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Sarah Brown is 16 and has cerebral palsy and epilepsy. She has been referred to an occupational therapist for weekly speech therapy and fine and gross motor skill training. She has had eight sessions with the therapist. The therapist provides a report about Sarah’s progress to a disability organisation where Shaun works. In the report, the occupational therapist states the following:

Sarah experiences severe articulation problems, which make it difficult for her to speak clearly. There has been no improvement in speech articulation over the eight-week period.
Sarah requires a walking frame for assistance. She cannot walk without the frame. Sarah is making progress, however, by standing for up to a minute confidently without the frame.
Sarah cannot hold a pen to write, or hold cutlery. She cannot grip tightly on objects. There has been no recognisable change during treatment.
Sarah has had three aggressive outbursts during occupational therapy sessions, which has made it difficult to continue with treatment. One session ended early due to Sarah’s behaviour.

Shaun has an appointment with Sarah and her mother, Rebecca. He needs to discuss the current service plan and the question of whether adjustments should be made. During the meeting, Shaun asks for Sarah and Rebecca’s feedback about the current service. Rebecca tells him she is unhappy with the therapist, as she feels she bosses her daughter around and expects too much from her. She also believes the funding can be better used elsewhere. Her suggestion is that Sarah be allocated one-on-one support when in school to support Sarah with all school activities, rather than seeing an occupational therapist weekly, which appears to have no results.

Shaun asks Sarah to complete the client feedback form about the existing service with her mother’s assistance.

At the end of the meeting, Rebecca tells Shaun she is very frustrated by how slowly everything is moving, and how there has been no noticeable improvement in Sarah’s functioning. She says that the services have failed to meet Sarah’s emotional, social and psychological needs. For instance, Sarah has been given no support to improve her ability to form friendships at school. Greater attention should be given to all Sarah’s needs, rather than just her physical needs.

Rebecca tells Shaun that unless quality of service and speed of progress improves, she will move Sarah to another organisation, which can provide faster and more effective service delivery.

1. how can you design and finish client feedback form from the perspective of Sarah and her mother.

2. Explain how shaun should respond to the individual feedback given about his performance during the meeting. 

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NURSING
NURSING NSB105

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