CHCAGE005 Provide support to people living with dementia

{`
  CHCAGE005
  Provide support to people living with dementia
  Release 2
  Total Training Solutions Adelaide Assessments
  `}

Final assessment tasks

Part A – Questions

Purpose	You will demonstrate a sound knowledge of the unit requirements in your responses.
Instructions to the candidate	All questions must be answered satisfactorily for Part A to be completed satisfactorily. There is no restriction on the length of the question responses, or time restriction in completing the assessment. You must complete all questions unassisted by the assessor or other personnel, but may refer to reference material as needed.
Resources required	The question responses section is the only resource required for this questioning assessment to be completed.
Assessment conditions	Skills must have been demonstrated in an ageing support workplace with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace. These are situations relating to emergency or unplanned procedures where assessment in these circumstances would be unsafe, impractical or threatens the dignity of the older person. The following conditions must be met for this unit: • Use of suitable facilities, equipment and resources, including individualised plans and any relevant equipment outlined in the plan • Modelling of industry operating conditions, including scenarios that reflect a range of dementia support services involving a range of dementia symptoms and behaviours of concern Overall, assessment must involve some real interactions with people with dementia, colleagues and families/carers. Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.
Reasonable adjustment	If you do not wish to respond to the questions in written form, an interview may be used as an alternative approach if negotiated with your assessor.

Question 1	List the four different types of dementia.
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 2	In your own words, explain what Alzheimer’s disease is.
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 3	What is vascular dementia or multi-infarct dementia?
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 4	How does Lewy bodies differ from Alzheimer’s disease?
Answer
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Question 5	In your own words, explain what Korsakoff Syndrome is.
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 6	In your own words explain what Frontotemporal dementia (FTD) is.
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 7	Care plans should suggest consistent approaches to the client by both family and staff, using recommendations from both family and staff. List 2 approaches that would generally be used
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 8	List three (3) examples of the impacts that dementia may have on family carers, family and significant others that you need to be aware of when supporting people who are affected by dementia
Answer
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Question 9	Give an example of a non-verbal method of communication that would be appropriate to use with a person affected by dementia:
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 10	Who in the general community might get younger onset dementia?
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 11	Give an example of a non-verbal method of communication that would be appropriate to use with a person affected by dementia
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 12	Give an example of how you would provide reassurance by using reality orientation
Answer
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Question 13	List three (3) examples of validation strategies you could use if a person affected by dementia is showing signs of agitation and distress
Answer
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Question 14	Give four (4) examples of daily living activities which aim to maintain independence using familiar routines and existing skills:
Answer
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Question 15	When providing activities to people who experience dementia, give four (4) examples of what you could do to ensure the safety and comfort of the person
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 16	What is the link between the onset of dementia and depression?
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 17	Explain the steps of loss and grief a person with early onset dementia may experience.
Answer
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Question 18	How can dementia lead to social isolation?
Answer
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Question 19	What is meant by ‘needs-driven behaviour’ in relation to behaviours of concern?
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 20	Give two examples of de-escalation procedures.
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 21	Explain what amyloid plaques are.
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 22	What are Neurofibrillary tangles?
Answer
Marking	q Satisfactory	q Unsatisfactory

Question 23	What processes can you follow to ensure you are completing and storing documentation correctly?
Answer
Marking	q Satisfactory	q Unsatisfactory

Part B – Case study questions

Purpose	You will demonstrate a sound knowledge of the unit requirements in your responses.
Instructions to the candidate	All questions must be answered satisfactorily for Part B to be completed satisfactorily. There is no restriction on the length of the question responses, or time restriction in completing the assessment. You must complete all questions unassisted by the assessor or other personnel, but may refer to reference material as needed.
Resources required	The question responses section is the only resource required for this section to be completed.
Assessment conditions	Skills must have been demonstrated in an ageing support workplace with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace. These are situations relating to emergency or unplanned procedures where assessment in these circumstances would be unsafe, impractical or threatens the dignity of the older person. The following conditions must be met for this unit: • Use of suitable facilities, equipment and resources, including individualised plans and any relevant equipment outlined in the plan • Modelling of industry operating conditions, including scenarios that reflect a range of dementia support services involving a range of dementia symptoms and behaviours of concern Overall, assessment must involve some real interactions with people with dementia, colleagues and families/carers. Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.
Reasonable adjustment	If you do not wish to respond to the questions in written form, an interview may be used as an alternative approach if negotiated with your assessor.

Candidate to complete

Candidate name
Date of assessment
Assessment declaration	I declare that no part of this assessment has been copied from another person’s work, except where clearly noted on documents or work submitted. I declare that no part of this assessment has been written for me by another person. I understand that plagiarism is a serious offence that may lead to disciplinary action by my training organisation.
Candidate signature

Read the case study, then answer the questions that follow.

Case study (questions 1–5)

Desmond is a 70-year-old man with mild dementia who lives at home in his community. Desmond has a few supportive family members that help him to manage his finances and some physical needs.

Desmond also receives home help from Lara, a support worker, who assists with showering Desmond three times per week and some light domestic duties.

