Module 4

Module 4
Facilitate
Training
Session
Developed By: GENESES ARO VILLACORTE

PRESENTATIONAL MATERIALS

SELF- ASSESSMENT CHECKLIST

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary data or
information which is essential in planning training sessions. Please check the appropriate box
of your answer to the questions below.
BASIC COMPETENCIES
CAN I… ? YES NO
1. Participate in Workplace Communication
LO1. Obtain and convey workplace information
LO2. Perform duties following workplace instructions
LO3. Complete relevant work-related documents
2. Work in a Team Environment
LO1. Describe team role and scope
LO2. Identify one’s role and responsibility within team
LO3. Work as a team member
3. Solve/Address Routine Problems
LO1. Identify routine problems
LO2. Look for solutions to routine problems
LO3. Recommended solutions to routine problems
4. Develop Career and Life Decisions
LO1. Manage one’s emotion
LO2. Develop reflective practice
LO3. Boost self-confidence and develop self-regulation
5. Contribute to Workplace Innovation
LO1. Identify opportunities to do things better
LO2. Discuss and develop ideas with others
LO3. Integrate ideas for change in the workplace
6. Present Relevant Information
LO1. Gather data/ information
LO2. Assess gathered data/ information
LO3. Record and present information
7. Practice Occupational Safety and Health Policies and Procedures
LO1. Identify OSH compliance requirements
LO2. Prepare OSH requirements for compliance
LO3. Perform tasks in accordance with relevant OSH policies and
procedures
8. Exercise Efficient and Effective Sustainable Practices in the Workplace
LO1. Identify the efficiency and effectiveness of resource utilization
LO2. Determine causes of inefficiency and/or ineffectiveness of resource
utilization
LO3. Convey inefficient and ineffective environmental practices
9. Practice Entrepreneurial Skills in the Workplace
LO1. Apply entrepreneurial workplace best practices
LO2. Communicate entrepreneurial workplace best practices
LO3. Implement cost-effective operations

COMMON COMPETENCIES
CAN I… ? YES NO
10. Implement and Monitor Infection Control Policies And Procedures
LO1. Provide information to the work group about the organization's
infection control policies and procedures.
LO2. Integrate the organization's infection control policy and procedure into
work practices
LO3. Monitor infection control performance and implement improvements
in practices
11. Respond Effectively to Difficult/ Challenging Behavior
LO1. Plan responses
LO2. Apply response
LO3. Report and review incidents
12. Apply Basic First Aid
LO1. Assess the situation
LO2. Apply basic first aid techniques
LO3. Communicate details of the incident
13. Maintain High Standards of Patient / Client Services
LO1. Communicate appropriately with patients / clients
LO2. Establish and maintain good interpersonal relationship with patients /
clients
LO3. Act in a respectful manner at all times
LO4. Evaluate own work to maintain a high standard of patient / client
service
COMMON COMPETENCIES
CAN I… ? YES NO
14. Develop the Ability to Recognize Aging Process
LO1. Interpret endorsement process
LO2. Apply principles of caregiving practice
LO3. Apply infection control principles and sanitation practices
15. Participate in The Implementation and Monitoring of Client’s Care
Plan
LO1. Determine support needs
LO2. Provide and monitor support services and activities
LO3. Provide complete daily records and reports
LO4. Interpret endorsement process
16. Perform Caring Skills
LO1. Monitor and record vital signs of client
LO2. Assist client in fluids and dietary requirements
LO3. Assist client in toileting and elimination
LO4. Assist client in bathing/ showering
LO5. Assist client in perineal genital care
LO6. Assist client in oral care
LO7. Assist client in skin care
LO8. Assist client in dressing and undressing

LO9. Prepare and maintain client’s bed
LO10. Assist client in safe ambulation and transfer
17. Perform Specialty Care Procedures
LO1. Assist in simple wound care
LO2. Apply hot and cold therapy
LO3. Assist in providing palliative care to clients approaching end-of-life
stage
18. Assist Clients In Administering Medication
LO1. Prepare to assist with medication
LO2. Prepare the client for assistance with administration of medication
LO3. Assist/support medication administration according to
prescription/instructions
LO4. Provide record and report of the client
LO5. Comply with industry procedures for handling the range of
issues/contingencies which may arise
LO6. Complete the distribution and administration of prescribed medication

4th Floor Maria Compound Building, #14 Nicanor Roxas St., Brgy. San Roque, Marikina City, Philippines
ATTENDANCE SHEET
CAREGIVING (ELDERLY) NCII
Date: ___________________
No. FULL NAME SIGNATURE TIME IN

