Task

CHCDIS002-FOLLOW ESTABLISHED PERSON-CENTRED BEHAVIOUR SUPPORTS

Activity 1A

1.The functional analysis is concerned with identifying the client’s requirements and putting them in action

Steps include:

1.Identifying the exact behaviour to be targeted
2.Identifying the varied functions and contributions of the behaviour
3.Identiyfying optional behaviours (Cheng, Tani and Katz, 2023)
4.Recognise strategy to influence positive behaviours
5.Recognise strategies for reducing negative behaviours
6.Making a behaviour intervention plan
7.Evaluating above plan

2. Three elements that can support the plan include:

•    Positive interactions with individuals
•    Maintaining the independence of the individuals
•    Empathic listening and responding (Horsell, 2023)

The elements will ensure the proper implementations of the plan

3. The OARS are effective listening skills aimed at understanding an individual’s perspective without pushing them. The OARS comprises of open-ended questions, affirmations, reflections and summaries (Horsell, 2023).

4. The Activities of Daily Living are adhering to the person-centred care of an individual. Such activities are showering, dressing, getting out of the chair or bed, walking, eating and using the toilet.

Activity 1B

1.The person-centred approach focuses on viewing each individual as a unique person rather than forcing them to bias stereotypes. The care personnel should note the uniqueness and characteristics based on the needs, strengths, weaknesses and preferences instead of perceiving the individuals as combination of syndromes (Winterbotham et al., 2023). 

2. The strength-based approach focuses on what the client is capable of instead of emphasising on what they cannot do. The strength-based approach does not seek to “fix” the problem. The focus is on impactful collaborations and facilitations (Pitman, Brett and Ellis, 2023). The assessment of the health of an individual as opposed to the dysfunctions and the eradication of limiting labels lies at the heart of the approach motivating clients.

3. The activities should have the qualities of meaning (a clear purpose), input, expectations, freedom, belief (demonstrating the needed belief in the client), targets boosting natural competitiveness and working relationships with individuals aiding them with their daily activities (Fisher et al., 2023)

Activity 1C

1.The social model of disability defines the disability as an outcome of collective societal views as opposed to the physical and mental impairment. The model believes in adapting to an individual’s disability (Hough, 2023). The examples include adding ramps, wheelchairs to the building entrances, adding elevators for high buildings and providing needed funds to disabled people for living independently. 

2. The quality of life is severely and adversely affected by the social devaluation. The individuals being isolated lose confidence and identify themselves as being disabled opposed to a normal person.

3.  The competency and image enhancement will have a critical role to play in increasing their self-esteem. They can be estimated in positive regards by others and be endowed with a sense of autonomy (Pearson et al., 2023). The heightened self-image will lead to personal growth and contributing to society.

4. There can be issues in engaging such as the unsafe environment and the person not having the required degree of confidence. This can be overcome with the inception of a safe environment including the removal of hazardous objects and providing the needed mental boosting to disabled people

Activity 1D

1.The positive environment encompasses a person responding to the environment with desirable attitude and reduced unfavourable reactions. They can communicate and function efficiently (Loi, Cations and Velakoulis, 2023). The adaptive response has individuals using the functional elements of their body to appropriately adapt to the environmental needs and circumstances. They can successfully complete tasks. 

2. An environment having the appropriate aids available and having familiar person is the characteristics of a positive and adaptive one. The presence of familiar settings and positive reinforcements are the vital elements of such an environment. 

Activity 2A

1.The behavioural plan should include:

•    Client information such as the history, health particulars, communication abilities and likes and dislikes
•    Daily and weekly activities (Dickinson and Yates, 2023)
•    The prime behavioural concerns and triggers
•    Areas and factors to be avoided
•    Strategies to illicit positive behaviours and activities

2. Behaviours of concern include:

•    Challenges associated with eating
•    Resistance to any type of personal care
•    Social withdrawal
•    Physical aggression towards self and others
•    Sleep disruptions (Schofield et al., 2023)

Activity 2B

1.     There are important considerations in the case of concern taking place. The triggers leading to the incident should be identified. The signs displayed by the client prior to the sudden occurrence, the incident itself, the unmet need of client, the duration, the client’s behaviour and emotional responses, the external factors engendering such behaviour should be noted down (Stoddart, Courtney-Pratt and Andrews, 2024).

2.     My priority in a situation of concern will be to maintain my safety, client’s safety and other people present. The alleviation and stabilisation of the current situation will be the top priority.

