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Royal Medical Clinic of Naboo

Attending Doctor Dr Han Solo – Occupational Therapist
Reason for visit NDIS support documents
Date 14/06/2597
Patient Blake Smith
D.O.B 26/03/2587
Patient history Profoundly deaf, autism spectrum grade 2, lower spinal injury
Recommended therapies/aids Level of need
Auslan in the home and school support Weekly
Speech pathology Monthly
Physiotherapy Fortnightly
Deaf mentor Fortnightly
Community engagement (e.g. social activities identified by the parents) Monthly
Support coordination Weekly
Technology Once off/replacement when reasonable and necessary
Text Box: Blake has been a patient of the Naboo Clinic for most of their life. Due to Blake’s multiple needs that are, or a likely to be, permanent, Blake has needed extra support to enable them to continue a healthy development
Blake is profoundly Deaf, with Cochlear processors given to them when they were 2. Blake has oral speech, but relies on Auslan as their first language. Blake’s deafness reduces their functional capacity in areas such as communication, social interaction and learning and entails they will require support for their lifetime. Blake’s parents have engaged with Auslan development to a basic degree and only have minimal Auslan skills. Auslan in the home and school is of utmost importance to improvement the relationship between Blake and their parents and for Blake’s future communication, social interaction and learning needs. It is best practice for Blake and their family to receive Auslan support

Comments from attending doctor

Blake has been a patient of the Naboo Clinic for most of their life. Due to Blake’s multiple needs that are, or a likely to be, permanent, Blake has needed extra support to enable them to continue a healthy development

Blake is profoundly Deaf, with Cochlear processors given to them when they were 2. Blake has oral speech, but relies on Auslan as their first language. Blake’s deafness reduces their functional capacity in areas such as communication, social interaction and learning and entails they will require support for their lifetime.Blake’s parents have engaged with Auslan development to a basic degree and only have minimal Auslan skills. Auslan in the home and school is of utmost importance to improvement the relationship between Blake and their parents and for Blake’s future communication, social interaction and learning needs. It is best practice for Blake and their family to receive Auslan support

Speech pathology is recommended for Blake. Speech pathology will assist them in their future social and economic participation. It will allow Blake to engage in both the Deaf and hard of hearing and hearing worlds, by improving their communication, social interaction and self-management. Providing speech pathology will allow for less support needs for Blake in the future, and will reduce on cost for the long term in the context of their support needs.

Deaf or hard of hearing technologies will assist Blake in their self-care, self-management and learning. Technologies such as Deaf friendly alarm clocks, flashing door bells and fire alarms and FM Hearing Links will work to increase Blake’s capacity to manage the things above.

Blake received a lower spinal injury when they were 5. This has reduced their functional capacity with mobility, self-care and social interaction. Access to physiotherapy will work to increase their capacity in these areas.

A Deaf mentor will be able to teach Blake about Deaf culture and skills, such as transport training and boundary setting, which will work to assist in their future social and economic participation. A Deaf mentor will also help Blake with their goals, objectives and aspirations and will provide respite for their family. Because Blake is on the Autism spectrum, which reduces their capacity to engage with learning and social interaction, a Deaf mentor will be an effective and beneficial way for them to learn life skills.  

Because of Blake’s spinal injury, they have not been able to engage in the community for the past year. It is recommended to provide support that allows them to increase their social interaction with their peers. Allowing Blake to engage with social events will support them and their family in the pursuit of their goals, objectives and aspirations

Support coordination is also recommended for Blake’s family. Due to Blake’s complex needs, it would be un-reasonable to expect the family to provide support in all areas of their development. It would be reasonable and necessary for a Support Coordinator to work with the family for the first year of their NDIS plan while they understand the system and develop their capacity.

All of the supports listed above are essential for Blake in their pursuit of their goals, objectives and aspirations. These supports will increase Blake’s current and future social and economic participation. They represent current best practice in the health sector and represent value for money in that the costs of the supports are reasonable, relative to both the benefits achieved and the cost of alternative support. These supports take into account what is reasonable to expect families, carers, informal networks and the community to provide. I believe the NDIS to be the most appropriate system of service delivery for the requested supports.

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