AS/RS ISP

Nutritional Support for Clients

• Oats for Regular Consumption
    - Not frequently needed for clients; more applicable for Rebecca.
    - Importance of consistency in providing oats during meal times.

Client Case Discussions

• Client: Anne
    - Regular dietary concerns are not present.
    - Rarely consumes food; generally eats well.
      - Needs support due to severe food allergies.
    - Medication assistance with:
      - Towel chair,
      - Foil lift,
      - Chair lift,
      - Shower chair.
    - Monitored for non-eating support due to allergies.

• Client: Rebecca
    - Requires support with medication ingestion via GT (Gastrostomy Tube).
    - Mobility aids include
      - Wheelchair,
      - Chair lift,
      - Air lift,
      - Shower chair.
    - Liquid intake and hydration are monitored.
      - Risks include:
        - Pressure injuries,
        - Aspiration pneumonia,
        - Fall injuries,
        - Dehydration,
        - Bowel obstruction,
        - Self-harm,
        - Safety awareness issues.

Communication Skills

• Assessment of Communication Effectiveness
    - Regularity of Sharing Information:
      - Both clients: Rarely effective.
    - Communication of Long-term Needs:
      - Anne: Rarely.
      - Rebecca: Rarely.
    - Use of Simple Words/Phrases:
      - Anne: Sometimes.
      - Rebecca: Rarely.
    - Understanding Simple Instructions:
      - Anne: Regularly.
      - Rebecca: Rarely.
    - Initiating Conversation:
      - Anne: Sometimes.
      - Rebecca: Rarely.
    - Self Identification:
      - Anne: Sometimes.
      - Rebecca: Rarely.

• Client Specific Notes:
    - Anne can understand few words and phrases with difficulty in expressing wants.
    - Rebecca cannot verbalize but interacts through gestures and non-verbal communication.

Task Learning Skills

• Engagement in Purposeful Activities
    - Both clients: Rarely.

• Completing Multistep Tasks
    - Both clients: Rarely.

• Time Monitoring Ability:
    - Both clients: Rarely.

• Single Digit Arithmetic:
    - Both clients: Rarely.

• Written Communication of 10 Words:
    - Both clients: Rarely.

• Discriminating Shapes and Colors:
    - Anne: Sometimes.
    - Rebecca: Rarely.

• Recognition in Community Context:
    - Anne: Regularly recognizes people and places.
    - Rebecca: Rarely recognizes faces.

• Client Notes and Comments:
    - Anne engages in purposeful activities but struggles with time, numerical concepts, and limited counting ability.
    - Rebecca recognizes family but needs support with basic concepts.

Personal Self-Care Support Needs

• Assistance Required:
    - Personal Hygiene Tasks:
      - Total assistance for both clients.
    - Diet Functions:
      - Total assistance for both clients.
    - Bathing Functions:
      - Total assistance for both clients.
    - Grooming Tasks:
      - Total assistance for both clients.

Motor Skills Assessment

• Safety and Mobility Around Environment:
    - Both clients require total assistance.
• Bathroom Safety:
    - Both clients require total assistance.
• Bed Positioning and Transfers:
    - Both clients require total assistance.
• Fine Motor Skills:
    - Total assistance needed for both clients with additional support provided specifically to Rebecca.

Behavioral Assessment

• Frequency of Harmful Behavior:
    - Both clients: Rarely.
• Socially Inappropriate Responses:
    - Anne: Sometimes; Rebecca: Rarely.
• Public Inappropriate Behavior:
    - Both clients: Rarely.

Community Living Skills

• Assistance Needs:
    - Preparing Simple Meals: Total assistance for both.
    - Housekeeping Tasks: Total assistance for both.
    - Financial Management: Total assistance for both.
    - Telephone Use: Total assistance for both.
    - Responding to Dangerous Situations: Total assistance for both.
    - Community Safety Awareness: Total assistance for both.

• Client Comments:
    - All community living support requires total assistance.

Self-Direction Skills

• Skills Assessment:
    - Daily Personal Decision Making: No for both clients.
    - Employment Decision Making: No for both clients.
    - Social Skills for Relationships: No for both clients.
    - Emotional Coping: No for both clients.
    - Personal Finance Management: No for both clients.
    - Awareness of Activities:
      - Anne: Yes.
      - Rebecca: No.

• Knowledge on Employment Traits:
    - No for both.

• Coping Strategies:
    - No for both clients.

• Protection from Exploitation:
    - No for both clients.

Personalized Life Goals

• For Anne:
    - Advocates for herself.
    - Enjoys socializing and making decisions.
    - Engaged with community and participating in assistance.

• For Rebecca:
    - Expresses herself positively and enjoys participating in activities with familiarity.

• Unwanted Outcomes:
    - Both do not wish to be separated from friends and family.
    - Both do not want medical complications or hospitalization.

Medical History and Conditions

• Anne:
    - Severe food allergies, seizure disorder, scoliosis, dyspnea, and currently using various assistive devices.
    - No seizures for over 10 years, but currently managing allergies with protocols.

• Rebecca:
    - Visual impairment, has Crohn's disease, seizure disorder, orthopedic problems.
    - Uses feeding tubes and follows strict dietary conditions.

Support Assessment

• Assistance Provided:
   - Adaptive Equipment: Yes for both.
   - Financial Management: Yes for both.
   - Bathing, grooming, communication assistance: Yes for both.

• Medical and Health Protocols:

• Procedures to prevent pressure injuries and monitor hydration levels.

• Continuous monitoring and medical appointments scheduled to ensure both clients remain stable in health.