2. Support the development of a wellness plan for each of the three consumers. This will involve:

• Developing a shared and whole of life understanding for what wellness means for the person
• Collaboratively identifying previously useful approaches, factors and situations that promote and support wellness for the person
• Working collaboratively to decide the type of wellness plan to be completed and the items and areas to be included
• Working collaboratively to identify factors, trigger situations and early signs of unwellness
• Identifying options, potential strategies and the actions the person will take
• Identifying other people to be included in the wellness plan and the actions they will take
• Seeking agreement and consent from others according to legal and ethical requirements
• Documenting the agreed plan

3. Support the development of one advance directive. This will involve:

• Providing information and resources about advance directives, their purpose and legal standing
• Collaboratively identifying the scope of the advance directive to be developed
• Working with the person to decide what service, support, treatment and medication instructions or restrictions are to be included
• Collaboratively developing and documenting specific instructions
• Jointly determining what life management or other instructions are to be included
• Reviewing plan to ensure directive and instructions are clear and unambiguous
• Determining the preferred way to confirm capacity at the time of signing
• Accessing legal and other specialist advice according to scope and nature of directive requirements
• Working collaboratively to identify and locate a suitable willing independent witness
• Identifying with whom and where the directive and any copies will be stored.

4. Identify a situation that requires a debrief, reflective practice or other support and initiate within scope of own job role.