CHCAGE005 Provide support to people living with dementia

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CHC33015 Certificate III in Individual Support (Ageing)
Advance College
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This Student Assessment Booklet includes all your tasks for assessment of CHCAGE005 Provide support to people living with dementia.

ABOUT YOUR ASSESSMENTS

This unit requires that you complete 6 assessment tasks. You are required to complete all tasks to demonstrate competency in this unit.

Assessment Task	About this task
Assessment Task 1: Written questions	You must correctly answer all questions to show that you understand the knowledge required of this unit.
Assessment Task 2: Case studies	You are to read two case studies and complete the questions for each.
Assessment Task 3: Role plays	You are undertake two role plays.
Assessment Task 4: Behaviour management plan	You are to develop a behaviour management and review plan for the client from role play 2 in Assessment Task 3.
Assessment Task 5: Project – Dementia diseases	You are to complete a research project on a range of dementia diseases.
Assessment Task 6: Project – Working with clients with dementia	You are to work with two clients with dementia for three days and complete a journal for each client.

QUESTION 1

Explain how older people with dementia are more vulnerable to abuse than those without dementia.

List six signs of abuse that could occur with a person with dementia.

Sign 1:
Sign 2:
Sign 3:
Sign 4:

Sign 5:
Sign 6:

Explain what you would do, to follow workplace procedures, if you suspected that a family member of one of your clients was purposefully withholding medication.

QUESTION 2

Describe how the practice of ‘person-centered’ care can benefit and support a client with dementia.

QUESTION 3

Caring for people with dementia can be very stressful. Provide two examples of signs of stress that you might identify in yourself or other carers.

Identify two things you could do if you found your stress levels were interfering with your work.

QUESTION 4

Provide a definiton of behaviours of concern. Aside from wandering, which is covered below, what are some common behaviours seen in a person with dementia? List at least three.

Explain the needs-driven behaviour model.

Wandering is also common behaviour of people with dementia.

Explain why wandering can be a problem.

Identify two supports that could be put in place to assist people who are wandering.

Identify two social supports or activities that could be put in place to assist people who tend to wander.

Explain why it is important to look at the emotional issues that could be encouraging wandering.

List at least three other signs/symptoms of dementia.

QUESTION 5

List six common communication techniques you can use when communicating with a person with dementia, especially in regards to de-escalation of difficult situations.

How could you adjust the following sentences so they are more positive? The first has been completed for you as an example.

Negative sentence	Positive sentence
Don’t sit there – it is too hot.

(SOLVED) Want answer for this assignment; Contact Online Chat Support.

Negative sentence	Positive sentence
You are not allowed in other people’s rooms.
You can’t go home – you live here now.
You haven’t finished your dinner again.
I wish you wouldn’t keep hiding your underclothes. Where have you put them?
Negative sentence	Positive sentence
My name is Angela. I’ve told you five times in the last half hour.

People with dementia will feel a range of emotions such as fear, anxiety, confusion and despair. Explain how verbal and physical reassurance can benefit and support people with dementia

QUESTION 6

In the following table, idenitfy three appropriate care approaches that may be used to assist with each type of challenging behaviour or behaviour of concern.

Behaviour	Care approaches
Repetitive behaviour

Paranoia


Aggression


Sundowning


Uninhibited sexual behavior


Wanting to go home


Distress or agitation (such as pacing, fiddling, constant vocalisations, crying out, etc)

QUESTION 7

In the following table suggest two appropriate care approaches when providing personal care assistance to maximise independence for a person with dementia.

Personal care activities	Care approaches to maximise independence
Eating
Bathing
Personal care activities	Care approaches to maximise independence
Oral care
Dressing

QUESTION 8

Explain what is meant by social devaluation. How does this apply to people with dementia?
As a personal care worker, what are two simple things you can do to help clients with dementia feel valued?
Explain how competency and presentation of a positive image can assist in helping a person with dementia to feel valued.

