CHCPAL001 Student Assessment Booklet - AGE (ID 98478)

STUDENT ASSESSMENT BOOKLET
CHCPAL001 Deliver Care Services

U si n g a P a l l i a t i v e A p p r o a c h
CHC33015 Certificate III in Individual Support (Ageing)
Suite 203, 11-15 Deane Street Burwood, NSW, 2134

Email: info@advancecollege.com.au
RTO Code: 45342
© 2020 Advance College
Advance College is a trading name of Australian Newtown College, RTO 45342.
Cover image © Bigstock www.bigstock.com (Images 1 &2) and © Shutterstock www.shutterstock.com (Image 3)
ASSESSMENT OVERVIEW
This Student Assessment Booklet includes all your tasks for assessment of CHCPAL001 Deliver care services
using a palliative approach.
ABOUT YOUR ASSESSMENTS

This unit requires that you complete 4 assessment tasks. You are required to complete all tasks to
demonstrate competency in this unit.
Assessment Task About this task
Assessment Task 1: Written questions You must correctly answer all 9 questions to show that you
understand the knowledge required of this unit.
Assessment Task 2: Case study You are to read the case study and complete the questions
that follow.
Assessment Task 3: Role play You are undertake a role play relating to pain management
for a client in late stages of stomach cancer. You will also
need to answer a set of verbal questions.
Assessment Task 4: Role play You are undertake a role play relating to the development of
an advance care plan.
Supporting resources
You may like to look at the following websites, books and documents for more information about the topics
related to this unit:
 Croft, H 2013, The Australian Carer 3rd edn, Pearson Australia, Frenchs Forest, NSW.
How to submit your assessments

When you have completed each assessment task you will need to submit it to your assessor.
Instructions about submission can be found at the beginning of each assessment task.
Assessment Task Cover Sheet

At the beginning of each task in this booklet, you will find an Assessment Task Cover Sheet. Please fill it in for
each task, making sure you sign the student declaration.
Your assessor will give you feedback about how well you went in each task, and will write this on the back of
the Task Cover Sheet.
Make sure you photocopy your written activities before you submit them – your assessor will put the
documents you submit into your student file. These will not be returned to you.
Assessment appeals
You can make an appeal about an assessment decision by putting it in writing and sending it to us. Refer to
your Student Handbook for more information about our appeals process.
CHCPAL001 Deliver Care Services Using a Palliative Page 4

Approach Certificate III in Individual Support (Ageing)
© Advance College January 2020 Version 1.0
Assessment plan
The following outlines the requirements of your final assessment for this unit. You are required to complete all
tasks to demonstrate competency in this unit.
Your assessor will provide you with the due dates for each assessment task. Write them in the table below.
Assessment Requirements Due date
1. Written questions
2. Case studies
3. Role play 1
4. Role play 2
AGREEMENT BY THE STUDENT
Read through the assessments in this booklet before you fill out and sign the agreement below. Make sure
you sign this before you start any of your assessments.
Have you read and understood what is required of you in terms of assessment?  Yes  No
Do you understand the requirements of this assessment?  Yes  No
Do you agree to the way in which you are being assessed?  Yes  No
Do you have any special needs or considerations to be made for this assessment?  Yes  No
If yes, what are they?
____________________________________________________________________________________________________
Do you understand your rights to appeal the decisions made in an assessment?  Yes  No
Student name: ______________________________________________________________________________________
Student signature: ______________________________________________________ Date: ________________________
Assessor name: _____________________________________________________________________________________
Assessor signature: _____________________________________________________ Date: ________________________

ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 1
Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.
Name:
Date of birth: Student ID:
Unit:
 CHCPAL001 Deliver care services using a palliative approach
Student to complete Assessor to complete
Student Sufficient/
Resubmission? insufficien
Assessment Task Y/N initials t Date
Written questions
STUDENT DECLARATION
I _________________________________________________________ declare that these tasks are my own work.
None of this work has been completed by any other person.
I have not cheated or plagiarised the work or colluded with any other student/s.
I have correctly referenced all resources and reference texts throughout these assessment tasks.
I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.
Student signature: ___________________________________________________________________________________
Student name: ______________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSOR FEEDBACK
Assessors: Please return this cover sheet to the student with assessment results and feedback.
A copy must be supplied to the office and kept in the student’s file with the evidence.
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Assessor signature: __________________________________________________________________________________
Assessor name: _____________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSMENT TASK 1: WRITTEN QUESTIONS
TASK SUMMARY:
 This is an open book test – you can use the Internet, textbooks and other documents
to help you with your answers if required.
 You must answer all 9 questions correctly.
 Write your answers in the space provided.
 If you need more space, you can use extra paper. All extra pieces of paper must
include your name and the question number/s you are answering.
 You may like to use a computer to type your answers. Your assessor will tell you if you
can email them the file or if you need to print a hard copy and submit it.
WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

 Access to textbooks and other learning materials.
 Access to a computer and the Internet (if you prefer to type your answers).
WHEN DO I DO THIS TASK?

 You will do this task in your own time.
 Write in the due date as advised by your assessor: _____________________________________
WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?
If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will
need to do one of the following:
 Answer the questions that were incorrect in writing.
 Answer the questions that were incorrect verbally.

QUESTION 1
a) What is palliative care?
b) What are the aims of palliative care?

c) What are three of the principles of palliative care?
Principle 1:
Principle 2:
Principle 3:
d) What is the difference between a ‘curative’ and a ‘palliative’ approach?

QUESTION 2
a) Working in palliative care can be very stressful. List three emotions that workers would feel while caring
for terminally ill clients.
1:
2:
3:
e) What are four things that you can do to help your colleagues deal with their emotions?
1:
2:
3:
4:

QUESTION 3
a) List three types of nutrition and hydration advice you would give to a client and their family during the
early stages of palliative care.
1:
2:
3:
f) In the final stages of life, appetite and thirst may decrease significantly. Family members may feel that they
should try to feed the person. What would you advise the family members?

QUESTION 4
a) List two common misconceptions about pain relief.
1:
2:
g) Choose one of the misconceptions from a) above. In one paragraph describe why it is a misconception
and what the truth is around this statement.

QUESTION 5
Shamus’s family come to talk to you about their his care.

They want to speak to you because they trust you as someone who has worked very closely with Shamus
as a palliative care worker for the last two months.
They are very distressed about a report they have received from the doctor, who has told them that Shamus
has only days to live.
His family ask you to refer them to a different doctor – there must be something that can be done to
preserve his life. They aren’t ready to lose him yet!
Shamus has an advanced care directive. It states he does not want any further medical treatment to keep
him alive.
His family are aware of this directive.
a) You feel that people have the right to get a second opinion. Should you refer Shamus’s family to a good
doctor that you know? Explain your answer.
h) What other action could you take to support Shamus’s family?

QUESTION 6
Shamus has died.

His wife, Katherine, comes to see you and thanks you for looking after him so well.
She gives you a hug and you both feel a bit sad.
Katherine tells you that she seems to be living in a daze. She can’t even remember what she did this
morning. She is usually so well organised but just can’t seem to concentrate at the minute – what if
something goes wrong at the funeral because she forgets to do something?
‘I haven’t even cried yet!’ she exclaims.
a) Why is Katherine experiencing this type of reaction so soon after her husband’s death?
i) What would you say to Katherine to reduce her fear of something going wrong at the funeral?

j) What are the five stages of grief according to the Kübler-Ross Grief Cycle?
QUESTION 7
Constipation is a common problem in palliative care clients. Laxatives may be prescribed by the doctor to
assist with this.
Apart from medication, what are two supports that a personal care worker can give to a client suffering from
constipation?
1.
2.

QUESTION 8
A client’s family is looking for some information on palliative care. They have received the information
provided by the HACC team but they are looking for more.
Research the Internet and find a reputable source of information that they can access to find out more. Write
down the source of this information (ie the website address).
QUESTION 9
Describe each of the following terms – give an example of each.
Bessie has severe dementia.

