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CHCAGE005 Assignment

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Street Address: 1374 Logan Road


Mt Gravatt, QLD 4122
Postal Address: PO Box 6803,
Upper Mount Gravatt, QLD 4122
STUDENT
ASSESSMENT
BOOKLET
CHC33015
CERTIFICATE III IN INDIVIDUAL SUPPORT
DEMENTIA
For classroom-based students

CHCAGE005 Provide support to people living with dementia

Student first name:

Student last name:

© 2015 RTO Advice Group Pty Ltd


Eduworks Resources is a division of RTO Advice Group Pty. Ltd.
Cover image © Shutterstock www.shutterstock.com
ASSESSMENT OVERVIEW
This Student Assessment Booklet includes all your tasks for assessment of CHCAGE005 Provide
support to people living with dementia.

ABOUT YOUR ASSESSMENTS


This unit requires that you complete 6 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 14 questions to show that
you understand the knowledge required of this unit.

Assessment Task 2: Case studies You are to read two case studies and complete the
questions for each.

Assessment Task 3: Role plays You are undertake two role plays.

Assessment Task 4: Behaviour You are to develop a behaviour management and review
management plan plan for the client from role play 2 in Assessment Task 3.

Assessment Task 5: Project – dementia You are to complete a research project on a range of
diseases dementia diseases.

Assessment Task 6: Project – working You are to monitor two clients with dementia for three
with clients with dementia days and complete a journal for each client.

Supporting resources
You may like to look at the following websites, books and documents for more information about the
topics related to this unit:
▪ Arnott, G 2011, The Disability Support Worker, Pearson Australia, Frenchs Forest, NSW.
▪ 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.

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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 plays
4. Project
5. Project
6. Project

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 ◻ Yes ◻ No
assessment?

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 ◻ Yes ◻ No
assessment? If yes, what are they?

Do you understand your rights to appeal the decisions made in an ◻ Yes ◻ No


assessment?

Student name:

Student signature: Date:

Assessor name:

Assessor signature: Date:

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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: Nupur Modi

Date of birth: 03/01/1992 Student ID: 79883

Unit:
▪ CHCAGE005 Provide support to people living with dementia

Student to complete Assessor to complete

Sufficient
Resubmissio Stude /
n? nt insufficie
Assessment Task Y/N initials nt 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:

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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.

Assessor signature:

Assessor name:

Date:

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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 14 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 the classroom or for homework – your assessor will advise.
▪ Write in your 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.

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QUESTION 1
a) Why are older people with dementia more vulnerable to abuse than those without dementia?

People with dementia can be more vulnerable to abuse as they may struggle to discuss their feelings
and experiences or remember what happened to them. Dementia can also make it harder to detect
abuse. Common reactions to abuse, such as withdrawal from communication, can also be symptoms
of dementia.

b) List six signs of abuse that could occur with a person with dementia.

Sign 1: Social or physically harm

Sign 2: Psychological issues

Sign 3: Rude behave

Sign 4: Neglect of care

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Sign 5: Hitting or punching

Sign 6: Bulling

c) What would you do if you suspected that a family member was purposefully withholding
medication from a person with dementia?

Contact the client to discuss the situation and determine what, if any, action needs to be taken.
Verify that the medication is being withheld in a medically-safe manner.
If necessary, contact the appropriate authorities to investigate the situation.

QUESTION 2
a) How does the practice of ‘person-centered’ care benefit a client with dementia?

 They provide good care to clients.


 Respecting the wishing if individual.
 Allowing person to make choice.
 Improving the quality of care.
 Flexibility, meeting the diverse need of different properly.

b) What are the main principles of a person-centred approach?

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 Treating patients with dignity and respect.
 Encouraging patient participation in decision-making.
 Communicating with patients about their clinical condition and treatment options.
 Providing patients with information in a format that they understand so they can participate
in decision-making.

QUESTION 3
a) Caring for people with dementia can be very frustrating and stressful. List two signs that you
notice when you are becoming stressed.

 When unable to give care to dementia people.


 When unable to make them understand.
 When can give them emotional support.

b) What would you do if you found your stress levels were interfering with the way you work?

 Try to have rest while.


 Or if still situation same discus with team leader.
 Or take break for a while.

QUESTION 4
Wandering is a common behaviour of people with dementia.

a) Why is wandering a problem in an aged care residence?

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 Early stage of dementia lost is common problem.
 Can’t remember their name and thing.
 Start getting lost in their home forgot things easily.

b) What are two physical supports that could be put in place to assist people who are wandering?

 Tell neighbours about his situation so if he gets lost they can help to take him back home.
 Talk to tour doctor for physical check-up regularly.

c) What are two social supports that could be put in place to assist people who tend to wander?

 Emotional support
 Esteem support

d) Why is it important to look at the emotional issues that may be causing wandering?

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Because they get sick easily, if something hurt them, it is important to keep them comfortable and
happy.

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QUESTION 5
a) What are six communication techniques you should use when communicating with a person with
dementia?

 Eye contact
 Easy communication
 Pictures
 Use numbers 1-10
 Multiple choice to get answer
 Yes/no communication

b) How could you adjust the following sentences so they are more positive? The first has been
completed for you as an example.

Negative sentence Positive sentence

Don’t sit there – it is too Sit in other cool place.


hot.

You are not allowed in We go bak to your room.


other people’s rooms.

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You can’t go home – This is your home dear.
you live here now.

You haven’t finished Please finish your dinner.


your dinner again.

I wish you wouldn’t You need to kep your clothes your room in.
keep hiding your
underclothes. Where
have you put them?

My name is Angela. I’ve Do you know what is my name.


told you five times in
the last half hour.

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QUESTION 6
In the following table, suggest two appropriate care approaches that may be used to assist with each
type of challenging behaviour.

Behaviour Care approaches

Repetitive Use distraction. Involve the person in an activity that they enjoy, go for walk or
behaviour
offer a snack.

Speak calmly when answering the question, even if you have already answered
it ten times.

Paranoia Look for, or assist in looking for, lost articles.

Learn where the Pearson’s favourite ‘hiding places’ are & let other staff know.

Aggression Watch the person for signs of increasing anxiety.

Respond in a supportive manner.

Sundowning General approaches to prevent the contributing factors.

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Individualizing approaches to prevent the onset of sun downing.

Uninhibited Avoid approaching the person in ways that might be misunderstood.


sexual behavior

If you are the object of sexual desire, don’t get upset. Stay calm. Keep your
sense of hamper. Try to distract them into another, non-sexual activity.

Wanting to go Spent time with him, sit with him for a while.
home

Take him for a walk around the facility.

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QUESTION 7
In the following table suggest two appropriate care approaches when providing personal care
assistance to maximise independence for a person with dementia.

Personal care activities Care approaches to maximise independence

Eating Cut down the food in his plate.


Try to show him how to eat.

Bathing Get everything ready for him.


Try to ask him to show how to dress-up properly.

Oral care Just help him to brush the teeth properly.

Dressing Take dress out of wardrobe


Ask him what he want to wear
Convince him that you want him to look nice

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QUESTION 8
a) Explain in your own words what is meant by the ‘social model of devaluation’.

Social devaluation is the systemic belief that a group or person has less social value than others.
Such devaluation can have a negative consequence for the individual or group affected by it.
Socially devalued parties have fewer opportunities and are recognized less for their
accomplishments.

b) As a personal care worker, what are two simple things you can do to help clients with dementia
feel valued?

Respect and dignity: -Focus on what the person can do, not what they can’t.
Be a good listener and be friendly: -Support and accept the person, be patient.

QUESTION 9
Describe each of the following terms – give an example of each.

Term Description Example

Reality Reality orientation (R.O) is all about The use of every day cues like clocks
orientation
presenting information about time, and calendars. Using prompts in
place or person in order to help a conversation that help people to
person understand their surroundings orientate. “I feel really full after that
and situation. This information is lunch.” “Isn’t it grey for May?”
repeated at regular intervals.

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Validation Validation strategies advocates that, If client says ‘he is finding his car keys’
strategies
rather than trying to bring the person then don’t tell him he has not a car.
with dementia back to our reality, it is
more positive to enter their reality.

Reminiscences Reminiscence therapy involve reaching You may have to lead it by making
the memories that reside in these still suggestions, like, “Do you remember
viable regions of the brain. There are what you were doing when Neil
many ways to encourage these Armstrong landed on the moon?”
memories, and you should. They can be
comforting, even therapeutic.

Empathy Empathy is considered to show how Listening is one of the most effective
empathy has been used within general ways you can demonstrate empathy to
nursing practice. other people. When you are practicing
active listening, you are listening with
purpose. You aren't fiddling about on
your phone or thinking about what
you're going to make for dinner tonight,
you're really taking in what the other
person is saying.
Acknowledgem Acceptance of the truth or existence of There is an undercurrent of fear in our
ent
something. society that we may disappear without
media acknowledgement of our
existence.

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Younger onset The term younger onset dementia is Dementia has been diagnosed in people
dementia
usually used to describe any form of in their 50’s, 40’s their 30’s.and even in
dementia diagnosed in people under the
age of 65.

QUESTION 10

Maud wants to walk down to the town for a coffee like she always used to. Maud has the early
stages of dementia and has a reputation for getting lost.

What action could you take to make sure Maud is safe, balancing with her wish to be independent and
be able to take risks?

Go with her to the town for a coffee Or Hire a cab for her which pickup her from aged care and
drop her with responsibility.

Question 11

Janice is up to her ears in paperwork. She has to check all the client care plans before the auditor
comes next week. She has client files all over her desk, on top of the cabinet and on the floor.
There is a big pile of loose papers that need to be filed, so she is doing that first.
Today is Friday. When it is time to go home for the weekend, Janice puts up a large sign in her
office: ‘DO NOT TOUCH ANY OF THESE FILES’.
She thinks she has done well to remember to do this as the cleaner comes in over the weekend and
she doesn’t want the cleaner moving things around .otherwise she won’t know where she is up to.

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a) Janice’s work practices are bad on many levels. What legislation is she breaking by her actions?
Where does all the documentation must be stored?
Janice's work practices are not in line with the legal requirements around documentation storage.
The Health and Social Care Act 2008 requires that all records associated with client care must be
stored securely and in an orderly fashion. This means that all documentation must be kept in its
correct place, in a locked cabinet or other secure area. Documents must not be left lying around on
desks, cabinets, or floors.

Moreover, the Data Protection Act 2018 requires that all data, including personal data and
confidential information, must be kept secure and only accessed by those with the appropriate
permissions. Janice is not taking the necessary steps to protect the personal data of her clients,
leaving them vulnerable to data breaches and misuse.

Additionally, Janice's sign, telling the cleaner not to touch the documents, is ineffective and could
lead to further problems. Not only is it possible that the cleaner could fail to read the sign and move
the documents, but it could also lead to confusion when Janice returns to work on Monday and is
unsure of what has been moved and where.

b) List two work practices that need to change. What is the consequence if they don’t change?
Practice 1: Janice needs to ensure she is keeping up to date with her paperwork, ensuring
that all client care plans are checked before the auditor arrives.

Consequence: If she does not do this, she may not be able to provide the necessary evidence to
the auditor and may fail the audit.

Practice 2: Janice should also invest in a filing system, such as a filing cabinet or digital
filing system, so that the loose papers can be organised and filed away properly.

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Consequence: If she does not do this, she may not be able to find the client files she needs
when needed and this could lead to mistakes with client care plans.

QUESTION 12
In a paragraph each, discuss each of the following emotions that may be felt by a person with
dementia or their family members.

Depression The life changes and disruptions brought on by dementia


frequently cause depression in those who experience it. The sense
of loss they might have as they struggle to recall the people and
places that were once so familiar can make this worse. Due to the
strain of caring for a loved one with dementia and the uncertainty
of the future, family members may also suffer from depression.

Loss and grieving People with dementia may gradually lose their capacity to carry
out the activities they once found enjoyable as well as their
memories and relationships with friends and family. Both the
dementia patient and their family, who must accept the losses and
grieve, may find this to be a devastating experience.

Anger As they strive to make sense of their surroundings and their own
uncertainty, people with dementia may become irritated and
furious. This may result in angry or frustrated outbursts that are
challenging for family members to control.

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Despair As people with dementia and their families come to terms with
their diagnosis and the effects it has on their life, they frequently
experience a sense of despair. When they struggle to adjust to the
changes dementia brings about, they may have a sense of
powerlessness, which can exacerbate this.

Social embarrassment Individuals with dementia may feel humiliated or embarrassed


about their illness, and other people's reactions might make this
worse. As a result, individuals may retreat from social situations
and experience feelings of loneliness and isolation.

Isolation As they struggle to maintain their interactions with friends and


family, people with dementia can easily become isolated. As a
result of feeling isolated from the outside world, this might result
in feelings of loneliness and despair.

Financial burden As families struggle to cover the costs of care and support, caring
for a loved one who has dementia can be expensive. As they
attempt to strike a balance between their own financial obligations
and the requirements of their loved one, this may cause them to
feel guilty and anxious.

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QUESTION 13
Give the definition of the following pathological features and how these affect dementia.

Pathological Features How these affect dementia

Amyloid plaques Amyloid plaques are deposits of a protein called


amyloid beta found in the brain tissue of
individuals with Alzheimer's disease and other
forms of dementia. These plaques form clumps
between neurons and can interfere with
communication between them, preventing the
cells from functioning properly and leading to
cell death.

Neurofibrillary tangles Neurofibrillary tangles are twisted strands of a


protein called tau that are found in the brain
tissue of individuals with Alzheimer's disease
and other forms of dementia. These tangles form
inside the neurons and interfere with their ability
to transport nutrients and other essential
materials, eventually leading to cell death.

Loss of connection between cells and cell death Dementia is characterized by a loss of
connection between neurons, which can lead to
cell death. This is due to the amyloid plaques
and neurofibrillary tangles interfering with the
communication between cells, as well as the
inability of the cells to access the nutrients and
materials they need. Ultimately, this can lead to
cell death, resulting in a decrease in cognitive
function and an increase in dementia symptoms.

QUESTION 14
What are some common indicators and symptoms of dementia?

1. Memory Loss: One of the most common signs of dementia is difficulty remembering recent
events, conversations, or even names of familiar people or objects.
2. Confusion: Confusion or disorientation is another common symptom of dementia, especially
when an individual is in a new or unfamiliar environment.
3. Language Problems: Difficulty understanding or communicating with others can be an indication
of dementia.

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4. Mood Swings: Mood swings, such as sudden outbursts of anger or sadness, can be a sign of
dementia.
5. Apathy: A lack of interest or motivation in activities can be an indication of dementia.
6. Difficulty with Everyday Tasks: Difficulty completing everyday tasks, such as dressing or
cooking, can be a sign of dementia.
7. Poor Judgment: Poor decision-making and judgment, such as giving away large sums of money
or neglecting personal hygiene, can be a sign of dementia.
8. Agitation: Agitation and restlessness, such as pacing or wandering, can be a sign of dementia.
9. Hallucinations: Hallucinations, such as hearing voices or seeing people who aren't there, can be a
sign of dementia.
10. Loss of Bladder or Bowel Control: Loss of control over bladder or bowel movements can be a
sign of dementia.

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

Your answers to each question □

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ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 2

Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.

Name: Nupur Modi

Date of birth: 03/01/1992 Student ID: 79883

Unit:
▪ CHCAGE005 Provide support to people living with dementia

Student to complete Assessor to complete

Sufficient
Resubmissio Stude /
n? nt insufficie
Assessment Task Y/N initials nt Date

Case study 1

Case study 2

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:

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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.

Assessor signature:

Assessor name:

Date:

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ASSESSMENT TASK 2: CASE STUDIES

TASK SUMMARY:
You are to read the case studies and complete the questions that follow.

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 responses).

WHEN DO I DO THIS TASK?


▪ You will do this task in the classroom or as homework – your assessor will advise.
▪ Write in your due date as advised by your assessor:

WHAT DO I NEED TO HAND IN?


▪ Your answers to the questions in each case study.

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.

CASE STUDY 1: CHEN

Chen is 95 years old. He migrated from China many years ago but has lived largely in the Chinese
community.
Chen has dementia and is unable to remember any English words. Chen is now in residential care as
he is unable to look after himself.
Chen has two daughters and a son who come to see him frequently. They feel guilty that they
cannot look after Chen at home but they each have jobs and do not feel able to look after him.
There is one Chinese worker (Mei) who speaks Mandarin – Chen’s first language.

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1. How do you think Mei’s involvement in Chen’s care team will benefit Chen?

Because English is his second language, it is very easy if he can pronounce Chinese language.
He can make them understand very easily.

2. List three types of information that Chen’s family could provide to help staff understand Chen’s
individual preferences and practices.

 They can write common sentences in their language, so staff can talk to chen.
 They can let them know about his like and dislike.
 Staff who can speak his home language can solve these problems.

You are member of Chen’s care team. You do not speak Chinese. You find out from the family that
Chen liked playing Mahjong, but he no longer remembers how to play.
They bring a mah-jong set in for him and you notice he likes to play with the pieces and look at the
symbols. He rubs the pieces between his fingers and sets them out in front of him on his table.

3. Why do you think Chen gets pleasure from the mah-jong set, even though he can no longer
remember how to play?

When they bring mah-jong, they observed Chen become happy, they observed he started playing if
he does not remember, which show that Chen would like this game.

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4. Mei isn’t always on shift. List two things you could do to interact with Chen using the mah-jong
game as a resource.

Write in his own language


Mei can talk to other staff how to convince Chen.

