Professional Documents
Culture Documents
SA5387
SA5387
of complex needs and in the delivery of disability support services. Match each to the correct
description of their role in disability support. Write the letter of the correct answer in the space
provided.
Network Description
☐ Make decisions based on what you think is best for the client.
☐ Support the client to achieve control and freedom of choice in their life.
Carers are the ones who must make choices and decisions for people with
☐
disabilities, whatever the context and situation.
Empowerment involves letting the person with disability make choices and
☐ decisions without giving them the skills, resources, authority, opportunity and
motivation that they need to meet their needs and goals.
The person with disability must be held responsible and accountable for the
☐
outcomes of their actions.
Principle Description
☐ Equality of opportunity
Respect for the evolving capacities of children with disabilities and respect for
☐
the right of children with disabilities to preserve their identities
☐ Non-discrimination
☐ Inaccessibility
Understanding that the support worker and health professionals know better
☐
about the lives of people with disabilities.
Service planning and delivery must focus on the individual’s strengths, interests,
☐
abilities and knowledge rather than their limitations.
The client should be the authority on what they want and need, as well as the
☐
ways these can be achieved.
Clients must be supported to envision a more independent life for them in the
☐
future.
☐ Contributing to a culture that values the carer and health professionals only.
Providing services that address and meet the cultural, physical, religious,
☐ economic, social, developmental, behavioural, emotional and intellectual
differences between individuals.
☐ Ignoring clients’ religious beliefs and the preferences that result from these
A worker tells you that another worker is not helping her with supporting the
☐
client
A client tells you that a worker locked them in their room when they did not
☐
complete a chore they were asked to do
A client tells you that they do not like one of the other client’s at the day
☐
program that they attend
A client tells you that their meal was taken away from them when they took too
☐
long to eat it
A client tells you that a worker pulled their hair whilst assisting with personal
☐
hygiene because they would not sit still
Sebastian is a homeless war veteran who has lost both legs during service. He is
☐
also a heavy drinker.
☐ Lily has cystic fibrosis. She has recently been diagnosed with major depression.
☐ Jenny is legally blind and has lately been prohibited from driving.
☐ Troy has autism and has recently been diagnosed with bipolar disorder.
Tom has an acquired brain injury and lives in a place that is quite far from the
disability support services that he needs. His condition has also significantly
☐
affected his ability to communicate and socialise; he has not been out of his
room for months.
Give two (2) examples of disabilities or conditions that fall under each type.
Physical disability These are disabilities that may affect, either Cerebral palsy.
temporarily or permanently, a person's physical
Spinal cord injury
capacity and/or mobility. Any kind of physical
condition which significantly affects a single life
activity or more is physical disability. The types of
disabilities and their causes and their impact on the
life of a person are wide and almost endless.
People with disabilities experience significant barriers in their lives, from the
☐ stigma that may accompany disability to the physical difficulties they may
encounter. These may contribute to clients experiencing depression.
People with disabilities are more likely to catastrophise pain. This means that
☐
they view situations and potential causes of pain in a more negative manner.
The bullying, abuse or neglect that people with disabilities experience do not
☐
affect their mental health at all.
Some people with disabilities have low self-efficacy—that is, they have little to
☐ no confidence that they can control their thinking, behaviour and social
environment.
☐ Facial features
☐ Appetite
☐ Malnutrition
☐ Sleeping arrangements
☐ Chronic diseases
☐ Family circumstances
☐ Swallowing difficulty
Some conditions like a cleft palate or cystic fibrosis may lead to poorer
☐
nutritional intake.
People with certain disabilities, like people with mobility problems, may have
☐
specific nutritional needs.
Lack of knowledge among carers may contribute to the person with disability
☐
having nutritional deficiencies.
☐ Stigma and discrimination may lead to a person with disability being fed less.
Diabetes People with diabetes are almost double at the risk of having a
heart disease and are more likely to develop disorders like
depression. Plan a good combination of starches, fruits and
greens, proteins and fats for each meal as much as possible.
Particular attention should be paid to the type of carbohydrates
to choose from.
Swallowing difficulties The disability would require the client to adjust the types of foods
eaten by him/her. Moreover, use of a thickening agent in drinks,
which is helpful if the client is having a hard time swallowing
liquids.
Cystic fibrosis The health care professional must advice the client with cystic
fibrosis to consume foods rich in protein, like meat, eggs, soy
foods, fish, nuts, or beans as about 15% to 20% of the calories a
come from them.
