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CHCAGE005 Provide support to people living with dementia

ASSESSMENT TASK 1: WRITTEN QUESTIONS

TASK SUMMARY:

  • This is an open book test – you can use the Internet, textbooks and other documents to help you with your answers if required.
  • You must answer all 12 questions correctly.
  • Write your answers in the space provided.
  • If you need more space, you can use extra paper. All extra pieces of paper must include your name and the question number/s you are answering.
  • You may like to use a computer to type your answers. Your assessor will tell you if you can email them the file or if you need to print a hard copy and submit it.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Access to textbooks and other learning materials.
  • Access to a computer and the Internet (if you prefer to type your answers).

WHEN DO I DO THIS TASK?

  • You will do this task in the classroom or for homework – your assessor will advise.
  • Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

  • Answer the questions that were incorrect in writing.
  • Answer the questions that were incorrect verbally.

QUESTION 1

  1. Why are older people with dementia more vulnerable to abuse than those without dementia?
  2. List six signs of abuse that could occur with a person with dementia.
  3. What would you do if you suspected that a family member was purposefully withholding medication from a person with dementia?

QUESTION 2

  1. How does the practice of ‘person-centered’ care benefit a client with dementia?
  2. What are the main principles of a person-centred approach?

QUESTION 3

  1. Caring for people with dementia can be very frustrating and stressful. List two signs that you notice when you are becoming stressed.
  2. What would you do if you found your stress levels were interfering with the way you work?

QUESTION 4

Wandering is a common behaviour of people with dementia.

  1. Why is wandering a problem in an aged care residence?
  2. What are two physical supports that could be put in place to assist people who are wandering?
  3. What are two social supports that could be put in place to assist people who tend to wander?
  4. Why is it important to look at the emotional issues that may be causing wandering?

QUESTION 5

  1. What are six communication techniques you should use when communicating with a person with dementia?
  2. How could you adjust the following sentences so they are more positive? The first has been completed for you as an example.

Negative sentence

Positive sentence

Don’t sit there – it is too hot.

You are not allowed in other people’s rooms.

You can’t go home – you live here now.

You haven’t finished your dinner again.

I wish you wouldn’t keep hiding your underclothes. Where have you put them?

My name is Angela. I’ve told you five times in the last half hour.

QUESTION 6

In the following table, suggest two appropriate care approaches that may be used to assist with each type of challenging behaviour.

Behaviour

Care approaches

Repetitive behaviour

Paranoia

Aggression

Sundowning

Uninhibited sexual behavior

Wanting to go home

QUESTION 7

In the following table suggest two appropriate care approaches when providing personal care assistance to maximise independence for a person with dementia.

Personal care activities

Care approaches to maximise independence

Eating Bathing

Oral care

Dressing

QUESTION 8

  1. Explain in your own words what is meant by the ‘social model of devaluation’.
  2. As a personal care worker, what are two simple things you can do to help clients with dementia feel valued?

QUESTION 9

Describe each of the following terms – give an example of each.

Term

Description

Example

Reality orientation

Validation strategies

Reminiscences

Empathy

Acknowledgement

Younger onset dementia

Term

Description

Example

QUESTION 10

Maud wants to walk down to the town for a coffee like she always used to. Maud has the early stages of dementia and has a reputation for getting lost.

What action could you take to make sure Maud is safe, balancing with her wish to be independent and be able to take risks?

QUESTION 11

Janice is up to her ears in paperwork. She has to check all the client care plans before the auditor comes next week. She has client files all over her desk, on top of the cabinet and on the floor.

There is a big pile of loose papers that need to be filed, so she is doing that first.

Today is Friday. When it is time to go home for the weekend, Janice puts up a large sign in her office: ‘DO NOT TOUCH ANY OF THESE FILES’.

She thinks she has done well to remember to do this as the cleaner comes in over the weekend and she doesn’t want the cleaner moving things around .otherwise she won’t know where she is up to.

  1. Janice’s work practices are bad on many levels! What legislation is she breaking by her actions?
  2. List two work practices that need to change. What is the consequence if they don’t change?

Practice 1:

Consequence:

Practice 2:

Consequence:

QUESTION 12

In a paragraph each, discuss each of the following emotions that may be felt by a person with dementia or their family members.

Depression

Loss and grieving

Anger

Despair

Social embarrassment

Isolation

Financial burden

ASSESSMENT TASK 2: CASE STUDIES

TASK SUMMARY:

You are to read the case studies and complete the questions that follow.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Access to textbooks and other learning materials
  • Access to a computer and the Internet (if you prefer to type your responses).

