ASSESSMENT INSTRUCTIONS

· This assessment contributes to the determination of competency in this unit.

· You are required to answer all questions to a satisfactory level to gain a satisfactory grade in this assessment
task.

· Should you have any concerns about this assessment, please contact your trainer/assessor before beginning
the task.

ASSESSMENT TASK 2 – Case Study

This task consists of 19 questions related to the following case study about Bruno and Francis:

Bruno and Francis Brunetti are an elderly couple living independently in their own home.
Bruno built the house when they first arrived in Australia and they have lived happily
there for 40 years. Despite dreams of having a large family, the Brunetti’s only had one
daughter Sophia. Sophia is married and lives in Italy with 3 children.

Bruno and Francis have been independent and self-caring but have found it increasingly
difficult to keep up with house and yard duties. Last month Bruno lost his driving licence
and Francis has never learnt to drive. Since then they have not attended their Catholic
church and have stopped attending social activities. Francis has been purchasing her food
from the local corner shop, as the large supermarket is too far to walk to.

Sophia is ringing her parents and supporting them as much as she can. She has informed
their local General Practitioner (GP) that she feels they are both becoming increasingly
depressed. The Brunetti’s wish to stay at home as long as possible as they don’t want to
be separated. An Aged Care Assessment Team (ACAT) have reviewed the Brunetti’s and
have determined they would both be eligible for supported care, particularly Bruno. The
Brunetti’s have been admitted to your organisation for respite care with a view to
permanent placement.

· Bruno requires assistance with daily personal care needs

· Bruno needs incontinence care

· Bruno requires assistance with mobility due to worsening arthritis

· Bruno and Francis require meals monitoring due to the decline in their
good eating habits

· Bruno and Francis require encouragement to remain focused on enjoyable

activities

· Bruno has become increasingly dependent on Francis and she is exhausted

1. List two (2) factors that are important in a relationship to develop and maintain trust
Answer : As a care worker, one should have the ability to develop a prosperous relationship with a client, hope to engage
with each other and effect beneficial change in the client.
Two Factors that are important in a relationship to develop and maintain trust :
a. Good communication skills : listening actively - face the person, eye contact as appropriate, asking questions about
what the client is speaking about, gaining clarification of anything that is not clear to you, reflecting on what has
been said, summarizing a conversation,
b. Active Listening : Listening with all the senses, it involves showing a caring responses to the person you are listening
to. Asking questions if parts of the message are not clear to you. Showing you understand the underlying emotion
like content & feeling.
2. What does ‘Duty of care’ and ‘Dignity of Risk’ mean for the Brunetti’s?
Answer : Duty of Care is to ensure that you do everything you are supposed to do to keep your clients safe, well and free
from any type of harm. Harm could be mental or emotional, not just physical. This involves doing the right things according to
your organizations, policies and procedures in every situation.
There are several aspects to duty of care:

● Physical injury (from an unsafe environment)

● Physical injury (as a result of violence from other clients or workers)
● Sexual abuse (by another client or a worker)
● Infectious disease
● Misinformation

‘Duty of care’: for Brunetti’s

● Choice and decision making have already been identified as one of the Brunetti’s basic rights
● If the Brunetti’s choices are believed to put the client at risk of injury in any way it is our Duty of Care to inform the
client of the associated risks. From there it is up to the client to make an ‘informed’ decision on the identified issue
● Daily care needs for Bruno
● Assistance with Mobility

‘Dignity Of Risk : is the idea that self-determination and the right to take reasonable risks are essential for dignity and self-
esteem and so should not be impeded by excessively-cautious caregivers, concerned about their duty of care.

‘Dignity of risk’ : for Brunetti’s :

● a choice that some people in aged care don’t get to make
● Information on healthy eating and possible risk of declining good food habits
● Bruno can either eat foods that are liquefied, and possibly quite bland, but are safe and ensure that they still get a
nutritious meal.
● Brunetti’s require to focus on enjoyable activities for happy life

3. How would you support the interests, dignity, privacy and decision making for the Brunetti’s? Give an example of a
workplace policy that supports your answers.
Answer : As an Organisation, First we need to check their interests, Interview them and do assessment on their
requirement, understanding their concerns. Talk about the benefits of finding out about aged care, for example you will
know what to do if you need care unexpectedly. Focus on what you want in the future and how you can work together to
maintain your way of life. Talk about the services that may help you at home such as nursing care, gardening or home
maintenance.
Dignity : To treat someone with dignity is to treat them in a way that is respectful of them and as valued individuals. In a care
situation, dignity may be promoted or lessened by physical environment, organisation cultures, attitudes and behaviour of
the nursing team.
Privacy : Personal information about your identity must be kept confidential. Service providers have policies that explain how
they will collect, store and manage your personal information. Professionals and services are required by state or territory
law and provisions of the Commonwealth Privacy Act 1988 protect your right to privacy.
Finally Decision making is all about how one wants to live their life. Supporting their decisions, giving them choices and
possible explaining with all the consequences and respecting them. Speaking with their daughter and also advising her with
all the possible options could be one of the best things can be done for Brunetti’s.

4. What are the basic principles of an individualized plan?

Answer : The Individualized Plan is a summary of the needs and service options identified in the assessment process and is
an outline of the plan developed by the client and Case Manager to meet the client's needs.
Individualized plans include formal developed documented plan, less formal ad hoc planning process.
Individualized plan may address the requirement of older people, people with disability and implement in community
services, clients home and residential services.
Appropriate communication and relationship building processes may include courtesy, empathy, nonjudgmental support,
observing and listening, respect of individual difference.
Monitor support activities may include feedback from person, family, carer.

5. What are your roles and responsibilities in developing and following the individualized plan?
Answer : As a Lifestyle support assistant my role and responsibility includes reading individual’s file, understanding the
requirements and implementing those requirements on daily basis. Providing feedback to the Coordinator informing to the
concern carer / friends if there's any changes in the clients requirement.
● Understand and follow individualized plan
● Respond to client's preferences
● Apply physical and psychosocial aspects of the client in supporting their individualized plan
● Identify and respond to risks associated with supporting the individualized plan
● Liaise and report appropriately to supervisor and/or other health professionals
● Adhere to own work role and responsibilities
● Demonstrate safe and effective use of workplace technology, including information technology, in line with work
health and safety (WHS) guidelines
● Make informed observations and report appropriately

6. List what is important to maintain a clean, comfortable, safe and healthy environment for the Brunetti’s.
Answer : Following are the important aspects for healthy, safe & clean and comfortable environment for Brunetti’s
● Good and continue care management
● Suitable domestic support
● Social support & Personal care support
● Reliable transport to get to the shops / Church

7. How would you make sure the Brunetti’s cares and activities are appropriate to their preferences and needs?
Answer : To make sure Brunetti’s care and activities are appropriate to their preferences and needs we need to contribute
to ongoing relevance of the individualised plan by :
● Participate in discussion with the client and supervisor to identify areas of the individualised plan that require review
● Participate in discussion with the client and supervisor in a manner that acknowledges the client as their own
experts
● Participate in discussion with the client and supervisor in a manner that supports client self determination

8. List three (3) strategies that promote the Brunetti’s independence and participation in cares and activities that
would improve or maintain their current skill levels.
Answer : Following are the strategies that are important for Brunetti’s :
Being healthy, physically active and socially engaged throughout your life has many benefits, especially as you grow older.
Some simple tips to help you to achieve healthy and active ageing include:

● Maintain a balanced diet. This is important for a healthy body and healthy brain. Eating a well-balanced diet is an
important part of staying healthy as you age. It can help you maintain a healthy weight, stay energized, and get the
nutrients you need. It also lowers your risk of developing chronic health conditions, such as heart disease and
diabetes.
● Do regular physical activity. This is essential for your body and mind. Regular physical activity builds muscle and
helps to control weight, blood pressure, cholesterol, diabetes, pain, as well as bone and joint problems such as
 osteoporosis and arthritis. It can also reduce your risk of heart disease, stroke, some cancers, and help prevent falls
and injury
● Actively participate socially and engage with others. This contributes to your overall health and wellbeing by
strengthening your sense of belonging and creating social relationships.

9. How will you monitor and evaluate the Brunetti’s individualised plans?
Answer : Monitor and evaluate support individualised plan may include :
● Feedback from person, family, carer and other interested people
● Observations
● Requests

10. Who will you report to if the individualised plan does not match the Brunetti’s needs and requires changing?
What indicators would you need to be aware of in relation to unmet needs?
Answer : To start with we need to Provide assistance to maintain a safe and healthy environment. Identify situations of risk,
or potential risk, to the client and report to a supervisor.
Respond to situations of risk, or potential risk appropriately and communicate to a supervisor. Implement strategies to
minimise risk and communicate to a supervisor and colleagues. Report uncharacteristic or behaviours of concern to a
supervisor.
Following are the indicators for heads-up for unmet needs :
Aggression (physical and/or verbal), Agitation, Confusion, Depression, Disinhibition / Disorientation, Eating problems,
Emotional distress, Impulsivity, Perseveration, Self mutilation, Sleeplessness, Substance abuse,
Withdrawal

11. List three (3) potential or actual risks when caring for the Brunetti’s?
Answer : Following are the potential or actual risks involved when caring for Brunetti’s :
● Slippery or uneven floor surfaces, physical obstructions (e.g. furniture and equipment), poor home maintenance,
poor or inappropriate lighting, inadequate heating and cooling devices
● Environmental hazards, inadequate security
● Evidence of abuse, Evidence of self-harm, Evidence of self-neglect, Impaired cognitive functioning, Impaired
judgement and problem solving abilities
● Sudden or unexpected change in health status include sensory loss, Uncharacteristic or behaviours of concern

12. List three (3) strategies you could implement to reduce these potential or actual risks?
Answer : Falls can happen to anyone, but, unfortunately, as you grow older falls can become more common and you are
more likely to injure yourself. Most elderly people fall in and around the home. Falls are also common in aged care homes. If
you have a serious injury it can lead to a change in where you live.
Things you can do to reduce your risk of falling include:

● Eating healthy and nutritious food, drinking enough fluids, maintaining a healthy and active lifestyle, with regular
exercise to prevent your muscles weakening and joints stiffening
● Taking medication only as prescribed, wearing the right shoes – comfortable, firm-fitting, flat shoes with a low wide
heel, laces, buckles or Velcro fastenings and rubber soles that grip, wearing slippers which are good fitting
● Making sure clothing is not too long causing a trip hazard (touching the floor), hazard proofing your home to make it
as safe as possible – removing slip or trip hazards like loose rugs or mats and repairing or replacing worn areas of
carpets, wiping up spills immediately, making sure there is adequate lighting, especially at night, using your walking
aid at all times
● Installing grab rails in the bathroom, keeping pathways in good repair and clean, marking the edge of steps so they
are easy to see

13. Name three (3) workplace policies or procedures that will assist you to implement these strategies.
 Answer : The following policies / procedures that assist the strategies :

Manual handling Policy : Manual handling of people refers to any activity requiring the use of force or effort by a person to
lift, carry, lower, push, pull, support, move, hold or restrain another person. The mobility and manual handling of people is an
important aspect of aged care.

Work Health & Safety Policy for care work : Take reasonable care for your health and safety in the workplace. You must also
take reasonable care for the health and safety of others who may be affected by what you do or don't do. Cooperate with
your employer about any action they take to comply with the OHS Act or Regulations.

Medication Handling policy for care work : Consolidates best practice principles on medication procurement, storage,
prescribing, supplying, dispensing and administration at NSW public health facilities with the requirements of the NSW
Poisons and Therapeutic Goods Act 1966 and the Poisons and Therapeutic Goods Regulation 2008, NSW Health policies and
NSW Health directives relevant to medication handling.

14. Mr Brunetti has a fall when walking to the bathroom. What workplace documentation is required following his fall?

Answer : Following procedure will take place and documentation required for Mr. Brunetti’s fall :

● Comply with the organisation's reporting requirements

● Complete documentation Incident Reporting according to organisation policy and protocols. Incident Report : an
incident report needs to be filled for Mr. Brunetti’s fall, recording every detail of the incident including time of the
fall, place, evidence if required, doctor’s certificate and his statement

● Maintain documentation in a manner consistent with reporting requirements, Incident Report needs to sent thru to
the Coordinator for information and further procedure and handling. Coordinator then send or inform Care
Manager for further proceeding and follow ups for discussion

● File documentation in accordance with organisation policy and protocols

● During the Monthly WHS safety meeting, all the incidents happened during the month will be discussed and
resolved and will be sent for the Audit.

15. Where would you find information on your own organisation’s policies and procedures?
Answer : The information regarding policies and procedures can be found on following place :
● On the J: Drive in the local network of the Organisation
● Hard Copy can be found in the front / admin office of the organisation
● Policies & procedures can be found on the Compact Disk (CD) which is available in HUman Resource Department and
is given to all the staff during the Recruitment

16. List two (2) ways you can support the Brunetti’s to participate in activities they used to enjoy
Answer : Following are the ways a Care worker can support to Brunetti’s :

As we are aware that due to Bruno’s loss of driving License, Brunetti’s mobility has reduced drastically. They require active
engagement to remain focused on enjoyable activities. Since then they have not attended their Catholic church and their
social activities has stopped.

As a Support worker apply understanding of organisation's policies, protocols and procedures in relation to the individualised
planning process. Confirm individualised plan details with the client, Work with client to identify actions and activities that
support the individualised plan.
Prepare for support activities according to client's individualised plan, preferences and organisation policies, protocols and
procedures.

It is very important for an organization and care worker to support them in term of transport, to be engage in socially active
and remain focused on enjoyable activities.

17. Francis wants to complain about Bruno’s fall. What procedure would you would follow?
Answer : As an Life support worker, following the procedure :
Whether you make your complaint in person, in writing or anonymously, the service provider must deal with your complaint.

● Provide with a Feedback / Concern / Complaint form

● Advise Francis of the whole process that involves Complaint form needs to sent to the Coordinator with detail
information and concern for further procedure and handling
● Coordinator then send and inform Care Manager with detail for further proceeding and follow ups for discussion
● During the Monthly WHS safety meeting, all the Incidents/ Complaint happened during the month will be discussed
and resolved and will be sent for the Audit

Sometimes complaints can’t be resolved by the service provider. You may also not feel comfortable raising your concerns
directly with them. Anyone who wishes to make a complaint has the right to contact the Aged Care Quality and Safety
Commission. This is a free service.

18. What policy and/or procedures relate to the storage of information?

Answer : Community and disability services workers regularly work with sensitive information that is communicated in
confidence. Confidentiality as a principle suggests that you keep information about clients private in order to safeguard their
dignity and their right to the basic privacy afforded to every other individual.
Professionals and services are required by state or territory law and provisions of the Commonwealth Privacy Act 1988 to
protect your right to privacy. These state and territory laws may need to be observed as well as federal laws with regard to
privacy.
● The Act includes extra protection of the privacy of your health information, including:
● the right to be told how your information will be used
● your right to make choices and to control your information
● the right to see your health record and to ask for corrections
● your right to be told why and when your information will be shared

Information management : The Privacy Act describes how your personal information can and can’t be collected, used,
protected and stored. You have the right to ask how your information will be looked after.

Appeals and complaints : If you believe there has been a breach of confidentiality, you can make a formal complaint. You can
make your complaint directly to the service provider or externally through the relevant government department.

The Freedom of Information Act 1982 gives you the right to see records kept by agencies and services. The Act also gives you
the right to request changes to the information. If services don’t comply, you can ask for a review or make a complaint
through the Australian Information Commissioner.

19. What are some of the factors that affect people who require support?
Answer : Following are factors that affect people who require support :

● Aboriginal and Torres Strait Islander people

● People who speak other languages
 ● LGBTI people
● People in rural and remote areas
● People with disabilities
● Care leavers
● People who are financially disadvantaged
● People facing homelessness

END OF TASK 2