Examples of physical disablers in aged care

CHCAGE001

FACILITATE THE EMPOWERMENT OF OLDER PEOPLE

LEARNER RESOURCE

Developed by Enhance Your Future Pty Ltd 1 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

T A B L E O F C O N T E N T S

TABLE OF CONTENTS ........................................................................................................................................ 1

COURSE INTRODUCTION .................................................................................................................................. 4

ABOUT THIS GUIDE ..................................................................................................... ERROR! BOOKMARK NOT DEFINED. ABOUT THIS RESOURCE ...................................................................................................................................... 4 ABOUT ASSESSMENT .......................................................................................................................................... 5

ELEMENTS AND PERFORMANCE CRITERIA ....................................................................................................... 7

PERFORMANCE EVIDENCE AND KNOWLEDGE EVIDENCE ................................................................................. 9

PERFORMANCE EVIDENCE ......................................................................................................................................... 9 KNOWLEDGE EVIDENCE ............................................................................................................................................ 9

ASSESSMENT CONDITIONS ............................................................................................................................ 11

PRE-REQUISITES ............................................................................................................................................. 11

TOPIC 1 – DEVELOP RELATIONSHIPS WITH OLDER PEOPLE............................................................................. 12

CONDUCT INTERPERSONAL EXCHANGES IN A MANNER THAT PROMOTES EMPOWERMENT AND DEVELOPS

AND MAINTAINS TRUST AND GOODWILL ...................................................................................................... 12

RECOGNISE AND RESPECT OLDER PEOPLE’S SOCIAL, CULTURAL AND SPIRITUAL DIFFERENCES ...................... 15

MAINTAIN CONFIDENTIALITY AND PRIVACY OF THE PERSON WITHIN ORGANISATION POLICY AND

PROTOCOLS ................................................................................................................................................... 18

DUTY OF CARE REQUIREMENTS ................................................................................................................................. 18 ORGANISATIONAL CODE OF CONDUCT ........................................................................................................................ 18 ORGANISATIONAL REQUIREMENTS ............................................................................................................................ 19 PRIVACY .............................................................................................................................................................. 20

ENCOURAGE THE PERSON TO ADOPT A SHARED RESPONSIBILITY FOR OWN SUPPORT AS A MEANS OF

ACHIEVING BETTER HEALTH OUTCOMES AND QUALITY OF LIFE..................................................................... 21

TOPIC 2 – PROVIDE SERVICES TO OLDER PEOPLE ........................................................................................... 23

IDENTIFY AND DISCUSS SERVICES WHICH EMPOWER THE OLDER PERSON AND SUPPORT THE OLDER PERSON

TO EXPRESS THEIR OWN IDENTITY AND PREFERENCES WITHOUT IMPOSING OWN VALUES AND ATTITUDES 23

EXPLAIN THE SCOPE OF SERVICE ............................................................................................................................... 25

ADJUST SERVICES TO MEET THE SPECIFIC NEEDS OF THE OLDER PERSON AND PROVIDE SERVICES ACCORDING

TO THE OLDER PERSON’S PREFERENCES ........................................................................................................ 27

ACCESS AND EQUITY ............................................................................................................................................... 27 WHAT IS PERSON-CENTRED PRACTICE? ...................................................................................................................... 27 WHY IS PERSON-CENTRED PRACTICE IMPORTANT? ....................................................................................................... 28 CREATION OF A CLIENT ORIENTATED CULTURE AND A NON-DISCRIMINATORY APPROACH TO ALL INDIVIDUALS USING OR ACCESSING

THE SERVICE ......................................................................................................................................................... 29 RESPECT FOR INDIVIDUAL DIFFERENCES ...................................................................................................................... 29

PROVIDE SERVICES ACCORDING TO ORGANISATION POLICIES, PROCEDURES AND DUTY OF CARE

REQUIREMENTS ............................................................................................................................................. 31

POLICIES AND PROCEDURES ..................................................................................................................................... 31

TOPIC 3 – SUPPORT THE RIGHTS OF OLDER PEOPLE ....................................................................................... 34

Developed by Enhance Your Future Pty Ltd 2 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

ASSIST THE OLDER PERSON TO UNDERSTAND THEIR RIGHTS AND THE COMPLAINTS MECHANISMS OF THE

ORGANISATION ............................................................................................................................................. 34

COMPLAINTS ........................................................................................................................................................ 35 AGED CARE COMPLAINTS SCHEME ........................................................................................................................... 35

DELIVER SERVICES ENSURING THE RIGHTS OF THE OLDER PERSON ARE UPHELD AND IDENTIFY BREACHES OF

HUMAN RIGHTS AND RESPOND APPROPRIATELY .......................................................................................... 37

