Assessment Task 1: CHCCCS004 Assess co-existing needs

Activity A: Observation

CHCCCS004 Assess Co-existing Needs

Assessor name

Date of Observation

Did the Student: Client Client Client

1 2 3
Assess and appropriately respond to the requirements of at least 3 people presenting with co-existing
needs including:
 Prepare for assessment S/NYS S/NYS S/NYS
o Use organisation policy and procedures to identify and
prepare the assessment tools
o Gather existing information about the client.
o Seek additional information from specialists and other sources
o Determine the range of issues affecting the person
o Consult with the person being assessed to organise the
practical aspects of assessment
o Provide information about the assessment process to the person
o Obtain consent

 Analyse the person’s needs using a collaborative approach S/NYS S/NYS S/NYS
o Apply a strength based approach to the assessment process
o Work within the scope of your own role and, where required,
seek assistance form colleagues or others
o Work to empower the person to identify their own needs in order
of importance
o Analyse information about co-existing issues such as multiple
and interrelated issues
o Decide what the persons service needs are with reference to all
of the information you obtained (making evidence-based
judgments)
o Decide which needs are more urgent than others

 Determine appropriate services S/NYS S/NYS S/NYS

o Consider all of the options for providing a service to your client
o Work out what services your organisation can provide
and where you client can access services your
organisation cannot provide
o Give your client information about the services so that they
can make informed decisions abut their options
o Encourage your client to advocate on their own behalf
when interacting ith the other services

Activity B: Work placement task

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 Task Description: This work placement task requires the student to assess the diverse and multi-
faceted needs of people and determine both internal and external services required to meet those needs.

In order to do this the student will be required to:

a) assess and appropriately respond to the requirements of at least 3 people presenting with co-
existing needs

b) evaluate assessment and referral processes

c) use analytical and critical thinking skills in each case:

 applying a strengths-based approach to assessment

 analysing information about co-existing issues

 making evidence-based judgements about the person’s needs

Task A

The student is required to assess and appropriately respond to the requirements of at least 3 people
presenting with co-existing needs.

To complete this workplace task, students are required to fill in the below template:

Assessment - Client 1

Nancy
Client name

82
Age

Context of assessment: This is to determine Nancy’s range of support and services that she
requires.

Nancy has chronic kidney disease, diabetes, osteoporosis, high

cholesterol, hypertension, hearing loss, depression and mobility issues.
She is a widow and lives alone. Her 2 children have their own families
and are living in distant places but occasionally contact her thru a video
call.

Will use strength based assessment process

Suitable assessment
process:

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 Provide explanation of:
 I will gather demographic information about her, identify any
 roles and immediate needs and begin to establish trust and build a
responsibilities relationship with her. I will identify the client’s strengths,
of different problems, interests and risks to success. I will provide her
people information about the process, about her right to make a
complaint and appeal a decision. Other specialists will supply
 impact of the setting additional information about her.
on the process
 A setting that is comfortable will encourage her to cooperate in
 roles and types the assessment process. The setting will need to be not noisy and
of assessment disruptive. It has to have the necessary resources like chairs and
tools tables. It must offer privacy and confidentiality to her.

 ways of  There will be a self-assessment template where client will be

collecting made to answer a range of questions aimed to determine her
information family history, cultural values, health, motivations, immediate
needs, patterns of crisis, etc. There will also be a specific
 validity and screening tool for his mental health condition.
reliability
requirements  Ways of collecting information will be through a questionnaire, an
interview with him, speaking to other workers and service
 reporting providers and observing his behavior. Since client has hearing
requirements and difficulty, I need to use the right communication strategies.
formats
 The assessment tool will have to provide consistent outcome
when conducted at different times under the same conditions to
make it reliable. It needs to accurately determine what is
intended to find to make it valid.

 When there is behavior of concern, this will have to be reported

to appropriate person. The reporting and documentation must be
accurate, concise, clear and timely using the organization’s
standard format.

Nature and impact of Her complex health issues will have an impact on her mental wellbeing.
diverse and multi-faceted She could face isolation because of this situation. Her financial standing
would also be affected causing her to seek monetary support. She might
needs and issues affecting
also face homelessness. Her old age and frailty would mean for her to
client groups, and
seek for support services such as assistance with activities of daily living.
potential interrelationships
between them.

Common service She will need health checks to assess and monitor her complex health
requirements and basic issues. Counseling will help her deal with her depression. She needs to
have access to financial assistance. She requires assistance with
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 features of those services instrumental activities of daily living that include transportation,
housekeeping, medication management and meal preparation. Since she
has hearing loss, she needs to be treated by an ear specialist.
Nancy will be referred to a GP, an ear specialist and a counselor. She will
also be referred to financial services for assistance. Since she has
mobility issues, her home will have some modifications to prevent
injuries. She will be assisted with finding support groups.

Networks and specialist GP

services
Ear specialist

Nephrologist

Counselor

Government services such as Centrelink

Charitable organizations

Support groups

Legal and ethical Privacy and confidentiality laws

considerations
Code of conduct

Dignity of risk

Duty of care

Informed consent

Scope of practice

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 Assessment - Client 2

Philip
Client name

85
Age

Philip has prostate cancer, middle-stage dementia, arthritis,

Context of anxiety/depression, diabetes, hypertension and cataract.
assessment: He used to be a drug dependent during his younger years.
He prefers to stay in his own home despite his delicate condition.
He is a devout Jew.

The assessment will identify the issues surrounding his circumstances.

Suitable assessment Strength-based assessment process

process:
 As a case worker, I will provide him adequate information about the
Provide explanation process and explain to him his various rights including the right to
of: refuse, right to make a complaint and appeal a decision. I will treat him
with respect and ensure that his information will be kept confidential.
 roles and His culture will be respected and be considered when designing a care
responsibilities plan for him. His consent will be sought prior to the process or any
of different procedure. Other specialists will also contribute in supplying important
people information about him.

 impact of the  I will make sure that client is comfortable with the process to
setting on encourage his cooperation. This can be done by ensuring that his
the process personal information is kept private, that the environment is quiet, and
that necessary resources are readily available.
 roles and types
of assessment  Will use a specific screening tool that focuses on his physical
tools functioning, this tool will evaluate his ability to meet his needs and how
much assistance is needed to meet the needs, will also use a screening
 ways of
tool to check for cognitive impairment, a low score might indicate
collecting
possible cognitive impairment
information
 There will be an interview with him to get vital detail, his behavior will
 validity and
be observed, other specialists will also be consulted
reliability
requirements  The assessment tools will be specific for this client, thus providing
reliable and accurate evaluation.
 reporting
requirements  Change in client’s behavior will be reported to the manager. Reports
and formats
will need to be accurate, concise, clear and timely. They must observe

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 confidentiality requirements and use standard format.

Client’s chronic and serious medical condition will expose him to depression.
Nature and impact of The physical, emotional and financial pressures from dementia could cause
diverse and multi- great stress to families and carers, and support is required from the health,
faceted needs and social, financial and legal systems. Without assistance and support, he can’t
continue living in his own home.

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 issues affecting client
groups, and potential
interrelationships
between them.

Common service
requirements and Common service requirements for him include medical and mental health
basic features of services, assistance with ADLs, access to financial and support services, social
those services activities

Philip will be referred to a neurologist to monitor his dementia. Other

specialists will monitor his other health conditions. It will be ensured he has
access to counseling services. He will be referred to financial services such as
Centrelink. He will be supported in having him practiced his faith. He will be
linked with support groups for dementia.

GP
Networks and
specialist services Neurologist for his dementia

Urologist/oncologist for prostate cancer

Ophthalmologist for his cataract

Social worker

Centrelink

Support group like Dementia Downunder

Charitable organizations

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 Legal and ethical Dignity of risk
considerations Scope of practice
Informed consent
Privacy and confidentiality
Anti-discrimination laws
Duty of care

Assessment - Client 3

Lily
Client name

81
Age

Context of The assessment will identify issues associated with chronic illnesses and elder
assessment: abuse.

Aside from stroke, Lily has emphysema and Parkinson’s Disease.

She is an indigenous woman who never got married.

She has a relative who is her primary carer

She exhibits signs of physical abuse.

Suitable assessment Will use strength based approach to build upon her strengths specially seeing
process: her as resilient

Provide explanation

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of:

 roles and
responsibilities  As a case worker, I will not judge her for what has happened to her. I will
of different try to make her comfortable to open up. I will inform her of her various
people rights including the right to complain and appeal a decision. I will assure
her that her information will be kept confidential and that her consent will
 impact of the be needed before an assessment begins. Other relevant people will also
setting on contribute in providing information about her. Assistance to be provided
the process will be culturally appropriate.

 roles and types  An environment that is comfortable to the client will encourage her
of assessment cooperation to the assessment process. It must be ensured that her
tools information will not be shared with anyone else without her consent. The
place must not be noisy. It has to contain the required resources like
 ways of chairs and tables.
collecting
information  Will use an elder abuse screening instrument to confirm suspicion of
maltreatment and respond appropriately, will also use a self assessment
 validity and template to explore many aspects of her life including goals and
reliability priorities, values, health, needs, etc.
requirements
 Collection of information will be through an interview with client and
 reporting other relevant people, client’s behavior and appearance will be observed
requirements
and formats  The tools will provide valid and reliable measures. The elder screening
tool is for this specific culture group.

 Incidents of elder abuse will be reported to proper authorities. They will

be carefully documented in a factual, objective manner according to
organizational protocol, policies and procedures.

Nature and impact of Elder abuse can have serious physical and mental health, financial and social
diverse and multi- consequences like physical injuries, premature mortality, depression, cognitive
faceted needs and decline, financial devastation and placement in residential care homes.
issues affecting client
Her concerns with stroke, emphysema and Parkinson’s will even add up to her
groups, and potential
problems.
interrelationships
between them.

Common service Common service requirements for Lily include health checks, rehabilitation for
requirements and stroke, counseling, legal service, access to financial services, support groups
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basic features of
those services cultural activities

Lily will be referred to a GP/neurologist, physical therapist, legal worker

She will be assisted with seeking financial assistance

She will be supported in practicing her indigenous culture

GP/neurologist
Networks and
specialist services Counselor

Lawyer/legal worker

Physical therapist

Occupational therapist

Cultural worker

police (elder abuse)

Advocacy groups

Government services such as Centrelink

Charitable organizations

Legal and ethical Informed consent

considerations
Privacy laws

Dignity of risk

Duty of care

Scope of practice

Anti-discrimination laws

Code of conduct
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