CHCAGE002 Implement falls prevention strategies

CHC33015 Certificate III in Individual Support (Ageing)
Advance College

Assessment Overview

This Student Assessment Booklet includes all your tasks for assessment of this unit.

About your assessments

This unit requires that you complete five assessment tasks. You must complete all tasks to achieve Competency for this unit.

Assessment Task

About this task

Assessment Task 1: Written questions

You must correctly answer all questions to show that you understand the knowledge required of this unit.

Assessment Task 2: Case study

Students must complete all questions as part of this case study scenario.

Assessment Task 3: Role play

Students are required to perform a simulated discussion on implementing falls prevention strategies with an additional participant.

Assessment Task 4: Workplace project

Students are required to complete two reports based on their workplace experience of implementing falls prevention strategies for older individuals.

Assessment Task 5: Portfolio

Students are required to submit a portfolio of workplace related templates, standard documents and policies and procedures related to falls risk assessment and implementation.

Assessment Task 1: Written Questions

TASK SUMMARY:

You are to answer all the questions in this task.

RESOURCES AND EQUIPMENT REQUIRED TO COMPLETE THIS TASK

  • Access to textbooks and other learning materials.
  • Access to a computer and the Internet (if you prefer to type your answers).

WHEN AND WHERE DO I COMPLETE THIS TASK?

  • This task may be done in your own time as homework or you may be given time to do this task in class (if applicable). Your assessor will advise.

Write in the due date as advised by your assessor: ______________

WHAT DO I NEED TO SUBMIT?

Your answers to all the questions.

WHAT HAPPENS IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

  • Answer the questions that were incorrect in writing.
  • Answer the questions that were incorrect verbally.

INSTRUCTIONS:

  • This is an open book test – you can use your learning materials as reference.
  • You need to answer all Error! Reference source not found. questions correctly.
  • You must answer the questions by writing in the space provided.
  • If you need more space, you can use extra paper. Make sure you write on each extra piece of paper your name and the question number/s you are answering.
  • You may prefer to use your computer to type your answers. Your assessor will let you know if you can email your answers as a Word file, or if you must print and submit hard copies.

QUESTION 1

Falls incurred by older people are usually referred to as ‘multi-factorial’. What does this mean in relation to the older population? Provide a supporting example.

Provide at least five examples of internal and external risk factors that may contribute to a fall in the older population. Provide your response in the table below.

Internal risk factors

External risk factors

Explain why there is a strong correlation between age and the occurrence of falls.

QUESTION 2

Think of someone you know of or a client you may have worked with who encountered a fall. Describe the experience on both their family and carer.

QUESTION 3

Jules has had a stroke which has left him paralysed down his left side. He finds it difficult to walk and his speech is badly affected. Jules’s cognitive function is not affected.

His family and GP feel that he is at risk living on his own. He is at high risk of falling, he may have another stroke, and he is unable to be understood on the telephone if he needs to call for help.

His family and GP all want him to go into aged care – at least until he recovers (hopefully) from the stroke.

Jules says that he doesn’t want to go. He will stay at home no matter what the risk. He can look after himself – and if he can’t that is his problem and not anyone else’s!

His family say that he has to go into care – the risk is much too great for him to live at home alone.

What rights does Jules have? Will he have to move into aged care?

Explain what causes a stroke and describe why individuals who have had a stroke are at high risk of a fall.

What are some common signs or symptoms of a stroke? Provide at least five.

1.

2.

3.

4.

5.

What is the impact on Jules having experienced a stroke, and on his family?

Describe the role each of the following specialists play in supporting an individual who has had a stroke:

speech therapist, occupational therapist and rehabilitation therapist.

Speech therapist:

Occupational therapist:

Rehabilitation therapist:

QUESTION 4

What are three sources of information that you could access to find out the legal requirements for privacy, confidentiality and disclosure in the workplace?

1.

2.

3.

QUESTION 5

Fleur is assessing the level of risk for a new client at an aged care residence. One of the assessments she does shows that the client is showing symptoms of depression and anxiety.

The client is worried that the doctor will make him take anti-depressant medication.

Fleur tells him not to worry. She has done a short massage course and is also good at talking to people. If he would like she will give him a massage each day and she would be happy to talk through his worries with him sometimes.

What is wrong with Fleur’s approach? What should she do?

QUESTION 6

Provide five types of medical causes that contribute to falls in older people.

1.

2.

3.

4.

5.

Identify the steps in a complete gait cycle.

What are two examples of normal age-related gait changes? What are two examples of abnormal changes in gait?

Normal age-related gait:

1.

2.

Abnormal changes in gait:

1.

2.

Draw two arrows. One to represent healthy posture of the spine and one arrow that represents abnormal posture of the spine. Draw an outline of a person if this helps to support your response.

What are some common symptoms of balance disorders?

QUESTION 7

The following table lists eight major risk areas for Australia’s ageing population. For each risk area, describe the nature of the risk and suggest at least four risk minimisation strategies to reduce each risk.

Risk area

Describe the risk

Risk minimisation strategy (four for each risk area)

Depression and anxiety

Isolation

Elder abuse

Falls

Risk area

Describe the risk

Risk minimisation strategy (four for each risk area)

Medication

Dehydration and malnutrition

Dysphagia

Continence

QUESTION 8

Provide the relevant Act or legislation in relation to older individuals, for each of the following legal and ethical considerations in the table below. Include an example for each.

Duty of care

Human rights

Privacy, confidentiality and disclosure

Work health and safety

According To the Australian Commission on Safety and Quality in Health Care, which standard refers to the prevention of falls?

Using the standard, provide the criteria for each of the following sub-standards.

Screening and assessing risks

Preventing falls

Communicating with patients and cares

What do I need to hand in for this task?

Have I completed this?

Your answers to each question

o

Assessment Task 2: CASE STUDY

TASK SUMMARY:

For this task, you are required to read the case study scenario and correctly answer all questions.

RESOURCES AND EQUIPMENT REQUIRED TO COMPLETE THIS ASSESSMENT

  • Access to a computer (if students prefer to type their response)
  • Case study scenario (provided)
  • Falls risk assessment template (provided) Falls prevention plan template (provided).

WHEN AND WHERE DO I COMPLETE THIS TASK?

This task may be done in your own time as homework or you may be given time to do this task in class (if applicable). Your assessor will advise.

Write in the due date as advised by your assessor: ______________

WHAT DO I NEED TO SUBMIT?

  • Answers to all questions in this task.

WHAT HAPPENS IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

  • Answer the questions that were incorrect in writing.
  • Answer the questions that were incorrect verbally.

INSTRUCTIONS:

Read the case study scenario and complete the questions which follow.

CASE STUDY SERGIO AND THE FALL

You work as part of ABC aged care residence as a support worker. Today, one of the residents, 84-year-old Sergio, slipped and fell. He was on the way to the bathroom in a hurry when the accident happened. Falling on the tiles, he sustained a few minor bruises without any broken bones or fractures. After the fall, you were asked to complete a falls risk assessment of the incident. The assessment was required as part of the centre’s workplace protocol on falls assessment and prevention for residents.

Upon review of Sergio’s medical history you noted the following information:

Sergio has glaucoma in his left eye

His treating practitioner has just prescribed him with sleeping tablets as he was experiencing insomnia

Observations of a slightly unsteady gait, balance and mobility

Had a stroke when he was 75 years old

Prefers sedentary activities such as reading, playing cards and watching TV

His daughter Maria comes to visit him regularly

Sergio is Italian and speaks in broken English

Sergio’s room is a fair way from the bathroom.

Has low blood pressure

A few incidents of incontinence

Sergio had tripped and nearly fallen over a step in the split level program and activities room

Questions

  1. What are the risk factors in this scenario that may be causing Sergio to fall?
  1. For each risk factor you have identified, complete a falls risk assessment using the template provided. Use your own judgment when providing a risk level rating. Add additional rows as required.
  2. Complete a risk prevention plan for Sergio using the risk prevention plan template provided. Add/modify space or rows are required
  3. Identify the type of physical and psychological effects of falls on each of the following roles: Sergio, his daughter Maria and the support staff at the aged care residence?

Role

Physical effects

Psychological effects

Sergio

Maria

Staff

  1. What are some indicators of success that would prompt a further review of Sergio’s plan to cease the plan?

Question 2 – Falls Risk Assessment

Student name

Assessment task

Resident

Date completed

Risk level rating: High (3), Medium (2) and Low (1)

Risk factor

How does this risk factor contribute to falling?

Risk level (H/M/L)

Running score

total

Total:

Risk level:

Possible risk

1-9

Moderate risk

10-14

Extreme risk

>14

Question 3 – Falls prevention plan

Student name

Assessment task

Resident

Date completed

CHCAGE002 Implement Falls Prevention Strategies

© Advance College

Prevention

Risk factor

Rating

Prevention strategies

Assessment

Who

When

CHCAGE002 Implement Falls Prevention Strategies

© Advance College

Review

Risk factor

How will this be monitored and measured?

Tools used for measuring progress

CHCAGE002 Implement Falls Prevention Strategies

© Advance College

Assessment Task 3: ROLE PLAY

TASK SUMMARY:

Students are required to read the role play scenario and conduct a discussion about a falls prevention strategy.

RESOURCES AND EQUIPMENT REQUIRED TO COMPLETE THIS ASSESSMENT

  • Case study scenario (Assessment Task 2)
  • Completed falls prevention strategy plan (Assessment Task 2)
  • Role play scenario (provided)
  • One participant (this may be played by the assessor) Participant instructions (provided).

WHEN AND WHERE DO I COMPLETE THIS TASK?

Classroom-based students will complete this task in the simulated workplace environment in the classroom (or another appropriate location as advised by the assessor).

Workplace-based students will complete this task in the workplace.

Write in the due date as advised by your assessor: ______________

WHAT DO I NEED TO SUBMIT?

  • You are not required to submit anything for this task.

WHAT HAPPENS IF I GET SOMETHING WRONG?

If your assessor sees that you have not demonstrated the required skills/techniques satisfactorily, the details of resubmission will be discussed with you when you are provided with the outcome of this task.

INSTRUCTIONS:

If you are doing this course as a workplace-based student, you will need to complete this role play scenario in your workplace during your assessor’s visit.

Discuss the requirements and time for this task with both your workplace supervisor and assessor. You may ask a colleague to play the role of the additional participant, or this may

be played by your assessor.

Read the role play scenario ‘Implementing falls prevention strategies’. This scenario follows on from the case study in Assessment Task 2. You will need to complete this task before completing this role play. The objective of this task is for you to demonstrate conducting a falls prevention meeting with an aged care resident.

Referring to your falls prevention strategy plan completed in Assessment Task 2, select two falls prevention strategies for two risk factors. You will need to discuss each strategy in a respectful manner, ensuring the resident’s concerns and needs are addressed. You will need to explain your strategy in collaboration with the resident in the scenario.

The resident in this scenario will need to be played by either a work colleague, a classmate or your assessor. This person will be given their own instructions for the part they are expected to play in this task.

Review the points in the below box to ensure you are familiar with the criteria your assessor will be marking you against. Confirm any points that you are unsure about with your assessor prior to completing this task.

Your assessor will be looking to see that you can:

  • Approach the resident in a polite and respectful manner
  • Explain the purpose of the discussion
  • Seek the resident’s permission to discuss strategies
  • Explain findings of the recent falls risk assessment
  • Ask the resident about their lifestyle, health and general mobility
  • Discuss falls prevention strategies using the falls prevention plan
  • Discuss how each strategy will be implemented included who will be involved
  • Explain how strategies will be monitored and review
  • Explain tools used to evaluate progress and outcomes
  • Acknowledge cultural considerations and influence
  • Address the resident’s concerns and fears about falling
  • Ask residents how they coped with falling in the past
  • Acknowledge and respect the resident’s values, and beliefs
  • Acknowledge the resident’s privacy, dignity and specific requests
  • Explain how the resident’s results will be used within the support team
  • Advise roles of specialised services or people the resident may be referred to
  • Use a supportive and encouraging manner and approach
  • Use effective communication
  • Allow the resident to contribute to the discussion
  • Clarify questions or requirements
  • Correctly answer verbal questions.

ROLE PLAY IMPLEMENTING FALLS PREVENTION STRATEGIES

You are going to have a discussion with Sergio to discuss three strategies in the falls prevention plan you have developed for him in relation to the recent fall he incurred at the centre recently. Sergio is fragile and embarrassed about the fall and is not sure why it happened. He needs to feel confident in moving around the unit as he did before the accident happened and would like to know what he can do or what can be done to prevent potential falls from happening in the future.

What do I need to hand in for this task?

Have I completed this?

You do not need to hand anything in

NA

Assessment Task 4: WORKPLACE PROJECT

TASK SUMMARY:

For this task students are required to complete two reports based on falls prevention strategies used for older clients in the workplace.

RESOURCES AND EQUIPMENT REQUIRED TO COMPLETE THIS ASSESSMENT

  • Access to a workplace
  • Access to two older clients in the workplace
  • Workplace policies and procedures
  • Workplace resources and equipment
  • Workplace documentation on risk assessment and prevention Falls prevention report templates (provided).

WHEN AND WHERE DO I COMPLETE THIS TASK?

You will do this task in the workplace.

Write in the due date as advised by your assessor: ______________

WHAT DO I NEED TO SUBMIT?

  • Two completed falls prevention reports.

WHAT HAPPENS IF I GET SOMETHING WRONG?

If your assessor sees that you have not completed this task satisfactorily, you will need to redo the task. The details of resubmission will be discussed with you directly when you are provided with the outcome of this task.

INSTRUCTIONS:

For this task, you are required to consider two older clients you have been involved in supporting in the workplace. Each client must be an individual where you have assisted, supported or contributed towards a falls risk assessment and falls prevention plan.

Your role with each client should involve preparing to perform a falls risk assessment, identifying risk factors, developing a falls prevention plan, implementing prevention strategies according to the plan and evaluating outcomes of the plan. Further guidance to your response has been included within the template provided. Add/modify space in the report as required.

You must get your supervisor to sign each report to show that your information is a true and accurate record of your involvement in assessing, developing and implementing falls prevention activities.

Note: You must not provide any personally identifiable client information in your client profiles. You might like to refer to each individual as The Client or Client A or Client B etc. Always confirm with your supervisor if you are unsure.

What do I need to hand in for this task?

Have I completed this?

Falls prevention report – client 1

o

Falls prevention report – client 2

o

Falls prevention report – Client 1

Student name

Assessment task

Location/workplace

Date completed

Workplace supervisor

Supervisor signature

  1. Preparing for a falls risk assessment

You must include the following information in this section of your report:

Reasons for the assessment

Process for assessing client risk

Documentation used for assessing and reviewing risks

Communication methods used with client and other members of the support team

Meetings arranged for the risk assessment

Cultural considerations

How permission was sought from the client and/or carer for the assessment

People involved in the assessment and their responsibilities

  1. Identifying and assessing risk factors as contributors to potential fall

You must include the following information in this section of your report:

Assessment tools used to assess falls risk

The risk factors identified in the assessment – intrinsic/extrinsic, posture, gait, medical causes etc.

Type of lifestyle, behaviour or health characteristics as contributors

Client specific needs, issues or concerns raised

Needs and services required outside of the scope of your role

Carer support needed (if required by the client)

  1. Developing and implementing falls prevention strategies

You must include the following information in this section of your report:

Workplace documentation used to develop plans

Prevention strategies developed for each risk identified

Safety risks identified and control measures

The client and/or carer’s input into the plan

The communication used to discuss prevention strategies with the client and/or carer

The client and/or carer response to the plan

Suggested testing strategies

  1. Monitoring and reviewing strategies

You must include the following information in this section of your report:

Expected outcomes or goals

Methods of evaluation to measure outcomes of the strategies

The results/outcomes/changes that occurred

How results were shared and celebrated with the client and team

How strategies were modified and why changes were needed

Who was involved in the evaluation and review process

Future strategies or specific referrals identified as a result

Workplace documentation that was used to communicate and record outcomes.

