List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice	Yes	No	Comments/feedback
Assist with care planning using a palliative, holistic approach to maximise the person’s quality of life and comfort.
Determine immediate and future care requirements based on the condition or illness of the person.
Ensure planning includes involving and supporting the person, their family, carer and others involved in the person’s care.
Assist with development of strategies that holistically address the person’s needs that extend over time not only end-of-life.
Consult the person, their family, carer and others to establish and share information regarding current and changing needs and preferences.
Respect the person’s individuality, values and beliefs in implementing the care plan.
Demonstrate respect for the roles of the person, their family, carer, or others identified by the person, in planning, delivering care and decision making.
Address any issues that are outside scope of own job role by referring them to the appropriate member of the care team according to organisational policies and procedures.
Communicate with the person, their family, carer and others in a professional manner that shows empathy.
Enable effective advance care directive completion within scope of own job role through encouraging communication between the person, their family, carer, health professionals and others regarding what quality of life means to the person.
Assist with documentation of advance care directives according to the person’s preferences and organisational policies and procedures.
Actively support end-of-life decisions agreed by the person and carer, in line with organisational policies and procedures and individualised plan directives.
Acknowledge the person’s ongoing decisions, preferences, needs and issues in relation to end-of-life care and report changes to supervisor or care team member to ensure that the person’s wishes are respected.
Select and implement strategies within individualised plan to maximise comfort in collaboration with supervisor or health professional.
Identify need for information about the use of pain-relieving medication and other treatments and refer to supervisor or health professional.
Observe, report and document effectiveness of interventions for pain and symptom relief.
Communicate ineffective interventions to supervisor or health professional and document according to organisational policies and procedures.
Identify the emotional needs of the person and their family, carer and others affected when a death occurs and provide the necessary referrals according to organisational policies and procedures, and legal and ethical considerations.
Provide support to the person, their family, carer, others identified by the person and colleagues during stages of end-of-life, within scope of own job role.
Identify and reflect on own emotional responses to death and dying and raise and discuss any issues with supervisor or other appropriate person.
Observe the impact of the person’s end-of-life decisions, needs and issues on their family, carer or others identified by the person and provide referral to support as needed.
Inform the family, carer, colleagues and others about support systems and bereavement care available.
Follow organisational policies and procedures in relation to emotional welfare of self, colleagues, the person, their family and carer.
Determine strategies and resources available for debriefing.

Assessment Cover Sheet

CHCPAL004 - Contribute to planning and implementation of care services using a palliative approach

Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

CHCPAL004 - Contribute to planning and implementation of care services using a palliative approach

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: