Disability Support Case Study: Effective Client Engagement Strategies

CASE STUDY Instructions to Student 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 the residential care and home and community care settings. In real life, disability support workers will be required to contribute to ongoing skills development of clients, follow established person-centred behaviour supports, support community participation and social inclusion, and facilitate the empowerment of people with disability. This assessment will demonstrate your skills in these areas.

Introduction to Case Study For this part of the assessment, you will be taking the role of a disability support worker who is just starting at Lotus Compassionate Care. Lotus Compassionate Care is an organisation that provides services in disability support, home and community support, and residential care. You can find out more about Lotus Compassionate Care by visiting their website. Click on icon below to access the site: (username: learner password: studyhard) (Note: If the link is not working, copy and paste the url to your browser: http://compliantlearningresources.com.au/network/lotus/) As a disability support worker, you directly report to Greg Deans, the Manager for Disability Support. This assessment contains a number of tasks that you need to complete based on the given scenarios. You are required to complete ALL tasks included in this case study. To complete these tasks, you will need to access and read the following documents: Lotus Compassionate Care Handbook (username: learner password: studyhard) (Note: If the link is not working, copy and paste the url to your browser: http://compliantlearningresources.com.au/network/lotus/files/2018/02/Lotus- Compassionate-Care-Handbook-v1.5.pdf)

Case Study 1: Mason Gellatly Mason Gellatly is a client at Lotus Compassionate Care. He cannot talk and hear. He communicates through Auslan and sometimes through a communication book. Mason lives in a group home together with Aaron and Elmer. You have been assigned as Mason’s support worker, together with Isabelle. You and Isabelle will be working together to support Mason in his day-to-day activities at the home. To complete the succeeding tasks, access and read Mason’s Behaviour Support Plan through this link: Mason’s Positive Behaviour Support Plan (Username: learner Password: studyhard) (Note: If the link is not working, copy and paste the url to your browser: http://compliantlearningresources.com.au/network/lotus/files/2016/06/Gellatly- Mason_PBSP-v1.0.pdf)

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13 November 20xx, 10:45 AM 924 Rainbow Bridge Homes You arrived at the group home with Isabelle and had hand over. The agency staff member from the night shift said Mason woke early so he was assisted to shower and have breakfast. You noticed Mason appeared a little anxious and you asked the staff member about this. The staff member said “I’m not sure, but his behaviour was a little funny when I tried to help him preparing for the day.” While respecting Mason’s personal space you spoke with him using his preferred communication method and asked if he was okay. He expressed no complaints of any problem or issue, and then walked to the living room. Mason isn’t taking any medication. You proceeded with your daily routines – preparing and serving meals, assisting the clients in their activities for daily living (ADLs) including showering and morning walks, cleaning and tidying rooms, among others. Mason and Aaron were at the living room watching a movie when suddenly the power broke out. There was no electricity for the next thirty minutes. Isabelle is on the phone with the local council while you were on the phone with your supervisor to notify him.

Mason and Aaron are still in the living room. Aaron tried to entertain himself by gazing out the window to watch the kids playing ball. Mason was getting anxious. It’s almost 11:00 AM and his favourite show is coming up but there is still no power. He pokes and ask Aaron irritably, in Auslan: “Do you know when the power is coming back?” Aaron turns to Mason and he shakes his head, as he also doesn’t know when the electricity is coming back. Aaron turned to the window again to watch the kids. Aaron chuckled – perhaps something the kids were doing. Seeing Aaron amusing himself while he was bored annoyed Mason very much. All of a sudden he pushes Aaron, causing Aaron to fall off his seat. In response, Aaron tries to hit Mason back, but misses. Aaron is too close to Mason now and Mason panics. He doesn’t like it when people invade his personal space. He pushes Aaron away again and he hurtles toward the floor. Mason starts throwing things at Aaron, hitting and missing Aaron while doing so. Aaron sustains a bruise on his arm from the paper weight Mason threw at him. You and Isabelle rush toward the living room when you heard the commotion. As a response, Isabelle rushes to Mason and attempts to restrain him to stop him from throwing anymore things at Aaron. Isabelle fails and Mason panicked all the more and became more aggressive. You run towards Aaron to see his bruise. You assist him in getting up and you hurriedly escort him out of the room. You call on Isabelle, signalling her to maintain a safe distance from Mason. When everyone was at a safe distance, you reassured Mason, in Auslan, that everything will be okay. You also checked if he is okay. He starts to calm down.