Falls prevention report – Client 2

Student name

Assessment task

Location/workplace

Date completed

Workplace supervisor

Supervisor signature

  1. Preparing for a falls risk assessment

You must include the following information in this section of your report:

Reasons for the assessment

Process for assessing client risk

Documentation used for assessing and reviewing risks

Communication methods used with client and other members of the support team

Meetings arranged for the risk assessment

Cultural considerations

How permission was sought from the client and/or carer for the assessment

People involved in the assessment and their responsibilities

  1. Identifying and assessing risk factors as contributors to potential fall

You must include the following information in this section of your report:

Assessment tools used to assess falls risk

The risk factors identified in the assessment – intrinsic/extrinsic, posture, gait, medical causes etc.

Type of lifestyle, behaviour or health characteristics as contributors

Client specific needs, issues or concerns raised

Needs and services required outside of the scope of your role

Carer support needed (if required by the client)

  1. Developing and implementing falls prevention strategies

You must include the following information in this section of your report:

Workplace documentation used to develop plans

Prevention strategies developed for each risk identified

Safety risks identified and control measures

The client and/or carer’s input into the plan

The communication used to discuss prevention strategies with the client and/or carer

The client and/or carer response to the plan

Suggested testing strategies

  1. Monitoring and reviewing strategies

You must include the following information in this section of your report:

Expected outcomes or goals

Methods of evaluation to measure outcomes of the strategies

The results/outcomes/changes that occurred

How results were shared and celebrated with the client and team

How strategies were modified and why changes were needed

Who was involved in the evaluation and review process

Future strategies or specific referrals identified as a result

Workplace documentation that was used to communicate and record outcomes.

Assessment Task 5: PORTFOLIO

TASK SUMMARY:

For this task, you are required to submit a portfolio of documents related to falls assessment and prevention in the workplace.

RESOURCES AND EQUIPMENT REQUIRED TO COMPLETE THIS ASSESSMENT

  • Access to a workplace
  • Workplace policies and procedures
  • Workplace standard documents and templates.

WHEN AND WHERE DO I COMPLETE THIS TASK?

You will do this task in the workplace.

Write in the due date as advised by your assessor: ______________

WHAT DO I NEED TO SUBMIT?

  • All documents required in this portfolio.

WHAT HAPPENS IF I GET SOMETHING WRONG?

If you do not provide a document required or have provided an incorrect document, your assessor will discuss the timeframes for resubmission with you when you are provided with the outcome for this task.

INSTRUCTIONS:

The purpose of this task is to provide documentation related to aspects of falls assessments and prevention strategies in the workplace. Your portfolio can be set up using a display book, A4 binder with plastic pockets or A4 notebook. It should be clearly detailed and labelled according to the evidence required in this task.

You are required to provide copies of the following workplace documents:

  • A falls risk assessment plan template
  • A falls prevention plan template
  • A sample assessment tool used to assess risk of falls
  • Workplace policies and procedures related to the following:
    • Client privacy and confidentiality
    • Obtaining client consent for participating in a falls risk assessment
    • Protecting client rights
    • Client referrals
    • Managing client documentation.

You will need to be able to prove that you have created each document. You must get your supervisor to sign each document that you add to your portfolio. This will also provide evidence that you have permission to remove the document from your workplace.

Note: A portfolio checklist has been included for you to gather requirement documents. Additional space has been provided for you to document any reminder notes or details. This is a reminder only and does not need to be submitted for this task.

Remember!

When you choose a document, think about privacy and confidentiality:

  • Should you be removing this document from your workplace?
  • Do you need to black out names, addresses and other identifiable information?
  • Does this document show financial information, such as salaries, bank account numbers or budgets?

If in doubt, always check with your supervisor.

Portfolio Checklist

#

Document required

Reminder notes or comments

Included (tick)

1

A falls risk assessment plan template

o

2

A falls prevention plan template

o

3

A sample assessment tool used to assess risk of falls

o

Workplace policies and procedures related to the following:

4

Client privacy and confidentiality

o

5

Obtaining client consent for participating in a falls risk assessment

o

6

Protecting client rights

o

7

Client referrals

o

8

Managing client documentation.

o

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