Support for Clients with Changing Behaviors

This assessment focuses on providing support to individuals with dementia, specifically addressing changing behaviors. Students must demonstrate their understanding of strategies for managing challenging behaviors, evaluating care plans, identifying stressors, and employing self-care techniques to cope with workplace stress. The assignment requires students to analyze scenarios, propose solutions, and articulate their rationale.

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Student Name:navjotkaur ghuman
Student ID:e0877486
32471/02Knowledge Test – Short Answer Questions
E1144
Certificate III in Individual
Support (Ageing, Home and
Community)
Module 4: Supporting people
living with dementia
This is assessment 2 of 2.
1. Background/Overview
In order to work in the aged care sector as a care support worker,
you will need knowledge the effects dementia has on clients, and
how you deal with these effects in the course of working with them
and their families.
2. Brief
This assessment consists of six (6) parts.
This assessment will give you the opportunity to demonstrate your
knowledge in the following areas:
 Verbal and non verbal strategies to ensure effective
communication with people living with dementia
 Providing a person centred approach in care
And supporting activities that reflect the individual’s
background, likes and dislikes.
 Providing activities to support maintenance of dignity, skills
and health
 Identification of and responses to changes in client behaviours
associated with dementia.
 Evaluating strategies employed to minimise the effects of
behaviours
 Self care when working with clients and their families
Deliverables
Please submit this assessment
in Word doc format.
To do list:
1. Write your name and
student ID at the top of
this page.
2. Read the Background/
Overview and Brief sections
of this document.
3. For each question, read the
scenario or client profile
before attempting to answer
the question(s) relating to it.
4. Complete the 6 parts by
answering in the spaces
provided.
5. Make sure you follow the
instructions regarding the
required number of words
(where indicated)
6. Save the Word document
using the naming
convention: your student
number_assessment
number.doc. For example:
“12345678_31135_01.doc.”
7. Upload your document in
Open Space using the
relevant Assessment Upload
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link in this Module.
3. Questions/Task
Effective Communication
Part 1
A: Imagine you are working as an aged care support worker for Kostas who receives support in his
home. You notice that Kostas does not always reply to you when you speak with him, sometimes he
seems lost or confused about what he is doing, and he does not always seem to know what day or time
it is when you go to the house.
Complete the table below. For each Communication Strategy, add your answers for both columns:
Communication
strategy
Outline how you could use this
strategy?
(50 words)
Describe why is this strategy
important, how does it assist?
(50 words)
Eye contact Looking at Kostas’ eyes as I talk to
him√
Helps gain attention from Kostas and
let them know that am talking to him√
Reminders about
what is occurring
I would constantly remind him a few
minutes to an event to create easy
remembrance√
Enables prepares him for upcoming
events and help him understand how to
communicate the things they need at
that particular time√
Direct statements I would go straight to the point and
keep my sentences short while
talking about ideas that are easy to
understand√
To enhance easy communication and
irritation and anger by not bothering
him with unnecessary information √
Touch I would touch hi lightly and turn him
gently towards the direction i want
them to go to√
Enables me to gain his attention√
Simple questions My questions would be framed in
short sentences and i would avoid
open ended questions. For example,
I would ask the ‘do you want to eat
now?’ instead of ‘what would you
like to eat?’ It means I would go for
a yes or no question rather than an
open-ended question.√
To make it easier for him to answer my
questions √
Reality orientation
(reminders about
day, time,
relationships,
events-visual or
verbal)
I would gently remind him of the
place, time or person around them
in a manner that does not invalidate
their state and abilities√
To keep him up to date of the current
situation and surrounding√
Tone of voice and I would use gesture through touch To reassure him and keep him at ease
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reassurance and apply phrases that reassures
such as “I will wait for your till you
finish all your shopping”. This would
be spoken in a reassuring and
confident tone and by use of explicit
sentences to show how I am willing
to offer assistance. √
that I am always there to take care of
him and assist him √
Talking to Kostas
about familiar
people, hobbies or
past occupations.
I would first learn about Kostas’
career life, his favourite books and
his hobbies from his family members
before engaging with him.
Afterward, during meal time, I would
engage him in a conversation about
his favourite meal. Likewise, I would
ask him about his favourite books as
I arrange his bookshelf. √
This would assist to keep him engaged
and share useful information with me.
This would also encourage a good
relationship between me and Kostas
because he would start to know that I
connect with his personal life. It creates
more opportunity for him to express his
feelings and needs so that I can offer
the best care.√
B: Anna is confused as to why Kostas gets cross at her when she is trying to help him. He says she nags
him when she is only trying to remind him of what they are doing or assist him with tasks when he gets
confused. What strategies could you assist Anna with to help her communication with Kostas? Complete
the table:
Area to support Identify a communication strategy
you could suggest to Anna to
assist.
(50-100 words)
Why may these strategies assist?