1. Refer to Mason’s Behaviour Support Plan. What are the client’s behaviours of concern? Guidance: You must list four (4) of the client’s behaviours of concern. i. Physical and verbal aggression ii. Damaging the property iii. Showing aggression in behaviour iv. Harming himself 2. As part of Lotus protocols, you are required to report to and seek the support of your supervisor at once. Outline the procedures that you must follow to report the incident to your supervisor. Guidance: Refer to Section 8 of the Lotus Compassionate Care Handbook. 1. The first step is to identify the incident that needs to be reported. This can range from a small problem to a major one. It is important to gather all relevant information about the incident, including what happened, when and where it happened, who was involved, and any other relevant details. 2. Once you have gathered all the necessary information, you must document the incident. This may involve writing detailed reports or completing incident forms, depending on your organization's processes. Be sure to include all relevant details and be as specific and objective as possible. 3. After documenting the incident, you should contact your supervisor to report it. This can be done via email, phone call or in person, depending on the urgency and severity of the incident. Be sure to follow your organization's communication protocols. 4. When contacting your supervisor, present the incident report or detailed information you have gathered. Be ready to answer any

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questions your supervisor may have and provide any additional information they may need. 5. After reporting the incident, be sure to contact your supervisor to see if any further action is needed. This may involve participating in an investigation, taking corrective actions, or providing additional documentation. 3. Describe the behaviours of concern exhibited in the scenario. Answer the following questions. i. What are the behaviours of concern in the scenario? Identify two (2) behaviours of concern in the scenario i. Physical and verbal aggression ii. Damaging the property ii. What type of behaviour is this? a. Appropriate behaviour b. Passive aggressive behaviour c. Inappropriate behaviour b. Passive aggressive behaviour iii. How many times did these behaviours occur in the scenario? Twice iv. What triggered this behaviour of concern? Mason couldn’t watch his favourite TV show due to power cut.

4. Describe the context of the behaviour of concern by answering the following questions. i. Identify environmental factor(s) that contributed to the behaviour of concern. Electricity disconnected. ii. Describe the person’s emotional well-being when the behaviour of concern occurred. Frustrated and worried. iii. Describe the person’s health status when the behaviour of concern occurred. Mason seemed nervous and his behaviour seemed funny. iv. Was Mason taking any medication? No v. If Mason was in on any medication, did this have an effect on the behaviour of concern? No

5. Consider the interventions used in the scenario to address Mason’s behaviour of concern. a. Identify one (1) appropriate intervention used in the scenario. b. Identify one (1) inappropriate intervention used in the scenario. Briefly explain why these interventions were appropriate or not to Mason’s support. Identify one (1) appropriate intervention in the scenario. Explain why this intervention was appropriate . After handover, it was noticed that Mason was more worried than usual. While respecting Mason personal space, use preferred communication method, he was asked if he had it went. He expressed no compliant for any problem or a problem, then I walk away in the living room. Mason Don't take anything medicine. This intervention is appropriate because of it is the duty of the individual caregiver to provide proper physical care as well as the spirit of clients. Identify one (1) inappropriate intervention in the scenario. Explain why this intervention was inappropriate .

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Mason did not take his medication. If the client is not willing to accept medication, must be reported to RN. In this scenario, there is nothing like it report has been mentioned. 6. Complete a Behaviour Chart to document the incident. Use the template provided in this link: Behaviour Chart Template (username: learner password: studyhard) (Note: If the link is not working, copy and paste the url to your browser: http://compliantlearningresources.com.au/network/lotus/files/2016/0 6/Lotus-Behaviour-Chart-Template-v1.0.docx) In completing the Behaviour Chart, ensure that you follow Lotus Compassionate Care’s requirements for documenting and reporting behaviours of concern:  Date, sign, and print name with all entries  Put a line through any errors, date and sign  Use blue or black ink  Entries must be objective  Entries must be factual, accurate and in logical order When you have completed the Behaviour Chart, save this document using the filename: [Student’s Last Name, First Name]_Mason Behaviour Chart Submit this along with this completed workbook. Guidance: Your responses under the Intervention(s) column must align with your responses in Question 4.

Role Play Activity This part of the case study will require you demonstrate your skills in responding to behaviours of concern through a role play activity. To complete this, you will need the following:  At least two (2) of your friends, family, or colleagues to play the roles of:  Mason  Aaron  Mobile phone with a camera or any video recording equipment  A safe environment to conduct the role play activity You are to role play the scenario given in this case study, with you playing the role of the support worker. There is no specific script to be followed; however, you must be able to demonstrate that you have responded to incident appropriately. This means following Mason’s support plan and Lotus Compassionate Care’s policies and procedures. Specifically, you must demonstrate ALL of the items outlined in the Video Submission Checklist provided. To document your completion of this activity, and to allow your assessor to evaluate your performance, you are required to submit a video recording of this roleplay. Your video submission must not exceed ten (10) minutes. Upon completing this activity, save your video recording using the following filename: [Student’s Last Name, First Name]_Mason - Roleplay Submit this video along with this completed workbook. Safety Reminder! This activity is only a simulation of how you would respond to the behaviours of concern in the scenario. When doing the roleplay, remember to ensure your ‘actors’ safety including yours - especially if you are acting out the scene between Mason and Aaron.

Video Submission Checklist (This checklist is for the Assessor’s use only, please leave this section blank) In the video submission, the student YES NO 1. Redirected others away from Mason 2. Ensured others are safe 3. Provided Mason personal space to calm down 4. Monitored Mason from afar 5. Contacted the supervisor immediately 6. Reported the following to the supervisor: a. Mason’s behaviour of concern b. Aaron’s injury resulting from Mason’s behaviour of concern.

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Case Study 2: Lily Lily is a 20-year old lady, from Greece, with vision impairment. Lily has just moved into the local area and is sharing a unit with another a lady called Wilma. Lily is a client at Lotus Compassionate Care. Lily will be having a person-centred planning meeting and her family will be coming down from up north to attend. One of the items on the agenda is community participation and inclusion. Lily and her family express an interest in Lily attending the women’s arts and crafts group at the community centre each Tuesday and Thursday mornings where mostly retired people attend the group. Despite her vision impairment, Lily demonstrates intermediate skills in painting, especially with finger painting. She also demonstrates skills in creating accessories such as bracelets and necklaces from coloured beads. Lily is an outgoing person and she prefers to enjoy her hobbies with others. She also enjoys interacting with people her own age. To engage in a social network, she needs a walking stick and the help of a support worker to guide her in navigating through an unfamiliar place. Note: For the purpose of this assessment, this case study is based in your own state/territory.

Role Play Activity This part of the case study will require you demonstrate your skills in assisting in identifying interests, abilities, preferences, and requirements of the person with disability to engage with a social network. To complete this, you will need the following:  At least three (3) of your friends, family, or colleagues to play the roles of:  Supervisor  Lily  Family member  Mobile phone with a camera or any video recording equipment  A safe environment to conduct the role play activity You are to role play the person-centred planning meeting in the case study scenario, with you playing the role of the support worker. There is no specific script to be followed; however, you must be able to demonstrate that you have assisted in identifying interests, abilities, preferences, and requirements of the person with disability to engage with a social network. Specifically, you must demonstrate ALL of the items outlined in the Video Submission Checklist provided. To document your completion of this activity, and to allow your assessor to evaluate your performance, you are required to submit a video recording of this roleplay. Your video submission must not exceed ten (10) minutes. Upon completing this activity, save your video recording using the following filename: [Student’s Last Name, First Name]_Lily - Roleplay Submit this video along with this completed workbook. Safety Reminder! This activity is only a simulation of how you would respond person- centred planning meeting in the scenario. When doing the roleplay, remember to ensure your ‘actors’ safety including yours.

Video Submission Checklist (This checklist is for the Assessor’s use only, please leave this section blank) In the video submission, the student YES NO 1. Assisted in identifying interests of the person with disability 2. Assisted in identifying abilities of the person with disability 3. Assisted in identifying preferences of the person with disability 4. Assisted in identifying requirements of the person with disability to engage with a social network.

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Research Assignment In this part of the case study, you will be required to research and find out about the agencies, services, and resources in your local community which Lily can also access and or participate in. Note: For the purpose of this assessment, this case study is based in your own state/territory. You may conduct your research online or you can visit the local library or other agencies in your community. You can also consult with other relevant groups or people in your community. The agencies, services, and resources must specifically relate to each of the following areas:  Sports  Cultural  Specific-interest groups To document the findings of your research, complete the Local Community Research template provided. In completing this template, for each area, you must: a. Provide the name of the agency, service, or resource; b. Provide a short description of the agency, service, or resource; and c. Provide a link of the webpage containing information about the agency, service, or resource OR a scanned copy of a brochure or an information sheet about the agency, service, or resource. If you are submitting a scanned copy of a brochure or an information sheet about the agency, service, or resource attach the image in the spaces provided within the template.

Research Assignment: Part 1 Local Community Research City / Town / Village (Include your State or Territory) Sports Name Description Link Scanned copy of the information sheet

Cultural Name Description Link Scanned copy of the information sheet Specific Interest Groups

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Name Description Link Scanned copy of the information sheet

Case Study 3: Nancy Belcher Nancy Belcher is a client at Lotus Compassionate Care. She has both a hearing and vision impairment and is receiving support services at a group home. Her left hear is completely deaf, while her right ear has moderate hearing loss. Nancy wears a hearing aid on her right ear. Nancy is a vegan and has been a vegan for the most of her life. Scenario 1 7 June 20xx, 11:45 AM 406 Albright Residences While assisting another client eat lunch in the home’s common dining area, you noticed that the support worker attending to Nancy is serving her meat. Having cared for Nancy in the past, you know that Nancy is vegan and does not eat or use meat products. You informed the support worker that Nancy follows a vegan diet. The support worker tells you that Nancy is ‘blind and deaf’ and will not even know if the food has meat in it.

1. How can you ensure that Nancy’s cultural needs are met? Guidance: In your explanation, provide an example of such cultural needs and what you can do to ensure it is accepted and upheld.

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disability sub 4 part 3

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