Chcac317a Chcac318b

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CHCAC317A Support older people to maintain their

independence, and
CHCAC318B Work effectively with older people
Assessor is to use this cover sheet to record the results of all the
assessments in this unit.
Assessment Tasks Outcome
Unit:
CHCAC318B
Work effectively with older
people, and
CHCAC317A
Support older people to maintain
their independence
Student ID:
Students
Name:
Assessors Feedback
Assessors: Please return to the student this cover sheet, along with the
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:
Assessm
ent
Tasks
Title
Shortanswer
questions
Assessme
nt 1
Multiple
Choice
Assessme
nt 1
True/False
Assessme
nt 1
Case
study 1
Assessme
nt 2
Case
study 2
Assessme
nt 2
Case
study 3
Assessme
nt 2
Satisfactory
/ Not yet Signature
satisfactory
Date
Resubmission
Satisfactory/
Not yet
satisfactory
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Assessm
ent
Tasks
Title
Case
study 4
Assessme
nt 2
Case
study 5
Assessme
nt 2
Case
study 6
Assessme
nt 2
Case
study 7
Assessme
nt 2
Case
study 8
Assessme
nt 2
Project
Assessme
nt 3
Satisfactory
/ Not yet Signature
satisfactory
Date
Assessor
s
Feedbac
k
Assessors name &

signature..
Resubmission
Satisfactory/
Not yet
satisfactory
CHCAC318B
CHCAC317A
independence
Work effectively with older people, and

Support older people to maintain their
Assessments
To achieve a competent result for these units, 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 these units are as follows:

Assessment
Number
Type of Assessment
Description and location
Assessment 1
Short Questions
True or False
Questions
There are 38 questions on this task

found in this booklet. There are also
some multiple choice and true/false
questions that need to be
answered.
Assessment 2
Case Study
There are eight case studies found

in this booklet.
Assessment 3
Project
There is one project found in this

booklet.
Assessment 4
Personal Journal
Each student is to keep a journal of

their daily activities while on clinical
placements.
Workplace
Observation
Each student will be expected to

cover some aspects of this course
at the workplace. Your assessor will
give you more details.
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 5
Assessment 6
Assessment 1 Short questions
Instruction to the student:
Refer to your resources and PowerPoint slides and answer the following
questions.
1. The government provides funding for various programs that
assist older people who live in their own homes. One of these
is the HACC (Home and Community Care) program. Describe
the services available through the HACC program.
2. Australias population is ageing. Briefly explain how you think this will
affect the funding and services available in the community for older
people.
3. Routines are an essential part of an older persons lifestyle. Briefly

explain why you think its important to fit in your work around an older
persons routine?
4. When we enter someones home, it is important to

remember we are entering their personal, private space. List
three things we should do before entering.
5. It is important to provide support and assistance in

accordance with your organisations policy, protocols and
procedures. If you are instructed to provide care to a client in
their home, would it be okay to turn up at whatever time you
like or to do your work in whatever order you like? Briefly
explain your answer.
6. An older person may use many different types of equipment to support

them with their ADLs (activities of daily living). If you knew your client
needed their glasses to enable them to see properly, explain how you
would assist the person to wear and use them correctly.
7. Part of your role as a carer is to monitor your clients activities and

environment as well as to promote independence.
a. Give an example of when you might observe the older person as
having difficulty with their ADLs (activities of daily living).
b. Who would you report this to?
8. When you are providing care for your client in their home, it
is important that it is safe and secure. What three things
might you check to make sure your client is safe and secure?
9. If you checked the smoke alarms in your clients home and

found the batteries to be flat, briefly explain what your
course of action should be.
10.As a carer, you are expected to provide support and

assistance in accordance with your organisations policy and
procedure. Give at least three policies and procedures that
you might apply to assist you in completing tasks safely and
correctly.
11.People grieve in different ways for different reasons. It is

important that you help your clients through the grieving
process.
a. Give three examples of signs that would indicate that your client
is experiencing grief and loss. Who might you report this to?
b. Name at least three communication skills a carer should possess.
12.There are many support services available in the community.

If your client was interested in joining a local church or social
group for seniors, what would you do? How would you
provide them with information? Explain what your course of
action would be in this situation.
13.You may come across hazards in the older persons

environment from time to time. Explain what your course of
action would be in removing and minimising identified
hazards.
Poor lighting
Dial on the stove has numbers that are difficult to see
14.A carer should always address recognised hazards in

accordance with the organisations policy and procedure.
True or False
15.Describe at least three key issues facing older people and

their carers.
16.Using the two examples below, explain how these current

philosophies of service delivery would impact your work.
Changing societal expectations (consumerism), e.g. clients and their
families more willing to complain about poor service
Impact of ageing demographics, e.g. increasing number of older
retired people dependent on their pension in relation to the number
of employed people
17.As carers, we are expected to know and abide by government

legislations. List three legislations that apply to the delivery of services
to an elderly person.
18.The Australian Government funds several programs that provide

services in the community, one of which is the DVA (Department of
Veterans Affairs). Give a brief explanation of the purpose and services
offered by the program.
19.Briefly explain the term ageism and how your own personal values
affect how you carry out your work.
20. It is important to remember that as we age our body begins to undergo

normal physiological age-related changes. As carers of frail old people,
we need to be aware of these changes so that we can assist our clients
to recognise the impact of the ageing process and to outline strategies
to help them meet their needs and prevent potential risks.
a. List five of the common physical problems associated with ageing.
b.
List four chronic age-related conditions in older people.
c. Briefly explain why you would need to be aware of these problems.
21. Briefly explain how we, as carers, can promote a healthy lifestyle
practice for our clients.
22. Briefly explain the term Duty of Care.
23. It is important that clients are informed of their rights and

responsibilities, that they are empowered with choices, their preferences
are taken into consideration when developing their care plans, and their
lodging complaints are addressed. List five ways a facility upholds their
residents rights and interests.
24. Briefly explain how you, as a carer, would support the older person and
their advocate to be aware of their rights and responsibilities?
25. When you are at work, you will be required and expected to fill in
documentation or forms that contribute to the workplace quality
systems. (For example, you may fill in an Improvement Request form
which may help a workplace identify an issue that can be addressed and
improved, or fill in a Behavioural Assessment form to identify what a
persons behaviours may be and when they are occurring). Give two
other examples of documentation that you may have to fill and explain
what each of these would be used for.
26. What does the term ageing in place mean?
27.
Briefly explain what accreditation is and the main elements of this

process in the aged care sector & home and community care?
28. a. Explain briefly what social model of disability means.
b.
How may the social model of disability affect the individuals quality
of life?
29. As a carer, you will come across conflicting situations between clients
and even staff members. Explain the procedure for managing
complaints.
30. How can we, as workers in community services, promote positive

ageing? List three ways in which you could do this.
31. Due to age, the social life of the elderly person is devalued. Name two
factors that you think contributes to this social devaluation.
32. A clients rights should be observed at all times. Where can we find
details of clients rights?
33. Briefly explain the following principles in relation to working effectively

with older people:
a. Empowerment
b. Disempowerment
34. Part of our carers role is to adopt strategies to empower and advocate
for older people to meet their goals and meet their service delivery. True
or False
35. As a carer, it is important to know our work role and functions.

Maintaining sustainability of the workplace, which includes
environmental, economic, workforce and social sustainability, is part of
carer staff work role. True or False
36. Part of our role and function as a carer is to maintain basic management
principles, such as people, paper and processes, Plan, Do, Check and
Act Cycle. True or False
37. As part of our work roles and adherence to policies, procedures and
legislation, it is acceptable to disclose a clients information to clients
friend. True or False
38.
(CHCAC318B)
Quality assurance
1. Apply understanding of the structure and profile of the residential aged care
sector.
3. Demonstrate commitment to the philosophy of positive ageing.
4. Apply understanding of the physical and psychosocial aspects of ageing.
6. Support the rights and interests of the older person.
8. Deliver services within a quality framework.
Here are details about feedback received at Sutherland Nursing Home:
Part A Verbal Feedback

Mr and Mrs Walker, parents of Sara, a young person in the nursing home, say to
Nikki, an aged care worker, We are really concerned about Saras quality of life.
None of the activities she is involved in reflect her needs as a young adult. She
rarely sees people her own age and she never leaves the centre.
1. What client rights are at risk?
2. What should Nikki do?
Part B Letter of Complaint

To the Director of Nursing:
My mother, Mrs Reynolds, has been a resident at Sutherland Nursing Home. We
typically visit her in the afternoon. Our last three visits have been interrupted by
an aged care assistant who arrived to wash our mother. She has always enjoyed
a morning shower. I wonder why her routine is not respected. I am also
concerned that we do not get to enjoy a lengthy visit with our mother. She
enjoys our visits and is distressed that they are cut short.
I would appreciate your immediate attention.
Yours sincerely,
Jocelyn Gilliam
Answer the following:

1. What client rights are at risk?
2. What changes should be made?
Part C Collated Customer Feedback Forms
Strongl
y agree
Agree
Neither
agree
nor
disagre
e
Disagre
e
Strong
ly
disagr
ee
1. I am satisfied with:
a. The level of services
provided
88%
b. The types of services

provided
11%
1%
12%
24%
63%
c. The quality of services

provided
88%
11%
1%
2. The care I receive

meets my physical needs
(showering, grooming,
toileting, etc.).
88%
11%
1%

meets my cultural and
religious needs.
5%
10%
82%
3%

helps me meet my social
needs.
5%
10%
82%
3%
15%
25%
35%
23%
5%
10%
82%
3%

helps me maintain my
independence.
3%
6. I am consulted about
all aspects of my care.
7. My choices are respected and accommodated in the following areas:

a. Diet
5%
10%
11%
1%
c. Recreation and
activities
5%
d. Cultural and religious

activities
b. Personal care
8. I am treated with
respect and dignity.
88%
88%
82%
3%
10%
82%
3%
5%
10%
82%
3%
11%
1%
9. My privacy is
protected.
88%
11%
10. My safety is
protected.
94%
6%
11. I am aware of my
rights and
responsibilities.
5%
1%
10%
82%
3%
1. Which client rights are addressed?
2. Which client rights are not addressed?
3. Explain all of the reasons why issues identified as a result of this survey must
be addressed.
TRUE OR FALSE Questions CHCAC31A

Support clients in activities of daily living
CHCAC317A Support older people to maintain their independence
1. Support the older person with their activities of daily living
2. Recognise and report changes in an older persons ability to undertake
activities of daily living
3. Support the older person to maintain an environment that maximises
independence, safety and security
Carers should have the knowledge and skills to support their clients to maintain
as much independence as possible in residential care.
Select the correct answer.
True
False
1.
Older people should be assisted to identify support

services to promote their independence.
True
False
2.
Clients must be made to use support services if they will

be beneficial.
True
False
3.
Care workers need not be familiar with details of support

services.
True
False
4.
Care workers should focus on practical assistance for

independent living.
True
False
5.
Care workers should be aware of aids/equipment to help

with independence.
True
False
6.
Needs are important, preferences are not.
True
False
7.
The care plan should identify the clients needs.
True
False
8.
The care plan should identify the clients preferences.
True
False
9.
A care worker is not qualified to ask for a review of the

care plan.
True
False
10. Difficulties with meeting the requirements of the care

plan should be reported to a supervisor.
True
False
11. Established routines cannot always be met when clients

move into care.
True
False
12. It is not worth trying to meet old routines for clients in

