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Evidence Guide: CHCPAL002 - Plan for and provide 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

 

CHCPAL002 - Plan for and provide 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:

 

 

 

 

 

 

 

Plan a palliative approach to individual care

  1. Assist with care planning using a palliative approach to maximise the person’s quality of life and comfort
  2. Identify immediate and potential future care requirements based on the condition or illness of the person
  3. Identify current specialist palliative care requirements if relevant
  4. Ensure planning includes involving and supporting the person, family members, carers and/or significant others
  5. Ensure care plan holistically addresses the person’s needs that extend over time not just end-of-life
Assist with care planning using a palliative approach to maximise the person’s quality of life and comfort

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify immediate and potential future care requirements based on the condition or illness of the person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify current specialist palliative care requirements if relevant

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure planning includes involving and supporting the person, family members, carers and/or significant others

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure care plan holistically addresses the person’s needs that extend over time not just end-of-life

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Support individuals to identify their preferences for quality of life choices

  1. Consult the person, family members, carers and/or significant others to identify and share information regarding current and changing needs and preferences
  2. Respect and account for the person’s lifestyle, social, cultural and spiritual choices and needs in developing the care plan
  3. Ensure the planning process supports the freedom of the person, family, carer and/or significant others to discuss spiritual and cultural issues in an open and non-judgemental way
  4. Demonstrate respect for the roles of the person and carer in planning, delivering care and decision making
  5. Address any issues that are outside scope of own role by referring them to the appropriate member of the care team in line with organisation requirements
  6. Model communication with the person, families, carers and/or significant others that shows empathy and provides emotional support
Consult the person, family members, carers and/or significant others to identify and share information regarding current and changing needs and preferences

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respect and account for the person’s lifestyle, social, cultural and spiritual choices and needs in developing the care plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure the planning process supports the freedom of the person, family, carer and/or significant others to discuss spiritual and cultural issues in an open and non-judgemental way

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Demonstrate respect for the roles of the person and carer in planning, delivering care and decision making

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Address any issues that are outside scope of own role by referring them to the appropriate member of the care team in line with organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Model communication with the person, families, carers and/or significant others that shows empathy and provides emotional support

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with advanced care planning

  1. Assist with the determining of advanced care directives in line with role, organisation, legal and ethical guidelines
  2. Assist with the documentation of advanced care directives in line with the person’s preferences and organisation procedures
  3. Ensure all advanced care directives are communicated and understood by relevant parties in accordance with confidentiality requirements
  4. Actively support the ethical end-of-life decisions agreed by the person and carer, in line with organisation policy and care plan directives
  5. Assist with identifying the person’s ongoing decisions, preferences, needs and issues in relation to end-of-life and document in the care plan in consultation with supervisor or appropriate team member
  6. Observe the impact on the family and carers of the person’s end-of-life decisions, needs and issues and provide support as needed
Assist with the determining of advanced care directives in line with role, organisation, legal and ethical guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with the documentation of advanced care directives in line with the person’s preferences and organisation procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure all advanced care directives are communicated and understood by relevant parties in accordance with confidentiality requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Actively support the ethical end-of-life decisions agreed by the person and carer, in line with organisation policy and care plan directives

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with identifying the person’s ongoing decisions, preferences, needs and issues in relation to end-of-life and document in the care plan in consultation with supervisor or appropriate team member

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe the impact on the family and carers of the person’s end-of-life decisions, needs and issues and provide support as needed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Take action to alleviate pain and other end-of-life symptoms

  1. Plan and document in care plan strategies to maximise comfort in collaboration with supervisor and/or health professional
  2. Assess the person’s need for pain and symptom relief in line with care plan and report to supervisor and/or health professional
  3. Provide pain and symptom relief in line with role, care plan, legislation and organisation policy
  4. Provide appropriate information about the use of pain relieving medication and other treatments to staff, individuals, their family and carers, in consultation with supervisor and/or other health professional,
  5. Observe, report and document effectiveness of interventions for pain and symptom relief
  6. Communicate ineffectiveness of interventions to supervisor and/or other health professional and document
Plan and document in care plan strategies to maximise comfort in collaboration with supervisor and/or health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess the person’s need for pain and symptom relief in line with care plan and report to supervisor and/or health professional

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide pain and symptom relief in line with role, care plan, legislation and organisation policy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide appropriate information about the use of pain relieving medication and other treatments to staff, individuals, their family and carers, in consultation with supervisor and/or other health professional,

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe, report and document effectiveness of interventions for pain and symptom relief

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate ineffectiveness of interventions to supervisor and/or other health professional and document

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to the development and implementation of end-of-life care strategies

  1. Respect and incorporate the person’s preferences including cultural and spiritual wishes when contributing to an end-of-life care plan
  2. Maintain the dignity of the person when planning end-of-life care and immediately following death
  3. Observe any signs of a person’s imminent death and/or deterioration and report to appropriate members of the care team in line with organisation requirements
  4. Provide a supportive environment for the person, families, carers and/or significant others and those involved in their care at end-of-life
  5. Ensure that decisions made by the person, family, carers and/or significant others are reviewed regularly, communicated to staff and updated on the care plan
  6. Identify the emotional needs of other individuals and their families, carers and/or significant others affected when a death occurs and provide the necessary support or referrals in line with organisation requirements
  7. Prepare the person, family, other staff and self for any distressing end-of-life events within own responsibilities
Respect and incorporate the person’s preferences including cultural and spiritual wishes when contributing to an end-of-life care plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe any signs of a person’s imminent death and/or deterioration and report to appropriate members of the care team in line with organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure that decisions made by the person, family, carers and/or significant others are reviewed regularly, communicated to staff and updated on the care plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the emotional needs of other individuals and their families, carers and/or significant others affected when a death occurs and provide the necessary support or referrals in line with organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare the person, family, other staff and self for any distressing end-of-life events within own responsibilities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and manage emotional responses in self and others

  1. Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues with supervisor and/or other appropriate person
  2. Identify and reflect upon potential impact of personal responses on self and others and action appropriately
  3. Inform others about support systems and bereavement care available
  4. Follow organisation policies and procedures in relation to emotional welfare of self, team members, individuals and family
  5. Assist colleagues to debrief and discuss bereavement care
  6. Identify other strategies and resources available for debriefing
  7. Evaluate effectiveness of emotional response strategies
Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues with supervisor and/or other appropriate person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and reflect upon potential impact of personal responses on self and others and action appropriately

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Inform others about support systems and bereavement care available

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow organisation policies and procedures in relation to emotional welfare of self, team members, individuals and family

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist colleagues to debrief and discuss bereavement care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify other strategies and resources available for debriefing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate effectiveness of emotional response strategies

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. Plan a palliative approach to individual care

1.1 Assist with care planning using a palliative approach to maximise the person’s quality of life and comfort

1.2 Identify immediate and potential future care requirements based on the condition or illness of the person

1.3 Identify current specialist palliative care requirements if relevant

1.4 Ensure planning includes involving and supporting the person, family members, carers and/or significant others

1.5 Ensure care plan holistically addresses the person’s needs that extend over time not just end-of-life

2. Support individuals to identify their preferences for quality of life choices

2.1 Consult the person, family members, carers and/or significant others to identify and share information regarding current and changing needs and preferences

2.2 Respect and account for the person’s lifestyle, social, cultural and spiritual choices and needs in developing the care plan

2.3 Ensure the planning process supports the freedom of the person, family, carer and/or significant others to discuss spiritual and cultural issues in an open and non-judgemental way

2.4 Demonstrate respect for the roles of the person and carer in planning, delivering care and decision making

2.5 Address any issues that are outside scope of own role by referring them to the appropriate member of the care team in line with organisation requirements

2.6 Model communication with the person, families, carers and/or significant others that shows empathy and provides emotional support

3. Assist with advanced care planning

3.1 Assist with the determining of advance care directives in line with role, organisation, legal and ethical guidelines

3.2 Assist with the documentation of advance care directives in line with the person’s preferences and organisation procedures

3.3 Ensure all advance care directives are communicated and understood by relevant parties in accordance with confidentiality requirements

3.4 Actively support the ethical end-of-life decisions agreed by the person and carer, in line with organisation policy and care plan directives

3.5 Assist with identifying the person’s ongoing decisions, preferences, needs and issues in relation to end-of-life and document in the care plan in consultation with supervisor or appropriate team member

3.6 Observe the impact on the family and carers of the person’s end-of-life decisions, needs and issues and provide support as needed

4. Take action to alleviate pain and other end-of-life symptoms

4.1 Plan and document in care plan strategies to maximise comfort in collaboration with supervisor and/or health professional

4.2 Assess the person’s need for pain and symptom relief in line with care plan and report to supervisor and/or health professional

4.3 Provide pain and symptom relief in line with role, care plan, legislation and organisation policy

4.4 Provide appropriate information about the use of pain relieving medication and other treatments to staff, individuals, their family and carers, in consultation with supervisor and/or other health professional,

4.5 Observe, report and document effectiveness of interventions for pain and symptom relief

4.6 Communicate ineffectiveness of interventions to supervisor and/or other health professional and document

5. Contribute to the development and implementation of end-of-life care strategies

5.1 Respect and incorporate the person’s preferences including cultural and spiritual wishes when contributing to an end-of-life care plan

5.2 Maintain the dignity of the person when planning end-of-life care and immediately following death

5.3 Observe any signs of a person’s imminent death and/or deterioration and report to appropriate members of the care team in line with organisation requirements

5.4 Provide a supportive environment for the person, families, carers and/or significant others and those involved in their care at end-of-life

5.5 Ensure that decisions made by the person, family, carers and/or significant others are reviewed regularly, communicated to staff and updated on the care plan

5.6 Identify the emotional needs of other individuals and their families, carers and/or significant others affected when a death occurs and provide the necessary support or referrals in line with organisation requirements

5.7 Prepare the person, family, other staff and self for any distressing end-of-life events within own responsibilities

6. Identify and manage emotional responses in self and others

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

6.2 Identify and reflect upon potential impact of personal responses on self and others and action appropriately

6.3 Inform others about support systems and bereavement care available

6.4 Follow organisation policies and procedures in relation to emotional welfare of self, team members, individuals and family

6.5 Assist colleagues to debrief and discuss bereavement care

6.6 Identify other strategies and resources available for debriefing

6.7 Evaluate effectiveness of emotional response strategies

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. Plan a palliative approach to individual care

1.1 Assist with care planning using a palliative approach to maximise the person’s quality of life and comfort

1.2 Identify immediate and potential future care requirements based on the condition or illness of the person

1.3 Identify current specialist palliative care requirements if relevant

1.4 Ensure planning includes involving and supporting the person, family members, carers and/or significant others

1.5 Ensure care plan holistically addresses the person’s needs that extend over time not just end-of-life

2. Support individuals to identify their preferences for quality of life choices

2.1 Consult the person, family members, carers and/or significant others to identify and share information regarding current and changing needs and preferences

2.2 Respect and account for the person’s lifestyle, social, cultural and spiritual choices and needs in developing the care plan

2.3 Ensure the planning process supports the freedom of the person, family, carer and/or significant others to discuss spiritual and cultural issues in an open and non-judgemental way

2.4 Demonstrate respect for the roles of the person and carer in planning, delivering care and decision making

2.5 Address any issues that are outside scope of own role by referring them to the appropriate member of the care team in line with organisation requirements

2.6 Model communication with the person, families, carers and/or significant others that shows empathy and provides emotional support

3. Assist with advanced care planning

3.1 Assist with the determining of advance care directives in line with role, organisation, legal and ethical guidelines

3.2 Assist with the documentation of advance care directives in line with the person’s preferences and organisation procedures

3.3 Ensure all advance care directives are communicated and understood by relevant parties in accordance with confidentiality requirements

3.4 Actively support the ethical end-of-life decisions agreed by the person and carer, in line with organisation policy and care plan directives

3.5 Assist with identifying the person’s ongoing decisions, preferences, needs and issues in relation to end-of-life and document in the care plan in consultation with supervisor or appropriate team member

3.6 Observe the impact on the family and carers of the person’s end-of-life decisions, needs and issues and provide support as needed

4. Take action to alleviate pain and other end-of-life symptoms

4.1 Plan and document in care plan strategies to maximise comfort in collaboration with supervisor and/or health professional

4.2 Assess the person’s need for pain and symptom relief in line with care plan and report to supervisor and/or health professional

4.3 Provide pain and symptom relief in line with role, care plan, legislation and organisation policy

4.4 Provide appropriate information about the use of pain relieving medication and other treatments to staff, individuals, their family and carers, in consultation with supervisor and/or other health professional,

4.5 Observe, report and document effectiveness of interventions for pain and symptom relief

4.6 Communicate ineffectiveness of interventions to supervisor and/or other health professional and document

5. Contribute to the development and implementation of end-of-life care strategies

5.1 Respect and incorporate the person’s preferences including cultural and spiritual wishes when contributing to an end-of-life care plan

5.2 Maintain the dignity of the person when planning end-of-life care and immediately following death

5.3 Observe any signs of a person’s imminent death and/or deterioration and report to appropriate members of the care team in line with organisation requirements

5.4 Provide a supportive environment for the person, families, carers and/or significant others and those involved in their care at end-of-life

5.5 Ensure that decisions made by the person, family, carers and/or significant others are reviewed regularly, communicated to staff and updated on the care plan

5.6 Identify the emotional needs of other individuals and their families, carers and/or significant others affected when a death occurs and provide the necessary support or referrals in line with organisation requirements

5.7 Prepare the person, family, other staff and self for any distressing end-of-life events within own responsibilities

6. Identify and manage emotional responses in self and others

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

6.2 Identify and reflect upon potential impact of personal responses on self and others and action appropriately

6.3 Inform others about support systems and bereavement care available

6.4 Follow organisation policies and procedures in relation to emotional welfare of self, team members, individuals and family

6.5 Assist colleagues to debrief and discuss bereavement care

6.6 Identify other strategies and resources available for debriefing

6.7 Evaluate effectiveness of emotional response strategies

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:

assisted in developing and implementing at least 1 care plan using a palliative approach and communicating effectively and empathetically

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:

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

common life threatening, incurable conditions

emotional impact of diagnosis of life-threatening condition

the palliative approach to care of individuals and their family

the difference between curative and palliative approaches in contributing to individual care planning

cultural and spiritual considerations in relation to palliative care

specialist palliative care

palliative care and dementia

palliative approach for children and young people

impact of loss and grief on individuals, carers and workers and the risk of depression

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

dignity of risk

duty of care

human rights

privacy, confidentiality and disclosure

specific jurisdictional legislation on advance care planning and advance care directives as it applies to the work role

work role boundaries – responsibilities and limitations

pain management and strategies to maximise comfort

hydration and nutrition requirements during a palliative approach and at end-of-life

the various signs of imminent death and deterioration