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Evidence Guide: CHCPAL001 - Deliver care services using a palliative approach

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

CHCPAL001 - Deliver care services using a palliative approach

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Apply principals and aims of a palliative approach when supporting individuals

  1. Recognise the holistic needs of the person extending over time, not just end-of-life
  2. Support the person, carers and family to express needs and preferences and report information to supervisor
  3. Communicate with the person, carers and family in relation to the person’s quality of life, pain and comfort and report information to supervisor
  4. Respect the family and carers as an integral part of the care team and ensure that they have the information and support needed
Recognise the holistic needs of the person extending over time, not just end-of-life

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Support the person, carers and family to express needs and preferences and report information to supervisor

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Communicate with the person, carers and family in relation to the person’s quality of life, pain and comfort and report information to supervisor

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Respect the family and carers as an integral part of the care team and ensure that they have the information and support needed

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Respect the person’s preferences for quality of life choices

  1. Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences
  2. Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan
  3. Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role
  4. Identify needs and issues outside the scope of your role and refer to supervising colleague
  5. Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support
Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify needs and issues outside the scope of your role and refer to supervising colleague

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Follow the person’s advanced care directives in the care plan

  1. Interpret and follow advanced care directives in the care plan in line with own work role and organisation, legal and ethical requirements
  2. Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements
  3. Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan
  4. Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported
  5. Deliver services in a manner that supports the right of individuals to choose the location of their end of life care
Interpret and follow advanced care directives in the care plan in line with own work role and organisation, legal and ethical requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Deliver services in a manner that supports the right of individuals to choose the location of their end of life care

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Respond to signs of pain and other symptoms

  1. Observe and document the person’s pain and other symptoms in line with care plan directives and promptly report to appropriate member of the care team
  2. Implement strategies to manage pain and promote comfort in line with care plan and role
  3. Regularly evaluate and document effectiveness of implemented strategies
  4. Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication
Observe and document the person’s pain and other symptoms in line with care plan directives and promptly report to appropriate member of the care team

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Implement strategies to manage pain and promote comfort in line with care plan and role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Regularly evaluate and document effectiveness of implemented strategies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Follow end-of-life care strategies

  1. Regularly check for any changes on care plan that indicate decisions made by the person have been reviewed
  2. Provide a supportive environment to the individual, families, carers and /or significant others involved in their care at end-of-life
  3. Respect and support the person’s preferences and culture when providing end-of-life care according to care plan and role
  4. Maintain dignity of the person when providing planned end-of-life care and care immediately following death
  5. Recognise any signs of the person’s imminent death or deterioration and report to appropriate member of care team in line with organisation requirements
  6. Provide emotional support to other individuals, carers, families and /or significant others when a death has occurred in line with role
Regularly check for any changes on care plan that indicate decisions made by the person have been reviewed

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide a supportive environment to the individual, families, carers and /or significant others involved in their care at end-of-life

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Respect and support the person’s preferences and culture when providing end-of-life care according to care plan and role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Maintain dignity of the person when providing planned end-of-life care and care immediately following death

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Recognise any signs of the person’s imminent death or deterioration and report to appropriate member of care team in line with organisation requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide emotional support to other individuals, carers, families and /or significant others when a death has occurred in line with role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Manage own emotional responses and ethical issues

  1. Follow organisation policies and procedures in relation to managing own emotional responses and ethical issues
  2. Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues or reactions with supervisor or other appropriate person
  3. Raise any ethical issues or concerns with supervisor or other appropriate person
  4. Identify and action self care strategies to address the potential impact of personal responses on self
  5. Access bereavement care and support of other team members as needed
Follow organisation policies and procedures in relation to managing own emotional responses and ethical issues

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues or reactions with supervisor or other appropriate person

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Raise any ethical issues or concerns with supervisor or other appropriate person

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and action self care strategies to address the potential impact of personal responses on self

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Access bereavement care and support of other team members as needed

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Follow the person’s advance care directives in the care plan

  1. Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements
  2. Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements
  3. Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan
  4. Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported
  5. Deliver services in a manner that supports the right of individuals to choose the location of their end of life care
Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Deliver services in a manner that supports the right of individuals to choose the location of their end of life care

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Respect the person’s preferences for quality of life choices

  1. Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences
  2. Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan
  3. Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role
  4. Identify needs and issues outside the scope of your role and refer to supervising colleague
  5. Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support
Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify needs and issues outside the scope of your role and refer to supervising colleague

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Follow the person’s advance care directives in the care plan

  1. Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements
  2. Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements
  3. Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan
  4. Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported
  5. Deliver services in a manner that supports the right of individuals to choose the location of their end of life care
Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Deliver services in a manner that supports the right of individuals to choose the location of their end of life care

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Apply principals and aims of a palliative approach when supporting individuals

1.1 Recognise the holistic needs of the person extending over time, not just end-of-life

1.2 Support the person, carers and family to express needs and preferences and report information to supervisor

1.3 Communicate with the person, carers and family in relation to the person’s quality of life, pain and comfort and report information to supervisor

1.4 Respect the family and carers as an integral part of the care team and ensure that they have the information and support needed

2. Respect the person’s preferences for quality of life choices

2.1 Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences

2.2 Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan

2.3 Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role

2.4 Identify needs and issues outside the scope of your role and refer to supervising colleague

2.5 Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support

3. Follow the person’s advance care directives in the care plan

3.1 Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements

3.2 Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements

3.3 Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan

3.4 Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported

3.5 Deliver services in a manner that supports the right of individuals to choose the location of their end of life care

4. Respond to signs of pain and other symptoms

4.1 Observe and document the person’s pain and other symptoms in line with care plan directives and promptly report to appropriate member of the care team

4.2 Implement strategies to manage pain and promote comfort in line with care plan and role

4.3 Regularly evaluate and document effectiveness of implemented strategies

4.4 Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication

5. Follow end-of-life care strategies

5.1 Regularly check for any changes on care plan that indicate decisions made by the person have been reviewed

5.2 Provide a supportive environment to the individual, families, carers and /or significant others involved in their care at end-of-life

5.3 Respect and support the person’s preferences and culture when providing end-of-life care according to care plan and role

5.4 Maintain dignity of the person when providing planned end-of-life care and care immediately following death

5.5 Recognise any signs of the person’s imminent death or deterioration and report to appropriate member of care team in line with organisation requirements

5.6 Provide emotional support to other individuals, carers, families and /or significant others when a death has occurred in line with role

6. Manage own emotional responses and ethical issues

6.1 Follow organisation policies and procedures in relation to managing own emotional responses and ethical issues

6.2 Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues or reactions with supervisor or other appropriate person

6.3 Raise any ethical issues or concerns with supervisor or other appropriate person

6.4 Identify and action self care strategies to address the potential impact of personal responses on self

6.5 Access bereavement care and support of other team members as needed

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Apply principals and aims of a palliative approach when supporting individuals

1.1 Recognise the holistic needs of the person extending over time, not just end-of-life

1.2 Support the person, carers and family to express needs and preferences and report information to supervisor

1.3 Communicate with the person, carers and family in relation to the person’s quality of life, pain and comfort and report information to supervisor

1.4 Respect the family and carers as an integral part of the care team and ensure that they have the information and support needed

2. Respect the person’s preferences for quality of life choices

2.1 Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences

2.2 Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan

2.3 Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role

2.4 Identify needs and issues outside the scope of your role and refer to supervising colleague

2.5 Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support

3. Follow the person’s advance care directives in the care plan

3.1 Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements

3.2 Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements

3.3 Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan

3.4 Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported

3.5 Deliver services in a manner that supports the right of individuals to choose the location of their end of life care

4. Respond to signs of pain and other symptoms

4.1 Observe and document the person’s pain and other symptoms in line with care plan directives and promptly report to appropriate member of the care team

4.2 Implement strategies to manage pain and promote comfort in line with care plan and role

4.3 Regularly evaluate and document effectiveness of implemented strategies

4.4 Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication

5. Follow end-of-life care strategies

5.1 Regularly check for any changes on care plan that indicate decisions made by the person have been reviewed

5.2 Provide a supportive environment to the individual, families, carers and /or significant others involved in their care at end-of-life

5.3 Respect and support the person’s preferences and culture when providing end-of-life care according to care plan and role

5.4 Maintain dignity of the person when providing planned end-of-life care and care immediately following death

5.5 Recognise any signs of the person’s imminent death or deterioration and report to appropriate member of care team in line with organisation requirements

5.6 Provide emotional support to other individuals, carers, families and /or significant others when a death has occurred in line with role

6. Manage own emotional responses and ethical issues

6.1 Follow organisation policies and procedures in relation to managing own emotional responses and ethical issues

6.2 Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues or reactions with supervisor or other appropriate person

6.3 Raise any ethical issues or concerns with supervisor or other appropriate person

6.4 Identify and action self care strategies to address the potential impact of personal responses on self

6.5 Access bereavement care and support of other team members as needed

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

supported, reported and documented issues and needs of 3 people in palliative care

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

philosophy, principles, benefits and scope of palliative care

the needs of people dealing with a life-threatening or life-limiting illness and the emotional impact of diagnosis

cultural, religious and spiritual differences in relation to death and dying

the stages of grief and personal strategies for managing reactions to grief

advance care directives and end-of-life care strategies

pain relief and comfort promotion

nutritional and hydration requirements during a palliative approach

legal and ethical considerations for working in palliative care, including:

dignity of risk

duty of care

human rights

privacy, confidentiality and disclosure

work role boundaries – responsibilities and limitations

relevant policies, protocols and practices of the organisation in relation to the provision of both a palliative approach and palliative care

responsibilities to self and colleagues

various signs of imminent death and/or deterioration

communication strategies to build trust, show empathy, demonstrate support and empowers the person, family, carers and/or significant others