Topic: case study for age care services and rehabilitation case study
Pages: 3, Double spaced
Sources: 2
Order type: Case Study
Subject: Healthcare
Style: APA
Language: English (U.S.)
Order Description
Jack is 75 years of age and lives by himself in suburban Sydney. Jack has prided himself on being independent ever since his wife Marjorie passed away 4 years ago. Jack has two adult children, Jason 47 and Katie 45. Jason moved to Melbourne some 15 years ago and only sees Jack once or twice per year and Katie lives on the other side of the city, but calls in to see Jack with her family as often as she can, usually once a fortnight.
Two months ago Jack had a fall which left him with major problems with his left arm and knee and a loss of confidence. Katie, in one of her recent visits, became concerned that Jack had let the place go and was not attending to his personal needs as he normally did and was rarely leaving the house. Based on this Katie’s husband, Scott made contact with Jack’s local Aged Care Assessment Team (ACAT).
Module 1 Questions
You, as a member of this ACAT have been asked to assess Jack’s case.
Please answer the following questions:
1. In your opinion, based on the facts, would Jack qualify for government assistance? If so under what scheme(s) would he qualify for services?
2. Under this particular scheme or schemes, which services would be most appropriate for Jack? Please justify your response
3. How much would Jack need to contribute financially to this scheme? Please justify your response
4. What additional information would be useful to determine Jack’s needs and potential contributions? Please justify your response
Word limit: 550 words (in total)
Module 2 Case Study
Kylie is a 34 year old woman who is married to John 37. Prior to her spinal cord injury 3 years ago (which left her with some good functioning and strength in both arms) from a motor vehicle accident was working in the retail industry. Kylie did not have an overly active social life prior to her injury but had a few close friends that she saw relatively regularly and spent a lot of time with John who is a very devoted husband. Kylie also liked to keep physically fit. She was also a keen tennis player and played regularly and some ‘cardio tennis’. Since her discharge from rehabilitation she spends most days home alone and occasionally ventures out to the local hotel where she will spend a few hours on the poker machines. She has no current plans of returning to work and believes given ‘she is not the person she was before’ that she will not be able to return to previous activities.
Module 2 Questions
Using material covered in this module (including core references and reports) please answer the following questions.
1. In answering these questions, what further information you might like to have about Kylie?
2. What psychosocial and environmental factors do you believe have contributed most to her poor outcomes? Please justify your answer
3. Assume that Kylie had been treated under a model of service delivery like the Queensland Spinal Cord Injury Services model of care. At which service delivery point(s) do you think these factors (and any other major contributors to her poor outcome) ought to have been addressed? In what ways would you recommend these issues be addressed and by whom?
Module 1 Case Study
Jack is 75 years of age and lives by himself in suburban Sydney. Jack has prided himself on being independent ever since his wife Marjorie passed away 4 years ago. Jack has two adult children, Jason 47 and Katie 45. Jason moved to Melbourne some 15 years ago and only sees Jack once or twice per year and Katie lives on the other side of the city, but calls in to see Jack with her family as often as she can, usually once a fortnight.
Two months ago Jack had a fall which left him with major problems with his left arm and knee and a loss of confidence. Katie, in one of her recent visits, became concerned that Jack had let the place go and was not attending to his personal needs as he normally did and was rarely leaving the house. Based on this Katie’s husband, Scott made contact with Jack’s local Aged Care Assessment Team (ACAT).
Module 1 Questions
You, as a member of this ACAT have been asked to assess Jack’s case.
Please answer the following questions:
1. In your opinion, based on the facts, would Jack qualify for government assistance? If so under what scheme(s) would he qualify for services?
2. Under this particular scheme or schemes, which services would be most appropriate for Jack? Please justify your response
3. How much would Jack need to contribute financially to this scheme? Please justify your response
4. What additional information would be useful to determine Jack’s needs and potential contributions? Please justify your response
Word limit: 550 words (in total)
Module 2 Case Study
Kylie is a 34 year old woman who is married to John 37. Prior to her spinal cord injury 3 years ago (which left her with some good functioning and strength in both arms) from a motor vehicle accident was working in the retail industry. Kylie did not have an overly active social life prior to her injury but had a few close friends that she saw relatively regularly and spent a lot of time with John who is a very devoted husband. Kylie also liked to keep physically fit. She was also a keen tennis player and played regularly and some ‘cardio tennis’. Since her discharge from rehabilitation she spends most days home alone and occasionally ventures out to the local hotel where she will spend a few hours on the poker machines. She has no current plans of returning to work and believes given ‘she is not the person she was before’ that she will not be able to return to previous activities.
