CHCAC319A

Visit http://assignment-helps.blogspot.com.
au/
email us : iaminaustralia1993@gmail.com
CHCAC319A Provide support to people living with

dementia
Assessor is to use this cover sheet to record the results of all the
assessments in these units.
Assessment Tasks Outcome
Unit:
CHCAC319A Provide support to people living with

dementia
Student ID:
Students
Name:
Assessors Feedback
Assessors: Please return this cover sheet to the student, along with
assessment results and feedback. A copy must be supplied to the office
and kept in the students file with the evidence. Please complete the table
above.
Tasks included in this assessment:
Assessme
nt Tasks
Title
Shortanswer
questions
Assessmen
t1
True/False
questions
Assessmen
t1
Multiple
Choice
questions
Assessmen
t1
Case
Study 1
Assessmen
t2
Case
Study 2
Assessmen
t2
Case
Study 3
Assessmen
t2
Satisfacto Assesso
ry/ Not
rs
yet
satisfacto Signatu
re
ry
Date
Resubmission
Satisfactory/
Not yet
satisfactory
Visit http://assignment-helps.blogspot.com.au/
Assessme
nt Tasks
Satisfacto Assesso
ry/ Not
rs
yet
satisfacto Signatu
re
ry
Title
Case
Study 4
Assessmen
t2
Case
Study 5
Assessmen
t2
Date
Resubmission
Satisfactory/
Not yet
satisfactory
Assessor
s
Feedback
Assessors name &

signature..
Assessments
This unit is recommended to be assessed in conjunction with the following
related units.
To achieve a competent result for this unit, you must satisfactorily complete
all the assessment requirements listed below. Your trainer/assessor will give
you the timelines when these assessments need to be submitted.
Assessments for this unit are as follows:
Assessment
Number
Assessment 1
Assessment 2
Assessment 3
Type of Assessment
Description and location
Short Questions /Multiple

Choice
Questions/TrueFalse questions
These questions are found

in this booklet. Answer all of
the questions.
Case studies
There are five case studies

in this booklet. You are
required to answer the
questions that follow the
case study.
Personal journal
Each student is to keep a

journal
of
their
daily
activities while on clinical
placements.
Assessment 4
Workplace observation
Each
student
will
be
expected to cover some
aspects of this course at the
workplace. Your assessor
will give you more details.
Assessment 5
Third-party observation
Each
student
will
be
expected to cover some
aspects of this course at the
workplace and to get a
report from the supervisor.
Assessment 1 Short questions
Instructions to the student

Please read all the information given to you before you answer. If you do not
understand any of the questions, please ask your trainer/assessor for
assistance.
You must answer ALL the questions in your own words.
1. What does dementia mean?
2. According to current research on dementia, it is important to

remember that dementia is not a disease but rather a variety of
symptoms that may accompany certain diseases or conditions. List
the two most common forms of dementia and what causes these.
3. When caring for someone with dementia, it is important that you

practice a person-centred approach. What does this approach
mean and why would this be important?
4. Dementia can have an impact not only on the person, but also
on the family members, as well as the carers. List three impacts of
caring for a person with dementia.
5. What might a person with dementia be feeling in the initial stages

of the disease? Give two answers.
6. Looking at the Appendix A for this unit titled Compulsory Reporting

Guidelines for Approved Providers of Residential Aged Care, answer
the following:
What is a reportable offence?
Must a worker report abuse that is suspected and not witnessed?
c. When is there a special circumstance put in place that allows

the provider not to report abuse?
7. When communicating with people who have dementia, it is

important to remember that it can be frustrating and upsetting for
the person not to be able to tell you what they want. They may even
find it hard to process lots of information at one time.
List six common strategies that you might use in communicating
with a person with dementia in your work as a carer.
8. Name three strategies that carers can use to gain residents trust
and can be used to relieve stress and agitation in residents.
9. How do you find out what activities and routines are going to be
meaningful and appropriate for the person you are caring for? Who
might you ask and why?
10.Read the following scenario and answer the question that follows.
Mrs Lee is an elderly lady living in the dementia unit of an aged care
facility. The staffs are at their wits end, as they cannot seem to get
Mrs Lee to eat. Mrs Lee refuses to sit at the dining room table for lunch,
but wanders around, hanging around the kitchen area. Before the
onset of dementia, every mealtime, Mrs Lee used to eat her meals in
the kitchen from a small bowl using chopsticks, while Mr Lee and her
children sat at the table to eat. She would then set about washing the
dishes and preparing for the next meal. Mrs Lee would always have a
radio on to listen to the music in Chinese. Listening to music from her
homeland would bring her comfort.
What could you do to encourage Mrs Lee to eat?
11.When working with people who have dementia, it is often necessary

to enter the persons reality with them. What do you think does
this mean? Can you think of an example of when you might have to
do this?
12.Sometimes, family members and friends can get upset when their
loved one cannot remember who they are, or remember past
experiences.
a.
Give an example
of how you might provide support and guidance to assist them
in understanding how the dementia is impacting their loved
one.
b.
Give
two
examples of how you might help them to provide care using
strategies you have learned about.
13.When working with clients who have dementia, you will come across
many behaviours of concern. List six of these.
14.For every behaviour, there is a purpose (a reason that it happens)

and a trigger (something that causes it to happen). List five triggers
and behaviours that you may see in a person with dementia.
15.Being a carer can be a stressful job.

a. Give two ways you can manage your stress.
b. Who might you turn to for support if you could not manage the
stress on your own?
16.
a. List the three stages of dementia.
b. Give two features of each of the stages of dementia.
17.Briefly explain what the limitations and legal consequences of

physical, chemical and psychological restraint are. (Use Appendix C
Decision Making Tool: Responding to issues of restraint Summary).
18.
a. How do you prevent and respond to behaviours of concern?
b. In a facility, the department you are working in has a client who

is exhibiting a behaviour of concern. You have tried different
strategies but these are not working. You have been called to a
meeting by your team leader to discuss this.
1)
Who will be involved in this meeting?
2) Name two documents that will be used and reviewed in this

meeting.
3) It is expected that in the outcome of this review there will be

some changes in the care plan to ensure the client is given
optimum care. True or False
19.Look at the fact sheet titled Alzheimers Disease in Appendix D and

answer the following multiple choice questions. Mark the correct
answer.
a. The
1)
2)
3)
4)
main features of Alzheimers disease are:

Plaques and tangles
Cats and dogs
Hearts and lungs
Obesity and food
b. As more neurons die in the brain:

1) your hair will grow faster
2) your hair will fall out
3) your head will increase in size
4) affected regions of the brain will shrink
20.People with dementia, just like you and I, have the need to
participate in meaningful activities. List three reasons that it is
important to provide the person with meaningful activities.
21.Name three activities that you may be involved in when dealing with
a person suffering from dementia to improve their quality of life.
22.List three activities of daily living (ADLs) for a client who has
dementia.
23.Name two support services in your area that you could refer a
dementia client to.
24.It is important to acknowledge that with dementia the brain changes

and behaviour is affected.
TRUE or FALSE
25.It is important to provide activities that are appropriate to the

individual, reflecting their cultural likes and dislikes, in order to bring
back pleasurable memories. TRUE or FALSE
26.When providing activities for a client, these activities must:

a. have nothing to do with the client
b. focus on ensuring safety and comfort
c. be focused on what the carer wants to do thats important
d. be purposeful and meaningful
e. enhance self-esteem and pleasure and minimise boredom
27.
a. List three indicators of abuse.
b. Who would you report signs of abuse to?
28.Give two policies and procedures relating to maintaining clients

confidentiality.
29.Explain your understanding of the Social Model of Disability.
30.
a. What is social devaluation?
b.
How does social devaluation affect the quality of life of a person

living with dementia?
Self-study task
Strategies for improving communication
CHCAC319A Provide support to people living with dementia
1. Provide support to those affected by dementia
2. Use communication strategies which take account of the progressive and variable nature
of dementia
4. Implement strategies which minimise the impact of behaviours of concern
Learn about different strategies for enhancing communication with clients who have
dementia, how to use these strategies and the benefits they bring to clients and care
workers including help to avoid behaviours of concern.
1. Reality orientation
What it is
When to use it
What areas to
cover
Benefits
2. Validation strategies
What they are
When to use them
Benefits
3. Reminiscence
What it is
When to use it
What areas to
cover
Benefits
4. Distraction
What it is
When to use it
Benefits
True/False Self-Study Task

Communication techniques
2. Use communication strategies which take account of the progressive and variable nature
of dementia
4. Implement strategies which minimise the impact of behaviours of concern
Communication with other people becomes increasingly difficult as dementia progresses.

Difficulty understanding others and being understood causes frustration, agitation and
distress. Carers need to be aware of a range of communication strategies that may assist
clients including body language, reality orientation and validation.
Select the correct answer.

True
False
Clients may substitute words they remember for those they

have forgotten.
True
False
If the clients speech is fluent, it will always make sense.
True
False
Emotions may not always match the words spoken.
True
False
Clients are easily distracted by activities in the

environment.
True
False
Say everything you want to say as quickly as possible

before the clients attention wanders.
True
False
Clients born overseas may revert to their first language as

dementia progresses.
True
False
Clients do not generally bother about whether others

understand them.
True
False
Clients with dementia may often forget their glasses and

hearing aids.
True
False
Poor memory and concentration affect communication.
True
False
The major part of communication is the words we speak.
True
False
The minor part of communication is our body language.
True
False
It is easier for a person with dementia to interpret our body

language than our speech.
True
False
If words and body language dont match, it doesnt matter

as the clients are confused anyway.
True
False
Clients with dementia will not pick up on the tone of voice.
True
False
Using a persons preferred name will help gain their

attention.
True
False
Using closed questions helps understanding.
True
False
Negatives are good commands for clients with dementia.
True
False
If a client does not reply immediately, you are not getting a

response, so move on.
True
False
You can finish sentences for clients to assist them.
True
False
Initiate conversations with clients as they may have trouble

getting started.
True
False
Reflect your interpretation of what the client has said back

to them.
True
False
If the environment is noisy, go to a quieter spot to talk to

your client.
True
False
Activity in the environment will not interfere with

communication, just noise.
True
False
Reality orientation is generally used in late stages of

dementia when clients are very confused.
True
False
Reality orientation reminds clients what is happening in the

present time.
True
False
If a client does not accept reality, then do not argue.
True
False
Non-verbal prompts such as signage are not useful for

dementia clients, even at early stages.
True
False
A comforting touch is a welcome means of communication

for many clients.
True
False
Validation strategies can help a client feel accepted and

reduce agitation.
True
False
Reminiscences generally upset clients as they remind them

of what is lost.
True
False
Try to empathise with clients who are struggling to
True
False
communicate.
If a client is distressed by their inability to communicate, it
is best to ignore it.
True
False
Distraction is one of the best ways of relieving agitation

when a client cannot communicate.
True
False
It is not a carers role to reminisce about the past with

clients; it should be left to the family.
True
False
Communication with dementia clients has little point as

they do not remember it.
True
False
Multiple Choice: Circle the correct answer.

1. Dementia is a result of changes that take place in the brain and affects a
person's:
a. memory
b. mood
c. behaviour
d. all of the above
2. A person with mid-stage dementia may have the ability to:

a. remember recent events
b. remember the past
c. remember what day it is
d. all of the above
3. A person's behaviour can be affected by:

a. their environment
b. the people they interact with
c. their physical wellbeing
d. all of the above
4. You can discover the trigger to a behaviour of concern by:
a. trialling a variety of triggers

b. observing the client in the environment when the behaviour occurs
c. asking the client what causes the behaviour
d. all of the above
5. It is important to report a change in a clients behaviour because:

a. change is of interest to all
b. the family of the person will ask about it
c. it may be a treatable medical condition
d. all of the above
6. The major part of communication is:

a. words
b. body language
c. tone of voice
d. loudness of voice
7. Alzheimers disease is:

a. a progressive neurological condition
b. caused by a virus
c. a normal part of ageing
d. an illness all elderly people develop
8. People with Alzheimers are at risk of abuse because:

a. they are vulnerable due to confusion and memory loss
b. carers can become very stressed and worn out
c. they can exhibit aggression which is difficult to cope with
d. all of the above
9. The social model of disability:

a. looks at the medical problems of the disability
b. could not be applied to dementia
c. looks at the social/environmental problems of the disability
d. all of the above
10. Good communication techniques are very important with dementia

clients as:
a. they can help soothe agitation
b. they can help orient the client to the environment
c. they can help validate a clients reality
d. all of the above
11. Activities that meet peoples needs are important in dementia care as:
a. they provide pleasure and a feeling of success
b. they keep clients out of the way of nurses
c. families expect their relative to have entertainment
d. they improve the clients medical condition
12. A carer should monitor their stress levels because:

a. care work is a stressful job
b. stress affects performance at work
c. stress affects home life and relationships
d. all of the above
True or False:
True
False
Dementia is not curable.
True
False
Early symptoms of dementia are mainly incontinence

and difficulty swallowing.
True
False
Dementia is always caused by a neurological condition.
True
False
Other diseases may have the same symptoms as

dementia but are treatable.
True
False
Dementia clients are generally easy to care for.
True
False
As dementia progresses, clients demonstrate

increasing numbers of symptoms.
True
False
Poor recent memory and confusion is an early sign of

dementia.
True
False
All cultures view dementia in the same way.
True
False
People from CALD backgrounds may report later for

diagnosis of dementia.
True
False
People from CALD backgrounds often have difficulty

accessing dementia care services.
True
False
Physical abuse is the only sort of abuse that matters to

a health care worker.
True
False
A health care worker does not have a duty to report

witnessed signs of abuse.
True
False
Person-centred care is not a suitable method of care

for a confused person.
True
False
Person-centred care treats every person as unique and

tries to empower them.
True
False
It is important that support services for dementia care

publish materials in different languages.
True
False
Body language does not matter in communication in

dementia care as clients are confused.
True
False
True
False
Aged care facilities do not generally have policies on

handling behaviours of concern.
Aged care facilities do generally have polices on
restraint management
Legal procedures must be observed if using physical,
chemical or psychological restraints.
True
False
True
False
Raising the sides of the bed is a form of restraint and

should not be generally used
True
It is good to provide long activities for clients to keep

them occupied for a long period.
True
False
False
Assessment 2 Case studies

Case Study 1
Read the following case study and answer the questions that follow.
Mavis is 83 years old and has mild dementia. She has been a widow for 15
years and still lives in her own home. Because of Mavis forgetfulness, she
has been getting increasingly agitated as she often forgets the most routine
tasks that she has been doing all her life. Recently her family has decided
that she needs some extra care with some household activities to help Mavis
maintain her dignity, skills and health. Her family is worried about her
personal safety in operating electrical appliances and the oven, especially
since she once left the oven on all night.
Mavis has always loved to cook and wants to continue to bake for her family,
neighbors and when the church has their fundraising fairs. However, the last
three times she has attempted to bake a cake, she has forgotten how to do it
and has difficulty following the recipes.
You are required to outline the steps you would take to support Mavis.
You must include the following in your answer to cover the relevant
performance criteria:
a) What activities would you help Mavis take part in to maintain her
independence using familiar routines and existing skills?
b) How would you ensure these activities are appropriate to Mavis?
c) How would you ensure the activities focus on making sure Mavis is
safe and comfortable, balanced with maintaining existing skills and
a level of independence?
d) Give two strategies you would use to minimise boredom and to

distract from or eliminate the symptoms of dementia, especially
when Mavis realises she has forgotten to do something and feels

like a failure.
e) How would you involve the family and significant others in

planning activities for Mavis?
Case Study 2
Read the following case study and answer the questions that
follow.
John is an 89-year-old man who has dementia. You have been caring for
him for the past two weeks and you notice that he is often confused and
wanders aimlessly around the garden and corridors, asking what time it is.
You still have not found a strategy that works to help with his confusion, and
his constant asking the time is beginning to get on other residents nerves.
You decide to ring his daughter, Sally, and ask her if she has any
information that might help you. Sally tells you that John and his wife (her
mother), Gladys, were very much sticklers for a routine in their life.
Everything they did was at a certain time; for example, Gladys would get
up and make John breakfast at 7am sharp. They both would sit down to
have a cup of tea at 10am sharp, and Gladys always made sure lunch was
ready on the table for John at 12 noon. Again, their dinner time was 5.30pm
on the dot. Gladys would set a small alarm clock near the back door to
remind John, who usually worked in the garden, that it was time to come in
for dinner. This was their routine for as long as Sally could remember. This
gives you some ideas to try. Firstly you let staff know of Johns routine, so
that everyone knows to remind him of the time for breakfast, cup of tea,
lunch and dinner. You also find a small alarm clock to set, so that John can
hear the alarm and this will remind him to come in for dinner. After the first
day of reminding John of the time, his confusion and wandering behaviour
seemed to be lessening. After a week, John had settled into this new
routine and the episodes of wandering and confusion only seemed to
occur when new staff were working and were not aware of these strategies.
1. What was the trigger for Johns wandering and confusion?
2. What resources did you use to help find a strategy that worked?
3. What were the strategies that staff used to minimise Johns

wandering and confusion?
4. How would you inform others of these strategies and where would
this be documented?
5. When might you have to review these strategies and how might
this happen?
Case Study 3
Read the following case study and answer the questions that follow.
Stephen has dementia. You are caring for him, assisting with showering and
toileting among other needs. As you take him to the toilet this morning, you
notice suspicious bruising on his upper left arm. It looks like a firm grip
injury and looks like it could hurt. Stephen cannot tell you what happened to
him clearly. He mutters incomprehensible explanations but is obviously
distressed. He says something to the effect that his money is missing. Upon
returning to his room after toileting, he reaches out for his wallet on the bed
and shakes it. Only two 20-cent coins fall to the floor. He is almost teary but
you cannot quite clearly tell what happened. From his increased level of
distress as you ask him what happened, you can only conclude he is not
happy with what happened. You suspect that someone took his money and
then reached out for his arm, threatening him if he said what happened.
This is only a guess, however.
1. What kind of abuses do you think Stephen
may have suffered and what will you do?
Abuse:
What to do:
Abuse:
What to do:
Self-study tasks -SS05-Pearson
Article I.
Impact of dementia on carers

1. Provide support to those affected by dementia
The impact of caring for someone with dementia includes the emotional
effects of prolonged stress and anxiety, distress at changes in a loved one,
financial and planning worries and the physical impact of the caring role.
Many carers are elderly and not in good health themselves, which makes
the task even more difficult.
Case Study 4 Diagnosis of dementia

Janes mother Sylvia lives on her own in a retirement village on the coast.
Jane is single, lives and works in the city, and spends many weekends on
the coast with her mother.
She has noticed Sylvia is getting more forgetful and seems a little confused
at times. After talking to her brother the other day on the phone, Sylvia
asked Jane who it was when she hung up. Jane was puzzled but Sylvia then
said she was joking.
One day the doctor rings Jane and tells her that Sylvia has early stage
Alzheimers disease, diagnosed after she was found wandering at night and
seemingly confused. Sylvia had asked him to break the news to Jane. Jane
is stunned as she had never even thought of it, but the doctor says her
mother, although upset, had expected it.

Jane panics, leaves work and rushes up to see Sylvia. Sylvia is very cross
with her when she arrives as Jane keeps crying and making a fuss and
upsetting her. After a day, Jane calms a little. At the moment, her mother
says she can still manage, but Jane decides she will move to the coast and
care for her mother as soon as she can arrange it.
Jane makes a list of things for them to do whilst her mother is still able to
make decisions. Her mother then chases her back to her work; Jane returns
but keeps bursting into tears and feels dreadful at leaving her mum alone.
1. Why hadnt Jane considered her mum might have dementia?
2. How did Jane feel after the diagnosis?
3. How did Sylvia feel after the diagnosis?
4. What might be on Janes list of things to do?
5. What sort of information might Jane seek and where might she find it?
Case Study 5 Caring for the carer