WHEN DO I DO THIS TASK?

  • You will do this task in the classroom or as homework – your assessor will advise.
  • Write in your due date as advised by your assessor:

WHAT DO I NEED TO HAND IN?

  • Your answers to the questions in each case study.

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

  • Answer the questions that were incorrect in writing. ▪ Answer the questions that were incorrect verbally.

CASE STUDY 1: CHEN

Chen is 95 years old. He migrated from China many years ago but has lived largely in the Chinese community. Chen has dementia and is unable to remember any English words. Chen is now in residential care as he is unable to look after himself.

Chen has two daughters and a son who come to see him frequently. They feel guilty that they cannot look after Chen at home but they each have jobs and do not feel able to look after him.

There is one Chinese worker (Mei) who speaks Mandarin – Chen’s first language.

    1. How do you think Mei’s involvement in Chen’s care team will benefit Chen?
    2. List three types of information that Chen’s family could provide to help staff understand Chen’s individual preferences and practices.

You are member of Chen’s care team. You do not speak Chinese. You find out from the family that Chen liked playing Mahjong, but he no longer remembers how to play.

They bring a mah-jong set in for him and you notice he likes to play with the pieces and look at the symbols. He rubs the pieces between his fingers and sets them out in front of him on his table.

    1. Why do you think Chen gets pleasure from the mah-jong set, even though he can no longer remember how to play?
    2. Mei isn’t always on shift. List two things you could do to interact with Chen using the mah-jong game as a resource.
    3. Describe two ways in which you can communicate with Chen when there is no one available who speaks Chinese.
    4. Respect is a very important thing in the Chinese culture. Lists two ways in which you could demonstrate respect your respect of Chen.

He is usually quite a happy person. Today he is distressed, restless and agitated. He gets up, then sits down, then gets up again. He is wringing his hands and saying the same thing over and over. He does not seem to notice you.

    1. What action should you take?

Mei is brought in to talk to Chen. Apparently he is very distressed as he thinks his children should be looking after him. He thinks they have deserted him for good – he has forgotten they visited yesterday and will be coming again tomorrow to see him.

    1. What support can Mei give to Chen?

Chen’s family are very distressed that he was so upset and thought that they had deserted him. They would never do that and feel very guilty that they have put him into care.

They have asked that, should he get distressed again, the facility should ring them and one of them will come straight over.

They ask about how the dementia is likely to progress and what will happen to their father.

  1. What action should be taken so everyone knows to call the family if Chen gets distressed?
  2. What support can you give to Chen’s family to help them deal with their guilt?

List two places where Chen’s family could find information about dementia and how it is likely to progress.

CASE STUDY 2: FRANCESCA

Francesca is 43 years old. She has young onset dementia caused by a lifetime of alcohol and drug abuse. Francesca lives at home with her sister and care workers visit once a week at check how Francesca is.

Today her sister tells the carer that she is worried about Francesca. She has a new boyfriend who is known to be a heavy drug user. He comes round often and hangs around with Francesca. Francesca is happy to have the attention and has started dressing very promiscuously.

There is money disappearing from Francesca’s bank account. When Francesca’s sister asks her about it, she can’t remember where the money has gone. She suspects that the boyfriend is conning it out of her so he can support his drug habit.

She is also afraid that he is giving her drugs as she often seems very spaced out after he has been to visit. She suspects they may be date rape drugs. She understands that Francesca is entitled to her own personal life, but is very concerned about what is happening.

  1. List two types of abuse that may be occurring here.
  2. What actions must the worker take to report the suspected abuse?

ASSESSMENT TASK 3: PROJECT – DEMENTIA DISEASES

TASK SUMMARY:

You are to complete a research project about dementia diseases.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Access to a computer with the Internet and Microsoft Word (if students prefer to type their answers).
  • Textbooks and other relevant reference materials.

WHEN DO I DO THIS TASK?

  • You will do this task in the classroom or as homework – your assessor will advise.
  • Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete all requirements of this task correctly, they will give you some feedback and you will need to redo the incorrect part/s again.

INSTRUCTIONS:

For this task you are required to conduct research on seven different dementia conditions:

  • Alzheimer’s disease
  • Multi-infarct dementia
  • Huntington’s disease
  • Pick’s disease
  • Dementia with Lewy Bodies
  • Parkinson’s disease.

You must complete the following template.

