Stanley is 57 years old and has a motor neurone disease (MND). Standley uses a wheelchair and has limited mobility and s

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Stanley is 57 years old and has a motor neurone disease (MND).
Standley uses a wheelchair and has limited mobility and speech. A
case manager has prepared an individualised plan for him. You are
meeting with Stanley to introduce yourself and confirm the broad
details of the individualised plan.
The meeting is taking place in his home. Stanley lives with his
wife, Mavis. Prior to visiting Stanley, you take the time to read
his file and the individualised plan that was prepared by Stanley’s
case manager. When you arrive, Mavis opens the door and guides you
to where Stanley is waiting for you in the living room. Mavis does
most of the talking, and discusses Stanley’s MND in quite a lot of
detail. Stanley seems withdrawn and says very little.
You spend some time introducing yourself. Sharing some of your
professional background and listening to Mavis speak, and trying to
ask Stanley some questions about himself too. You try and establish
rapport with Stanley and Mavis. Stanley and Mavis’ home is quite
busy and cluttered, and sometimes when Stanley wants to reach an
item or complete a task, he is unable to get very close to the
bench or table and has to lean out of his wheelchair. The support
worker suggests that an aid could be useful to help him reach
across to objects.
You ask Stanley if he would like to review the draft
individualised plan that was prepared with his case manager.
Stanley agrees and, together with Mavis, you and Stanley review the
plan. You ensure that you have brought two copies of the plan so
that Stanley and Mavis each have a copy. The draft plan includes
the goals that Stanley developed with his case manager, but the
support activities have not been confirmed. Many of the activities
focus on supporting Stanley to maintain as much independence as
possible and to remain living at home with Mavis.
You allow Mavis and Stanley plenty of time to review the draft
plan. Before moving on to prioritising support activities, you ask
Stanley if there is anything else he would like included in his
plan. Stanley has a complaint about how some of the support workers
don’t give him enough time to do things himself and tend to “hurry
him along”. He seems angry about this, and you note it down so that
you can let your supervisor know later. Stanley also says he wants
to attend the local self-advocacy organisation but has not caught
public transport for over twenty years. Stanley has some cognitive
difficulties associated with his MND, but he is very methodical and
loves using maps and illustrations to help him with some of his
tasks in everyday life.
After extensive discussion, it is agreed that the goal of
Stanley’s individualised plan should be for:
Stanley to continue to be supported to live at home, and be
assisted to maintain his independence
Stanley to attend the weekly self-advocacy group
Together, you work on prioritising the support activities that
will assist Stanley to meet these goals. As Stanley has been
receiving services from your organisation for some time, a number
of services are already in place and just require monitoring.
Stanley is accessing daily personal care to help him to get up in
the morning and assist him to shower, groom and dress, and then
again at night to help him get to bed. Mavis helps Stanley with all
his meals and other daily tasks.
Stanley’s new goal is to attend his local self-advocacy group.
Together you talk about the location of the group and Stanley’s
transport needs. Stanley is keen to catch the train to the group,
as he never gets to do anything or go anywhere independently
anymore. Stanley also says if he learns to catch the train that
maybe he will be able to go other places independently too.
Q-
Stanley will need to learn some new skills in order to catch
public transport to his self-advocacy group, such as buying a
ticket. Outline how each of the following skill development
processes would be used to teach and maintain this skill
-Task analysis
-Shaping
-Reinforcement