CHC33015 – Certificate III in Individual Support CHCAGE005 (
CHC33015 – Certificate III in Individual Support CHCAGE005 (COULD… CHC33015 – Certificate III in Individual Support CHCAGE005(COULD YOU PLEASE HELP ME MAKE A ROLE PLAY SCRIPT) THANK YOU Nancy is an active 83-year-old and lives in a residential aged care facility. Nancy has Alzheimer’s disease and experiences impaired social judgement, mild difficulty with handling problems, time-and- place issues and also requires some assistance with personal care tasks.Nancy visits church every week for the Sunday morning service and afterwards likes to visit the local coffee shop. She meets a group of ladies there for coffee. She also takes part in a local knitting group, where they knit baby clothes for premature babies and donate them to the children’s hospital. Nancy enjoys being involved in active conversation, especially when she remembers about past holidays and the experiences she had with her kids growing up. She has memory lapses and becomes agitated when she sometimes forgets where she is and how she got there. Lately, Nancy has been getting confused at the knitting group and her constant mistakes are a great source of frustration and embarrassment for her. She has considered quitting the group, but concedes that the social aspect of the group is one of her favourite times of the week.Nancy’s daughter, Samantha (who was appointed as legal representative when Nancy first came to live in the facility) is due to visit her at the same time Nancy will be getting ready to go to the shops. Samantha has indicated that if needed, she can assist in carrying out the care plan, yet there are some tasks that she is not confident doing alone. In her last visit, Samantha demonstrated frustration when she noticed Nancy was not able to recognise her. She is also worried about her mum’s resistance to personal care.Ayusha was Nancy’s personal home carer for many years before Nancy moved to residential care. Ayusha is willing to participate (through teleconference) in all planning and re-assessment meetings that are conducted to support Nancy. Nancy’s usual support worker has called in sick and you are filling in. According to Nancy’s support plan, you are required to assist with personal care and community access. You will accompany her to the local coffee shop for her coffee date. On this occasion, Samantha is visiting and Nancy has invited her to come along and meet her friends. Before you implement the plan, the workplace supervisor does a handover to you.In his handover report, your supervisor has made the following points and recommendations:Nancy loses trust and engagement when she experiences memory lapses hence, she refuses tocooperate and / or displays behaviours of concernThe best way to connect with Nancy when her memory lapses is to use dementia specificcommunication techniques such as reality orientation (which brings Nancy to the current ADL with mentions and prompts of the “here and now”) and validation (empathy and acknowledgement of her situation, use of reassurance and allowance for expression of feelings, acceptance of reality, and reminiscence)Her daughter Samantha can help in identifying what triggers her mum’s behavioursIs recommended to discuss with the team before implementing any strategy when interactingwith Samantha.Nancy has participated actively in the personal care routines of her care plan with you. She has been very confident and in privacy with dignity, she has been to the toilet and had a shower with your assistance. She is very happy as she is wearing the clothes that she has picked out to wear to the coffee shop.Now that you are both ready to leave, she seems to be confused, disoriented and a little agitated. She has forgotten what will happen next.You are required to orient her, support her to calm down and go to the coffee shop by using effective communication skills in line with dementia care.During the visit to the coffee shop, Nancy has an outburst of aggressive behaviour. She ordered a black tea and an apple muffin. When the service person arrived to give her order, she got upset and was quite rude because she was sure she ordered a cappuccino, not a black tea.You are required to diffuse the situation by using effective communication skills in line with dementia care.Once everyone has finished their beverage, you assist Nancy by returning her to the facility, as per her plan. Nancy’s daughter Samantha is visibly upset and embarrassed at her mother’s behaviour and tells you that she has never seen her act like that before.Upon returning, you assist Nancy to her bedroom where she sits down rests for a while. You immediately go to the Care Office to discuss the event with the workplace supervisor and record your observations. The environment 1: Nancy’s residential roomNancy’s residential room has a wardrobe, single bed, and some sentimental pieces of furniture and decor which she and her late husband Jack used to have at the family home.Nancy has family photos up on her wall of her children and grandchildren. She also has a photo of Jack. She sometimes forgets that he passed away three years ago.The environment 2: local coffee shopA small local coffee shop which is located two blocks away from the residential facility. It has three tables, with a number of chairs. The owner of the shop knows that the ladies come in at a particular time every week, so he puts a reserved sign on two of the tables.The coffee shop serves a range of savoury and sweet foods, coffees, teas and cold drinks. It’s a small cafe´, so only two people work inside.Instructions to the person playing NancyIn the Bedroom:? Be confused after you have been assisted to get ready to go to the coffee shop.? Respond only vaguely at students first attempt to interact. Make them use patience andrepetition (validation and reality orientation at once).? Upon student’s persistence and correct use of communication skills, respond well andcooperate.At the coffee shop? Have an outburst.? Be relatively aggressive; no physical contact but with abrupt body language; raise voice, and beupset that they got your order wrong. Make elaborate accusations on why they got the orderwrong.? Don’t calm down on the students first attempt.In all ScenariosYou Must Show Simulated Dementia Behavioural Such as:? Verbal disruption? Physical aggression? Repetitive actions or s? Confusion? Refusal to accept services? Misidentifying Samantha? Acting as if you think the late Jack (your husband) is still alive? Wandering or intrusiveness If Samantha tries to calm you down, get more agitated. Instructions to the people playing Samantha, Ayusha and Cafe Worker*Note: these Students are not being assessed, they’re just supporting the Role Play*Samantha:? Be upset and frustrated at not being recognised by Nancy? Use conversation about the knitting group as a distraction? At the coffee shop, try to calm Nancy down. Keep trying until the student intervenes.? During the meeting with the support worker and the workplace supervisor, be visibly upsetand embarrassed at Nancy’s behaviour and confirm you have never seen her act like thatbefore.? Show apprehension about Nancy’s decline in cognitive ability? what is being done for further support and ask what the family can do to helpAyusha:? Be cooperative in teleconference? Offer information about previous home care role and progression of Nancy challenges? Use conversation about the knitting group as a distractionCafe Worker:? Be cooperative at ordering time? Be offended and surprised by Nancy’s outburst? Repeat that you did not bring the wrong beverage? Show apprehension about Nancy’s decline in cognitive abilityInstructions to the Student (Support Worker)? You will play the main character, as you are being assessed on your understanding of effective dementia care communication strategies and your capacity to combine knowledge and skills to demonstrate:ability to perform relevant tasks in a simulated dementia supporting environmentconsistency in performance and a consistent ability to demonstrate skills of supporting people with dementia.? You are required to use reality orientation techniques together with a range of other communication skills to promote more effective communication with Nancy.? You will need to access critical information of Nancy’s reminiscences and routines from Ayusha and her plan, then use the information to conduct reminiscence therapy? You will provide support and guidance to Samantha (Nancy’s daughter) in regard to the challenges she is having with her mother (Nancy) The TeamThe assessor will organise and assign people to play the following roles;? Residential Aged Care Support Worker – PCA (played by Student being assessed)? Nancy (the person living with dementia)? Samantha (Nancy’s daughter and legal representative)? Cafe Service Person? Ayusha (Nancy’s previous carer)? Residential Aged Care Supervisor Health Science Science Nursing AGED CARE CHCAGE005
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