QUESTION 9

Describe each of the following and give an example of how to use each one.

Reality orientation

Description:

Example:

Validation strategies

Description:

Example:

Reminiscences

Description:

Example:

Empathy

Description:

Example:

Acknowledgement

Description:

Example:

QUESTION 10

Maud wants to walk to town for a coffee like she always used to. Maud has the early stages of dementia and has been known to get lost on the odd occasion.

List at least two things you could do to ensure Maud is safe, balancing her wish to remain independent and be able to take risks.

QUESTION 11

Janice is up to her ears in paperwork. She has to check all the client care plans before the auditor comes next week. She has client files all over her desk, on top of the cabinet and on the floor.

There is a big pile of loose papers that need to be filed, so she is doing that first.

Today is Friday. When it is time to go home for the weekend, Janice puts up a large sign in her office: ‘DO NOT TOUCH ANY OF THESE FILES’.

She thinks she has done well to remember to do this as the cleaner comes in over the weekend and she doesn’t want the cleaner moving things around .otherwise she won’t know where she is up to.

Janice’s work practices are bad on many levels! Identify the legislation she is breaking.

List two work practices that need to change. What is the consequence if they don’t change?

Practice 1:
Consequence:
Practice 2:
Consequence:

QUESTION 12

In at least one paragraph, discuss how each person may be impacted by a diagnosis of dementia and how they may be affected by the emotions indicated below. In your answers, remember that people with dementia are not always elderly, and may be younger and have young children, jobs, and active social circles.

Depression

The person with dementia

Their family and significant others

(such as friends, their spouse/partner, etc)

Loss and grief
The person with dementia
Their family and significant others (such as friends, their spouse/partner, etc)
Anger
The person with dementia
Their family and significant others (such as friends, their spouse/partner, etc)

Despair
The person with dementia
Their family and significant others (such as friends, their spouse/partner, etc)
Social embarrassment
The person with dementia
Their family and significant others (such as friends, their spouse/partner, etc)

Isolation
The person with dementia
Their family and significant others (such as friends, their spouse/partner, etc)
Financial burden
The person with dementia
Their family and significant others (such as friends, their spouse/partner, etc)

QUESTION 13

Answer the following questions about younger onset dementia.

At what age can a person be diagnosed with younger onset dementia?
What are the signs/symptoms?
What is the most common type of younger onset dementia?
List three challenges that can be faced by a person who has been diagnosed with younger onset dementia.

What do I need to hand in for this task?	Have I completed this?
Your answers to each question	o

ASSESSMENT TASK 2: CASE STUDIES

TASK SUMMARY:

You are to read the case studies and complete the questions that follow.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

Access to textbooks and other learning materials
Access to a computer and the Internet (if you prefer to type your responses).

WHEN DO I DO THIS TASK?

You will do this task in your own time..
Write in the due date as advised by your assessor: _____________

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

Answer the questions that were incorrect in writing.
Answer the questions that were incorrect verbally.

CASE STUDY 1:CHEN

Chen is 95 years old. He migrated from China many years ago but has lived largely in the Chinese community.

Chen has dementia and is unable to remember any English words. Chen is now in residential care as he is unable to look after himself.

Chen has two daughters and a son who come to see him frequently. They feel guilty that they cannot look after Chen at home but they each have jobs and do not feel able to look after him.

There is one Chinese worker (Mei) who speaks Mandarin – Chen’s first language.

How do you think Mei’s involvement in Chen’s care team will benefit Chen?

Mei needs to learn more about Chen to make sure she can provide care that helps support his dignity and selfworth. List three types of information that Chen’s family could provide to help Mei and other staff understand Chen’s individual preferences and practices.

You are member of Chen’s care team. You do not speak Chinese. You find out from the family that Chen liked playing Mahjong, but he no longer remembers how to play.

They bring a mah-jong set in for him and you notice he likes to play with the pieces and look at the symbols. He rubs the pieces between his fingers and sets them out in front of him on his table.

Why do you think Chen gets pleasure from the mah-jong set, even though he can no longer remember how to play?

Mei isn’t always on shift. List two things you could do to interact with Chen using the mah-jong game as a resource.

Describe two ways in which you can communicate with Chen when there is no one available who speaks Chinese.

Respect is a very important thing in the Chinese culture. Lists two ways in which you could demonstrate respect your respect of Chen.

He is usually quite a happy person. Today he is distressed, restless and agitated. He gets up, then sits down, then gets up again. He is wringing his hands and saying the same thing over and over. He does not seem to notice you.

What action should you take?

Mei is brought in to talk to Chen. Apparently he is very distressed as he thinks his children should be looking after him. He thinks they have deserted him for good – he has forgotten they visited yesterday and will be coming again tomorrow to see him.

What support can Mei give to Chen?

Chen’s family are very distressed that he was so upset and thought that they had deserted him. They would never do that and feel very guilty that they have put him into care.

They have asked that, should he get distressed again, the facility should ring them and one of them will come straight over.

They ask about how the dementia is likely to progress and what will happen to their father.

What action should be taken so everyone knows to call the family if Chen gets distressed?

What support can you give to Chen’s family to help them deal with their guilt?

List two places where Chen’s family could find information about dementia and how it is likely to progress.

What do I need to hand in for this task?	Have I completed this?
Your answers to this case study	o

CASE STUDY 2:FRANCESCA

Francesca is 43 years old. She has young onset dementia caused by a lifetime of alcohol and drug abuse. Francesca lives at home with her sister and care workers visit once a week at check how Francesca is.

Today her sister tells the carer that she is worried about Francesca. She has a new boyfriend who is known to be a heavy drug user. He comes round often and hangs around with Francesca. Francesca is happy to have the attention and has started dressing very promiscuously.

There is money disappearing from Francesca’s bank account. When Francesca’s sister asks her about it, she can’t remember where the money has gone. She suspects that the boyfriend is conning it out of her so he can support his drug habit.

She is also afraid that he is giving her drugs as she often seems very spaced out after he has been to visit. She suspects they may be date rape drugs. She understands that Francesca is entitled to her own personal life, but is very concerned about what is happening.

List two types of abuse that may be occurring here.
What actions must the worker take to report the suspected abuse?

What do I need to hand in for this task?	Have I completed this?
Your answers to this case study	o

ASSESSMENT TASK 3: ROLE PLAYS

TASK SUMMARY:

You will need to undertake both role plays.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

Chair to settle client into
Chair for student
Photo album Radio.

Role play 2:

At least three colleagues from your workplace to participate in the discussion.

WHEN DO I DO THIS ASSESSMENT?

You will do this task in your workplace during your assessor’s workplace visit.
Write in the date of your assessor’s workplace visit: ___________

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor sees that you have not shown appropriate skills or knowledge, they will give you some feedback and you will need to do the specific task again.

INSTRUCTIONS:

ROLE PLAY 1:WORKING WITH A CLIENT WITH DEMENTIA (SUNDOWNING)

Clients with dementia can experience sundowning, the apparent worsening of confusion in the late afternoon or early evening. Their behaviour may worsen and they may experience heightened feelings of disorientation, confusion, anxiety and agitation.

For this role play, you are required to participate in a one-on-one role play with your assessor, or another person nominated to play the part of the client. This will be done in your workplace.

The role play participant will be demonstrating symptoms of a client who is sundowning. You will be required to demonstrate your ability to calm the client and demonstrate appropriate communication and support to settle the client for the evening.

The client’s care plan states the following:

§ Client is subject to sundowning when she becomes agitated, confused and sometimes aggressive

§ When sundowning the client will pace, trying to find the way back home

§ Client does not like to be touched while agitated. This seems to resolve once calm.

§ Music and reminiscing has been found to be calming

§ Client usually has a cup of herbal tea in the evening before bed – she is able to drink unassisted.

