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Michael Nyugen is 51 years of age and came to Australia with his parents and brother as a refugee from Vietnam in 1982 when he was 4. He ran a successful importing business until 8 months ago, supplying farmers with high grade fertiliser. He was involved in working bees at his children’s schools (his son is 18 and his daughter is 9) and previously coached soccer at his son’s local club on Sunday mornings. Michael was a successful cyclist who competed in amateur racing events locally, as well as travelling to major events every few years, such as the Tour De France. Michael has been a busy home renovator in the past, and maintains a love of design and building. He project managed the family’s new two storey home only a year ago. Eight months ago Michael suffered a stroke, which has resulted in right side hemiplegia, and short term memory loss. At times he is frustrated by his physical limitations and his loss of memory and can be easily overwhelmed by his current circumstances. His wife Wendy currently cares for him at home and works part time 3 days a week. Michael uses a walking frame around the house and a wheelchair when outside. They have relocated their bedroom to the ground floor, as Michael is unable to use the stairs. They are also deciding whether to move house and find a property with facilities that will be easier for Michael to use. Michael has expressed an interest in organising a ‘Circle of Support’ to create an individualised plan for his future. He doesn’t want to be a ‘burden’ on his wife (his words) and is upset about the consequences that the loss of independence is having on him and his family. He has expressed a preference for a more ‘informal’ approach when creating an individualised plan to meet his needs. His wife and son will be in attendance at the proposed planning meeting to be held in the next fortnight.

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8. Use the individual support plan template in Appendix 1 to create a draft plan for Michael based on the information you know about him from this scenario.

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8. Use the individual support plan template in Appendix 1 to create a draft plan for Michael based on the information you know about him from this scenario.

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7. As a part of your work, you may be provided with personal information, including details of Michael’s lifestyle, finances, family relationships and medical history. How can you ensure you maintain Michael’s privacy and confidentiality?

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7. As a part of your work, you may be provided with personal information, including details of Michael’s lifestyle, finances, family relationships and medical history. How can you ensure you maintain Michael’s privacy and confidentiality?

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Pin numbers on apps used
paper documentation locked in a locked cabinet
Only disclose personal information to relevant people.
Password protected on the intranet

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6. If you are unable to meet some of the requests that Michael has communicated, who can you seek support from?

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6. If you are unable to meet some of the requests that Michael has communicated, who can you seek support from?

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Supervisor
Michael himself to inform in regards to achieving those goals but will keep him informed once contacted, GP/ health professionals/ family circle

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5b) What are some ways of responding to them to assist him in realising his goals?

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5b) What are some ways of responding to them to assist him in realising his goals?

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Support him to explore new ideas and pathways
Focus on his strengths and build using these
Body language
Be positive

Use open ended questions and prompting to get him to express gaps in his need and his current focuses and help direct him to translate these needs and desires into suitable and doable goals

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5. a) What are some of the possible indicators of Michael’s unmet needs?

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5. a) What are some of the possible indicators of Michael’s unmet needs?

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Anxiety that hasn't been addressed yet with therapy communication
His wife works 3 days a week so he has nobody to care for him
Accessibility, unable to use the stairs in his own home
He has no circle of support at the moment

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4. Michael would like to try and participate in wheelchair basketball. What are some of the risk management considerations and ways to respond to potential identified risks for Michael?

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4. Michael would like to try and participate in wheelchair basketball. What are some of the risk management considerations and ways to respond to potential identified risks for Michael?

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Right side hemiplegia- not able to control the chair.
Falling out of the chair whilst playing.
short term memory loss
May trigger anxiety - therapist
Allow dignity of risk

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3. List the possible roles and responsibilities of different people who may be involved in Michael’s individualised support planning process:

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3. List the possible roles and responsibilities of different people who may be involved in Michael’s individualised support planning process:

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Wife, Son- home support, emotinal support
Gp- Referrals, medication
OT- wheelchair, home modifications
Speech therapists
Social support circle
education may consider retraining
financial advisor

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2. What factors are important to consider when discussing possible inclusions to Michael’s individual plan with him and his family?

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2. What factors are important to consider when discussing possible inclusions to Michael’s individual plan with him and his family?

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- Goals
- living situation
- interests
- physical abilities

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1. Suggest how you might facilitate an inclusive and positive introduction with Michael, in the initial stages of preparing for a ‘Circle of Support’ meeting:

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1. Suggest how you might facilitate an inclusive and positive introduction with Michael, in the initial stages of preparing for a ‘Circle of Support’ meeting:

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Get to know the client before the meeting with an informal phone call and a reminder email before the meeting and after the meeting