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Part C Case studies Practical placement

 

Simulation will be available for those who are unable to develop and implement community engagement plans at their placement

The following conditions must be met for this unit: 

access to individualised plans and equipment outlined in the plan
relevant risk assessment tools

 

Please find below three (3) care plans.

Read each plan
Kelly
Blair
Esther
Find one area that you could assist each person to engage in their local community.
Make this into this plan
Submit to your trainer

 

Please note:  Your assessor is looking for you to be able to discern 

what each client needs to assist them and
how you could organise this
why you have selected this community engagement

Client 1  Kelly

Community engagement selected

 

Organisation of community engagement

 

Reason for selection

 

 

Client 2 Blair

Community engagement selected

 

Organisation of community engagement

 

Reason for selection

 

 

Client 1 Esther

Community engagement selected

 

Organisation of community engagement

 

Reason for selection

 

 

Care Plan  1 Kelly

Name:

Kelly

Insert Photo here

  Date of Birth:

1995 (22)

Address:

 

Phone:

 

Allergies / Alerts:

Is an asthmatic, requiring use of her inhaler 3 times a day. (Morning, Afternoon, Night)

Kelly can become easily frustrated when things do not go as planned, or become too difficult for Kelly. Kelly will begin to display a quiet/withdrawn personality, though will begin to yell at others if she feels overwhelmed/threatened.

Support Arrangements:

Kelly lives in supported accommodation with 2 other residents. Kelly requires transport assistance to engage in community. Kelly wants an active lifestyle, (shopping, beach, cinema etc), and currently studying cert 3 in Information Technology (externally). Kelly requires limited personal care, (monitoring/guidance during showering and toilet times) and direct support when preparing and cooking meals for breakfast, lunch and dinner.

Medical Conditions/

Disability:

Kelly has Down Syndrome (affecting her intellectual and memory abilities), which has limited her understanding of processes and consequences. Kelly requires basic step by step instructions when attempting an activity, whether she is experienced or not.

Primary form of Communication:

Staff are encouraged to speak with Kelly verbally, providing instructions in basic step by steps. Kelly also enjoys writing these down, so that she has a copy for herself, so staff are required to spend time with Kelly as she creates ‘How To Do’ lists, and uses these to the best of her ability.

Cultural Considerations:

Kelly is a first born Australian, to parents that were both born in Germany. Kelly’s parents speak German and English fluently, though Kelly speaks limited German, and communicates with staff in English.

Preferred format of Support Plan:

As Kelly is engaged in her care, this should be displayed for Kelly to understand. Kelly may also want to create her own, so that she has had ownership over her support and goals. Support is given by staff in intervals throughout the day including morning preparations (inc: personal care and breakfast) transport throughout the day, lunch preparations, and dinner preparations before bed.

Other Relevant Information:

Kelly’s parents are engaged in Kelly’s care, and are in contact with Kelly and Kelly’s team of carers quite regularly. Kelly’s parents also spend 2 full days with Kelly (Friday and Saturday) taking Kelly to their house and/or assisting with any extra needs and family bonding.

 

Contacts

Details

Next of Kin:

Name:

Karen

Relationship:

Mother

Phone:

0400 000 000

Address:

 

Emergency Contact:

(If not next of kin)

Name:

As above

Relationship:

 

Phone:

 

Address:

 

Doctor (GP):

Name:

Dr.

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:

David

Relationship:

Father

Phone:

0400 000 001

Address:

 

Other:

Name:

 

Relationship:

 

Phone:

 

Address:

 

 

About Me

My History

My Hobbies/Interests:

Netflix, shopping and window shopping in the local shopping centre, movies, short course (cert 3 in IT)

My Friends and Social Group/s:

I live with 2 other people, and we enjoy going to the park, beach, shopping centre and movies on Sundays as a group with our carers.

My Education History:

Completed grade 12 at Caboolture Special School in 2015, now studying Cert 3 in IT externally. (may be better suited to classroom though)

My Employment History:

I have not had a job, but would like to get my course finished and start to make a computer game or new app

 

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

(e.g. personal achievements, challenge)

Finishing school was a big achievement to me. Many of my friends finished at the same time, but I unfortunately don’t get to see them anymore. We do talk on the phone, but not enough.

 

My family love me, and want the best for me.

 

I do become frustrated, and prefer my own time so that I can relax. I am usually angry and yell, but if people give me some time and a place to calm down, I feel much better.

 

My asthma scares me, as sometimes I can’t breathe, and can’t find my inhaler.

 

Likes and Dislikes:

Food

All food, especially healthy foods including fruits and vegetables. My parents don’t like me eating too much sugar, so this is monitored during shopping and cooking times.

Music

Anything on the radio

TV

Netflix (including Glee, Riverdale and Pretty Little Liars)

Transport

Supported by my carers and parents.

Clothing

I chose and buy my own clothes when we go shopping. I’m lucky because I have my own budget, and get to choose what I want to wear every day. This means a lot to me.

Holidays

I have only travelled with my family, when I was a little girl. I loved what I saw of Australia and would love to see more.

People

I miss my school friends, as I haven’t seen them for a while now. I have their phone numbers and sometimes we talk on the phone, but not enough.

 

My house mates are good friends and we spend Sundays together in the community with our Carers.

Barriers to delivery of services

 

Referral mechanisms

 

Review of aspirations, needs and preferences

Aspirations:

Finish Cert 3 IT course

Re-engage with old school friends (if possible)

Continue becoming as independent as possible

 

Needs:

Support during meal times

Support during personal care

Support to engage in the community

 

Preferences:

Female staff (young)

Like engaging in the community

Wants to meet/keep friends my age

 

My Support Needs

Health and Wellbeing:

Details about medical needs.

Kelly is an asthmatic, requiring use of her inhaler 3 times a day. (Morning, Afternoon, Night), When Kelly is overwhelmed/stressed, when Kelly has calmed, she may require 2 additional puffs of her inhaler.

 

No additional medication to be administered.

Behavioural Support:

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

Kelly can become easily frustrated when things do not go as planned, or become too difficult for Kelly. Kelly will begin to display a quiet/withdrawn personality, though will begin to yell at others if she feels overwhelmed/threatened.

Physical Support:

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

Kelly requires no support regarding her physical mobility, though guidance and monitoring is essential when Kelly is showering/toileting and cooking, as Kelly can forget important steps in the process. This quite often causes Kelly to become frustrated and upset, and requires additional monitoring support and clean up.

Psycho-social Support:

Details about awareness of danger or risks.

Kelly requires monitoring and supervision during cooking and personal care. Kelly appears aware of many community dangers, and is proactive when discussing concerns with staff.

Communication Support:

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

Kelly has wonderful social skills, and is included in all of her care meetings. Kelly has a great understanding of her limitations, though will endeavour to push herself when practical. Kelly has limited reading, writing and literacy skills, though does like to re-make any processes she must know/follow.

Cultural Support:

Details about cultural sensitivities

 

 

Kelly is a first born Australian, to parents that were both born in Germany. Kelly’s parents speak German and English fluently, though Kelly speaks limited German, and communicates with staff in. English

Other:

 

 

 

My Goals

Long Term Goals

Continue living in supported accommodation

 

Create games or new apps with my IT skills

 

Make and keep good friendships

Short Term Goals

Have done my IT course and maybe start another. (online is difficult, maybe start a local course with classroom assistance)

 

Research more about IT

 

Engage in my community more

 

Make new friends

 

Care Plan  2 Blair

Name:

Blair

Insert Photo here

  Date of Birth:

29.11.1988

Address:

 

Phone:

 

Allergies / Alerts:

 

Blair is allergic to Penicillin.

 

No medication is administered by staff

Support Arrangements:

Blair currently lives with his mother and step-father. Blair’s parents wish for Blair to be as independent from his family as possible, so that they can begin to focus on their plans for their future. This requires budgeting, accommodation and transport support.