Your assessor will be looking to see that you:

§ Respond appropriately to behaviours of concern and recognise potential triggers

§ Show person-centred care when supporting the client

For example, work according to the care plan; treat the client as an individual; stay calm and be reassuring; etc

§ Use the information from the client’s care plan to address the client’s needs

§ Use effective communication and interpersonal skills to gain cooperation

For example, be calm and reassuring; be always pleasant; use friendly, approachable and non-threatening body language; etc

§ Allow the client to demonstrate their distress § Ensure the safety and comfort of the client

For example, help them to their chair safely; make sure the chair is comfortable for them; make sure they feel safe and secure.

§ Use appropriate strategies to calm the client.

For example, reminiscing; validation; talking to the client about their photos, etc

What do I need to hand in for this task?	Have I completed this?
You do not need to submit anything for this task

ROLE PLAY 2:MARTIN

Martin has dementia and requires assistance with personal care. He often displays inappropriate sexual behaviour. He makes lewd comments when the staff are getting him ready for his shower and often tries to touch the female staff members when they are showering him.

He always pretends that he is not able to wash himself so that the carers will do it for him.

Martin is able to wash himself, but requires someone with him in the shower to provide assistance.

This role play involves you taking on the role of one of Martin’s carers.

You will need to ask three people from your wokrplace to participate in this role play as Martin’s other carers.

In your group, you will need to discuss strategies for dealing with Martin’s behaviour. You are all members of Martin’s care team and have all experienced his behaviour. You now need to work out what to do.

In Assessment Task 4 you will need to complete to beahviour management and review plan for Martin. You should take notes during your team’s discussion.

Your assessor will be looking to see that you:

§ Discuss with your team Martin’s behaviours of concern and his possible triggers

§ Contribute to your team’s discussion about Martin’s care planning and review

For example, put forward your own suggestions and discuss options.

§ Discuss with your team how to plan a person-centred approach with the aim of minimising the behaviours of concern and reduce the impact on client and care staff.

What do I need to hand in for this task?	Have I completed this?
You do not need to submit anything for this task	o

ASSESSMENT TASK 4: PROJECT – BEHAVIOUR MANAGEMENT AND REVIEW PLAN

TASK SUMMARY:

You are to complete a Behaviour Management and Review Plan based on Martin from

Assessment Task 3, role play 2.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT? § Behaviour Management and Review Plan (see end of this task) § Notes taken during Assessment Task 3, role play 2.

WHEN DO I DO THIS TASK?

You will do this task in your own time.
Write in the due date as advised by your assessor: _____________

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete all parts of the template correctly, you will be asked to fix the parts that are wrong and resubmit.

INSTRUCTIONS:

This task carries on from Assessment Task 3, role play 2 (Martin).

You are required to complete a Behaviour Management and Review Plan for Martin Granson. A template has been provided for this purpose at the end of this task.

You must complete the template to include the two strategies you think would be the most effective and provide a review plan to assess the success of the strategies.

Your response should be based on your discussions in Assessment Task 3, role play 2, but you should use your own opinion of what strategies, implementation and review would be the most effective.

You can refer to the notes you took during Assessment Task 3, role play 2.

BEHAVIOUR MANAGEMENT AND REVIEW PLAN
Name of carer:
Name of client:
Date:
Nature of behaviour of concern:
Possible reasons or triggers for behaviour:
Behaviour management strategy 1 (please describe strategy in detail):

BEHAVIOUR MANAGEMENT AND REVIEW PLAN

Behaviour management strategy 2 (please describe strategy in detail):

How will strategy 1 be implemented?

How will strategy 2 be implemented?

BEHAVIOUR MANAGEMENT AND REVIEW PLAN

How will strategy 1 be reviewed?

How will strategy 2 be reviewed?

What do I need to hand in for this task?	Have I completed this?
Completed Behaviour Management and Review Plan	o

ASSESSMENT TASK 5: PROJECT – DEMENTIA DISEASES

TASK SUMMARY:

You are to complete a research project about dementia diseases.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

Access to a computer with the Internet and Microsoft Word (if you prefer to type your answers).
Textbooks and other relevant reference materials.

WHEN DO I DO THIS TASK?

You will do this task in your own time.
Write in the due date as advised by your assessor: _____________

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete all requirements of this task correctly, they will give you some feedback and you will need to redo the incorrect part/s again.

INSTRUCTIONS:

For this task you are required to conduct research on seven different dementia conditions:

Alzheimer’s disease
Multi-infarct dementia
Huntington’s disease
Pick’s disease
Dementia with Lewy Bodies
Korsakov syndrome
Parkinson’s disease.

You must complete the following template.

For each disease you will need to research:

Its description
Symptoms
Usual age range of onset
Changes to the brain How it typically progresses § Current research.

You may either compete the template in handwriting, or you may type your responses using Microsoft Word or a similar program.

Your answers may be provided in full sentences or in a series of dot points.

ALZHEIMER’S DISEASE

Description:

Symptoms:

ALZHEIMER’S DISEASE

Usual age range of onset:

Changes that occur in the brain:

ALZHEIMER’S DISEASE

How the disease typically progresses

What current research is being done?

MULTI-INFARCT DISEASE

Description:

Symptoms:

MULTI-INFARCT DISEASE

Usual age range of onset:

Changes that occur in the brain:

MULTI-INFARCT DISEASE

How the disease typically progresses

What current research is being done?

HUNTINGTON’S DISEASE

Description:

Symptoms:

HUNTINGTON’S DISEASE

Usual age range of onset:

Changes that occur in the brain:

HUNTINGTON’S DISEASE

How the disease typically progresses

What current research is being done?

PICK’S DISEASE

Description:

Symptoms:

PICK’S DISEASE

Usual age range of onset:

Changes that occur in the brain:

PICK’S DISEASE

How the disease typically progresses

What current research is being done?

DEMENTIA WITH LEWY BODIES

Description:

Symptoms:

DEMENTIA WITH LEWY BODIES

Usual age range of onset:

Changes that occur in the brain:

DEMENTIA WITH LEWY BODIES

How the disease typically progresses

What current research is being done?

PARKINSON’S DISEASE

Description:

Symptoms:

PARKINSON’S DISEASE

Usual age range of onset:

Changes that occur in the brain:

PARKINSON’S DISEASE

How the disease typically progresses

What current research is being done?

What do I need to hand in for this task?	Have I completed this?
Completed template	o

ASSESSMENT TASK 6: PROJECT – WORKING WITH CLIENTS WITH DEMENTIA

TASK SUMMARY:

You are to work with two clients with dementia on a daily basis and complete journal entries about your experiences.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

Access to your workplace
Two clients with dementia with which to work
Approval from supervisor (see permission form at end of this task) Client care plans for each client.

WHEN DO I DO THIS TASK?

You will need to do this task in your workplace.
Write in the due date as advised by your assessor: _____________

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete parts of the journal correctly, your assessor will ask you to redo that section again.

INSTRUCTIONS:

You are required to work with two clients with dementia for a period of at least three days each. The days may be consecutive (one after the other) but do not have to be.

You must obtain permission from your supervisor to work with these clients for a period of three days each. Use the permission form at the end of this task. You will be supervised at all times during your work with these clients.

You will need to:

identify two clients at your workplace service who have dementia
work with your chosen clients over a period of three days, assisting with the implementation of appropriate activities and using appropriate communication strategies (the three days do not need to be consecutive) complete your journal (see the next page for the journal template), documenting your experiences in detail § ask your supervisor to sign each of your journal entries as a true account.

What do I need to hand in for this task?	Have I completed this?
Completed journal for each client	o

Working with Clients with Dementia – Permission Form

Supervisor’s approval

I, _________ ,

<Supervisor’s name> approve ______________ <student’s name> to undertake this project with _

<Client’s name>.