Before she got dementia, she had written out an advanced care directive that said that she wanted to be
resuscitated by CPR if she collapsed under any circumstances.
As far as Bessie was concerned, life was more important than anything else – even if she wouldn’t be able
to make her own decisions as her dementia progressed.
Bessie’s son has not been to visit her for months. One day he appears at Bessie’s side. ‘I’m the only next of
kin,’ he says. ‘Mum isn’t here anymore, she’s just a vegetable now. I don’t want her to be resuscitated if she
collapses again. Just let the old lady die.’
You are aware that Bessie is a very rich woman. From the look of her son, he could do with some money.
a) What are the ethical issues involved in this scenario and what action should the care worker take?

k) Describe three legal and ethical issues that may arise with advanced care directives and suggest to deal
with these.
Bessie’s son begins to ask a lot of questions about his mother:

 ‘What is the matter with her?’
 ‘How sick is she?’
 ‘Does she know who anyone is anymore?’
 ‘Where is all her bank paperwork?’
Bessie’s son assures you that he has a power of attorney for Bessie – but he does not show you a copy.

l) Bessie’s last surviving relative is her son. Considering he says he has power of attorney, do you think you
can give him any of the information he has asked for? Explain your answer.
What do I need to hand in for this task? Have I completed this?
Your answers to each question 

Name:
Unit:
Student Sufficient/
Resubmission? insufficien
Assessment Task Y/N initials t Date
Case study
STUDENT DECLARATION
Student signature: _____________________________________________________________________________________
Student name: ________________________________________________________________________________________
Date: _________________________________________________________________________________________________

ASSESSOR FEEDBACK
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Assessor name: _____________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSMENT TASK 2: CASE STUDY
TASK SUMMARY:
You are to read the case study and complete the questions that follow.

 Access to textbooks and other learning materials
 Access to a computer and the Internet (if you prefer to type your responses).

 You will do this task in your own time.
 Write in the due date as advised by your assessor: _____________________________________
If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will
need to do one of the following:
 Answer the questions that were incorrect in writing.
 Answer the questions that were incorrect verbally.
CASE STUDY: THORDRIE
Thordrie is English. He came to Australia in his 60s to be with his family.

Thordrie and his family are very private people. They tend to keep their feelings to themselves – perhaps
this is because of their English culture.
Thordrie has late stages of a terminal disease. He has made it clear in his advance care directive that he:
 does not wish to be resuscitated
 wants to be kept comfortable
 would like his immediate family to be with him when he dies (if possible)
 would like the Anglican priest to be called to perform the last rites.
Thordrie’s health has deteriorated significantly. He has been sleeping for the last 24 hours and today he has
been very restless.
The doctor has told you that he is not expected to live more than a few hours.
You and your colleague, Jasmin, will be caring for Thordrie today.
It is likely that he will die on your shift.

1. You have been well aware of Thordrie’s end-of-life wishes for some time. Is there any need for you to
check them again? Explain your answer.
2. What are the indicators that death is imminent for Thordrie?

3. List four other common signs that indicate death is imminent.
1.
2.
3.
4.
4. List three types of care that you and Jasmin can give Thordrie at this stage.
1.
2.
3.

5. What can you do to respect Thordrie’s dignity at this time?
6. Who should you talk to if you don’t know what to do during this end-of-life stage?

7. Given his end-of-life wishes, who should be contacted about Thordrie’s imminent death?
8. What support can you give to Thordrie’s family?

9. What can you do to support Thordrie and his family with their cultural and spiritual needs?
The buzzer goes off in Thordrie’s room.

The family tell you that Thordrie has passed on. They tell you it was peaceful – he just took a last breath and
it was all over. He is on his way to heaven now – flying with the angels.
The family says the Lord’s Prayer.
You observe the body. Thordrie’s eyes are half open and his mouth is open. He is not wearing his dentures.
10. You and Jasmin may have cultural practices and religious beliefs that are very different to those of
Thordrie’s family. How should you deal with this situation?

11. What signs will you check to confirm that Thordrie has died?
12. What will you and Jasmin do to care for Thordrie’s body after death? List the steps you need to take.