(50-100 words)
Getting showered
and dressed in the
morning
I would advise Anna to keep her
sentences short while reminding
Kostas about showering and
dressing constantly a few minutes
leading up to the shower time. For
example, Anna could make a
simple statement like: “now it is
time to shower and I will help you
grab the towel.” √
Reminding Kostas about showering a few
minutes to time, and not way too earlier
ensures that he does not forget to
shower. Keeping the sentences short also
helps Kostas to clearly understand what
Anna is trying to say. √
Remembering
events such as
family visits and
going to the shops
I would advise Anna to remind
Kostas of family visits repeatedly
and at regular intervals; in a gentle
and prompting manner to keep
Kostas oriented to the
surrounding. For instance Anna
could use statements like “we will
be at the shop in a while.” Or “we
will visit Ken today.” √
This keeps Kostas oriented to the
environment (shop) and prepares him to
mention whatever he would want to
have from the shop of from a family
member during the visit. √
Remembering what
day, date and time it
is
I would ask Anna to use the
calendar and the watch to remind
Kostas of the date and time. This
can be done by gently illustrating
Being gentle while reminding Kostas
about time and date approves of his
capabilities while orientating him of the
time and day of the week. √
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to Kostas how to read the
calendar; in a manner that does
not invalidate his reading
capabilities. √
Eating and drinking
(eg mealtimes)
I would advise Anna to collaborate
with Kostas during mealtimes,
giving him choices of what he
would want to eat or drink and
assisting him with making such
choices. √
This will enable Kostas to stay engaged
during mealtimes and help him be more
decisive of what he wants to eat. √
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Person Centred Approach
Part 2
As a care support worker in aged care and home and community, you will also be working with people
from diverse cultures and ethnicities, and you will undoubtedly come across some beliefs or behaviours
that are different to yours.
Read the scenario and then answer the questions:
A: You want to find out what type of things Mrs Si likes doing around the house, her hobbies and
pastimes, and what she liked to do for leisure time, so you can assist her to engage in meaningful
activities.
Identify and briefly describe two ways in which you could discover this information, who might you ask,
and what might you ask them? What other information might you draw upon? (100 words)
Mrs. Si appears to be more open with her daughter than her husband. This is evidenced by the fact that
she is more lively and active when her daughter visits. She also seems to open up more to her daughter
than to her husband. Therefore, Mrs. Si’s daughter, Sylvie, is the most appropriate person to access
more information about Mrs. Si from. In doing so, I might ask Sylvie about some of her mother’s likes
and dislikes, as well as her interests and hobbies.
28/3/2018 Satisfactory
B: How would you use this information to engage Mrs Si, so you can assist her to engage in meaningful
activities and address social devaluation? (100 words)
Upon identifying this information, I would observe them and be keen to identify any changes that occur
with time. For example, having known her skills, abilities, and preferences, I would be keen to observe
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Mrs Si lives at home with her husband. She has Alzheimer’s disease and is becoming increasingly
confused. When you visit Mrs Si does not appear to be engaged in any type of activity, she does
not attempt any tasks around the household, and when she does, Mr Si tells her to sit down and
leave things alone as she is sick. Mrs Si looks sad and bows her head when Mr Si says this.
Mr Si tells you that Mrs Si does not seem to want to do anything at all and seems depressed.
Mrs Si’s daughter Sylvie visits frequently and when she is present you notice that Mrs Si is more
animated and helps Sylvie with simple tasks like making a cup of tea and folding the washing.
When Mrs Si folds the washing she talks about her life as a young woman working with her
mother and sisters doing the family laundry as was customary in her culture.
Mrs Si remembers that making tea for others is important as an expression of respect in her
culture and she talks about making tea for her husband when they were first married and living
in an apartment. She smiles and says men are not meant to make tea in her culture as it is the
privilege of the wife to do this job to signify her care for her family.
Mrs Si also enjoys sitting in the garden and watering the vegetable patch, but Mr Si says he is
concerned when she goes outside as she may injure herself. He fears she may fall if she tries to
tend the vegetables.

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changes in these factors to ensure that I customize my care to her according to these changes. Similarly,
understanding the client’s culture and history puts me in a better position to engage with and put her at
ease. Furthermore, I would be showing her that I value the things that matter to her – including her
family and this would be a good way to gain her confidence. This information would also be important in
having frequent reminiscence with Mrs. Si; in an attempt to create a better relationship with her and
gain her trust
28/3/2018 Satisfactory
C: What could you do to assist Mr Si to understand his role as a carer, and where could you refer him to
for assistance and support? (100 words)
To assist Mr. Si understand his role as a caregiver, I would develop a close relationship with him in the
similar way I could do with Mrs. Si, so that I may be able to do and say the things that matter to him in
manner that will put him at ease and be assured that under my care, his wife would be safe. Similarly, I
would try and keep him close enough to understand the challenges that he faces, discussing them and
providing support to help him care for his wife. Referring Mr. Si to a dementia-Based organization woule
also help. In this regard, I would advise Mr. Si to consider contacting Dementia Australia, the Council of
the Aging, or the Aged Care Complaints Scheme (ACCC). Such organizations have a large presence in the
internet and may be ready to help if contacted.
12/4/2018 Well answered. Alzheimer's Australia can also be recommended. Satisfactory
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Providing activities to support maintenance of dignity, skills and health
Part 3
As a care support worker in aged care and home and community, you may be called upon to provide
care support for younger people with dementia.
Read the scenario and then answer the questions:
A: You are scheduled to visit Joanne twice a week, once to assist with washing and once to assist with
shopping.
In your own words, complete the table below with strategies you would employ to assist Joanne
maintaining independence and dignity.
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Joanne lives in a unit by herself. She is 59 years old and has younger onset dementia. Joanne
becomes upset when she cannot complete tasks and activities that she used to do easily. This
frustrates her and she can become agitated and angry at her inability to do what she sees as simple
things.
Joanne likes to do her own washing, but sorting the clothes, putting the washing machine on and
hanging out the clothes and then bringing them in off the line is becoming increasingly difficult.
Joanne is able to complete the tasks physically but at times can’t remember when to do her
washing, how to sort the clothes for washing, the sequence of the tasks, or to hang out or take the
clothes off the line. She wants to continue to do her own washing, and is afraid that if she can’t do
this it is a sign of the end of her independence, and she is embarrassed that males may see her
underclothing if other people do her washing.
Joanne is also experiencing difficulty with her weekly shopping trip. She forgets what she needs and
when she does choose and item she sometimes forgets how to pay for things. The supermarket is
crowded and busy when she usually goes and the crowds of people make her more nervous and
confused as everyone seems to be rushing. She finds she comes home from shopping with things
she doesn’t want and without essentials she needs. She then has to call her sister to bring them
over which is embarrassing for her. Her sister tells her it is fine and she is happy to shop for Joanne,
but this makes Joanne feel like she is useless.
Joanne has a local greengrocer/convenience store and a bakery close by her house and this is where
she goes for bread and milk etc between supermarket trips. Joanne likes to do this as she used to
work in a corner store as a young person and she appreciates the community feel to a small store
like this one. She has become worried about doing this as she is afraid that she might become
confused like she does in the supermarket and this would be very embarrassing.
Joanne used to like scrapbooking and paper crafts, but she has stopped doing these activities now
as she has run out of a lot of supplies, and the craft supplies store is on the other side of the city.

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Task Outline one strategy for each you could
use to assist Joanne.
(50-100 words)
How would you maximise
Joanne’s independence and
ensure Joanne’s dignity is
maintained in relation to this
task? (20-50 words)
Sorting her washing
and putting on the
washing machine
I would start sorting out the first batch
of the washing and then let her do the
rest. I would also assist her arrange the
containers in terms of colour or size, so
that she easily knows where to put the
clothes before and after washing. If
Joanne does not have problems with
reading, I would vividly label the
containers for easy identification. √
I would ensure that she does
the washing of her
underclothing by herself. I
would also ask her the
container she would want to
use for what purpose before
labelling them. √
Remembering the day
and time and
scheduled tasks
I would draw up a daily plan every
morning for the things she would want
to do during the day√
I would seek her opinion while
drawing the plan√
Preparing for the
shopping trip
I would prepare a shipping list for her
and ensure advise her on the best time
to go shopping√
I would ask her what she
would want to be included in
the shopping list√
Choosing items I would put the essential stuff at the top
of the list. I could also provide her with
flyers/brochures of organisations so
that she can circle items which she
would like to purchase.√
I would seek her opinion of
the products she prefer√
Paying for items I would ensure that she uses other
cashless alternatives of payment such as
tap and go or debit cards. √
I would ensure to let her
responsibly spend her money
on the items of her choice√
Travelling to the shops I would ensure she is assisted not to
negotiate traffic on her own√
I would let her move around
the shops of her choice; but
under my supervision√
Dealing with becoming
distressed when near
larger crowds
I would ensure I stay close to her when
in largely crowded places or I can
ensure that shopping occurs when the
shops are less busy. √
I would allow her go to any
place she may want to
however much crowded; but
under my supervision- arrange
to go off peak times
Becoming lost or
confused at the
shopping centre
I would ensure she has emergency
contacts or personal information in her
pockets whenever she goes out. I would
also ask her to change her shopping
time so that she visits the supermarket
when there are fewer shoppers.If need
be, she can also order shopping on line
and arrange for items to be delivered. √
I would ask her to suggest the
person she would want to be
contacted in case of any
emergency√
Needing to shop by
herself (going to the
I would supervise/accompany her to the
local store. I would also arrange with
I would let her go to the
convenience store as frequent
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local store for bread
and milk)
the local store to supply her with
grocery on a periodic basis so that she
does not have to visit the grocer as
frequent or provide them with
information in connection with how to
assist if required.√
as she may reasonably want
to√
Accessing craft supplies I would arrange or order online for her
supplies to be delivered at home from
the other side of the city√
I would let her choose her
preferred supplies√
Asking her sister to
assist with picking up
things Joanne cannot
access.
I would work to make her understand
the importance of her sister’s
assistance. I would also rathertalk about
how much her sister enjoys spending
time with her and encourage
relationship building with her sister
than focussing on the assistance the
sister can provide. Alternatively, I would
ask her sister to periodically take her
out for meals or coffee in the city, and
ensure she acquires craft items on their
way home√
I would ask her sister to let her
choose her preferred day and
time for meals out in the city.
√
B: Joanne tells you on one of your trips to the shops that she is worried about her finances. She says that
her brother John comes around and takes money from her purse and she thinks that he knows her
account PIN number. She says that the rental agency wrote her a letter saying she is behind in her rent
but she is confused about this as it gets taken from her account automatically. Outline the steps you
would take after Joanne tells you this information. Explain why you would take these steps. (50-100
words)
The acts of Joanne’s brother could be classified as elder abuse because he takes money from her purse
without her consent. According to Volicer& Hurley (1998), elder abuse involves perpetrating criminal
activities such as stealing from elderly people .This offence is chargeable regardless of the relationship
between the offender and the offended. Therefore as Joanne’s caregiver, I would ask for her consent to
report the case to the police. Her consent is important because she might not want her brother to suffer
the consequences of criminality. Seeking my supervisor’s directive may also be necessary. I would also
ask for Joanne’s consent to monitor her rent payment documents to ascertain the validity of the rental
agency’s request. All in all, to keep Joanne’s safe from losing money, I would advise her to consider
keeping less cash with her and instead use other payment methods such as debit cards whenever she
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wants to make purchases.
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Identification of and responses to changes in client behaviours associated with dementia.
Part 4:
A: Managing the changed behaviour of people with dementia is a vital part of your work in aged care.
Support workers need to understand the causes of changed behaviour, the effect changed behaviour
can have on the person with dementia and others, and strategies that can be used to manage or
minimize the impacts of the changed behaviour.
Complete the table regarding changed behaviours:
Changed
behaviour
Outline a situation illustrating
this behaviour.
(50-100 words)
Outline what
may be triggering
this behaviour?
(20-50 words)
Describe what could you do
to manage or minimise the
impacts of each behaviour
(50 words)
Social
withdrawal
Observable when the client no
longer answers questions nor
talks with family as they used
to. A patient may also feel
uncomfortable in crowded
places and may want to be left
on their own. Typically, a
socially withdrawn client may
avoid conversations with
others and stay secluded. √
The patient’s
health condition
may expose her
to depression and
anxiety, causing
her to withdraw
and stay away
from social
places√
I would keep the patient
closer and engage her in
other activities such as taking
evening walks or visiting
friends and family to enable
them interact with others. √
Verbal
disruption
The client may yell when given
food or laugh loudly when they
get amused, causing
disturbance to the people
around.√
The client may
not be
comfortable with
eating. √
I would assist the client to
move away from others so
that they do not cause
disturbance or annoyance√
Repetitive
actions or
questions
Patient may keep asking the
date repeatedly every time
they see the caregiver. √They
may also wear several clothes
at ago (more than one shirt at
a time)
Client may be
anxious that the
weather might
change or may be
in need of
reassurance of a
good weather
ahead. Client
might forget
things he has
done in the
present time.√
I would reassure the patient
that the weather would be
good and he does not need
to wear several shirts at a
time. Answering or
distracting him could also
help.√
Resistance to
personal care
the client may refuse to be
assisted with washing or yell at
the caregiver when they are
assisted to reach for their
belongings.√
Client may not be
at a position to
understand that
they abilities are
deteriorating and
that they need
assistance. They
may also be
I would discuss with the
patient the need for them to
get assistance with washing. I
would also arrange for the
patient’s belongings to be
within their reach. √
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feeling ashamed
of getting
assistance in
some tasks such
as washing their
undergarments.√
Sexually
disinhibited or
inappropriate
behaviour
The patient may yell at the
caregiver using sexually explicit
language or touch the
caregiver inappropriately if
they are of opposite sex. They
might also have this behaviour
with other residents.
The patient could
be experiencing
certain
psychological
changes which
could have led to
sexually
disinhibited
behaviour.
√
I would move the resident to
a private area, gently calm
them and explain to them
that it is wrong to yell using
sexually explicit language or
touch inappropriately.
Distracting the resident using
music or walking whenever
such behaviour arises would
be a good way of handling
the situation.
Wandering or
intrusiveness
When client often tries to
intrude into other residents’
rooms.
The other
resident’s room
may be not
securely locked.
I would ensure the facility/
home is secure enough keep
her from going outside the
premises. To prevent
wondering into other
residents’ rooms, I would
ensure that the residents are
who wonder are monitored
and have their behaviour
managed.
B: Read the scenario and then answer the questions:
Complete the table regarding a team approach to managing the impact of John’s changed behaviours.
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John is 70 years old and he has dementia. He has come to live at a residential care home, as he
could no longer live alone at his house. John has been a bachelor all his life and has not lived with
anyone since he was a teenager. He had been robbed three times before he came to residential
care, each time thieves took his belongings from his home.
When he gets dressed he puts 3 or 4 layers on top of each other and does not like to change his
clothes. He continually checks his cupboards and folds and refolds his clothing. You wonder if John
might be cold but when you ask him he does not answer you. John becomes distressed when staff
try to undress him for his shower, and when they do they often find letters and papers secured in
his clothing.
When John eats he puts everything on his plate together and mushes it all up together. He then
eats his food quickly making a lot of noise and spilling a lot of food off his fork onto the table and
floor. This distresses other people in the dining room.
John walks around the corridors of the home continually. He goes into other people’s rooms and
tries to use their toilets. This is upsetting to female residents particularly.
If another resident speaks to john or walks close to him he yells at them and can try to push them
away. He becomes more agitated in large groups of people or noisy environments.

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Behaviour Describe what
might be the
triggers for this
behaviour?
(50 words)
Explain what strategies the
team could put in place to
manage the impacts of this
behaviour?
(50-100 words)
What would
indicate that the
strategies are
successful?
(50 words)
Dressing in many
layers and checking
his belongings.
John may have
fearful memories
of thieves stealing
his clothes and
other belongings√
The team could reassure John
by words that his belongings
are secure. They can also set
out one set of clothes.√
When John checks
his belongings less
frequently and
wears only one
shirt√
Johns behaviours
at mealtimes
Eating may be a
complicated task
for John√
Assisting John with eating
could help him learn good
eating habits√
When John stops
yelling while eating
and never spills
food√
John going to use
other resident’s
toilets
John could be
unfamiliar with the
new environment √
Discourage John from using
other people’s toilets. It
would also be useful to put a
visible indication at John’s
toilet door so that he can
easily see the toilet’s position
within his room.
When John uses
the toilet in his
room√
John becoming
agitated and at
times aggressive
with others.
John could be
reacting to a
changed
environment
where there are
too many people;
as he is used to
staying alone. He
might also not be
able to express
discomfort or pain
Encourage John to feel
connected to other people. I
would also pay more
attention to John to
understand if there may be
any physical triggers that
could have led to this change
of behaviour. I would observe
the situations when he
becomes more aggressive
with others and then respond
to the observed triggers. For
example, when John
becomes more aggressive
while eating a certain type of
food, I may change the diet
because he may not be
enjoying that type of food.
When John
suddenly eats the
new type of food
without changing
behaviour of
becoming
aggressive with
others.

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C: You answer a call bell and the resident tells you that John is in her bathroom trying to use the toilet,
and he is swearing and becoming angry as he can’t get undressed. When you approach him, John is
visibly distressed and does not understand why his bathroom looks different. He says that there are
women’s clothes hanging in here and he doesn’t recognise the decorations. You tell John that this is not
his bathroom but he continues to say that it is.
Outline the steps you would take to accept John’s reality, address John’s needs driven behaviour and to
de-escalate the situation. Explain why you would take these steps.
(100 words)
John might have forgotten his designated bathroom as a result of dementia. It might be important to
use familiar items so that he can recognise his room and to assist with regular toileting so that he has
time to get to his room to use the toilet. Assisting with regular toileting would also be useful for when he
wants to use his toilet urgently. I would also suggest large and visible signs to be put at the front of each
bathroom so that any patient could be easily led into their bathrooms. Explaining to John that it is wrong
to use another person’s bathroom is could also help. In doing so, I would use polite and convincing
language to ensure that I do not disapprove his cognitive capabilities. According to May et al (2009),
discouraging the unwanted behaviour is one of the most effective strategies to handle clients with
needs driven behaviour.
Besides discouraging John, I would address his needs driven behaviour of going to other people’s toilet
by ensuring that the toilet door is easily unlockable so that he can easily access the toilet when he
urgently needs to use it. This is because John could sometimes be finding it difficult to unlock his toilet
door and therefore resolving to use other people’s toilets.
D: Explain what you would document, where you would document and where this would be stored after
you have dealt with the above situation and who and when you would report to about this incident.
(100 words).
John finding himself in a wrong bathroom is an incident that would be recorded in an incidence form. In
doing so, I would record the time of the occurrence, John’s full names as the person who was involved,
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possible triggers of the incident based on my assessment, and how the incident affected the other
patients. I would also record John’s reaction to the incident in the patient progress form to enable
future monitoring of any change of behaviour. If the forms are filled electronically, I would ensure I save
them in the appropriate file for easy retrieval. Otherwise, I would store the paper forms in the right
category of paper files.
I would also immediately report the incident to my supervisor, making suggestions to prevent the
escalation of the incident (as suggested above). Similarly, I would inform my colleague about the
incident so that they may be prepared to handle the same if it reoccurs.
This incident would need an immediate remedy because an escalation would bring the whole facility
into disarray. Patients may physically engage each other following the feeling that one is invading the
privacy of the other. An urgent labelling of the bathrooms would be needed to minimize such
incidences.
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E: There are a number of specific strategies that workers can use to assist with minimising the likelihood
of, and managing the effects of changed behaviours associated with dementia. These strategies assist to
optimise the plan for care for the person and the care team should evaluate the implemented strategy
to ensure effectiveness in minimising changed behaviours.
In your own words, outline how the strategies listed in the table might be used with clients with
changed behaviours and outline how the team might evaluate the effectiveness of each strategy.
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Strategy Describe one example of
how the strategy might be
used
(50 words)?
How might the team evaluate the strategy?
(50 words)
Distraction Providing music to distract
a client who asks repetitive
questions√
Record the number of times the client asks a
question over time and identify any changes
when music is introduced, track the number
of questions the client asks over time and
report a reduction or an increase in number
of questions asked.√
Discussing current events Talking about what
happened in the news to
distract them from worry√
Observe the instances when the client looks
worried, record them in the client’s progress
notes and track by comparing changes when
they are engaged in the discussion of current
events√
Reminiscing Talking about the client’s
past careers to calm them√
Observe whether the client calms during
reminiscence and record the observations in
patient progress notes. I would then share
the reports with my supervisor and
colleagues. √
Walking (purposeful) Taking an evening walk
with the client to prevent
agitation√
Observe changes over several days of
walking and keep a record of the changes in
the progress notes for later sharing with my
supervisor. √
Addressing physical
triggers for behaviour
Providing water to a thirsty
client√or manage
pain/discomfort effectively.
Observe and record in the progress notes
whether client stops being agitated when
they drink water. My observations would
then be shared to the next carer during
handover.√
Alternative therapies Providing massage to relax
the nerves and calm
aggressiveness. Regular
snack and regular toileting
would be appropriate√
Identify and record client’s responsiveness to
massage over time. The records would then
be shared with my colleagues and
supervisor.√
Reassurance Putting hands on the
client’s shoulder and
verbally telling them that
everything is okay√
Observe the client’s response to words of
reassurance, record and share with
colleagues.√
Orientation to time and
task
Explaining the time of the
day to prepare them for the
day’s activities. For
example, I would use
statements like: “Now it is
lunch time, let’s move to
the table.” √
Observe whether client becomes more
organised after time update, record
incidences when the client shows orderliness
and use the records to encourage client
overtime. √

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Evaluating strategies employed to minimise the effects of behaviours
Part 5
Contributing to team evaluation of a plan for care is an important part of your role. Please read the
scenario and answer the questions below.
A. The care team is meeting with their RN supervisor to review Millicent’s plan for care.
In your own words, describe three issues and suggested strategies to minimise the effects of the issues
that you could discuss to contribute at this care review. (100-150 words)
Millicent suddenly appears not to conduct her daily routines such as feeding the cat and tending to the
garden as usual. This could be a sign that dementia is catching up with Millicent because according to
Schussler&Lohrmann (2017), a new dementia victim may start to forget about familiar tasks.
As observed, Millicent damps items before putting them in the laundry basket. This is an indication that
she is beginning not to think, organize or plan things logically. According to Volicer& Hurley (1998), this
is a sign of dementia. To address this issue, I would advise Millicent to consider staying with a relative
or have a resident carer so that she gets continuous assistance with her normal chores rather than only
getting assistance when the carers come.
Lastly, Millicent seems to have a problem of misplacing things because, in one instance, she places
potted plants with soil in the fridge while in another instance, she forgets to eat community food and
milk until they get spoilt. According to May et al (2009), lost or misplaced items are a sign of dementia.
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Millicent lives alone. She has home visits from carers three times a week to assist with household
chores and social interaction.
Millicent has been able to care for herself in relation to bathing and dressing. She has meals on
wheels delivered each day and has been able to heat and prepare these herself.
Usually when the carer arrives at 10.00 am Millicent is up and about, dressed and going about her
daily routine, including reading the paper, feeding her cat and bird and seeing if there are any
changes in the garden. Millicent tends to a raised garden near her back door in which she grows
some flowers, and some vegetables and she proudly tells the carers of her garden successes.
Over the past few weeks Mary (carer) has found that Millicent is often still in her nightclothes when
they arrive. The cat looks thinner and appears hungry and the birdcage has not been cleaned. When
talking about the garden Millicent appears vague and doesn’t report the changes as she usually
does. The carers notice the garden needs water.
When doing Millicent’s washing, Michelle (carer) notices there are a number of items that are damp
as if they have been rinsed out before placing in the laundry basket. When they ask Millicent about
this she says she doesn’t know.
Jane (carer) cleans out Millicent’s fridge and finds seven or eight uneaten community meals in the
back of the fridge. There is also a container of spoiled milk, and two pot plants (with soil and dead
plants in them) in the fridge. Millicent states that she put the plants in the fridge to water them as
they were dried out.

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To avoid misplacing her flower pots in the fridge, I would advise the carers to establish and label a
specific area for Millicent to place her flowers, using visible paintings of signs.
To solve the issue of not eating, part of the strategy would be to constantly remind Millicent of the
meal times on the phone when the carers are not around or personally when the carers are around.
The reminders would be made minutes before the meal time so that she does not forget. It would also
be appropriate to remind Millicent of feeding the cat and cleaning the birdcage moments not long
before the appropriate time for performing such activities. These reminders could be on the phone
when the carers are not around or personally when they are around.
28/3/2018 This is correct. The fact that she is possibly not eating is very important as well as the fact
that food in her fridge might not be safe to eat. Important that her fridge is checked with each visit.
Staff might need to visit at meal times to eat her food and to ensure that she eats.
B: Why is it important to review and evaluate the care plan regularly (50-100 words).
Reviews help caregivers to identify the effectiveness of a care plan and inform whether there is a need
to change care strategies to accommodate a client’s current condition. This can be done by evaluating
the implemented support plan with the outcome of the implementation. For example, in the case of
Millicent, it would be important to review her health condition and that of her cat after establishing a
reminder plan for her to take meals or feed the cat to. The evaluation would establish whether setting
the reminders was effective. Reviewing Millicent’s care plan would also be effective in identifying her
general hygiene condition, to establish whether she needs a permanent/resident carer or not. Lastly,
reviewing the plan would provide ideas for care improvement for Millicent.
28/3/2018 Satisfactory.
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Self-care when working with clients and their families
Part 6:
A: Working with people with dementia can be very stressful. Workers can be faced with clients who are
distressed, agitated, restless, aggressive or withdrawn. The people they support may not remember
them from one day to the next and may show little gratitude for the support they provide. It can be
difficult at times to see whether the support you provide or the strategies you implement are having
significant success. It is easy to become stressed, frustrated and disillusioned if you do not also care for
yourself as a worker.
A ‘stressor’ is the event, activity or situation that is causing stress. In your work supporting people with
dementia, you will encounter many different potential stressors.
Complete the table below.
Potential Stressor Describe this type of potential stressor (50-100 words)
Time Stress Having numerous tasks to complete within limited time coupled by clients who
may be slow in completing tasks may cause time stress√
Stress from
Behaviours The need to constantly check on a client and observe his behaviours for better
care may be stressful since dementia patients frequently change behaviour √
Frustration
one may be frustrated by the need to constantly remind clients of tasks due to
their high level forgetfulness√
Distress The caregiver may be distressed over the problems that their clients face
because however overwhelming these challenges may be, the caregiver has to
provide support on each challenge√
B: It is important that you are able to monitor your own stress levels relating to working with people
with dementia, and if the stressors are impacting on your life and work.
Outline six (6) physical, behavioural or emotional responses to stress in the table below (20-50 words
each).
1
Good diet√
2
Seeking for mentorship√
3
Seeking for help√
4
Manage and reduce the effects of stress through massage or exercise √
5 Acquire more knowledge on dementia√
6
Have enough rest√
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C: It is important that you are able to monitor your own stress levels relating to working with people
with dementia, and if the stressors are impacting on your life and work.
Outline four (4) self-care strategies you could employ if stress is impacting on your life or work. (20-50
words each).
1
Ask for help with managing stress in the workplace√
2
Brainstorm stress management ideas with colleagues √
3
Ask for a change in role√
4
discuss with the employer on ways to minimise stress √
References
MAY, H., EDWARDS, P., & BROOKER, D. (2009). Enriched care planning for people with dementia a good
practice guide for delivering person-centred dementia care. London, Jessica Kingsley.
SCHÜSSLER, S., & LOHRMANN, C. (2017). Dementia in nursing homes. Cham, Switzerland, Springer.
VOLICER, L., & HURLEY, A. C. (1998). Hospice care for patients with advanced progressive dementia. New
York, Springer Pub. Co.
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4. Assessment Rubric
Below is a rubric that determines whether your answers and knowledge are satisfactory or
unsatisfactory.
To be deemed satisfactory, and to pass the assessment, you must complete the requirements for the
column that is titled ‘Satisfactory’.
It is advisable to read the rubric for the question you are answering to determine if you have fully
answered the question to the correct standard.
Criteria Satisfactory Not yet satisfactory
Part 1:
Question A
The student is able to adequately:
- identify how to use each
communication strategy,
and
- describe why the strategy is important
in communication and how it assists
communication with the person with
dementia,
The student fails toordoes not
adequately:
identify how to use each communication
strategy,
and/or
- describe why the strategy is important
in communication and how it assists
communication with the person with
dementia,
Part 1:
Question B
The student is able to:
- identify a communication strategy they
could suggest to Anna for each situation
and
- identify why these strategies may assist
Anna,
The student fails to:
- - identify a communication strategy
they could suggest to Anna for each
situation
and/or
- identify why these strategies may assist
Anna,
Part 2:
Question A
The student is able to identify and briefly
describe two methods of identify what
Mrs Si’s finds enjoyable in the given
scenario.
