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Case study (questions 1–8)

Jun-Wei Yu is a 25-year-old man of Chinese heritage with Down syndrome. He lives in a group home supported by personal care workers, employed by a large disability support organisation. 

Jun-Wei is able to do some of his personal care tasks with prompting. He can shower himself with reminders about proper washing and with assistance to dry his back, feet and hair; he can brush his own teeth, but also needs to be reminded to do this. With assistance, Jun-Wei can select appropriate clothing; he can dress himself but cannot tie shoelaces. He can shave with an electric shaver. 

Jun-Wei loves chips and lollies. Staff must plan meals for Jun-Wei and other residents to ensure they are well-nourished. Jun-Wei can peel vegetables and make a sandwich without help. Jun-Wei does not understand the different denominations of money or how much things cost. However, he likes to have money in his pocket to spend at the shops. He can move around independently but cannot catch public transport or walk to places without being accompanied. Sometimes he wanders out of the house or away from his group, thinking he can find his way back when he wants to. 

Jun-Wei also suffers from asthma that is sometimes brought on by exercise or stress, and eczema that is sometimes brought on by stress and heat. He has puffers and creams that he must be reminded to use. Those who know Jun-Wei well can understand him when he talks but strangers or those he doesn’t know well find him difficult to understand. This is partly due to him mumbling when he feels shy. Jun-Wei will sometimes hug and stroke people he feels comfortable with or when he is very happy. 

CS Question 1

Choose two areas of personal care; for example, washing and mobility. For each area, identify any equipment, assistance (care processes) and aids that would be required to support Jun Wei, ensuring that these are appropriate for his level of ability.

Answer

Washing and maintaining personal hygiene 

Mobility 

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CS Question 2

What people should be included when gathering information about Jun-Wei’s abilities and support needs? How might the information be obtained? 

Answer

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CS Question 3

What do you think the effect might be on Jun-Wei if a worker insisted on washing him in the shower rather than encouraging him to do it himself? What long-term effects might this have on him and his care? 

Answer

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CS Question 4

Do some research using the internet or a library. What kind of effects might Jun-Wei’s cultural heritage have on the way personal care support is provided to him.?

Answer

Jun belongs to the Chinese family. Chinese people believe in family culture. Therefore, caregiver might get constant interference from Jun’s family members during the process of caregiving. This can have an impact on the effectiveness of caregiving. 

Moreover, Jun might find it difficult to interpret the body language of the caregiver. This can lead to miscommunication. 

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CS Question 5

What are the physical needs that should be considered for Jun-Wei?

Answer

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CS Question 6

What risks could you identify in providing care to Jun-Wei? How would they be reported?

Answer

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CS Question 7

Imagine that you are introducing a new staff member to work in the group home where Jun-Wei lives. What information would you give them about encouraging Jun-Wei to participate in his own care and daily living activities?

Answer

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CS Question 8

What could a new staff member do to ensure they have put Jun-Wei at ease and confirmed his preferences for care? 

Answer

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Case study (questions 9–12)

A new staff member has commenced at the group home. On Thursday, she does the following things: 

CS Question 9

Outline what the new worker has done in accordance with Jun-Wei’s care plan.

Answer

The new staff member has empowered and encouraged him to do his own work, instead of increasing his dependency. 

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CS Question 10

Outline where the new worker has failed to comply with the care plan.

Answer

Jun-Wei cannot calculate money. He also fails to come back home all by himself. However, the staff has sent him in a shop with a $50 note. Jun-Wei might fail to return to his home. This is how the new staff member fail to comply with the entire care plan.  

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CS Question 11

In what ways has the worker failed to identify and deal with risks? 

Answer

The worker has sent Jun in a fruit shop. Jun might fail to come back to his caregiver. This can increase the risk. 

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CS Question 12

In what way has the worker violated Jun-Wei’s right to privacy?

Answer

Jun-Wei talks with the shop owner about his inability to understand the denominations of money. This can be identified as a violation of privacy

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Case study (questions 13–16)

Today, Jun-Wei is not out of bed when Susan arrives at work. He is very wheezy and seems unable to manage his puffer. He says he thinks he has a cold. Susan helps him to get ready for the shower and he manages to wash himself with much more effort than usual. He says he is not hungry and doesn’t want to go out today. He seems sad. 

The organisation has procedures that state the following: 

CS Question 13

In what ways have Jun-Wei’s personal care and health needs changed?

Answer

Jun is becoming more dependent on people. His physical and mental well-being are getting affected negatively. 

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CS Question 14

What actions should Susan take about Jun-Wei’s changing care needs?

Answer

The change in the needs of the client must be reported to the doctor or practitioner who are well aware of Jun’s condition. 

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CS Question 15

Imagine that you are Susan. Complete a case note that describes the situation and what actions have been taken.

Answer

Susan must take check the respiratory system of Jun-Wei. She should also contact the doctor who takes care of Jun-Wei. The doctor can help Jun to overcome his physical problems. 

Moreover, Jun-Wei is sad. Therefore, Susan can arrange a counselling session for Jun-Wei. This can reduce his depression and anxiety. 

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CS Question 16

What documentation needs to be completed to appropriately record the assessments, activities and events described in relation to Jun-Wei’s care? List at least five assessments, activities or events and the appropriate documentation actions.

Answer

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Case study (questions 17–24)

Margaret is a 75-year-old woman living in an aged care facility for residents with low-care needs. Margaret had polio as a young child and has one shortened leg requiring a built-up shoe. She also now has arthritis in her hands, back, hips and knees, which is making movement, transfers and balance difficult and painful. Margaret also has emphysema and requires oxygen via nasal tubes, medication via a nebuliser, tablets for her arthritis and she receives injections.

Following is a list of supports outlined on Margaret’s care plan.

Washing: 

Margaret can sit on a shower chair and independently wash the top half of her body, including genital area. She requires assistance to wash feet, legs and hair.

Margaret must be supervised and may need direction when stepping in and out of shower and transferring in and out of the shower chair.

She needs full assistance with drying herself, as she becomes breathless.

Dressing/undressing:

Margaret needs assistance with dressing and undressing as she has difficulty moving and becomes breathless with exertion. She must have a built-up shoe on her left foot.

Grooming:

Margaret likes to direct her own grooming and can do her make-up independently. She needs assistance with drying and styling her hair.

Nail care:

Margaret needs regular monitoring and treatment for ingrown toenails and corns. She takes care of her fingernails independently.

Oral hygiene:

Margaret has upper dentures and requires assistance to clean these and to open lids of cleaning fluid and containers.

Mobility:

Margaret uses a four-wheeled walker at all times

Transfer:

Margaret requires direction to use handrails and chair arms, to transfer in and out of chairs.

Toileting:

Margaret can use the toilet independently but wears incontinence padding due to difficulty getting to the bathroom in time, which results occasional leakage.

Eating and drinking:

Margaret has all meals in the facility dining room. She requires modified large-handled cutlery due to arthritis in hands.

CS Question 17

What equipment and aids are required for the provision of Margaret’s personal support?

Answer

Oral hygiene 

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CS Question 18

What are the risks for Margaret’s safety that need to be considered when using the equipment and/or aids? 

Answer

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CS Question 19

What are the risks for a support worker’s safety that need to be made for use of this equipment, and what strategies should be employed to eliminate or reduce the risks?

Answer

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CS Question 20

Outline what duty-of-care obligations the support worker has to Margaret.

Answer

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CS Question 21

What are the work health and safety risks associated with Margaret transferring in and out of the shower chair?

Answer

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CS Question 22

Outline a procedure for a support worker to follow when Margaret is washing.

Answer

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CS Question 23

The left side handbrake on Margaret’s four-wheeled walker has a stretched cable and is not working effectively. What action is required to address this problem?

Answer

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CS Question 24

What infection control procedures should the support worker adopt in providing routine support for Margaret?

Answer

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Feedback

All questions must be satisfactorily answered by the candidate as per the marking guide in the Trainer’s and assessor’s guide. The questioning assessment has been confirmed:

Please include recommendations for future training / action in cases where the candidate has not satisfactorily achieved all criteria:

Declaration

I declare that this questioning assessment has been conducted as per the training organisation’s assessment procedures and the instructions provided for this assessment task, and that I have provided appropriate feedback to the candidate.

Assessor name

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Date marked

Purpose

Your performance will be assessed in the workplace.

Instructions to the candidate

Refer to the Aspire Practical placement logbook for details of assessment while on practical placement.

Training organisation name

Candidate name

Unit code and title

CHCCCS011 Meet personal support needs,Release 1

Assessor name

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Assessor phone number

Assessment tasks

Satisfactorily completed

Part A – Questions

Part-B Case study questions

Practical placement

Declaration

In completing this assessment, I confirm that the candidate has demonstrated all unit outcomes through consistent and repeated application of skills and knowledge with competent performance demonstrated in multiple instances over a period of time.

Evidence collected has been confirmed as:

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