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Amara Nakamura Active plan
She/her · 34 · NDIS 4300291736 · Plan ends 28 Nov 26 · Coordinator: Sana Bhatt
About me
AN
"I live in Marrickville with my partner Joel and my cat Biscuit. I love gardening, reading crime novels, and Saturday markets. I use a walker for longer outings and I like to know the plan for the day before it starts. I speak English and some Japanese with my mum on Sundays."
Contact details
Mobile
0412 938 462
Preferred · SMS ok
Email
amara.n@example.com
Home address
42B Cavendish St, Marrickville NSW 2204
Wheelchair accessible entrance · side gate
Preferred contact method
SMS → phone → email
Emergency & support network
JK
Joel Kapoor · Partner
HN
Hiroko Nakamura · Mother
DC
Dr Linda Chen · GP
RB
Ruth Baxter · Advocate
KR
Dr Kamal Rao · Neurologist
Upcoming shifts · next 7 days
24
APR
Community access · market & café
9:00–13:00 · Basit G. · 4h
25
APR
Assistance with daily life — morning
7:30–10:30 · Priya S. · 3h
27
APR
Physiotherapy transport
14:00–15:30 · Leo M. · 1.5h
My team
PS Priya S.
BG Basit G.
LM Leo M.
RJ Rani J.
Preferences
Morning person
Prefers female workers
No dairy
Low sensory lighting
Japanese Sundays
Cat Biscuit — indoors
Risk & safety snapshot
Open risks tab →
Mobility — walker
Peanut anaphylaxis
Epilepsy — seizure plan v3
No restrictive practices
BSP reviewed 12 Feb 26
Basit's shift can't sign out yet — 3 mandatory tasks pending
Basit G. is on Amara's community access shift 09:00–13:00. Sign-out blocked until mandatory tasks are completed or skipped with a reason.
Today's tasks · Fri 24 Apr
For Amara — completed 6 of 10
Mandatory · blocks sign-out
Optional
Medication
Goal-linked
Morning · before shift started
07:30±30m
Morning Sertraline 50mg (self-managed, Joel witness)
MAR
08:00±30m
Morning Levetiracetam 500mg
MAR
Basit's shift · community access (markets) · 09:00–13:00
09:00before leaving
Pre-shift safety check: EpiPen in bag, medical bracelet on
Photo
09:15—
Walk towards markets — 500m progression target
Distance
10:30as needed
Coordinator check-in (mid-shift)
SMS
11:30—
Market shopping — ingredient label checks (peanut, dairy)
Checklist
Now · pending before sign-out
12:15at the café
Little Marionette café — confirm menu peanut-free with staff
12:45before 13:00
Write progress note — link to Walk to market goal
12:55end of shift
Handover to Amara / Joel — afternoon meds reminder at 13:00
This evening · self-managed with Joel
13:00±30m
Midday Levetiracetam 500mg (self, Joel witness)
20:00±30m
Evening Levetiracetam 500mg
How this works
→ Tasks on this tab are scoped to Amara's day. Worker-owned tasks (like Basit's café check) gate Basit's shift sign-out. Self-managed tasks (like 20:00 meds) go to Amara's portal.
→ Mandatory tasks for high-risk items — medication, anaphylaxis checks, handover — always block sign-out.
→ Tasks with Goal-linked automatically attach to the relevant goal and become part of that goal's progress history.
→ The task set for each day is generated from the support plan (medication schedule, recreation plan, behaviour support), the active shift type (community access today), and the participant's risks (anaphylaxis, seizure). Templates can be edited per participant.
→ Sign-out wiring to timesheet and billing is later build — today the UI shows the gate and data model.
Mon
Tue
Wed
Thu
Fri
Sat
Sun
30
31
1Meds × 3Priya AM
2Meds × 3Physio 14:00
3Meds × 3Basit markets
4Meds × 3Markets 9–12
5Meds × 3Mum call 15:00Cook w/ Joel
6Meds × 3Priya AM
7Meds × 3GP Dr Chen 10:00
8Meds × 3Priya AMWalk 400m
9Meds × 3Book club 19:00
10Meds × 3Basit markets
11Meds × 3Markets 9–12
12Meds × 3Mum call
13Meds × 3Priya AM
14Meds × 3Physio 14:00
15Meds × 3Priya AMWalk 450m
16Meds × 3
17Meds × 3Basit markets
18Meds × 3MarketsJapanese group
19Meds × 3
20Meds × 3Priya AMCooking Rani 17:00
21Meds × 3Priya AMWalk 460m
22Meds × 3Physio · LeoPlan prep start
23Meds × 3Photo consent renewal
24Meds × 3Basit 9–13Walk 500mMarkets + café
25Meds × 3Priya AM
26Meds × 3Cook w/ Joel
27Meds × 3Priya AM
28Meds × 3Neuro · Dr Rao 11:00
29Meds × 3Priya AMWalk 520m
30Meds × 3Consent re-sign
1Meds × 3
2
3
Medication
Appointment
Shift
Outing / activity
Social / meeting
Goal progress
Plan / consent
Add a task or event for Amara
Staff and Amara can add — coordinator can approve
Medication
Appointment
Shift
Outing
Goal progress
Plan / consent
Walk to market
Book club
Cook recipes
Morning routine
Mandatory task — blocks worker's shift sign-out
Next 7 days — Amara's agenda
Today · Fri 24 Apr
Community access · markets + café
9:00–13:00 · Basit G. · walk 500m target
Mon 27 Apr
Morning routine with Priya
7:30–10:30
Tue 28 Apr
Neurology follow-up · Dr Rao
11:00 · RPA Hospital
Wed 30 Apr
Photo consent re-sign
Required — expires today
Thu 8 May
Book club · monthly
19:00 · Marrickville library
Personal Plan — Amara Nakamura
Plan type: Personal Plan · Start: 29/11/2025 · Review: 28/11/2026 · Print:
Support plan
Structured like an iPlanit Personal Plan. Click any section text to edit it live. All changes autosave.
Plan status
Active
Last reviewed
12 Feb 2026
by Sana Bhatt
Next review due
12 Oct 2026
Linked risks
11
3 medium · 8 low
Needs assessment
● Saved
The needs assessment is the foundation of the support plan. Each rated domain below feeds into a specific section of the plan — click "Feeds into →" to jump to that section. Re-assessment refreshes the plan automatically.
Moderate
Overall support intensity
Recommended support: 18–22 hours per week across 4 named workers. Amara is broadly independent with daily living skills but requires consistent support for community access (mobility), medication prompts, and anxiety management in unfamiliar environments. Two high-intensity domains: safety & risk awareness (anaphylaxis, seizure), and community access (mobility + anxiety combined).
14 domains assessed
0 Independent
1 Supervision
2 Some help
3 A lot of help
4 Full support
Personal care & hygiene
1 · Supervision / set-up
Showers and dresses independently. Needs shower stool set up before entry and a prompt to take morning meds after breakfast.
Feeds into → Support with personal care
Mobility & transfers
2 · Some help
Walker required beyond 200m. Balance fatigue on L-side; falls risk. Transfers independent at home.
Feeds into → Support with mobility
Communication
0 · Independent
Verbal communication in English. Tires in noisy rooms. Sunday Japanese-only call with mother.
Feeds into → How I communicate
Behaviour & emotional wellbeing
2 · Some help
Anxiety triggered by fluorescent light, crowds, unexpected plan changes. Well-managed with pre-planning and calm voice.
Feeds into → Behaviour support · triggers & avoidance
Health & medical
3 · A lot of help
Epilepsy (tonic-clonic) + anaphylaxis (peanut) + mild CP. Seizure plan and ASCIA action plan active. High-risk domain.
Feeds into → Support with medical conditions
Nutrition & meals
1 · Supervision
Cooks with Joel on weekends. Needs label-checking for peanut traces and dairy. Miso, salmon, rice central to diet.
Feeds into → Food — likes, dislikes & support
Household tasks
1 · Supervision
Shared with Joel. Gardening daily is a preference, not a need. Heavy laundry / high shelves require support.
Feeds into → Overnight support & household routines
Community participation
2 · Some help
Weekly markets, monthly cultural group, book club. Needs support worker for transport and venue navigation.
Feeds into → Recreation & leisure
Social relationships
0 · Independent
Strong partner relationship (Joel), weekly contact with mother, active book club friendships.
Feeds into → Communicating with others
Cultural & spiritual
1 · Facilitation
Japanese-Australian identity. Monthly cultural group attendance. Observes Obon in August. Not religious.
Feeds into → Spiritual & cultural needs
Decision-making
0 · Independent
Full capacity. Appoints Joel as primary contact and Ruth Baxter as NDIS plan nominee for admin support only.
Feeds into → Communicating with others
Finances
0 · Independent
Manages own finances with Joel. Plan-managed via provider. No budgeting support required.
Feeds into → N/A — no plan section required
Sensory needs
1 · Environmental
Fluorescent light intolerance, loud echoey spaces cause fatigue. Sunglasses + earbuds in bag as standard.
Feeds into → Sensory support
Safety & risk awareness
3 · A lot of help
Anaphylaxis, seizure, fall risk. All workers trained in EpiPen + seizure response. 11 linked risks in register.
Feeds into → Risks tab (11 linked)
Re-assessment triggers: annually, on major life change (moving home, new condition), after any severity-3+ incident, or on coordinator / family request.
All about me
● Saved
I am Amara, 34, and I live in Marrickville with my partner Joel and my cat Biscuit. My mother's family is Japanese — I speak some Japanese with Mum on Sundays and we cook together when she visits. I love gardening and have built a small vegetable patch with Joel. I read crime novels in the evenings and go to Saturday markets most weeks. I use a walker for anything over 200m. I have been a participant of BADR CRM since March 2023.
Communicating with others
● Saved
| Name / Relationship | How often | About what | How & when |
|---|---|---|---|
| Joel Kapoor Partner | Daily | Anything — life, health, plans | Face to face, SMS |
| Hiroko Nakamura Mother | Weekly (Sundays) | General wellbeing, family | Phone call, Japanese |
| Dr Linda Chen GP | 3-monthly or as needed | Medication review, health | Clinic visit, phone |
| Ruth Baxter Advocate | Before plan reviews | NDIS plan decisions | Phone, email |
How I communicate
● Saved
| Information | Area | Outcome required? |
|---|---|---|
| I communicate verbally in English. Please speak clearly and at a normal pace — I can follow fast speech but tire in noisy rooms. | Speech | No |
| In a seizure I cannot speak. Check for my medical bracelet and call 000 if the seizure lasts more than 2 minutes. | Emergency | No |
| On Sundays I prefer Japanese at home with my mum. Staff don't need to speak Japanese — just leave me space for the call. | Cultural | No |
Spiritual & cultural needs
● Saved
I identify as Japanese-Australian. My mother's family is from Hiroshima. I don't follow a specific religion, but I observe Obon in August (commemorating ancestors) and I cook a New Year meal with Mum. I'd like support to attend the Marrickville Japanese cultural group on the first Saturday of each month. I prefer not to have Christmas decorations in my room.
Sensory support
● Saved
| Information | Area | Outcome |
|---|---|---|
| Fluorescent lighting triggers anxiety. Prefer lamps or natural light at home. In shops, ask if I need a break. | Sight | Outcome req. |
| Loud, echoey rooms make me tired. Please keep the TV below 40% when I'm in the room. | Hearing | No |
| I like textured fabrics — wool is calming. Avoid synthetic scratchy throws. | Touch | No |
Support with personal care
● Saved
| Information | Care area | Outcome |
|---|---|---|
| I shower myself. I need a shower stool and the grab rail to be within reach. Please set it up before I enter. | Bathing | No |
| I can dress myself but I get tired. A bench by the wardrobe helps. I prefer loose clothing. | Dressing | No |
| I need a prompt to take medication in the morning. Once I've had tea I sometimes forget. | Medication | Outcome req. |
Food — likes, dislikes & support
● Saved
LIKES
Miso soup, grilled salmon, rice, soba noodles, seasonal fruit. Tea (sencha) most days. Cooking with Joel on weekends — stir-fries, curries.
AVOID — ANAPHYLAXIS
Peanuts — severe allergy, EpiPen in bag. No peanut-satay at Thai places. Dairy — GI intolerance, no cheese/cream/milk. Always check labels.
Support with medical conditions
● Saved
| Condition | Support needed | Outcome |
|---|---|---|
| Epilepsy (generalised tonic-clonic) | Follow seizure plan v3. Time the seizure. Don't restrain. Call 000 if > 2 minutes or if another seizure follows. | No |
| Mild cerebral palsy (L-side) | Walker for any distance >200m. Bench stops at about 400m if we're out. | No |
| Generalised anxiety | Fluorescent lights and crowds are triggers. Offer a quiet room and 10 minutes. Reassure with a calm voice. | No |
| Peanut anaphylaxis | EpiPen in my bag at all times. Always ask at cafés. Call 000 and administer EpiPen on suspected exposure. | Critical |
Support with mobility
● Saved
| Information | Mobility area | Outcome |
|---|---|---|
| I use a walker for any distance over 200m. I walk on the support worker's right side so my left leg is protected. | Walking aid | No |
| On longer walks, please plan bench stops every 400m. I get L-side fatigue. | Community walks | Outcome req. |
| Transfers at home are independent. I have a grab rail in the shower and a non-slip mat. | Transfers | No |
| Physio progression plan: 400 → 600 → 800m reviewed fortnightly with Leo. | Rehabilitation | No |
Overnight support
● Saved
I sleep well, usually lights out by 22:30. If a seizure happens overnight, Joel is trained to respond. For waking visits, please don't switch on the ceiling light — use the hallway lamp.
Recreation & leisure
● Saved
Weekly: Marrickville markets (Sat), book club (1st Thu), cooking with Joel (Sun). Monthly: Japanese cultural group. Garden tending is daily and non-negotiable — Biscuit and I inspect the tomatoes every morning.
Behaviour support · triggers & avoidance
● Saved
| Trigger | What happens | What helps |
|---|---|---|
| Fluorescent / flickering light | Panic, wants to leave, may cry | Offer to leave the area. Sit in the car or a quiet room. Water. |
| Unexpected plan change | Becomes quiet, looks down, stops eating | Explain what changed in one sentence. Offer two options. Give 5 min to think. |
| Loud crowds > 30 minutes | Fatigue, anxiety spike | Pre-plan a quiet exit route. 15-minute check-ins. |
Dreams & wishes
● Saved
| Goal | Timeframe |
|---|---|
| Walk to Marrickville Markets independently (800m) | Short-term (6 months) |
| Visit my mum's hometown in Japan with Joel | Medium-term (12 months) |
| Volunteer with the community garden program | Long-term (18+ months) |
Action plan
● Saved
| Action | Due | Status | Assigned |
|---|---|---|---|
| Physio develops 400 → 600 → 800m walking plan | 10 May 26 | Doing | Leo M. |
| Book Japan travel insurance & pre-travel medical | 30 Jun 26 | Planned | Sana B. |
| Contact Marrickville community garden re: volunteer days | 15 May 26 | Pending | Priya S. |
Risk Management Plan — Amara Nakamura
Active plan "Personal Plan" · as at
Risk register
Each risk is linked back to a support-plan section. Controls reduce the pre-control score to the residual score.
Total risks
11
High
0
Medium
3
Low
8
5 × 5 risk matrix
Likelihood × Consequence1 Insig.
2 Minor
3 Moderate
4 Serious
5 Fatal
5 Almost certain
5
10
15
20
25
4 Likely
4
8
12
16
20
3 Possible
3
6
9
12
15
2 Unlikely
2
4
6
8
10
1 Remote
1
2
3
4
5
1–6 Low
7–12 Medium
15–25 High
All · 11
Medium · 3
Low · 8
Linked to behaviour support · 3
Linked to medical · 4
Updated this month · 2
Anaphylaxis — peanut exposure
3 × 4 = 12 Medium
Primary risk: Accidental exposure to peanuts in café food, shared snacks, or cross-contamination at Thai/Asian restaurants. Severe reaction is fatal without prompt EpiPen administration.
Risk to: Person (Amara)
Controls:
- EpiPen in Amara's bag at all times; second in kitchen drawer
- Always ask at cafés about peanut traces; avoid satay dishes
- All support workers trained in EpiPen use and 000 call protocol
- ASCIA action plan posted on fridge and in shift handover folder
- Anaphylaxis medical alert bracelet worn at all times
Pre-control: 3 × 4 = 12
→
Post-control: 1 × 4 = 4 Low
Linked from: Support plan → Food — likes, dislikes & support · Last modified 12 Feb 26 by Sana Bhatt
Tonic-clonic seizure
3 × 4 = 12 Medium
Primary risk: Generalised seizure during shift (shower, on walk, overnight). Risk of fall-injury, aspiration, or prolonged status epilepticus.
Risk to: Person
Controls:
- Follow Seizure management plan v3 (Dr L. Chen)
- Time the seizure — call 000 if > 2 min or second seizure follows
- Do not restrain; clear surroundings; recovery position after
- Shower stool in use; grab rail; Joel trained for overnight response
- Levetiracetam adherence tracked in MAR — flag missed doses immediately
Pre-control: 3 × 4 = 12
→
Post-control: 2 × 3 = 6 Low
Linked from: Support plan → Support with medical conditions · Last modified 3 Mar 26 by Dr L. Chen
Fall during mobility — left-side cerebral palsy
3 × 3 = 9 Medium
Primary risk: Fall while walking >200m without walker, or during balance fatigue on uneven ground. Risk of fracture or soft-tissue injury.
Risk to: Person
Controls:
- Walker for any distance > 200m
- Pre-plan bench stops every 400m on outings
- Non-slip mat in bathroom; grab rail to wall
- Physio progression 400 → 600 → 800m — reviewed fortnightly
- Support worker walks on Amara's left side
Pre-control: 3 × 3 = 9
→
Post-control: 2 × 2 = 4 Low
Linked from: Support plan → Support with mobility · Last modified 22 Apr 26 by Leo M.
Anxiety escalation — fluorescent light & crowds
2 × 3 = 6 Low
Primary risk: Panic response in shopping centres or medical waiting rooms — withdrawal, crying, risk of unsafe exit.
Risk to: Person
Controls:
- Pre-identify quiet exits before entering venues
- 15-minute check-ins during crowded outings
- Sunglasses + noise-reducing earbuds in bag
- Calm voice, two-option choices, never leave alone mid-panic
Pre-control: 2 × 3 = 6
→
Post-control: 1 × 2 = 2 Low
Linked from: Support plan → Behaviour support · triggers & avoidance · Last modified 2 Feb 26 by Sana Bhatt
Medication omission or mistiming
2 × 3 = 6 Low
Primary risk: Missed or late Levetiracetam dose increases seizure risk. Sertraline refusal on 22 Apr documented.
Risk to: Person
Controls:
- Webster pack prepared weekly by pharmacy
- Morning prompt in support worker shift checklist
- MAR sign-off required per dose with signature
- Refusal triggers coordinator call within 2 hours
Pre-control: 2 × 3 = 6
→
Post-control: 1 × 2 = 2 Low
Linked from: Support plan → Support with personal care · Last modified 22 Apr 26 by Priya S.
Social isolation if supports reduce
2 × 2 = 4 Low
Primary risk: Reduced community access hours would cut weekly market, book club, and Japanese cultural group attendance — mood and anxiety relapse risk.
Risk to: Person
Controls:
- Monthly plan utilisation review; flag at 80% capacity build
- Core team consistency — 4 named workers for continuity
- Plan review prep pack started at 60 days from review date
Pre-control: 2 × 2 = 4
→
Post-control: 1 × 2 = 2 Low
Linked from: Support plan → Recreation & leisure · Last modified 14 Jan 26 by Sana Bhatt
Current NDIS plan
Plan start
29 Nov 2025
Plan end
28 Nov 2026
Total funding
$128,340
Review due
12 Oct 2026
Budget by category
64%
$82k / $128k
Core supports$48,200 / $62,00078%
Capital$6,200 / $28,00022%
Capacity building$18,400 / $22,34082%
SIL$9,340 / $16,00058%
Goals · current plan
Walk to market independently by DecemberIn focus
Build to 800m with walker: 200m → 400m → 800m.
55% · currently 440m
Rejoin Marrickville book club by AugustIn focus
Social participation — monthly meet.
40% · 2 of 5 sessions
Cook three new recipes with Joel each month
Daily living skills · shared activity.
Conditions
Epilepsy — tonic-clonic
Seizure plan v3 · Last seizure 18 Feb 26
Mild cerebral palsy
L-side · walker for >200m
Generalised anxiety
Crowds / fluorescent lights trigger
Allergies & alerts
5Peanuts — anaphylaxis
EpiPen in bag. Call 000 immediately.
⚠ Lactose intolerance
Medications
| Medication | Dose | Frequency | Prescriber |
|---|---|---|---|
| Levetiracetam | 500mg | 2× daily | Dr L. Chen |
| Sertraline | 50mg | 1× daily (am) | Dr L. Chen |
| Clonazepam | 0.5mg | PRN seizure | Dr L. Chen |
| Epinephrine | 0.3mg | PRN anaphylaxis | Dr K. Rao |
Progress notes
·Today, 13:12Walk to marketSigned
Walked 480m today — passed the 400m milestone. Amara asked for a short sit at the bench. Joel met us at the café. No falls, no seizure.
·Yesterday, 8:44Morning routine
Amara declined morning Sertraline — felt jittery yesterday. Logged as refusal; Sana notified.
·22 Apr, 16:02Physio
Transport to and from physio. Completed full 45-min session.
Open
1
Reportable
0
Total 12m
4
Avg close
2.8d
Incidents
| Sev | Type | What happened | By | When | Status |
|---|---|---|---|---|---|
| 2 | Minor injury | Grazed knee — walker caught kerb | Basit G. | 20 Apr | Open |
| 1 | Med refusal | Declined morning Sertraline | Priya S. | 22 Apr | Closed |
| 3 | Seizure | Tonic-clonic · 90s · recovery | Leo M. | 18 Feb | Closed |
Documents
📄
NDIS plan Nov 25–26
Active · 2.1MB
📄
Service agreement
Dec 25
📄
Photo consent
⚠ Expires 18 days
📄
BSP v4
Feb 26
📄
Seizure plan v3
Mar 26
This week
12.5h
This month
62h
Team
4
Cancellations
1
Shifts
24
APR
Community access
9:00–13:00 · Basit G.
25
APR
Morning routine
7:30–10:30 · Priya S.
Ready
$1,842
Submitted
$6,420
Pending
$980
Rejected
$214
Claim readiness
| Date | Service | Worker | Amount | Status |
|---|---|---|---|---|
| 24 Apr | Community access | Basit G. | $280.40 | Ready |
| 22 Apr | Physio transport | Leo M. | $105.15 | Ready |
| 20 Apr | Cooking | Rani J. | $140.20 | Missing sig |