Individual Support, Ageing and Disability - Draft 1

CHCAGE011_Provide support to people living with dementia_Consultation Draft 1

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Unit application and prerequisites

UNIT CODE

CHCAGE011

UNIT TITLE

Provide support to people living with dementia

APPLICATION

This unit describes the performance outcomes, skills and knowledge required to provide person-centred care and support to people living with dementia. It involves following and contributing to an established individualised plan.

 

This unit applies to workers in a residential or community context, including family homes. Work performed requires some discretion and judgement and may be carried out under regular direct or indirect supervision.

 

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

 

No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.

PREREQUISITE UNIT

Nil

COMPETENCY FIELD

Nil

UNIT SECTOR

Aged Care

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Elements and performance criteria

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

  1. Prepare to provide support to people living with dementia.
    1. Interpret individualised plan and familiarise self with the specific needs and preferences of the person living with dementia.
    2. Apply person-centred care approaches to all interactions with the person living with dementia.
    3. Consult with the person and their carer to provide and maintain a stable and familiar environment.
    4. Recognise signs consistent with abuse or neglect of the person and report according to organisational policies and procedures.
  1. Use appropriate communication strategies.
    1. Communicate in a supportive manner that respects the person’s needs, rights and cultural background and upholds their dignity.
    2. Maximise engagement of the person with dementia using verbal and non-verbal communication strategies.
    3. Provide reassurance to the person and facilitate cooperation using reality orientation.
    4. Use a range of validation strategies with the person to relieve distress and agitation.
  1. Provide activities for maintenance of dignity, skills and health.
    1. Access information about the person’s reminiscences and routines from carer.
    2. Organise activities which aim to maintain independence, using familiar routines and existing skills.
    3. Provide opportunities for autonomy and risk-taking according to the needs and preferences of the person, while preserving their safety and comfort.
    4. Identify and support the person’s use of assistive technologies in meeting their individual needs.
    5. Organise activities that reflect the preferences and culture of the person, to stimulate pleasurable memories.
    6. Provide support to the person’s carer as applicable.
  1. Implement strategies which minimise the impact of behaviours of concern.
    1. Refer to individualised plan to identify documented behaviours of concern and potential triggers.
    2. Contribute to team discussions on support planning and review.
    3. Use identified strategies to minimise the likelihood of and reduce the impact of behaviours on the person and others.
    4. Evaluate implemented strategies with support planning team to determine effectiveness of strategies in minimising behaviours.
  1. Complete documentation.
    1. Complete reports including reporting observations to supervisor according to organisational policies and procedures.
    2. Complete, maintain and store documentation according to organisational policies and procedures.
  1. Implement self-care strategies.
    1. Monitor own stress level when working with people with dementia.
    2. Use self-care strategies and seek support if required according to organisational policies and procedures.

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Foundation skills

FOUNDATION SKILLS

Foundation skills essential to performance are explicit in the Performance Criteria of this unit of competency.

UNIT MAPPING INFORMATION

CHCAGE005 Provide support to people living with dementia.

LINKS

Companion Volume Implementation Guide

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Performance evidence

TITLE

Assessment Requirements for CHCAGE011 Provide support to people living with dementia.

PERFORMANCE EVIDENCE

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

  • provide support according to an individualised plan, to two different people living with dementia, including:
    • using a person-centred approach to support that upholds the rights and dignity of the person
    • demonstrating use of communication strategies tailored to the needs of the person
    • implementing activities that meet the person’s needs
    • using identified strategies to minimise behaviours of concern that are specific to the person
    • completing reports and documentation according to organisational policies and procedures
  • use two different self-care strategies to manage work-related stress.

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Knowledge evidence

KNOWLEDGE EVIDENCE

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

  • current research on dementia and the different manifestations of dementia, including but not limited to:
    • Alzheimer’s disease
    • Creutzfeldt-Jakob disease
    • vascular dementia or multi-infarct dementia
    • Lewy bodies
    • excessive alcohol intake or Korsakov Syndrome
    • fronto temporal lobar degeneration (FLTD) including Pick’s disease
    • Huntington’s disease
    • Parkinson’s disease
    • younger onset dementia
  • dementia as a progressive neurological condition, including pathological features:
    • amyloid plaques
    • neurofibrillary tangles
    • loss of connection between cells and cell death
  • common indicators and symptoms of dementia
  • behaviours of concern, needs driven behaviour model and de-escalation procedures
  • progression of dementia and potential impact on the person with dementia and their carer, including but not limited to:
    • depression
    • loss and grieving
    • anger
    • despair
    • social embarrassment
    • dysphagia
    • loss of speech and cognition
    • loss of inhibition
    • isolation
    • financial burden
    • self harm
    • social devaluation
    • suicidal ideation
    • violence toward carer or others
  • principles of person-centred approach to support
  • activities which:
    • enhance self-esteem and pleasure
    • minimise boredom
    • distract from or eliminate behavioural and psychological symptoms of dementia
  • different forms of abuse and neglect
  • competency and image enhancement as a means of addressing devaluation
  • methods to engage with the person with dementia:
    • verbal and non-verbal communication strategies
    • culturally sensitive communication strategies
    • reality orientation
    • reassuring words, phrases and body language
    • validation
      • acceptance of the person’s reality
      • acknowledgement
    • accepting expressions of distress
    • reminiscence
  • role of assistive technologies in supporting a person’s life activities:
    • maintaining and promoting independence
    • enabling inclusion and participation
  • techniques to determine own stress levels and options for managing work-related stress
  • internal and external services that can be accessed for management of work-related stress and trauma
  • legal and ethical considerations for working with people with dementia, including:
    • duty of care
    • dignity of risk
    • human rights
    • privacy, confidentiality and disclosure
    • work health and safety
  • organisational policies and procedures for:
    • documentation, including the importance of accurate, objective and appropriately detailed records
    • storage of information
    • referrals.

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Assessment conditions

ASSESSMENT CONDITIONS

Skills must have been demonstrated in the workplace, with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace.

 

These are situations relating to emergency or unplanned procedures where assessment in these circumstances would be unsafe, impractical or threatens the dignity of the older person.

 

Assessment must ensure access to:

  • individualised plans for the support of people living with dementia that reflect a range of dementia symptoms and behaviours of concern and support services
  • facilities, equipment and resources relevant to individualised plans that are used within an ageing support workplace
  • organisational policies and procedures
  • opportunities for engagement with people living with dementia and their family, carer and others involved in service provision.

 

Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors.

LINKS

Companion Volume Implementation Guide

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