Medical Conditions/

Disability:

Blair has an Acquired Brain Injury, due to an incident while he was working. Blair requires a wheelie walker for most of his physical needs. Blair is very intelligent for his age, though learns at a slower pace than others his age, due to his impairment.

Primary form of Communication:

Staff are encouraged to speak with Blair verbally, as Blair understands everything that is said and asked of him. Blair may make notes regarding appointment and support times, in his personal note book, so that he does not forget.

Cultural Considerations:

N/A

Preferred format of Support Plan:

As Blair is engaged in his care planning, this should be displayed for Blair to understand.

Other Relevant Information:

Blair’s mother and step-father have been the primary carers for Blair since his accident. Blair’s mother and step-father feel that it is time to engage Blair in more supported care, and establish a network that will assist him in the future.

 

 

 

Contacts

Details

Next of Kin:

Name:

Martha

Relationship:

Mother

Phone:

0400 000 000

Address:

 

Emergency Contact:

(If not next of kin)

Name:

As above

Relationship:

 

Phone:

 

Address:

 

Doctor (GP):

Name:

Georg Street medical centre

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:

Johnathon

Relationship:

Step-father

Phone:

0400 000 001

Address:

 

Other:

Name:

 

Relationship:

 

Phone:

 

Address:

 

 

About Me

My History

My Hobbies/Interests:

Cars, car racing and car magazines (though legally is not capable of driving), Metallica and other heavy bands (wants to see live music)

My Friends and Social Group/s:

No close friends, interacts with people online in chat rooms about his interests.

My Education History:

Completed grade 12 at Spring Hill High in 2005, no further study attempted.

My Employment History:

Worked as an apprentice roofer (Roof maker) until his accident 9 years ago.

 

 

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

(e.g. personal achievements, challenge)

The day of my accident. I can remember it very clearly, and I still get sad because of it. I can remember being physically fit and capable of being independent, now I can not move around my house with a walker, and can not drive anywhere by myself.

 

When I do get sad, I do like to engage in conversations with people around me to cheer me up. Listening to music makes me feel better also.

 

My mother and step-father are great supports, but it’s time I started to live by myself, or in supported accommodation.

 

Completing high school and getting a job was a huge achievement for me, though due to my accident, I don’t think I’ll be able to work again…

 

Likes and Dislikes:

Food

Hamburgers, pies and pizza. Easy to make (or heat up), as I don’t have any/many cooking skills.

Music

Metallica and other heavy music

TV

Didn’t watch tv until the house got Netflix. Now I watch heaps of the superhero TV series (Flash, Arrow, Supergirl etc)

Transport

Supported by my carers and parents.

Clothing

I chose my own clothing, tshirts are usually band shirts, and I wear long pants to hide the scars on my legs due to my accident. I also wear shoes with Velcro straps as these are easier to put on, due to my limited leg movement.

Holidays

I have not travelled at all, though I am interested and would like to.

People

Only my mother, step-father and younger brother in my life. I use the internet, and chat with people on social pages, though I don’t even know their real names, just their gamer nicknames.

Barriers to delivery of services

 

Referral mechanisms

 

Review of aspirations, needs and preferences

Aspirations:

Live independently, or in supported accommodation, away from family

Engage in the community without my family

Make and keep new friends that are my age, with my interests

 

Needs:

Support to engage in the community

Strategies to engage in the community

 

Preferences:

No preference regarding support staff sex, must have an interest in cars and/heavy music

Begin to engage in the community

Wants to meet/keep friends my age

 

My Support Needs

Health and Wellbeing:

Details about medical needs.

Blair has an Acquired Brain Injury, due to an incident while he was working. Blair requires a wheelie walker for most of his physical needs. Blair is very intelligent for his age, though learns at a slower pace than others his age, due to his impairment.

 

No medication to be administered.

Behavioural Support:

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

Blair can remember the day of his accident very clearly, and he gets sad because of this. He can remember being physically fit and capable of being independent, now he cannot move around his house with a walker, and can not drive anywhere by himself.

 

When Blair does get sad, he likes to engage in conversations with people around him to cheer him up. Listening to music makes him feel better also.

Physical Support:

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

Blair requires a wheelie walker when attempting to move/transport himself. Due to Blair’s accident, he has limited flexibility in his hips and knees, requiring extra support and guidance when moving between rooms or objects.

 

Blair requires no personal care support.

Psycho-social Support:

Details about awareness of danger or risks.

Blair appears aware of many community dangers, and is proactive when discussing concerns with staff.

Communication Support:

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

Blair is capable of discussing his needs and supports with his family and carers. Blair has the ability to read and write well. Blair has limited social interaction, and would like to be involved in the community and social groups more.

Cultural Support:

Details about cultural sensitivities

N/A

Other:

 

 

 

My Goals

Long Term Goals

Living as independently as possible in supported accommodation

 

Make and keep good friendships

 

Get another job

Short Term Goals

Start and finish a short course that could get me a job.

 

Engage in social circles and my community more

 

Make new friends

 

 

 

Care Plan 3 Esther

Name:

Esther

Insert Photo here

  Date of Birth:

22 May (35 years)

Address:

 

Phone:

 

Allergies / Alerts:

Allergy to bee stings. Required to carry an EpiPen at all times.

Esther’s demeanour is usually quiet and calm, but had strong mood swings that she cannot control.  She is physically and verbally aggressive.

Support Arrangements:

Esther is married to Aaron and has a 3 year old son, Benjamin. Esther can move around the community independently. Esther wants an active lifestyle, (shopping, beach, cinema etc).  She is working 2 days a week at Endeavour and wants to undertake training to become a dress maker.

Esther requires limited personal care and support when preparing meals (monitoring/guidance during showering, toilet times and meal times).

Her husband assists for many of these tasks but a support worker is required as he is a business owner who works long hours. Esther cannot be left alone with their son due to her violent mood swings.

Medical Conditions/

Disability:

Esther has an Acquired Brain Injury (ABI) from an attempted suicide. – limits some of her movements but she walks with a limp and her fine motor skills are relatively within normal range.  She has severe mood swings that are difficult to discern the triggers for.  It has been noted that she reacts negatively when she sees a Rabi but becomes gentle around her dog. Esther needs to be reminded of processes but does not need detailed instruction. She requires reminding as short-term memory has been affected by the ABI.

Primary form of Communication:

Staff are encouraged to speak with Esther verbally and to prompt her rather than go into details.,. Esther uses a tablet and enjoys sending emails, messenger and Snapchats to her family and friends. She does tend to forget what is happening so the calendar function has been used with prompts, so she can remember what is happening.

 

Cultural Considerations:

Esther is a first born Australian, to Jewish parents that were both born in Melbourne. Esther’s parents speak Hebrew and English fluently, though Esther speaks fluent Hebrew, and communicates with staff in English. Esther forgets who she is speaking to at times, and will speak in Hebrew to those who can only converse in English. Esther’s husband is Jewish, and they attend synagogue.

Preferred format of Support Plan:

As Esther is engaged in her care, this should be displayed for Esther to understand. Esther may also want to create her own, so that she has had ownership over her support and goals. Support is given by staff in intervals throughout the day including drop off and collection of child, then staying with Esther until husband comes home from work.

Other Relevant Information:

Esther’s parents are engaged in Esther’s care, and are in contact with Esther and her husband.  Esther’s husband spends as much time as he can with her but finds it very difficult due to mood swings. He is frightened that she may become aggressive to their son, so requires someone with her when he cannot be.  Her parents assist when they can

 

Contacts

Details

Next of Kin:

Name:

Aaron

Relationship:

Husbane

Phone:

0400 000 000

Address:

 

Emergency Contact:

(If not next of kin)

Name:

As above

Relationship:

 

Phone:

 

Address:

 

Doctor (GP):

Name:

Shortham Medical Centre

Phone:

32252255

Address:

 

Preferred Hospital:

Name:

Shalom Jewish

Phone:

 

Address:

 

Specialist:

Name:

 

Phone:

 

Address:

 

Chemist:

Name:

 

Phone:

 

Address:

 

Medicare Number:

 

Pension Number:

 

Private Health Insurance:

☐ Yes   ☐ No

Insurance Number:

 

Insurer:

 

Other:

Name:

Miriam

Relationship:

Father

Phone:

0400 000 001

Address:

 

Other:

Name:

 

Relationship:

 

Phone:

 

Address:

 

 

About Me

My History

My Hobbies/Interests:

Dress making, playing with son, and window shopping in the local shopping centre.

My Friends and Social Group/s:

Lives with husband and son, parents assist when they can, Attends Synagogue on Saturdays with family.

My Education History:

Completed university – Bachelor of Arts, eight years ago, now wishing to undertake training to be a seamstress.

My Employment History:

Currently work 2 days a week at Endeavour as part of her rehabilitation, but would like to work from home making clothes.  Would love to be a fashion designer but need the sewing skills and knowledge first

 

 

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

(e.g. personal achievements, challenge)

Completed a University degree straight from school.  Previously worked in the office of a large company which I enjoyed, especially the peer group support.  After I got married I worked in my husband’s business, but I no longer feel comfortable with the responsibilities of this role.

 

My family love me, and want the best for me. I know that I am no longer the same person I was and feel this deeply.  I cannot stop myself when I am in a mood and so want to control this.  I want to try and be who I was

 

I do become frustrated, and prefer my own time so that I can relax. I think I need something to punch so I can take out my frustration over my lack of being able to complete everything that I wish.

 

I always used to draw clothing and loved to play with these drawings, but now I want to take this further.

 

 

Likes and Dislikes:

Food

Kosher food, grew up on Jewish food and loves it.

Music

Classical music

TV

Likes to watch programs about fashion – Project Runway

Transport

Able to move around the city on public transport

Clothing

Dresses self and selects own clothing.  Wants to be able to make them.

Holidays

Has been to Israel and Europe several times.  Family usually take a holiday home during holidays at the beach

 

People

I have limited friends but would like to meet more people but am frightened due to my mood swings that I may hurt someone.

Barriers to delivery of services

 

Referral mechanisms

 

Review of aspirations, needs and preferences

Aspirations:

Train to become a seamstress

Widen friendship base

 

Needs:

Support with young child

Support during personal care

 

Preferences:

Female staff (young and creative)

Playing with child

 

My Support Needs

Health and Wellbeing:

Details about medical needs.

Esther is allergic to bee stings – so must carry EpiPen.  Administer in thigh.

Analgesics for pain relief, can tend to get headaches

No additional medication to be administered.

Behavioural Support:

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

Esther has severe mood swings.  Difficulty discovering triggers may be a chemical imbalance currently being reviewed.  She can get distressed by seeing a Rabi away from the Synagogue.  She does not react at the Synagogue.

Physical Support:

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

Esther requires no support regarding her physical mobility, though guidance and monitoring is essential when Esther is showering/toileting and cooking, as Esther’s balance is poor, and she does need a gentle reminder on the process of cooking on occasions. Esther needs to be moved away from objects when her mood changes as she tends to throw objects.

Psycho-social Support:

Details about awareness of danger or risks.

Esther requires monitoring and supervision with her son, in case she becomes aggressive.  She is aware of this situation and finds it embarrassing but she knows that she cannot change this, at present.

Communication Support:

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

Esther loves technology and uses a tablet constantly. She has great computer skills and can use many different apps including drawing.  She can communicate fluently in two languages – Hebrew and English.

Cultural Support:

Details about cultural sensitivities

 

 

Esther is Jewish and eats Kosha food. Her family take her to the Synagogue on a weekly basis and enjoys all the traditions of being Jewish.

Other:

 

 

 

My Goals

Long Term Goals

Mood swings to become under control

 

Not have to have support for herself with son

 

Become a seamstress using her own designs.

Short Term Goals

Locate and commence course in sewing and dressmaking

 

Become more independent with her child

 

Engage in my community more

 

Make new friends

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
SPEC 3360

 

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