CHC43415 Certificate IV in Leisure and Health (Release 2)
E1320
CHCCCS025 Support relationships with carers and families
CHCHCS001 Provide home and community support services
Case study
Student name: XXXXXX
Student number: XXXXXX
Assessment number: 35129/03

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Competency details
CHCCCS025 Support relationships with carers and families
This unit applies to workers who are required to work positively with the carers and families of clients using the service based on an understanding of their support needs.
CHCHCS001 Provide home and community support services
This unit applies to workers who are required to work in a home support environment and community settings with clients, family members, staff, visitors, suppliers and others to meet established work requirements.

Introduction
This document is Assessment 3 of the three assessments you are required to complete, together with structured workplace learning, for CHCCCS025 Support relationships with carers and families and CHCHCS001 Provide home and community support services.
This assessment is designed to gather evidence of competence, specifically to:
• include carers and family members as part of the support team
• assess and respond to changes in the care relationship
• monitor and promote carer rights, health and wellbeing
• determine requirements of individual plans
• establish relations in the home
• operate respectfully in the home
• complete reporting and documentation.
Assessment 3
Description
35129/03 Case study

Part 1
Read the scenario and then answer the questions that follow.
You work at CareShore home and community services.
You have just started to visit Anna to provide support to her at home. Before you supported Anna, you visited to provide support for her husband Kostas, who now resides at the CareShore residential facility.
Anna is still at home and is missing having Kostas with her. She used to love to cook for him but since he moved to CareShore, she has lost interest in cooking and has started to not bother to feed herself. She appears to have lost weight. You have noticed Anna’s low spirits and that she doesn’t have all the usual groceries in the kitchen cupboards and the vegetable patch in the garden is starting to look unkempt. Previously, Anna would have a Greek treat ready for your visit and she would urge you to eat some when you made her a cup of tea, but this has stopped as well.
Often, Anna would have her friend, Dulcie, visiting during the day. Dulcie lives just down the street and she and Anna share a love of the garden. They have known each other for 40 years. When you ask Anna about Dulcie, she is vague and says she is ‘not sure what Dulcie is doing, she seems to be too busy to visit’.
When you ask her, Anna says she has not visited Kostas for two weeks as she is worried that it will upset him to see her and also because it is a long way on the bus to CareShore. She says she feels guilty that she could not look after him at home like he wanted. She says she was too weak and feels she is useless. Anna cries and says she misses him, she misses feeling him beside her in bed at night, and that her life is empty.
Anna is walking more slowly than she usually does and is always wearing her slippers, whereas before she always wore her shoes and stockings during the day. She says her arthritis is playing up and she sometimes gets a bit short of breath from her asthma.
Anna says Sia and Irene (her daughters) visit when they can but she does not like to bother them as they have busy lives.
When you are talking to Anna, Sia arrives and Anna immediately looks brighter. She tells Sia she is busy and coping well with her support worker’s assistance around the home. Sia looks worried.
When you leave Anna’s home, you find Sia waiting outside. She asks to speak with you and reveals the following concerns.
• The family is very worried about Anna, as she will not let them assist her and she will not go to live with any of them.
• Anna has told her family that she has been visiting Kostas but they have found out from CareShore that she has not visited for two weeks.
• Sia doesn’t know what supports she can access to assist her and Irene to care for their mother and she is finding it difficult to take up the carer role. Anna has always been the ‘rock’ of the family, caring for Kostas and helping with grandchildren.
• Irene is a nurse and she is worried that Anna is sick and won’t admit it. She has asked her to go to the doctor but Anna tells her that she is fine.
Sia asks you not to tell Anna she has spoken with you. She does not wish to upset or embarrass her mother.
A: The impact of being a carer can be felt in many different ways. Complete the table below outlining who is the carer, then reflect on the situation and describe the impact this has on the carer.
The situation Who is the carer in this situation? Describe the impacts on the carer
Sia and Irene have been providing support to Anna. They are worried about the changes in Anna’s health.
Sia speaks to you about her concerns for Anna and how she has always been the ‘rock’ for the family.
Dulcie has been assisting Anna with gardening. You see Dulcie down the street and she says she doesn’t know what to say to Anna about Kostas going into CareShore. She says it makes it difficult to visit Anna.
B: Now that Kostas is in CareShore Residential facility, Anna’s care relationship with him has changed.
State the current or potential risks for Anna with the change to the care relationship.
Real or Potential Risk Area Potential risks for Anna with the change to the care relationship (20 words for each aspect)
Physical risk
Emotional risk
Psychological risk
Loss of companionship
Change in perception of self
C: In this scenario, Anna is not visiting Kostas.
Outline two (2) practical examples of how you could assist Anna to visit Kostas and to participate in the changes and transition of moving him into residential care? (50-100 words)
Ideas to assist Anna to visit Kostas 1.
2.
Ideas to assist Anna to participate in the changes and transition of moving him into residential care 1.
2.
D: In the scenario above, identify three people who are the carers, friends or family members who are significant to and/or have a role in Anna’s life.
Why is each person important to Anna?
How would you work in a manner that recognises, supports and utilises their relationship and knowledge of Anna? (50 words each)
Complete the table.
Carer Why are they significant to Anna and/or have a role in her life? How would you work in a manner that recognises, supports and utilises their relationship and knowledge of Anna?

E: Complete the table below by describing how you could assist each person to maximise involvement with, and support for Anna.
Explain your answer. (20- 50 words each)
Person How can you assist them to maximise involvement and support for Anna?
Sia
Irene
Dulcie
F: Complete the table below describing what assistance each person could give to complement your role as support worker for Anna.
Explain your answer. (20- 50 words each)
Person How can these people assist you support Anna?
Sia
Irene
Dulcie
G: Complete the table below, describing what carer support organisations or resources may assist each person.
If possible, refer to resources and organisations that are available in your area.
Explain why you would refer them to the support you have identified. (20- 50 words each)
Person What carer support resources or organisations may assist these people?
Sia
Irene
Dulcie
Anna
Part 2
A: The table below outlines seven stages of Kostas and Anna’s lifecycle together (column 1). Beneath the table is a list of seven Lifecycle Transitions. Complete the following information in the table.
i. In column 2 of the table (The Lifecycle Transition), select the correct option from of the list of Lifecycle Transitions and add it into the relevant row to indicate which transition the story part relates to.
ii. In column 3, add one example of a possible positive impact on Kostas and Anna of this transition.
iii. In column 4, add one example of a possible negative impact on Kostas and Anna of this transition.
1. Kostas and Anna’s story 2. The Lifecycle Transition 3. Possible positive impact (10-20 words) 4. Possible negative impact
(10-20 words)
Kostas and Anna have known each other all their lives. They grew up as next-door neighbours in Nafplio, a small village outside Athens, and started courting when Kostas was 20 and Anna was a shy 17-year-old.
They married two years’ later, and Kostas loves to tell people that he married ‘the most beautiful girl in the village’. Anna rolls her eyes every time, but she quite likes being called ‘the most beautiful girl in the village’.
A year after they were married, they decided to migrate to Australia – the land of opportunity in the new world. The first few years were difficult as they adjusted to a new language and being so far away from their families, but they persevered and soon started a small bakery business in the suburbs.
They managed to save up to buy their first home together and raised their three beloved children - Sia and Irene (twin girls) and Georgos (their boy).
Kostas and Anna still live in the same home 60 years later and look forward to when their grandchildren come to visit.
They are both in their 80s now. They have enjoyed good health up until the last couple of years. Kostas has started to suffer from macular degeneration and his arthritis plays up, but he doesn’t like to complain. As time goes by, Kostas becomes more reliant on Anna to help him with daily tasks, but he is adamant that they should stay together in their home and will not even discuss moving into any form of care facility.
Their children try and help as much as possible, but Anna is the primary carer and it becomes clear that she can no longer care for Kostas at home. Kostas goes to live at the CareShore residential facility, while Anna stays in the family home.
List of Lifecycle Transitions
• Anna becomes the carer and Kostas the person requiring care and support.
• Migrating and forming new community connections.
• Transitioning from childhood to independence.
• Having children and expanding their family. Kostas is the provider and Anna is the homemaker raising the children.
• Transitioning to adulthood and forming a new relationship.
• The children take on carer roles and Anna finds she can no longer care for Kostas. They live apart for the first time in 60 years.
• Family has contracted as children have formed new families of their own.

B: Describe how the family structures and patterns listed below may impact on your client. Complete the table.
Family Structure or pattern Impact on your client (10-20 words each aspect)
A close family where a number of generations live together.
A single-parent family where there is little or no contact with absent parent or their relatives.
A single person who has no long-term partner.
An aged couple who are estranged from their children.
A couple who are life partners who have become estranged from their families because of their partnership.
A family where a number of adult children are estranged from each other.
A person with no relatives or family.
A person with a family that they identify as family but who are not blood relatives or legally-related to the person.
A person from a culture where familial relationships are not necessarily associated with parentage.

Part 3
A: Now that Kostas is in residential care, describe three strategies that residential staff can use (and that you as the community support worker for Anna can support) to include family and carers in Kostas’ care.
Describe the strategy that residential staff and community support workers can use to include family and carers in client care.
(50 words per example)
Example Encourage Anna to visit Kostas and have lunch with him and assist him with his meal.
1
2
3
B: Kostas is receiving care from a community carer at a residential facility.
A number of mechanisms exist for entering into both community and residential support services, and depending on this, the impact can be very different for carers, family or friends. For each of the examples below, describe the potential positive and/or negative impact for family, carers and friends. (20-50 words)
Example of entry into services Potential positive and/or negative impacts on carers, family and friends
Mildred has been living at home with her husband, John, and she was independent, active and very involved in her social group. She had a car accident and fractured her hips and pelvis, requiring time in transitional care and then returning home with community support services in place.
Terry has a degenerative disease and he knows that soon he will need to enter residential care. He talks openly with his family and friends and takes some of them with him when he looks at prospective places. He asks two family members to become enduring guardians and power of attorney (POA) for him.
Michael lives independently with his friend, Stephen. His children both live in another State. He has a massive and catastrophic stroke and is in hospital. He will require residential care when he is ready for discharge, but he has no power of attorney or enduring guardian nominated. Michael cannot communicate his wishes. He and Stephen have been partners for the last 12 years, but his children do not recognise the relationship.
C: Sia has asked you not to tell Anna she has spoken to you about her concerns.
How can you respect her privacy whilst assisting Anna? (50 to 100 words)
D: Describe for each of the areas below, the issues that may impact on the physical and emotional wellbeing of the carer.
Provide information on how you could respond to this if you identify it. (50 words each)
Area How may this impact physically or emotionally on the Carer? (50 words) How would you respond if you identify this? (50 words)
Sleep disturbance
Financial responsibilities
Being constantly with the person requiring support
Not seeing friends
Being subject to physical or verbal aggression
Being alone if the person needing support leaves the home or dies
Checklist
You must complete and submit the following.
Assessment 3
Part 1 – A - G
Part 2 – A - B
Part 3 – A - D 0
0
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