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Keith

Within this portfolio I will be focusing on a nine year old boy called Keith, he lives with his 55 year old mother Michelle and her partner Billy who is 60, along with his two older brothers, Richard who is 14 and Robert who is 11. The school which he attends is specialised for children who suffer from physical disabilities.

Keith suffers from cerebral palsy; this has resulted in spasticity in all four of his limbs along with high muscle and postural tone, resulting in him finding it difficult to participate in all of the activities which his peers usually carry out.

In terms of his intellectual abilities, he is a bright young man who is motivated to do well in his education, however he is thought to have a mild learning disability. This can cause problems as whenever he has to exert more effort into tasks, his muscle tone tends to increase.

At present his personal care routine could require some assistance, although he can dress himself independently, he requires assistance to manage the fastenings on his clothes, this also applies when he goes to the toilet. He can transfer himself independently providing the seat has two sturdy arms to guide him with.

He currently uses a walking frame which is on wheels, however this is causing concern now as it is becoming much more unsteady, he attends physiotherapy in order to maintain joint range of movement and flexibility and to monitor his spine. In order to maintain his mobility, it will require an increased effort on his part. At present he is a high level three, and is moving very close to a level four, therefore a wheelchair may become an option for him in order to promote his independence and to reduce his risk of social isolation.

Within his school environment, Keith uses a walking aid for mobility, however this appears to be quite tiring for him and has resulted in him feeling isolated

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