Approval is dependent on the following conditions:

§ The student must be supervised at all times when working with the client.

§ The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name: ________________________

Signature: _

Date: _____

ASSESSMENT TASK 6: WORKING WITH CLIENTS WITH DEMENTIA

Complete this journal for each of the clients that you work with. You must work with each client for at least three days. You must complete each part of the journal. As you complete the tasks, ask your supervisor to sign off each entry to indicate that it is a true account and that you followed workplace policies and procedures.

Your assessor may ask you questions about your journal entries during a workplace visit.

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What was the outcomes of your discussions with the client’s family and/or carers?

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
Describe the client’s dementia conditions, including indicators and symptoms.

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
List the daily care that you provided or observed for the client.

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What communication strategies work well when working with this client? Document your use and the appropriateness of the following strategies: § Reality orientation § Prompting (reminders of day, time, relationships and so on) § Acceptance of person’s reality § Reassurance § Empathy § Reminiscing § Acknowledgment § Distraction

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
How did you know what types of reminiscences and routines would be helpful for this particular client?
What types of support and guidance to do you provide to those close to the client? For example, this may include carers, family, friends and/or their partner/spouse?

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
Are there cultural practices that are important to this client? How are these supported by the facility?

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What activities does this client enjoy doing that you organised? How are these activities beneficial to the client, and how do they assist in maintaining their independence?

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What behaviours of concern are shown by the client?
What strategies are used to reduce the likelihood and impact of these behaviours of concern? Explain how you work with the support planning team (or similar) to determine whether the strategies are successful. What types of strategies or contributions have you put forth regarding the care of your client?

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
In what way is the client provided with a stable and familiar environment?

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What documentation do you complete/work with when caring for this client? Explain your workplace’s procedures for completing, handling and storing client information, and how observations are to be reported.

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
Write three daily observations for the client in relation to their dementia.	Date: ___

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
	Date: ___

			CLIENT 1
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments					Supervisor initials
	Date: ___
SUPERVISOR SIGN OFF
I confirm that the student’s journal is an accurate account.
Supervisor name:
Supervisor signature:					Date:

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What was the outcomes of your discussions with the client’s family and/or carers?

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
Describe the client’s dementia conditions, including indicators and symptoms.

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
List the daily care that you provided or observed for the client.

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What communication strategies work well when working with this client? Document your use and the appropriateness of the following strategies: § Reality orientation § Prompting (reminders of day, time, relationships and so on) § Acceptance of person’s reality § Reassurance § Empathy § Reminiscing § Acknowledgment § Distraction

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
How did you know what types of reminiscences and routines would be helpful for this particular client?
What types of support and guidance to do you provide to those close to the client? For example, this may include carers, family, friends and/or their partner/spouse?

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
Are there cultural practices that are important to this client? How are these supported by the facility?

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What activities does this client enjoy doing that you organised? How are these activities beneficial to the client, and how do they assist in maintaining their independence?

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What behaviours of concern are shown by the client?
What strategies are used to reduce the likelihood and impact of these behaviours of concern? Explain how you work with the support planning team (or similar) to determine whether the strategies are successful. What types of strategies or contributions have you put forth regarding the care of your client?

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
In what way is the client provided with a stable and familiar environment?

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
What documentation do you complete/work with when caring for this client? Explain your workplace’s procedures for completing, handling and storing client information, and how observations are to be reported.

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
Write three daily observations for the client in relation to their dementia.	Date: ___

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments				Supervisor initials
	Date: ___

			CLIENT 2
Observation Date 1:		Observation Date 2:		Observation Date 3:
	Comments					Supervisor initials
	Date: ___
SUPERVISOR SIGN OFF
I confirm that the student’s journal is an accurate account.
Supervisor name:
Supervisor signature:					Date:

Reflective question

Working with clients with dementia can be stressful.

What strategies have you put in place to keep an eye on your own stress levels and look after yourself?

Have you requested any support and, if so, what support have you obtained?