SUPPORT PLAN OF TIMOTHY PARKER

Client/Participant Details:

Client Full Name: TIMOTHY PARKER Date of 02/03/1964

Birth:
NDIS NO: 431568400 AGE: 60
6 Chillingworth Rd, Elizabeth East, SA
Home address: Phone: M: 0420 248 982
5112

Communication: ✘ Verbal Nonverbal Sign Language Individualised Communication

Needs

Emergency Contact: Steve (Son) Phone: M: 0438 185 018

Religion/cultural preference Unknown.

& requirements:

CLIENT IMPORTANT INFORMATION

 Risks – falls risk, hypoglycaemia
 Behaviours of concern
 Diagnosis of Type 1 Diabetes
 Support staff are to be mindful of emergency procedures (attached below) if client experiences
hypoglycaemia.
 Support staff to supervise insulin injection to avoid the risk of overdosed on insulin.
 Support staff to supervise medication intake.

Stakeholders (Development of the plan):

Name: Role: Contact details:

Dr Ohn GP Salisbury Medical Centre

P: (08) 8258 1732

Assessments conducted:

Assessments that inform this support plan: Date: Conducted by: Date of review:
(e.g OT, physio)

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,

Port Adelaide, 5015
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 SUPPORT PLAN OF TIMOTHY PARKER

DNE Management Plan N/A N/A N/A

Service details:

Service start Date: 29/12/2021

Support Plan last updated on: 06/08/2024

Date of next review: 06/08/2025

Services provided:  Care Plan

 Liaison with Team Leader/ service coordinator as required
 Service provided 6 hours daily from, 8.00 – 11.00 am and
05.00 – 08.00 pm

Client type: Community Client

Preferred support worker/s:  Angela, Divine, Bikisu, Karen, Abeba, Noelline, Martha

Summary Information about participant:

DIAGNOSIS / SYMPTOMS:  Type 1 Diabetes

ABOUT TIMOTHY:  Timothy is a 60-year-old man. He is with his pet cat.

 Timothy aunty, Wendy, and daughter, Nicole, provide
informal support to him such as taking him for outing /
medical appointments.
 Tim has 2 children: Steve and Nicole. Tim has a closed
relationship with his daughter whom he calls on a daily
basis.
 enjoys listening to music.
 Timothy also enjoys talking on the phone with his daughter
every day.

1. I would like to find accommodation so I can be looked after

and cared for.
Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
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 SUPPORT PLAN OF TIMOTHY PARKER

NDIS GOALS: 2. I would like to have more involvement and engage within
the community in a group setting so I am able to make and
maintain friends.
3. I would like to develop a daily routine so I can increase my
independence and confidence.
4. I would like to maintain my home to tenancy standards.
5. I would like to be able to cook my own meals so I can
increase the quality of my health and increase my strength
so I can use my walking stick without shaking.

Behaviours of Concern

Problem Behaviours: Behavioural Strategies:

Timothy has a tendency of displaying  Watch the warning sign.

behaviour of concerns while he is under  Give him time and space to regulate his emotions.
stress.  Use calm tone to communicate with Tim.
 Ask Time if there is anything that you can do or help.
 Use empathetic approach in working with Tim.

Immediate Safety Measures:

 Hazard Exposure – Sharps / Knifes
 Remove Sharp Objects: If possible, support staff should
Timothy is experiencing high anxiety due carefully and calmly remove the knives or any other
to fear of being harmed by his sharp objects from Timothy’s vicinity to prevent
neighbour, leading him to keep two potential harm to himself or others.
knives by his side for protection.  Safe Storage: Ensure that all knives and sharp objects
are stored in a secure location that Timothy cannot
easily access.

Reassurance and Emotional Support:

 Provide Reassurance: Staff should regularly reassure

Timothy that he is safe in his own home. Use calming
language and maintain a composed demeanour to help
reduce his anxiety.
 Active Listening: Encourage Timothy to express his
fears and concerns. Listen actively and validate his
feelings, showing empathy and understanding.
 Safety Checks: Conduct routine safety checks around
Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
Page | 3
 SUPPORT PLAN OF TIMOTHY PARKER

Timothy’s home to ensure there are no threats and

communicate the findings to him to help alleviate his
fears.

Environmental Adjustment:

 Safety Plan: Develop and implement a safety plan

tailored to Timothy’s needs. This could include
installing additional locks, or other measures that can
enhance his sense of security.

Behavioural Intervention:

 Regular Check-ins: Schedule regular check-ins with

Timothy to monitor his anxiety levels and address any
new concerns that may arise.

Professional Support:

 Crisis Contacts: Ensure Timothy knows how to contact

emergency services (000) for immediate help if he
feels threatened. Provide clear instructions on when
and how to call SAPOL (South Australia Police) or an
ambulance.

DAILY ROUTINE: Routine:

Daily
 Pre – Breakfast: check BGL
 Pre – Lunch: check BGL
 Pre – Dinner: check BGL
 Pre – Nocte: check BGL
 Daughter, Nicole will call him daily.
 Aunt will take him to medical appointments.
Weekly
 Monday – Grocery shopping
 Tuesday – bed linen change
 Wednesday – Vacuum lounge and bedroom
 Thursday – mop kitchen and bathroom
 Friday – washing

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,

Port Adelaide, 5015
Page | 4
 SUPPORT PLAN OF TIMOTHY PARKER

Service goal:
 Assist Timothy in building a regular routine

OTHER SUPPORT SERVICES:  General Practitioner – Dr Ohn (Salisbury Medical Centre)

MEDICATION:  Please refer to the RN.

 Timothy self-administers his medication.
 Support staff to supervise and ensure that Tim has taken
his medication on time.
 Support staff to supervise his insulin injection to avoid
insulin mismanagement.

MOBILITY & TRANSFER:  Timothy enjoys walking for exercise.

 Timothy requires stand-by assistance as he walks with a
walking stick.

Personal Hygiene and Care Practices:

TOILETING:  Independent.

DIET AND FLUIDS:  Requires support workers to assist in organising meal plan –
planning meals, making a shopping list, grocery shopping &
preparing meal.
 Support workers are to encourage a healthy diet to help
manage his diabetes.

SHOWERING & GROOMING:  Independent – monitor if standby assistance/prompting is

required.

ASSISTANCES REQUIRED:  Requires support with community engagement.

 Requires full assistance with domestic tasks, especially
cleaning – washing dishes, vacuuming, mopping floor,
wiping down counter tops, changing bed linen etc.
 Requires assistance with laundry tasks – loading washing
machine, hanging up clothes to dry, taking clothes in and

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,

Port Adelaide, 5015
Page | 5
 SUPPORT PLAN OF TIMOTHY PARKER

folding/ironing if need be.

HOBBIES:  Enjoys spending time with his pet cat

 Enjoys listening to music
 Likes to have frequent contact with his daughter Nicole –
they will talk on the phone

Has expressed interest in:

 Unknown.

FAMILY/FRIENDS:  Daughter – Nicole (informal support)

 Aunty – Wendy (informal support)
 Son – Steve

DNE MANAGEMENT PLAN

Pre - Breakfast Check BGL  Optisulin 12units
 If above 4.0mmol and eating breakfast give →  Novorapid 5 units
 If below 4.0mmol follow hypo protocol (see attachment)

When Hypoglycaemia is treated per protocol and Tim eats breakfast

– Novorapid and Optisulin can be administered

If not eating breakfast after treatment of hypoglycaemia do NOT

give Novorapid but administer Optisulin insulin dose and check BGL
after one hour to ensure BGL stable.

If BGL rising sharply or dropping seek medical advice.

Document low BGL and have medical officer review insulin

doses/cause of low BGL. Notify NDIS provider and contact diabetes
centre 81829296. After hours call duty registrar 8182900 re: type 1
diabetic with hypoglycaemia

Pre - Lunch Check BGL  Novorapid 5units

 If above 4.0mmol and eating Lunch give →
 If below 4.0mmol follow hypo protocol (see attachment)

When Hypoglycaemia is treated per protocol and Tim eats lunch –

Novorapid can be administered

If not eating lunch after treatment of hypoglycaemia do NOT

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
Page | 6
 SUPPORT PLAN OF TIMOTHY PARKER

administer Novorapid insulin.

Document low BGL and have medical officer review insulin

doses/cause of low BGL. Notify NDIS provider and contact diabetes
centre 81829296. After hours call duty registrar 8182900 re: type 1
diabetic with hypoglycaemia

Pre - Dinner Check BGL  Novorapid 4units

 If above 4.0mmol and eating Dinner give →
 If below 4.0mmol follow hypo protocol (see attachment)

When Hypoglycaemia is treated per protocol and Tim eats Dinner –

Novorapid can be administered

If not eating Dinner after treatment of hypoglycaemia do NOT

administer Novorapid Insulin.

Document low BGL and have medical officer review insulin

doses/cause of low BGL. Notify NDIS provider and contact diabetes
centre 81829296. After hours call duty registrar 8182900 re: type 1
diabetic with hypoglycaemia

Nocte (20:00) Check BGL  Optisulin 6units

 If above 4.0mmol and eating Supper give →
 If below 4.0mmol follow hypo protocol (see attachment)

When Hypoglycaemia is treated per protocol and Tim eats supper –

Optisulin can be administered

If not eating Supper after treatment of hypoglycaemia Optisulin

insulin dose can still be administered. Check BGL after one hour to
ensure BGL stable. If BGL rising sharply or dropping seek medical
advice.

Document low BGL and have medical officer review insulin

doses/cause of low BGL. Notify NDIS provider and contact diabetes
centre 81829296. After hours call duty registrar 8182900 re: type 1
diabetic with hypoglycaemia

Additional information:

Hyperglycaemia (above 15mmol for 3 consecutive reading in 4 hours - get medical advice) Illness can cause
hyperglycaemia – implement sick day management protocol (see attached). Perform finger prick BGL and ketone to
Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
Page | 7
 SUPPORT PLAN OF TIMOTHY PARKER

provide to the medical team if medical advice is sought.

Timothy is wearing a Libre 2 sensor. The sugar reading is Sensor Glucose (SG) not blood glucose. It is important
when SG’s are unstable (hypo/hyper or sick days) that blood glucose should be performed to ensure SG’s are
correct.

Outpatient appointments for diabetes review will be arranged at diabetes centre.

Appointment with GP at least 3 monthly for diabetes review (bloods, urine, care planning). Tim is eligible for a
Chronic Conditions Management Plan and referral to Allied health Services such as podiatry billed to Medicare
(there may be a gap fee for these providers).

Timo should see an optometrist annually unless there are any eye problems, and the optometrist will advise if more
frequent reviews are required or refer to an ophthalmologist.

Novorapid

Optisulin

RISK MANAGEMENT
Risk Consequence Likelihood Risk Mitigation Action
Rating

Hypoglycaemia (low Catastrophic Occasional 3A Blood Glucose Levels are less than
blood sugar) 4.0 mmol/L.

Watch for the following signs;

sweating, irritability, tingling/numb
lips, weakness, headache, hunger,
drowsiness, light headiness/dizziness,
disorientation, blurred vision, slurred
speech, increased heartbeat, nausea,
poor concentration/mood changes,
tearful/crying.

1. If person has BGL of 4

mmol/L or below, give 15g of
quick acting carbohydrate.

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,

Port Adelaide, 5015
Page | 8
 SUPPORT PLAN OF TIMOTHY PARKER

The person may require

assistance or encouragement
to eat or drink. This includes:
 6-7 jelly beans
 150ml of regular soft
drink
 150ml of fruit juice
2. Wait 10-15 minutes then
monitor blood glucose levels.
If levels are not above 4
mmol/L repeat step 1. If they
are above 4 mmol/L,
continue to step 3.
3. If the next meal is more than
20 minutes away, give the
person 15 g of longer acting
carbohydrate. This is
equivalent to one of the
following:
 A slice of wholemeal or
multigrain bread
 1 small tub of yoghurt
 1 piece o fruit
 1 glass of milk or soy
milk
4. Wait, and ensure the person
has recovered fully before
continuing with usual
activities.

PLEASE READ ATTACHMENT FOR

FURTHER INFO

Falls risk Moderate Occasional 3C It is recommended that Timothy is

supervised when outside and
participating in the community.
Support workers need to be mindful
of potential falls risks and monitor
any discomfort/pain. Please ensure
that there are no safety hazards such
as spillages or furniture sticking out
that may act as a tripping hazard.
Look out for rugs which slip easily,
bathroom mats, and electrical cords.
Highlight uneven surfaces and steps
with bright-coloured tape (if
Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
Page | 9
 SUPPORT PLAN OF TIMOTHY PARKER

necessary). Timothy’s environment

should also be well-lit. Furthermore,
please ensure that Timothy wears
safe footwear and avoids loose
slippers, heels, or laces that
continuously loosen.

Mismanagement of Critical Likely 4B  Tim is self-administering

insulin insulin injection. There is a
tendency that he
mismanages his insulin.
 According to the recent
incident, Tim overdosed his
insulin injection which
creates a risk to his physical
health.
 Support staff to supervise his
insulin injection to mitigate
the risk of insulin
mismanagement.

Immediate Safety Measures:

Hazard Exposure – Critical Likely 4B
sharps / knifes  Remove Sharp Objects: If
possible, support staff
should carefully and calmly
Timothy is remove the knives or any
experiencing high other sharp objects from
anxiety due to fear Timothy’s vicinity to
of being harmed by prevent potential harm to
his neighbour, himself or others.
leading him to keep  Safe Storage: Ensure that
two knives by his all knives and sharp
side for protection. objects are stored in a
secure, location that
Timothy cannot easily
access.

Reassurance and Emotional

Support:

 Provide Reassurance: Staff

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
Page | 10
 SUPPORT PLAN OF TIMOTHY PARKER

should regularly reassure

Timothy that he is safe in
his own home. Use
calming language and
maintain a composed
demeanour to help reduce
his anxiety.
 Active Listening:
Encourage Timothy to
express his fears and
concerns. Listen actively
and validate his feelings,
showing empathy and
understanding.
 Safety Checks: Conduct
routine safety checks
around Timothy’s home to
ensure there are no
threats and communicate
the findings to him to help
alleviate his fears.

Environmental Adjustment:

 Safety Plan: Develop and

implement a safety plan
tailored to Timothy’s
needs. This could include
installing additional locks,
or other measures that can
enhance his sense of
security.

Behavioural Intervention:

 Regular Check-ins:
Schedule regular check-ins
with Timothy to monitor
his anxiety levels and
address any new concerns
that may arise.

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,

Port Adelaide, 5015
Page | 11
 SUPPORT PLAN OF TIMOTHY PARKER

Professional Support:

 Crisis Contacts: Ensure

Timothy knows how to
contact emergency
services (000) for
immediate help if he feels
threatened. Provide clear
instructions on when and
how to call SAPOL or an
ambulance.

Participant Acknowledgement: I understand and agree to this Support Plan. I agree to my Support Plan being provided
to the person\s as listed above.
Participant: …………………………………………………………. Sign: ............................ ..../.…. /20… (date)

and/or

Carer: ..................................................................... Sign: ........................... ...... /……/……. (date)

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,
Port Adelaide, 5015
Page | 12
 SUPPORT PLAN OF TIMOTHY PARKER

Prepared by: … Pip Sripa Position: …Social Worker ……06…. /…08. /…2024……. (date)

Signed:

Ph: (08) 8246 0521 E: info@gaval.com.au 75A Commercial Road,

Port Adelaide, 5015
Page | 13