5. Describe two ways in which you can communicate with Chen when there is no one available who
speaks Chinese.

Body language could be helpful when nobody can talk Chinese.


They can write some common sentences in Chinese to ask Chen when they want to talk them.

6. Respect is a very important thing in the Chinese culture. Lists two ways in which you could
demonstrate respect your respect of Chen.

 Always try to listen Chen carefully.


 Show him that you are not ignoring him.
 Show him that you are close to chin as his friend.

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He is usually quite a happy person. Today he is distressed, restless and agitated. He gets up, then
sits down, then gets up again. He is wringing his hands and saying the same thing over and over. He
does not seem to notice you.

7. What action should you take?

 I go and talk to him,


 Try to ask him how I can help you.
 Give him something to eat.
 Take him for walk.
 Give him psychological/emotional support.

Mei is brought in to talk to Chen. Apparently he is very distressed as he thinks his children should be
looking after him. He thinks they have deserted him for good – he has forgotten they visited
yesterday and will be coming again tomorrow to see him.

8. What support can Mei give to Chen?

 Mei will talk to him regarding his grandkids, talk him about grandkids care.
 Talk about his family.
 Ask him what they did during daytime.
 Remind him that family will visit tomorrow again.

Chen’s family are very distressed that he was so upset and thought that they had deserted him.
They would never do that and feel very guilty that they have put him into care.
They have asked that, should he get distressed again, the facility should ring them and one of them
will come straight over.
They ask about how the dementia is likely to progress and what will happen to their father.

9. What action should be taken so everyone knows to call the family if Chen gets distressed?

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They will write in the clinical notes, so that all staff will read it that. Family is happy to come
anytime when Chen need.

10. What support can you give to Chen’s family to help them deal with their guilt?

Staff will give them emotional /psychological support to family, try to make them understand that
they know it’s very hard to manage everything if someone got dementia and family must look after
kids.

11. List two places where Chen’s family could find information about dementia and how it is likely to
progress.

 Dementia outreach services.


 Dementia units in nursing home.

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

Your answers to this case study □

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CASE STUDY 2: FRANCESCA

Francesca is 43 years old. She has young onset dementia caused by a lifetime of alcohol and drug
abuse. Francesca lives at home with her sister and care workers visit once a week at check how
Francesca is.
Today her sister tells the carer that she is worried about Francesca. She has a new boyfriend who is
known to be a heavy drug user. He comes round often and hangs around with Francesca. Francesca
is happy to have the attention and has started dressing very promiscuously.
There is money disappearing from Francesca’s bank account. When Francesca’s sister asks her
about it, she can’t remember where the money has gone. She suspects that the boyfriend is
conning it out of her so he can support his drug habit.
She is also afraid that he is giving her drugs as she often seems very spaced out after he has been
to visit. She suspects they may be date rape drugs. She understands that Francesca is entitled to
her own personal life, but is very concerned about what is happening.

1. List two types of abuse that may be occurring here.

 Sexual abuse
 Financial abuse

2. What actions must the worker take to report the suspected abuse?

They have to report all situation in 24 hours to management.

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

Your answers to this case study □

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ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 3

Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.

Name: Nupur Modi

Date of birth: 03/01/1992 Student ID: 79883

Unit:
▪ CHCAGE005 Provide support to people living with dementia

Student to complete Assessor to complete

Sufficient
Resubmissio Stude /
n? nt insufficie
Assessment Task Y/N initials nt Date

Role play 1

Role play 2

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:

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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.

Assessor signature:

Assessor name:

Date:

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ASSESSMENT TASK 3: ROLE PLAYS

TASK SUMMARY:
You will need to undertake both role plays.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?


Role play 1:
▪ Chair to settle client into
▪ Chair for student
▪ Photo album
▪ Radio.

Role play 2:
▪ There is nothing required.

WHEN DO I DO THIS ASSESSMENT?


▪ You will do this task in the classroom.
▪ Write in your due date as advised by your assessor:

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


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 specific task again.

INSTRUCTIONS:

ROLE PLAY 1: WORKING WITH A CLIENT WITH DEMENTIA (SUNDOWNING)

Clients with dementia can experience sundowning, the apparent worsening of confusion in the late
afternoon or early evening. Their behaviour may worsen and they may experience heightened
feelings of disorientation, confusion, anxiety and agitation.
For this role play, you are required to participate in a one-on-one role play with your assessor, or
another person nominated to play the part of the client.
The role play participant will be demonstrating symptoms of a client who is sundowning. You will be
required to demonstrate your ability to calm the client and demonstrate appropriate communication
and support to settle the client for the evening.
The client’s care plan states the following:
▪ Client is subject to sundowning when she becomes agitated, confused and sometimes aggressive
▪ When sundowning the client will pace, trying to find the way back home
▪ Client does not like to be touched while agitated. This seems to resolve once calm.
▪ Music and reminiscing has been found to be calming
▪ Client usually has a cup of herbal tea in the evening before bed – she is able to drink unassisted.

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Your assessor will be looking to see that you:
▪ Respond appropriately to behaviours of concern and recognise potential triggers
▪ Show person-centred care when supporting the client
For example, work according to the care plan; treat the client as an individual; stay calm and be reassuring; etc

▪ Use the information from the client’s care plan to address the client’s needs
▪ Use effective communication and interpersonal skills to gain cooperation
For example, be calm and reassuring; be always pleasant; use friendly, approachable and non-threatening body
language; etc

▪ Allow the client to demonstrate their distress


▪ Ensure the safety and comfort of the client
For example, help them to their chair safely; make sure the chair is comfortable for them; make sure they feel safe and
secure.

▪ Use appropriate strategies to calm the client.


For example, reminiscing; validation; talking to the client about their photos, etc

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

You do not need to submit anything for this task □

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ROLE PLAY 2: MARTIN

Martin has dementia and requires assistance with personal care. He often displays inappropriate
sexual behaviour. He makes lewd comments when the staff are getting him ready for his shower and
often tries to touch the female staff members when they are showering him.
He always pretends that he is not able to wash himself so that the carers will do it for him.
Martin is able to wash himself, but requires someone with him in the shower to provide assistance.

