Health and medical monitoring

Medical Case Scenario

A Homecare Agency supporting Martin, age 45, to live in an apartment with two housemates. Martin is very social and outspoken and enjoys being around others. He likes to be as independent as possible with household activities such as meal preparation and laundry. You provide staff support for carrying out daily activities including bathing, dressing, meals, transportation, and health and medical monitoring. Martin enjoys participating in his church activities, going to the movie theatre, visiting his family and friends, and going to work each day. Martin works in a flower shop doing simple assembly jobs. Martin has cerebral palsy and uses a wheelchair. He has limited use of his upper extremities. Lately, Martin has developed skin ulcers that require re-positioning every twenty minutes. He is at increased risk for aspirating and thus needs special food preparation and supervision while eating. To avoid constipation and bowel obstruction, Martin needs consistent bowel monitoring.

1. What supports would your agency put in place to allow Martin to continue to go to work each day given his increasing support needs?

2. How would you ensure that Martin goes to the movies as often as he likes?

3. How would Martin be supported to spend time with his family, friends, and at church?

4.What supports might enable Martin to be as independent as possible while contributing to household chores?