checklist provided along with this
workbook. This form lists the criteria your submission must address to
complete this task satisfactorily.
YOUR ASSESSOR WILL
▪
Organise workplace
resources required for you to complete this assessment.
▪
Discuss with you the
requirements listed in the Assessors Checklist prior to the assessment.
▪
Address your queries and
concerns regarding this task.
EVIDENCE TO BE SUBMITTED
After completing this task, submit your
Self-Care Plan to your assessor.
|
Task 4.2
Access Bereavement Care and Support of Other Team Members
|
|
While
being observed by your assessor:
▪
Access bereavement care supports or services
These supports or services may include websites, specialist
care and support groups or clubs, among many others.
▪
Seek support of other team members
Supports to be sought may include emotional, instrumental,
informational and appraisal support, among many others. Thus, you may be
attending open forum discussions with team membersor other team activities to
improve social and emotional health.
YOU WILL
BE ASSESSED ON YOUR
▪
Practical knowledge of bereavement care supports and services
▪
Practical skills relevant to:
o Accessing
bereavement care
o Seeking
support of other team members
OBSERVATION
FORM
Before
starting this task, review the Workplace Assessment Task 4.2 Observation
Form provided along with this workbook. This form lists all the practical
skills you need to demonstrate while completing this task.
YOUR
ASSESSOR WILL
▪
Organise workplace resources required for you to complete this
assessment.
▪
Discuss with you the practical skills listed in the
Observation Form prior to the assessment.
▪
Address your queries and concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, submit the following to your assessor:
▪
Any supplementary evidence of accessing bereavement care (e.g.
email correspondence, signed documents, audio/video recordings)
▪
Any supplementary evidence of accessing the support of other
team members (e.g. meeting minutes, email correspondence)
|
Task 4.3
Manage Own Emotional Responses and Implement Self-Care Strategies
|
|
While working in palliative care:
▪
Manage own emotional
responses (following the relevant policies and procedures of your
organisation)in at least two separate instances.
▪
Manage how you respond
to ethical issues encountered in palliative care in at least two separate
instances.
▪
Implement self-care
strategies that you have identified in Task 4.1 in at least two separate
instances.
Document your completion of these in the Self-Care
Plan(Part II) provided along with this workbook.
After completing this document, submit this
to your supervisor for review.
Have your supervisor complete and sign the
declaration sections of the Self-Care Plan (Part II).
YOU WILL BE ASSESSED ON YOUR
▪
Practical knowledge
relevant to organisational policies and procedures relevant to managing own
emotional responses and ethical issues
▪
Practical skills
relevant to managing own emotional responses and ethical issues and actioning
self-care strategies
ASSESSORS CHECKLIST
Before starting this task, review the Workplace
Assessment Task 4.3 Assessors Checklist provided along with this
workbook. This form lists the criteria your submission must address to
complete this task satisfactorily.
|
|
|
YOUR
ASSESSOR WILL
▪
Organise workplace
resources required for you to complete this assessment.
▪
Discuss with you the
requirements listed in the Assessors Checklist prior to the assessment.
▪
Address your queries and
concerns regarding this task.
EVIDENCE
TO BE SUBMITTED
After
completing this task, submit the Self-Care Plan (Part II) you completed to
your assessor.
|
Assessment Workbook
Checklist
|
TO THE CANDIDATE
When you
have completed this assessment workbook, review your work, and ensure that:
|
|
|
|
☐
|
You have completed
all the Knowledge Assessments Questions.
|
|
☐
|
You have completed
the Practical Assessments in this workbook:
|
|
☐
|
Case Study Task 1
|
|
☐
|
Case Study Task 2
|
|
☐
|
Case Study Task 3.1
|
|
☐
|
Case Study Task 3.2
|
|
☐
|
Case Study Task 4
Supplementary Question
|
|
☐
|
Case Study Task 5.1
|
|
☐
|
Case Study Task 5.1
Supplementary Questions
|
|
☐
|
Case Study Task 5.2
|
|
☐
|
Case Study Task 5.3
|
|
☐
|
Case Study Task 5.3
Supplementary Question
|
|
☐
|
Case Study Task 6.1
|
|
☐
|
Case Study Task 6.2
|
|
☐
|
Practical
Assignment Task 1
|
|
☐
|
Practical Assignment
Task 2
|
|
☐
|
Practical Assignment
Task 3
|
|
☐
|
Practical Assignment
Task 4
|
|
☐
|
Workplace Assessment
Task 1 Client 1
|
|
☐
|
Workplace Assessment
Task 1 Client 2
|
|
☐
|
Workplace Assessment
Task 1 Supplementary Questions
|
|
☐
|
Workplace Assessment
Task 2.1 Client 1
|
|
☐
|
Workplace Assessment
Task 2.1 Client 2
|
|
☐
|
Workplace Assessment
Task 2.1 Supplementary Questions
|
|
☐
|
Workplace Assessment
Task 2.2 Client 1
|
|
☐
|
Workplace Assessment
Task 2.2 Client 2
|
|
☐
|
Workplace Assessment
Task 3.1 Client 1
|
|
☐
|
Workplace Assessment
Task 3.1 Client 2
|
|
☐
|
Workplace Assessment
Task 3.2 Client 1
|
|
☐
|
Workplace Assessment
Task 3.2 Client 2
|
|
☐
|
Workplace Assessment
Task 4.1
|
|
☐
|
Workplace Assessment
Task 4.2
|
|
☐
|
Workplace Assessment
Task 4.3
|
|
☐
|
You have saved and
submitted the following evidence:
|
|
☐
|
This completed
workbook
|
|
☐
|
Assessment Workbook
Cover Sheet signed and scanned
|
|
☐
|
Case Study Task 3.2
Progress Notes
|
|
☐
|
Case Study Task 3.2
Organisational policies and procedures for documenting and reporting
|
|
☐
|
Practical Assignment
Task 1 Process for seeking clarification and guidance from health
professional regarding pain relief provision
|
|
☐
|
Practical Assignment
Task 1 Process for seeking clarification and guidance from health
professional regarding comfort provision
|
|
☐
|
Practical Assignment
Task 2 Policies and procedures for supporting the person with personal care
|
|
☐
|
Practical Assignment
Task 2 Policies and procedures for applying interventions for behaviours of
concern shown by the person
|
|
☐
|
Practical Assignment
Task 3 Process for infection control
|
|
☐
|
Practical Assignment
Task 3 Process for providing support to family after the persons death
|
|
☐
|
Practical Assignment
Task 3 Process for providing support to others after the persons death
|
|
☐
|
Practical Assignment
Task 3 Process for handling of the personal effects and belongings of the
person after their death
|
|
☐
|
Practical Assignment
Task 3 Documentation requirements
|
|
☐
|
Practical Assignment
Task 4 Process for ensuring that cultural preferences are considered when
caring for the deceased persons body
|
|
☐
|
Practical Assignment
Task 4 Process for ensuring that spiritual and religious preferences are
considered when caring for the deceased persons body
|
|
☐
|
Workplace Assessment
Task 1 Meeting Minutes (Client 1)
|
|
☐
|
Workplace Assessment
Task 1 Meeting Minutes (Client 2)
|
|
☐
|
Workplace Assessment
Task 2.1 Progress Notes (Client 1)
|
|
☐
|
Workplace Assessment
Task 2.1 Progress Notes (Client 2)
|
|
☐
|
Workplace Assessment
Task 2.2 Portfolio (Client 1)
|
|
☐
|
Workplace Assessment
Task 2.2 Portfolio (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.1 Progress Notes (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.1 Progress Notes (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.1 Portfolio (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.1 Portfolio (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.2 Meeting Minutes (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.2 Meeting Minutes (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.2 Copy of Progress Notes (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.2 Copy of Progress Notes (Client 2)
|
|
☐
|
Workplace Assessment
Task 4.1 Self-Care Plan (Part I)
|
|
☐
|
Workplace Assessment
Task 4.2 Any supplementary evidence of accessing bereavement care
|
|
☐
|
Workplace Assessment
Task 4.2 Any supplementary evidence of accessing support of other team
members
|
|
☐
|
Workplace Assessment
Task 4.3 Self-Care Plan (Part II)
|
|
IMPORTANT:
You must achieve a satisfactory result in ALL assessment
tasks to be deemed COMPETENT for the unit/s relevant to this workbook.
To be
deemedsatisfactory in the assessments contained in this workbook, you must
successfully complete all the requirements listed above according to the
prescribed benchmarks provided to the assessor.
|
|
TO THE ASSESSOR
When you
have completed assessing the assessment workbook, review the candidates
submissions against the checklist below:
|
|
|
|
☐
|
The candidate has
completed all the Knowledge Assessments Questions.
|
|
☐
|
The candidate has
completed the Practical Assessments in this workbook:
|
|
☐
|
Case Study Task 1
|
|
☐
|
Case Study Task 2
|
|
☐
|
Case Study Task 3.1
|
|
☐
|
Case Study Task 3.2
|
|
☐
|
Case Study Task 4
|
|
☐
|
Case Study Task 4
Supplementary Question
|
|
☐
|
Case Study Task 5.1
|
|
☐
|
Case Study Task 5.1
Supplementary Questions
|
|
☐
|
Case Study Task 5.2
|
|
☐
|
Case Study Task 5.3
|
|
☐
|
Case Study Task 5.3
Supplementary Question
|
|
☐
|
Case Study Task 6.1
|
|
☐
|
Case Study Task 6.2
|
|
☐
|
Practical
Assignment Task 1
|
|
☐
|
Practical Assignment
Task 2
|
|
☐
|
Practical Assignment
Task 3
|
|
☐
|
Practical Assignment
Task 4
|
|
☐
|
Workplace Assessment
Task 1 Client 1
|
|
☐
|
Workplace Assessment
Task 1 Client 2
|
|
☐
|
Workplace Assessment
Task 1 Supplementary Questions
|
|
☐
|
Workplace Assessment
Task 2.1 Client 1
|
|
☐
|
Workplace Assessment
Task 2.1 Client 2
|
|
☐
|
Workplace Assessment
Task 2.1 Supplementary Questions
|
|
☐
|
Workplace Assessment
Task 2.2 Client 1
|
|
☐
|
Workplace Assessment
Task 2.2 Client 2
|
|
☐
|
Workplace Assessment
Task 3.1 Client 1
|
|
☐
|
Workplace Assessment
Task 3.1 Client 2
|
|
☐
|
Workplace Assessment
Task 3.2 Client 1
|
|
☐
|
Workplace Assessment
Task 3.2 Client 2
|
|
☐
|
Workplace Assessment
Task 4.1
|
|
☐
|
Workplace Assessment
Task 4.2
|
|
☐
|
Workplace Assessment
Task 4.3
|
|
☐
|
The candidate has
saved and submitted the following evidence:
|
|
☐
|
This completed
workbook
|
|
☐
|
Assessment Workbook
Cover Sheet signed and scanned
|
|
☐
|
Case Study Task 3.2
Progress Notes
|
|
☐
|
Case Study Task 3.2
Organisational policies and procedures for documenting and reporting
|
|
☐
|
Practical Assignment
Task 1 Process for seeking clarification and guidance from health
professional regarding pain relief provision
|
|
☐
|
Practical Assignment
Task 1 Process for seeking clarification and guidance from health
professional regarding comfort provision
|
|
☐
|
Practical Assignment
Task 2 Policies and procedures for supporting the person with personal care
|
|
☐
|
Practical Assignment
Task 2 Policies and procedures for applying interventions for behaviours of
concern shown by the person
|
|
☐
|
Practical Assignment
Task 3 Process for infection control
|
|
☐
|
Practical Assignment
Task 3 Process for providing support to family after the persons death
|
|
☐
|
Practical Assignment
Task 3 Process for providing support to others after the persons death
|
|
☐
|
Practical Assignment
Task 3 Process for handling of the personal effects and belongings of the
person after their death
|
|
☐
|
Practical Assignment
Task 3 Documentation requirements
|
|
☐
|
Practical Assignment
Task 4 Process for ensuring that cultural preferences are considered when
caring for the deceased persons body
|
|
☐
|
Practical Assignment
Task 4 Process for ensuring that spiritual and religious preferences are
considered when caring for the deceased persons body
|
|
☐
|
Workplace Assessment
Task 1 Meeting Minutes (Client 1)
|
|
☐
|
Workplace Assessment
Task 1 Meeting Minutes (Client 2)
|
|
☐
|
Workplace Assessment
Task 2.1 Progress Notes (Client 1)
|
|
☐
|
Workplace Assessment
Task 2.1 Progress Notes (Client 2)
|
|
☐
|
Workplace Assessment
Task 2.2 Portfolio (Client 1)
|
|
☐
|
Workplace Assessment
Task 2.2 Portfolio (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.1 Progress Notes (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.1 Progress Notes (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.1 Portfolio (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.1 Portfolio (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.2 Meeting Minutes (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.2 Meeting Minutes (Client 2)
|
|
☐
|
Workplace Assessment
Task 3.2 Copy of Progress Notes (Client 1)
|
|
☐
|
Workplace Assessment
Task 3.2 Copy of Progress Notes (Client 2)
|
|
☐
|
Workplace Assessment
Task 4.1 Self-Care Plan (Part I)
|
|
☐
|
Workplace Assessment
Task 4.2 Any supplementary evidence of accessing bereavement care
|
|
☐
|
Workplace Assessment
Task 4.2 Any supplementary evidence of accessing support of other team
members
|
|
☐
|
Workplace Assessment
Task 4.3 Self-Care Plan (Part II)
|
|
IMPORTANT:
The candidate must achieve a satisfactory result in ALL
assessment tasks to be deemed COMPETENT for the unit/s relevant to this
workbook.
To be
deemedsatisfactory in the assessments containedin this workbook, the
candidate must successfully complete all the requirements listed above
according to the prescribed benchmarks.
|
Record of Assessment
(Assessors Use Only)
|
RECORD
OF ASSESSMENT
|
|
Candidates Name
|
|
|
RTO Name
|
|
|
RTO Contact Number
|
|
|
RTO Email Address
|
|
|
Assessors Name
|
|
|
Unit of Competency
|
CHCPAL003-
Deliver care services using a palliative approach(Release 1)
|
|
Knowledge Assessment
|
S
|
NYS
|
|
Question 1
|
☐
|
☐
|
|
Question 2
|
☐
|
☐
|
|
Question 3
|
☐
|
☐
|
|
Question 4
|
☐
|
☐
|
|
Question 5
|
☐
|
☐
|
|
Question 6
|
☐
|
☐
|
|
Question 7
|
☐
|
☐
|
|
Question 8
|
☐
|
☐
|
|
Question 9
|
☐
|
☐
|
|
Question 10
|
☐
|
☐
|
|
Question 11
|
☐
|
☐
|
|
Question 12
|
☐
|
☐
|
|
Question 13
|
☐
|
☐
|
|
Knowledge Assessment
|
S
|
NYS
|
|
Question 14
|
☐
|
☐
|
|
Question 15
|
☐
|
☐
|
|
Question 16
|
☐
|
☐
|
|
Question 17
|
☐
|
☐
|
|
Question 18
|
☐
|
☐
|
|
Question 19
|
☐
|
☐
|
|
Question 20
|
☐
|
☐
|
|
Question 21
|
☐
|
☐
|
|
Practical Assessment
|
|
Case Study
|
S
|
NYS
|
|
Task 1
|
☐
|
☐
|
|
Task 2
|
☐
|
☐
|
|
Task 3.1
|
☐
|
☐
|
|
Task 3.2
|
☐
|
☐
|
|
Task 4
|
☐
|
☐
|
|
Task 4 Supplementary Question
|
☐
|
☐
|
|
Task 5.1
|
☐
|
☐
|
|
Task 5.1 Supplementary Questions
|
☐
|
☐
|
|
Task 5.2
|
☐
|
☐
|
|
Task 5.3
|
☐
|
☐
|
|
Task 5.3 Supplementary Questions
|
☐
|
☐
|
|
Task 6.1
|
☐
|
☐
|
|
Task 6.2
|
☐
|
☐
|
|
Practical Assignment
|
S
|
NYS
|
|
Task 1
|
☐
|
☐
|
|
Task 2
|
☐
|
☐
|
|
Task 3
|
☐
|
☐
|
|
Task 4
|
☐
|
☐
|
|
Workplace Assessment
|
S
|
NYS
|
|
Task 1 Client 1
|
☐
|
☐
|
|
Task 1 Client 2
|
☐
|
☐
|
|
Task 1 Supplementary Questions
|
☐
|
☐
|
|
Task 2.1 Client 1
|
☐
|
☐
|
|
Task 2.1 Client 2
|
☐
|
☐
|
|
Task 2.1 Supplementary Questions
|
☐
|
☐
|
|
Task 2.2 Client 1
|
☐
|
☐
|
|
Task 2.2 Client 2
|
☐
|
☐
|
|
Task 3.1 Client 1
