Individual Support, Ageing and Disability - Draft 2

CHCPAL004 Contribute to planning and implementation of care serv Draft 2.0

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Unit application and prerequisites

UNIT CODE

CHCPAL004

UNIT TITLE

Contribute to planning and implementation of care services using a palliative approach

APPLICATION

This unit describes the performance outcomes, skills and knowledge required to contribute to the development and implementation of a care plan for people with life-limiting illness and those within the normal ageing process using a palliative approach, within a multi-disciplinary team environment.

 

This unit applies to workers in a residential or community context. Work performed requires some discretion and judgement and is carried out under 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

CHCPAL003 Deliver care services using a palliative approach

COMPETENCY FIELD

Nil

UNIT SECTOR

Nil

1 Comments

Update of the unit

"The Queensland Nurses and Midwives' Union (QNMU) supports the update of this unit. As we stipulated in unit CHCPAL003, we suggest that as part of the legal and ethical considerations for working in palliative care is education on specific state regulations pertaining to voluntary assisted dying. "

Deborah Twigg 28.07.2021 08.31AM

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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. Contribute to planning of a palliative approach to individual care.
    1. Assist with care planning using a palliative, holistic approach to maximise the person’s quality of life and comfort.
    2. Identify immediate and future care requirements based on the condition or illness of the person.
    3. Ensure planning includes involving and supporting the person, carer, family and others involved in the person’s care.
    4. Assist with development of strategies that holistically address the person’s needs that extend over time not only end-of-life.
  1. Support people to identify their preferences for quality of life choices.
    1. Consult the person, carer, family and others to identify and share information regarding current and changing needs and preferences,
    2. Respect the person’s individuality, values and beliefs in implementing the care plan.
    3. Demonstrate respect for the roles of the person and carer in planning, delivering care and decision making.
    4. Address any issues that are outside scope of own job role by referring them to the appropriate member of the care team according to organisational policies and procedures.
    5. Communicate with the person, carer, family and others in a professional manner that shows empathy.
  1. Assist with advance care planning.
    1. Enable effective advance care directive completion within scope of own job role through encouraging communication between the person, carer, family, health professionals and others regarding what quality of life means to the person.
    2. Assist with documentation of advance care directives according to the person’s preferences and organisational policies and procedures.
    3. Actively support end-of-life decisions agreed by the person and carer, in line with organisational policies and procedures and care plan directives.
    4. Acknowledge the person’s ongoing decisions, preferences, needs and issues in relation to end-of-life care and report changes to supervisor or care team member to ensure that the person’s wishes are respected.
  1. Contribute to planning of care considering pain and other end-of-life symptoms.
    1. Identify and implement strategies within care plan to maximise comfort in collaboration with supervisor or health professional.
    2. Identify need for  information about the use of pain-relieving medication and other treatments and refer to supervisor or health professional.
    3. Observe, report and document effectiveness of interventions for pain and symptom relief.
    4. Communicate ineffective interventions to supervisor or health professional and document according to organisational policies and procedures.
  1. Implement end-of-life care strategies.
    1. Identify the emotional needs of the person and their carer, family and others affected when a death occurs and provide the necessary referrals according to organisational policies and procedures.
    2. Provide support to the person, carer, family and colleagues during stages of end-of-life, within scope of own job role.
  1. Identify and manage emotional responses in self and others.
    1. Identify and reflect on own emotional responses to death and dying and raise and discuss any issues with supervisor or other appropriate person.
    2. Observe the impact of the person’s end-of-life decisions, needs and issues on carer and family and provide referral to support as needed.
    3. Inform carer, family, colleagues and others about support systems and bereavement care available.
    4. Follow organisational policies and procedures in relation to emotional welfare of self, colleagues, the person, carer and family.
    5. Identify strategies and resources available for debriefing.

2 Comments

Possible amendments

"Performance criteria 3.2 and 3.3 should also be inclusive of the person's values."

Advance Care Planning Australia 27.07.2021 11.43PM

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Possible amendments

"It is suggested that the following performance criteria are amended to make reference to substitute decision-makers (1.3,2.1,2.3,2.5,3.1,3.3,5.1,5.2,6.2,6.3,6.4)"

Advance Care Planning Australia 27.07.2021 11.42PM

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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

CHCPAL002 Plan for and provide care services using a palliative approach.

LINKS

Companion Volume Implementation Guide

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Performance evidence

TITLE

Assessment Requirements for CHCPAL004 Contribute to planning and implementation of care services using a palliative approach

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:

  • assist in implementing at least one care plan using a palliative approach, including:
    • familiarising self with care plan and documented strategies
    • communicating effectively and empathetically with the person, their carer, family and others
    • demonstrating respect for the person’s needs and preferences
    • providing information about support or bereavement support services as required
  • reflect on own emotional responses to death and dying and discuss with supervisor on at least one occasion.

1 Comments

Possible amendments

"The following performance evidence should be revised to include substitute decision-makers: communicating effectively and empathetically with the person, their carer, family and others. The following performance evidence should be revised to be inclusive of values: demonstrating respect for the person’s needs and preferences "

Advance Care Planning Australia 27.07.2021 11.44PM

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Knowledge evidence

KNOWLEDGE EVIDENCE

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

  • relevant policies, protocols and practices of the organisation in relation to the provision of both a palliative approach and palliative care
  • common life-limiting illnesses
  • emotional impact of diagnosis of life-limiting illness
  • principles of the palliative approach to care of people and their family
  • differences between curative and palliative approaches in contributing to individual care planning
  • cultural and spiritual considerations in relation to palliative care
  • impact of unconscious bias when providing care
  • palliative approaches for care across the life-span
  • impact of loss and grief on people, carer and workers
  • legal and ethical considerations for working in palliative care and advance care directives, including:
    • dignity of risk
    • duty of care
    • human rights
    • privacy, confidentiality and disclosure
    • specific jurisdictional legislation on advance care planning and advance care directives as it applies to the work role
    • work role boundaries, responsibilities and limitations
  • pain management and strategies to maximise comfort
  • hydration and nutrition requirements during a palliative approach and at end-of-life
  • signs of deterioration and imminent death.

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Assessment conditions

ASSESSMENT CONDITIONS

Skills must be demonstrated in the workplace or in a simulated environment that reflects workplace conditions.

Assessment must ensure access to:

  • facilities, equipment and resources that reflect real working conditions and model industry operating conditions and contingencies
  • organisational policies and procedures
  • palliative care plans
  • equipment and resources outlined in palliative care plans
  • opportunities for engagement with people in palliative care or people who participate in simulations and scenarios that involve provision of palliative care in a range of contexts.

 

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

LINKS

Companion Volume Implementation Guide

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