CHCCCS011 Meet personal support needs
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5. Overview of session
• Support worker roles and responsibilities
• Roles and responsibilities of support
organisations
• Legal and ethical obligations
• Risk identification and WHS
• Personal safety and security
8. Organisational responsibilities
• Provide approach to providing personal support
• Communicate how support activities should be undertaken safely
• Provide information about safe operation of aids and equipment
Policies and procedures
• Ensure that clients’ safety, health and wellbeing are guarded during the
provision of support activities
Duty of care
• Protect the privacy of client, the confidentiality of the personal and
medication information
• Ensure information about clients is only disclosed according to their
wishes and legal responsibilities
Privacy, confidentiality and disclosure
9. The support worker’s role in
providing support services
Follow the
individual support
plan
• Follow all relevant policies, protocols and procedures
• Seek assistance and clarification as need
Work with the
individual
• Maximise the individual’s participation in activities
• Respect their individuality and dignity
• Follow requirements for duty of care
Undertake
personal support
activities
• Work within scope of duties
• Follow policies and procedures for support activities
• Use aids and equipment according to procedures
Work safely
• Follow WHS policy and procedures for own safety
and the safety of the client
Complete
reporting and
documentation
• Comply with reporting requirements
• Store and maintain documentation
10. What is in an individual
support plan?
Information
about the
client
Strengths and
capabilities
Needs and
wants
Goals or
expected
outcomes
Support
strategies or
interventions
Monitoring
and
evaluation
processes
12. WHS risks
• Musculoskeletal injuries are the biggest
reported injury of personal support workers.
• Moving and supporting people
• Personal hygiene tasks
• Moving wheel chairs in and out of vehicles
• Assisting people in wheel chairs
• Moving and lifting objects
13. Safe manual handling
• Follow workplace policies
and procedures
• Ask for assistance
• Use correct lifting
techniques and
postures
• Use equipment and aids
according to procedures
• Identify and report
manual handling
hazards
14. Equipment and aids
• Risk assessment
• Follow manufacturer
instructions
• Visually inspect before
using
• Remove faulty or
damaged equipment/aids
from use immediately
• Report to supervisor
15. Personal safety hazards
• Occupational violence
• Acting out
• Challenging behaviour
• Behaviours of concern
16. Personal safety protections
• Systems customised for individual clients
• Procedures for:
• assessment and screening of clients
• Adequate appropriate client support strategies
• Monitoring and reviewing strategies
• policies for behaviour of visitors in workplace
• adequate supervision and support for workers
• Adequate training and information about
personal safety
17. Personal safety protections
• Readily accessible secure areas
• Access to dangerous areas limited or eliminated
• Clearly lit work areas, access, egress and related
areas
• Calm environment
• Work areas maintained, clean and tidy
• Access to objects that could be used to harm
eliminated or limited
• Where no information is available in relation to external
locations, assume a high level of risk.
18. • Support worker roles
and responsibilities
• Roles and
responsibilities of
support organisations
• Legal and ethical
obligations
• Risk identification and
WHS
• Personal safety and
security
Session
summary
20. Overview of session
• Carrying out personal support tasks
• Treating the client with dignity and respect
• Maximising client participation
• Identifying and responding to changes
23. Equipment and aids
• In order to provide clients with active support
and opportunities to participate in their own
care, equipment and aids may be required.
24. Examples
• Wheelchairs, mobility scooter
• Mobility aids such as walking sticks, frames
• Breathing devices
• Continence aids
• Shower chair
• Equipment to life and transfer clients
25. Using equipment and aids
• Skills and abilities of client identified
• Appropriate training with staff and clients
and/or their representatives on use
• Client use of aids or equipment reviewed
• Consult client regarding modifications
27. Physical and sensory needs
Older adults
experience changes in
sensory capacity may
need support making
up for losses
Vision
Hearing
Taste and smell
Peripheral
sensation
(nerve function
and touch
28. Physical and sensory needs
• Providing assistance with activities of daily
living (ADLs) can provide opportunities for
clients to build on their existing strengths and
maximise their independence.
• May also be rehabilitative or learning new skills
29. Activities of daily living
Supporting
ADLs
Personal hygiene
and oral care
Grooming and
dressing
Toileting and
continence aids
Meal
preparation,
eating drinking
Mobility and
transfer
(wheelchairs and
vehicles)
37. Maximising participation
• Person-centred approach
• Consult client at planning stages
• Balance providing support with maintaining
independence
• Information provided
38. Client preferences
CHOICE
When, time
of day, day of
week
What
clothes,
cleansers,
brands of
food
Level of
assistance, in
what tasks
Processes
and
procedures
Gender of
support
worker
39. Enablement and re-ablement
• Reducing or minimising impacts of health
deterioration through learning or relearning
skills needed for daily living
42. Managing routine difficulties
• Address difficulties within job role
• Report complex issues
• Note variances or departures from routine
• Advise other support staff
• maintain communication
43. Identifying and responding to
changes in health
• Report to supervisor
• Discuss with client and supervisor:
• any difficulties with providing support
• Changes to needs and support required
• Urgent changes to health reported immediately
45. • Carrying out personal
support tasks
• Treat clients with
dignity and respect
• Maximising client
participation
• Identifying and
responding to
changes
Session
summary
47. Overview of session
• Basic support routines for:
• Body hygiene
• Grooming
• Oral hygiene and
• eating and drinking
• Basics of the human body systems
50. Bed bathing routines
• When clients are too ill or incapacitated to
leave bed to bathe.
• Encourage client to do as much as possible.
• Always follow workplace procedures, the care
plan and ask for assistance if unsure.
52. Showering routines
• Ensure the privacy and dignity of the client at
all times.
• Encourage client to do as much for themselves
as possible.
• Always follow workplace procedures, the care
plan and ask for assistance if unsure.
By Roger Mommaerts (Flickr) [CC BY-SA 2.0 ], via Wikimedia Commons
54. Dressing and undressing
• Ensure the privacy and dignity of the client at
all times.
• Encourage client to do as much for themselves
as possible.
• Always follow workplace procedures, the care
plan and ask for assistance if unsure.
56. Shaving male facial hair
• Ensure the privacy and dignity of the client at
all times.
• Encourage client to do as much for themselves
as possible.
• Always follow workplace procedures, the care
plan and ask for assistance if unsure.
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Editor's Notes
Key points:
RTO information
Trainer introduction
Key contact information
General housekeeping–location of toilets, break times etc.
Emergency procedures– Evacuation meeting points and emergency exits
WHS considerations
Plagiarism, student code of conduct and any other relevant policies and procedures
Course outline and lesson structure
Course expectations and self-study requirements
Expectations of student while studying this unit
Assessment requirements dates and submission procedures
Session 1 resources required:
Data Projector
Laptop
Whiteboard
Whiteboard markers
Student computers/laptops
PowerPoint Slides
The Individual Support Worker, Geoff Arnott chapter 10
The Australian Carer, Helena and Sarah Croft chapter 7
Students will learn about
Their roles and responsibilities in providing personal support services
The roles and responsibilities of the support organisation
The legal and ethical obligations of workers and organisations
Respecting clients rights in receiving support services
Risk identification and WHS considerations
Personal safety and security considerations
Trainer to choose an ice-breaker activity to begin the session.
Ideas can be sourced from the following websites:
https://funattic.com/icebreaker-games-for-adults/
https://icebreakerideas.com/quick-icebreakers/
The organisation has legal and ethical responsibilities to both its clients and its workers. These include:
Policies and procedures
Provide comprehensive and accurate policies and procedures for providing personal support
Provide safe work procedures to undertake support activities
Provide appropriate documentation and training for safe operation of aids and equipment
Duty of care
Ensure that clients’ safety, health and wellbeing are guarded during the provision of support activities
Privacy, confidentiality and disclosure
protect the privacy of client, the confidentiality of the personal and medication information
Ensure information about clients is only disclosed according to their wishes and legal responsibilities.
Discuss referring to examples.
Key points
The overarching duties of the support worker are to:
Follow the individual support plan
Follow all relevant policies, protocols and procedures
Seek assistance and clarification as need
Work with the individual
Maximise the individual’s participation in activities
Respect their individuality and dignity
Follow requirements for duty of care
Undertake personal support activities
Work within scope of duties
Follow policies and procedures for support activities
Use aids and equipment according to procedures
Work safely
Follow WHS policy and procedures for own safety and the safety of the client
Complete reporting and documentation
Comply with reporting requirements
Store and maintain documentation
Elaborate with examples particularly in scope of duties and duty of care
Key points
Trainer to source an example of a support plan that is person-centred, uses a strengths-based approach and that includes a section for monitoring and reviewing to share with student as a hand out.
An individual support plan contains information that will help you to implement activities to support the needs of the client. The plan may also contain tasks that are outside the duties of the support worker, such as oral suctioning, catheter care or gastrostomy feeds. In these situations support workers must not undertake these tasks, but instead call for the support or assistance of trained staff, such as nurses.
Reference
http://www.dhhs.tas.gov.au/disability/publications/policies,_procedures_and_guidelines/individual_support_packages_-_guide_for_individuals_with_disability,_their_families_and_carers
Class discussion
Discuss how injuries can occur, and the long and short term consequences.
Source:
Disability services – occupational health and safety compliance kit: How to control the most common hazardous tasks in the disability services sector by Worksafe Victoria, available at https://www.worksafe.vic.gov.au/pages/forms-and-publications/forms-and-publications/disability-services-occupational-health-and-safety-compliance-kit
Follow workplace policies and procedures for manual handling tasks
Ask for assistance when unsure of capacity to complete a manual handling task safely
Use correct techniques and postures when lifting and moving people or objects
Use equipment and aids according to procedures to reduce musculoskeletal injury risks
Identify and report manual handling hazards as per policies and procedures.
Discuss examples of each.
Source:
Disability services – occupational health and safety compliance kit: How to control the most common hazardous tasks in the disability services sector by Worksafe Victoria, available at https://www.worksafe.vic.gov.au/pages/forms-and-publications/forms-and-publications/disability-services-occupational-health-and-safety-compliance-kit
Key points
Risk assessment for any new equipment/aids, or equipment/aids used for the first time
Follow manufacturer instructions for use of equipment and aids
Visually inspect before using
Remove any faulty or damaged equipment/aids from use immediately
Report to supervisor
Discuss examples of each
Source:
Disability services – occupational health and safety compliance kit: How to control the most common hazardous tasks in the disability services sector by Worksafe Victoria, available at https://www.worksafe.vic.gov.au/pages/forms-and-publications/forms-and-publications/disability-services-occupational-health-and-safety-compliance-kit
Key points
Risks include:
Clients who are:
bored
frustrated
anxious
disinterested
under the influence of drugs or alcohol
way services delivered contributes to client frustration
services and clients are not matched
information about client needs and behaviour unknown or available
causes of behaviour not well understood (such as triggers for behaviours of concern)
new clients or individuals are introduced into the environment
varying environments (e.g. home visits, transporting clients recreational activities)
environments that are poorly maintained, not secured or have no access to safe areas
services operate at night
workers are by themselves or isolated
unknown people present in workplace or where work is done.
Injuries that can be sustained in these hazard situations (physical and mental/emotional).
Class discussion
What are these behaviours? Give examples?
Why are people working in aged care, individual support or disability support likely to encounter these kinds of occupational violence?
Source:
Disability services – occupational health and safety compliance kit: How to control the most common hazardous tasks in the disability services sector by Worksafe Victoria, available at https://www.worksafe.vic.gov.au/pages/forms-and-publications/forms-and-publications/disability-services-occupational-health-and-safety-compliance-kit
System for individual clients including:
full, accurate and up-to-date information about clients and their care needs
consultation with family, friends, and relevant professionals and who can provide relevant information
transferring information about clients when they are placed in or exit a service, attend day programs).
Procedures for:
assessment and screening of clients must done by suitably qualified person including assessment of risks of occupational violence.
Adequate appropriate client support strategies that address behaviours of concern
Monitoring and reviewing strategies regularly to ensure they are current and relevant.
policies for behaviour of visitors in workplace (e.g. client friends and family, members of the public), that include consequences for inappropriate behaviour.
Staff should be given training about
The risk factors associated with occupational violence
the measures in place to control risk
workplace policy and procedures, including emergency procedures and post incident responses,
off-site visits
communication strategies and skills
positive interventions.
Discuss why these are essential for workplace safety
Source:
Disability services – occupational health and safety compliance kit: How to control the most common hazardous tasks in the disability services sector by Worksafe Victoria, available at https://www.worksafe.vic.gov.au/pages/forms-and-publications/forms-and-publications/disability-services-occupational-health-and-safety-compliance-kit
The environment must be designed or modified to ensure the safety of workers and other clients, including:
readily accessible secure areas
access to dangerous areas limited or eliminated
clearly lit work areas, access, egress and related areas
calm environment
work areas maintained, clean and tidy
access to objects that could be used to harm eliminated or limited
Where no information is available in relation to external locations, assume a high level of risk.
Discuss why these are essential for workplace safety
Source:
Disability services – occupational health and safety compliance kit: How to control the most common hazardous tasks in the disability services sector by Worksafe Victoria, available at https://www.worksafe.vic.gov.au/pages/forms-and-publications/forms-and-publications/disability-services-occupational-health-and-safety-compliance-kit
Recap of session
Provide a brief overview of what you have covered in session 1.
Support worker roles and responsibilities
Roles and responsibilities of support organisations
Legal and ethical obligations
Risk identification and WHS
Personal safety and security
Ask students to discuss their key learnings
Conclusion:
Homework
Companion guides (if applicable)
Readings for next session
Assessment tasks
Thank you and close
Students will learn about
Carrying out personal support tasks
Treating the client with dignity and respect
Maximising client participation
Identifying and responding to changes
Trainer to choose a warm up activity for the class. (Approx. 15-20 minutes max)
Class discussion
Discuss the purpose of the listed equipment and aids.
Ask the students to list further examples they might have worked with and what they were used for, and how the client reacted to using them for the first time, or if they were modified etc.
Key points
Record levels of assistance required to use aids and equipment in individualised plan
Duty of care and WHS require staff assisting with or using aids and equipment be appropriately trained, and that clients and/or their representatives are show how and given information to use the same
Client use of aids needs to be monitored and reviewed to ensure suitability
Any changes that may be required should be discussed with clients, clients may prompt modifications to use depending on their abilities, needs and want.
Key points
Discuss examples of how these losses effect clients and how services fulfil the needs.
Also discuss sensory deficits in people with sensory disabilities and the same.
Source
https://consultgeri.org/geriatric-topics/sensory-changes
Key points
Discuss examples of assisting people with physical and sensory needs in ADLs
Explain in brief examples above
Levels of assistance required are outlined in the individual plan, and will vary according to the abilities of the client and their willingness to cooperate.
Class discussion
Ask students if they can suggest other kinds of ADLs that support workers may assist with.
Clients who rely on support workers for assistance often feel negative emotions about their situation, especially if they have previously been independent before.
Discuss examples from our personal experience and ask students to contribute same.
Respecting the feelings of clients and treating them with dignity is vital to overcoming negative emotions about requiring support.
Class discussion
Ask the students to consider how they would feel if they suddenly couldn’t feed themselves or walk without assistance.
Key points
Respecting the feelings of clients and treating them with dignity is vital to overcoming negative emotions about requiring support.
Respecting the privacy of clients may include using robes and large towels when moving them in and out of showers so that they are not naked and not making faces, comments or noises when dealing with toileting and continence issues.
Activity: role play
The purpose of this activity is to get students to understand the importance of respecting the dignity of their clients.
Using Activity 10.2 on page 262 of The Individual Support Worker (Geoff Arnott) get the students to undertake role plays based on the character of Joan Torney, each student taking turns at being the support worker and the client.
At the end of the activity, ask the students to feedback to the class what they have learned by being on both sides of the role play.
Dignity in care: Privacy https://youtu.be/MbFLcRtoW4k
Class discussion
What did you learn from watching this video?
Class discussion
Get the class to discuss the concept of cultural competence.
