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CHCPAL001: Deliver Care Services Using a Pallative Approach

Assessment – CHCPAL001: Deliver care services using a palliative approach2

Competency Record to be completed by Assessor 

Observation/Demonstration


Throughout this unit, you will be expected to show your competency of the elements through observations or demonstrations. Your instructor will have a list of demonstrations you must complete or tasks to be observed. The observations and demonstrations will be completed as well as the activities found in this workbook. An explanation of demonstrations and observations:

Demonstration is off-the-job

A demonstration will require:

  • Performing a skill or task that is asked of you
  • Undertaking a simulation exercise

Observation is on-the-job

The observation will usually require:

  • Performing a work based skill or task 
  • Interaction with colleagues and/or customers

Your instructor will inform you of which one of the above they would like you to do. The demonstration/observation will cover one of the unit’s elements.

The observation/demonstration will take place either in the workplace or the training environment, depending on the task to be undertaken and whether it is an observation or demonstration. Your instructor will ensure you are provided with the correct equipment and/or materials to complete the task. They will also inform you of how long you have to complete the task.

You should be able to demonstrate you can:

  • Apply principals and aims of a palliative approach when supporting individuals
  • Respect the person’s preferences for quality of life choices
  • Follow the person’s advanced care directives in the care plan
  • Respond to signs of pain and other symptoms
  • Follow end-of-life care strategies
  • Manage own emotional responses and ethical issues.

Activities

Activity 1A

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to recognise the holistic needs of the person extending over   time, not just end-of-life.
ActivityWhat types of matters need to be   addressed in holistic care? Why is each matter important?

Activity 1B

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to support the person, carers and family to express needs and   preferences and report information to supervisor.
Activity
Why might an   elderly person be reluctant to discuss their needs and preferences with a   care worker?
Highlight three   strategies that can be used to overcome communicative barriers.

Activity 1C

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to communicate with the person, carers and family in relation   to the person’s quality of life, pain and comfort and report information to   supervisor.
Activity
Name five methods   that can be used for the identification of pain and discomfort
Write a paragraph   on the means of reporting pain and discomfort. Include details specific to   your organisation if possible.

Activity 1D

Estimated   Time25 Minutes
ObjectiveTo provide you with   an opportunity to respect the family and carers as an integral part of the   care team and ensure that they have the information and support needed.
Activity
Write a paragraph   on the ways of involving family members in the care process.
Detail five duties   that family members may assume responsibility for in the care environment

Activity 2A

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to create a supportive environment that encourages the person,   carers, family members and/or significant others to share information   regarding changing needs and preferences.
ActivityWhat external changes might result in   a change in condition of the client
How can you determine their   preferences for care?

Activity 2B

Estimated   Time50 Minutes
ObjectiveTo provide you with   an opportunity to use a non-judgemental approach to ensure the person’s   lifestyle, social, spiritual and cultural choices and needs are supported and   documented in care plan and encourage the person, carer, family and /or   significant others to freely discuss spiritual and cultural issues in an open   and safe environment within scope of role.
ActivityWrite down your own spiritual and   cultural beliefs. How have they affected your life choices and attitudes?
How can you provide culturally appropriate   palliative care
What qualities should documentation   have?

Activity 2C

Estimated   Time15 Minutes
ObjectiveTo provide you with   an opportunity to identify needs and issues outside the scope of your role   and refer to supervising colleague.
Activity
Where would you   find the details of staff members who may be referred to regarding issues   outside the scope of your role?
Which staff members   should you contact about such issues?

Activity 2D

Estimated   Time30 Minutes
ObjectiveTo provide you with   an opportunity to communicate with individuals, families, carers and /or   significant others in a manner that shows empathy and provides emotional   support.
ActivityWhat are the effective communication   skills required in palliative care? How does empathic/active listening play a   part in determining the needs of the client?

Activity 3A

Estimated   Time40 Minutes
ObjectiveTo provide you with   an opportunity to interpret and follow advanced care directives in the care   plan in line with own work role and organisation, legal and ethical   requirements, comply with end-of-life decisions as documented in the care   plan and in keeping with legal requirements, and report the person’s changing   needs and issues, in relation to end-of-life, to the appropriate team member   for documentation in the care plan.
ActivityWhat is an Advanced Care Directive and   in what situation will it be used?
How should changing   needs and issues be reported and documented at the end of life?

Activity 3B

Estimated   Time40 Minutes
ObjectiveTo   provide you with an opportunity to monitor the impact of the person’s   end-of-life needs, issues and decisions on families, carers and /or   significant others and refer to appropriate member of the care team in line   with organisation protocols to ensure they are supported and deliver services   in a manner that supports the right of individuals to choose the location of   their end of life care.
ActivityWhat impact might the client's   end-of-life needs have on the carer?
If a carer is experiencing stress, who   should they be reported to?
How can carers   support elderly individuals to make choices about suitable end-of-life   locations?

Activity 4A

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to observe and document the person’s pain and other symptoms   in line with care plan directives and promptly report to appropriate member   of the care team.
ActivityWhat is the palliative care team's   role in observing and documenting pain and other symptoms in clients?

Activity 4B

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to implement strategies to manage pain and promote comfort in   line with care plan and role.
ActivityWhat areas of comfort need to be   accounted for in palliative care

Activity 4C

Estimated   Time20 Minutes
ObjectiveTo provide you with   an opportunity to regularly evaluate and document effectiveness of   implemented strategies.
ActivityWhat is continuous improvement and how   can it be used to evaluate the implemented strategies?


Answer

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