EVIDENCE PLAN
Competency standard: CAREGIVING (ELDERLY) NC II

Unit of competency: PERFORM SPECIALTY CARE PROCEDURES
Demonstration & Questioning

Ways in which evidence will be collected:
Observing & Questioning

[tick the column]
Third party Report

The evidence must show that the trainee…
Portfolio
Written
✔ ✔
 Prepares wound dressing paraphernalia based on
established standards.
✔ ✔
 Applies wound dressing techniques aseptically based on
established procedures
✔ ✔
 Observes wound assessment during the procedure based on
established standard procedures.
✔ ✔
 Understands and explain to the client the goals and benefits
of hot and cold therapy in pain management as outlined in
the care plan as prescribed by doctor.
✔ ✔ ✔
 Monitors and records wound healing progress based on
✔ ✔ ✔
 Understand the possible risk and complication of hot and
cold therapy on the client.
✔ ✔ ✔
 Applies appropriate heat/cold therapy techniques to the
client.*
✔ ✔
 Identifies and reports risk and limitations based on
established standard procedure.
✔ ✔
 Applies concepts of death, dying and other related
terminologies based on established standard.*
✔ ✔
 Applies the dying person’s bill of rights based on
established standard.*
✔ ✔
 Applies strategies to keep clean and comfortable when
discussing death and dying.*
✔ ✔ ✔
 Discuss the benefits of palliative care based on established
standards.*
✔ ✔ ✔
 Documents accurately the client’s response to palliative
care.
NOTE: *Critical aspects of competency

Name: _____________________________________
Qualification: _____________________________________
Date: _____________________________________
Multiple Choice:
Directions: Read the questions carefully. Choose the letter of the correct answer. Encircle
the letter of the correct answer. Each answer is equivalent to one (1) point.
1. Personal Protective Equipment is also called:
a. Personal Pep b. PPE

c. Equipment on the Go d. Equipment wear
2. Dehydration occurs when we don't get enough fluids.
a. Yes is it true b. No it is False it should be hydration

c. Maybe it is depends on the person d. All of the above
3. What type of toothbrush should a senior use?
a. No need for senior's to brush their teeth anymore

b. A soft toothbrush or use a gauze-wrapped popsicle stick or cotton swab if gums are
extra sensitive
c. Electric toothbrush
d. All of the above
4. This is the most simple and basic standard precaution to break the chain of infection
a. Handwashing c. Waste disposal

b. Decontamination d. Wearing PPE
5. When planning a meal, the patient wants to eat a meal that has meat, vegetables and fruit
instead of rice and viand. What important aspect of meal planning is shown here?
a. Flavors c. Variety
b. Temperature d. Texture
6. Which of the following is the example of body fluids?
a. vomit c. drainage from cuts

b. sputum d. all of the above
7. A patient has a heart rate of 120 bpm after doing exercise which of the following medical
term is used to refer to an increase heart rate.
a. Bradycardia c. Tachycardia
b. Bradypnea d. Tachypnea

8. When putting a new grown for patient the caregiver should start at
a. the weaker arm

b. the stronger arm
c. anywhere the patient like
d. either the left or right arm
9. This bed positioning is characterized by raising the head of the bed at the 90° angle.
a. sims position
b. low fowler's position
c. high fowler's position
d. Trendelenburg position
10. the following are the importance of heat application except
a. control bleeding
b. relieves muscle spams
c. overcomes feelings of children's
d. aids in removing debris from infected wound
11. Kubler-Ross Model for five (5) stage of grief are arranged in the order
a. Acceptance - Depression - Anger - Denial - Bargaining

b. Bargaining - Anger - Acceptance - Depression - Denial
c. Anger - Denial - Acceptance - Bargaining - Depression
d. Denial - Anger - Bargaining - Depression – Acceptance
12. A medical term that refers to a state a characterized by confusion, disorientation,

restlessness and cloudiness of consciousness.
a. delirium c. dysphagia
b. dyspnea d. myoclonus
13. A medical drug that is used to prevent seizures, or lessen the severity of seizure.
a. anticoagulant c. analgesic
b. anticonvulsant d. antiemetic
14. What is a medical abbreviation for “Twice a day”?
a. QID b. BID
c. TID d. OD
15. What is a medical abbreviation for “Intravenous”?
a. ID c. IM
b. IV d. INJ