The student fails to identify and/or
briefly describe two methods of identify
what Mrs Si’s finds enjoyable in the given
scenario.
Part 2:
Question B
The student is able to adequately:
- describe how they would use the
information to engage Mrs Si, assist her
to engage in meaningful activities and
address social devaluation.
The student fails to adequately:
- describe how they would use the
information to engage Mrs Si, assist her
to engage in meaningful activities and
address social devaluation.
Part 2:
Question C
The student is able to:
- describe what they could do to assist
Mr Si to understand his role as a carer
and
- where they could refer him to for
assistance and support.
The student fails to:
- describe what they could do to assist
Mr Si to understand his role as a carer
and/or
- where they could refer him to for
assistance and support.
Part 3:
Question A
The student is able to
-outline one strategy for each element
they could use to assist Joanne
and
-Describe how they would ensure that
The student fails to
-outline one strategy for each element
they could use to assist Joanne
and/or
-Describe how they would ensure that
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they maximise Joanne’s independence
and ensure Joanne’s dignity is
maintained in relation to this task .
they maximise Joanne’s independence
and ensure Joanne’s dignity is
maintained in relation to this task .
Part 3:
Question B
The student is able to:
- outline the steps they would take in
response to the scenario,
and
- explain why they would take those
steps.
The student fails to:
- outline the steps they would take in
response to the scenario,
and/or
- explain why they would take those
steps.
Part 4:
Question A
The student is able to:
- outline a situation illustrating each
behaviour,
and
- outline what may be triggering the
behaviour,
and
- Describe what they could do to manage
or minimise the impacts of each
behaviour.
The student fails to:
- outline a situation illustrating each
behaviour,
and/or
- outline what may be triggering the
behaviour,
and/or
- Describe what they could do to manage
or minimise the impacts of each
behaviour.
Part 4:
Question B
The student is able to:
- Describe what might be the triggers for
each behaviour,
and
- Explain what strategies the team could
put in place to manage the impacts of
this behaviour,
and
- Describe what would indicate that the
strategies are successful
The student fails to
- Describe what might be the triggers for
each behaviour,
and/or
- Explain what strategies the team could
put in place to manage the impacts of
this behaviour,
and/or
- Describe what would indicate that the
strategies are successful
Part 4:
Question C
The student is able to:
- outline the steps they would take to
accept John’s reality, address John’s
needs driven behaviour and to de-
escalate the situation
and
- explain why they would take these
steps
The student fails to:
- outline the steps they would take to
accept John’s reality, address John’s
needs driven behaviour and to de-
escalate the situation
and/or
- explain why they would take these
steps
Part 4:
Question D
The student is able to:
- explain what they would document in
the relevant notes or charts in relation to
the described situation
and
where you would document the
information
and
who and when you would report to
about this incident
The student fails to:
- explain what they would document in
the relevant notes or charts in relation to
the described situation
and/or
where you would document the
information
and/or
who and when you would report to
about this incident
Part 4:
Question E
The student is able to:
- explain in their own words how the
listed strategies might be used with
clients with changed behaviours
The student fails to:
- explain in their own words how the
listed strategies might be used with
clients with changed behaviours
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and
how might the team evaluate the
strategy
and/or
how might the team evaluate the
strategy
Part 5:
Question A
The student is able to:
- describe three issues that you could
discuss to contribute at this care review
and
suggested strategies to minimise the
effects of the issues to contribute at this
care review
The student fails to:
- describe three issues that you could
discuss to contribute at this care review
and/or
and suggested strategies to minimise the
effects of the issues to contribute at this
care review
Part 5
Question B
The student is able to:
- describe why it is important to review
and evaluate a careplan regularly
The student fails to:
- describe why it is important to review
and evaluate a careplan regularly
Part 6:
Question A
The student is able to:
- describe each type of potential stressor
listed
The student fails to
- describe each type of potential stressor
listed
Part 6:
Question B
The student is able to
-outline six physical, behavioural or
emotional responses to stress.
The student fails to
-outline six physical, behavioural or
emotional responses to stress.
Part 6:
Question C
The student is able to
-outline four self care strategies they
could employ if stress is impacting on
them.
The student fails to
-outline four self care strategies they
could employ if stress is impacting on
them.
Overall assessment requirements
Word count As per tasks. Yes
Plagiarism All or most of the work is original and sourced material (if any) is properly cited. Yes
Referencing Appropriate referencing conventions are used. Yes
5. Units of Competency
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This assessment meets the following units of competency:
CHCAGE005 Provide support to people living with dementia
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