What is the most important concern for juanita?

Greg* is 48 and is an independent NDIS participant who lives in his own home in Maroochydore. Greg’s provider, CL3 Services*, has supported him for several years with daily tasks, such as attending activities and appointments, and bathing and dressing.

Greg gets on well with his support team. Their support enables him to visit his family, pursue his woodworking hobby and take part in activities at the local Men’s Shed, which he enjoys.

Recently, on a trip to the Men’s Shed with his support worker Jo*, Greg fell while being transferred from the car to his wheelchair. He cut his arm and was taken to hospital where he received stitches.

An occupational therapist on Greg’s clinical team, Abdullah*, was concerned about the injury, and worried that Jo may have caused the accident by not following workplace procedures while helping Greg out of his wheelchair. He contacted the NDIS Commission to raise his concerns.

Our Complaints team worked with CL3 Services, the National Disability Insurance Agency (NDIA) and Greg to understand what had occurred, the supports provided to Greg and the funding available to address his needs.

We visited Greg’s home and spoke to him about the supports he receives, and what happened on the day of the injury.

Listening to the participant is the most important element of finding a resolution to complaints and ensuring they are receiving quality and safe supports and services.

Overall, Greg was happy with the supports CL3 Services provided. However, both Greg and his support worker Jo understood that some changes needed to be made to keep him safe and ensure he was not injured again. We worked with CL3 Services and Greg’s support team, including Jo, to put these changes in place. These changes included using a sliding board to move Greg from his wheelchair to the car.

When we spoke to Greg he was concerned that the complaint would affect the support he received from Jo and other staff at CL3 Services. However, we explained to Greg that anyone – including a participant, family or carer, support worker or provider - can raise a concern and that we work with participants, providers and workers to improve the quality and safety of supports. We also gave him information about his rights as a participant, and what he should expect of the services he receives. This information reassured Greg who said NDIS funding had dramatically improved his life and boosted his independence.

Greg continues to visit the Men’s Shed with his support worker Jo, and is confident that the changes we assisted CL3 Services to put in place help to keep him safe.

*Names changed for privacy

Juanita has come into the clinic because she is concerned with her weight and body image. She is also concerned with how her mother with view her not eating her ethnic meals. It has been established that Juanita is indeed obese by her body mass index (BMI) of 30kg/m2. The nursing diagnosis statement is: Obesity, related to caloric consumption and activity level, as evidenced by BMI of 30kg/m2.
The expected outcome of Juanita’s plan of care is to have her “Design dietary modifications to meet individual long-term goal of health, using principles of variety, balance, and moderation” (Ladwig, Ackley, & Makic, 2017) within two weeks of meeting with a licensed dietician.
Two interventions to help Juanita with her concern about her mother’s feelings

Choosing Training Methods

Depending on organizational needs, a wide variety of training options are available today. While the overwhelming choice for most organizations is still the instructor-led classroom, computer-based methods as well as other more interactive methods are gaining in popularity. The choice of methods will depend on a number of variables, including objectives to be achieved, types and location of employees that need to be trained, and the learning abilities of the participants.

Classroom instruction now includes distance learning, whereby trainees at different locations use online programs to view lectures and participate in discussions. Although cost-efficient, interaction between the trainer and audience may be limited. E-Learning has gained in rapid popularity with participants receiving information over the Internet or through a company's intranet. Trainees can work independently using course material supplemented with presentations, video clips, podcasts, and other audiovisual formats accessible for many types of mobile devices. Further applications of this training include electronic performance support systems (EPSSs), simulations or virtual reality, and a movement toward the use of wearable technology.

Read the case below and answer the questions that follow.

Juanita is the training director for a large hospital that saw its nurses become unionized several years ago after a contentious battle. As such, the training department is somewhat cautious in introducing new programs and must carefully consider the expectations placed upon this group. The hospital has recently experienced some problems with mistakes regarding medical waste, and a decision has been made to increase the training required of all medical personnel from annual sessions delivered in a classroom setting to semiannual training in order to reduce these critical mistakes. This particular training has been a challenge for Juanita in the past, as nurses were continually rescheduling. Another concern was that managers were signing employees off on training that had not been completed just to fulfill record-keeping requirements. Juanita is hearing grumbling about the need for additional training and wants to make the process both successful and painless.