Hannah Moller Case Study Assignment Solutions

 

Assignment Detail:-

• Number of Words: 1500

 

Case Study

 

Hannah Möller was born in the 1970’s to German emigrants. She was born and raised in Canberra with her three younger siblings (Mila, Sophia and Noah). Her father worked in the Public service and her mother (Joss) was a ‘stay at home’ mother.

 

 

Hanna was born with Trisomy 21 (Downs Syndrome) and has a range of health and lifestyle issues associated with this. They include;

➢ Intellectual disability (moderate range)

➢ Reduced hearing in both ears (mild hearing loss)

➢ Recurrent respiratory tract infections (URTI)

➢ Hypothyroidism (underactive thyroid)

• Tiredness associated with thyroid
• Constipation associated with thyroid

➢ Expressive communication (limited word vocabulary and difficulty pronouncing. People need to use reflective listening to make sure they understand her).

➢ Receptive communication (She can generally understand what is said to her but, understanding needs to be checked through asking her to paraphrase information).

 

Hannah lived in the family home in Curtin until the age of ten. When she was ten the Government offered her a place in the disability institution “Bruce Hostel”. Her parents were told by the government officers that ‘Bruce’ would be a home for life for Hannah, and that she would be safe and well looked after. They also told her parents that if they did not take this offer then they could not be guaranteed another offer. They suggested that it would better for Hannah because her future would be planned, and her parents and siblings would not have to worry about her future. The officers assured Hannah’s parents that the institution was the best in modern “nursing care”. They also said that “Bruce” was the best option for her and her family as it would ensure that Hannah did not become a burden as she got older. Trusting what the professionals told them, Hannah’s parents agreed for her to move and she lived at ‘Bruce Hostel’ until 1990. Hannah would spend weekends at her parents’ house and live the rest of the week at Bruce hostel.

 

During her time in the Hostel Hannah had a long series of health issues. Regular URTI caused many difficulties for her eating and breathing. She was hospitalised more than 15 times (twice because of constipation) and her weight was a significant problem causing difficulties in movement and adding to her health issues (Hannah is 162cm tall and her highest weight was 101kg).

 

In 1990 being very concerned about Hannah’s health and influenced by the disability rights movement Hannah’s parents removed her from Bruce Hostel, and Hanna returned home to live with her family.

 

Hannah stayed living at home through her siblings’ education years. Her sisters and brother were an important part of her social life, and still are. All her siblings still live in and around Canberra.

 

Hannah attended the “Hartley Street Annexe” at the Turner Primary school from the age of 5 to the age of 12. Her niece Annie attends the same school today. The “Hartley Street Annexe” is now a preschool and Turner is an inclusive education environment. Hannah went to high school at Malkara school where she finished year 12. From school Hannah went to work in a ‘sheltered workshop’ where she would pack boxes of cosmetics for a ‘mail order company’ and was paid $3.50 an hour.

 

Hannah’s father died in 2005 from a sudden heart attack. Though in her thirties Hannah remained living with her mother in their Curtin home for the next few years.

 

Hannah’s siblings supported Hannah to choose and move into a social house run by an ACT based disability organisation (UPlife) in the early 2010’s. When she originally moved in the house was fully funded by the government. The house staff would arrange all activities for the ‘residents’ and do all the cleaning and cooking. In 2015 a new organisation (CIT Enable) took over the managing of the house and staff. There is now a strong focus on person centred active support. Hannah and her house mates are encouraged to learn new skills and do as much as they can for themselves.

 

Believing that Hannah could do more than just pack boxes her brother and sisters helped Hannah look for more meaningful work than her job packing boxes. Hannah has worked part time in a supported gardening program for national parks since 2016. She still does not receive a full wage but, the two days work does give her an extra $100 on top of her disability support pension. She also attends a Community Access Skills program (CAS) for adults with a disability, which is run from a Belconnen based centre. This program aims to help people learn skills to access regular adult environments and build adult social and life skills.

 

In 2019 the funding for her accommodation change to NDIS funding. This means that Hannah now has to apply for funding through the NDIA. Hannah was supported to manage this by her brother Noah. Hannah has a ‘Support Coordinator’ who helps manage the financial side of her NDIA funds, and her brother helps her with planning and attending NDIA meetings.

 

Hannah shares her home (in Kaleen) with two women of similar age. The house is staffed by support workers between 6am and 11pm. These workers help Hannah and her house mates plan their week and maintain their home. The three women also socialise a bit together, but Hannah would like to spend more time with some of her friends from work and CAS.

 

Hannah has a range of personal and skills development goals that she wants to achieve including, cooking, shopping, independence in transport, using her new smart phone to plan her week and (to keep her house mates happy) cleaning the bathroom.

 

Hannah still sees her family lots and every weekend visits her mother, who now lives in a nearby age care facility.

 

Questions (max 100 words for each question)

 

Question 1

Hannah has lived through some major changes in the way disability is seen and how people with disabilities are supported in Australia.

In the table below identify some of the changes for each of these areas of Australian society.

-Changes in the laws about disability.

-Changes in finances for people with a disability.

-Changes in Human/disability rights.

 

Question 2

Give one example of how changes in political/social attitudes have impacted on the level of impairment/disability Hannah has experienced, and explain how this has impacted.

Question 3

Reflect on your own personal values and attitudes regarding disability.  How can your attitudes about disability impact on your role as a support worker?

 

Question 4

Research and briefly describe Hannah’s genetic disability.

 

Question 5

Research and briefly describe one of Hannah’s chronic lifestyle conditions.

 

Question 6

Using the table below outline at least two examples of how Hannah’s disability may impact on the current and future support she needs.

-Area of life where she may need support due to her disability.

-Describe the sorts of support you could provide in this area of life, as a worker in her home setting.

 

Question 7

Using the table below outline at least two examples of how the chronic lifestyle condition you identified in question 5, may impact on the current disability support she needs.

-Area of life where she may need support due to her chronic lifestyle condition.

-Describe the sorts of support you could provide in this area of life, as a worker in her home setting.

 

Question 8

Consider Hannah’s life changes from the case study. Identify any possible indicators of abuse and/or neglect.

 

Question 9

Consider Hannah’s life changes from the case study. Identify any depravation of, or neglect of, Hannah’s rights over her history.

 

Question 10

Looking at Hannah’s life today. What and/or who are the most important factors in ensuring that she has a say about the services she receives? If you were her support worker what could you do to make sure she has a genuine say about her day to day supports?

 

Question 11

You are working with Hannah in her home. She has asked you to support her in developing some new personal goals for her, and your supervisor has agreed.

List the people, possible services and relevant others that you and Hannah could engage with to find person-centred options for ideas and action on issues relevant to Hannah’s future.

 

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