I have been working mainly with clients with physical impairments for approximately 15yrs, however many along with the physical also have cognitive impairments or other factors like speech delays,A.B.I clients,swallowing issues, bowel and bladder care catheters,colostomy bags, nephrostomy bags, accompanying client to appointments..I am comfortable with wound care as well and some trache care and vent care. I also work as a supply E.A with the HWCDSB.