Demonstrate knowledge of support for people living with

Document Sample
Demonstrate knowledge of support for people living with Powered By Docstoc
					NZQA registered unit standard                                                   23923 version 2
                                                                                    Page 1 of 4


Title             Demonstrate knowledge of support for people living with dementia
                  when their behaviour presents challenges

Level             4                           Credits           4


Purpose                      People credited with this unit standard are able to describe
                             potentially challenging behaviour presented by a person living
                             with dementia, and describe the national standard for restraint
                             minimisation and safe practice.


Classification               Health, Disability, and Aged Support > Older Persons' Health
                             and Wellbeing


Available grade              Achieved


Explanatory notes

1       Legislation and codes relevant to this unit standard include:
        Health and Disability Commissioner (Code of Health and Disability Services
        Consumers’ Rights) Regulations 1996;
        Health and Disability Services (Safety) Act 2001;
        Health and Safety in Employment Act 1992;
        Human Rights Act 1993;
        Privacy Act 1993;
        Protection of Personal and Property Rights Act 1988.

2       New Zealand Standards relevant to this unit standard include:
        NZS 8134.0:2008 Health and disability services Standards – Health and disability
        services (general) Standard;
        NZS 8134.1:2008 Health and disability services Standards – Health and disability
        services (core) Standards;
        NZS 8134.2:2008 Health and disability services Standards – Health and disability
        services (restraint minimisation and safe practice) Standards;
        NZS 8134.3:2008 Health and disability services Standards – Health and disability
        services (infection prevention and control) Standards;
        NZS 8158:2003 Home and Community Support Sector Standard;
        SNZ HB 8134.5:2005 Health and Disability Sector Standards – Proposed Audit
        Workbook and Guidance for Residential Services for People with Dementia;
        SNZ HB 8134.6:2006 Best Practice Guidance for Community Services for People
        with Dementia and Proposed Audit Workbook;
        SNZ HB 8163:2005 Indicators for Safe Aged-care and Dementia-care for
        Consumers; available at http://www.standards.co.nz/.




Community Support Services ITO Limited                   New Zealand Qualifications Authority 2011
SSB Code 101814
NZQA registered unit standard                                                   23923 version 2
                                                                                    Page 2 of 4

3     The performance of all outcomes of this unit standard must accord with the
      philosophy of person-centred care (see definition below). Examples of person-
      centred care include the models that are described in the following references:
      Kitwood, Tom. (Nov/Dec 1993). 'Discover the person, not the disease'. Journal of
      Dementia Care, 1(1), 16-17.
      Kitwood, Tom; Benson, Sue; and Bradford Dementia Group. (Eds.). (1995). The new
      culture of dementia care. London: Hawker Publications.

4     Definitions
      Consumer refers to a person accessing services in a health or disability setting in
      either a residential care facility or in a private home – the person’s own or a friend’s,
      group’s, or family member’s.
      Dementia is a term that covers a group of different illnesses with a progressive and
      irreversible loss of mental functioning resulting in a decline in the person’s ability to
      think, reason, and remember. A feature of dementia is the individual and changing
      nature of the cognitive, functional, behavioural, and psychological effects that occur.
      Enablers refers to the voluntary use of equipment by a consumer to assist in
      maintaining independence (NZS 8134.2:2008).
      National standard refers to NZS 8134.2:2008 Health and disability services
      Standards – Health and disability services (restraint minimisation and safe practice)
      Standards.
      Organisation’s policies and procedures are the policies and procedures of the
      employing organisation of the candidate and include ethical codes, standards, and
      other organisational requirements.
      Person-centred care is care that focuses on relationships, communication, and the
      individuality of the person living with dementia. It also focuses on the needs,
      feelings, and abilities that are retained by the person living with dementia.
      Personal restraint refers to a service provider physically holding a consumer.

Outcomes and evidence requirements
Outcome 1

Describe potentially challenging behaviour presented by a person living with dementia.

Evidence requirements

1.1        Potentially challenging behaviour is described.

           Range          potentially challenging behaviour must include – repetitive,
                          wandering, sundowning;
                          potentially challenging behaviour may include but is not limited to
                          – aggressive behaviour, rummaging, hoarding, catastrophic
                          reactions.




Community Support Services ITO Limited                   New Zealand Qualifications Authority 2011
SSB Code 101814
NZQA registered unit standard                                                    23923 version 2
                                                                                     Page 3 of 4

1.2        Factors that may trigger and influence potentially challenging behaviour are
           described.

           Range          may include but is not limited to – changes in the brain,
                          communication style of others, approach by other people, loss of
                          choice, environment, sensory issues, anxiety, cultural factors,
                          service limitations, physical health changes, medication,
                          challenges to self esteem and dignity, loss of independence.

1.3        Strategies to positively manage potentially challenging behaviour are described
           in relation to supporting a person living with dementia.

           Range          includes but is not limited to – behavioural strategies (diversion),
                          individualised service plans, safe social and physical environment,
                          individualised activity plans, avoidance of triggers, time-out,
                          communication techniques, staff education and training,
                          debriefing, stress management;
                          evidence is required of a minimum of six strategies.

Outcome 2

Describe the national standard for restraint minimisation and safe practice.

Evidence requirements

2.1        The different categories of restraint are described in accordance with the
           national standard in relation to supporting a person living with dementia.

           Range          personal, physical, environmental, enablers.

2.2        The way in which a person’s rights are maintained during restraint practice are
           described in relation to supporting a person living with dementia.

           Range          includes but is not limited to – dignity, privacy, support,
                          communication, safety.

2.3        The way in which the organisation’s policies and procedures accord with the
           national standard are described in relation to supporting a person living with
           dementia.

           Range          includes but is not limited to – approval process, documentation,
                          assessment, informed consent, planning, care and monitoring
                          requirements, reporting and recording, evaluation and review.



Planned review date              31 December 2013




Community Support Services ITO Limited                    New Zealand Qualifications Authority 2011
SSB Code 101814
NZQA registered unit standard                                                 23923 version 2
                                                                                  Page 4 of 4

Status information and last date for assessment for superseded versions
Process          Version Date                           Last Date for Assessment
Registration        1            20 March 2008                 N/A
Revision            2            21 January 2011               N/A

Accreditation and Moderation Action Plan (AMAP) reference         0024
This AMAP can be accessed at http://www.nzqa.govt.nz/framework/search/index.do.

Please note
Providers must be granted consent to assess against standards (accredited) by NZQA, or
an inter-institutional body with delegated authority for quality assurance, before they can
report credits from assessment against unit standards or deliver courses of study leading
to that assessment.

Industry Training Organisations must be granted consent to assess against standards by
NZQA before they can register credits from assessment against unit standards.

Providers and Industry Training Organisations, which have been granted consent and
which are assessing against unit standards must engage with the moderation system that
applies to those standards.

Consent requirements and an outline of the moderation system that applies to this
standard are outlined in the Accreditation and Moderation Action Plan (AMAP). The
AMAP also includes useful information about special requirements for organisations
wishing to develop education and training programmes, such as minimum qualifications for
tutors and assessors, and special resource requirements.

Comments on this unit standard

Please contact the Community Support Services ITO Limited
enquiries@careerforce.org.nz if you wish to suggest changes to the content of this unit
standard.




Community Support Services ITO Limited                 New Zealand Qualifications Authority 2011
SSB Code 101814

				
DOCUMENT INFO