Professional Documents
Culture Documents
ASSESSMENT
BOOKLET
CHC33015
C ERTIFICATE III IN I NDIVIDUAL S UPPORT
DEMENTIA
Assessment Task 1: Written questions You must correctly answer all 12 questions to show that you
understand the knowledge required of this unit.
Assessment Task 2: Case studies You are to read two case studies and complete the questions
for each.
Assessment Task 3: Role plays You are undertake two role plays.
Assessment Task 4: Behaviour You are to develop a behaviour management and review
management plan plan for the client from role play 2 in Assessment Task 3.
Assessment Task 5: Project – dementia You are to complete a research project on a range of
diseases dementia diseases.
Assessment Task 6: Project – working with You are to monitor two clients with dementia for three days
clients with dementia and complete a journal for each client.
Supporting resources
You may like to look at the following websites, books and documents for more information about the topics
related to this unit:
Arnott, G 2011, The Disability Support Worker, Pearson Australia, Frenchs Forest, NSW.
Croft, H 2013, The Australian Carer 3rd edn, Pearson Australia, Frenchs Forest, NSW.
Assessment appeals
You can make an appeal about an assessment decision by putting it in writing and sending it to us. Refer to
your Student Handbook for more information about our appeals process.
1. Written questions
2. Case studies
3. Role plays
4. Project
5. Project
6. Project
Read through the assessments in this booklet before you fill out and sign the agreement below. Make sure
you sign this before you start any of your assessments.
Have you read and understood what is required of you in terms of assessment? Yes No
Do you agree to the way in which you are being assessed? Yes No
Do you have any special needs or considerations to be made for this assessment? Yes No
If yes, what are they?
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Do you understand your rights to appeal the decisions made in an assessment? Yes No
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Unit:
CHCAGE005 Provide support to people living with dementia
Student Sufficient/
Resubmission? insufficien
Assessment Task Y/N initials t Date
Written questions
STUDENT DECLARATION
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
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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.
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.
People with dementia can be more vulnerable to abuse as they may struggle to discuss their feelings and
experiences or remember what happened to them. Dementia can also make it harder to detect abuse.
Common reactions to abuse, such as withdrawal from communication, can also be symptoms of dementia.
b) List six signs of abuse that could occur with a person with dementia.
Sign 4: Bulling
c) What would you do if you suspected that a family member was purposefully withholding medication from
a person with dementia?
Person-centred approach operates according to three basic principles that reflect the attitude of the
therapist to the client:
e) What would you do if you found your stress levels were interfering with the way you work?
f) What are two physical supports that could be put in place to assist people who are wandering?
Tell neighbours about his situation so if he gets lost they can help to take him back home
1. Emotional support
2. Esteem support
h) Why is it important to look at the emotional issues that may be causing wandering?
Because they get sick easily, if something hurt them, it is important to keep them comfortable and happy.
Eye contact
Easy communication
Pictures
Yes/no communication
i) How could you adjust the following sentences so they are more positive? The first has been completed for
you as an example.
I wish you wouldn’t keep You need to kep your clothes in your room
hiding your underclothes.
Where have you put
them?
Repetitive Use distraction. Involve the person in an activity that they enjoy, go for walk or offr a
behaviour snack.
Speak calmly when answering the question, even if you have already answredit ten
times.
Learn where the Pearson’s favourite ‘hiding places’ are & let other staff know.
Uninhibited sexual Avoid approaching the person in ways that might be misunderstood.
behavior
If you are the object of sexual desire, don’t get upset. Stay calm. Keep your sense of
hamper. Try to distract them into another, non-sexual activity.
Wanting to go Spent time with him, sit with him for a while.
home
Social devaluation is the systemic belief that a group or person has less social value than others. Such
devaluation can have a negative consequence for the individual or group affected by it. Socially devalued
parties have fewer opportunities and are recognized less for their accomplishments.
j) As a personal care worker, what are two simple things you can do to help clients with dementia feel
valued?
1. Respect and dignity: -Focus on what the person can do, not what they can’t.
2. Be a good listener and be friendly: -Support and accept the person, be patient.
Reality Reality orientation (R.O) is all about The use of every day cues like clocks and
orientation presenting information about time, place calendars. Using prompts in conversation
or person in order to help a person that help people to orientate. “I feel really
understand their surroundings and full after that lunch.” “Isn’t it grey for May.”
situation. This information is repeated at
regular intervals.
Validation Validation strategies advocates that, rather If client says ‘ he is finding his car keys’
strategies than trying to bring the person with then don’t tell him he have not a car.
dementia back to our reality, it is more
positive to enter their reality.
Reminiscences Reminiscence therapy involve reaching you may have to lead it by making
the memories that reside in these still suggestions, like, “Do you remember what
viable regions of the brain. There are many you were doing when Neil Armstrong
ways to encourage these memories, and landed on the moon?”
you should. They can be comforting, even
therapeutic.
Empathy empathy are considered to show how Listening is one of the most effective ways
empathy has been used within general you can demonstrate empathy to other
nursing practice. people. When you are practicing active
listening, you are listening with purpose.
You aren't fiddling about on your phone, or
thinking about what you're going to make
for dinner tonight, you're really taking in
what the other person is saying.
Younger onset The term younger onset dementia is Dementia has been diagnosed in people
dementia usually used to describe any form of in their 50’s, 40’s and even in their 30’s.
dementia diagnosed in people under the
age of 65.
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?
Or
Hire a cab for her which pickup her from aged care and drop her with responsibility.
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.
a) Janice’s work practices are bad on many levels! What legislation is she breaking by her actions?
Janice has to tide all the files properly otherwise someone can try to clean her room and get it mess .
k) List two work practices that need to change. What is the consequence if they don’t change?
Consequence: If they don’t manage their time they will run behind all the time
Consequence: If they don’t manage important files in a nice manner then cleaner see the files and
have excess of private information.
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.
Anger If they don’t accept what he want, dementia person can get angry easily
Financial burden Too many things to do and don’t have money in their pocket cause
financial stress
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Name:
Unit:
CHCAGE005 Provide support to people living with dementia
Student Sufficient/
Resubmission? insufficien
Assessment Task Y/N initials t Date
Case study 1
Case study 2
STUDENT DECLARATION
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
Date: _________________________________________________________________________________________________
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TASK SUMMARY:
You are to read the case studies and complete the questions that follow.
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.
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.
because English is his second language, it is very easy if he can pronounce Chinese language
2. List three types of information that Chen’s family could provide to help staff understand Chen’s
individual preferences and practices.
they can write common sentences in their language, so staff can talk to chin
they can let them know about his like and dislike
staff who can speak his home language can solve these problems.
3. Why do you think Chen gets pleasure from the mah-jong set, even though he can no longer
remember how to play?
when they bring mah-jong, they observed Chen become happy, they observed he started playing if he does
not remember, which show that Chen would like this game.
4. Mei isn’t always on shift. List two things you could do to interact with Chen using the mah-jong
game as a resource.
or
they can write some common sentences in Chinese to ask Chen when they want to talk them.
6. Respect is a very important thing in the Chinese culture. Lists two ways in which you could
demonstrate respect your respect of Chen.
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.
MEI WILL TALK TO HIM REGARDING HIS GRANDKIDS, TALK HIM ABOUT GRANDKIDS 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.
9. What action should be taken so everyone knows to call the family if Chen gets distressed?
THEY WILL WRITE IN THE CLINICAL NOTES, SO THAT ALL STAFF WILL READ IT THAT
10. What support can you give to Chen’s family to help them deal with their guilt?
STAFF WILL GIVE THEM EMOTIONAL /PSCHOLOGICAL SUPPORT TO FAMILY, TRY TO MAKE THEM
UNDERSTAND THAT THEY KNOW ITS VERY HARD TO MANAGE EVERYTHING IF SOMEONE GOT
DEMENTIA
REASSURE FAMILY THAT STAFF WILL CALLL THEM WHEN CHEN WANT TO SEE THEM
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.
SEXUAL ABUSE
FINANCIAL ABUSE
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Name:
Unit:
CHCAGE005 Provide support to people living with dementia
Student
Resubmission? Sufficient/
Assessment Task Y/N initials insufficient Date
Role play 1
Role play 2
STUDENT DECLARATION
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
Date: ______________________________________________________________________________________________
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TASK SUMMARY:
You will need to undertake both role plays.
Role play 2:
There is nothing required.
If your assessor sees that you have not shown appropriate skills or knowledge, they will give you some
feedback and you will need to do the specific task again.
INSTRUCTIONS:
Clients with dementia can experience sundowning, the apparent worsening of confusion in the late
afternoon or early evening. Their behaviour may worsen and they may experience heightened feelings of
disorientation, confusion, anxiety and agitation.
For this role play, you are required to participate in a one-on-one role play with your assessor, or another
person nominated to play the part of the client.
The role play participant will be demonstrating symptoms of a client who is sundowning. You will be
required to demonstrate your ability to calm the client and demonstrate appropriate communication and
support to settle the client for the evening.
The client’s care plan states the following:
Client is subject to sundowning when she becomes agitated, confused and sometimes aggressive
When sundowning the client will pace, trying to find the way back home
Client does not like to be touched while agitated. This seems to resolve once calm.
Music and reminiscing has been found to be calming
Use the information from the client’s care plan to address the client’s needs
Use effective communication and interpersonal skills to gain cooperation
For example, be calm and reassuring; be always pleasant; use friendly, approachable and non-threatening
body language; etc
Martin has dementia and requires assistance with personal care. He often displays inappropriate sexual
behaviour. He makes lewd comments when the staff are getting him ready for his shower and often tries to
touch the female staff members when they are showering him.
He always pretends that he is not able to wash himself so that the carers will do it for him.
Martin is able to wash himself, but requires someone with him in the shower to provide assistance.
This role play involves you taking on the role of one of Martin’s carers.
Your assessor will divide you into groups of three or four to discuss strategies for dealing with his behaviour.
You are all members of Martin’s care team and have all experienced his behaviour. You now need to work out
what to do.
In Assessment Task 4 you will need to complete to beahviour management and review plan for Martin. You
should take notes during your team’s discussion.
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Name:
Unit:
CHCAGE005 Provide support to people living with dementia
Student
Resubmission? Sufficient/
Assessment Task Y/N initials insufficient Date
STUDENT DECLARATION
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
Date: ______________________________________________________________________________________________
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TASK SUMMARY:
You are to complete a Behaviour Management and Review Plan based on Martin from
Assessment Task 3, role play 2.
If your assessor identifies that you did not complete all parts of the template correctly, you will be asked to fix
the parts that are wrong and resubmit.
INSTRUCTIONS:
This task carries on from Assessment Task 3, role play 2 (Martin).
You are required to complete a Behaviour Management and Review Plan for Martin Granson. A template has
been provided for this purpose at the end of this task.
You must independently complete the template to include the two strategies you think would be the most
effective and provide a review plan to assess the success of the strategies.
Your response should be based on your discussions in Assessment Task 3, role play 2, but you should use
your own opinion of what strategies, implementation and review would be the most effective.
You can refer to the notes you took during Assessment Task 3, role play 2.
Date:
1. AGGRESSION
- when the person in situations which may produce anxiety, fear, frustration or disorientation
- when the person doesn’t know what is going to happen, or where they are going
- arguments.
When carer talk to client with calmly, confidently and reassuring manner then client understand him
properly and give response to him in every procedure. Moreover, it also helps in progress of health of client.
When carer give response of anger in a polite tone then mood of client may be controlled and comes back
to normal condition.
Make a care plane and note down all the things. with which client get back in reassurance manner.
Make care plan for every situation in which client become anger.
Care the client and talk with him in a respective and polite manner.
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Name:
Unit:
CHCAGE005 Provide support to people living with dementia
Student
Resubmission? Sufficient/
Assessment Task Y/N initials insufficient Date
STUDENT DECLARATION
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
Date: ______________________________________________________________________________________________
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TASK SUMMARY:
You are to complete a research project about dementia diseases.
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
Korsakov syndrome
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.
Description:
Alzheimer's disease is a progressive, degenerative disorder that attacks the brain's nerve cells, or neurons,
resulting in loss of memory, thinking and language skills, and behavioural changes.
Symptoms:
Pre-dementia
Early
Moderate
Advanced
The race is on. Alzheimer's and related dementias research is a dynamic field, and momentum builds each
year. This site is for professional researchers and anyone interested in following the progress in research.
The Alzheimer's Association has been involved in every major advancement in Alzheimer's and related
dementias research since the 1980's and is a leader in the global fight for a world without Alzheimer's.
Description:
Multi-infarct dementia (MID), a common cause of dementia in the elderly, occurs when blood clots
block small blood vessels in the brain and destroy brain tissue. Probable risk factors are high blood
pressure and advanced age.
The National Institute of Neurological Disorders and Stroke (NINDS) conducts research
related to MID in its laboratories at the National Institutes of Health (NIH), and also
supports additional research through grants to major medical institutions across the
country. Much of this research focuses on finding better ways to prevent, treat, and
ultimately cure the vascular dementias, such as MID.
