Reference no: EM134033421
Deliver Care Services Using A Palliative Approach
You will need to complete and submit these sections of your Portfolio:
• Section 1: Assessor observations.
• Section 2: Assessor observation: simulation (end of life)
• Section 3: Reflective journal.
• Section 4: Critical reflections.
Section 1: Assessor observations
Assessor observation
You will be directly observed supporting, reporting and documenting issues and needs of two people receiving palliative care, including:
• supporting the person's needs and preferences in relation to their care
• responding to changing needs and circumstances in the person's care
• providing emotional support to the person, their family or carer as required
• completing documentation in a timely, accurate and objective manner according to organisational policies and procedures.
Support the person, their family, carer and others to express needs and preferences?
Communicate with the person and their family, carer and others in relation to their quality of life, pain and comfort levels? Effective communication is essential when discussing care needs.
Make adjustments to their communication approach in order to meet the specific needs of the person and their family, carer and others?
Respect that the person, their family, carer and others are key parts of the care team?
Provide appropriate support and information to the person, their family, carer and others?
Create a supportive environment when discussing and sharing information about the person's quality-of-life choices?
Respect the person's individuality, values and beliefs when providing support?
Demonstrate empathy in communication and provide emotional support to the person, their family, carer and others?
Follow the person's advance care directives and end-of-life decisions within the scope of their role and organisational, legal and ethical requirements?
Report and document any end-of-life needs or issues or changing needs?
Deliver services in a manner that supports the person's right to choose the location of their end-of-life care?
Observe and document the person's pain and other symptoms?
Use appropriate strategies to support the person with pain management and comfort?
Document effectiveness of pain management strategies applied?
Complete documentation in a timely, accurate and objective manner according to organisational policies and procedures?
Section 2: Assessor observation: simulation (end of life)
You will be observed completing the scenario in the CHCPAL003 Simulation Pack, supporting, reporting and documenting issues and needs of one person receiving palliative care, including:
• supporting the person's needs and preferences in relation to their care
• responding to changing needs and circumstances in the person's care
• following end-of-life care strategies
• providing emotional support to the person, their family or carer as required
• completing documentation in a timely, accurate and objective manner according to organisational policies and procedures.
Regularly check for any changes on individualised plan that indicate decisions made by the person have been reviewed?
Support the person's needs and preferences in relation to end-of-life care?
Provide a supportive environment to the person, their family, carer and others as identified by the person involved in end-of-life care?
Respect and support the person's preferences and culture when providing end-of-life care?
Recognise signs of the person's deterioration or imminent death and dying and report to appropriate member of care team?
Provide emotional support to the family, carer and others when a death has occurred, within scope of own job role?
Complete documentation in a timely, accurate and objective manner according to organisational policies and procedures?
Section 3: Reflective journal
In this section, you are required to provide support to two clients receiving palliative care (these clients should not be at end of life). This will include interaction with their carer, families and loved ones. You will need to be supervised by your supervisor who will endorse the reflections you write in this section. Provide as much detail as you can.
Write a summary of this client with details such as age, background and current condition.
What are the needs of this client? How did you confirm this information?
Who are this person's family, carers and loved ones. Outline the roles they play in this person's life.
Explain how you provided support to the person, their family and carer (and any others as identified by the client) to express needs and preferences.
What information did you need to report to your supervisor?
Explain how you communicated with the person and their family, carer and others in relation to their quality of life, pain and comfort levels.
Sometimes you need to change the way you communicate with people. Explain how you adjusted your communication to meet the specific needs of the person and their family, carer and others.
Describe how you respected the person and their family (and others) as a key part of the care team.
How did you make sure the person and their family (and others) had the information and support they needed?
Explain how you created a supportive environment when discussing and sharing information about the person's quality-of-life choices.
What strategies did you use to encourage the person, their family, carer (and others) during this situation?
When providing support and care to the person, explain how you respected their individuality, values and beliefs.
When working with this person, what types of needs and issues did you identify that were beyond the scope of your job role?
Explain what you did.
Provide a summary of information in the person's advance care directives.
Provide three examples of how you followed the end-of-life decisions as documented and in accordance with legal requirements.
Outline any end-of-life needs or issues or changing needs you came across and how you reported these so they could be documented in the care plan.
Explain how you monitored the impact of the end-of-life needs, issues and decisions on the person's carer/family/loved ones.
What did you do to support them during this time?
Outline the person's pain and other symptoms you noticed when providing care and support to this person. How did you document and report this?
Explain the strategies you used to support the person with pain management and comfort.
What concerns did you report about the use of pain-relieving medication?
Section 4: Critical reflections
You may have found these activities stressful and emotional to undertake due to the subject matter. This is understandable, and you are now given time to reflect and practice self-care.
When you have completed sections 1-3 of your Portfolio, complete this critical reflection.
This section requires you to write some self-reflections once you have finished working with the three individuals.
What do you feel you did particularly well when supporting each person?
What improvements will you make next time you are in a palliative care context?
Reflect on your emotional responses to death and dying. Write down how you feel after working with people in palliative care.
Discuss what you have written above with your supervisor or your assessor. Document the outcomes of the discussion here.
Write down two self-care strategies you will action to support you with your emotions from participating in these assessment activities. After one week, return to this reflection and document how effective these strategies have been.
Your colleagues will also be affected by their work in palliative care. Do some research and identify two sources of bereavement care and support that you and your colleagues could access if needed.