residential care; they must learn new ones.
True
False
13. Provision of culturally appropriate care is only provided in
True
False
ethnic-specific care homes.
14. Care homes can cluster similar culture clients to try to
provide more culturally appropriate care.
True
False
15. Care homes should have guidelines on maintaining

optimum independence for residents.
True
False
16. Privacy is too difficult to provide in high-care residential

aged care.
True
False
17. Confidential files must be securely stored in locked

cupboards.
True
False
18. Information on clients can always be shared with their

family members.
True
False
19. Confidential information may be shared with professional

staff to improve care.
True
False
20. Encouraging clients to direct/share in their care

processes is time-wasting.
True
False
21. Encouraging clients to direct/share in their care

processes maintains their dignity and self-esteem.
True
False
22. Issues, problems and incidents with clients must be

reported to the supervisor.
True
False
23. If incidents are reported, there is no need to document

them in care notes.
True
False
24. Assistive aids help clients maintain independence.
True
False
25. All falls can be prevented.
True
False
26. The risk of falls should be minimised in residential care.
True
False
27. The environment in residential care should be assessed

for risks.
True
False
28. Every residential care home can be made totally safe.
True
False
29. If a piece of equipment is faulty, report it and use it until

replaced/fixed.
True
False
30. You can always figure out how equipment works by trial
and error when not trained to use it.
True
False
31. It is important to have numeracy skills when weighing

and measuring a client to calculate the amount of
change.
True
False
32. Client modesty is not important if you are assisting with

ADLs.
True
False
33. Strategies for care are the same whatever the care
environment.
True
False
TRUE OR FALSE Questions CHCAC318B

The residential aged care sector
sector
Choose the correct answer.

True
False
1. High-level residential care is suitable for people with

chronic and complex conditions.
True
False
2. Low-level residential care is provided for clients living in

their own homes in the community.
True
False
3. The only issues facing older people are those associated

with physical illness and disease.
True
False
4. Client-centred care involves focusing on the person rather

than their conditions and/or diseases.
True
False
5. The Aged Care Act of 1997 is just a guide. Providers can

choose whether or not they wish to follow this guide.
True
False
6. A persons income and assets do not impact how much

government funding they receive.
True
False
7. A persons level of need is just one of the many factors

used by the government to determine funding entitlements.
True
False
8. Government policies have an impact on residential aged

care providers.
True
False
9. Private residential aged care providers are not affected by

changes in government policies about aged care.
True
False
10. Australias population is ageing. This is expected to

increase the demand for aged care services.
True
False
11. Changing community expectations have helped improve

the quality of care provided by the residential care sector.
True
False
12. Workforce sustainability is concerned with the ability to

attract and retain people with the required skills to provide
quality aged care.
True
False
Assessment 2 Case studies
Consider the following scenarios and answer the questions that follow.
Case Study 1
Ella is 83 years old and lives in a residential aged care facility. She has lived
in the facility for the past two years. Her eyesight is slowly deteriorating,
resulting in her walking into furniture. She also has recently developed
arthritis in her hands. She loves to read books and to do the crossword in the
newspaper. She is also an avid knitter. Now Ella cannot button her blouse
without help.
Briefly answer the following questions based on the case study.
1. How would you help Ella to understand the physical changes that are
happening to her?
2. How would you assist Ella to continue to do these activities?
3. How can you communicate situations of risk or potential risk associated

