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by helping support in daily needs and care.

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ensuring that his parents are able to afford daily living expenses when they are not able to work.

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making sure that he doesn't develop diabetes.

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Jeff will need a full time carer when out in the community who is competent in suctioning, changing the tape and is able to do an emergency tube change.

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Due to Jeff having a tracheostomy tube this can result in him missing out on trips out such as swimming, playing in the sand and playing with small toys which will limit to where Jeff can go and make friends.

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By Jeff having a tracheostomy tube this may result in him missing time out of nursery or school when he is older, therefore this may result in Jeff not developing the normal social skills such as sharing and making friends.

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Family and friends will help while Jeff is in the community by doing his everyday cares and needs.

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A social worker help Jeff and his family whist being in the community by offering advice about benefits.

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A tracheostomy nurse specialist who will help with changing the tube and they will know when it would be appropriate to start tube removal.

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Within nursery Jeff will be seen by a speech and language therapist that help with communication development and pick up if there is any difficulties with swallowing.

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A dietician will be one of the services that Jeff will receive to determine the change in his diet.

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These services will help Jeff in the long term by...

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Some of the services that Jeff will receive within the community is...

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Jeff is a 3 year old boy who attends nursery whilst his mum and dad are at work. Jeff has a tracheostomy tube. Within this paddle we are going to focus on Jeff's physical health needs.