INTERNATIONAL FEDERATION OF AGEING DECLARATION ON THE RIGHTS AND RESPONSIBILITIES OF OLDER PERSONS ................ 37 INDEPENDENCE ..................................................................................................................................................... 37 PARTICIPATION ..................................................................................................................................................... 38 CARE .................................................................................................................................................................. 38 SELF - FULFILMENT ................................................................................................................................................ 39 DIGNITY .............................................................................................................................................................. 39

RECOGNISE SIGNS CONSISTENT WITH FINANCIAL, PHYSICAL OR EMOTIONAL ABUSE OR NEGLECT OF THE

OLDER PERSON AND REPORT TO AN APPROPRIATE PERSON ......................................................................... 41

DEFINITION .......................................................................................................................................................... 41 FORMS OF ABUSE ................................................................................................................................................. 41 PHYSICAL ABUSE ................................................................................................................................................... 42 SEXUAL ABUSE ..................................................................................................................................................... 42 FINANCIAL ABUSE .................................................................................................................................................. 43 PSYCHOLOGICAL/ EMOTIONAL ABUSE ....................................................................................................................... 44 SOCIAL ABUSE ...................................................................................................................................................... 44 NEGLECT ............................................................................................................................................................. 45

ASSIST THE PERSON TO ACCESS OTHER SUPPORT SERVICES AND THE COMPLAINTS MECHANISMS AS

REQUIRED ...................................................................................................................................................... 47

LODGING A COMPLAINT WITH THE AGED CARE COMPLAINTS SCHEME ............................................................................. 47 WHAT CAN YOU COMPLAIN ABOUT? ......................................................................................................................... 47 WHO CAN MAKE A COMPLAINT? .............................................................................................................................. 47 WHAT TYPES OF SERVICES ARE COVERED BY THE SCHEME? ............................................................................................ 48 WHAT HAPPENS AFTER YOU LODGE A COMPLAINT? ...................................................................................................... 48

TOPIC 4 – PROMOTE HEALTH AND RE-ABLEMENT OF OLDER PEOPLE ............................................................ 49

ENCOURAGE THE OLDER PERSON TO ENGAGE AS ACTIVELY AS POSSIBLE IN ALL LIVING ACTIVITIES AND

PROVIDE THEM WITH INFORMATION AND SUPPORT TO DO SO AND ASSIST THE OLDER PERSON TO

RECOGNISE THE IMPACT THAT CHANGES ASSOCIATED WITH AGEING MAY HAVE ON THEIR ACTIVITIES OF

LIVING ........................................................................................................................................................... 49

AGE-RELATED CHANGES ......................................................................................................................................... 51 MUSCLE AND BONE CONDITIONS IN OLDER AGE ........................................................................................................... 51 AGE-RELATED CHANGES IN MUSCLE .......................................................................................................................... 51 AGE-RELATED CHANGES IN BONE .............................................................................................................................. 52 AGE-RELATED CHANGES IN JOINTS ............................................................................................................................ 52 PHYSICAL ACTIVITY CAN HELP ................................................................................................................................... 52 TYPICAL PHYSICAL CHANGES ................................................................................................................................... 53

IDENTIFY STRATEGIES AND OPPORTUNITIES THAT MAXIMISE ENGAGEMENT AND PROMOTE HEALTHY

LIFESTYLE PRACTICES AND WORK WITH THE PERSON TO IDENTIFY PHYSICAL AND SOCIAL ENABLERS AND

DISABLERS IMPACTING ON HEALTH OUTCOMES AND QUALITY OF LIFE ......................................................... 57

PROMOTING INDEPENDENCE AND AUTONOMY ............................................................................................................ 57 PURPOSEFUL ACTIVITIES ......................................................................................................................................... 59 WHAT NEW INTERESTS COULD BE INTRODUCED? ......................................................................................................... 61 BENEFITS OF HEALTHY ACTIVITIES ............................................................................................................................. 62

Developed by Enhance Your Future Pty Ltd 3 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

