Support in this category is provided to participants striving to live their lives as independently and autonomously as possible. Given the specialised nature of the category these supports are handled by workers with advanced qualifications and experience, who are well equipped to service each NDIS participant’s complex, individual needs. Advanced skills that may be required from workers include behaviour support and suctioning, among others.
Supports for High Intensity Daily Personal Activities are typically provided by professionals in the following fields:
- Disability Support Worker (including Mental Health or Peer Worker)
- Welfare worker
- Aboriginal Health Worker
Some of the activities that workers in the high intensity category are expected to assist with are listed below:
Complex bowel care requiring knowledge of the digestive system and bowel function
Enteral feeding and management requiring knowledge of and experience with gastrostomy feeding
Tracheostomy care requiring knowledge of the eliminatory system, stoma equipment, and suctioning
Urinary catheters requiring knowledge of the urinary system and experience with catheters and bags
Ventilation requiring knowledge of the respiratory system, ventilator equipment, and breathing masks
Subcutaneous injection requiring knowledge of and experience with pens and pumps used to administer medication, and the various injection methods
Diabetes management requiring knowledge of diabetes types 1 and 2 and the associated symptoms and risks; and experience administering insulin
Other tasks associated with High Intensity Daily Personal Activities (which may or may not be required, depending on the participants’ needs) include seizure management, pressure care and wound management, mealtime preparation and delivery, and stoma care.
High intensity support may also be necessary for participants who do not have special medical needs like those listed above but who exhibit particularly challenging behaviour on a frequent basis (i.e. at least once per shift).