For each disease you will need to research:

  • Its description
  • Symptoms
  • Usual age range of onset
  • Changes to the brain ▪ How it typically progresses ▪ Current research. You may either compete the template in handwriting, or you may type your responses using Microsoft Word or a similar program. Your answers may be provided in full sentences or in a series of dot points.

ALZHEIMER’S DISEASE

Description:

Symptoms:

Usual age range of onset:

Changes that occur in the brain

How the disease typically progresses

What current research is being done?

MULTI-INFARCT DISEASE

Description:

Symptoms:

Usual age range of onset:

Changes that occur in the brain:

How the disease typically progresses

MULTI-INFARCT DISEASE

What current research is being done?

HUNTINGTON’S DISEASE

Description:

Symptoms:

Usual age range of onset:

Changes that occur in the brain:

How the disease typically progresses

What current research is being done?

PICK’S DISEASE

Description:

Symptoms:

Usual age range of onset:

Changes that occur in the brain:

How the disease typically progresses

What current research is being done?

DEMENTIA WITH LEWY BODIES

Description:

MULTI-INFARCT DISEASE

Symptoms:

Usual age range of onset:

Changes that occur in the brain:

How the disease typically progresses

What current research is being done?

PARKINSON’S DISEASE

Description:

Symptoms:

Usual age range of onset:

Changes that occur in the brain:

How the disease typically progresses

What current research is being done?

ASSESSMENT TASK 4: PROJECT – WORKING WITH CLIENTS WITH DEMENTIA

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Two clients with dementia with which to work
  • Approval from supervisor (see permission form at end of this task) ▪ Client care plans for each client.

WHEN DO I DO THIS TASK?

  • You will need to do this task during your work placement.
  • Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete parts of the journal correctly, your assessor will ask you to redo that section again.

INSTRUCTIONS:

You are required to work with two clients with dementia for a period of at least three days each. The days may be consecutive (one after the other) but do not have to be.

You must obtain permission from your supervisor to work with these clients for a period of three days each. Use the permission form at the end of this task. You will be supervised at all times during your work with these clients.

You will need to:

  • identify two clients at your work placement service who have dementia ▪ work with your chosen clients over a period of three days:
  • complete your journal (see the next page for the journal template).
  • ask your supervisor to sign each of your journal entries as a true account.

Working with Clients with Dementia – Permission Form

Supervisor’s approval

I,

<Supervisor’s name> approve

<student’s name> to undertake this project with

<Client’s name>.

Approval is dependent on the following conditions:

  • The student must be supervised at all times when working with the client.
  • The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

ASSESSMENT TASK 6: WORKING WITH CLIENTS WITH DEMENTIA

Complete this journal for each of the clients that you work with. You must work with each client for at least three days. You must complete each part of the journal. As you complete the tasks, ask your supervisor to sign off each entry to indicate that it is a true account and that you followed workplace policies and procedures. Your assessor may ask you questions about your journal entries during a workplace visit.

CLIENT 1

Observation Date 1:

Observation Date 2:

Observation Date 3:

Comments

Supervisor initials

What was the outcomes of your discussions with the client’s family and/or carers?

Describe the client’s dementia conditions, including indicators and symptoms

List the daily care that you provided or observed for the client.

What communication strategies work well when working with this client?

Include use and appropriateness of:

  • Reality orientation
  • Reminders of day, time, relationships and so on
  • Validation
  • Acceptance of person’s reality
  • Reminiscing.

SUPERVISOR SIGN OFF

I confirm that the student’s journal is an accurate account.

Supervisor name:

Supervisor signature:

Date:

CLIENT 2

Observation Date 1:

Observation Date 2:

Observation Date 3:

Comments

Supervisor initials

What was the outcomes of your discussions with the client’s family and/or carers?

Describe the client’s dementia conditions, including indicators and symptoms

List the daily care that you provided or observed for the client.

What communication strategies work well when working with this client? Include use and appropriateness of:

  • Reality orientation
  • Reminders of day, time, relationships and so on
  • Validation
  • Acceptance of person’s reality Reminiscing.

Are there cultural practices that are important to this client? How are these supported by the facility?

What activities does this client enjoy doing? How are these activities beneficial to the client?

Does the client have any behaviours of concern? What strategies are used to reduce the likelihood and impact of these? In what way is the client provided with a stable and familiar environment?

SUPERVISOR SIGN OFF

I confirm that the student’s journal is an accurate account.

Supervisor name:

Supervisor signature:

Date:

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