IDENTIFY AND UTILISE AIDS AND MODIFICATIONS THAT PROMOTE INDIVIDUAL STRENGTHS AND CAPACITIES

TO ASSIST WITH INDEPENDENT LIVING IN THE OLDER PERSON’S ENVIRONMENT ......................................... 63

DISCUSS SITUATIONS OF RISK OR POTENTIAL RISK ASSOCIATED WITH AGEING ............................................ 66

SECURITY SYSTEMS ................................................................................................................................................ 67 SHELTER AND PROTECTION ...................................................................................................................................... 67 COMFORT AND SELF EXPRESSION .............................................................................................................................. 67 SAFETY AND ADAPTATIONS ...................................................................................................................................... 68 RECOGNISING HAZARDS .......................................................................................................................................... 69 ASSESSING HAZARDS .............................................................................................................................................. 69 SEVERITY ............................................................................................................................................................. 70 ANALYSING THE LIKELIHOOD AND CONSEQUENCES OF RISK ............................................................................................ 70 HAZARD RATING MATRIX CHART ............................................................................................................................... 71 REPORTING RISKS AND HAZARDS .............................................................................................................................. 71

PALLIATIVE CARE ........................................................................................................................................... 72

SUMMARY ..................................................................................................................................................... 73

REFERENCES ................................................................................................................................................... 74

Developed by Enhance Your Future Pty Ltd 4 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

U N I T I N T R O D U C T I O N

This resource covers the unit CHCAGE001 - Facilitate the empowerment of older people.

This unit describes the skills and knowledge required to respond to the goals and aspirations of older people and provide support services in a manner that focuses on improving health outcomes and quality of life, using a person-centred approach.

This unit applies to support workers in residential or community contexts.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.

ABOUT THIS RESOURCE

This resource brings together information to develop your knowledge about this unit. The information is designed to reflect the requirements of the unit and uses headings to makes it easier to follow.

Read through this resource to develop your knowledge in preparation for your assessment. You will be required to complete the assessment tools that are included in your program. At the back of the resource are a list of references you may find useful to review.

As a student it is important to extend your learning and to search out text books, internet sites, talk to people at work and read newspaper articles and journals which can provide additional learning material.

Your trainer may include additional information and provide activities. Slide presentations and assessments in class to support your learning.

Developed by Enhance Your Future Pty Ltd 5 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

ABOUT ASSESSMENT

Throughout your training we are committed to your learning by providing a training and assessment framework that ensures the knowledge gained through training is translated into practical on the job improvements.

You are going to be assessed for:

 Your skills and knowledge using written and observation activities that apply

to your workplace.

 Your ability to apply your learning.

 Your ability to recognise common principles and actively use these on the job.

You will receive an overall result of Competent or Not Yet Competent for the assessment of this unit. The assessment is a competency based assessment, which has no pass or fail. You are either competent or not yet competent. Not Yet Competent means that you still are in the process of understanding and acquiring the skills and knowledge required to be marked competent. The assessment process is made up of a number of assessment methods. You are required to achieve a satisfactory result in each of these to be deemed competent overall.

All of your assessment and training is provided as a positive learning tool. Your assessor will guide your learning and provide feedback on your responses to the assessment. For valid and reliable assessment of this unit, a range of assessment methods will be used to assess practical skills and knowledge.

Your assessment may be conducted through a combination of the following methods:

 Written Activity

 Case Study

 Observation

 Questions

 Third Party Report

The assessment tool for this unit should be completed within the specified time period following the delivery of the unit. If you feel you are not yet ready for assessment, discuss this with your trainer and assessor.

Developed by Enhance Your Future Pty Ltd 6 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

To be successful in this unit you will need to relate your learning to your workplace. You may be required to demonstrate your skills and be observed by your assessor in your workplace environment. Some units provide for a simulated work environment and your trainer and assessor will outline the requirements in these instances.

Developed by Enhance Your Future Pty Ltd 7 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

E L E M E N T S A N D P E R F O R M A NC E C R I T E R I A

1. Develop relationships with older people

1.1 Conduct interpersonal exchanges in a manner that promotes empowerment and develops and maintains trust and goodwill

1.2 Recognise and respect older people’s social, cultural and spiritual differences

1.3 Maintain confidentiality and privacy of the person within organisation policy and protocols

1.4 Work with the person to identify physical and social enablers and disablers impacting on health outcomes and quality of life

1.5 Encourage the person to adopt a shared responsibility for own support as a means of achieving better health outcomes and quality of life

2. Provide services to older people

2.1 Identify and discuss services which empower the older person

2.2 Support the older person to express their own identity and preferences without imposing own values and attitudes

2.3 Adjust services to meet the specific needs of the older person and provide services according to the older person’s preferences

2.4 Provide services according to organisation policies, procedures and duty of care requirements

3. Support the rights of older people

3.1 Assist the older person to understand their rights and the complaints mechanisms of the organisation

3.2 Deliver services ensuring the rights of the older person are upheld

3.3 Identify breaches of human rights and respond appropriately

Developed by Enhance Your Future Pty Ltd 8 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

