Supporting People with Dementia

Trainee Assessment Supporting people with dementia

Unit standard Version Level Credits

26974 Describe interaction, supports, and reporting for 2 3 8 people with dementia in a health or wellbeing setting

Your name:

Your workplace:

Your date of birth:

National Student Number (NSN), if you know it:

Declaration

 I was told about and understand the assessment requirements and appeals process.  I have prepared my answers myself.  Any evidence I have provided as my own, I produced myself.  I understand that this assessment may be used for moderation and quality control purposes.  I understand that when I achieve this unit standard my result will be registered with the New Zealand Qualifications Authority.

I confirm the above declaration: Yes No Date: Assessment summary (completed by assessor) Trainee's performance summary

Assessment tasks Assessor signature Date achieved

Task 1: The effects of dementia

Task 2: Interaction and support

Task 3: Reporting changes

Unit standard results I have assessed the trainee and confirm the requirements have been met to demonstrate competency in:

Unit standard Version Level Credits

26974 Describe interaction, supports, and reporting 2 3 8 for people with dementia in a health or wellbeing setting

Assessor name: Assessor number:

Signature: Date:

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 2 Trainee information Before you start

 The assessor/verifier will meet with you and talk about what you need to do.  Read through the Careerforce workplace learning and assessment guide if you need more information about the assessment process. As you go

 Follow instructions for each task.  Answer all questions. When you finish

 Make sure you have completed any parts where the assessor/verifier has said you need more work. Appeals If you wish to appeal against the assessment result or process, talk to your assessor. If you are still not satisfied, you can appeal to Careerforce by completing the assessment result appeal form that can be found online at www.careerforce.org.nz/contact/forms Feedback Careerforce regularly reviews our assessment and learning resources. As a user, we would appreciate feedback on how you found it. Feedback can be provided to Careerforce via:  our online feedback form at www.careerforce.org.nz/contact/resource-assessment-feedback  email to [email protected]

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 3 Definitions Dementia refers to a group of symptoms affecting cognition, behaviour and social abilities severely enough to interfere with daily functioning that occurs as a result of physical changes in the structure of the brain. Dementia indicates problems with at least two brain functions, such as memory loss and impaired judgment or language, and the inability to perform some daily activities. Many causes of dementia symptoms exist, such as Alzheimer’s disease or a series of strokes. Early-stage dementia describes the beginning stages of dementia regardless of the age of the person. Early-stage dementia is different to young-onset dementia which describes a person who develops dementia at between 40 to 50 years of age. Cognition refers to the mental processes involved in gaining and applying knowledge and comprehension. These processes include thinking, knowing, remembering, judging, and problem- solving, and encompass language, imagination, sensory perception, planning and the initiation or inhibition of behaviour. Mild cognitive impairment is when the thinking functions of the brain such as memory, language, attention and problem solving are not as good as what they once were but they do not significantly interfere with daily life and are not severe enough to make a diagnosis of dementia. Person-centred support focuses on a person’s individuality, relationships, needs, communication, feelings, and abilities; and takes a holistic view of the person’s situation as the starting point for determining the type and level of support to be provided. Restorative support refers to support based on honouring strengths, maximising independence and supporting active participation based on goals identified by the person and the accomplishment of those goals.

Reading list You must consult the following reference when doing Task 1 and refer to the appropriate parts of it in relation to your work. Appendix 3 may be most helpful. Ministry of Health. (2002). Dementia in New Zealand: Improving quality in residential care – A report to the Disability Issues Directorate. Wellington: Available at www.moh.govt.nz

Search for dementia care on the Ministry of Health website. You will find some more recent publications on dementia there, which may be useful, including:

Ministry of Health. (2013). New Zealand Framework for Dementia Care. Wellington: Available at www.moh.govt.nz

The Careerforce learning guide Dementia Level 3 is also a useful resource.

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 4 Task 1: The effects of dementia For this task, answer the following questions about how early-stage dementia can affect a person. You must consult the Ministry of Health publications on dementia, available at www.moh.govt.nz 1 Describe three differences between the brain of a person with dementia and the brain of a person without dementia.

First difference

Second difference

Third difference

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 5 2 Choose three impacts and describe how this makes a person with dementia behave and think differently.

You can choose from any of the following behaviours:

 memory loss.  loss of initiative.  difficulty in performing familiar tasks.  other changes in personality.  problems with language.  misplacing items.  disorientation in time and place.  sundowning.  poor or impaired judgement.  other behavioural changes.  mood changes.

First impact of dementia:

It affects behaviour and thinking in the following way:

Second impact of dementia:

Third impact of dementia:

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 6 3 Describe four actions a person with dementia is able to do.

Action 1

Action 2

Action 3

Action 4

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 7 4 Describe four actions a person with dementia is unable to do.

Action 1

Action 2

Action 3

Action 4

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 8 5 Describe two changes in verbal communication and two changes in non-verbal communication.

Verbal communication Change 1:

Change 2:

Non-verbal communication Change 1:

Change 2:

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 9 6 Describe the process of diagnosing dementia.

Task 1: Assessor feedback to trainee

When the assessor agrees you have completed this task successfully, they will sign it off on the assessment summary page at the front of this assessment.

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 10 Task 2: Interaction and support EITHER choose a person from your workplace with dementia whom you support; OR base your answers on how you would support a person with dementia. 1 Describe how would you take a person-centred approach to a person with dementia:

 to find a connection with them.  to focus on the person not their dementia.  to communicate with them.  following the person’s personal plan and/or the directives of a clinician.

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 12 2 Describe each of the listed ways in which you could promote self-worth while interacting with a person, their family or whānau, and/or co-carer(s).

Being non-judgemental:

Not labelling:

Respecting the person’s dignity:

Focusing on the positives of what the person can do:

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 13 3 Describe the aims and objectives of two local community support services available to people with dementia.

Do this for both residential services and for home-based services.

Residential services Support service 1:

Support service 2:

Home-based services Support service 1:

Support service 2:

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 14 4 Describe support services that are available to assist in various difficult situations for people with dementia.

Supporting people with dementia (US 26974 v2) Trainee Assessment © Careerforce – Issue 3.2 | January 2016 15 Task 3: Reporting changes 1 Describe what indicators you may observe for the different types of changes you need to report.

Select two of the types of changes in the table below, and describe what you might observe.

Behavioural changes

Cognitive changes

Emotional changes

Physical changes

Social changes

2 What information must your report include, and not include?

Must include:

Must not include: