Trainee Assessment Early-stage dementia Unit standard Version Level Credits 28563 Provide person-centred care when supporting a person living with early-stage dementia in a health or wellbeing setting 1 3 8 Your name: Your workplace: Your date of birth: National Student Number (NSN), if you know it: Declaration I was told about and understand the assessment requirements and appeals process. I have prepared my answers myself. Any evidence I have provided as my own, I produced myself. I understand that this assessment may be used for moderation and quality control purposes. I understand that when I achieve this unit standard my result will be registered with the New Zealand Qualifications Authority. I confirm the above declaration: Yes No Date:
Assessment summary (completed by assessor) Trainee's performance summary Assessment tasks Assessor signature Date achieved Task 1: Describe the early warning signs and the impact of early-stage dementia Task 2: Provide person-centred support to a person with early-stage dementia Unit standard results I have assessed the trainee and confirm the requirements have been met to demonstrate competency in: Unit standard Version Level Credits 28563 Provide person-centred care when supporting a person living with early-stage dementia in a health or wellbeing setting 1 3 8 Assessor name: Signature: Assessor number: Date: Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 1.0 June 2015 2
Trainee information Before you start The assessor/verifier will meet with you and talk about what you need to do. Read through the Careerforce workplace learning and assessment guide if you need more information about the assessment process. As you go Follow instructions for each task. Answer all questions. When you finish Make sure you have completed any parts where the assessor/verifier has said you need more work. Appeals If you wish to appeal against the assessment result or process, talk to your assessor. If you are still not satisfied, you can appeal to Careerforce by completing the assessment result appeal form that can be found online at www.careerforce.org.nz/contact/forms Feedback Careerforce regularly reviews our assessment and learning resources. As a user, we would appreciate feedback on how you found it. Feedback can be provided to Careerforce via: our online feedback form at www.careerforce.org.nz/contact/resource-assessment-feedback email to info@careerforce.org.nz Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 3
Definitions Cognition refers to the mental processes involved in gaining and applying knowledge and comprehension. These processes include thinking, knowing, remembering, judging, and problemsolving, and encompass language, imagination, sensory perception, planning and the initiation or inhibition of behaviour. Dementia refers to a group of symptoms affecting cognition, behaviour and social abilities severely enough to interfere with daily functioning that occurs as a result of physical changes in the structure of the brain. Dementia indicates problems with at least two brain functions, such as memory loss and impaired judgment or language, and the inability to perform some daily activities. Many causes of dementia symptoms exist, such as Alzheimer s disease or a series of strokes. Early-stage dementia describes the beginning stages of dementia regardless of the age of the person Early-stage dementia is different to young-onset dementia which describes a person who develops dementia at between 40 to 50 years of age. Mild cognitive impairment is when the thinking functions of the brain such as memory, language, attention and problem solving are not as good as what they once were but they do not significantly interfere with daily life and are not severe enough to make a diagnosis of dementia. Person-centred support focuses on a person s individuality, relationships, needs, communication, feelings, and abilities; and takes a holistic view of the person s situation as the starting point for determining the type and level of support to be provided. Restorative support refers to support based on honouring strengths, maximising independence and supporting active participation based on goals identified by the person and the accomplishment of those goals. Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 4
Task 1: Describe the early warning signs and the impact of early-stage dementia For this task, answer the following questions about how early-stage dementia can affect a person. 1 Spotting the early warning signs. Select three of the early warning signs from the table below, and describe how these can make a person with dementia behave and think differently. Include a typical example of what you might notice an example is done for you. Warning sign What it means What you might notice Poor or decreased judgement People living with early stage dementia may demonstrate a reduced ability to use judgement and reasoning skills. This can impact on their ability to make good decisions about what needs to be done such as judging when food is cooked; when it is safe to cross the road. Difficulties judging when it is safe to cross the road. Memory loss Difficulty performing familiar tasks Problems with language Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 5
Warning sign What it means What you might notice Disorientation Abstract thinking Misplacing things Changes in mood or behaviour Changes in personality Loss of initiative or apathy Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 6
2 Seeking advice If you think that the person in your care may be displaying the early stages of dementia, who would you consult or talk to? Who makes the decision that the person should have an assessment for diagnosis of dementia? 3 The reaction to diagnosis When a person is diagnosed with dementia, they can experience a wide range of emotions and reactions. List at least two typical emotions or reactions you may see. 1. 2. 4 Providing support As the carer, what would be important to know about the person so you could support them and their family/whānau through the impact of diagnosis? Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 7
5 Mild cognitive impairment A person may have mild cognitive impairment, but not severe enough to be diagnosed with dementia. Use the table below to describe what each need means to the person living with early stage dementia or with mild cognitive impairment, and what you could do to meet their needs. Need What is the person s need? What can you do to help meet this need? Physical Emotional Spiritual Social Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 8
Need What is the person s need? What can you do to help meet this need? Environmental Safety Task 1: Assessor feedback to trainee When the assessor agrees you have completed this task successfully, they will sign it off on the assessment summary page at the front of this assessment. Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 9
Task 2: Provide person-centred support to a person with early-stage dementia Complete task 1 before starting this practical task. For this task, you need to: demonstrate to your verifier or assessor can assist a person with early-stage dementia to make decisions about their own care. provide person-centred support to a person with early-stage dementia. This part of the assessment includes practical tasks and a professional conversation. The practical tasks cannot be assessed in a simulated environment. The tasks must be carried out while providing person-centred support to a person with early-stage dementia either in the person s home or in a day care or residential care facility. Your assessor or verifier will ideally observe you carry out the practical tasks and complete the verification form. Read the verification form for the details of what you must do and demonstrate. If it is not possible or practical to be observed, you may describe and provide evidence of specific support you have provided to a person with early-stage dementia in a real-life situation. The verification form must still be completed, as part of the professional conversation. Professional conversation Professional conversation is a formal talk where your assessor will ask you to explain what you did and discuss any evidence you have provided. The professional conversation allows the assessor to evaluate the evidence, and to question you to clarify any points. The assessor will make sure that this is backed up with evidence from other sources before they make a final decision on your competency. Examples of evidence you could provide are: job record or time sheets or work diary. a copied job sheet or plan or written job instructions. photos of you doing each task. copies of any reports, such as noting any changes in a person. copies from a communication book showing what you did and how you responded to a situation. For any documents you supply, remove all identifying details of the people receiving services or support. Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 10
1 Provide person-centred support to a person with early-stage dementia For this practical task you must demonstrate that you have provided support to a person with early-stage dementia and their family/whānau. The support must be appropriate to the needs of the person and their family/whānau and may include physical, emotional, spiritual, social, environmental and safety needs. Look back at the theory part of this assessment for practical examples of these needs, such as activities of daily living. The support must be consistent with contemporary approaches and contracted requirements, such as restorative support. 2 Assist a person with early-stage dementia to make decisions about their own care For this practical task you must demonstrate that you have assisted a person to make decisions about their own care in a way that promotes the person s wellbeing and their rights and preferences as outlined in the Code of Rights. Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 11
Verification Note to verifier: You have been asked to complete this verification as the supervisor/manager of the trainee. You must have observed the trainee working over a period of time. If you agree that the trainee meets these standards please tick the boxes below. If you do not agree please discuss the requirements with the trainee. Please comment on the trainee performance. The assessor may wish to contact you to discuss this verification. The trainee has assisted a person with early-stage dementia to make decisions about their own care, and was able to describe the reasons for the approach they took according to the standards below. The trainee s actions were in accordance with the Code of Rights. I confirm that the trainee has assisted a person with early-stage dementia. The trainee: uses communication that is positive, not judgemental or challenging. provides an individualised approach. honours the persons strengths. maximises the persons independence. supports active participation by the person. Please add any further comments you wish to make. If you are a verifier, please give your details as the assessor may wish to contact you. Verifier Name Designation Signature Date Contact details (phone/email) Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 12
Verification Note to verifier: You have been asked to complete this verification as the supervisor/manager of the trainee. You must have observed the trainee working over a period of time. If you agree that the trainee meets these standards please tick the boxes below. If you do not agree please discuss the requirements with the trainee. Please comment on the trainee performance. The assessor may wish to contact you to discuss this verification. The trainee has provided support to a person with early-stage dementia, and was able to describe the reasons for the approach they took according to the standards below. The trainee s actions were in accordance with the Code of Rights. I confirm that the trainee provided support that was appropriate to the needs of the person and their family/whanau. The support provided was appropriate to the person's: physical needs. social needs. emotional needs. environmental needs. spiritual needs. safety needs. Please add any further comments you wish to make. If you are a verifier, please give your details as the assessor may wish to contact you. Verifier Name Designation Signature Date Contact details (phone/email) Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 13
Task 2: Assessor feedback to trainee When the assessor agrees you have completed this task successfully, they will sign it off on the assessment summary page at the front of this assessment. Early-stage dementia (US 28563 v1) Trainee Assessment Careerforce Issue 2.0 June 2015 14