Appendix H: Subject/Module outline for each subject in the program
Subject/Module Title:
#8 Providing Optimal Support/Care Planning
Subject Length:
28
(hours)
Subject Description (Suitable for School Calendar):
Support of various types is the main function of the PSW. The word appears in the program title. Yet, support is more than providing
help - it relies on a number of factors, not the least of which are skill and sensitivity. Optimal support refers to the ability to provide
sufficient support to assist clients to do what they wish without inhibiting them. This module builds on the materials presented in the
introductory module “Interpersonal Skills”. It identifies the support to be provided and the significance of the support (and of the need
for the support) to the client. Supporting the client to relearn/regain routine abilities and issues of the rights of the client as a receiver
of support will be presented. The support/care plan or service contract is the framework within which the worker provides support to
the consumer/client. The worker must know the purpose of planning, the ways in which planning is done and the persons
(consumer/client, support workers, caregivers and professionals) who are involved. PSWs will learn about implementing parts of the
plan and communicating information accurately and without judgment, as members of the support team. These activities are
conducted in accordance with the guidelines of the employers (agency or consumer/client).
Textbooks/Manuals:
Mosby’s Canadian Textbook for the Support Worker - 2nd edition, 2009, Sorrentino, Wilk & Newmaster
Internet based Resources and Instructor Handouts
Method of Evaluation (e.g., graded homework, quizzes, projects, final examination, et cetera; the type, number, and % value of each)
Type
Quizzes
Assignments
Number
% Value
1
1
50
50
Type
Number
% Value
Type
Number
Teaching Method (indicate number of hours on line after item):
Lecture
Supervised Practical (e.g., clinic)
14
14
Computer Based Learning
Supervised Lab (e.g., computers)
Seminar
Distance Education
Location:
Classroom/Lab (School)
Classroom/Lab (Off-campus)
Does the subject require a final examination or a formal evaluation?
Yes
No
If “yes”, indicate the pass mark ►___70_%_____
Practicum (Off-campus)
% Value
Appendix H – Knowledge and Skill OBJECTIVES
PSW Module #8 Providing Optimal Support / Care Planning (28 hours)
* Excerpted from the Personal Support Worker Training: Outcomes and Module Outlines (with alterations by NACC) documents produced by the
Ontario Ministry of Health and Long Term Care and published by the Ontario Community Support Association (OCSA)
Knowledge (The key elements that a student is expected to know upon completion of subject)
Core Competency - 2. Respect Each Person
1. Know the importance to the consumer/client of any condition or changes in function.
2. Know to support of consumer’s/client’s self-esteem, and to foster a sense of purpose and well being.
Core Competency - 1. Respect Consumer/Client Rights
1. Know that some consumers/clients have diminished ability or interest; know that diminished interest and/or ability in one area
may not suggest diminished interest and/or ability all areas.
Core Competency - 18. Recognize Concepts of Interdependence, Independence
1. Know why/how to encourage the consumer/client to participate in their home and community life, including directing tasks, in
ways meaningful to her/him, keeping worker safety in mind.
Core Competency - 22. Use Concepts of Health Promotion, Maintenance and Rehabilitation
1. Know the concepts of health promotion, maintenance and rehabilitation; know why/how to use these concepts as indicated by
the consumer/client or appropriate professional in care/support provided.
2. Know the barriers to a consumer’s/client’s functioning (physical, social, emotional or cognitive); know how to assist him/her
to address these barriers, within the identified care/support plan.
3. Know the factors that can influence the behaviour of the consumer/client who requires assistance in activities of daily living.
4. Know to assist the consumer/client to maximize their ability and minimize the risk of additional disability, in keeping with the
consumer’s/client’s preferences and the care/support plan.
PSW Module #8 Providing Optimal Support / Care Planning (28 hours) continued
Core Competency - 20. Assist Consumer/Client to Develop Skills
1. Know the definition of their role in working with consumers/clients to develop or regain skills as one of support and
assistance.
2. Know the general characteristics of learners of various ages (child, youth, adult, older adult); know how to relate these
characteristics to the consumer’s/client’s situation.
3. Know the effect fatigue, illness and disability can have on a consumer’s/client’s interest in and stamina for learning.
4. Know the importance of respecting the consumer’s/client’s interest in learning and preference for what, how and when she/he
learns.
5. Know to support the consumer’s/client’s confidence, and to assist in clarifying goals and removing obstacles.
Core Competency - 12. Aware of Strengths and Limitations
1. Know the possible effect of their strengths and limitations relative to the quality of support provided to the consumer/client.
2. Know own needs to maintain/enhance own skills and knowledge, and when to seek opportunities to meet those needs.
Core Competency - 19. Contribute to Care/Support Plan or Service Contract
1. Know the purpose of the support/care plan or service contract, and know the common types of plans/contracts.
2. Know the role and extent of worker’s participation in the plan or contract, and that the role and extent may vary from person to
person.
3. Know the components of a team (or multidisciplinary) approach to the development, implementation and revision of a plan or
contract.
4. Know how to assist other members of the team in identifying the consumer’s/client’s needs and identifying/evaluating
techniques to meet those needs.
5. Know to support the consumer’s/client’s participation in planning the services to be provided, and to encourage the
consumer/client to identify preferred techniques and priorities.
6. Know why/how to implement the portions of the support/care plan or contract as delegated.
Appendix H – Knowledge and Skill OBJECTIVES
PSW Module #8 Providing Optimal Support / Care Planning (28 hours) continued
7. Know how to accurately/objectively observe/record +ve & -ve effects of the support plan, changes in consumer/client
conditions/circumstances, & to communicate observations to members of support team.
8. Know how to complete accurate documentation for narrative, behavioral and problem oriented charting.
9. Know how to use basic computer skills to navigate from one program to another and within a program.
10. Know basic data entry skills.
11. If part of id’ed supp/care plan or req by consumer/client/health prof know: accurately measure/rec height/weight, take/rec
pulse/resp/oral/axillary temp, take actn id’ed in care plan, rec input/output.
12. Know procedures not taught w/in PSW prog requires training by appropriate prof prior to its use, including but not ltd to:
taking blood press/rectal temp, & other procedures govrnd by Reg Health Prof Act.
13. Know to discuss with the appropriate person any concerns with regard to these procedures.
Skill (the key behaviours that a student is expected to be able to perform upon completion of subject)
Core Competency - 2. Respect Each Person
1. Explain the importance to the consumer/client of any condition or changes in function.
2. Demonstrate support of consumer’s/client’s self-esteem; foster a sense of purpose and well being.
Core Competency - 1. Respect Consumer/Client Rights
1. Explain that some consumers/clients have diminished ability or interest; explain that diminished interest and/or ability in one
area may not suggest diminished interest and/or ability all areas.
Core Competency - 18. Recognize Concepts of Interdependence, Independence
1.
Describe how to encourage the consumer/client to participate in their home and community life, including directing tasks, in
ways meaningful to her/him, keeping worker safety in mind.
Appendix H – Knowledge and Skill OBJECTIVES
PSW Module #8 Providing Optimal Support / Care Planning (28 hours) continued
Core Competency - 22. Use Concepts of Health Promotion, Maintenance and Rehabilitation
1. Describe the concepts of health promotion, maintenance & rehabilitation; explain why/how to use these concepts as indicated
by the consumer/client or appropriate professional in care/support provided.
2. Identify barriers to a consumer’s/client’s functioning (physical, social, emotional or cognitive); explain how to assist him/her
to address these barriers, within the identified care/support plan.
3. Describe the factors that can influence the behaviour of the consumer/client who requires assistance in activities of daily
living.
4. Describe how to assist the consumer/client to maximize their ability and minimize the risk of additional disability, in keeping
with the consumer’s/client’s preferences and the care/support plan.
Core Competency - 20. Assist Consumer/Client to Develop Skills
1. Define their role in working with consumers/clients to develop or regain skills as one of support and assistance.
2. Identify general characteristics of learners of various ages (child, youth, adult, older adult); relate these characteristics to the
consumer’s/client’s situation.
3. Describe how the effect of fatigue, illness and disability can have on a consumer’s/client’s interest in and stamina for learning.
4. Demonstrate respect for the consumer’s/client’s interest in learning and preference for what, how and when she/he learns.
5. Explain how to support the consumer’s/client’s confidence, and to assist in clarifying goals and removing obstacles.
Core Competency - 12. Aware of Strengths and Limitations
1. Describe the possible effect of their strengths and limitations relative to the quality of support provided to the consumer/client.
2. Identify own needs to maintain/enhance own skills and knowledge; seek opportunities to meet those needs.
Core Competency - 19. Contribute to Care/Support Plan or Service Contract
1. Identify the purpose of the support/care plan or service contract; recognize common types of plans/contracts.
2. Identify the role and extent of worker’s participation in the plan or contract; recognize that the role and extent may vary from
person to person.
Appendix H – Knowledge and Skill OBJECTIVES
PSW Module #8 Providing Optimal Support / Care Planning (28 hours) continued
3. Identify the components of a team (or multidisciplinary) approach to the development, implementation and revision of a plan
or contract
4. Describe how to assist other members of the team in identifying the consumer’s/client’s needs and identifying/evaluating
techniques to meet those needs.
5. Explain how to support the consumer’s/client’s participation in planning the services to be provided, and to encourage the
consumer/client to identify preferred techniques and priorities.
6. Explain why/how to implement the portions of the support/care plan or contract as delegated.
7. Explain how to accurately/objectively observe/record +ve & -ve effects of the support plan, changes in consumer/client
conditions/circumstances, & to communicate observations to members of supp team.
8. Demonstrate accurate documentation for narrative, behavioral and problem oriented charting.
9. Demonstrate how to use basic computer skills to navigate from one program to another and within a program.
10. Demonstrate basic data entry skills.
11. Be able to perfrm if id'ed supp/care plan/req by consumer/client/health prof: accurately measr/rec height/weight, take/rec
pulse/resps/oral/axillary temp, rec input/output, take act id'ed in care plan
12. Id procedures not taught w/in PSW prog requires training by appropriate prof prior to use, including but not ltd to: taking blood
press/rectal temp, & other procedures govrnd by Reg Health Prof Act.
13. Identify and discuss with the appropriate person any concerns with regard to these procedures.
Appendix H - SUBJECT/MODULE OUTLINE
Time
Main Topic
Sub-Topics
PSW Module #8 Providing Optimal Support / Care Planning (28 hours)
Relative
Value in %
28 Hours
0.5 hour
1.
Review
(a) Terminology (activities of daily living, disability, prosthesis, rehabilitation, restorative care,
support care plan, multidisciplinary, priorities, delegate)
(b) Client/Resident rights
(c) Independence and Interdependence
(d) Activation
(e) Care Plans
2%
3 hours
2.
Rehabilitation of the Whole Person
(a) Role of Rehabilitation and Restorative Care
(b) Common Health Problems Requiring Rehabilitation
(c) Physical Aspects of Rehabilitation
(d) Barriers to Rehabilitation - physical, psychological, social
(e) Characteristics of Learners Across the Lifespan
(f) Benefits of Rehabilitation
(g) Importance of Daily ROM
(h) Motivation of the Client and Encouraging Independence
(i) Economic aspects of Rehabilitation
(j) Self-help Devices
(k) Rehabilitation team
(l) Rehabilitation Services and Programs
(m) Following the Care Plan
(n) Quality of Life
(o) Balancing Intrusiveness, Effectiveness and Self-determination
(p) Recording Improvement in Client Capabilities
10%
Appendix H - SUBJECT/MODULE OUTLINE
Time
Main Topic
Sub-Topics
PSW Module #8 Providing Optimal Support / Care Planning (28 hours)
Relative
Value in %
1 hour
3.
Assisting a Person to Practice Skills
(a) Role of the Worker in assisting to develop or regain skills
(b) Effect of Client Fatigue, Illness and Disability
(c) Respecting Consumer/Client Learning Preferences
(d) Clarifying Goals
(e) Removing Obstacles
4%
1 hour
4.
Admissions, Transfers and Discharges
(a) Preparing a Resident’s Room
(b) Admitting a Resident
(c) Transferring a Resident to Another Room or Floor
(d) Discharging a Resident
4%
0.5 hour
5.
Height and Weight
(a) Measuring and recording height and weight
2%
2 hours
6.
Circulatory and Respiratory Systems
(a) Structure and function of the heart and blood vessels
(b) Structure and function of the nose, pharynx, larynx, trachea, bronchi, bronchioles, pleura,
lungs, diaphragm
7%
Appendix H - SUBJECT/MODULE OUTLINE
Time
Main Topic
Sub-Topics
PSW Module #8 Providing Optimal Support / Care Planning (28 hours)
Relative
Value in %
5 hours
7.
Measuring Vital Signs
(a) Temperature
• normal ranges (infant/child/adult)
• type of thermometers (glass/electronic/tympanic/disposable/temperature sensitive tape)
• procedure for taking and reporting temperature (oral, rectal, axillary, tympanic)
(b) Pulse
• pulse sites (temporal, carotid, apical, brachial, femoral, popliteal, pedal)
• normal ranges (infant/child/adult)
• using a stethoscope (apical pulse)
• terminology (rate, rhythm, force)
• procedure for taking and recording pulse
(c) Respiration
• normal ranges (infant/child/adult)
• procedure for taking and recording respirations
(d) Blood Pressure
• normal ranges
• factors affecting blood pressure (age, gender, blood volume, stress, pain, exercise,
weight, race, diet, medications, position, smoking, alcohol)
• equipment required to take and record blood pressure
• measuring blood pressure (guidelines)
• taking and recording blood pressure
18%
10 hours
8.
Charting and Computer Fundamentals for PSWs
(a) Observing – what and when to chart, how to chart (subjective vs. objective documentation)
(b) Narrative Charting
(c) Problem Oriented Charting (SOAP etc.)
(d) Behavioural Charting
(e) Computer Hardware – CPU, monitor, keyboard, mouse printer
35%
Appendix H - SUBJECT/MODULE OUTLINE
Time
Main Topic
Sub-Topics
8.
5 hours
9.
PSW Module #8 Providing Optimal Support / Care Planning (28 hours)
Relative
Value in %
Charting and Computer Fundamentals for PSWs (continued)
(f) Turning the Computer On and Off
(g) Accessing Programs and Moving from One Program to Another
(h) Computer Applications in Charting – navigating the screen, data bases, data entry
(i) Common Computer Problems
(j) Using the Internet – E-mail, search engines
Skills Review
(a) Positioning
• Fowler’s, supine, prone, lateral, Sims’, chair positioning
(b) Exercise and Activity
• bed rest
• positioning (bed boards, foot boards, rolls, pillows, transfer boards)
• exercise and activity, joint movement and Active Range of Motion (neck, shoulder,
elbow, wrist, thumb, fingers, hip, knee, ankle, foot, toes)
(c) Ambulation/Mobility
• one and two person lift/mechanical lift
• cane walking
• crutch walking
• walker
• wheelchair
(d) Continuous Learning
• how strengths and limitations affect support
• maintaining skills and knowledge
• opportunities for life long learning
(e) Procedures Requiring Additional Training
• procedures governed by Professional Acts and Legislation
• seeking information on procedures
18%