Jacks wife Norah was diagnosed with Alzheimers disease five years ago.
Since then, Jack has borne the burden of care as his children all live long
distances away. They wanted him to move close to them but he felt Norah
was better to stay in her own home. He is very devoted to Norah, but she is
very difficult to manage now. They are both 84 years old, and although fit,
Jacks mobility has deteriorated due to arthritis and he is constantly tired
and feels depressed, lonely and anxious about the future. Norah only
occasionally recognises him and has lately become quite aggressive,
particularly if he cannot meet her demands very quickly which is often the
case. She has lately also become incontinent and there are large amounts
of washing to do which he cannot manage. He gets help with house work
and a neighbour comes in to sit with Norah once a week so he can shop but
otherwise he has given up his social life and few friends visit now. His
family visits every few months but Norah does not recognise them and
generally they upset Jack more than they help.
1. What may Jack be experiencing?
2. What assistance might Jack seek in order to relieve some of the pressure,
stress and anxiety of his situation?
3. If Jack wishes to consider residential care, where can he go for

information?
4. If Jack is considering residential aged care, how might he be feeling?
Student Declaration
Students: Please complete a cover sheet clearly and accurately for all
assessment tasks and other types of evidence you submit for your course.
Your work may not be returned to you, as we are required to keep it in your
file for auditing purposes. Please ensure you have kept a copy. APEX does
not accept any responsibility for work that goes missing in postal mail
between you and our offices.
I _____________________________________________ (insert your name) declare
that these tasks are my own work. None of this work has been completed by
any other person. I have not cheated, plagiarised or colluded with any other
student. I have correctly referenced all resources and reference texts
throughout this assessment task. I have read and understood the APEX
Policy on Plagiarism, Cheating and Collusion and understand that if I am
found to be in breach of this policy, disciplinary action may be taken against
me by APEX. I also agree that I have been properly informed and assessed
by APEX.
Students name & signature:
Date:

CHCAC319A

Transféré par

Informations du document

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

CHCAC319A

Transféré par

Droits d'auteur :

Formats disponibles

Visit http://assignment-helps.blogspot.com.

CHCAC319A Provide support to people living with

CHCAC319A Provide support to people living with

Assessors name &

Description and location

Short Questions /Multiple

These questions are found

There are five case studies

Each student is to keep a

Assessment 1 Short questions

Instructions to the student

2. According to current research on dementia, it is important to

3. When caring for someone with dementia, it is important that you

5. What might a person with dementia be feeling in the initial stages

6. Looking at the Appendix A for this unit titled Compulsory Reporting

Must a worker report abuse that is suspected and not witnessed?

c. When is there a special circumstance put in place that allows

7. When communicating with people who have dementia, it is

11.When working with people who have dementia, it is often necessary

14.For every behaviour, there is a purpose (a reason that it happens)

15.Being a carer can be a stressful job.

b. Give two features of each of the stages of dementia.

17.Briefly explain what the limitations and legal consequences of

b. In a facility, the department you are working in has a client who

Who will be involved in this meeting?

2) Name two documents that will be used and reviewed in this

3) It is expected that in the outcome of this review there will be

19.Look at the fact sheet titled Alzheimers Disease in Appendix D and

main features of Alzheimers disease are:

b. As more neurons die in the brain:

24.It is important to acknowledge that with dementia the brain changes

25.It is important to provide activities that are appropriate to the

26.When providing activities for a client, these activities must:

a. List three indicators of abuse.

b. Who would you report signs of abuse to?

28.Give two policies and procedures relating to maintaining clients

29.Explain your understanding of the Social Model of Disability.

How does social devaluation affect the quality of life of a person

When to use them

True/False Self-Study Task

Communication with other people becomes increasingly difficult as dementia progresses.

Select the correct answer.

Clients may substitute words they remember for those they

If the clients speech is fluent, it will always make sense.

Emotions may not always match the words spoken.

Clients are easily distracted by activities in the

Say everything you want to say as quickly as possible

Clients born overseas may revert to their first language as

Clients do not generally bother about whether others

Clients with dementia may often forget their glasses and

Poor memory and concentration affect communication.

The major part of communication is the words we speak.

The minor part of communication is our body language.

It is easier for a person with dementia to interpret our body

If words and body language dont match, it doesnt matter

Clients with dementia will not pick up on the tone of voice.

Using a persons preferred name will help gain their

Using closed questions helps understanding.

Negatives are good commands for clients with dementia.

If a client does not reply immediately, you are not getting a

You can finish sentences for clients to assist them.

Initiate conversations with clients as they may have trouble

Reflect your interpretation of what the client has said back

If the environment is noisy, go to a quieter spot to talk to