|
☐
|
☐
|
|
Task 3.1 Client 2
|
☐
|
☐
|
|
Task 3.2 Client 1
|
☐
|
☐
|
|
Task 3.2 Client 2
|
☐
|
☐
|
|
Task 4.1
|
☐
|
☐
|
|
Task 4.2
|
☐
|
☐
|
|
Task 4.3
|
☐
|
☐
|
|
Rules of Evidence
|
S
|
NYS
|
|
All knowledge and skills evidence submissions are valid
|
☐
|
☐
|
|
All knowledge and skills evidence submissions are authentic
|
☐
|
☐
|
|
All knowledge and skills evidence submissions are sufficient
|
☐
|
☐
|
|
All knowledge and skills evidence submissions are current
|
☐
|
☐
|
|
Signature Authentication
Checklist
This checklist will guide you in authenticating the signatures
provided by the candidate in their assessment workbook and evidence
submissions.
Read each checklist item and tick the box only if you confirm
that the item is a true and accurate reflection of the signature
authentication you have conducted.
|
|
Checklist
|
Completed
|
|
I have checked the signature provided by the candidate in the
Assessment Workbook Cover Sheet against the signature they provided to the
Training Provider.
|
☐
|
|
I confirm the signature provided by the candidate in the
Assessment Workbook Cover Sheet matches the signature they provided to the
Training Provider.
|
☐
|
|
I confirm ALL signatures provided by the candidate in their
evidence submissions match with the signature they provided to the Training
Provider.
|
☐
|
|
Third-Party Verification
Log
Instructions for the Assessor:
You are required to contact all third-party personnel involved
in the candidates assessment to verify the candidates performance and
evidence submissions and to confirm with them whether the candidates
evidence submissions are true and accurate.
Complete this Third-Party Verification Log to document your
completion of this process. When completing this log, provide all of the
following required information for each third-party personnel:
▪
Name of third-party personnel
contacted
▪
Role in the candidates
assessment (e.g. workplace supervisor, observer, or candidate)
▪
Contact details (phone number
or email address)
▪
Date contacted
You must also confirm that third-party personnel have verified
the candidates evidence submissions are true and accurate.
|
|
Name of Third-party
Contacted
|
Role in the Candidates
Assessment
|
Contact Details (Phone
number or email address)
|
Date contacted
|
Third-Party verifies
evidence submissions of the candidate are true and accurate?
|
|
|
|
|
|
Yes ☐ No ☐
Assessors Notes
|
|
|
|
|
|
Yes ☐ No ☐
Assessors Notes
|
|
|
|
|
|
Yes ☐ No ☐
Assessors Notes
|
|
|
|
|
|
Yes ☐ No ☐
Assessors Notes
|
|
Overall Result for the Relevant Workbook/s
|
Satisfactory
|
Not yet satisfactory
|
|
Assessment Workbook
|
☐
|
☐
|
|
Overall Result for this Unit of Competency
IMPORTANT: To be deemed competent in the following unit of
competency, the candidate must be marked Satisfactory in all the relevant
workbook/s listed above.
|
Competent
|
Not yet competent
|
|
CHCPAL003 - Deliver care services using a palliative
approach(Release 1)
|
☐
|
☐
|
|
Assessors comments/feedback
|
|
|
|
Assessor Declaration
I declare that the results
recorded in this Record of Assessment are true and accurate.
|
|
Assessors name
|
Assessors signature
|
|
Date signed
|
End of Record of Assessment (For the Assessors Use Only)
End of Document
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