This role play involves you taking on the role of one of Martin’s carers.
Your assessor will divide you into groups of three or four to discuss strategies for dealing with his
behaviour. You are all members of Martin’s care team and have all experienced his behaviour. You
now need to work out what to do.
In Assessment Task 4 you will need to complete to beahviour management and review plan for Martin.
You should take notes during your team’s discussion.

Your assessor will be looking to see that you:


▪ Discuss with your team Martin’s behaviours of concern and his possible triggers
▪ Contribute to your team’s discussion about Martin’s care planning and review
▪ Discuss with your team how to plan a person-centred approach with the aim of minimising the
behaviours of concern and reduce the impact on client and care staff.

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

You do not need to submit anything for this task □

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ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 4

Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.

Name: Nupur Modi

Date of birth: 03/01/1992 Student ID:79883

Unit:
▪ CHCAGE005 Provide support to people living with dementia

Student to complete Assessor to complete

Sufficient
Resubmissio Stude /
n? nt insufficie
Assessment Task Y/N initials nt Date

Project – Behaviour Management and Review


Plan

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:

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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.

Assessor signature:

Assessor name:

Date:

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ASSESSMENT TASK 4: PROJECT – BEHAVIOUR MANAGEMENT AND
REVIEW PLAN

TASK SUMMARY:
You are to complete a Behaviour Management and Review Plan based on Martin
from Assessment Task 3, role play 2.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?


▪ Behaviour Management and Review Plan (see end of this task)
▪ Notes taken during Assessment Task 3, role play 2.

WHEN DO I DO THIS TASK?


▪ You will do this task in the classroom or as homework – your assessor will advise.
▪ Write in your due date as advised by your assessor:

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


If your assessor identifies that you did not complete all parts of the template correctly, you will be
asked to fix the parts that are wrong and resubmit.

INSTRUCTIONS:
This task carries on from Assessment Task 3, role play 2 (Martin).
You are required to complete a Behaviour Management and Review Plan for Martin Granson. A
template has been provided for this purpose at the end of this task.
You must independently complete the template to include the two strategies you think would be the
most effective and provide a review plan to assess the success of the strategies.
Your response should be based on your discussions in Assessment Task 3, role play 2, but you should
use your own opinion of what strategies, implementation and review would be the most effective.
You can refer to the notes you took during Assessment Task 3, role play 2.

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BEHAVIOUR MANAGEMENT AND REVIEW PLAN

Name of carer: Nupur Modi

Name of client: Lucy Smith

Date:

Nature of behaviour of concern:

1. AGGRESSION

Possible reasons or triggers for behaviour:

 When the person in situations which may produce anxiety, fear, frustration or disorientation.
 When the person doesn’t know what is going to happen, or where they are going.
 Arguments.
 Criticism, anger or frustration.

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Behaviour management strategy 1 (please describe strategy in detail):

Talk to the person in a calm, confident & reassuring manner. Talk with person with polite nature
say hi or hello and give him time wish like good morning etc.

Behaviour management strategy 2 (please describe strategy in detail):

Do not respond to anger with anger. If client shows anger behaviour then response with low-pitch
and make him understand the situation.

How will strategy 1 be implemented?

When carer talk to client with calmly, confidently and reassuring manner then client understand him
properly and give response to him in every procedure. Moreover, it also helps in progress of health
of client.

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How will strategy 2 be implemented?

When carer give response of anger in a polite tone then mood of client may be controlled and comes
back to normal condition. Furthermore, client also co-operate with carer.

How will strategy 1 be reviewed?


Make a care plane and note down all the things with which client get back in reassurance manner.

How will strategy 2 be reviewed?


Make care plan for every situation in which client become anger.
And avoid that thing in next move.
Care the client and talk with him in a respective and polite manner.

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

Completed Behaviour Management and Review □


Plan

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ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 5

Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.

Name: Nupur Modi

Date of birth: 03/01/1992 Student ID: 79883

Unit:
▪ CHCAGE005 Provide support to people living with dementia

Student to complete Assessor to complete

Sufficient
Resubmissio Stude /
n? nt insufficie
Assessment Task Y/N initials nt Date

Project – Dementia diseases

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:

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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.

Assessor signature:

Assessor name:

Date:

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ASSESSMENT TASK 5: PROJECT – DEMENTIA DISEASES

TASK SUMMARY:
You are to complete a research project about dementia diseases.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?


▪ Access to a computer with the Internet and Microsoft Word (if students prefer to type their
answers).
▪ Textbooks and other relevant reference materials.

WHEN DO I DO THIS TASK?


▪ You will do this task in the classroom or as homework – your assessor will advise.
▪ Write in your due date as advised by your assessor:

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


If your assessor identifies that you did not complete all requirements of this task correctly, they will
give you some feedback and you will need to redo the incorrect part/s again.

INSTRUCTIONS:
For this task you are required to conduct research on seven different dementia conditions:
▪ Alzheimer’s disease
▪ Multi-infarct dementia
▪ Huntington’s disease
▪ Pick’s disease
▪ Dementia with Lewy Bodies
▪ Korsakov syndrome
▪ Parkinson’s disease.
You must complete the following template.
For each disease you will need to research:
▪ Its description
▪ Symptoms
▪ Usual age range of onset
▪ Changes to the brain
▪ How it typically progresses
▪ Current research.
You may either compete the template in handwriting, or you may type your responses using Microsoft
Word or a similar program.
Your answers may be provided in full sentences or in a series of dot points.

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ALZHEIMER’S DISEASE

Description:

Alzheimer's disease is a progressive, degenerative disorder that attacks the brain's nerve cells, or
neurons, resulting in loss of memory, thinking and language skills, and behavioural changes.

Symptoms:

 Pre-dementia
 Early
 Moderate
 Advanced

Usual age range of onset:

Among people aged 65 and older.

Changes that occur in the brain:

There is cortical atrophy in Alzheimer's Disease, associated with loss of gyro and sulci in the
temporal lobe and parietal lobe, and parts of the frontal cortex and cingulate gyros.

How the disease typically progresses

Alzheimer's disease tends to develops slowly and gradually worsens over several years. Eventually,
Alzheimer's disease affects most areas of your brain. Memory, thinking, judgment, language,
problem-solving, personality and movement can all be affected by the disease.

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There are five stages associated with Alzheimer's disease: preclinical Alzheimer's disease, mild
cognitive impairment due to Alzheimer’s disease, mild dementia due to Alzheimer's, moderate
dementia due to Alzheimer's and severe dementia due to Alzheimer's.

What current research is being done?

The race is on. Alzheimer's and related dementias research is a dynamic field, and momentum
builds each year. This site is for professional researchers and anyone interested in following the
progress in research. The Alzheimer's Association has been involved in every major advancement
in Alzheimer's and related dementias research since the 1980's and is a leader in the global fight for
a world without Alzheimer's.

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MULTI-INFARCT DISEASE

Description:

Multi-infarct dementia (MID), a common cause of dementia in the elderly, occurs when blood clots
block small blood vessels in the brain and destroy brain tissue. Probable risk factors are high blood
pressure and advanced age.

Symptoms:

 Confusion
 Memory problems
 Wandering
 Getting lost - in familiar places
 Bladder incontinence
 Bowel incontinence
 Emotional problems
 Laughing inappropriately
 Crying inappropriately
 Difficulty following instructions
 Problems handling money

Usual age range of onset:

Multi-infarct dementia (MID) is the second most common cause of dementia (after Alzheimer
disease) in people over age 65. MID affects men more often than women. The disorder usually
affects people between ages 55 and 75.

Changes that occur in the brain:

A series of small strokes. A stroke, or infarct, is the interruption or blockage of blood flow to any
part of the brain. The term “multi-infarct” means many strokes and many areas of damage. If blood
flow is stopped for more than a few seconds, brain cells can die from a lack of oxygen. This damage
is usually permanent.

A stroke can be silent, which means it affects such a small area of the brain that it goes unnoticed.
Over time, many silent strokes can lead to MID. Large strokes that cause noticeable physical and
neurological symptoms can also lead to MID.

How the disease typically progresses

Every condition known to increase the risk of arteriosclerosis or blood clots also increases the risk
of multi-infarct dementia. These are:

Smoking

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High blood pressure

High cholesterol

Type 1 and 2 diabetes (particularly if badly regulated)

Irregular cardiac action (heart beat)

Occlusion (closing) of blood vessels leading to the brain.

This means that if arteriosclerosis can be limited in its effect so it can Multi-infarct dementia.

What current research is being done?

The National Institute of Neurological Disorders and Stroke (NINDS) conducts research related to
MID in its laboratories at the National Institutes of Health (NIH), and also supports additional
research through grants to major medical institutions across the country. Much of this research
focuses on finding better ways to prevent, treat, and ultimately cure the vascular dementias, such as
MID.

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HUNTINGTON’S DISEASE

Description:

Huntington's disease (HD) is an inherited disorder that causes degeneration of brain cells, called
neurons, in motor control regions of the brain, as well as other areas. Symptoms of the disease,
which gets progressively worse, include uncontrolled movements (called chorea), abnormal body
postures, and changes in behavior, emotion, judgment, and cognition.
Symptoms:

HD symptoms fall into three types, being physical, cognitive and emotional.

1) Physical symptoms include:


a) Mild twitching of the fingers and toes
b) Lack of coordination and a tendency to knock things over
c) Walking difficulties
d) Dance-like or jerky movements of the arms or legs (chorea)
e) Speech and swallowing difficulties.

2) Cognitive symptoms include:


a) Short-term memory loss
b) Difficulties in concentrating and making plans.

3) Emotional symptoms include:


a) Depression (around one third of people with Huntington's disease experience depression)
b) Behavioural problems
c) Mood swings, apathy and aggression.

Usual age range of onset:

HD typically begins between ages 30 and 50. An earlier onset form called juvenile HD, occurs
under age 20. Symptoms of juvenile HD differ somewhat from adult onset HD.

Changes that occur in the brain:

 Neuropathy in HD
 Pathogenessis is rooted in network dyspunction
 Homeostatic altrations in network activity
 Functional immaging
 Metabolc activity

How the disease typically progresses

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The progression of Huntington's Disease (HD) after a person is diagnosed can be divided into five
(flexible) stages, as described by Dr. Ira Coulson (1):

 Early Stage - the person is diagnosed as having HD and can function fully both at home and
work.
 Early Intermediate Stage - the person remains employable but at a lower capacity. They are
still able to manage their daily affairs despite some difficulties.
 Late Intermediate Stage - the person can no longer work and/or manage household
responsibilities. They need considerable help or supervision to handle daily financial affairs.
 Other daily activities may be slightly difficult but usually only require minor help.
 Early Advanced Stage - the person is no longer independent in daily activities but is still
able to live at home support by their family or professional careers.
 Advanced Stage - the person with HD requires complete support in daily activities and
professional nursing care is usually needed.
People with HD usually die about 15 to 20 years after their symptoms first appear. The cause of
death is not the disease itself but complications such as pneumonia, heart failure or infection
developing from the body's weakened condition.
What current research is being done?

The mission of the National Institute of Neurological Disorders and Stroke (NINDS) is to seek
fundamental knowledge about the brain and nervous system, and to use that knowledge to reduce
the burden of neurological disease. A major focus of research on HD is to understand the toxicity of
mutant hunting in protein to brain cells and to develop potential drugs for counteracting it. Animal
models of the disorder allow scientists to study mechanisms of the disease and to move forward
with strategies most likely to work and least likely to cause harm for individuals. The HD gene
discovery is allowing scientists to recruit individuals who carry the HD gene into clinical studies
early — before they become ill. Researchers hope to understand how the defective gene affects
various structures in the brain and the body's chemistry and metabolism. Since some of the clinical
symptoms in neurodegenerative diseases may be caused by the ultimate malfunctioning of neuronal
circuits rather than by the loss of individual cells, scientists are using cutting-edge methods such as
ontogenetic (where neurons are activated or silenced in the brains of living animals using light
beams) to probe the cause and progression of such circuit defects in HD. Scientists are also using
stem cells to study disease mechanisms and test potential therapeutic drugs.

PICK’S DISEASE

Description:

Pick disease is a rare form of dementia that is similar to Alzheimer disease, except that it tends to
affect only certain areas of the brain.

Symptoms:

Behavioral changes:

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1 Not able to keep a job
2 Compulsive behaviors
3 Inappropriate behavior
4 Inability to function or interact in social or personal situations
5 Problems with personal hygiene
6 Repetitive behavior
7 Withdrawal from social interaction
Emotional changes:
1. Abrupt mood changes
2. Decreased interest in daily living activities
3. Failure to recognize changes in behavior
4. Failure to show emotional warmth, concern, empathy, sympathy
5. Inappropriate mood
6. Not caring about events or environment
Language changes:
1. Cannot speak (mutism)
2. Decreased ability to read or write
3. Difficulty finding a word
4. Difficulty speaking or understanding speech (aphasia)
5. Repeating anything spoken to them (echolalia)
6. Shrinking vocabulary
7. Weak, uncoordinated speech sounds
Nervous system problems:
1. Increased muscle tone (rigidity)
2. Memory loss that gets worse
3. Movement/coordination difficulties (apraxia)
4. Weakness

Usual age range of onset:

Pick disease is rare. It can occur in people as young as 20. But it usually begins between ages 40
and 60. The average age at which it begins is 54.

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Changes that occur in the brain:

 Behavioral variant front temporal degeneration (bv FTD)


 Primary progressive aphasia (PPA)
 Front temporal degeneration and amyotrophic lateral sclerosis (ALS)
 Progressive supranuclear palsy, corticobasal syndrome

How the disease typically progresses

Like Huntington's disease and Lewy Body dementia, Pick's disease or FTD is the result of a build-
up of protein in the affected areas of the brain. The accumulation of abnormal brain cells, known as
Pick bodies or Pick cells, eventually leads to changes in character, socially inappropriate behaviour,
and poor decision making, progressing to a severe impairment in intellect, memory, and speech.
What current research is being done?

The National Institute of Neurological Disorders and Stroke (NINDS), a part of the National
Institutes of Health (NIH), conducts and supports research about Niemann-Pick disease through
research grants to research institutions across the country. Investigators at the NINDS have
identified two different genes that, when defective, contribute to Niemann-Pick disease type C.
NINDS scientists are studying the mechanisms by which lipids accumulating in these storage
diseases causes harm to the body. Additional research studies hope to identify biomarkers (signs
that may indicate risk of a disease and improve diagnosis) for the lipid storage disorders.

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DEMENTIA WITH LEWY BODIES

Description:

Dementia with Lewy bodies (DLB) is a type of progressive dementia that leads to a decline in
thinking, reasoning and independent function because of abnormal microscopic deposits that
damage brain cells over time.

Symptoms:

Symptoms of dementia with Lewy bodies include:

 Changes in thinking and reasoning


 Confusion and alertness that varies significantly from one time of day to another or from
one day to the next
 Parkinson's symptoms, such as a hunched posture, balance problems and rigid muscles
 Visual hallucinations
 Delusions
 Trouble interpreting visual information
 Acting out dreams, sometimes violently, a problem known as rapid eye movement (REM)
sleep disorder
 Malfunctions of the "automatic" (autonomic) nervous system
 Memory loss that may be significant but less prominent than in Alzheimer's

Usual age range of onset:

The average age at which it begins is 54.

Changes that occur in the brain:

LBD is characterized by the development of abnormal collections of (alpha-synuclein) protein


within the cytoplasm of neurons (known as Lewy bodies). These intracellular collections of protein
have similar structural features to "classical" Lewy bodies, seen subcortically in Parkinson's disease.
Additionally, those affected by LBD experience a loss of dopamine-producing neurons (in the
substantia nigra) in a manner similar to that seen in Parkinson's disease. A loss of acetylcholine-
producing neurons (in the basal nucleus of Meynert and elsewhere) similar to that seen in
Alzheimer's disease also is known to occur in those with LBD.

How the disease typically progresses

Currently, an estimated 60 to 75% of diagnosed dementias are of the Alzheimer's and mixed
(Alzheimer's and vascular dementia) type, 10 to 15% are Lewy body type, with the remaining types
being of an entire spectrum of dementias, including frontotemporal lobar degeneration (Picks
Disease), alcoholic dementia, pure vascular dementia, etc. LBD is slightly more prevalent in men

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than women.

What current research is being done?

Much research is being done on dementia in order to help doctors better understand, diagnose, and
treat the disease. Some research involves the search for additional genes that may contribute to
Alzheimer's disease, the most common cause of dementia. Other studies are being conducted to see
if insulin resistance plays a role in the development of Alzheimer's.

PARKINSON’S DISEASE

Description:

Parkinson’s disease dementia is a decline in thinking and reasoning that develops in many people
living with Parkinson’s at least a year after diagnosis. The brain changes caused by Parkinson’s
disease begin in a region that plays a key role in movement, leading to early symptoms that include
tremors and shakiness, muscle stiffness, a shuffling step, stooped posture, difficulty initiating
movement and lack of facial expression. As brain changes caused by Parkinson’s gradually spread,
they often begin to affect mental functions, including memory and the ability to pay attention, make
sound judgments and plan the steps needed to complete a task.

Symptoms:

Commonly reported symptoms include changes in memory, concentration and judgment; trouble
interpreting visual information; muffled speech; visual hallucinations; delusions, especially
paranoid ideas; depression, irritability and anxiety; and sleep disturbances, including excessive
daytime drowsiness and rapid eye movement (REM) sleep disorder.

Usual age range of onset:


The average age at which it begins is 64.

Changes that occur in the brain:

Because Parkinson’s disease and Parkinson’s disease dementia damage and destroy brain cells, both
disorders worsen over time. Their speed of progression can vary widely.

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How the disease typically progresses

An estimated 50 to 80 percent of those with Parkinson’s eventually experience dementia as their


disease progresses. Some studies have reported that the average time from onset of Parkinson’s to
developing dementia is about 10 years. Certain factors at the time of Parkinson’s diagnosis may
increase future dementia risk, including advanced age, greater severity of motor symptoms and mild
cognitive impairment (MCI). Additional risk factors may include the presence of hallucinations in a
person who doesn’t yet have other dementia symptoms; excessive daytime sleepiness; and a
Parkinson’s symptom pattern known as postural instability and gait disturbance (PIGD), which
includes “freezing” in mid-step, difficulty initiating movement, shuffling, problems with balancing
and falling.
What current research is being done?

Recent studies following people with Parkinson’s over the entire course of their illness estimate that
50 to 80 percent of those with the disease may experience dementia.

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

Completed template □

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ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 6

Students: Please fill out this cover sheet clearly and accurately for this task.
Make sure you have kept a copy of your work.

Name: Nupur Modi

Date of birth: 03/01/1992 Student ID:79883

Unit:
▪ CHCAGE005 Provide support to people living with dementia

Student to complete Assessor to complete

Sufficient
Resubmissio Stude /
n? nt insufficie
Assessment Task Y/N initials nt Date

Project – Working with clients with dementia

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:

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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.

Assessor signature:

Assessor name:

Date:

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ASSESSMENT TASK 6: PROJECT – WORKING WITH CLIENTS WITH
DEMENTIA

TASK SUMMARY:
You are to monitor two clients with dementia on a daily basis and complete journal
entries about your experiences.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?


▪ Two clients with dementia with which to work
▪ Approval from supervisor (see permission form at end of this task)
▪ Client care plans for each client.

WHEN DO I DO THIS TASK?


▪ You will need to do this task during your work placement.
▪ Write in your due date as advised by your assessor:

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


If your assessor identifies that you did not complete parts of the journal correctly, your assessor will
ask you to redo that section again.

INSTRUCTIONS:
You are required to work with two clients with dementia for a period of at least three days each. The
days may be consecutive (one after the other) but do not have to be.
You must obtain permission from your supervisor to work with these clients for a period of three days
each. Use the permission form at the end of this task. You will be supervised at all times during your
work with these clients.
You will need to:
▪ identify two clients at your work placement service who have dementia
▪ work with your chosen clients over a period of three days:
▪ complete your journal (see the next page for the journal template).
▪ ask your supervisor to sign each of your journal entries as a true account.

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

Completed journal for each client □

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Working with Clients with Dementia – Permission Form

Supervisor’s approval

I, ,

<Supervisor’s name> approve

<student’s name> to undertake this project with

<Client’s name>.

Approval is dependent on the following conditions:


▪ The student must be supervised at all times when working with the client.
▪ The client or their family may request that this project be stopped at any point. In this case,
other arrangements will be made in consultation with the student, the student’s assessor and
myself.

Supervisor’s name:

Signature:

Date:

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ASSESSMENT TASK 6: WORKING WITH CLIENTS WITH DEMENTIA

Complete this journal for each of the clients that you work with. You must work with each client for at least three days. You must complete each part
of the journal. As you complete the tasks, ask your supervisor to sign off each entry to indicate that it is a true account and that you followed workplace
policies and procedures.
Your assessor may ask you questions about your journal entries during a workplace visit.

CLIENT 1

Observation Date 1: Observation Date 2: Observation Date 3:

Comments Supervisor initials

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What was the outcomes of your
discussions with the client’s
family and/or carers?

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Describe the client’s dementia
conditions, including indicators
and symptoms

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List the daily care that you
provided or observed for the
client.

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What communication strategies
work well when working with this
client?
Include use and appropriateness
of:
▪ Reality orientation
▪ Reminders of day, time,
relationships and so on
▪ Validation
▪ Acceptance of person’s reality
▪ Reminiscing.

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Are there cultural practices that
are important to this client? How
are these supported by the
facility?

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What activities does this client
enjoy doing? How are these
activities beneficial to the client?

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Does the client have any
behaviours of concern? What
strategies are used to reduce the
likelihood and impact of these?

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In what way is the client provided
with a stable and familiar
environment?

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Write three daily observations for Date: ______________________________
the client in relation to their
dementia.

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Date: ______________________________

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Date: ______________________________

SUPERVISOR SIGN OFF

I confirm that the student’s journal is an


accurate account.

Supervisor name:

Supervisor signature: Date:

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CLIENT 2

Observation Date 1: Observation Date 2: Observation Date 3:

Comments Supervisor initials

What was the outcomes of your


discussions with the client’s
family and/or carers?

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Describe the client’s dementia
conditions, including indicators
and symptoms

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


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List the daily care that you
provided or observed for the
client.

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


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What communication strategies
work well when working with this
client?
Include use and appropriateness
of:
▪ Reality orientation
▪ Reminders of day, time,
relationships and so on
▪ Validation
▪ Acceptance of person’s reality
▪ Reminiscing.

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


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Are there cultural practices that
are important to this client? How
are these supported by the
facility?

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


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What activities does this client
enjoy doing? How are these
activities beneficial to the client?

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Does the client have any
behaviours of concern? What
strategies are used to reduce the
likelihood and impact of these?

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


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In what way is the client provided
with a stable and familiar
environment?

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


Apex Training Institute Page PAGE \* MERGEFORMAT 107
Write three daily observations for Date: ______________________________
the client in relation to their
dementia.

FILENAME \* MERGEFORMAT SAB DEMENTIA CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT


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Date: ______________________________

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Date: ______________________________

SUPERVISOR SIGN OFF

I confirm that the student’s journal is an


accurate account.

Supervisor name:

Supervisor signature: Date:

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