13. Where would you find guidance on how to care for a body after death?
14. You are a new personal care worker and have not previously prepared a body after death. You are feeling
uneasy but are prepared to get the job done.
What can you do to look after yourself – now and during the next few days?

15. What support can you give Thordrie’s family after death?
16. What documentation must be completed after Thordrie’s death?
Your answers to this case study 

Name:
Unit:
Student
Resubmission? Sufficient/
Assessment Task Y/N initials insufficient Date
Role play
STUDENT DECLARATION
Student name: ______________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSOR FEEDBACK
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Assessor name: _____________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSMENT TASK 3: ROLE PLAY
TASK SUMMARY:
You are undertake a role play about pain management for a client in late stages of
stomach cancer. After the role play you will need to answer a set of verbal questions.

 Access to a workplace environment (your assessor will organise this with your supervisor)
 A blanket
 A jug of water and a glass
 Palliative Care Management plan (provided)
 Pain and Symptom Management form (provided).
WHEN DO I DO THIS ASSESSMENT?

 You will do this task in during your assessor’s workplace visit.
 Write in the date of your assessor’s workplace visit: _____________________________________
If your assessor sees that you have not shown appropriate skills or knowledge, they will give you some
feedback and you will need to do the role play again or answer the verbal questions again.
INSTRUCTIONS:
ROLE PLAY: PAIN MANAGEMENT
You are a care worker who is working with a client called John. He has terminal stomach cancer and is
receiving palliative care.
John’s care plan provides you with the following information:
 He is in the late stages of stomach cancer.
 Pain medication is morphine taken orally. It has been successful in reducing pain and discomfort.
 John needs to be reminded to take regular sips of water to remain hydrated.
Today John has received his morphine as usual – his last dose was one hour ago.

Your assessor will play the role of John. You will need to show that you can respond to his needs and support
him appropriately. You will document your observations on the Pain and Symptom Management form
provided
Following this part of the role play, your assessor will play the role of the supervisor of John’s care team.
Discuss your observations with your supervisor.
The table below gives further information about what you need to show during the role play.
John’s Palliative Care Management Plan can be found over the page.
After the role play you will need to answer a set of verbal questions.
Your assessor will be looking to see that you can:
 Follow John’s Palliative Care Plan (see over the page).
 Observe John and identify his pain or any other symptoms.
 Document John’s pain and other symptoms using the Pain and Symptom Management Form provided.
 Communicate appropriately in relation to John’s quality of life, pain, comfort and wishes.
For example, you should listen carefully to John, consider your body language, show respect, be empathetic, use clarifying
statements, confirm understanding, etc
 Create an emotionally supportive environment in which John can share information about his condition
and his current symptoms.
For example, by developing trust, asking sensitive and appropriate questions, etc
 Use strategies to manage John’s pain and make him more comfortable
For example, ensuring he is in a position that is comfortable; considering his hydration; asking if he is hot/cold and making
sure you address his needs
 Show that you respect and support John’s end-of-life wishes.
 Review and document if John’s pain management has been effective.
 Accurately report your observations to the supervisor of John’s care team
VERBAL QUESTIONS
At the completion of the role play, your assessor will ask you a set of verbal questions about John and his
care.
Palliative Care Management Plan 

Palliative Care Management Plan
Name: Date:
John Smith 12/05/2015
DOB: Address:
01/07/1942 286 High Street, Kerrytown VIC 3878
Diagnosis of illness:
Terminal stomach cancer
Current medical treatment:
Morphine 10mg 4 hourly
Laxative as required
Liquid food only
Client’s prognosis
John has advanced stage stomach cancer.
He has had surgery and one round of both chemotherapy and radiotherapy. However, the cancer has
spread to the bowel region.
John has made the decision to refuse any further surgery or chemo/radio therapy and is now receiving
palliative care.
John’s condition is terminal – John’s doctor has indicated that he may have 3–5 months left.
Palliative care planning
Physical needs: Emotional/psychological:
 Needs assistance for all activities of daily living  John has accepted his condition
 Pain is severe but well controlled with  John has a very supportive family who visit often
medication  He may sometimes be teary, but is generally in
 Requires assistance with feeding (liquid diet) good spirits
and drinking
 Can walk short distances with support
 Requires laxatives for constipation
Family: Spiritual/religious:
 John’s wife, Catherine, is next of kin. Catherine is  John is Catholic (non-practicing)