Module 2 Questions
Using material covered in this module (including core references and reports) please answer the following questions.
1. In answering these questions, what further information you might like to have about Kylie?
2. What psychosocial and environmental factors do you believe have contributed most to her poor outcomes? Please justify your answer
3. Assume that Kylie had been treated under a model of service delivery like the Queensland Spinal Cord Injury Services model of care. At which service delivery point(s) do you think these factors (and any other major contributors to her poor outcome) ought to have been addressed? In what ways would you recommend these issues be addressed and by whom?
Word limit: 550 words (in total)
1 – Formatting
Please submit Module 1 and Module 2 Case Study responses as one document titled 1’.
Format
How to structure: It is fine to structure the responses
Question 1 ……
Question 2……..
However, please note that complete sentences are to be used (clarity of writing will be taken into consideration during assessment) and point form is not permitted. As well, where appropriate, it is certainly permissible to respond in the first person. e.g. “I believe that Jessica……”
Format: Please double space you responses and use a minimum of 11 point font size
Referencing: Please use APA
Module 2 – Part A
Service Delivery Systems
Core considerations in service delivery and serious injury
In this module you will learn how to analyse the philosopy, scope and effectiveness of the community-based Australian based service delivery sector for traumatic injury. This module has been divided into 2 parts.
Part A: Core factors guiding/impacting on service delivery in Australia
Part B: Service Delivery for Serious Injury
Learning mode
This online module has a self-directed mode of learning. In this module, there is a combination of written text, core and recommended readings (journal articles or book chapters), learning activities, valuable websites and video footage. The core reading material makes up the main content of the module. The core reading must be undertaken in order to complete the assessments. The recommended reading (extra resources) is optional, however will be useful for your learning and will assist you in achieving a good grade for your assessments.
Please ensure you click on the links and read or watch the relevant material. These resources have been provided to further enhance your learning experience.
The following symbols will be used to guide resources for each module.
Mind map
A mind map summarising the key learnings from this module has been provided at the beginning of this module. The purpose of this mind map is to establish the context for key learnings and to further support your learning and recollection. As you progress through this module, you may want to add to this Mind Map.
module. Whilst these self-directed exercises do not form part of your assessment, it is strongly recommended that you complete them, as they will assist you with the undertaking of your assessment tasks.
Practitioner’s checklist
The Practitioner’s checklist can be found at the end of this module. This checklist has been designed as a mechanism for applying knowledge into practice. At the end of this module, please complete this checklist, and take a moment to consider how key learnings from this module can be applied into your own daily practice with clients.
Assessment
As part of this module you are required to submit a brief (550 word) assessment task. This assessment task is a scenario-based case study and will require you to respond to a series of questions. You will be required to answer these questions based on your learnings from this module.
Please note, Modules 1 and 2 assessment tasks are to be submitted together as a single document, and titled ‘Assignment 1’. The guidelines for Assignment 1 can be found at the end of Module 2.
Establishing the context
Module 1 Mind Map
This Mind Map summarises the key learnings from this module and has been developed as a learning tool. As you progress through this module, you may want to add to this Mind Map to further support your learning and recollection.
art A: Core factors guiding/impacting on service delivery in Australia
Service delivery in Australia is governed by legislation operating at both state and commonwealth levels. For instance, there is general legislation that covers the rights of people with both temporary and permanent disability and injury, legislation that pertains to permanent conditions only (e.g. National Disability Insurance Act), and legislation that pertains to particular conditions like mental health conditions (see Module 3). As well, the roll out of National Disability Insurance Scheme has a considerable impact on service delivery for people with permanent serious injuries and disabilities.
The rights of individuals with disability and disadvantage
Australia ratified the United Nations Convention on the Rights of People with Disabilities in 2009 and thus has international obligations to ensure all people with disabilities enjoy basic human rights and fundamental freedoms (United Nations, 2006). In addition, The Disability Discrimination Act 1992 (Commonwealth) makes it unlawful to discriminate against people with disabilities in areas such as employment, education and housing.
The Disability Discrimination Act 1992
The Disability Discrimination Act 1992 covers people who have both temporary and permanent disabilities; physical, intellectual, sensory, neurological, learning and psychosocial disabilities, diseases or illnesses, physical disfigurement, medical conditions, and work-related injuries. It extends to disabilities that people have had in the past and potential future disabilities, as well as disabilities that people are assumed to have. (Australian Human Rights Commission, 2014).
Click on the link below to access a copy of the Disability Act.
National Disability Insurance Scheme Act 2013
The general principles guiding actions under the National Disability Insurance Scheme (NDIS) Act are displayed below.
Click on the link below to access a copy of the NDIS Act 2013.
The National Disability Insurance Scheme
What is it?
The National Disability Insurance Scheme (NDIS) is a new approach to how people with a disability receive funding from the government in Australia. The NDIS was launched in July 2013 to support hundreds of thousands of Australians with significant and permanent disability, their families and carers.
The types of supports that the NDIS may fund include:
• Personal care activities
• Transport to enable meaningful participation in community and daily life activities
• Help to obtain or maintain meaningful employment in supported or open labour markets
• Therapeutic supports
• Assistance with household tasks to enable people to live in their homes
• Home modification design to promote daily living
• Mobility equipment
• Vehicle modifications
Play the video below, for a very useful overview of the NDIS. In addition, you can click on the audio link below, to access a recording by your facilitator, summarising the core concepts to focus on when viewing this website.
Aims of the NDIS
• To provide individualised support for eligible people with permanent and significant disability, their families and carers.
• To ensure people with disability continue to get the support they need, this may include greater independence, community involvement, employment and improved wellbeing.
• To raise community awareness and encourage greater inclusion and access to: mainstream services, community activities and other government initiatives.
Who qualifies for the NDIS?
A person meets the disability requirements of the NDIS if:
“(a) the person has a disability that is attributable to one or more intellectual, cognitive, neurological, sensory or physical impairments, or to one or more impairments attributable to a psychiatric condition; and
(b) the person’s impairment or impairments are, or are likely to be, permanent; and
(c) the impairment or impairments result in substantially reduced functional capacity to undertake, or psychosocial functioning in undertaking, one or more of the following activities: communication, social interaction, learning, mobility, self-care, self-management; and
(d) the impairment or impairments affect the person’s capacity for social and economic participation; and
(e) the person is likely to require support under the NDIS for the person’s lifetime.” (NDIS, 2013).
(National Disability Insurance Scheme, 2013)
Some core principles that underpin NDIS
• The overall goal of NDIS is to provide supports that are reasonable and necessary for a person with an eligible permanent condition
• The goal is to apply services that are tailored to individual circumstances and needs – there is no-one-size-fits-all.
• The supports that people are eligible for are linked to the goals as specified in their NDIS plan that relate to full and meaningful community and life participation
• The NDIS supports people throughout life as long as they need it
• A core principle of the NDIS is self-direction. Every participant who has an NDIS plan has control over the support that is provided to them including what, when, where and by whom the services and support is provided.
How the NDIS operates
The scheme was developed to provide a flexible and holistic approach to support and assist people with disabilities to pursue their goals and aspirations and participate in daily life (National Disability Insurance Scheme, 2013).
The NDIS plan is a core document that guides the provision of services under the scheme. Click on the link below, to find out more about the NDIS plan. In addition, you can click on the audio link below, to access a recording by your facilitator, summarising the core concepts to focus on when viewing this website.
Eligible people with permanent and significant disability are provided with information, links to services and activities, individualised plans and where necessary, and supports over a lifetime. The development of individualised care plans can include the following aspects: functional support needs for daily living and participation, the support required to pursue identified goals, and how to manage the plan overtime. The goals as identified in the plan are critical as they guide the provision of services. These goals can be both short and long term and can change from plan to plan. A person’s plan is reviewed every 12 months. Depending on a person’s goals, aspirations, needs and informal supports, an approved plan may include funded supports from providers of support and community and mainstream supports.
The rationale for the development and implementation of the NDIS
Previously, people living with a disability in Australia received varying levels of support depending on where they lived and when, where and how they acquired or developed a disability.
The National Disability Insurance Scheme (NDIS) is a nation-wide scheme a consistent approach that aims to provide lifetime support to people affected by disability, based on a person’s individual needs (National Disability Insurance Scheme, 2013).
The NDIS recognises that any of us, or our family members, could be affected by disability at any time in our lives, and that, as a community, we are all responsible for ensuring that all people living with disability receive the support they need to make the most of their lives (National Disability Insurance Scheme, 2013). A fundamental principle of the NDIS is to consider a person’s care and support needs over their lifetime. In addition to taking a life-time approach, the NDIS will also provide early intervention, particularly for people when there is good evidence that support will make a substantial difference to a person’s life (National Disability Insurance Scheme, 2013).
What does an ‘insurance’ scheme mean?
As an insurance scheme, the NDIS takes a lifetime approach, investing in people with disability early to improve their outcomes later in life. Under an insurance approach, the costs and risks of severe disability for a person are distributed among the wider community as a shared responsibility (MI Fellowship, 2011).
An insurance approach means that people with disability don’t need to bear the costs of their disability on their own. In addition, there will be certainty that if they or their loved ones are born with or acquire a disability, they will get the care and support they need (MI Fellowship, 2011).
Taking a long-term view of people’s care and support needs ensures that people with disability get the right support earlier, rather than waiting until they reach crisis point (MI Fellowship, 2011).
Where the NDIS is currently operating
The NDIS commenced in July 2013 as a trial in four locations: New South Wales, Victoria, Tasmania and South Australia (National Disability Insurance Scheme, 2013). Some early transitions also occurred in parts of Queensland. Roll out of the full scheme in all states and territories (except Western Australia) will start progressively from July 2016 (National Disability Insurance Scheme, 2013).
The NDIS was being trialled in the following locations:
(National Disability Insurance Scheme, 2013).
Current implementation of the NDIS
Details of current implementation are included below:
The impact of the NDIS on service delivery and service delivery systems
The NDIS reforms will see the disability sector:
• Moving away from eight separate State/Territory funding schemes to one uniform, national scheme.
• Changing from block funding of disability service provider organisations by governments, to individualised funding for people with disabilities based on individual needs assessments.
• Replacing the charity model of disability funding with a legislatively guaranteed “insurance” model whereby all Australians who meet the eligibility criteria are legally entitled to NDIS funding for all ‘necessary and reasonable’ supports.
By allocating funding for disability services and supports to people with disabilities themselves rather than to service provider organisations, and by introducing individualised funding packages, the NDIS aims to ensure that Australians with disability – and their families, where relevant – enjoy far greater choice and control over all necessary services and supports.
(National Disability Insurance Scheme, 2013).
Click on the link below to access the NDIS website for a more complete overview of the scheme, and how it operates throughout Australia.
NDIS in action: A case illustration
Follow the link below to view a case illustration (and others) which is provided on the official NDIS government website. This case has been provided below verbatim, for your
Summary of key learnings
Part A of this module explores the core factors guiding/impacting on service delivery in Australia. In order to provide more effective client centred services, rehabilitation counsellors must ensure:
• They have a good understanding of the rights of individuals with disability and disadvantage and are familiar with the Disability Discrimination Act 1992 and the National Disability Insurance Scheme Act 2013.
• They have a good understanding of the National Disability Insurance Scheme (NDIS), are familiar with the type of supports funded and understand who can qualify for this scheme.
• They are aware of the core principles underlying the NDIS and how the NDIS operates.
• They are aware of the locations of NDIS trial and implementation sites.
Practitioner’s checklist
This checklist has been designed as a mechanism for applying knowledge into practice. Take a moment to consider how key learnings from this module can be applied into daily practice with clients.
References
Australian Human Rights Commission, (2014). Disability Discrimination. [Cited 2016 24 July]: Available from: https://www.humanrights.gov.au/employers/good-practice-good-business-factsheets/disability-discrimination.
MI Fellowship, (2011). About the National Disability Scheme. [Cited 2016 22 July]:
Available from: http://www.mifellowship.org/ndis
National Disability Insurance Agency, (2013). National Disability Insurance Scheme: Reasonable and Necessary Supports. [Cited 2016 20 July]: Available from: https://myplace.ndis.gov.au/ndisstorefront/participants/reasonable-and-necessary-supports.1.html
National Disability Scheme, (2013). [Cited 2016 20 July]: Available from: https://myplace.ndis.gov.au/ndisstorefront/index.html
Productivity Commission, (2011). Disability Care and Support: Productivity Commission Inquiry Report: Volume 1, Australian Government: Canberra.
United Nations (2006), Convention on the Rights of Persons with Disabilities, United Nations, New York.