Food allergies The support worker must ensure to advice the client to consume
only those food products which suit his/her dietary needs based
in the allergenic food items restricted for them.
People with disabilities who are bedridden or use a wheelchair are at risk for
☐
developing pressure sores.
☐ People with spinal cord injuries are likely to have bowel and bladder problems.
☐ Health problems can only be identified by doctors and other health specialists.
Because of their conditions, people with disabilities also experience other health
☐
problems such as injuries, fatigue, pain, and overweight and obesity.
Pain never affects the functioning and activities of daily living of people with
☐
disabilities.
Bladder problems
Dysphagia
Brain tumor
Hypothyroidism
Slowed thinking
People with disabilities sometimes demonstrate behaviour that may put at risk
☐
their own health and safety or the health and safety of the people around them.
Behaviours that pose a risk to themselves and to others may range from less
☐ serious (challenging behaviour) to very serious (behaviour of concern). However,
‘challenging behaviour’ is the more commonly used term for both.
☐ Clients often act out and display challenging behaviour for no reason.
The most common way of dealing with challenging behaviour is through positive
☐
behaviour support.
Fred, a young boy with autism, is a respite care client. Whenever the support
☐ worker arrives in his home, he starts picking and scratching his skin until it
bleeds.
Leo has cerebral palsy and is introverted. He enjoys reading and watching TV
☐
shows.
Marcus suffers from schizophrenia. One day, he slashes his wrists because of a
☐
voice telling him to harm himself.
Jane has suffered from crippling clinical depression throughout her life. She has
☐
recently tried to commit suicide. This is her fourth attempt in five years.
N if it is not an approach used in assessing people with complex and/or special needs.
N WHS assessment
Remember that an issue refers to big-picture problems that people may discuss and debate about,
while a challenge is a task or an activity that requires great mental or physical effort to accomplish.
Some examples are provided below.
Issue Solution/Strategy
Social isolation of people with Support your organisation in collaborating with your
disabilities local community to come up with more activities which
people with disabilities can join and participate in.
Challenge Solution/Strategy
Finding a suitable community Ask the client what their interests are and find any
activity to participate in suitable community activities they can enjoy
participating in.
Being teased and taunted In case of bullying or teasing the client must approach the
local community organisations for support services and
must participate in remedial practices such as getting a
companion for avoiding being teased
Lack of relevant assistive technology The governmental responsible for the maintenance of
support of people with disability must step forward in
providing technological products that are easily affordable
and effective.
Challenges Solution/Strategy
Economic challenges faced by the The clients must be provide with the appropriate
clients resources and must be given equal access to the programs
of general empowerment.
Difficulties in finding adequate This may be overcome by providing the necessary assistive
transportation facilities aid to the client which is easily assessable and convenient
for them to travel independently.
Complete the table on the next page. For each aspect of developing and managing individualised plans, you must:
briefly explain how the policy and procedure cited can be applied in developing and managing individualised plans.
Privacy and confidentiality Lotus Compassionate Care is All personal information is protected The client’s files and records, including
committed to protecting clients’ from loss, modification and misuse. their person-centred plan, progress notes
right to privacy and confidentiality by and meeting minutes of planning and
keeping personal information in a review meetings should be kept in a safe
secure place and only accessible for place.
authorised use.
Record keeping and reporting Lotus compassionate care is Require the supervisor to maintain The disability support worker must
committed in providing possible written records of the content and ensure that any personal details in files or
measures by the staff by taking outcomes of each client assisting written records are kept secure and in
immediate actions against any risks session. locked cupboards or filing cabinets.
and hazards.
Role of other health The health care organisation is Plans are developed to reflect the The support providers must ensure that
professionals committed towards delivering a client’s strengths, wishes, the plans proposed for the client better
person centred approach and to preferences, future goals and health are supervised weekly or when
uphold the client’s rights to self- support requirements. The plan is required.
determination. regularly monitored and reviewed to
ensure the client’s needs are
continually meet.
Instructions to Candidate
These case studies are hypothetical situations which will not require you to have access to a
workplace, although, your past and present workplace experiences may help with the responses you
provide. You will be expected to encounter similar situations to these in the future as you work in
providing person-centred services in the disability support setting.
In real life, disability support workers will be required to develop, implement and monitor service
responses with a person with disability in different contexts. Occasionally, this will entail developing
and implementing services for clients with complex or special support needs. This assessment will
help you demonstrate skill requirements in such situations.