supportive and has accepted his condition;
however, she feels helpless to care for him.
 Catherine and John have agreed that he will

remain at the hospice until he is in last stages,
then he will return home to Catherine’s care.
 John has two sons, Jeremy and Peter.
Future care needs: Communication
 Palliative care only – no further surgery,  John is able to communicate himself with no
chemotherapy or radiation therapy at John’s trouble.
request.

 Maintain pain control.
 Maintain hydration.
 Feed liquids orally only – no feeding tubes at

John’s request.

Client Care Plan
Symptoms Objectives Intervention
Pain Reduce pain to a manageable Morphine orally 10mg every 4

level hours
Nutrition Prevent malnutrition; enjoy food Liquid food only by mouth – no
Prevent choking, nausea feeding tubes
Hydration Maintain adequate level of Provide sips of water frequently

hydration
Prevent dry mouth and mouth

conditions
Temperature maintenance Provide adequate body and Monitor body temperature

ambient temperature Provide blankets, warm drinks if
cold
Control ambient room

temperature
Nausea To prevent distressing symptoms Maxolon as required
Pain and Symptom Management Form
Client’s name: Student’s name:
Date: Time:
Medication:
 Morphine orally 10mg 4-hourly
 Laxative twice daily
Pain level:
No Worst
1 2 3 4 5 6 7 8 9
Pain 0 Pain 10

Pain location:
Locate on the diagram the location of client’s pain.
Source: http://www.wps.ac.nz
What makes the pain less?
What makes the pain worse?

What type of pain is it? (For example, stabbing, throbbing, dull ache.)
Is it constant or does it come and go?
Is the pain relief you are currently receiving enough to make a real difference to your life?
Adverse Events
Is the client experiencing any of the following symptoms?
None Mild Moderate Severe
Nausea    
Vomiting    
Constipation (When were bowels

last open?)    
Itching    
Mental cloudiness    
Sweating    
Fatigue    
Drowsiness    

Other (insert details):
   
Other (insert details):
   
Comments:
Action to be taken:

Name:
Unit:
Student
Resubmission? Sufficient/
Assessment Task Y/N initials insufficient Date
Role play
STUDENT DECLARATION
Student name: ______________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSOR FEEDBACK
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Assessor name: _____________________________________________________________________________________
Date: ______________________________________________________________________________________________

ASSESSMENT TASK 4: ROLE PLAY
TASK SUMMARY:
You are undertake a role play relating to the development of an advance care plan.

 Advance Care Plan, NSW Health, Hunter New England Local Health District (provided as a separate
document)
 An extra participant to play the role of Thelma (your assessor will organise).

 You will do this task in during your assessor’s workplace visit.
 Write in the date of your assessor’s workplace visit: _____________________________________
If your assessor sees that you have not shown appropriate skills or knowledge, they will give you some
feedback and you will need to do the role play again. If you have not completed all parts of the template
correctly, you will need to fix and resubmit.
INSTRUCTIONS:
ROLE PLAY: ADVANCE CARE PLAN
You are a care worker who is working in a palliative care unit.

Jim is a 72-year-old man with Stage 4 Pancreatic cancer.
Jim has had chemotherapy, which initially looked like it would be successful, but last week Jim was told by
the oncologist that the chemo was no longer effective.
Jim and his wife, Thelma, talked it over and they both decided that they would like Jim to remain at home
for as long as possible – hopefully being able to die peacefully and with dignity in his home.
Jim has been referred to the community palliative care team.
You work with this team and you are meeting with Jim and Thelma today to put together an advance care
plan.
Your assessor will play the role of Jim. You will need to show that you can support him in developing his
advance care plan.
Your assessor will give you a copy of an advance care pan template before you start the role play.
The table below gives further information about what you need to show during the role play.
Your assessor will be looking to see that you can:
 Identify that Jim’s needs will vary from now until his death.
For example, his support needs will change as his health status deteriorates; Jim should understand that his plans can be
changed at any time.
 Support Jim and Thelma to talk about their needs, including physical, cultural and spiritual needs.
Use the advance care plan template to guide your discussion.
 Communicate with Jim and Thelma appropriately.

