Task Two: Working with your Maori, Pacific or other client (a client from a culture different to your own) - Health Professionals

You need to submit, along with this completed Assessment Task, a Portfolio of Evidence of the work you have done with your Māori client.

If you do not have access to a Māori client please email nts@inspiring.org.nz.

The client’s Portfolio of Evidence is broken in to three parts:

· PRE QUIT – Building a good relationship.

· QUIT DAY – Working with your client.

· AFTER QUIT DAY – Supporting your client.

Verification

You also need to get a verification / observation form completed as you work with your Maori client from your supervisor or manager. The verification form is on page 4 below.

Note: If it is not possible for you to be observed during a stop smoking session with your client by your manager or supervisor, you can, with your client’s permission, record a voice file of your session with your client and submit an MP3 file to NTS who will act as your verifier.

Contact nts@inspiring.org.nz if you have questions about the verification process.

Before You Begin:

Read through what you need to submit to NTS in your Portfolio of Evidence for your Maori client before you get started.

Instructions are included at the end of this Assessment Task about how to submit them.

Important: In order to comply with the Code of Rights and to keep things private and confidential, black out the name, address, phone numbers, NHI number and any other identifiable personal information about your client on ALL documents you submit. Call the client- CLIENT A (27505 1.1)

Your Portfolio of Evidence for your Maori client

(Note: You MUST provide all the information that is requested)

1. Your client’s Assessment Forms and Case notes: A copy of your Client Assessment forms that you normally use in your role to record your client’s history, personal details, quit plan and the support you provided and other information about the client.

You will need to submit:

· First meeting session Client Assessment form or client case notes.

· At least 4 (four) weeks of your client’s case notes following the first assessment which include at least one post quit date case notes.

The submitted forms need to include all of the following:

· The individual characteristics of the client – age, culture, gender, etc.

· The client’s goals

· The client’s needs

· The client’s strengths and issues

· The client’s resources

· The client’s level of tobacco dependence.

Also include client background factors, which include three of the following:

· Cultural implications.

· History of the client.

· Social factors.

· Economic factors.

· Risk and resiliency factors.

The forms submitted need to show the assessment processes are matched to the characteristics of the client in accordance with your organisation's policies and procedures.

For the purposes of this assessment, you must provide all of this detail.

(27504 1.1, 27505 1.2, 2.1)

STOP SMOKING PRACTITIONER PROGRAMME

(New Zealand Certificate in Health and Wellbeing (Level 3) Support Work, 70 Credits)

2. Client’s Stop Smoking Plan: The Stop Smoking Plan you developed in partnership with your client, which includes the following information:

· A quit date.

· Coping strategies.

· Stop smoking medicines.

· Identification by the client of the personal relapse risk factors.

· Strategies to reduce relapse risk.

· Referral to a medical practitioner for prescription medications (if needed).

· Referral to other interventions and services if needed at this point.

(27505 2.2, 2.3, 2.4, 2.5, 2.6, 27506 1.1, 1.2,

3. Progress Notes: You need to provide evidence that you have documented and reported changes with your client and the client’s progress over a period of time in accordance with your organisation’s processes.

Submitted progress note need to show:

· The changes and progress you observed the client make as a response to your care and your programme.

· How your ongoing support assisted the person to monitor their progress and adjust his/her stop-smoking strategies in accordance with their stop-smoking plan.

· Ongoing support assisted the person to monitor their progress and adjust his/her medication levels as the person's pattern of smoking changed.

· Any collaboration with other professionals and services to support your client to stop smoking that is in accordance with the person's stop-smoking plan.

4. Medicines given: Provide the following information:

A copy of evidence of the medicines this client was given.

(This might be a copy of the record book in which you record the medicines, or it might be your client notes to say you gave the medicines to the client, or it might be in your database of medicines used.)

Clearly label the document/s: YOUR FIRST AND LAST NAME HP Task 2: Medicine Given. (27505 2.6)

Verification / Observation Sheet for a consultation session with your client.

To be completed by your manager or supervisor.

You need to be observed in a meeting with your client. The Verification /Observation form is below. This form is to be completed in pen by your manager. Your manager must EITHER observe you or verify your work with a client during a consultation session.

You need to then scan the form and include it with your portfolio submitted to NTS.

NOTE: If it is not possible for you to be observed during a stop smoking session with your client by your manager or supervisor, you can, with your client’s permission, record a voice file of your session with your client and submit an MP3 file to NTS who will act as your verifier

First and last name of Stop Smoking Practitioner:

First and last name of Verifier/Observer:

Verifier’s/Observer’s role

Employer:

Date:

Did you directly observe this session or are you only verifying it took place?

OBSERVED

VERIFIED

Verifier/Observer - Your signature on this form means you stand behind what you have observed or verified and you will be happy to provide supplemental comments to an external assessor should he or she call you.

Indicate whether the stop smoking practitioner did each of the following by ticking

“Yes”, “No” or “N/A” where allocated.

1. If this client was referred to the stop smoking service was the referral handled correctly? (Use for guideline MOH Smoking Cessation Tier one service specification):

a) Appropriate response time to client

b) Was the response back to the referrer conducted in a timely manner?

YES NO

2. Did the stop smoking practitioner display rapport building skills during the session with the client?

YES NO

3. Did the stop smoking practitioner display listening and reflection skills during the session with the client?

YES NO

4. The form to assess the client was filled out accurately and reviewed by the stop smoking practitioner.

YES NO

5. The treatment programme was explained to the client giving clear expectations – how many sessions, support and medicines.

YES NO

6. Was tobacco dependence discussed in this session?

YES NO

7. Were withdrawal symptoms discussed in this session?

YES NO

8. Was social support discussed in this session?

YES NO

9. The stop smoking practitioner was able to describe in detail each of the following stop smoking medicines correctly to the client.

Circle the stop smoking medicines described and tick ✔ each item that was accurately covered.

Stop smoking medicine.

Described what this medicine is and what it does.

Explained the side effectives for this medicine.

Explained how to use this medicine.

Explained how to access this medicine.

NRT Gum

NRT Lozenges

NRT Mouth Spray

NRT Patches

Varenicline

Bupropion

Nortriptyline

10. If medicines were recommended to the client, did the stop smoking practitioner give an appropriate rationale for the recommendation and was this recorded on the client form?

YES NO

11. The safe storage and disposal of used medicine was explained regarding young children present in the clients home, work or social environment.

YES NO

12. The stop smoking practitioner ensured medication used and any errors were reported and recorded correctly.

YES NO

13. The stop smoking practitioner clearly supported clients to use their medicines correctly and in a manner aligned with their stop smoking plans.

YES NO

14. Was the rationale of Not a Single Puff discussed with the client?

YES NO

15. Was the quit date discussed with the client?

YES NO

16. The cultural needs of the client were addressed during this session’ interactions.

YES NO

17. The client’s stop smoking plan was appropriate for the client.

YES NO

18. The client file notes were completed correctly and met the organisation’s requirements.

YES NO

19. Documented change notes are accurate and effective. The notes:

· Are legible and factual.

· Are written in permanent ink.

· Include the date, time, and signature.

Provide details of condition changes and response to care and adhere to legislative requirements.

YES NO

20. Write a few sentences to describe how well the Stop Smoking practitioner worked with this client on their FIRST APPOINTMENT and provide details to support your statements.

21. Write a few sentences to describe how well, overall, the Stop Smoking practitioner demonstrated a best practice approach to the first appointment.

Signature of approved observer:

PRE-QUIT - Building a good relationships with your Māori client

Go through each of the questions below and provide the answers or the information as requested. The boxes will expand as you type in them.

Your first and last name:

Your email address:

The date you did this assessment:

1. Referral

If the client did not come to you from a referral – explain how they knew to see you:

You need to provide information related to your client regarding each of the items listed below.

Complete the chart below with the answers requested. Your answers must be done in accordance with all related Smoking Cessation Guidelines. (27504 2.1, 2.2, 2.3, 2.4, 2.5)

Read each of the things or items in the left hand column below. Then, in the right hand column write bullet points, or brief sentences to describe how this thing or item affects your client. Don’t put general things but tell us exactly how this real client is affected.

Item/issue/effect

How does this affect your client?

Cues that trigger smoking for this client.

Pretend example:

E.g. When he is at work having to do really stressful stuff he just wants to race outside for a smoke. He needs some time to think so he thinks a break is thinking time, which means to him it is smoke time!

2. Cues that trigger smoking for this client.

3. Causes of past relapse/s for this client.

If your client has tried to quit in the past then they have relapsed. (If no relapse for your client, write: “No relapses”).

4. Which withdrawal symptoms for this client come from nicotine withdrawal? TIP – make sure you have checked this as MANY people include things that are not linked to nicotine.

5. Things the client does to make excuses for smoking.

6. How does smoking impact the client’s budget and how will quitting help?

7. How does smoking impact on this client’s health and how will quitting help?

8. How does smoking impact the client’s social life or circle and how will quitting change this?

9. Who, in the client’s life, is affected by the client’s smoking and how are they affected?

10. Write a few sentences to describe how you prepared your assessment process to suit the client’s age, culture and gender. You also need to make sure you follow your workplace policies and procedures for this. (27505 1.3)

11. Below, show how you supported your Maori client in a way that ensured the client’s values and beliefs were respected.

12. How did you respect the client’s cultural need for partnership, participation and protection?

QUIT TIME - Building a good relationship with your Maori client.

You need to provide your real client with information and advice to help him or her set a quit date. Go through each of the questions and provide the answers or the information as requested. The boxes will expand as you type in them.

13. Consider the smoking cessation information and advice that would best help this client and complete the information. There should be at least three sets of info you discussed. You are welcome to add more. Complete the chart below with the information requested. (27505 2.1 27506 1.1, 1.2)

LIST THE INFO AND ADVICE you gave below.

How does this info’ and advice match his or her goals and needs?

How does this info’ and advice match his or her strengths?

How does this info’ and advice match his or her available resources?

How does this info’ and advice match his or her level of tobacco dependence and previous experience with stopping smoking?

Pretend example:

We discussed how she was going to do xxxx and yyyyy this week.

She needs to make sure she achieves her goal of vvvvv so it is important she just focus on these two things.

When she wants to she can be really strong and committed so these two tasks should be something she can achieve.

No other resources are needed for this so she should be fine.

While she has been a heavy smoker with a high level of dependency this will allow her to do aaaa and bbbb and this will give her the best result.

Treatment programme:

14. What type of programme is supporting this client?

15. List the dates of the support sessions.

Tobacco dependence and withdrawal:

16. How did you measure your client’s tobacco dependence?

17. Describe what you said to the client to describe tobacco dependence and withdrawal.

18. Describe how you knew the client understood what you said about dependence and withdrawal.

19. Describe how you monitored his or her withdrawal symptoms.

20. Describe why it is important to monitor the withdrawal symptoms with this client.

Stop smoking medicines:

21. Which stop smoking medicines did you discuss with this client? Briefly summarise what you said about each.

Name the medicines.

Summarise what you said about each in this column.

22. Which stop smoking medicine did this client use?

23. Describe why this medicine was chosen.

24. How does the client get access to this medicine?

25. Describe what you said to the client about how to use the medicine.

26. Describe the follow-up monitoring process you use for this medicine and how frequently you do this.

27. Describe why it’s important to monitor the use of the medicine for this client.

Social Support: (Quit Buddy, Whanau supporter/s, supportive friend, etc.)

28. What social support did this client tell you they had in place?

29. Describe what you said to your client to explain what social support is and why it’s important.

30. Describe what you did to put the social support in place for your client.

31. CO Monitor: Please write what you would say if you were in a face-to-face service with a CO monitor. Every stop smoking practitioner needs to know and understand the CO monitor.

A. Describe what you would say to the client about the CO monitor.

B. Explain the importance of the CO monitor for the treatment programme for this client or other clients.

32. Quit date:

A. Describe what you said to the client about the importance of a quit date.

B. What date did the client choose?

C. Why did they choose that date?

33. Not a Single Puff: (Or whatever you call the concept of committing to NO cigarettes.)

A. Describe what you said to this client to explain the ‘Not a Single Puff’ concept.

B. What did you do to secure a commitment from your client to quit and follow the “not a single puff” rule? (27505 2.3)

34. With the plan you have designed for this client – describe how it will improve his or her health. (27507 1.6)

35. Were there other professionals such as a GP, Māori or Pacific people’s services, mental health service, Community Corrections, problem gambling service, or alcohol and drug services that you worked with for this client post quit? If so, which professionals were they? (27505 2.5, 27506 2.2)

36. Write a sentence or two to describe the ABC model of brief intervention for tobacco control in the left column. Then write a sentence or two to describe the purpose of this model in the right column. (27504 3.1)

STEP

Who or which service did each step?

What did they do for each step?

A

B

C

Post Quit – Supporting Your Maori Client

37. Describe how you ensured privacy, dignity and autonomy of the client was upheld when you reported the client’s changes.

38. You will have shared your client’s goals and progress with them. How did this make them feel?

39. How did you work with these people to help your client with their quit plan?

40. Describe any side effects or adverse reactions the client had from the medication.

41. What advice or information did you share with your client/s concerning the side effects or adverse reactions to the medication?

Summary

You have now answered questions and compiled evidence to show how you supported your real client who was either of Maori or Pacific descent.

Please scan and save all the documents using the following:

FIRST NAME LAST NAME HP Task 2 (and the name of the document e.g. Client Assessment Forms)

Then email your portfolio attachments and these questions to: nts@inspiring.org.nz