with ageing to Ella?
Case Study 2
An older transgender woman with dementia, who had lived most of her life
as a woman but had never had sex reassignment surgery, was forced by
staff of the religious aged care facility where she was being cared for to live
as a man. One particular staff member had told her family and friends about
the disgusting, old woman and told them private information regarding the
womans personal details.
1. Which two legislations relating to aged care are involved?
2. Explain why the staff member should keep her views to herself.
3. Is the aged care doing the right thing by forcing this woman to live as a
man? Briefly explain your answer.
4. If this person was unable to express their opinion as they were afraid to
do so, what could you suggest and what would your course of action be?
SS01 Pearson CHCAC317A
Support clients in maintaining activities and independence
CHCAC317A Support older people to maintain their independence
1. Support the older person with their activities of living
2. Recognise and report changes in an older persons ability to undertake
activities of living
3. Support the older person to maintain an environment that maximises
independence, safety and security
4. Support the older person who is experiencing loss and grief
Case Study 3
Charles entered Southern Downs Aged Care Home after his wife died 18 months
ago. He is 74 and has lived in the area for 40 years, so he has many friends and
acquaintances. However, over recent months his visitors come less often, many
being his age and having difficulties of their own. Charles has diabetes and very
bad arthritis, particularly in his hips, but is mentally alert and very sociable. He
has an electric wheelchair to get around the home and a folding manual one for
when he goes out. He has no children and has only a sister who is 82 and does
not get in to see him very often. He does have one close friend, Paul, who is a bit
younger than him and who both visits him and takes him to community activities.
Paul takes Charles to the Bridge Club every Monday afternoon, to U3A on
Thursday afternoon for music appreciation, to an art group on Friday morning and
on Sunday morning to the church, which they have both attended for many
years. Paul had a large car that took the wheelchair easily and he was fit and able
to assist Charles with his mobility. Charles and his friend had been workmates
and friends in retirement. They shared many memories, having spent many good
times together with their wives, both now sadly passed away. Occasionally, Paul
would take Charles to the cemetery and take flowers to their wives graves.
Charles has a lovely framed photo of them all together at his 60th birthday. Paul
had an accident three weeks ago, breaking one ankle and straining the other.
Charles has not seen him since and is very upset, missing him and the outings
very much. Since Paul had his accident, Charles has moved their framed photo so
he can see it when sitting in his chair. Charles has become quite withdrawn since
Paul has been absent and now seems to stay in his room more and sleeps
frequently, lacking the stimulation.
1. Explain Charles reaction to Pauls absence.
2. How might you assist Charles to regain his old routine?
3. How might you help Charles become involved in other activities in and out of
the home?
4. How might you get Charles to talk to you about his needs?
5. Do you think Charles is grieving? What indications does he give of

experiencing loss and grief?
GB04 Pearson (CHCAC318B)
Duty of care
sector
2. Apply understanding of the home and community care sector
Case Study 4
Lara is a HACC worker. One day, Mrs Williams, a client, exhibits the following
signs:
shortness of breath
nausea
light headedness
Lara recognises that these are the signs of a possible heart attack. She calls
emergency services on 000. The paramedics arrive and take Mrs Williams to
hospital. Mrs Williams survives the experience but has reduced functioning on
one side of her body. After Mrs William is attended to, Lara calls her supervisor
and completes an incident/accident report form, and updates Mrs Williams
progress notes.
Identify the actions that Lara took to meet her duty of care.
Case Study 5
Pauline provides care in a residential setting. One of the clients visitors asks
Pauline for a painkiller. Pauline has painkillers in her handbag and offers one to
the clients visitor, reasoning that over-the-counter medication cant harm
anyone.
Has Pauline met her duty of care? Why/Why not?
Case Study 6
The residential care setting where Fatima works is busy. A registered nurse tells
Fatima, Help me out. Give the clients their medication. She hands Fatima a
number of medication charts and a tray of medication. Fatima knows that she is
not trained or authorised to administer medications and hands the charts and
medication back to the RN, saying, I wish I could help you, but I dont have the
training to administer medication. I cant help you. Later, Fatima has a quiet
word with the Director of Nursing and expresses her concerns about being asked
to step outside her job role. Has Fatima met her duty of care? Why/Why not? Has
the RN met her duty of care? Why/Why not?
SS03-Pearson (CHCAC318B)
HACC
sector
2. Apply understanding of the home and community care sector
4. Apply understanding of the physical and psychosocial aspects of ageing
5. Apply understanding of changes associated with ageing
Case Study 7
Mrs Korp is an older person who was born in Edithvale. She lives in the house her
husband William built. Her three sisters live within a block of her house. Bowling
three times a week, attending Probus meetings and visiting with her sisters keep
her busy. She enjoys the best possible mental, physical and social health. In fact,
her younger neighbours often remark that they wish they had as much energy as
Mrs Korp.
While gardening one day, Mrs Korp slipped and fractured her leg.
Mrs Korp does not recover as quickly as she would like. She struggles with
mobility, transport, shopping and home.
1. How could an ACAT help her?
2. What sort of care would be most appropriate for Mrs Korp a Community Aged
Care Package or Extended Aged Care Home? Explain your response.
3. What is the government policy of ageing in place? How can ageing in place
help a person like Mrs Korp?
4. What HACC services could assist Mrs Korp during her recovery?
Case Study 8
Mrs Mueller is a war widow with vision impairment, arthritis and a shoulder injury.
1. How could the DVA help Mrs Mueller?
2. List the home modifications that could help Mrs Mueller stay at home.
3. List the aids and adaptive devices that might help Mrs Mueller maintain her
independence.
Assessment 3 Project
1. What are the two broad types of care that currently make up the aged
care system?
2. These are government programs that provide community care and are
currently funded by the government: HACC, CACP, EACH and EACHD.
Choose three programs and give a brief explanation of each.
The following web sites are useful as starting points for your research:
http://www.fahcsia.gov.au
http://www.agedcare.com.au
http://www.health.gov.au
http://www.agedcarer.com.au
http://www.accreditation.org.au
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 the 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.

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CHCAC317A Support older people to maintain their

Assessors name &

Work effectively with older people, and

Assessments for these units are as follows:

Description and location

There are 38 questions on this task

There are eight case studies found

There is one project found in this

Each student is to keep a journal of

Each student will be expected to

Each student will be expected to

3. Routines are an essential part of an older persons lifestyle. Briefly

4. When we enter someones home, it is important to

5. It is important to provide support and assistance in

6. An older person may use many different types of equipment to support

7. Part of your role as a carer is to monitor your clients activities and

b. Who would you report this to?

9. If you checked the smoke alarms in your clients home and

10.As a carer, you are expected to provide support and

11.People grieve in different ways for different reasons. It is

b. Name at least three communication skills a carer should possess.

12.There are many support services available in the community.

13.You may come across hazards in the older persons

Dial on the stove has numbers that are difficult to see

14.A carer should always address recognised hazards in

15.Describe at least three key issues facing older people and

16.Using the two examples below, explain how these current

17.As carers, we are expected to know and abide by government

18.The Australian Government funds several programs that provide

20. It is important to remember that as we age our body begins to undergo

List four chronic age-related conditions in older people.

c. Briefly explain why you would need to be aware of these problems.

22. Briefly explain the term Duty of Care.

23. It is important that clients are informed of their rights and

26. What does the term ageing in place mean?

Briefly explain what accreditation is and the main elements of this

28. a. Explain briefly what social model of disability means.

30. How can we, as workers in community services, promote positive

33. Briefly explain the following principles in relation to working effectively

35. As a carer, it is important to know our work role and functions.

Part A Verbal Feedback

1. What client rights are at risk?

2. What should Nikki do?

Part B Letter of Complaint

Answer the following:

2. What changes should be made?

Part C Collated Customer Feedback Forms

b. The types of services

c. The quality of services

2. The care I receive

3. The care I receive

4. The care I receive

5. The care I receive

7. My choices are respected and accommodated in the following areas:

d. Cultural and religious

1. Which client rights are addressed?

2. Which client rights are not addressed?

TRUE OR FALSE Questions CHCAC31A

Older people should be assisted to identify support

Clients must be made to use support services if they will

Care workers need not be familiar with details of support

Care workers should focus on practical assistance for