CHCAGE001: Provide three (3) examples of myths/ stereotypes about older people and aging Depression and loneliness are normal in older people: Facilitate the empowerment of older people Assignment, TAFE, Australia

Unit Code/s & Name/s:

CHCAGE001 – Facilitate the empowerment of older people

CHCCCS023 – Support independence and wellbeing

CHCCCS015 – Provide Individualised Support

Part A

1. Provide three (3) examples of myths/ stereotypes about older people and aging.

・ Depression and loneliness are normal in older people.
・Older people can not learn new things and being less creative.
・Aging makes people unable to adapt to new situations.

2. In the table below, provide three (3) examples of how ageing may affect an older person (physical, social &/or psychological changes) and explain how this change may affect the support you provide.

Individual difference	Affect
Example: Hearing Loss	The need to adjust communication style
Less mobility	Using wheel chair, Set aside adequate time to move
Religious beliefs	Taking to church or provide a private chaplain service
Social isolation	Provide recreational activities, Social outings and groups

3. a) Older people differ in areas such as race, gender religion, culture, language and sexuality. Choose two (2) of these areas and describe how your beliefs and values about these can influence the support you offer to older people.

・Culture: If the client have special dietary needs, cooperate with Dr. and a nutritionist to meet the client’s needs.

・Language: To speak clearly and using simple words or if there is a difficulty to communicate with the client, to provide interpretation service.

b) Provide three (3) examples of how a support worker could support and promote an older persons cultural and spiritual needs/preferences

・Workers could organise to provide particular pray spaces or access to church and chaplaincy services.

・Comunicate with their language. Provide the client interpretation service to understand each other.

・Workers should listen carefully client’s needs and learn specific knowledge about her culture

c) How could an older person’s wellbeing be affected by a change in their career/occupation?

・Socializing issue/income issue/self esteem （still usuful）
・Get new occupation

4. Choose one (1) stage of Erikson’s Psychosocial Development and explain how it relates to old age?

・Integrity vs Despair (Stage 8)

This stage begins at age 65 and lasts throughout the rest of the person’s life. If they are satisfied with their life, their age with grace. They often feel pride in what They have accomplished and want to demonstrate their wisdom to others.‌ If people don’t feel a sense of accomplishment when they look back on their life, they may fall into despair. When that happens, they tend to focus more on regrets.

5. a) List three (3) recognised mental health conditions that could be present in clients.
・Depression
・Anxiety
・Bipolar disorder and schizophrenia

b) Provide an example of how each condition may impact on a client’s overall wellbeing.

・Good mental health contributes greatly to an overall feeling of well-being. Mental health disorders in old people can lead to diminished functioning, substance abuse, poor quality of life, and increased mortality.

6. In order to demonstrate your understanding of each of the following terms, please explain each term and give an example of how you might comply with that obligation in your work with clients.

a) Strengths-based practice:

・It means that support staff should always be seeking to maximizw and enhance the person’s skill base and focus on their abilities.

・Respect set goals and aspirations of clients for growth and change.

b) Rights-based approach:

・The framework lays out ten main human rights domains relevant to persons with care and supports needs, and provides an in-depth description of the substantive rights that each of these ten main domains should include.
・Be respect
・Being safe
・Right no discrimination

d) Person-centred approach:

・A person-centred approach to service delivery ensures that the person accessing a service is central to service delivery. This model responds to the whole person and focuses on a social model of care rather than a medical model of care. Person centred care is a holistic approach that values people living with dementia and treats them as individuals.

As a worker in the aged care sector you have a responsibility to ensure that you familiarise and interpret your clients’ individual care plan. The clients’ needs will change as they move though the different stages of dementia. The client’s individual care plan will need to be adapted to address these change

・Everyone in aged care has the right to be safe, treated with dignity and respect, and receive high quality care and services. Person-centred care supports you to be an active partner in your care.

・This principle may be approached by establishing with the individual what information they want to be shared with the friends, family or other professionals. A person-centred care approach helps the patient to perform as many everyday activities by themselves as they can.

d) Consumer-directed approach:

・Consumer Directed Care is a term used in the aged care sector to explain a way of providing services that allows those receiving services to make choices about the types of services they want, and who should provide them.

・You can shop around for the types of services you need and want, and choose who you want to provide those services. You can get the best price and make your funding go further. You are able to ask the organisation providing your services to hire the care worker of your choice.

e) Palliative approach:

・A palliative approach is a type of palliative care. A palliative approach recognises that death is inevitable and focuses on the care rather than cure of a person with multiple chronic conditions, frailty and/or a life-threatening or life-limiting illness.

