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Supporting people with long-term health conditions

This report reflects on the good care needs of 67 season old Kingsley, at 55 he was identified as having Type 2 Diabetes then at 65 Kingsley experienced a heart stroke. After an extended stay static in hospital he was relocated to a nursing home where he presently lives, he's unhappy in the medical home and wishes to be discharged and gain home to the treatment of his wife. He displays his unhappiness to care and attention personnel with bouts of anger and stress. He has a communal worker allocated to his circumstance who is presently undecided if Kingsley should returning home to his partner, he questions the layout of the house and his wife's capacity to handle Kingsley's care and attention needs. Kingsley and his partner have some difficult decisions to make and really should have the ability to discuss these with the social staff member as these will have a fundamental impact on where he lives as this will be instrumental to his wellbeing.

Living with a long term health condition can have its problems when receiving healthcare, its paramount that a care user will get the correct degree of support and information available. A psycho sociological perspective offers a alternative way which addresses an individual's needs and an anthropological point of view that provides a biological study of the human being.

A psycho sociological point of view addresses an individual's psychological health and wellbeing needs that are individual to operating within human culture. This perspective highlights that factors such as age, gender, environmental living conditions and the individual differences that folks face should be considered in health needs and attention issues.

A psycho-social method of public health seeks to incorporate the planet which will address the health of groups of men and women by social context, social school, location and how accessible they may be to local resources. In the past this has been known as the social model of health (K217, Learning Guide 2, p43).

The framework of the sociable style of health aims to make health services more affective, accessible and satisfactory to individuals. The components are as follows (K217, Learning Guide 2, p43).

To recognize the effect that health is wearing political, economic, sociable, psychological, ethnic and environmental factors and also natural factors.

To improve health a concentrate must be put on the socio-economic environment.

To achieve community participation with shared decision making between lay down people and professionals.

Health services to collaborate with other authorities agencies and industries.

Commitment to equity and accountability in health.

The use of facts which is qualitative and quantitative.

The concept of this perspective is usually that the focus of social causes are associated with illness alternatively genetics. In case the social causes which are causing a negative influence on health are attended to then a better quality of life and sense of wellbeing should be achieved. In Kingsley circumstance he's not socially effective as a result of environment he's currently living in, which is restricting him from taking part in any internet sites, which gives the practitioners vitality over him so he's then not area of the decision making regarding his wellbeing.

Holism perspective

The practice of holism is to recognise that all person's needs are unique to one's own individuality. It acknowledges that concentration is to be given to life styles and choices which have an impact on health and illness. The procedure links all aspects of someone's physical, mental and mental state to create a composition of circumstances of health insurance and illness.

The approach of the biomedical point of view will address medical ailments with a biological, anatomy, and a physiology view but ignores a person's needs, as a holism approach would talk about the individual's needs which would have an impact on life styles and choices.

So a Biomedical perspective has a location in some health issues such as Diabetes which will talk about the medical needs such as insulin. But a all natural methodology will identify the complete person merging their mind, body and spirit. This can be helpful for experts to understand what sort of Diabetic may be feeling with ramifications of injecting insulin, are they dealing with do it yourself management of the condition. The complete person method of care is to provide service users the ability to go forward from the professional dominance in the doctor centred model and to achieve the self care model which is to encourage freedom. (K217, Learning Guide 2, p42).

Discussion.

The contribution of theory.

Do ideas have a location in health insurance and social care and attention services and how do they help people like Kingsley who's experiencing a long term health.

Theories in health insurance and social good care are developed from two perspectives

Good research and medical engagements which results in theories from information.

Generalised practice and an understanding of experience within an occupation, these theorises are developed from functional experiences.

Theories in understanding long-term health conditions can be found in two perspectives bio medical and the interpersonal style of health. The bio medical approach is that the body functions normally however when things go wrong a specialist can repair your body; its focus is that biological problems can be attended to with medication. The social style of health recognises biological factors but also includes the identification of the influence of health being a matter of emotional and social responding to the wellbeing of a person.

If just a bio medical approach to theory was used of Kingsley's situation he would have been diagnosed with two permanent health issues a heart stroke and type two diabetes with a practitioner then undergone biological treatment in hospital, were checks were considered and symptoms were handled with medication. He is now living with two conditions manipulated by medication. Bio medical may adapt mechanical metaphors which presume a practitioners approach is to be an engineer and fix what's malfunctioning with medication (K219, leaning guide 1, p36). The N. H. S. point out that a stroke is a medical emergency and should be diagnosed at the earliest opportunity this would maintain a bio medical environment. A bio medical view would be studied to determine the crisis treatment needed and also for after health care with medication, therapists, physiotherapist and G. Ps. The N. H. S also focus on that the interpersonal style of health should be included into a patients sociable care needs interpersonal workers would assess an individual and their carers needs and provide services such as dishes on wheels and home good care services (N. H. S. 2011).

A purely communal view of theory to permanent health conditions would offer Kingsley and his with sociological support in working with his conditions responding to needs for his wellbeing. Kingsley has experienced an alteration to his personality, because of his disorder he feels he can no longer contribute in contemporary society. Kingsley's disease has managed to get impossible for him to work so he now depends on the welfare gain system so his identity has altered from a working man providing for his family to the sick and tired role. The sick role can be discovered when an unwell person becomes exempt from a cultural role of duties good examples are because of health problems, a ill person will not get better without having to be looked after and the ill person would want to overcome illness and should be obligated to seek the correct specialized help to cope with an illness (Parsons, 1951, p. 294). This theory of the sick role comes with an element of interpersonal good care and bio medical, contemporary society will address an ill people needs with benefits and care and attention issues and a biological factor will be there with medication.

What can be learnt from research and practice rules?

Research show that is suffering from a long-term health condition such as a heart stroke may face physical disabilities and suffer from cultural exclusion which can result in spoiled identities. The Heart stroke Association commits approximately two. 5 million pounds per year in to research of stroke prevention and treatment. Two key successes are (The Heart stroke Connection 2011).

Staying physically fit after 40 cuts risk of a stroke. Folks who are physically fit after the era of 40 can lower their risk of heart stroke by as much as 50 percent, 'compared to people who aren't as bodily fit' (The Heart stroke Relationship 2011).

The good thing about occupational therapy for stroke good care home residents. A recent analysis funded by the Stroke Association has shown how beneficial even a tiny amount of occupational therapy can be to residents in attention homes who've had a stroke. The study, performed is incredibly significant as the care home population is an understudied and extremely prone group (The stroke Connection 2011).

The research suggests that prevention can reduce the risk of a stroke which life style changes and rehabilitation can help with the healing process, learning to offer with the consequences that the heart stroke has had on them and learning to adapt to the limitations triggered by stroke. Rehabilitation would also talk about the need for any support in working with social, emotional and practical issues.

A government record on long-term health conditions and self good care (Your health, your way, 2009) is targeted at promoting debate between health and social care experts and people with long-term health conditions, it addresses what options, support and information are available for health care users who want to self good care. The N. H. S. and communal services want to encourage people who have long term health conditions to self treatment, its shared aims and prices for the transformation are to ensure that service users and their carers are not discriminated because of health problems or impairment and are recognized to have the ability to:

Live independently and also sustain a family group unit, which will avoid children used on inappropriate nurturing roles.

To remain healthy and to be able to retrieve quickly from condition.

The capacity to exercise control over their own life and if appropriate the lives of members of the family.

To take part economically and socially as effective and identical citizens.

Have the very best quality of life, regardless of illness or disability and retaining respect and dignity.

(Your health, your way, 2009, p. 4)

Self treatment is build around a alternative process that places the service customer at the centre of their own health care but also recognising that different issues can impact on an individual's health and wellbeing therefore the process is supportive, individual, flexible and non-judgemental, the concentrate is only on enabling the individual to achieve the final results that they need for themselves.

People who use services completed a review prior the transition to personal care and after the changes had took place the studies are.

(Your wellbeing, the right path, 2009)

(Your wellbeing, the right path, 2009)

The results show how being empowered to take a more vigorous role in health and well-being can improve quality of life. Folks who are living with a permanent condition may benefit enormously from being supported to self care and attention. They can live much longer, have less pain, stress and anxiety, depression and fatigue, have an improved quality of life and be more active and unbiased (Your wellbeing, your way, 2009, p. 6).

Theory and practice.

The social style of disability (K217, Learning Guide 6, p43) takes on a significant part in a care and attention service user's life, such as Kingsley. This theory accepts that people will experience differences in life because of health issues such as heart stroke and diabetes, but questions that the difference is the problem when society does not adjust to such differences. The theory was created in the 1970's when disabled activists debated that society is the situation that confronted disabled people not the individual's impairment. This approach has a commitment to enhancing the lives of disabled people, by promoting public inclusion and removing the obstacles which oppress disabled people (Tom Shakespeare, 2006, p 9).

The biomedical paradigm ignores the differences between individuals and is also criticised for overlooking social influences which have an effect to healthcare (K217, Learning Guide 2, p40). That is clear regarding Kingsley; he has received biomedical treatment in the past for type 2 diabetes and today for a heart stroke from medical practitioners. Kingsley is currently experiencing variations in life to the able bodied person as well as a change to his identification to being disabled because he cannot walk or use his right palm without being aided. The nursing home were Kingsley now lives accepts his disabilities and care for him such as assist with walk and use his right palm. Two people assist Kingsley to escape bed, showering and dress him. The environment is restricting his independence and making him disabled counting on assistance and there are no products he can use himself which would give him control of his attention.

Empowering people who use services (K217, Learning Guide 10, pp28-34) is a theory which would allow Kingsley to be involved with his healthcare needs. The emphasis of the idea is the matter regarding the need for individuals to participate in their health care needs, and that empowerment will cause them to become use services and empower those to get involved within them. People need to be encouraged to make use of healthcare services but also need to empower themselves to take part within a service. Health and cultural good care services encourage users to become empowered; this is with organizations with people who show similar activities (Diabetes NHS, 2011). Key factors of the theory are that ability and control should be similarly divided between service provider and customer, several options will be accessible to an individual which there will have knowledge on, information supplied to assist in making decisions of course, if the user is dissatisfied with the machine gets the option to decline any further use of the machine and make a grievance. Concerning people who use health and social health care services with empowerment gives them achievements by (K217, Learning Guide 10, p30).

Having control and being involved with services.

Equal show of ability with professionals.

The contribution of planning individual services and the development of good practice.

Including all associates of society.

Empowerments goal is to entail participation at all levels in care services allowing users to have a say and also to be involved in their good care needs dealing with practitioners to meet treatment needs. Empowerment is a 'way of equalising the circulation of power between users of services and practitioners' (Tuner, MacKian, Woodthorpe, 2010, quoted in Learning guide 10, p. 30).

Kingsley's good care needs are being dictated to him by the care and attention home and his public employee if he was to be empowered to work with health care services and was to empower to take part in services he might be more actively contented along with his treatment needs.

Conclusions and recommendations

Who cares for Kingsley and where he receives care are now important decisions to make. The decisions will impact his care and attention needs and his future wellbeing. This article highlights the concerns that individuals who have permanent health conditions face with care needs and the services that provide good care.

Clearly when a person is suffering from an illness like a heart stroke or diabetes a crisis response for care is received from a medical practitioner who will give a biomedical diagnoses in case needed treatment and medication. As was the treatment Kingsley received, the next thing in the care and attention process is how after attention support and treatment is provided for individuals with a permanent health.

Kingsley's individual care and attention needs have never been addressed; he may be adequately receiving biomedical good care in the medical home and his basic fundamental needs for living such as shelter, food and comfort are being provided his individual needs aren't being considered.

Kingsley wishes to come back home to the care and attention of his wife, a psycho sociological point of view will identify that his individual subconscious health and wellbeing in society is not being satisfied. The treatment home environment is restricting him from participating in main stream contemporary society; he cannot be active within society because he has no access to social networks. This is a fundamental reason behind his bouts of anger and irritation as before his illness he was sociable dynamic and provided for his family. Kingsley's treatment needs are unique to his new identity as a disabled person with a long-term health condition, plus a psycho sociological perspective a holistic methodology will identify the impact this is having on his health, lifestyle and wellbeing.

The social employee allocated to Kingsley can be involved that his partner would not have the ability to cope with his attention needs, one option is to recognise what complications in population will be restricting Kingsley because of his impairment (The social style of disability). The health care home is disabling Kingsley because of its lack of techniques and environment.

If the cultural worker was to utilize Kingsley and his partner to identify the support needed to provide a self applied care program such as direct obligations (K217, Learning Guide 10, p29) this might allow them to be independently in charge over which services they use. Permitting them to live independently as a family group and in a position to participate economically within society.

This report reflects on the good care needs of 67 season old Kingsley, at 55 he was identified as having Type 2 Diabetes then at 65 Kingsley experienced a heart stroke. After an extended stay static in hospital he was relocated to a nursing home where he presently lives, he's unhappy in the medical home and wishes to be discharged and gain home to the treatment of his wife. He displays his unhappiness to care and attention personnel with bouts of anger and stress. He has a communal worker allocated to his circumstance who is presently undecided if Kingsley should returning home to his partner, he questions the layout of the house and his wife's capacity to handle Kingsley's care and attention needs. Kingsley and his partner have some difficult decisions to make and really should have the ability to discuss these with the social staff member as these will have a fundamental impact on where he lives as this will be instrumental to his wellbeing.

Living with a long term health condition can have its problems when receiving healthcare, its paramount that a care user will get the correct degree of support and information available. A psycho sociological perspective offers a alternative way which addresses an individual's needs and an anthropological point of view that provides a biological study of the human being.

A psycho sociological point of view addresses an individual's psychological health and wellbeing needs that are individual to operating within human culture. This perspective highlights that factors such as age, gender, environmental living conditions and the individual differences that folks face should be considered in health needs and attention issues.

A psycho-social method of public health seeks to incorporate the planet which will address the health of groups of men and women by social context, social school, location and how accessible they may be to local resources. In the past this has been known as the social model of health (K217, Learning Guide 2, p43).

The framework of the sociable style of health aims to make health services more affective, accessible and satisfactory to individuals. The components are as follows (K217, Learning Guide 2, p43).

To recognize the effect that health is wearing political, economic, sociable, psychological, ethnic and environmental factors and also natural factors.

To improve health a concentrate must be put on the socio-economic environment.

To achieve community participation with shared decision making between lay down people and professionals.

Health services to collaborate with other authorities agencies and industries.

Commitment to equity and accountability in health.

The use of facts which is qualitative and quantitative.

The concept of this perspective is usually that the focus of social causes are associated with illness alternatively genetics. In case the social causes which are causing a negative influence on health are attended to then a better quality of life and sense of wellbeing should be achieved. In Kingsley circumstance he's not socially effective as a result of environment he's currently living in, which is restricting him from taking part in any internet sites, which gives the practitioners vitality over him so he's then not area of the decision making regarding his wellbeing.

Holism perspective

The practice of holism is to recognise that all person's needs are unique to one's own individuality. It acknowledges that concentration is to be given to life styles and choices which have an impact on health and illness. The procedure links all aspects of someone's physical, mental and mental state to create a composition of circumstances of health insurance and illness.

The approach of the biomedical point of view will address medical ailments with a biological, anatomy, and a physiology view but ignores a person's needs, as a holism approach would talk about the individual's needs which would have an impact on life styles and choices.

So a Biomedical perspective has a location in some health issues such as Diabetes which will talk about the medical needs such as insulin. But a all natural methodology will identify the complete person merging their mind, body and spirit. This can be helpful for experts to understand what sort of Diabetic may be feeling with ramifications of injecting insulin, are they dealing with do it yourself management of the condition. The complete person method of care is to provide service users the ability to go forward from the professional dominance in the doctor centred model and to achieve the self care model which is to encourage freedom. (K217, Learning Guide 2, p42).

Discussion.

The contribution of theory.

Do ideas have a location in health insurance and social care and attention services and how do they help people like Kingsley who's experiencing a long term health.

Theories in health insurance and social good care are developed from two perspectives

Good research and medical engagements which results in theories from information.

Generalised practice and an understanding of experience within an occupation, these theorises are developed from functional experiences.

Theories in understanding long-term health conditions can be found in two perspectives bio medical and the interpersonal style of health. The bio medical approach is that the body functions normally however when things go wrong a specialist can repair your body; its focus is that biological problems can be attended to with medication. The social style of health recognises biological factors but also includes the identification of the influence of health being a matter of emotional and social responding to the wellbeing of a person.

If just a bio medical approach to theory was used of Kingsley's situation he would have been diagnosed with two permanent health issues a heart stroke and type two diabetes with a practitioner then undergone biological treatment in hospital, were checks were considered and symptoms were handled with medication. He is now living with two conditions manipulated by medication. Bio medical may adapt mechanical metaphors which presume a practitioners approach is to be an engineer and fix what's malfunctioning with medication (K219, leaning guide 1, p36). The N. H. S. point out that a stroke is a medical emergency and should be diagnosed at the earliest opportunity this would maintain a bio medical environment. A bio medical view would be studied to determine the crisis treatment needed and also for after health care with medication, therapists, physiotherapist and G. Ps. The N. H. S also focus on that the interpersonal style of health should be included into a patients sociable care needs interpersonal workers would assess an individual and their carers needs and provide services such as dishes on wheels and home good care services (N. H. S. 2011).

A purely communal view of theory to permanent health conditions would offer Kingsley and his with sociological support in working with his conditions responding to needs for his wellbeing. Kingsley has experienced an alteration to his personality, because of his disorder he feels he can no longer contribute in contemporary society. Kingsley's disease has managed to get impossible for him to work so he now depends on the welfare gain system so his identity has altered from a working man providing for his family to the sick and tired role. The sick role can be discovered when an unwell person becomes exempt from a cultural role of duties good examples are because of health problems, a ill person will not get better without having to be looked after and the ill person would want to overcome illness and should be obligated to seek the correct specialized help to cope with an illness (Parsons, 1951, p. 294). This theory of the sick role comes with an element of interpersonal good care and bio medical, contemporary society will address an ill people needs with benefits and care and attention issues and a biological factor will be there with medication.

What can be learnt from research and practice rules?

Research show that is suffering from a long-term health condition such as a heart stroke may face physical disabilities and suffer from cultural exclusion which can result in spoiled identities. The Heart stroke Association commits approximately two. 5 million pounds per year in to research of stroke prevention and treatment. Two key successes are (The Heart stroke Connection 2011).

Staying physically fit after 40 cuts risk of a stroke. Folks who are physically fit after the era of 40 can lower their risk of heart stroke by as much as 50 percent, 'compared to people who aren't as bodily fit' (The Heart stroke Relationship 2011).

The good thing about occupational therapy for stroke good care home residents. A recent analysis funded by the Stroke Association has shown how beneficial even a tiny amount of occupational therapy can be to residents in attention homes who've had a stroke. The study, performed is incredibly significant as the care home population is an understudied and extremely prone group (The stroke Connection 2011).

The research suggests that prevention can reduce the risk of a stroke which life style changes and rehabilitation can help with the healing process, learning to offer with the consequences that the heart stroke has had on them and learning to adapt to the limitations triggered by stroke. Rehabilitation would also talk about the need for any support in working with social, emotional and practical issues.

A government record on long-term health conditions and self good care (Your health, your way, 2009) is targeted at promoting debate between health and social care experts and people with long-term health conditions, it addresses what options, support and information are available for health care users who want to self good care. The N. H. S. and communal services want to encourage people who have long term health conditions to self treatment, its shared aims and prices for the transformation are to ensure that service users and their carers are not discriminated because of health problems or impairment and are recognized to have the ability to:

Live independently and also sustain a family group unit, which will avoid children used on inappropriate nurturing roles.

To remain healthy and to be able to retrieve quickly from condition.

The capacity to exercise control over their own life and if appropriate the lives of members of the family.

To take part economically and socially as effective and identical citizens.

Have the very best quality of life, regardless of illness or disability and retaining respect and dignity.

(Your health, your way, 2009, p. 4)

Self treatment is build around a alternative process that places the service customer at the centre of their own health care but also recognising that different issues can impact on an individual's health and wellbeing therefore the process is supportive, individual, flexible and non-judgemental, the concentrate is only on enabling the individual to achieve the final results that they need for themselves.

People who use services completed a review prior the transition to personal care and after the changes had took place the studies are.

(Your wellbeing, the right path, 2009)

(Your wellbeing, the right path, 2009)

The results show how being empowered to take a more vigorous role in health and well-being can improve quality of life. Folks who are living with a permanent condition may benefit enormously from being supported to self care and attention. They can live much longer, have less pain, stress and anxiety, depression and fatigue, have an improved quality of life and be more active and unbiased (Your wellbeing, your way, 2009, p. 6).

Theory and practice.

The social style of disability (K217, Learning Guide 6, p43) takes on a significant part in a care and attention service user's life, such as Kingsley. This theory accepts that people will experience differences in life because of health issues such as heart stroke and diabetes, but questions that the difference is the problem when society does not adjust to such differences. The theory was created in the 1970's when disabled activists debated that society is the situation that confronted disabled people not the individual's impairment. This approach has a commitment to enhancing the lives of disabled people, by promoting public inclusion and removing the obstacles which oppress disabled people (Tom Shakespeare, 2006, p 9).

The biomedical paradigm ignores the differences between individuals and is also criticised for overlooking social influences which have an effect to healthcare (K217, Learning Guide 2, p40). That is clear regarding Kingsley; he has received biomedical treatment in the past for type 2 diabetes and today for a heart stroke from medical practitioners. Kingsley is currently experiencing variations in life to the able bodied person as well as a change to his identification to being disabled because he cannot walk or use his right palm without being aided. The nursing home were Kingsley now lives accepts his disabilities and care for him such as assist with walk and use his right palm. Two people assist Kingsley to escape bed, showering and dress him. The environment is restricting his independence and making him disabled counting on assistance and there are no products he can use himself which would give him control of his attention.

Empowering people who use services (K217, Learning Guide 10, pp28-34) is a theory which would allow Kingsley to be involved with his healthcare needs. The emphasis of the idea is the matter regarding the need for individuals to participate in their health care needs, and that empowerment will cause them to become use services and empower those to get involved within them. People need to be encouraged to make use of healthcare services but also need to empower themselves to take part within a service. Health and cultural good care services encourage users to become empowered; this is with organizations with people who show similar activities (Diabetes NHS, 2011). Key factors of the theory are that ability and control should be similarly divided between service provider and customer, several options will be accessible to an individual which there will have knowledge on, information supplied to assist in making decisions of course, if the user is dissatisfied with the machine gets the option to decline any further use of the machine and make a grievance. Concerning people who use health and social health care services with empowerment gives them achievements by (K217, Learning Guide 10, p30).

Having control and being involved with services.

Equal show of ability with professionals.

The contribution of planning individual services and the development of good practice.

Including all associates of society.

Empowerments goal is to entail participation at all levels in care services allowing users to have a say and also to be involved in their good care needs dealing with practitioners to meet treatment needs. Empowerment is a 'way of equalising the circulation of power between users of services and practitioners' (Tuner, MacKian, Woodthorpe, 2010, quoted in Learning guide 10, p. 30).

Kingsley's good care needs are being dictated to him by the care and attention home and his public employee if he was to be empowered to work with health care services and was to empower to take part in services he might be more actively contented along with his treatment needs.

Conclusions and recommendations

Who cares for Kingsley and where he receives care are now important decisions to make. The decisions will impact his care and attention needs and his future wellbeing. This article highlights the concerns that individuals who have permanent health conditions face with care needs and the services that provide good care.

Clearly when a person is suffering from an illness like a heart stroke or diabetes a crisis response for care is received from a medical practitioner who will give a biomedical diagnoses in case needed treatment and medication. As was the treatment Kingsley received, the next thing in the care and attention process is how after attention support and treatment is provided for individuals with a permanent health.

Kingsley's individual care and attention needs have never been addressed; he may be adequately receiving biomedical good care in the medical home and his basic fundamental needs for living such as shelter, food and comfort are being provided his individual needs aren't being considered.

Kingsley wishes to come back home to the care and attention of his wife, a psycho sociological point of view will identify that his individual subconscious health and wellbeing in society is not being satisfied. The treatment home environment is restricting him from participating in main stream contemporary society; he cannot be active within society because he has no access to social networks. This is a fundamental reason behind his bouts of anger and irritation as before his illness he was sociable dynamic and provided for his family. Kingsley's treatment needs are unique to his new identity as a disabled person with a long-term health condition, plus a psycho sociological perspective a holistic methodology will identify the impact this is having on his health, lifestyle and wellbeing.

The social employee allocated to Kingsley can be involved that his partner would not have the ability to cope with his attention needs, one option is to recognise what complications in population will be restricting Kingsley because of his impairment (The social style of disability). The health care home is disabling Kingsley because of its lack of techniques and environment.

If the cultural worker was to utilize Kingsley and his partner to identify the support needed to provide a self applied care program such as direct obligations (K217, Learning Guide 10, p29) this might allow them to be independently in charge over which services they use. Permitting them to live independently as a family group and in a position to participate economically within society.

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