For example, you should be respectful, empathetic and supportive, avoid passing judgment on his requests, consider your
body language, observe their body language and cues, use clarifying statements, confirm understanding, etc
 Respect Thelma’s role as an integral part of Jim’s care team.

For example, speaking to Thelma as well as Jim, displaying empathy for Thelma’s concerns, asking for her opinion on some
matters, encouraging Jim and Thelma to discuss issues together
 Identify any needs and issues that may be outside of your own boundaries and refer to appropriate
person for advice
For example student’s supervisor or client’s medical practitioner
 Respect Jim’s dignity of risk.
 Accurately record all information in the advance care plan template.
 Report your observations to the supervisor of John’s care team.
Completed advance care plan template 


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STUDENT ASSESSMENT BOOKLET

CHCPAL001 Deliver Care Services

CHC33015 Certificate III in Individual Support (Ageing)

Suite 203, 11-15 Deane Street Burwood, NSW, 2134

ABOUT YOUR ASSESSMENTS

Assessment Task About this task

How to submit your assessments

Assessment Task Cover Sheet

CHCPAL001 Deliver Care Services Using a Palliative Page 4

Assessment Requirements Due date

AGREEMENT BY THE STUDENT

Do you understand the requirements of this assessment?  Yes  No

Student name: ______________________________________________________________________________________

Student signature: ______________________________________________________ Date: ________________________

Assessor name: _____________________________________________________________________________________

Assessor signature: _____________________________________________________ Date: ________________________

CHCPAL001 Deliver Care Services Using a Palliative Page 5

Date of birth: Student ID:

Student to complete Assessor to complete

I _________________________________________________________ declare that these tasks are my own work.

None of this work has been completed by any other person.

Student signature: ___________________________________________________________________________________

Student name: ______________________________________________________________________________________

CHCPAL001 Deliver Care Services Using a Palliative Page 6

Assessor signature: __________________________________________________________________________________

Assessor name: _____________________________________________________________________________________

CHCPAL001 Deliver Care Services Using a Palliative Page 7

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

WHEN DO I DO THIS TASK?

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

CHCPAL001 Deliver Care Services Using a Palliative Page 9

b) What are the aims of palliative care?

CHCPAL001 Deliver Care Services Using a Palliative Page 10

d) What is the difference between a ‘curative’ and a ‘palliative’ approach?

CHCPAL001 Deliver Care Services Using a Palliative Page 11

CHCPAL001 Deliver Care Services Using a Palliative Page 12

CHCPAL001 Deliver Care Services Using a Palliative Page 13

CHCPAL001 Deliver Care Services Using a Palliative Page 14

Shamus’s family come to talk to you about their his care.

h) What other action could you take to support Shamus’s family?

CHCPAL001 Deliver Care Services Using a Palliative Page 16

Shamus has died.

CHCPAL001 Deliver Care Services Using a Palliative Page 18

CHCPAL001 Deliver Care Services Using a Palliative Page 20

Bessie has severe dementia.

CHCPAL001 Deliver Care Services Using a Palliative Page 21

Bessie’s son begins to ask a lot of questions about his mother:

CHCPAL001 Deliver Care Services Using a Palliative Page 22

What do I need to hand in for this task? Have I completed this?

Your answers to each question 

CHCPAL001 Deliver Care Services Using a Palliative Page 23

Date of birth: Student ID:

Student to complete Assessor to complete

I _________________________________________________________ declare that these tasks are my own work.

None of this work has been completed by any other person.

Student signature: _____________________________________________________________________________________

Student signature: ______________________________ Date:

Assessor signature: _____________________________ Date: