个案背景妞妞(化名),女,23岁,四级残障者,表现为智力发育迟缓、体弱,行走时脚掌拖地,抬不起脚,运动中胳膊弯曲伸不直。由于肢体功能比较不协调,服务对象行动较为缓慢,心理年龄低于生理年龄,只能做简单的日常活动。服务对象还患有先天性心脏病,不能做剧烈运动。服务对象一家五口人,父母因工作原因无暇照顾服务对象,服务对象长期由爷爷奶奶照顾。6岁时,服务对象做了心脏病手术,随着年龄 Case background Niuniu (a pseudonym), female, 23 years old, four disabled, manifested as mental retardation, infirmity, walking when the foot mopping the floor, lift the unbearable foot, exercise, bending the arm is not straight. Due to the incompatibility of limb function, the client’s behavior is slow, mental age is lower than the physiological age, can only do simple daily activities. Clients are also suffering from congenital heart disease, can not do strenuous exercise. A family of five people, parents have time to take care of clients due to work, clients long-term care by grandparents. At age 6, the client did a heart surgery, with age