Lotus Compassionate Care is a non-profit organisation providing services to the Cascade Peak
community and is committed to providing the highest quality of care and support. Their role is to
assess and provide support to meet the needs of people with disabilities, seniors and their carers
living in the community.
For the purpose of the following case studies, assume that you are a disability support worker
employed by Lotus Compassionate Care. As a Lotus Compassionate Care support worker, you are
required to perform all your tasks according to the organisation’s policies and procedures, as well as
the legal and ethical frameworks relevant to disability support. In particular, all tasks from here on
out must be performed according to the organisation’s quality system as set out in Lotus
Compassionate Care’s handbook.
The Lotus Compassionate Care handbook can be accessed through the link below.
You may refer to this document for guidance in carrying out the tasks that follow.
For the purpose of this assessment, all case study scenarios are based in your state/territory.
SCENARIO
Francis Weasley is an 18-year-old man involved in a bike accident last year. As a result, Francis had
an acquired brain injury which led to sustained physical and cognitive impairment. Among the
physical and cognitive impairments he now experiences are limited mobility, as well as some
trouble constructing complete sentences. Because of this, he often stays inside his room for days
at a time, without going out. He has also stopped meeting with his friends because he is
embarrassed that he can’t talk to them properly anymore. To make things worse, his friends laugh
when he struggles to complete the simplest sentences or when his mother has to accompany and
assist him when going out with them. This makes him sad. Because of this, he has vowed to
improve his mobility and speech issues at all costs.
His mother, Sally, quit her job after the accident. She has been caring for him at home on a full-
time basis since the accident. Sally is his sole carer since they have no other relatives who live in
the area. This past year, Sally has been so busy taking care of Francis that she has had very little
chance to go out as well. Her friends have been reaching out to her for months, inviting her out for
coffee and dinners. However, she has refused them all.
It is obvious that the situation is starting to take a toll on Francis and his mother, Sally. A loud,
cheerful boy in the past, Francis has become sullen and withdrawn. Sally has likewise become very
irritable and stressed—it takes very little to upset and tire her out. What’s worse is she often takes
out her frustration on Francis.
One day, Sally had a fight with one of her friends who complained about not seeing her anymore.
Upon seeing his mother crying, Francis finally initiated a conversation about their current
arrangement. He suggested that they find a way to lighten Sally’s responsibilities in supporting
him. It was then that they decided Francis will apply for respite care services from Lotus
Compassionate Care.
Answer the following questions about Francis’s support needs based on the given scenario.
Give the two (2) needs that Francis has because of his primary condition or disability.
Francis has:
Give the two (2) other co-existing support needs that Francis has based on the scenario.
Francis has developed the following needs because of his acquired brain injury:
sullen and
withdrawn
What are specific problems that Francis is facing? Give at least two (2). These must be stressful
and/or difficult matters in Francis’s situation that must be solved and overcome.
What are the specific issues that Francis is facing? Give at least two (2). These must be big-picture
problems in Francis’s situation that may be discussed and debated but not necessarily solved.
What are the specific challenges that Francis is facing? Give at least two (2). These must be any
difficulties in Francis’s situation that may test his ability, as well as the carer’s and the support
worker’s.
Francis is having difficulties in carrying out physical activities as he is experiencing limited mobility.
Francis is embarrassed to meet his friends and fears of being the victim
Sally is Francis’ carer, Francis has to face her anger because she has become irritable and stressed
Francis has developed physical and cognitive impairment which has restricted his mobility and
affected his capabilities of speech. Sally being his carer had to quit her job and accompany Francis
everywhere he goes. This has made Sally a lot busier due to which she has very little time to
socialise and meet her friends. Moreover she has become irritable and stressful.
Guidance: A health professional is any health worker in the areas of medicine, surgery, dentistry,
midwifery, pharmacy, psychology, nursing or allied health professions. A community worker is
anyone who officially works for the community in addressing recreational, health, housing,
employment and other welfare matters, e.g. social workers and youth workers.
1. Using the template below, help the client complete their One Page Profile
using the information from the preliminary meeting. Make sure to use the
first person (“I want…”, “I would like…”) to indicate that this is the client’s
document that you are helping to complete.
I have strong belief and the values for hard work. I have various computing skills
which has helped me to develop my technical intelligence.
I love playing guitar and working in art and crafts work. I like reading novels and
articles that interest me. I also love playing basketball and lawn tennis.
What are the most important things to you and for you right now?
You must specify the client’s priorities for support below.
I need a full time support worker who could help improving my physical mobility
and assist me with my speaking skills for my speech improvement.
SCENARIO
One day, at the start of your respite care shift for Francis, Sally urgently
reported that Francis had an accident at home the other day. She was assisting
him to walk to his room when someone rang their door. She left him for a few
minutes to see who it was. While alone, Francis tried to get to his room on his
own and slipped. He now has a huge discoloured bruise on his hip. Sally is very
worried and wants you to have a look at the bruise. She has also asked you to
treat Francis’s injury and if you could prescribe any medicine. However,
Francis’s current person-centred plan does not cover this incident.
1. Sally has asked you, a support worker, to examine and treat the bruise on
Francis’s hip and prescribe medicine. This is a medical concern. Is this still
within the scope of your work role as a support worker? Briefly explain your
answer. In particular, specify the service you will not be able to provide.
SCENARIO
Chuckie Gomez is a 30-year-old man who has only recently been diagnosed
with high-functioning Autism Spectrum Disorder (ASD). His ASD symptoms—
problems understanding another person’s point of view, difficulties initiating
social interactions and maintaining an interaction, anxiety when his routine is
disrupted and specialised fields of interest or hobbies—have been present all his
life. However, he has always attributed these symptoms to problems in his
personality and emotional wellbeing.
To cope with his ASD symptoms, he started drinking at an early age. He found
out early in life that alcohol solved his problems in interacting with people and
his anxiety. Because of this, he developed a bad drinking habit in his twenties.
Almost a decade later, his alcohol problem has become so bad that it has
affected many areas of his life. He recently lost his job and his home and his
wife has just filed for divorce. He now lives with his 60-year-old mother, Amy.
His alcohol problem is still there, and he struggles to hide it from his mother.
Amy, however, has had suspicions for a long time but has chosen to play blind.
Amy has just retired and is living off her pension. She can barely support
Chuckie and is always worried about what will happen to him when she’s gone.
One day, she read an article about Autism Spectrum Disorder and recognised
these symptoms in her son. After weeks of long discussion, she was able to
finally convince him to visit a professional. It turns out that Chuckie indeed has
Devastated by his diagnosis, Chuckie starts drinking very heavily that night.
The next morning, Amy finds Chuckie passed out and his room a mess. Alcohol
bottles can be seen everywhere. The worst of Amy’s suspicions have been
confirmed.
Chuckie is brought to the hospital. Apparently, he drank too much that night
which led to alcohol poisoning. When Chuckie wakes up, his mother begs him
to seek help. Chuckie agrees and signs up for individualised support from Lotus
Compassionate Care.
1. Answer the following questions about Chuckie’s support needs based on the
given scenario.
a. What is Chuckie’s primary condition or disability?
b. Give the two (2) needs that Chuckie has because of his primary condition
or disability.
2. Give the one (1) other co-existing support need that Chuckie has based on the
scenario.
Chuckie is diagnosed with high functional autism spectrum disorder (ASD), due to
which he has anxiety issues and cannot initiate conversations with others. Her
mother is too old to support him and is relying on her pension she is worried for
her son’s well-being and his future.
1. Chuckie is still at the hospital and cannot complete his One Page Profile on his
own. He has asked you to fill out the form for him in the meantime.
Using the template below, help the client complete their One Page Profile
using the information from the preliminary meeting. Make sure to use the
first person (“I want…”, “I would like…”) to indicate that this is the client’s
document that you are helping to complete.
Chuckie Gomez
Name of client
Amanda Shah
Support worker
Barney Bing, Ross Taylor
Members of the Planning Team
30/08/2019
The planning meeting/s
Specify the date/s of your planning
meeting/s.
Assessment Workbook Version No. 1.1 Produced 8 February 2018
I am a creative person and I like work things out with determination and
discipline.
I love to travel places and explore my surroundings. I am good at painting and like
to read interesting books
I do not go out much. I do not have any kind of job at this point
What are the most important things to you and for you right now?
You must specify the client’s priorities for support below.
SCENARIO
Chuckie has finally been released from the hospital and has started attending
meetings for a local alcoholics support group. He has been sober for a month
now. However, now that he is sober, his anxiety problems have worsened. He
has asked you to give him medicine to ease his anxiety. His anxiety is stopping
him from participating in his support activities.
1. Chuckie has asked you, a support worker, to administer drugs to ease his
anxiety. This is a medical concern. Is this still within the scope of your work
role as a support worker? Briefly explain your answer. In particular, specify
the service you will not be able to provide.