・Statement choice: What their wishs
・Improve someone quality of life comfortable keeping
・Family meeting

f) Dignity of risk:

・ It is a person who is aged, or who has disability has the right to reasonable amounts of risk in their lives and should not be deprived of the outcomes and consequences of choice making.

・This principle requires support staff to acknowledge that their role, when supporting someone with a disability is not to protect them from choice or outcomes of choices, but instead, to be there when the person needs support, direction, encouragement and/or motivation and to assist them to navigate the path from experienced learning and to progress forward

g) Human rights:

・Human rights are the basic rights and freedoms that belong to every person in the world, from birth until death.

・This is the perspective of human rights. While there are many specialist aspects to be taken into account in planning, funding and delivering aged care, central to this development should be the recognition of the human rights of all older people. Services to older people should be based on human rights principles.

h) Discrimination:

・It is the unjust or unfair treatment of a person on the basis of personal attribute such as their age, race, or gender.
・Respect clients
・Understand and learn diversity, own culture and values of clients.

i) Duty of care:

・It means that employers and employees in a workplace have a resposibiity to take reasonable care not to cause harm to people or property.

・Making sure that a client has eaten their meal and sitting with them to help them eat if this support is needed Duty of care is also about making sure that issues raised by the client, participant or resident are addressed in a timely and appropriate manner.

j) Code of practice:

・ It is a practical guide on how to comply with the legal duties under the WHS Act and Regulations.

・All employees should follow safe practices and safety rules, contribute to safe work practice, and report safety violations and unsafe work conditions.

k) Mandatory reporting:

・It means legislative requirement placed on some people to report suspected abuse and neglect to government authorities.
・Incidents, accidents or elder abuse must be reported within 24 hours.

l) Privacy, confidentiality and disclosure:

・Confidentiality is the protection of personal information and it means keeping a client’s information between workers and the client, and not telling others including work colleagues, friends or family.

・Make sure all information is stored on secure systems and familiarise with internal privacy and processes and procedures.

m) Work role boundaries:

・ Professional boundaries are the limits to the relationship of a member of staff and a person in their care which allow for a safe, therapeutic connection between the staff member and that patient (and their nominated family, carers and friends), protecting both staff and patient/family.

・Willingness to collaborate and consult with others

・In all our relationships we set limits. One of the key issues for workers is to be able to recognise when we may be crossing the invisible line which separates a client from a worker and which defines our relationship as professional and therefore workable.

7. Provide 1-2 paragraphs explaining what ‘elder abuse’ is and what you must do if you suspect an older person is being abused or neglected.

・This definition captures assaults ranging from deliberate and violent physical attacks to the use of physical force on a resident. You or your organisation must make a report if you suspect that an assault may have occurred or if you have witnessed or been informed of a reportable assault.

When you first have a suspicion of a reportable assault or become aware of an allegation of a reportable assault, you should report it immediately to your supervisor or team leader. Within 24 hours, your service must report the incident to local police and the Aged Care Quality and Safety Commission

8. Identify two (2) signs or indicators of abuse for each of the following:
a) Financial abuse:

・Unexplained withdraw of funds from accounts
・Unexplained lack of money or inability to maintain lifestyle.

b) Physical abuse:
・Unexpected or unusual injuries
・Unexplained deterioration of health or appearance

c) Sexual abuse:
・Becomes teaful or upset when their relationship is mentioned.
・Unexplained changes of behaviour, becoming anxious or withdraw, fear of　another person.

d) Emotional abuse:
・ Refusal to interact or speak with others.
・Sudden change in personality or behaivior.

e) Neglect:
・Not having their basic needs met, such as adequate food or heating
・The adult at risk not receiving appropriate care, which would protect them from harm.

9. Provide 1-2 paragraphs explaining why it is important for older people to be active and healthy.

・ Taking action to stay healthy and active as you get older helps improve your wellbeing and reduces your risk of falling. Our bodies are designed to be used and this becomes even more important as we get older. Being physically active is essential for health and wellbeing and will also help you to stay independent.

10. List six (6) things you could do to reduce the risk of an older person falling.

・Encourage them to regular exercise to maintain muscle strength

・To help the home safer. Clean up rooms, put away hazardous material, enough light

・Check with their health and feeling. Mobility, Dizzy, Quality of sleep

・Check the mats rugs are secure, avoid spills or wipe immediately.

・Provide comfortable and fit shoes and a hearing aid.

・To organise to install support rails near steps.

11. There are two (2) parts to this question. Please answer using the table provided.

Part A.

a) List three (3) web addresses, organisations or local resources where you could find information about supporting people’s physical, cultural or spiritual needs.

b) Describe how each web address could assist supporting people’s physical, cultural or spiritual needs.

Part B

Read the scenario below and answer the following questions

Scenario

You are supporting a 65 year old client of the Jewish faith, Mr Jacob Abrams, in his home. He has had a stroke and is not able to walk without a mobility aid. His family insist that he moves into an aged care facility. Mr Abrams wants to be cared for in his own home and is frustrated that his family are treating him as though he cannot make decisions anymore.

He thinks he needs a higher level home care package to enable him to stay in his home, attend synagogue and practise his Jewish culture. He expresses his interest in meeting a companion and hopes that regular social outings would support this.

He asks you what you think he needs. Although you believe he is doing quite well at home, you think he may benefit from an assessment for modifications on his home as you notice his balance is still quite poor.

Mr Abrams tells you that the physiotherapist suggested that he start some gentle exercise. He asks you where he can find information on exercise programs in the local area.

You then support Mr Abrams with his shower as per the care plan.
When he gets out of the shower, he refuses to sit on the stool to be dried and leans heavily on you. You tell him that it isn’t safe.

Due to his stroke, he is no longer able to work and is experiencing financial concerns.

a) How might these financial concerns impact on his sense of well-being? Provide three (3) examples.

・He might feel stressed which is likely to affect his physical and mental health. Such as difficulty sleeping, loss of appetite or depression

・He is possibility to be more aggressive to workers or their family due to stress

・He is unable to receive proper care or meet his needs as finacial concern which is difficult to keephis well-being.

b) Is Mr Abrams feeling empowered or disempowered by his family wanting him to move into an aged care facility? Explain your answer in one (1) paragraph.

・He wants to be cared for in his own home however, his family are treating him as though he cannot make decisions anymore. This makes him disempowered.

c) Describe a need that Mr Abrams has in each of the following areas:

d) Consider the mental health condition of depression – list four (4) risk factors and four (4) protective factors for this condition.

e) List three (3) services Mr Abrams could access to support him to stay in his home. Explain how each service could help him.

・ Home care service ( Life support: Showering, clean up rooms, toileting)

・Physio therapy: Help maintenance of health,maintain muscle strength (Gentle exercise: stretch, walking)

・Chaplaincy service (Jewish prayers):They provide spiritual care and religious ritual support to individual Jews in their homes.

f) Provide the name and web address for where information about home care packages for older people can be found.

g) Research the exercise programs available in your local area. Provide the names and contact details for two (2) that might be suitable for Mr Abrams; and that you would suggest to your supervisor as suitable for him.

h) What would you say to Mr Abrams when he refused to sit on the stool and leant on you?

・ First of all, empathize his feeling. Moreover, listen carefully what his need and what he wants to do. After that describe the situation might be able to harm him therefore prompt him to safe place to sit.

i) List four (4) workplace policies and procedures that would guide your work with Mr Abrams.

・Code of conduct
Mr Abrams made a complaint about the support he received from a worker.

j) Name a workplace policy and procedure that sets out how a complaint would be dealt with by an organisation.
・ Australian Human Rights Commission

k) Name the Australian Government agency with responsibility for receiving complaints about

Part C

13. List four (4) ways older people can be empowered.
・Stay involved in decision making.
・Avoid isolation: Assist them to connect with others.
・Find simple approaches to get accomplishes.
・Stay active: Maintain fulfilling activities.

14. What are some communication strategies you would use, when working with an older person, to develop trust and rapport?

15. How would you know that the individual care plan needs reviewing? (Give three (3) reasons)

16. If you identify signs of an additional or unmet need in your client, what should you do and who should it be reported to?

17. List two (2) informal and two (2) formal (written) reporting requirements of an organisation (you may choose to base this question on the aged care, home and community care or disability support environment).

18. Access the link below and describe what ACFI is and how it is used to provide funding. Aged Care Funding Instrument (ACFI) User Guide

The Aged Care Funding Instrument (ACFI) is a resource allocation instrument. It focuses on the main areas that discriminate core care needs among care recipients. The ACFI assesses core care needs as a basis for allocating funding.

The ACFI focuses on care needs related to day to day, high frequency need for care. These aspects are appropriate for measuring the average cost of care in longer stay environments.

While based on the differential resource requirements of individual persons, the ACFI is primarily intended to deliver funding to the financial entity providing the care environment. This entity for most practical purposes is the residential aged care service.

19. Match the Principles of Service Delivery methods given below with their definitions in the table.
Principles of Service Delivery methods:
• Working in partnership
• Providing efficient and effective service delivery
• Continually improving
• Respecting and valuing clients
• Focussing on clients.