3.4 Recognise signs consistent with financial, physical or emotional abuse or neglect of the older person and report to an appropriate person

3.5 Assist the person to access other support services and the complaints mechanisms as required

4. Promote health and re- ablement of older people

4.1 Encourage the older person to engage as actively as possible in all living activities and provide them with information and support to do so

4.2 Assist the older person to recognise the impact that changes associated with ageing may have on their activities of living

4.3 Identify strategies and opportunities that maximise engagement and promote healthy lifestyle practices

4.4 Identify and utilise aids and modifications that promote individual strengths and capacities to assist with independent living in the older person’s environment

4.5 Discuss situations of risk or potential risk associated with ageing

Developed by Enhance Your Future Pty Ltd 9 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

P E R F O R M A N C E E V I D E N C E A N D K N O W L E D G E E V I D E N C E

This describes the essential knowledge and skills and their level required for this unit.

PERFORMANCE EVIDENCE

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

 Responded to the goals and aspirations of at least 2 older people, 1 in a

simulated environment and 1 in the workplace:

 Employing flexible, adaptable and person-centred approaches to empower

the individual

 Recognising and responding appropriately to situations of risk or potential

risk

 Used oral communication skills to maintain positive and respectful

relationships

KNOWLEDGE EVIDENCE

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

 Structure and profile of the aged care sector:

o Residential aged care sector

o Home and community support sector

o Current best practice service delivery models

o Relevant agencies and referral networks for support services

 Key issues facing older people, including:

o Stereotypical attitudes and myths

o The impact of social devaluation on an individual’s quality of life

 Implications for work in the sector, including:

Developed by Enhance Your Future Pty Ltd 10 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

o Concepts of positive, active and healthy ageing

o Rights-based approaches

o Person-centred practice

o Consumer directed care

o Palliative approach

o Empowerment and disempowerment

o Re-ablement and effective re-ablement strategies

 The ageing process and related physiological and psychological changes,

including sexuality and gender issues

 Strategies that the older person may adopt to promote healthy lifestyle

practices

 Legal and ethical considerations for working with older people, including:

o Codes of practice

o Discrimination

o Dignity of risk

o Duty of care

o Human rights

o Privacy, confidentiality and disclosure

o Work role boundaries – responsibilities and limitations

o Work health and safety

 Indicators of abuse and/or neglect, including:

o Physical

o Sexual

o Psychological

o Financial

 Reporting requirements for suspected abuse situations

 The impact of own attitudes on working with older people

Developed by Enhance Your Future Pty Ltd 11 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

A S S E S S M E N T C O N D I T I O N S

All aspects of the performance evidence must have been demonstrated using simulation prior to being demonstrated in the workplace. The following conditions must be met for this unit:

 Use of suitable facilities, equipment and resources, including:

 Relevant organisation policies and procedures

 Relevant aids to assist with independent living

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

P R E - R E Q U I S I T E S

This unit must be assessed after the following pre-requisite unit:

There are no pre-requisites for this unit.

Developed by Enhance Your Future Pty Ltd 12 CHCAGE001 - Facilitate the empowerment of older people Version 1.1

Course code and name

T O P I C 1 – D E V E L O P R E L A T I O N S H I P S W I T H O L D E R P E O P L E

CONDUCT INTERPERSONAL EXCHANGES IN A MANNER THAT PROMOTES EMPOWERMENT AND DEVELOPS AND MAINTAINS

TRUST AND GOODWILL

The older person’s willingness and ability to direct the processes relating to the provision of their care may be attributed to both how well informed they are and a recognition that they have the right to refuse services.

In order to exercise choice and maximise independence, people require access to accurate information that will help them manage their own lives, understand their options and engage with and actively participate in their community.1

The client has the power to determine the direction that their care takes. Those providing support services should not presume what direction their care will take. As it is the older person who makes the ultimate decision regarding the provision of their care and services, they are the person who is providing direction to the support worker.

Whilst the support person can provide the client with information and suggestions which they feel may be beneficial to their care, the older person has the right to refuse these suggestions and choose the path they wish to take. They may wish to determine their ongoing care on a daily basis or institute planning for their needs in the future. In the case where the support worker identifies potential issues in the way the care in being planned or instituted then they may wish to raise this with the client, but ultimately they need to respect the client’s decision.

Providing information to the older client may assist them in making decisions about how they may improve their lifestyle. The information needs to be relevant to their needs and lifestyle, how improvements might be made, and should identify the services which could be of assistance to them in meeting their needs. This information may be in relation to issues such as the provision of health care services, equipment which might be beneficial to them, financial services or perhaps referrals that might provide them