Recently Desmond has not been acting like himself, and Lara suspects there may be some kind of elder abuse taking place.

CS Question 1	What are some common indicators and symptoms of dementia that Lara needs to be aware of?
Answer
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CS Question 2	What signs may alert Lara to the fact that Desmond is experiencing a form of financial abuse?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 3	What signs may alert Lara to the fact that Desmond is experiencing a form of physical abuse?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 4	What signs may alert Lara to the fact that Desmond is experiencing a form of emotional abuse?
Answer
Marking:	q Satisfactory	q Unsatisfactory

CS Question 5	What signs may alert Lara to the fact that Desmond is experiencing a form of neglect?
Answer
Marking	q Satisfactory	q Unsatisfactory

Read the case study, then answer the questions that follow.

Case study (questions 6–13)

Lila is a support worker at a care facility. Lila provides care to people who experience memory loss. Every day at work Lila faces new challenges as she tries her best to use the most appropriate communication strategies to meet each person’s individual needs.

Some of the people Lila works with have severe dementia and can become distressed when spoken to. Others she cares for are not aware of anything that is going on around them – they are disorientated to the day, time, relationships and occasions. Sometimes they confuse the past and reality taking place around them. Lila has found that no single strategy works for everyone, and that everyone has unique communication needs.

CS Question 6	What are some verbal communication factors that Lila should be aware of when communicating with people who have memory loss?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 7	What are some nonverbal communication factors that Lila should be aware of when communicating with people who have memory loss?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 8	What communication strategies could Lila use to remind people with dementia what day it is?
Answer
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CS Question 9	What communication strategies could Lila use to remind people with dementia what time it is?
Answer
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CS Question 10	What communication strategies could Lila use to remind people with dementia of relationships?
Answer
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CS Question 11	What communication strategies could Lila use to remind people with dementia of occasions?
Answer
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CS Question 12	What reality orientation strategies could Lila use with people with dementia?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 13	What activities could Lila use to connect with people with dementia through frequent reminiscence?
Answer
Marking	q Satisfactory	q Unsatisfactory

Read the case study, then answer the questions that follow.

Case study (questions 14–19)

Richard is part of a team who support people with dementia. One of the most challenging aspects of Richard’s job is managing the problematic and disruptive behaviours of the people he is caring for. Richard realises that in most cases these behaviours are a way of expressing unmet needs and concerns. Unfortunately, it can be tricky to identify these needs, especially for those like Karin who have severe dementia. Karin is unable to use words to explain her thoughts and feelings.

Richard tries to use a range of strategies to reassure her and minimise the impacts of the behaviours of concern. However, he has noticed that sometimes the effectiveness of a strategy will change and require the team to review the behaviour support plan to better meet the needs of the people receiving care.

CS Question 14	Why is it important for Richard to contribute to team discussions on behaviour support planning and review?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 15	How can Richard monitor the strategies to minimise disruptive and problematic behaviours noted in Karin’s behaviour support plan?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 16	What are some things Richard and his team should consider when planning activities to enhance self-esteem and pleasure in a person with dementia’s life?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 17	What are some important things that Richard should take into consideration when planning activities to minimise boredom in people with dementia?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 18	What are some important things that Richard should take into consideration when planning activities to distract or eliminate behaviours of concern in people with dementia?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 19	What are some psychological symptoms of dementia that Richard should be aware of?
Answer
Marking	q Satisfactory	q Unsatisfactory

Read the case study, then answer the questions that follow.

Case study (questions 20–21)

Miyuki is a carer for Mr Ling, a 76-year-old man who has dementia and lives at home on his own. Miyuki often finds that the most challenging part of caring for Mr Ling is balancing his rights and safety.

Last week Miyuki found Mr Ling on the ground outside, where he had fallen while trying to garden. Miyuki knows that it is important for Mr Ling to keep having choices, and be able to participate in activities he enjoys, but she also wants to make sure he is safe.

CS Question 20	What is ‘the balance’ between autonomy and risk taking that Miyuki finds challenging?
Answer
Marking	q Satisfactory	q Unsatisfactory

CS Question 21	What type of information does Miyuki need to record about her observations on things such as Mr Ling’s fall and behaviours?
Answer
Marking	q Satisfactory	q Unsatisfactory

Read the case study, then answer the questions that follow.

Case study (questions 22–23)

Tua works in a busy care facility that provides care to many people who have memory loss. Recently Tua finds himself feeling frustrated at the people he is providing care for. He notices himself wishing they would hurry up and stop asking such repetitive questions.

Yesterday Tua noticed that he was rushing Janice, a lady with dementia, when he was assisting her to shower. Tua knows that people with dementia need extra time, but he also felt like he did not have enough time because of the stress of all the things he still had left to do.

CS Question 22	Why is it important for Tua to be aware of and monitor his stressful feelings when working with people who have memory loss?
Answer:
Marking	q Satisfactory	q Unsatisfactory

CS Question 23	What kind of help and self-care strategies could Tua use when he is not coping with stress on his own?
Answer
Marking	q Satisfactory	q Unsatisfactory

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CHCAGE005 Provide support to people living with dementia

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