CHCPAL003 Deliver Care Services Using a Palliative Approach, Student Assessment Booklet

Assessment Overview 

This Student Assessment Booklet includes all your assessment tasks for CHCPAL003 Deliver care services using a palliative approach. 

Assessment Task Summary

This unit requires you to complete four assessment tasks. You must satisfactorily complete all tasks to achieve competency for this unit.

Assessment Outcomes

Each assessment task will be given an outcome of either Satisfactory (S) or Not Satisfactory (NS). You must complete all tasks satisfactorily to achieve an overall outcome of Competent (C) for a unit. If one or more of tasks are assessed as Not Satisfactory, you will be given an outcome for the unit of Not Yet Competent (NYC). 
You will be given a total of three attempts to complete each task and achieve a Satisfactory outcome. In the case of resubmission, you will be given a date by which you will need to resubmit, and you’ll be given feedback about what needs to be addressed in your resubmission.

Assessment Outcome Summary

The Assessment Outcome Summary records the task and overall unit results for the unit of competency named herein. The results for each attempt at each task must be recorded in the Assessment Outcome Summary.
Once you have attempted all assessment tasks, you assessor must enter a result for the unit in the Unit Results box. You must achieve a Satisfactory outcome for all assessment tasks that are relevant to a unit to be marked as Competent for the unit. Where you have attempted all tasks, but one or more tasks have an Once you have attempted all assessment tasks, you assessor must enter a result for the unit in the Unit Results box. You must achieve a Satisfactory outcome for all assessment tasks that are relevant to a unit to be marked as Competent for the unit. Where you have attempted all tasks, but one or more tasks have an outcome of Not Satisfactory, you assessor must record a result of Not Yet Competent in the Unit Results box. 

Assessment Plan

The following outlines the assessment requirements for this unit. You are required to complete all assessment requirements outlined below to achieve competency for this unit.

Your assessor will provide you with the due dates for each assessment task. Write them in the table below.

AGREEMENT BY THE STUDENT 
Read through the assessments in this booklet before you fill out and sign the agreement below. Make sure you sign this before you start any of your assessments.
Have you read and understood what is required of you in terms of assessment?                                                                                •   Yes    •  No
Have you read and understood the RTO’s policies and procedures related to reassessment?                                                             •   Yes    •  No
Do you understand the requirements of this assessment?                                                                                                                    •   Yes    •  No
Do you agree to the way in which you are being assessed?                                                                                                                  •   Yes    •  No
Do you have any special needs or considerations that must be made in preparation for this assessment? If yes, what are they?
__________________________________________________________________                                                                                                            •   Yes    •  No

Do you understand your rights to appeal the decisions regarding assessment?                                                                                   •   Yes    •  No

Student Name: __________________________________________________    

Student Signature: _______________________________________________    Date: _______________

Assessor Name: _________________________________________________    

Assessor Signature: ______________________________________________    Date: _______________

Assessment Task Cover Sheet – Assessment Task 1

Students: Please fill out this cover sheet clearly and accurately. Make sure you have kept a copy of your work.

STUDENT DECLARATION
I __________________________________________________ declare that these tasks are my own work. 
þ    None of this work has been completed by any other person.
þ    I have not cheated or plagiarised the work or colluded with any other student/s in the completion of this work. 
þ    I have correctly referenced all resources and reference texts throughout these assessment tasks. 
þ    I understand that if I am found to be in breach of the RTO’s policies, disciplinary action may be taken against me.

Student Signature: _______________________________________________    Date: _______________

 Assessment Task 1: Knowledge Questions

Task Summary: In this task, you will demonstrate your knowledge by answering a series of questions that relate to this unit of competency. 
You must answer all questions correctly to achieve a satisfactory outcome for this task. 

QUESTION 1
a)    What is palliative care?
b)    What are the aims of palliative care?
c)    What are three of the principles of palliative care?
d)    What is the difference between a ‘curative’ and a ‘palliative’ approach?
a)    Working in palliative care can be very stressful. List three emotions that workers would feel while caring for terminally ill clients.
b)    What are four things that you can do to help your colleagues deal with their emotions?
a)    List three types of nutrition and hydration advice you would give to a client and their family during the early stages of palliative care.
b)    In the final stages of life, appetite and thirst may decrease significantly. Family members may feel that they should try to encourage the person to eat and to support them in doing that. What would you advise the family members?
QUESTION 2
a)    List two common misconceptions about pain relief.
Choose one of the misconceptions from your answer in Q4(a). In one paragraph, describe why it is a misconception and the truth around this statement

QUESTION 5
Scenario
Shamus’s family come to talk to you about his care. 
They want to speak to you because they trust you as someone who has worked very closely with Shamus as a palliative care worker for the last two months. 
They are very distressed about a report they have received from the doctor, who has told them that Shamus has only days to live. 
His family ask you to refer them to a different doctor – there must be something that can be done to preserve his life. They aren’t ready to lose him yet! 
Shamus has an advanced care directive. It states he does not want further medical treatment to keep him alive. 
His family are aware of this directive.

a)    You feel that people have the right to get a second opinion. Should you refer Shamus’s family to a good doctor that you know? Explain your answer.

b)    What other action could you take to support Shamus’s family?

QUESTION 6
Scenario
Shamus has died. 
His wife, Katherine, comes to see you and thanks you for looking after him so well. 
She gives you a hug, and you both feel a bit sad. 
Katherine tells you that she seems to be living in a daze. She can’t even remember what she did this morning. She is usually so well organised but just can’t seem to concentrate at the minute. What if something goes wrong at the funeral because she forgets to do something? 
‘I haven’t even cried yet!’ she exclaims.

a)    Why is Katherine experiencing this type of reaction so soon after her husband’s death?
b)    What would you say to Katherine to reduce her fear of something going wrong at the funeral?

c)    What are the five stages of grief according to the Kübler-Ross Grief Cycle?

QUESTION 7
Constipation is a common problem in palliative care clients. The doctor may prescribe laxatives to assist with this. What two supports can a personal care worker give to a client suffering from constipation besides medication?

QUESTION 8
Scenario
A client’s family is looking for some information on palliative care. They have received the information the Banksia Care team provided but are looking for more. 
Research the Internet and find a reputable source of information that they can access to find out more. Name the source of this information (i.e., the website address).

QUESTION 9
a)    Describe three legal issues that may arise with advanced care directives and suggest how to deal with these. 
b)    Describe three ethical issues that may arise with advanced care directives and suggest how to deal with these. 

QUESTION 10
Scenario
Betty has severe dementia. 
Before she got dementia, she had written out an advanced care directive that said that she wanted to be resuscitated by CPR if she collapsed under any circumstances. 
As far as Betty was concerned, life was more important than anything else – even if she wouldn’t be able to make her own decisions as her dementia progressed.
Betty’s son has not been to visit her for months. One day he appears at Betty’s side. ‘I’m the only next of kin,’ he says. ‘Mum isn’t here anymore; she’s just a vegetable now. I don’t want her to be resuscitated if she collapses again. Just let the old lady die.’ 
You are aware that Betty is a very rich woman. From the look of her son, he could do with some money.

a)    What ethical issues are involved in this scenario, and what action should the care worker take?
b)    Outline what is ‘unconscious bias’ is and how it could impact providing the correct care in this situation.

Betty’s son begins to ask a lot of questions about his mother:
    ‘What is the matter with her?’
    ‘How sick is she?’
    ‘Does she know who anyone is anymore?’
    ‘Where is all her bank paperwork?’
Betty’s son assures you that he has a power of attorney for Betty but does not show you a copy.

c)    Betty’s last surviving relative is her son. Considering he says he has power of attorney, do you think you can give him any of the information he has asked for? Explain your answer.

QUESTION 11
a)    Palliative care also includes care of the deceased person’s body and meeting their documented preferences. Outline what information would be included with regards to preferences in an Advance Care Directive.
b)    Outline the formal process for documenting death and who may be responsible for this.
c)    Outline the infection control process you are required to follow to handle a dead body.
d)    After a person has passed, what are you to do with their personal effects and belongings?

QUESTION 12
In Australia, the laws that relate to Voluntary Assisted Dying are changing and vary between the states and territories. Name the legislation that applies in your state and the date from when this legislation came into effect.

Assessment Task Cover Sheet – Assessment Task 2

Students: Please fill out this cover sheet clearly and accurately. Make sure you have kept a copy of your work.

STUDENT DECLARATION
I __________________________________________________ declare that these tasks are my own work. 
þ    None of this work has been completed by any other person.
þ    I have not cheated or plagiarised the work or colluded with any other student/s in the completion of this work. 
þ    I have correctly referenced all resources and reference texts throughout these assessment tasks. 
þ    I understand that if I am found to be in breach of the RTO’s policies, disciplinary action may be taken against me.

Student Signature: _______________________________________________    Date: _______________

Assessment Task 2: Advance Care Plan

TASK SUMMARY

For this task, you will be observed participating in a role play to confirm you can perform to industry standards and expectations. 

Scenario
You are a care worker who is working in a palliative care unit.
Jim is a 50-year-old man with Stage 4 Pancreatic cancer. 
Jim has had chemotherapy, which initially looked like it would be successful, but the oncologist told Jim last week that the chemo was no longer effective. 
Jim and his wife, Thelma, talked it over, and they both decided that they would like Jim to remain at home for as long as possible – hopefully being able to die peacefully and with dignity in his home.
Jim has been referred to the community palliative care team. 
You work with this team and are meeting with Jim and Thelma today to reflect on the Advance Care Plan and complete a Daily Progress Report.

You are to undertake a role play to support a client who has recently ceased to have chemotherapy, refer to their Advance Care Plan and complete a daily progress report.

Assessment Task Cover Sheet – Assessment Task 3

Students: Please fill out this cover sheet clearly and accurately. Make sure you have kept a copy of your work.

STUDENT DECLARATION
I __________________________________________________ declare that these tasks are my own work. 
þ    None of this work has been completed by any other person.
þ    I have not cheated or plagiarised the work or colluded with any other student/s in the completion of this work. 
þ    I have correctly referenced all resources and reference texts throughout these assessment tasks. 
þ    I understand that if I am found to be in breach of the RTO’s policies, disciplinary action may be taken against me.

Student Signature: _______________________________________________    Date: _______________

Assessment Task 3: Pain Management

TASK SUMMARY
For this task, you will be observed participating in a role play to confirm you can perform to industry standards and expectations. 
You are to undertake a role play about pain management for a client in the late stages of stomach cancer. After the role play, you will be asked a set of verbal questions

Scenario
You are a care worker who is working with a client called John. He has terminal stomach cancer and is receiving care at the palliative care unit where you are working.
John’s care plan provides you with the following information:
    He is in the late stages of stomach cancer.
    Pain medication is morphine taken orally. It has been successful in reducing pain and discomfort.
    John needs to be reminded to take regular sips of water to remain hydrated. 
    Today John received his morphine as usual – his last dose was one hour ago.

VERBAL QUESTIONS – ASSESSMENT TASK 3

Questions
1.    Comparing John’s condition today against his care plan, what do you think is significant about your observations? 
2.    What action will you take?
3.    What will you do about John’s request to talk to someone about his end-of-life wishes?
4.    A family member approaches you and says, ‘Why does John have so much morphine? The morphine will kill him before the stomach cancer does!’ How would you respond to them?
5.    What other resources could you use to make John comfortable besides those available in this role play? If you discovered any of these were successful, how would you document your findings?
6.    Consider the role play. What was the limit of your responsibilities? What responsibilities must be referred?
7.    How do you feel about John wanting to go home to die? He won’t be able to receive the professional help he gets in the facility, which will be a big strain on his family.
8.    How do you feel about working with people who are ageing and dying? How will you look after your own emotional needs?
9.    Working in palliative care is a team approach. How would you make sure you worked effectively in the team?
10.    How do you think you went with your communication techniques? Do you think you gave John the best support that you could? Is there anything you would do differently if you were to do the role play again?
11.    What would you do if you were unsure about the procedure for changing end-of-life wishes?

Assessment Task 4: End of Life Care

TASK SUMMARY
For this task, you will be observed participating in a Role Play to confirm you can perform to industry standards and expectations. 
You are to undertake a role play to care for a person at the end of life. This includes providing support to the family during a difficult time in their lives. During the role play, you will be asked a series of verbal questions.

TASK INSTRUCTIONS    You must first read the provided scenario to prepare for this role play task:
    You are playing the role of Barry’s carer. 
    Your assessor will play the part of the lead supervisor of Barry’s care team. 
    The parts of Barry and his family will be played by 2–3 fellow students or colleagues.
Working in line with the Banksia Care policies and procedures, you must show that you can apply your knowledge of end-of-life procedures by providing appropriate support to Barry and his family and required care as he passes away: 
    You will need to work closely with your assessor playing the role of supervisor as you discuss end-of-life strategies and support. They will be asking you questions throughout this role play.
    The role play should take approximately 15 minutes.

Scenario
Barry is British. He came to Australia in his 60s to be with his family. 
Barry and his family are very private people. They tend to keep their feelings to themselves – perhaps this is because of their British culture.
Barry has late stages of a terminal disease. He has made it clear in his advance care directive that he:
    does not wish to be resuscitated
    wants to be kept comfortable
    would like his immediate family to be with him when he dies (if possible)
    would like the Anglican priest to be called to perform the last rites.
Barry’s health has deteriorated significantly. He has been sleeping for the last 24 hours and has been very restless today. 
The doctor has told you that he is not expected to live more than a few hours.
It is likely that he will die on your shift. 
As this is your first time experiencing end-of-life, you, with the support of your supervisor, will both be caring for Barry today. 

VERBAL QUESTIONS – ASSESSMENT TASK 4

Questions
•    You have been well aware of Barry’s end-of-life wishes for some time. Is there any need for you to check them again? Explain your answer.
•    What are the indicators that death is now imminent for Barry?
•    Name four other common signs that indicate death is imminent.
•    Describe three types of care that we can give Barry at this stage.
•    What can you do to respect Barry’s dignity at this time?
•    If you are working on your own in a similar situation to this one, who should you talk to if you don’t know or remember what to do during this end-of-life stage?
•    Given his end-of-life wishes, who should be contacted about Barry’s imminent death?
•    What support can you give right now to Barry’s family?
•    What can you do to support Barry and his family’s cultural and spiritual needs?
•    You and I may have cultural practices and religious beliefs that are very different to those of Barry’s family. How should we deal with this situation?
•    What signs will you be checking to confirm that Barry has died?
•    If you are working on your own, in a similar situation to this one, where would you find guidance on how to care for a body after death?
•    What can you do to respect Barry’s dignity at this time?
•    If you are working on your own in a similar situation to this one, who should you talk to if you don’t know or remember what to do during this end-of-life stage?
•    Given his end-of-life wishes, who should be contacted about Barry’s imminent death?
•    What support can you give right now to Barry’s family?
•    What can you do to support Barry and his family’s cultural and spiritual needs?
•    You and I may have cultural practices and religious beliefs that are very different to those of Barry’s family. How should we deal with this situation?
•    What signs will you be checking to confirm that Barry has died?
•    If you are working on your own, in a similar situation to this one, where would you find guidance on how to care for a body after death?

Assessment Outcome Summary

This section records the outcome of each task so that the final assessment outcome can be determined. 
The Assessment Outcome Summary Table shows all the assessment tasks required for this unit.
Task Outcomes
For each attempt at each task, fill in the Task Outcome, either Satisfactory or Not Satisfactory, insert the date of the decision and your initials. Fill in the task outcome for each attempt.
Students must receive a Satisfactory outcome for each task that relates to a unit, to be marked Competent for the unit.
Unit Assessment Results
When a student has attempted all tasks, but one or more tasks are marked as Not Satisfactory, a Not Yet Competent unit result must be entered in the Unit Assessment Results section.
Once the student has satisfactorily completed all tasks, enter a unit result of ‘Competent’