Daniel lives in an assisted- living setting with two other men with learning disability. Daniel has struck up a friendship with some young men at the local pub and is frequently seen there buying them expensive 'shot' drinks. Daniel does appear to be buying his friends more drinks than they buy him in return; this gets back to Daniel's assisted-living Health and Social Care Worker, Jane, who is concerned that Daniel is being exploited. When Jane raises the issue, Daniel is adamant that he knows what he is doing, the money is his to spend as he sees fit and anyway his young friends do not have as much money as he does.
Daniel specifically has a Language Processing Disorder:
This disorder affects attaching meaning to sound groups that form words, sentences and stories.
This is a specific type of Auditory Processing Disorder (APD). While an APD affects the interpretation of all sounds coming into the brain (e.g., processing sound in noisy backgrounds or the sequence of sounds or where they come from), a Language Processing Disorder (LPD) relates only to the processing of language. LPD can affect expressive language (what you say) and/or receptive language (how you understand what others say).
Signs and Symptoms
- Has difficulty gaining meaning from spoken language
- Demonstrates poor written output
- Exhibits poor reading comprehension
- Shows difficulty expressing thoughts in verbal form
- Has difficulty labeling objects or recognizing labels
- Is often frustrated by having a lot to say and no way to say it
- Feels that words are “right on the tip of my tongue”
- Can describe an object and draw it, but can’t think of the word for it
- May be depressed or having feelings of sadness
- Has difficulty getting jokes
http://ldaamerica.org/types-of-learning-disabilities/language-processing-disorder/
Adapted from a Scenario by Ellis, Peter (2015) Understanding Ethics for Nursing Students, 1st edn. London: Sage Publications. (Transforming Nursing Practice Series)
It is proposed that Daniel does not have capacity and should be protected from the men in the pub