Discuss examples relating to:
gender and sexuality
language needs
Religious observances
Meal preparation (kosher, vegetarian, halal)
Age
Marital status
Activity: Brainstorming
The purpose of this activity is to get students to think about how to solve issues of dignity and cultural difference for clients.
Sheree, a young client (25) with CP has difficulty preparing her own meals. She is vegetarian for ethical and environmental reasons. Because she doesn’t eat animal flesh, she needs to get nutritional needs such as iron and protein from plant sources.
Discuss ways to enhance her diet and her participation in meal preparation at the same time.
What kinds of professional assistance could they call on for advice?
Key points
Recap person-centred approach key elements
Key points
Client preferences
Clients needs must be at the centre of the plan and decision making, balancing with safety and job requirements. Discuss how the context of the provision of support can impact on how the services are provided.
Give clients enough information to make informed decisions about how their needs and wants are satisfied and goals reached.
Class discussion
What if the client’s choice is not safe or appropriate? How do you handle the situation?
Key points
Discuss the relationship between person-centred approaches, client preferences, ADLs and enablement/re-ablement. Give examples based on real life experience.
Class discussion
What examples can students contribute to the conversation about enablement and re-enablement.
Reablement - Independence for Older People https://youtu.be/HSNfcmlnkG8
Class discussion
What have you learned about re-ablement from watching this video?
Key points
Part of your role is to address routine difficulties
Report complex issues to supervisor
Note variances or departures from routine in client records
Advise other support staff at shift changes or through other appropriate communications
maintain communication with client regarding preferences and needs, variations and routines.
Class discussion
What kinds of routine problems might/have you encountered, how did/would you manage the situation?
What kinds of issues are outside of your job role?
Key points
Discuss the example given on page 273 of The Individual Support Worker (Geoff Arnott).
Activity: brainstorming
The purpose of this activity is to ensure that students can identify and address changes in health or personal support requirements.
Brainstorm with the class the scenarios outlined in activity 10.4 on page 273 of The Individual Support Worker (Geoff Arnott).
Recap of session
Provide a brief overview of what you have covered in session 1.
Support worker roles and responsibilities
Roles and responsibilities of support organisations
Legal and ethical obligations
Risk identification and WHS
Personal safety and security
Ask students to discuss their key learnings
Conclusion:
Homework
Companion guides (if applicable)
Readings for next session
Assessment tasks
Thank you and close
Students will learn about
Basics of the human body systems
Basic support routines for:
Body hygiene
Grooming
Oral hygiene and
Eating and drinking
Trainer to choose a warm up activity for the class. (Approx. 15-20 minutes max)
Key points
Refer to page 270 of the Individual Support Worker (Geoff Arnott) and page 216 of The Australian Carer (Helen and Sarah Croft) for process.
Discuss important to health of clients’ body systems.
Class discussion
Ask class to give instruction about how to give a full bed bath, referring to their workplace procedures, including products and aids that may be used.
Personal Hygiene - Giving a Bed Bath https://youtu.be/UaoZ17al-yU
Class discussion
What have you learned from this video?
What differences are there from your workplace procedures?
Key points
Refer to page 270 of the Individual Support Worker (Geoff Arnott) and page 217 of The Australian Carer (Helen and Sarah Croft) for process.
Discuss important to health of clients’ body systems.
Class discussion
Ask class to give instruction about how to assist a client to shower, referring to their workplace procedures, including products and aids that may be used.
Giving someone a shower bath https://youtu.be/QHeodQ-XBXY
Class discussion
What have you learned from this video?
What differences are there from your workplace procedures?
Key points
Refer to page 270 of the Individual Support Worker (Geoff Arnott) and page 221 of The Australian Carer (Helen and Sarah Croft) for process.
Discuss important to health of clients’ body systems.
Class discussion
Ask class to give instruction about how to assist a client to dress and undress, referring to their workplace procedures, including products and aids that may be used.
Dressing and Undressing a Dependent Patient
Key points
Refer to page 270 of the Individual Support Worker (Geoff Arnott) and page 218 of The Australian Carer (Helen and Sarah Croft) for process.
Discuss important to health of clients’ body systems.
Class discussion
Ask class to give instruction about how to assist a male patient to shave, referring to their workplace procedures, including products and aids that may be used.