CHC33021
Certificate III in Individual Support
Placement Diary (Part 2)
Contents
Task 1 Review Client’s Individualised Support Plan and Relevant Policies and Procedures 4
INDIVIDUALISED PLAN REVIEW CLIENT A 6
INDIVIDUALISED PLAN REVIEW CLIENT B 7
INDIVIDUALISED PLAN REVIEW CLIENT C 10
TASK 2 Meet with Clients and Their Family and Carers 12
Task 3 Facilitate Support Activities with the Client 19
Observation Checklist-Dressing, undressing and grooming 20
Observation Checklist-Assistance with feeding a client 22
Observation Checklist -Perform oral hygiene & care of dentures 24
Observation Checklist-Assistance with showering 25
Observation Checklist-Assistance with toileting and use of continence aids 27
Observation Checklist-Manual handling- transfer between bed and chair 29
Observation Checklist-Manual handling- sit to stand 31
Observation Checklist-Personal aids, equipment and devices 32
Task 4 Monitor Support Activities 34
Client Feedback Form-Client A 36
Client Feedback Form-Client B 38
Client Feedback Form-Client C 40
WORKPLACEMENT OBSERVATION CHECKLIST 42
(To be completed by Student’s RTO Representative) 45
SUBJECT 2: Support Independence and Wellbeing
The assessments in this subject assess the candidate’s practical knowledge and skills in relation to the following units of competency:
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Before you start the assessments in this subject, make sure you have:
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IMPORTANT REMINDER
Remember to ensure your clients’ and co-workers’ privacy and confidentiality at all times. Do not include their real names in your submissions. Use fictitious names instead. Example: If your client’s real name is Jack Smith then replace his name with William Jones or any other fictitious name.
Although you are using fictitious names, the content of your submissions must always be real and factual.
Task 1 Review Client’s Individualised Support Plan and Relevant Policies and Procedures
For this part of the assessment, you are required to review the individualised support/care plan of the person you will be supporting and relevant policies and procedures.
Read all instructions carefully before proceeding.
STEPS TO TAKE Access and carefully review the following:
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED After completing this task, submit the following to your assessor:
Maintain your clients’ privacy and confidentiality. Omit their names and other information that may lead to their identification before submitting this document.
Submit only one set of copies since the same policies and procedures apply in the three instances you will perform this task.
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INDIVIDUALISED PLAN REVIEW CLIENT C |
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Family/Carers (tick all that apply) They will be present throughout the support activities. |
? Client The client’s: |
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? Parent ? Sibling ? Spouse ? Child |
? Relative ? Partner
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Do you have access to this client’s individualised support plan? |
? Yes ? No This is required for the assessment. |
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Overview of the client’s support needs. |
?????Ana Maria is a 25 year old female, diagnosed with chronic health issues including hypertension and diabetes. She requires maintaining a healthy lifestyle while effectively managing her conditions. |
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Aids, equipment, and devices used by the client This is required for the assessment. |
Aids: ?????She uses a blood pressure monitor which help her to effectively manager her hypertension. |
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Equipment: ?????She uses kitchen aids such as portion control tools and measuring cups which helps her to prepare and consumer meals in appropriate portion. |
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Devices: ?????She has a health tracking application on her smart phone which helps her to monitor medication schedules, exercise and diet. |
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Client Needs |
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Physical Needs |
Ana requires regular monitoring of her health conditions and in order to ensure her compliance with dietary restrictions she requires assistance with meal planning and preparation. |
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Social Needs |
She needs to actively participate in support groups which can help her to deal with chronic health conditions as they provide a space for sharing the experiences and emotional support. |
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Cultural Needs |
She has meal preparation needs in order to consider her cultural dietary restriction as well as to make sure that she properly takes her meals while maintaining her health. |
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Spiritual Needs |
She requires access to spiritual care such as meditation or yoga sessions which can support her emotional wellbeing. |
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Needs for Short-term and Long-term Support for healthy lifestyle: |
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Short Term plan |
Long Term Plan |
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The main goal of a support worker is to stabilise her health conditions through proper meal planning, monitoring her health in daily basis and support her in medication management.
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Over the next year, through the plan, a support worker will focus on develop sustainable habits which include regular exercise and a balanced diet which can help in improving her overall health.
