Individual Support (Ageing) E1144 Module 1 Aged Care Assessment

This document presents a student's completed assessment for the E1144 Certificate III in Individual Support (Ageing, Home and Community) Module 1. The assessment focuses on meeting the needs of older people and includes short-answer questions addressing person-centered care principles, practical applications, and risk factors. It also includes a table analyzing how various physical conditions affect individuals and how support workers can assist with activities of daily living. Furthermore, the assessment explores underpinning approaches in the aged care sector, such as client-centered planning and strengths-based approaches, with examples of empowering clients. Finally, the document examines the use of specific equipment to maintain independence and reduce injury risks for individuals with mobility issues, providing detailed explanations for each item. The student provides comprehensive responses, demonstrating their understanding of aged care practices and principles.

Student Name:
Student ID:
32468/03 Knowledge Test – Short Answer Questions
E1144
Certificate III in Individual
Support (Ageing, Home and
Community)
Module 1: Meeting the
needs of older people
This is assessment 3 of 3.
1. Background/Overview
Aged care workers use a person-centred approach to provide physical and
emotional support to their clients. They provide care in an aged care
facility, or perhaps in the client’s own home. The support tasks vary with
each client and may range from assisting with activities of daily living,
equipment and aids, to providing social and emotional support.
2. Brief
In this assessment you will demonstrate your knowledge
relating to the underpinning theories regarding modern
aged care, as well as your ability to determine and respond
to an individual’s physical personal support needs and to
support activities of daily living.
The questions in this assessment outline case studies and
scenarios that you are likely to come across as you work in
the aged care industry. Some of the questions have multiple
parts to the questions, so please make sure you answer all
the parts of the questions and pay attention to the word
count indicators (where provided).
Deliverables
Please submit this
assessment in Word doc
format.
To do list:
1. Write your name and
student ID in the space
provided at the top of
this page.
2. Read the
background/overview
and brief sections of this
document.
3. Answer the 9 short-
answer questions, and
provide referencing as
required.
4. Pay attention to the word
count indicators. These
are guidelines and you
can present your
answers in bullet points
or paragraphs.
5. Save the Word document
using the naming
convention: your student
number_assessment
number.doc. For
example:
“12345678_31135_01.do
c.”
6. Upload your document in
Open Space using the
relevant Assessment
Upload link in this
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Module.
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3. Activities
Answer the following 9 short-answer questions:
 Your written answers should be approximate 50-100 words in length (+/-10%) per
question. The word count is a guideline and you can present your answers in
narrative or bullet point format.
 Ensure you acknowledge and cite your sources accordingly – this is important
whether you use your own words or another writer’s. You can review the Academic
Referencing Guide in your student handbook.
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1.Answer the following questions - A, B, and C – relating to person-centred
care.
Type your answers in the boxes provided. Be careful to note the number of
words required (indicated in brackets at the end of each question).
A: What are the principles of person-centred care? (50-100 words)
The principles of person-centred care practice determine that all individuals are given the right and capacity to
take decisions regarding their own lives. The principles are focused on the concepts of self-determination, which
states that all people should have the capability of selecting and controlling their goals, objectives, and quality of
life. The principles allow people to participate in decision-making process related to the healthcare services being
given to them. Thus, it can be stated person-centred upholds the human rights of the concerned patients.
Further, it develops good working relationship and allows the person to identify their potential strength and
weakness.
B: Explain how person-centred care can be achieved, especially when caring for a client who has recently had a
stroke and has lost the ability to walk.(50-100 words)
Rehabilitation services can help such patients. It will encompass several services such as care by physicians,
nursing care, physiotherapy, speech and occupational therapy, and counselling. Group activities, patient and
family education will also assist the person in recovery. Time should be spent on relearning skills related to
walking and speaking. The nurses should help the person to walk with a cane or walker and the living place should
be prepared well before patient discharge. Providing wheelchairs, ankle-foot orthotic devices will also facilitate
easy recovery of the patient. Communication aids should be provided and the family members should act as
caregivers.
C: Identify the risk factors associated with person-centred care. (50-100 words)
Approach is based on optimistic view of clients
Overly generous in the context of non-directive approach
Sufficient information is often not gathered
Humanistic approach displayed by small number of healthcare professionals
Lack of empirical evidence to support the client-centred care plan
Inappropriate, immoral and self-destructive choices not challenged
Large reliability on the ability of physicians and nurses to be non-judgemental
Counter-transference may hinder unconditional positive regard for the client
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2.Complete the table below by first filling in the sections about how a person may be affected by each of the
different illnesses or conditions.
Next, identify how a support worker could encourage and assist the older person to engage actively in all living
activities and to seek assistance when needed.
Two points in each box are sufficient.
Physical condition: How this condition affects a
person:
How would the support worker
encourage and assist the older person
to engage actively in all living activities
and to seek assistance when needed:
Arthritis and other
musculoskeletal problems
Person experiences stiffness,
swelling and pain in the joints
They cause deformity and restrict
mobility
The support worker can engage the
patient in exercises that would improve
the flexibility of the joints and
strengthen muscles
Non-medication treatments such as hot
or cold therapy, special footwear and
walking aids will also relieve stress
Macular Degeneration Distortions and smudging can
occur in the visual field centre of
the person, which will lead to
difficulties in driving, reading
and recognizing faces
The person will become incapable
of judging distances that may lead
to falls
Recommending a diet that is rich in
vegetables and fruits will help in
keeping the eye healthy.
Teaching the practice of eccentric
viewing will help the older people to
maximise their vision by learning the
way to view with peripheral vision.
Dementia The person loses social skills,
repeats behaviour patterns and
often becomes irritable or shows
mood swings.
Difficulties are faced in
remembering names and numbers,
recognizing people and place of
residence and there is lack of
concentration.
Labeling objects such as doors,
cupboards, wardrobes, and desks will
help the person to remember where
the essential items are kept.
Asking questions about distant past and
making them wear clothes and
bracelets with labels of names and
emergency phone numbers will also
help.
Frailty and deconditioning Due to stiffness of the muscles the
person faces difficulty in sitting,
walking or standing and gets
Physical therapy will help in treating
chronic pain and will improve motion
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exhausted easily.
Simple household tasks cannot be
performed and the person loses
balance and experiences frequent
falls.
and flexibility
Exercises will help in improving
muscular endurance and balance
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3. Aged care no longer focuses on the weaknesses, but on the strengths of
what a client can do and the choices they make. Many clients, as they age,
give up on life and expect care workers to do everything for them.
This is often due to a recognition of their weaknesses, however, modern
methods, with an emphasis on a client’s strengths, promote individualism and
empowerment. This latest industry approach is person-centred care.
Below is a list of some current underpinning approaches in the aged care sector. Give an explanation/definition
of each, and an example of how you can empower the client for each. Write just one sentence in each section of
the table.
Underpinning Approach Explanation / Definition Identify an example of how you can
empower the client using this approach
Client-centred planning It refers to a set of approaches
that are designed to help an
individual by identifying the
specific needs and demands of the
person and formulating a plan
that will provide patient
satisfaction
This approach will be used to recognise
the demands of cultural, linguistic,
religious, ethnic and educational
background of the client. The views of the
client will be listened, culture will be
respected, the client shall be involved in
making healthcare plans and a
collaborative workforce will be created to
deliver patient care.
Strengths-based approach It can be defined as the
application of certain approaches
that identify and focus on the
inherent strengths of particular
individuals, their families or other
organisations. These approaches
work towards utilising the
personal strengths with the aim of
assisting in client recovery and
empowerment.
The staff will be empowered and
provisions for learning and partnership
among the caregivers should be built in
order to identify the strengths. Client
counselling will also help in recognising
the strengths.
Collaboration It can be defined as the
cooperative working and sharing
of responsibilities between nurses,
physicians, and other healthcare
professionals will the aim of
solving problems and making
decisions that help in continued
improvement of the patients.
Sharing problem solving and decision
making responsibility to formulate and
carry out care plans will help the
caregivers to assume complementary
roles and will benefit the client.
Not letting personal values and
attitudes impact on service
delivery
Values are greatly influenced by
cultural, religion, educational and
social backgrounds. These values
should never be imposed on the
clients or they may lead to the
development of conflicts and can
disturb the healthcare
professional-client relationship.
In addition to being aware of the self
values related to several stereotypes and
divisive topics, the beliefs and values of
the client must also be recognised in
order to influence the patient outcomes.
Maintaining a neutral position will also
help in delivering the healthcare services.
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Access and equity This ensures that all clients,
irrespective of their religious,
racial, cultural or linguistic
backgrounds should enjoy full
access to healthcare services and
all resources should be fairly
This can be achieved by implementing
care policies and reforms that are
linguistically, culturally and spiritually
inclusive that are free from any kind of
discrimination and y considering that all
clients are equally eligible or entitled to
receive the care services.
Palliative Approach It can be defined as an approach
that focuses on improving the
quality of life of aged patients
who suffer from life-threatening
illness. This is mainly achieved by
preventing and providing relief to
the elderly by identification and
assessment of their pain and
physical, psychosocial or spiritual
problems.
This can be achieved by respecting the
dignity and autonomy of the clients,
having open discussions on the proposed
care plan, employing evidence-based
treatment options, honoring the spiritual
and cultural needs of the patients and
providing access to the family members
whom the clients want to be present with
them.
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4.For each of the pieces of equipment listed below, state how they might assist a
person with mobility issues to maintain their independence, and how the
equipment reduces risk of injury or accident for the client.
Equipment How can it assist a person to
maintain their independence?
How this piece of equipment
reduces risk of injury or accident.
Soap-on-a-rope Elderly people often face difficulties
while stretching for supplies that are
beyond their reach in a bathroom.
Physical limitations prevent them
from reaching various body parts for
proper cleansing. Using a soap-on-a-
rope will avoid unnecessary reaching
even if the soap falls and will help
the person to maintain privacy
during a shower.
It is preferred to a slippery soap
bar floating on the water on keep
on the floor as the rope will keep
the soap from slipping out of the
hands of the person and will
prevent accidents due to falls in
the shower. If it accidentally gets
dropped it can be picked up easily
without creating any havoc.
Long-handled sponges, toe
washers, hairbrushes, and
bottom wipers
These reduce the need of the client
to bend over or twist in order to
reach different parts of the body
during a shower. The sponges and
toe washers can wash and dry
between the toes, therefore
eliminating bending. It promotes
discretion and independence for
toilet.
The bottom wipers assist people to
reach and grip the toilet papers
and prevent falls. The client is also
able to maintain balance.
Shower chairs and stools These assist a frail client to sit in the
shower and feel more secure while
bathing. It also eliminates chances
of privacy intrusion.
They reduce the risk of slipping
during showering, thus preventing
accidents. They can also be used to
sit while getting dressed and
drying.
Dysphagia cups These allow a client to enjoy favorite
drinks independently, and with
dignity. They allow the client to tuck
their chin and follow a normal
swallowing mechanism.
They enhance the quality of life,
and prevent accidents due to
choking or the occurrence of burns
and scalds due to spilling of hot
liquids.
5. For the three pieces of equipment/aids in the table below, state:
A: What it is typically used for.
B: How you look after it to keep it well maintained.
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C: Some standard procedures for its use.
Equipment / Aid What is it typically used
for?
How do you look after it
to keep it well
maintained?
What are some standard
procedures for its use?
Walking frame Used for clients who
require assistance with
balance or show weakness
of the muscles in their
legs. It is also used for
clients who need stability
during walking.
The walking frame should
be adjusted to a proper
height that will be
comfortable for the client.
The adjustable sections
should be regularly
checked and monitoring
should be done for wear,
tear and broken wheels.
Furthermore, the frame
should be stored at a
separate place to prevent
trip hazards.
Standing upright with feet
placed together and holding
the frame with both hands.
The frame should be lifted
forwards for a small
distance and should be put
down by placing the four on
the ground. One leg should
be used to step forward and
the weight should be placed
on the frame. The other leg
should be brought
alongside.
Beds with adjustable
height
They help the clients to
easily get in and out of
their beds and ensure that
the client can touch the
floor from seated position.
These adjustable beds also
prove effective in
preventing back injury
among workers.
The bed is adjusted to
meet the needs of the
client and it should be
checked regularly for any
wear or tear.
They are adjusted manually
or electrically according to
the needs of the client. They
are profiled into a sitting
position and the grab rails or
poles are used by the clients
while raising themselves.
Utensils with large grip
handles
They help clients with
swelling or joint pains or
those who report
restricted grasping ability
for holding utensils, forks,
spoons and knives. They
are used to assist clients
to prepare and enjoy their
food.
There should be a regular
check for any splits of
food or cracks in the
handles.
The large and easy to hold
handles are used bent or
angled by clients to meet
their specific needs.
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6. For the list of hazards in the table associated with personal care in an aged care facility, state:
A: How you would avoid/reduce the risk by naming a strategy or a tool that can assist in the reduction of
the hazard (preventative strategy).
B: How you would respond to the risk should it occur (reactive strategy).
The first one has been completed for you as an example.
Hazards associated with
personal care
Preventative Strategy
Name a strategy or a tool to assist in
avoiding or reducing this hazard.
Reactive strategy
Imagine the client has had an accident
due to the particular hazard. How
should you respond within your scope
of practice?
Poor lighting in the
bathroom.
Example:
Put up a sign. Fill in a hazard report
incident. Report issue to maintenance
officer. Ensure the hazard is logged in the
maintenance logbook. Notify a supervisor.
Discuss hazard with client.
Example:
Get a RN to come and assess the client.
Follow policy and procedure of the
organisation.
Reassure the client of his safety
Report to supervisor.
A bathroom that has an
uneven surface.
Report the hazard to the supervisor. Put
up a sign in the bathroom to look out for
the floor while stepping in. Discuss the
hazard with the client. Report the risks to
an officer who would repair it.
Immediately call for a nurse or physician
if the client suffers an accidental fall
Follow the organisational procedures
Provide reassurance for safety
Report to supervisor
Client with poor skin
integrity, who bruises
easily.
Secure a history for occurrence of any skin
disorders. Check for history of skin cancer
or chronic exposure to sunlight. Use
cleansers, moisturisers and corticosteroids
beforehand to prevent skin bruises or
itching.
Call for a nurse to evaluate if the injury
is severe.
Use oils at the end of bath. Gently blot
the skin after shower.
Wash it at night. Report the incident to
the supervisor.
Reassure that the client will be
safeguarded
Client with dementia who
does not understand
verbal instructions from
staff.
Document the cognitive difficulties the
client faces. Talk calmly to the client and
repeat instructions unless the client is able
to remember them. Show them pictures
to facilitate easy understanding.
Report accidents to the supervisor
immediately.
Consult the family members and try to
gain a clear understanding of the reason
for the accident.
Provide safety reassurance
Provide support during client recovery
and
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