3.     For inclusive communication the onus is on using short words and sentences that can be easily understood. The second point is to develop a system of understanding with the client (Mullan, Armstrong and Job, 2023). Thirdly the client should be consistently encouraged to express their needs

Activity 2C

1.     There are several risks that can be induced through the irascible behaviour. The client may inflict physical harm on others. The client can become isolated and not feel engaged in valued roles concerning their family. It can make others feel uncomfortable and end up distressing the clients themselves (Mullan, Armstrong and Job, 2023). There can be disruptive state of living such as yelling.

2.   The environment provides one of the triggers for the behaviours. There can be a repositioned room layout triggering them.

•    There can be excessive noise in the environment triggering them to respond.
•    A new or different equipment in the environment can suddenly spark anxiety and uncontrolled behaviour
•    Another person sharing the area can cause the client to react
•    Changes in lighting and temperature in environment creates discomfort and behavioural response. 

Activity 2D

1.     The environment is the external factor that can cause a consumer to react out of the expected behavioural patterns. The changes in the environment such as sudden lights, excessive noise and the new equipment can trigger the unpredictable behaviour within the client. 

2.     It can be that a sudden high noise leads to clients behaving in an unpredictable manner. In this case the first step will be inclusive communication with the client to identify the reason behind the trigger (Mullan, Armstrong and Job, 2023). The controllable physical aspects in this case the high noise source should either be removed or reduced as much as possible. The staff behaviours should be improved and there will be clear interaction with the client to assure them and attain stability.

Activity 2E

1.     There are vital factors accentuating the emotional well-being of an individual. The connecting with people, being active and participating in an activity, learning and imbibing a sense of achievement and giving back to others contribute to it.

2.     Critical incident counselling is a category of crisis management. It is focused on the immediate reduction of stressful reactions and returning emotions to the normal state. It is an exercise of listening, affirming and reassuring (Sterrenberg and Decosta, 2023). The main action is to incite individuals to talk about their feelings.

Activity 2F

1.    The elements of health status for checking the health of a client includes them under the influence of alcohol, drugs, being wounded, elevated heart rate, blood pressure, excessive sweating and dilated pupils.

2.     The nutrition level is salient to ensure that the client is maintaining the required energy levels. The right amount of nutrition being absent can affect their behaviour and health issue that needs to be addressed.

3.     The medication requirements are of high importance since they affect the harmful behaviours and can act as triggers for the clients. Thus, they need to observe and recorded rigorously (Sterrenberg and Decosta, 2023).

4.     There are notes needed as to the type of medicines, the quantities and the time across which it has been taken. It is to be noted if the medication has been taken in combination with other agents/medications. The client ingesting anything contraindicating the effects of medications will also need to be noted.

Activity 2G

1.    The record keeping is necessary in order to adhere to the Duty of Care under the Tort Law (civil wrong opposed to breach of contract). Negligence towards duty of care can induce legal action. The patient can be harmed without the monitoring possible via the recording. 

2.     The required keeping requirements across the organisation adheres to high standards and practises. The first step for maintaining the record consists of categorising them into different sections such as current allergies, medical history, current medications and observed symptoms. The records are hence organised for the company and can be accessed as and when necessary (Barratt et al., 2023).

The second requirement is to up to date the records and keep them aligned to the practises. The file for scans and results are separately maintained.

The records are kept safely and yet can be easily located. The incident report is kept recording the nature, time and date, injury receive, how it happened, and actions taken as a response. 

Activity 3A

1.    The positive behaviour support is concerned with the right type of intervention being extended to patients. It ensures that all interventions are in alignment with defined organisation policies (Barratt et al., 2023).

The organisation procedure for ensuring safety for all concerned and monitoring strategies to assure determine effectiveness, identifying the changes in individual’s behaviours and referral procedures are the components of positive behavioural support.

2.     When needing to intervene the actions affecting the quality of life and dignity of a person should be rigorously avoided. There should not be use of physical restraints or isolation affecting the well-being of an individual.

3.     Appropriate intervention will consist of talking to the client and taking initiative for leading the activity away from the client’s behaviours (Barratt et al., 2023). The actions should reflect the urge to protect the respect and dignity of the individuals.

4.     Inappropriate intervention can be the acts that devalue a person in case of any behaviour of concern. Using of physical restraints for suppressing the client such as restrictive clothing, helmet, cuffs and straps are the inappropriate methods

Activity 3B

1.    The strategies for avoiding behaviour escalation are to depict sympathy. The showing of empathy such as active listening skills and getting their perspective can yield positive results (D’Arcy et al., 2024). The other strategy can be to remove the client from the environment containing the stimuli triggering behaviour of concern.

2.     Three behaviour support strategies are:

•    Using clear methods of communication to understand the nuances of their daily life
•    Modifying the home and work environment for meeting the needs of the clients and removing any triggers for the behaviours such as excessive noise (Savira et al., 2023)
•    Helping them establish meaningful and positive connections with others

3.     Strategies for managing behaviours:

1.    Lifestyle accentuations
2.    Developing the skills (Savira et al., 2023)
3.    Routine and structure
4.    Teaching correct communication
5.    Increasing engagement
6.    Teach how to relax
7.    Active listening and observing
8.    Proximity management
9.    Instructional education
10.    Changing environment

4.     Reinforcement is critical for the promotions of positive behaviours. The positive reinforcement aimed at rewarding and praising positive behaviour will be used such that clients are more likely to exhibit such actions in future (Savira et al., 2023)

Activity 3C

1.    For ensuring the intervention being in alignment with policies are behavioural support plan should be used. The behavioural support plans using individualised plans and recording the behaviours of concern, history will ensure that the intervention is aligned to the medical procedure (Savira et al., 2023). 

2.     To minimise behaviours of concern:

•    Identify the medical causes
•    Identifying any physical discomforts
•    Keeping a stable environment (Barratt et al., 2023)
•    Ensuring the client remains comfortable

Activity 3D

1.    The most important concern while dealing with the behaviour of concern is to ensure the safety of all concerned. It is of top concern to assure the safety of the individual and the immediate persons in the vicinity (Strnadová et al., 2023). Also, it is vital to assure that the organisation’s policies, procedures and areas of concern are being diligently followed (Hedley et al., 2023). There is correct guidance and supervision needed for tackling such sudden and unprecedented circumstances.

2.     There is sufficient preparation needed in order to protect oneself from a sudden behaviour of concern (Hummell et al., 2023). To protect oneself it is important to have a crisis management plan firmly in place. There should be a reactive plan that clearly outlines the responses needed during an undesirable behaviour (Hummell et al., 2023).

There should be a clear knowledge on the immediate steps needed including responding with distractions, re-direction and eradicating any types of stressors. The restrictive supports should be used as a last resort on the safety being clearly compromised (Hummell et al., 2023). Basic self-protective strategies including being aware of the surroundings and taking the correct decision in the context of violence.

Activity 3E

1.    The crisis management comprises of the steps to be applied in case of an unforeseen event. The reactive strategy clearly stating staffs how to respond, and the strategies needed for the immediate de-escalation of the crisis is clearly outlined (Dickinson and Yates, 2023). The crisis management helps in overcoming sudden behaviours of concern. 

2.     The passive self-defence is the fundamental self-protective strategies needed. This is needed in the context of a client becoming extremely violent (Dickinson and Yates, 2023). The passive self-defence is needed for examining the surroundings and reaching decisions accordingly. The aim of passive self-defence is to avoid any type of physical confrontation at the beginning itself.

Activity 3F

1.    The effectiveness of the monitoring strategies is assessed on the basis of skills. The staffs should possess the appropriate skills (Falcetta et al., 2023). The clients reacting positively, cost-effectiveness, lifespan, availability of resources, difficulties faced, and any special requirements are the vital assessments needed for a strategy.

2.     The strategies need to be rigorously monitored based on the above parameters in order to determine their effectiveness (Falcetta et al., 2023). The strategies can be judged on the factors of them being able to yield positive results and facing minimised difficulties in applications.

3.     The 4 lifestyle enhancement strategies include:

•    Motivation: The right strategies for motivating clients successfully
•    Managing stress: Using techniques for adroitly managing the stress levels of clients
•    Engagement in meaningful activities: Ascertaining that the client finds value in the activity (Falcetta et al., 2023)
•    Support relationships: Fostering client’s relations with others conducive to their needs

Activity 3G

1.     There can be quite a few changes in the person’s needs during their lifetime. These can encompass the increasing in sensory difficulties such as loss of impairment, mobility issues such as need for wheel chair, development of new conditions such as dementia and new or changed preferences (Barcelona et al., 2024). The relevant supervisor of organisation needs to be reported immediately

Activity 3H

1.    Three specialist services needed to be referred in case of client exceeding the organisational capacity are:

•    Emergency rescue services
•    Psychiatrists
•    Critical incident counsellors

2.     The referral process included

•    Identifying the need of the client
•    Accessing the number of the concerned person
•    Calling up the concerned individual and explaining the situation (Dickinson and Yates, 2023)
•    Alerting family members

Activity 4 A

1.    Documentation should be made regularly to chart the progress or regress of the care plan. The documentation should be made in the context of identifying any radical changes needed.

2.     The written document produced should be:
•    Objective
•    Concise
•    By exception
•    Appropriate in terminology and language
•    Including the essential information (Hummell et al., 2023)

3.     The documents by exception encompass the information and events that are affecting the care plan. Changes in the client’s behaviours, physical ability and incidents about the client are included

4.    The verbal reporting is needed in the case of urgency and in an emergency situation (Barcelona et al., 2024). The safety of concerned people being compromised requires verbal communication.

Activity 4B

1.    Documentation is maintained via a systematic approach

•    The documents are organised and categorised in the list
•    The version management is used, and any changes made to the documents are dated
•    Clear and concise language is used
•    Future plans for the clients are outlined (Barcelona et al., 2024)
•    Unnecessary documents are eliminated
•    The documents are regularly updated and reviewed
•    Documents are filed in accordance with organisation policy
•    Confidentiality is maintained throughout the organisation

Project 2

Incident 1

At school, specifically in a class lesson, I assisted a child with autism who was disruptive. On the basis of the principles of the positive behaviour support strategies, this teacher ensured that communication was noticeably clear and made use of a lot of visual materials. I also used the social model of disability and realized that the behaviour was as a result of the environment and not the disability.

For a positive change of the individual’s daily life, I incorporated routines and sensory activities. In the provision of all the interventions done on the student, it was in accordance with the organizational policies and the law set by the government to respect the student rights and dignity (Fava & Guidi, 2020).

The aggression was associated with the sensations overload and the communication demands. I wanted the student to receive individualized assistance therefore I recommended him/her to a speech therapist. Ideally, paperwork was done diligently, especially noting triggers of aggressive behaviour, measures that were taken, as well as the results.

Incident 2

This case focuses on a resident in a group home with intellectual disabilities showing aggressive behaviour mainly during meal times. I used positive language and positive managing techniques such as talking in a calm tone. Perceiving the social devaluation I encouraged the resident to participate in the choice of meals to increase her level of control.

Measures taken were making the dining area relaxed and providing options of food to the kids. Policies regarding behaviour that was acceptable in the organization were followed since they were legal and ethical (Al Halbusi et al., 2020). Some of the potential factors covered disadvantage in terms of choice or limited diet options and unsatisfied preferences.

Consultation with a dietitian was made due to developing specific meal plans. Operative reports were documented in which parameters of their study involved triggers, action taken, and the behaviour of the concerned resident.

Incident 3: Critical Incident

A client who was sexually molested in the past was taken for a community day and when a situation arose which made him anxious, he turned brutal. I explained to the client, focusing on positive behavioural support principles of speaking in a soft tone and ensuring that I was close enough to require the client to lean into me.

Hence, the social model of disability was useful in noting down environmental stressors that functioned as triggers. A positive lifestyle required preparation before going out to dismiss the sense of nervousness that may accompany such an intention (Robinson & Bergen, 2021).

Employing the principle of organizational compliance, I ensured safety while promoting the client’s self-determination; legally and ethically. Factors were past trauma and environmental stress. Ongoing support was also planned by referring the patient to a trauma specialist. A record of the critical incident was well captured until the event, and the various interventions and follow-up actions.

Project 2

1.    The person-centred approach consists of

•    Providing the adequate support to the person in order to maintain their various activities of living adhering to the organisation’s policies and processes
•    Identifying the critical individual needs, strengths, capabilities and preferences of an individual while engaging in the daily activities
•    Identifying the issues with engaging a person and seeking assistance
•    Developing a safe environment for the person (Hedley et al., 2023)

2.     The context of behaviours of concern can be assessed:

•    Recognising behaviours of concerns that have been outlined in the behaviour support plan
•    Take note of what happened before, during and post the behaviour of concern
•    Taking note of the type, triggers and frequency of the identified behaviours
•    The environmental factors associated with the context of behaviours (Hedley et al., 2023)
•    Deeply consider the emotional needs of the person
•    Consider the specific health status of the person
•    Considering the different medications being taken by the person 
•    Recording all observations in consultation of with supervisor using the terms that can be clearly understood

3.     As per the individualised support plan the positive behavioural support can be provided accordingly

•    Identifying the differences between appropriate and inappropriate behaviours
•    Interpreting and following the behavioural support strategies
•    Ensuring that interventions follow the policies
•    Responding to critical occurring and notification procedure
•    Monitoring strategies for deciding the effectiveness (Strnadová et al., 2023)
•    Recognising and reporting any changes in behaviour
•    Using referral procedures

4.    It is most important to strictly maintain the documentation of a client. The documentation is required for tracking the quality of service. The monitoring of ongoing needs is possible with effective documentations.

The documentation is an important legal requirement since it will help in identifying the how much government funding a person can require for their care (Strnadová et al., 2023). The history of the client provides clear insight as to the best practises for managing them. 

 

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Reference List

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