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Strengths |
She exhibits a strong commitment to her health and she has a good support network including her parents and friends who motivate her efforts. |
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Weakness |
She often overwhelmed by her health conditions, leading her to not properly comply with her exercise and diet plans. |
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Goal |
The potential goal is to stabilise the Ana’s health conditions over the next year which includes continuous management of her hypertension and diabetes as well as engaging her in regular exercises and developing a health meal plan. |
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TASK 2 Meet with Clients and Their Family and Carers
For this part of the assessment, you are required to meet with the client and their family and carer/s to review and confirm their support requirements, goals, needs, and preferences.
Read all instructions carefully before proceeding.
STEPS TO TAKE
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED After completing this task, submit a copy of your minutes to your assessor.
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Task 3 Facilitate Support Activities with the Client
For this part of the assessment, you are required to facilitate support activities for your client. Your supervisor/assessor need to observe your performance during the placement and sign the checklist in this task.
Read all instructions carefully before proceeding.
STEPS TO TAKE
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
Address your queries and concerns regarding this task. |
Supervisor/Qualified Observer’s Declaration
By affixing my signature in this journal entry, I am attesting that the candidate’s responses above are factual, accurate, and reflect the candidate’s experiences during their vocational placement.
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Supervisor/Qualified Observer’s Signature (must be hand-signed) |
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Date signed |
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Task 4 Monitor Support Activities
For this part of the assessment, you are required to meet with the client to monitor the effectiveness of support activities. You need to conduct a meeting with your client, in the meeting, you need to discuss client’s progress and collect feedback on your performance.
Read all instructions carefully before proceeding.
STEPS TO TAKE
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED After completing this task, submit the following to your assessor:
IMPORTANT
Ensure to omit the client’s name and other sensitive information that will lead to their identification before submitting these documents to your assessor.
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Progress Notes-Client A |
Facility Name: Assistance Name of the client: Aleena Thompson Date of Birth: 12/7/1994 Gender: Female |
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Date & Time: |
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Progress notes:
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Name |
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Signature: |
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Progress note completed by: |
Assistant carer |
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Facility Name: Assistance Name of the client: Nick Johnson Date of Birth: 11/10/1992 Gender: Male |
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Date & Time: |
7 October 2024, 1:00 PM |
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Progress notes:
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Name |
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Signature: |
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Progress note completed by: |
Assistant carer |
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Facility Name: Name of the client: Ana Maria Date of Birth: 15/11/1994 Gender: Female |
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Date & Time: |
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Progress notes:
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Name |
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Signature: |
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Progress note completed by: |
Assistant carer |
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WORKPLACEMENT OBSERVATION CHECKLIST |
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Candidate Name: |
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During this workplace task: |
YES/NO |
The candidate access the client’s individualised plan. |
? YES ? NO |
The candidate reviews the information in the client’s individualised support plan, including client’s support requirements, clients’ goals, needs, preferences and strengths. |
? YES ? NO |
The candidate undertakes support activities to assists clients in addressing their support requirements and goals for their ADLs and manual activities including:
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? YES ? NO |
The candidate arranged aids, devices and equipment’s required by the clients |
? YES ? NO |
The candidate recognises and respects the person’s social, cultural, spiritual differences and physical needs of the clients. |
? YES ? NO |
The candidate confirms with the person’s family or carer about the person’s preference and asks the person which activities they want to participate from the existing and potential new networks. |
? YES ? NO |
The candidate promotes opportunities for participation in activities that reflect the person’s physical needs, cultural needs, social needs, and spiritual needs. |
? YES ? NO |
The candidate avoids imposing their own values and behaviours onto the other person |
? YES ? NO |
The candidate prepares the support activities to be facilitated according to the clients’ preferences contacting the existing network and potential new networks. |
? YES ? NO |
The candidate helps person to access the service delivery independently by explaining the services available, sharing techniques that would enhance self- management, providing access to the request forms for service delivery. |
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The candidate facilitates the participation activities to the clients by accommodating the persons expression of identity as appropriate of their age or stage of life. |
? YES ? NO |
The candidate facilitates the participation activities that reflects their individual physical, social, cultural, and spiritual needs and promotes self-esteem and confidence through use of positive communication. |
? YES ? NO |
The candidate helps the person identify and acknowledge their strengths by:
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? YES ? NO |
The candidate assists the person to identify opportunities to utilise their strengths by :
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? YES ? NO |
The candidate encourages the person to build their independence by:
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? YES ? NO |
The candidate encourages the person to strengthen their independence by:
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? YES ? NO |
The candidate encourages the person to maintain their independence by :
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? YES ? NO |
The candidate follows secure handling of the client’s individualised support plan to maintain the client’s privacy and confidentiality:
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? YES ? NO |
The candidate accesses service policies and procedures relevant to assisting the client in accessing support services and resources. At least one below must be addressed/demonstrated: ? The supervisor provides the candidate with a copy of these service policies, procedures, protocols, OR ? The candidate accesses the policies, procedures, and protocols from the designated record-keeping and retrieval system in the workplace. The assessor to specify below how policies, procedures, and protocols are accessed in the candidate’s workplace: e.g. Intranet, SharePoint, etc. |
? YES ? NO |
The candidate accesses and review the following service policies and procedures, including policies and procedures for:
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? YES ? NO |
The candidate holds the discussion with the supervisor and reviews the individualised plan with the supervisor to confirm his understanding and clarifies any client’s requirements that are outside the scope of their own roles and responsibilities. |
? YES ? NO |
The candidate holds the discussion with the client and their family/carers about the client’s individualised plan. |
? YES ? NO |
The candidate review and confirms the support activities and services to be provided with the client and their family/ carers, gets feedback and insights from them confirms with the supervisor the services discussed are consistent with the clients individualised plan. |
? YES ? NO |
The candidate reviews and confirm the clients’ preferences with the client and their family/carers and ask about other needs and preferences the client has and works with the client to determine their preferred level of participation or involvement in support activities. |
? YES ? NO |
The candidate discusses and confirms with the clients and aids, devices and equipment to be used during the support activities. |
? YES ? NO |
The candidate communicates with the client positively in a manner that builds trust with the client and promote the client’s independence by identifying their strength, self-care capacity and encourage to use mobility aids, as much as they can. |
? YES ? NO |
The candidate promotes the client’s right to informed decision making by encouraging them to raise their concern, ask questions, and get feedback from client regularly to enhance client support services. |
? YES ? NO |
The candidate seeks feedback from client about their strength and areas of improvement; on support activities and whether they meet the needs of clients or not, any changes and improvement can be made on support activities. |
? YES ? NO |
The candidate discusses with the client situations of potential or actual risks that can affect the client’s health, safety and wellbeing and discusses how these risks can be minimised. |
? YES ? NO |
The candidate seeks the client for their feedback and insights n any needs they may not have addressed by current individualised plan and any aids, devices and equipment can help in meet their support goals. |
? YES ? NO |
The candidate communicates with the client in a manner that upholds their self-determination by respecting client’s rights and dignity. |
? YES ? NO |
The candidate documents the client’s health status and physical condition including their level of participation, behaviour of concern, situation of actual and potential risks, and any reportable incidents in the progress notes. |
? YES ? NO |
The candidate refers the clients, additional and unmet needs to the health professional in consultation with supervisor. |
? YES ? NO |
The candidate follows organisational policies and procedures in completing, reporting and documenting all the documents related to the clients. |
? YES ? NO |
The candidate support and assists the person to maintain a safe environment by:
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? YES ? NO |
The candidate explains the importance of having healthy environment and lifestyle to the client. |
? YES ? NO |
SUPERVISOR/ QUALIFIED OBSERVER’S OVERALL COMMENTS |
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Candidate Name and signature: |
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Supervisor Declaration By signing here, I confirm that I have observed the candidate whose name appears above, has been adequately supervised and observed while completing the tasks outlined above.
I confirm that all the information above is true and accurately reflects the candidate’s performance during his/her vocational placement. |
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Supervisor/Assessor’s signature |
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Supervisor/Assessor’s name |
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Date signed |
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Assessor Declaration By signing here whose name appears above, have completed all the documents satisfactorily. I confirm that the information recorded on all Assessment Forms are true and accurately reflects the candidate’s performance during their completion of the workplace task. |
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Assessor’s signature |
????? |
Assessor’s name |
????? |
Date signed |
????? |
END OF PART 2
(Part 2) CHC33021 Placement
Diary V1.1 Page