16. This is a medical term that describes patient having difficulty of breathing.
a. Dyspnea c. Eupnea
b. Orthopnea d. Hypoventilation
17. This challenge that is faced by the elderly is characterized by prejudice or discrimination
on the basis of person's age.
a. Poverty c. Ageism
b. Abuse d. Mistreatment
18. When planning a meal, the patient wants to eat healthy crunchy snack with a smooth
dipping sauce for added mouthfeel. What important aspect of meal planning is shown here?
a. flavors c. variety
b. temperature d. texture
19. When offering bed pan it is very important to put some powder on the rim of the bed pan
because?
a. To provide comfort in the patient's buttocks

b. To prevent the rim from sticking into the skin
c. To adhere to the wishes or preference of the patient
d. To add fragrance to the smell while the patient is defecating
20. A patient wants to defecate but he is never allowed to leave the bed due to his medical
condition, What material should the caregiver use?
a. Portable Commode c. Fracture bedpan

b. Urinal d. Catheter
21. When using a mitted washcloth, the caregiver should always remember to
a. use only the sides of the mitted washcloth

b. use only the backside of the front side of the mitted washcloth
c. use the different side of the front side of the mitted washcloth
d. used only the front side of the mitted washcloth
22. The motion when brushing the chewing surface of the teeth should be
a. at a 45-degree angle
b. upward and downward
c. in a circular motion
d. back and forth
23. If a person's hair is not matted or tangled, the caregiver should start brushing the hair at

a. the scalp
b. the hair ends
c. the forehead and brush backwards
d. the back of the neck and brush forward
24. A patient's fingernails are usually trimmed

a. before soaking c. before trimming toenails
b. after soaking d. after trimming toenails
25. When handling linens, you should
a. put dirty linens on the floor

b. shake linens to unfold them
c. take extra linen to another person's room
d. hold linens away from your body and uniform
26. In ROM exercise flexion is described as
a. bending the body part

b. straightening the body part
c. moving the body part toward the body
d. moving the body part away from the body
27. In assistive devices, a cane should be held
a. at waist level c. on weak side

b. on the strong side d. on either side
28. A patient is out of the bed most of the day the caregiver should make
a. a closed bed b. an open bed

c. an occupied bed d. a surgical bed
29. which part of the stethoscope picks up low frequency sounds
a. earpiece c. stem
b. bell d. diagram
30. This is the type of wound that is characterized by simple breaks in the skin
a. avulsions c. contusion
b. laceration d. puncture

ANSWER KEY
1. B
2. A
3. B
4. A
5. C
6. D
7. C
8. A
9. C
10. A
11. D
12. A
13. B
14. C
15. B
16. A
17. C
18. D
19. B
20. C
21. C
22. D
23. A
24. B
25. D
26. A
27. B
28. C
29. B
30. B

DEMONSTRATION CHECKLIST WITH ORAL QUESTIONING
Trainee’s name:
Trainer’s name: GENESES A. VILLACORTE
Project-Based Assessment: ICE CAP / ICE BAG APPLICATION
Qualification: CAREGIVING (ELDERLY) NC II
Unit of Competency PERFORM SPECIALTY CARE PROCEDURES
Date of assessment:
Time of assessment: 8:00 AM – 5:00 PM
Instructions for demonstration
Given the necessary materials, tools and equipment, the candidate must be able to prepare chart of
accounts, analyze documents and prepare journal entry in 1 hour.
Materials and equipment: . Ice bag , Ice cubes or crushed ice, Flannel cover or other
cover as directed, Paper towels, 2 pcs. Of small basin, Bottle with water, Ties, tapes or
rolled gauze, Waterproof pad, Bath blanket, Clean gloves (if needed), Hospital bed/sofa
bed
OBSERVATION
 to show if evidence is
demonstrated
During the demonstration of skills, did the candidate: Yes No N/A
 Prepared wound dressing paraphernalia based on established
standards.
 Applied wound dressing techniques aseptically based on
established procedures
 Observed wound assessment during the procedure based on
 Understood and explained to the client the goals and benefits of
hot and cold therapy in pain management as outlined in the care
plan as prescribed by doctor.
 Monitored and recorded wound healing progress based on
 Understood the possible risk and complication of hot and cold
therapy on the client.
 Applied appropriate heat/cold therapy techniques to the client.
 Identified and reported risk and limitations based on established
standard procedure.
 Applied concepts of death, dying and other related terminologies
based on established standard.
 Applied the dying person’s bill of rights based on established
standard.
 Applied strategies to keep clean and comfortable when discussing
death and dying.
 Discussed the benefits of palliative care based on established

standards.
 Documented accurately the client’s response to palliative care.
 Prepare wound dressing paraphernalia based on established
standard.
 Monitored and recorded wound healing progress based on
 Understood and explained to the client the goals and benefits of
hot and cold therapy in pain management of outlined in the care
plan as prescribed by the doctor.
 Understood the possible risk and complication of hot and cold
therapy on the client.
 Applied appropriate heat/cold therapy techniques to the client.
 Identified and reported risk and limitation based on established
standard pro
 Applied concept of death, dying and other related terminologies
based on established standard.
 Applied the dying person's bill of right based on established
standard.
 Applied the principle of palliative care based on established
standard.
 Applied strategies to keep clean and comfortable when discussing
death and dying.
 Discussed the benefits of positive care based on established
standard.
The candidate’s demonstration was:
□ Satisfactory □ Not Satisfactory

QUESTIONING TOOL
Satisfactory
Questions to probe the candidate’s underpinning knowledge
response
Extension/Reflection Questions Yes No
 What are the different types of pain? □ □
 What are the signs and symptoms of an elderly with pain? □ □

Safety Questions □ □
 Why does the heat therapy in not given to pregnant women? □ □
 Why is that hat therapy is not given to patients with □ □

pacemaker/cardiac devices?
Contingency Questions □ □
 What other items can you use to contain the ice cubes or crushed □ □
ice if the ice bag is not available?
 What other items can you use in place if cold and ice packs, are □ □
not available?
Job Role/Environment Questions □ □
 Where do you dispose the used paper towel after wiping the ice □ □
bag application?
 Why is it important to prepare all the necessary tolls, materials □ □
and equipment before doing any procedures to the client?
Rules and Regulations □ □
 What will you use to measure the temperature of the application? □ □
 How long does heat or cold application be applied to the patient? □ □

The Trainee’s underpinning knowledge was: □ Satisfactory □ Not Satisfactory

PROBABLE ANSWERS:
Extension/Reflection Questions
1. Acute Pain, Chronic, Pain, Radiating Pain, Phantom Pain

2. Affected thinking and reasoning, changes in behavior, increased confusion, grimacing,
restlessness,
loss of appetite, withdrawn, aggressive, agitated.
3. Ice bag , Ice cubes or crushed ice, Flannel cover or other cover as directed, Paper towels,
2 pcs. Of small basin, Bottle with water, Ties, tapes or rolled gauze, Waterproof pad,
Bath blanket, Clean gloves (if needed), Hospital bed/sofa bed
Safety Questions
1. It can affect fetal growth.
2. Metal can conduct heat, which may cause deep tissues to be burned.
3. Every 5 minutes.
Contingency Questions
1. a sealable plastic bag.
2. A towel or cloth that was soaked in cold water or any frozen vacuum sealed pack such as
mixed vegetables, meats and cold cuts.
3. Immediately report it to the nurse to address early signs and symptoms of behavior
chabges due to pain.
Job Role/Environment Questions
1. On a garbage bin or receptacle that is used for wet waste.
2. To save time and energy
3. To an elderly, a caregiver can be a consultant, teacher and coordinator.
Rules and Regulations.
1. Bathroom thermometer.
2. 15 to 20 minutes only
3. It is recommended to wash hands for 20 seconds.

TRAINING SESSION EVALUATION FORM
INSTRUCTIONS:
This post-training evaluation instrument is intended to measure how satisfactorily
your trainer has done his job during the whole duration of your training. Please give your
honest rating by checking on the corresponding cell of your response. Your answers will be
treated with utmost confidentiality.
Very Good/ Very Satisfactory

Poor/ Unsatisfactory
Fair/ Satisfactory
Good/ Adequate
Outstanding
TRAINERS/INSTRUCTORS
Name of Trainer:
Geneses A. Villacorte
1 2 3 4 5
1. Oriented trainees about CBT, the use of CBLM X

and the evaluation system
2. Discussed clearly the unit of competencies and X
outcomes to be attained at the start of every
module
3. Exhibited mastery of the subject/course he/she is X
teaching
4. Motivated and elicited active participation from X
the students or trainees
5. Kept records of evidence/s of competency X
attainment of each student/trainees
6. Instilled value of safety and orderliness in the X
classrooms and workshops
7. Instilled the value of teamwork and positive work X
values
8. Instilled good grooming and hygiene X
9. Instilled value of time X
10. Possessed good quality of voice while teaching X
11. Used clear language/dialect in teaching X
12. Provided extra attention to trainees and students X

with specific learning needs
13. Attended classes regularly and promptly X

14. Showed energy and enthusiasm while teaching X
15. Maximized use of training supplies and materials X
16. Dressed appropriately X
17. Showed empathy X
18. Demonstrated self-control X
This post-training evaluation instrument is intended to measure how satisfactorily

your trainer prepared and facilitated your training. Please give your honest rating by checking
on the corresponding cell of your response. Your answers will be treated with utmost
confidentiality.

Fair/ Satisfactory
Good/ Adequate
Outstanding
PREPARATION
1 2 3 4 5
1. Workshop layout conforms with the components X

of a CBT workshop
2. Number of CBLM is sufficient X
3. Objectives of every training session is well X

explained
4. Expected activities/outputs are clarified X
Fair/ Satisfactory
Good/ Adequate
Outstanding
DESIGN AND DELIVERY
1 2 3 4 5

1. Course contents are sufficient to attain objectives X
2. CBLM are logically organized and presented X
3. Information Sheet are comprehensive in providing X

the required knowledge
4. Examples, illustrations and demonstrations help X
you learn
5. Practice exercises like Task/Job Sheets are X
sufficient to learn required skills
6. Valuable knowledge are learned through the X
contents of the course
7. Training Methodologies are effective X
8. Assessment Methods and evaluation system are X

suitable for the trainees and the competency
9. Recording of achievements and competencies X
acquired is prompt and comprehensive
10. Feedback about the performance of learners are X
given immediately

Fair/ Satisfactory
Good/ Adequate
TRAINING FACILITIES/RESOURCES
1 2 3 4 Outstanding
5
11. Training Resources are adequate X
12. Training Venue is conducive and appropriate X
13. Equipment, Supplies, and Materials are Sufficient X
14. Equipment, Supplies and Materials are suitable X

and appropriate
15. Promptness in providing Supplies and Materials X

Fair/ Satisfactory
Good/ Adequate
Outstanding
SUPPORT STAFF
1 2 3 4 5
1. Support Staff are accommodating X
Comments/Suggestions:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
__________________________
Signature above Printed Name


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Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

No. FULL NAME SIGNATURE TIME IN

Developed By: GENESES ARO VILLACORTE

Competency standard: CAREGIVING (ELDERLY) NC II

Demonstration & Questioning

Observing & Questioning

Third party Report

Developed By: GENESES ARO VILLACORTE

1. Personal Protective Equipment is also called:

a. Personal Pep b. PPE

2. Dehydration occurs when we don't get enough fluids.

a. Yes is it true b. No it is False it should be hydration

3. What type of toothbrush should a senior use?

a. No need for senior's to brush their teeth anymore

a. Handwashing c. Waste disposal

6. Which of the following is the example of body fluids?

a. vomit c. drainage from cuts

Developed By: GENESES ARO VILLACORTE

a. the weaker arm

10. the following are the importance of heat application except

a. Acceptance - Depression - Anger - Denial - Bargaining

12. A medical term that refers to a state a characterized by confusion, disorientation,

14. What is a medical abbreviation for “Twice a day”?

15. What is a medical abbreviation for “Intravenous”?

Developed By: GENESES ARO VILLACORTE

a. To provide comfort in the patient's buttocks

a. Portable Commode c. Fracture bedpan

a. use only the sides of the mitted washcloth

Developed By: GENESES ARO VILLACORTE

24. A patient's fingernails are usually trimmed

25. When handling linens, you should

a. put dirty linens on the floor

26. In ROM exercise flexion is described as

a. bending the body part

27. In assistive devices, a cane should be held

a. at waist level c. on weak side

a. a closed bed b. an open bed

29. which part of the stethoscope picks up low frequency sounds

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

Developed By: GENESES ARO VILLACORTE

 What are the signs and symptoms of an elderly with pain? □ □

 Why is that hat therapy is not given to patients with □ □

 How long does heat or cold application be applied to the patient? □ □

Developed By: GENESES ARO VILLACORTE

1. Acute Pain, Chronic, Pain, Radiating Pain, Phantom Pain

Developed By: GENESES ARO VILLACORTE

Very Good/ Very Satisfactory

1. Oriented trainees about CBT, the use of CBLM X

9. Instilled value of time X

10. Possessed good quality of voice while teaching X

11. Used clear language/dialect in teaching X

12. Provided extra attention to trainees and students X

Developed By: GENESES ARO VILLACORTE

15. Maximized use of training supplies and materials X

16. Dressed appropriately X

17. Showed empathy X