The mission of the National Institute of Neurological Disorders and Stroke (NINDS) is to
seek fundamental knowledge about the brain and nervous system, and to use that
knowledge to reduce the burden of neurological disease. A major focus of research on HD
is to understand the toxicity of mutant huntingin protein to brain cells and to develop
potential drugs for counteracting it. Animal models of the disorder allow scientists to study
mechanisms of the disease and to move forward with strategies most likely to work and
least likely to cause harm for individuals. The HD gene discovery is allowing scientists to
recruit individuals who carry the HD gene into clinical studies early — before they become
ill. Researchers hope to understand how the defective gene affects various structures in
the brain and the body's chemistry and metabolism. Since some of the clinical symptoms
in neurodegenerative diseases may be caused by the ultimate malfunctioning of neuronal
circuits rather than by the loss of individual cells, scientists are using cutting-edge methods
such as optogenetics (where neurons are activated or silenced in the brains of living
animals using light beams) to probe the cause and progression of such circuit defects in
HD. Scientists are also using stem cells to study disease mechanisms and test potential
therapeutic drugs.
Description:
Pick disease is a rare form of dementia that is similar to Alzheimer disease, except that it
tends to affect only certain areas of the brain.
Symptoms:
General symptoms are listed below.
Behavioral changes:
1 Not able to keep a job
2 Compulsive behaviors
3 Inappropriate behavior
4 Inability to function or interact in social or personal situations
5 Problems with personal hygiene
6 Repetitive behavior
7 Withdrawal from social interaction
Emotional changes:
• Abrupt mood changes
• Decreased interest in daily living activities
• Failure to recognize changes in behavior
• Failure to show emotional warmth, concern, empathy, sympathy
• Inappropriate mood
• Not caring about events or environment
Language changes:
• Cannot speak (mutism)
• Decreased ability to read or write
• Difficulty finding a word
• Difficulty speaking or understanding speech (aphasia)
• Repeating anything spoken to them (echolalia)
• Shrinking vocabulary
• Weak, uncoordinated speech sounds
Nervous system problems:
• Increased muscle tone (rigidity)
• Memory loss that gets worse
• Movement/coordination difficulties (apraxia)
• Weakness
Symptoms:
Symptoms of dementia with Lewy bodies include:
Changes in thinking and reasoning
Confusion and alertness that varies significantly from one time of day to
another or from one day to the next
Parkinson's symptoms, such as a hunched posture, balance problems and
rigid muscles
Visual hallucinations
Delusions
Trouble interpreting visual information
Acting out dreams, sometimes violently, a problem known as rapid eye
movement (REM) sleep disorder
Malfunctions of the "automatic" (autonomic) nervous system
Memory loss that may be significant but less prominent than in Alzheimer's
Usual age range of onset: The average age at which it begins is 54.
Usual age range of onset: The average age at which it begins is 64.
Because Parkinson’s disease and Parkinson’s disease dementia damage and destroy brain
cells, both disorders worsen over time. Their speed of progression can vary widely.
Certain factors at the time of Parkinson’s diagnosis may increase future dementia risk,
including advanced age, greater severity of motor symptoms and mild cognitive
impairment (MCI). Additional risk factors may include the presence of hallucinations in a
person who doesn’t yet have other dementia symptoms; excessive daytime sleepiness;
and a Parkinson’s symptom pattern known as postural instability and gait disturbance
(PIGD), which includes “freezing” in mid-step, difficulty initiating movement, shuffling,
problems with balancing and falling.
Recent studies following people with Parkinson’s over the entire course of their illness estimate that 50 to
80 percent of those with the disease may experience dementia.
Completed template
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Name:
Unit:
CHCAGE005 Provide support to people living with dementia
Student
Resubmission? Sufficient/
Assessment Task Y/N initials insufficient Date
STUDENT DECLARATION
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
Date: ______________________________________________________________________________________________
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Date: _______________________________________________________________________________________________
TASK SUMMARY:
You are to monitor two clients with dementia on a daily basis and complete journal
entries about your experiences.
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.
Supervisor’s approval
I, ___________________________________________________________________________________________,
<Client’s name>.
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.
Signature:____________________________________________________________________________________
Date: ___________________________
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
Reality orientation
Validation
Reminiscing.
Date: ______________________________
Date: ______________________________
Supervisor name:
Reality orientation
Validation
Reminiscing.
Date: ______________________________
Date: ______________________________
Supervisor name: