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Case study for Simulated Workshop 2

Leona is a young person with a congenital heart condition in resourced provision for students with physical difficulties, Leona:

cannot walk far without getting out of breath.
takes medication on a daily basis to help alleviate his symptoms.
does a shorter school day
missed a lot of school during Year 10 and Year 11 whilst in hospital, the resulting treatment meant she had to do certain tasks at a slower pace. Birth day is 30 May.
expected grades were likely to be below her academic, practical and vocational abilities.
developed a range of skills working in his father’s delivery business – dealing with customers, invoicing and developing a website for the business.
family support her in all areas and take her everywhere she needs to go but she is rarely away from her mother or father
wants to become independent to eventually move out of home.
Loves to go out with friends and shopping is something she would like to do more of.
she likes working in the office environment and her favourite area is in accounts.  Spreadsheets are easy and enjoyable according to Leona
lives at 34 Tangerine Avenue, Greenwoods. 0488 888 888
Father Tomas, Mother Michelle
GP – Dr Singh, Greenwood medical centre

Read this case study complete the Care plan attached.

You are working in a community service and Leona has just moved to the service post school supports. You will be part of the team working with her.  
 

Part B Simulated Workshop

Client 2

Name:

 

Insert Photo here

  Date of Birth:

 

Address:

 

Phone:

 

Allergies / Alerts:

 

Support Arrangements:

 

Medical Conditions/

Disability:

 

Primary form of Communication:

 

Cultural Considerations:

 

Preferred format of Support Plan:

 

Other Relevant Information:

 

 

Contacts

Details

Next of Kin:

Name:

 

Relationship:

 

Phone:

 

Address:

 

Emergency Contact:

(If not next of kin)

Name:

 

Relationship:

 

Phone:

 

Address:

 

Doctor (GP):

Name:

 

Phone:

 

Address:

 

Preferred Hospital:

Name:

 

Phone:

 

Address:

 

Specialist:

Name:

 

Phone:

 

Address:

 

Chemist:

Name:

 

Phone:

 

Address:

 

Medicare Number:

 

Pension Number:

 

Private Health Insurance:

☐ Yes   ☐ No

Insurance Number:

 

Insurer:

 

Other:

Name:

 

Relationship:

 

Phone:

 

Address:

 

Other:

Name:

 

Relationship:

 

Phone:

 

Address:

 

 

About Me

My History

My Hobbies/Interests:

 

My Friends and Social Group/s:

 

My Education History:

 

My Employment History:

 

 

Are there any significant historical factors that are important to me?

(e.g. personal achievements, challenge)

 

 

Likes and Dislikes:

Food

 

Music

 

TV

 

Transport

 

Clothing

 

Holidays

 

People

 

Barriers to delivery of services

 

Referral mechanisms

 

Review of aspirations, needs and preferences

 

 

My Support Needs

Health and Wellbeing:

Details about medical needs.

 

Behavioural Support:

Details about behaviour (i.e. self harm, repetitious), triggers, strategies.

 

Physical Support:

Details about mobility, transfers, personal care, toileting, movement.

 

Psycho-social Support:

Details about awareness of danger or risks.

 

Communication Support:

Details about verbal skills, written skills, reading, comprehension, social interactions.

 

Cultural Support:

Details about cultural sensitivities

 

Other:

 

 

My Goals

Long Term Goals

 

Short Term Goals

 

 

Attachments

Yes

N/A

Authorised List of Medications or Health Summary

 

 

Seizure Management Plan

 

 

Positive Behaviour Support Plan (PBSP)

 

 

Support Practices Identification and Audit Tool

 

 

Task Hazard Analysis (THA)

 

 

In Home WHS Audit Tool

 

 

 

My Support Plan was completed on:

/         /  20

My Support Plan is due for review by:

/         /  20

 

Client or Family Member / Guardian / Alternative Decision Maker

Name:

 

Signature:

 

Relationship to Client:

(If not client)

 

Date:

/         /  20

 

Service Representative

Name:

 

Signature:

 

Position:

 

Date:

/         /  20

 

Distribution List

Name

Address /  Email

 

 

 

 

Attachments

Yes

N/A

Authorised List of Medications or Health Summary

 

 

Seizure Management Plan

 

 

Positive Behaviour Support Plan (PBSP)

 

 

Support Practices Identification and Audit Tool

 

 

Task Hazard Analysis (THA)

 

 

In Home WHS Audit Tool

 

 

 

My Support Plan was completed on:

/         /  20

My Support Plan is due for review by:

/         /  20

 

Client or Family Member / Guardian / Alternative Decision Maker

Name:

 

Signature:

 

Relationship to Client:

(If not client)

 

Date:

/         /  20

 

Service Representative

Name:

 

Signature:

 

Position:

 

Date:

/         /  20

 

Distribution List

Name

Address /  Email

 

 

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
SPEC 3360

 
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