Wednesday, October 16, 2019
Seminar questions Essay Example | Topics and Well Written Essays - 250 words - 1
Seminar questions - Essay Example Further, the inability to continue with the new project of same franchise leads to deviation from the core, as a result a challenge in form of inability in practices. The level of understanding is another area that poses challenge in this regard. 4. The BCM policy is considered to be a vital part of the process, however much of the literature tends to discuss this in the context of larger organisations, how important do you think this would be for smaller organisations? BCM is equally important for the smaller organizations. In new trends the literature reviews need to be focused along the working of S.M.E as well. Also, BCM is an established key to success which is not limited to scale of organization, thereby it is needed to be in practise regardless of the size. The initiation and planning phases of a project are always important towards setting the foundations of organizational working. Effective BCM will translate into good results and good output by the end of the project and overall planning
Tuesday, October 15, 2019
Ford vertical integration 2013 Article Example | Topics and Well Written Essays - 250 words
Ford vertical integration 2013 - Article Example The California based Automakers feels that it is an inevitable necessity for the company to supply its own batteries if it has to remain on track with its much aggressive long-term strategic objectives. Mr. Musk told the analysts about the companyââ¬â¢s ambitious plans of selling approximately 500000 units annually when it begins selling Generation III cars (White, 2013). However their biggest concern was lack of steady supply of batteries which could meet this demand. There is no doubt that Mr. Muskââ¬â¢s idea emulates the one time vertical integration idea of Henry Ford which saw the birth of Ford Rouge factory complex which ensured steady supply of steal which was one of the raw materials for the giant automaker in the 20th century. White (2013) assert that Despites its current ebb state the Rouge complex has been instrumental to the company for several years. If Telsa will realize its dream of backward vertical integration whereby it could convert raw materials into finished battery packs for its automobiles then the company will be in a position to compete effectively through cost control and scheduled production. White, J. (2013). An Idea Henry Ford Would Be Proud Of: Teslaââ¬â¢s ââ¬ËGiga Factoryââ¬â¢. The Wall Street Journal. Retrieved December 11, 2013 from:
Monday, October 14, 2019
How to Improve Teens Self-Esteem
How to Improve Teens Self-Esteem Adolescence is a crucial stage in the life of your child. As a parent, you have the challenge of guiding them toward a happy, responsible adulthood. There is good reason to be worried, with all the changes and challenges confronting them. Though the majority of teens can successfully sail through adolescence, a significant number end up stalled or sidetracked along the way. Some barely make it through. A confident teen with a strong sense of self-worth or healthy self-esteem has a bigger chance of succeeding in life. They may, however, need some help to have a fulfilling adolescence and stable preparation for the next stage of life. If you want to help your child achieve their dreams, it is proactive to supplement your parental care with professional assistance. Why Is Your Teen Unhappy? The Developing Teen Seeing your child groping through the teen years can result in your feeling helpless. You may wonder why they have no friends hanging around your home on the weekends or why they seem uninterested in social events. Could they be suffering from poor self-esteem? Having healthy self-esteem isnt everything, but it can be a good start in negotiating adolescence. In this age of booming telecommunication miracles (the Internet, computers, satellites, etc.), it is easy for teens to develop a poor self-image by comparing themselves to what they perceive as ideal-clear skin, a body with the right measurements, beautiful and bouncy tresses, etc. Despite knowing that nobodys perfect and even famous beauties have flaws, they may still feel inadequate, unlovable, and unworthy. It has nothing to do with their appearance, weight, or popularity. With low self-worth, they will always find something unacceptable or inadequate about themselves. Teens are vulnerable to poor self-worth because they are in the middle of a transition. Their hormones are shifting and raging, their brain connections are wired differently, and they are incessantly challenged academically and socially. While all these problems are natural, it is not healthy to leave your teen unguided. Adolescence is also a stage when they can be reckless with their actions and decisions. It is important to be supportive, but more important to help them develop healthy self-esteem. Self-Esteem in the Eyes of Teens Self-esteem is the value that an individual gives themselves based on their perceived worth to others and the world in general. It isnt static, but changes throughout life. It is typically most unstable during adolescence and during major life transitions. According to Understanding Teenagers, adolescence is a time of life when a persons self-esteem is known to fluctuate significantly. It is estimated that up to a half of adolescents will struggle with low self-esteem, many of these occurrences during the early teen years. For a teen in search of identity, low self-esteem can harm budding relationships, trust in others, their ability to achieve their dreams, and their happiness. Unfortunately, improving your childs view of themselves and their abilities can be a real challenge, because the issue is complicated by their tendency to measure their worth in terms of their looks. There are several important predictors of an adolescents self-esteem: transitions, social stability, and the most influential-appearance. A number of studies have revealed that there is a strong correlation between teenagers who express dissatisfaction with their appearance and those who have low level of self-esteem. The correlation is even stronger among teenage girls as a response to the social pressures generated by the media about what is perfect or ideal. What Your Teens Body Language Says about Low Self-Esteem How do you know if your teen has good self-esteem? An adolescent with positive self-esteem is confident, positive, responsible, trusting, and independent but cooperative, with a good sense of self-direction and control. Other signs include consciousness of their strengths, the ability to say no, and the ability to accept their limitations and shortcomings, resolve their issues, and manage their feelings. Conversely, poor self-esteem can outwardly manifest in being perpetually negative and critical of themselves, perfectionism, and fear of being scoffed at. They will not make decisions, fearing risks or blame for any untoward repercussion. They feel unloved and inadequate, and they are always suspicious of people and their intentions. Some of the observable signs of poor self-worth that you would want to note are pervasive insecurity shown by walking or talking with their heads down to avoid eye contact, being self-critical, using negative statements about themselves, and perpetually apologizing. Wanting to elevate their perceived status, they may tease others, gossip, or engage in name-calling. They may also attract attention by talking loudly, bragging, or using excessive gestures. If this is your teen, get their symptoms assessed-the sooner, the better. Supplementing Parental Care with Counseling There is nothing better than raising your child in a loving and supportive environment. Be aware, however, that it cant guarantee that your teen will have a perfect life or that you can fix all their issues. There is a world outside your home and there are influences beyond your control. Nevertheless, you can make it easier for your child to enjoy their adolescence. With the right help from a counselor contracted with Carolina Counseling Services in Sanford, NC, to supplement your care, it is achievable. A teens self-esteem is like a roller-coaster ride-there will be ups and downs. This is normal. While many teenagers can handle the stage on their own, they may need help when the going gets tough. With the help of an experienced counselor independently contracted with Carolina Counseling Services in Sanford, NC, your child can realize their full potential and grow into a responsible and independent adult who learns from their mistakes. When your child becomes too hard on themselves because they arent slimmer, fairer, smarter, or more in fashion, be there for them to affirm their worth. If their reaction is extreme to the point of obsession, try to understand them and find help so they can develop healthy self-acceptance and self-worth. This is how a CCS-contracted therapist can help.Ãâà Call now for an appointment!
Sunday, October 13, 2019
Progressivism on a National Level :: essays research papers
Reform of corrupt businesses and government first drew attention at local and state levels. Big businesses in the late 1800s preferred profit over patriotism, credit over honor, individual gain over national prosperity, and trade and dickering over principles. It was not until 1901, when Theodore Roosevelt became president, that progressivism was brought to the national level. During Rooseveltââ¬â¢s presidency, he would push reform as much as possible by strengthening the power of the federal government. The Sherman Antitrust Act of 1890 was an early attempt to try to control abuses by large combinations of businesses called trusts. The Act was weakened by the Supreme Court used against labor unions rather than against monopolies. Rooseveltââ¬â¢s first push for reform on the national level began with a secret antitrust investigation of the J. P. Morganââ¬â¢s Northern Securities Company whom monopolized railroad traffic. After successfully using his powers in government to control businesses, Roosevelt used the Sherman Antitrust Act against forty-three ââ¬Å"badâ⬠trusts that broke the law and left the ââ¬Å"goodâ⬠trusts alone. When united mine workers went on strike demanding less hours, more money, and recognition as a union, the price of coal went from $2.50 to $6.00 a ton. With the nationââ¬â¢s high dependence on coal during the winter, Roosevelt arranged a meeting with representatives from both sides to meet. He threatened to seize the mines and run them with federal troops and eventually settled it by giving them a reduction in the workday and wage increases, but no recognition as a union. Another Act that expanded the federal governmentââ¬â¢s power included the Elkins Act which outlawed railroad rebates and created the Department of Commerce and Labor to act as a corporate watchdog. The Interstate Commerce Commission (ICC) was created in 1887 to regulate railroads but was never given real power to set rates and prevent discriminatory practices. To increase the power of the ICC, Roosevelt passed the Hepburn Act of 1906, and for the first time, a government commission could investigate private business records and set rates. When Upton Sinclairââ¬â¢s novel The Jungle was published, reformers took another look at the meatpacking industry. The novelââ¬â¢s startling accounts of filthy conditions in the meatpacking plants resulted in the passing of the Pure Food and Drug Act and a Meat Inspection Act.
Saturday, October 12, 2019
History of Tea in Japan and the Japanese Tea Ceremony Essay examples --
According to Brown, tea is classified among the most significant non-alcoholic beverage across the globe. It has gained fame as a result of its benefits. Tea is an inclusive aspect of the daily life of the Japanese individual attributable to its ceremonial and ritual characteristics. It has been treated as a cultural beverage and consumed in a refined atmosphere. Tea drinking in Japan has undergone refinement under the support of the shogun Ashikaga Yoshimasa. He was the regarded as the first ruler-patron of the tea ceremony. Since historical times, tea was incorporated as an element of an independent secular ceremony. Over the past 5,000 years, the Japan have consumed green tree which acts as a beverage and a medicine (121). This paper focuses on tea in Japan, with various subtopics and its relevance among the Zen. History of Tea According to De Bary, Keen, and Tanabe, the history of tea in Japan dates back to the early Heian period, after it was introduced by monks including Kukai and Saicho. In 815, Emperor Saga permitted the production of tea in several provinces of Japan. During this period, tea drinking was normally admired and adopted by two elite classes in Japan. First, the nobles at the emperorââ¬â¢s court who copied their Chinese counterparts. They commended the teaââ¬â¢s taste and the stylish methods of its preparation and service. Second, the monks, in Buddhist temples valued tea as a result of its medicinal value (388). Hara asserts that the Chinese were responsible for introducing tea in Japan, probably during the eighth century. In the early 7th century, Japanese monks travelled to China for educational purposes of studying Buddhism. The Chan School, which was referred to as Zen in Japan, incorporated extensive medit... ...es of Japanese Tradition: From Earliest Times through the Sixteenth Century. New York: Columbia University Press, 2001. Print. Deal, William E. Handbook to Life in Medieval and Early Modern Japan. New York: Oxford University Press, 2005. Print. Ellington, Lucien. Japan. Santa Barbara, CA: ABC-CLIO, 2009. Print. Gleason, Carrie. The Biography of Tea. New York: Crabtree Publishing Company, 2007. Print. Hara, Yukihiko. Green Tea: Health Benefits and Applications. New York: CRC Press, 2001. Print. Kleiner, Fred. Gardnerââ¬â¢s Art through the Ages: A Global History (13th ed). Boston, MA: Cengage Learning, 2010. Print. Martin, Laura. Tea: The Drink that Changed the World. North Clarendon, Vermont: Tuttle Publishing, 2007. Print. Varley, H.Paul, and Kumakura, Isao. Tea in Japan: Essays on the History of Chanoyu. Honolulu: University of Hawaii Press, 1989. Print.
Friday, October 11, 2019
ââ¬ÅBeguiling Lure ââ¬Å by Isaac Talley Essay
In this essay I will attempt to analyze the artwork named ââ¬Å"Beguiling Lure ââ¬Å" by Isaac Talley , 2009. The medium of this artwork is acrylic and oil on canvas. The composition is simple with the main focus being a dangling object and a portrait of a single bird. The multi coloring of the background is bright and soft with dark and light hues. The artist was able to deliver the paint onto the canvas in different directions and angles which gives the appearance of overlapping colors,roughness and an uneven texture. There is a small horizontal space that has been left blank and untouched in the middle of the canvas that provides a dividing line separating the upper portion of the painting from the lower portion. Even though there is no similarities in the main two subjects in the painting the artist brings balance, proportion and unity to his work by using the same background colors and patterns from top to bottom. The eye is automatically drawn towards two specific areas on the canvas and directly to the middle upper portion of the painting where a circular white object is attached to a dark blue string of yarn that hangs from a peg at the top of the canvas. In the bottom right corner a is a painting of a black bird standing with its back to the viewer as it looks towards the hanging object. I think the painting is a form of expression in which the intention is to give the viewer an increased awareness of how we have become a materialistic society. Because of our increased desire for the better things in life it is easier to allow ourselves to become distracted and lose sight of what is truly important in life. As a society we want to strive to be better in everything we do. In the past our american culture has taught us right from wrong, to love God and country and to stand true to our families. The importance of those morals and values seem to have disappeared.The black bird or raven can be a positive symbol of mankindââ¬â¢s desire to be moral and spiritually correct and the white dangling object or the ââ¬Å"lureâ⬠an example of the opposite, a representation of those material things of the world that distracts us and has the power if we allow it to strip away our true identity and personally values and change our perceptions on life.
Thursday, October 10, 2019
Promote Positive Behaviour Essay
In this assignment I am going to explain my understanding about, legislation, frameworks, codes of practice and policies relate to positive behaviour support. Understand the context and use of proactive and reactive strategies. Be able to promote positive Behaviour Be able to Respond Appropriately to Incidents of Challenging Behaviour. People with learning disabilities show behaviours which present a significant challenge for those caring for them. Such behaviours may include aggression, destructive behaviours or self-harm. Individuals with more severe disabilities and those with additional disabilities such as sensory impairmentââ¬â¢s and communication disorders are more likely to demonstrate challenging behaviour. Many forms of challenging behaviour are thought of as being functional and adaptive responses to challenging situations, in that they serve as a way of communication with the people with whom they interact (e.g. stopping unwanted attention, attracting attention or attempting to explain they are experiencing pain). Some forms of challenging behaviour may be linked to mental health problems, such as depression. The most important way in the reduction of challenging behaviour is for the individual to have a thorough assessment to find out the function of the behaviour. This is known as a functional behavioural assessment and is used to create an individualââ¬â¢s support plan. Positive behaviour support aims to teach the individual new behaviours and enable them to achieve what they want to achieve. Understand how legislation, frameworks, codes of practice and policies relate to positive behaviour support. In all aspects of my role I am regulated by my companyââ¬â¢s policies and government legislation. The human rights act 1998, the disabled person act 1986, disability and discrimination act 1996, Health and safety at work act 1974, the equality act 2010. I have been trained in Mandatory courses, for example protecting vulnerable adults(safeguarding) Strategies for Crisis intervention and pr evention (S.C.I.P) Autism Awareness, and working safely, making sure I understand the legal policies put in place to provide the best care for the people who I support. S.C.I.P focuses on positive techniques and how to deescalate behaviour. Read more:à Essay About Promote Positive Behaviour This allows staff to be consistent in their approach when dealing with challenging behaviour. By following the S.C.I.P policy I am able toà reinforce positive behaviour and good skills in listening and learning as well as helping the individuals that I support feel safe and secure knowing that I am able to deal with their behaviours if they occur. Restrictive interventions are defined as any method which restricts the movement of an individual by physical means, including mechanical means (using straps) physical (holding) chemical restraint (using drugs). For example I support an individual who is prescribed medication (Lorazepam) by his physiatrist, to be used when he starts to become agitated. This is given to the customer as a last resort, when we have explored all other options for example is he in pain? Restrictive interventions should only be used as a matter of urgency to prevent imminent and serious harm to the individual or other people, be used in the best interests of th e person with learning disabilities, and only used alongside other strategies to help people learn to behave in non-challenging ways. Interventions need to be used in a context of a risk assessment. Incidents should be investigated and followed up, ensuring staff and customers get sufficient post-intervention support, risk assessments should be reviewed regularly to identify factors contributing to incidents, and associated action must be taken, to reduce those risks. Planned interventions should be agreed in advance at a multi-disciplinary meeting by relevant professionals working in consultation with the customer, his or her carers, and an independent advocate if appropriate. They should be implemented under the supervision of an identified member of staff who has relevant qualifications, training and experience and recorded in writing, so that the method of intervention and the circumstances when its use has been agreed are clearly understood. Behaviour support plans should be routinely reviewed by having team meetings, support plan reviews and risk assessment reviews. If it is agreed that a customer will require some form of intervention, there must be an up-to-date copy of a written protocol included in the personââ¬â¢s individual support plan and staff should be regularly trained and receive updates regarding an individualââ¬â¢s behaviour support plan because there may be a change in how to support a customer. The use of a restrictive intervention, whether planned or unplanned (emergency) must always be recorded. In the day centre where I work the policy and procedures are to inform the manager on duty who will usually provide support for the customerà involved as well as other customers in the centre, ensuring they are all safe. Offer staff support making sure an independent person checks for injuries and records them. The member of staff involved in using a restrictive intervention should: Record the incident, completing an incident report form, star chart and RIDDOR (Report of suspicious Diseases or Dangerous Occurrences) form. Record the incident in the individualââ¬â¢s logs. Inform carers/ family members. Have a post incident meeting with Manager and the staff involved. Make referrals to specialist services for example Derby City, Proactive S.C.I.P Instructors. Inform the customerââ¬â¢s Social worker/ care manager. Before intervening, the member of staff should ask themselves, is there another way to manage the situation and ensure everyoneââ¬â¢s safety? If a person has to use intervention they should do it in the least restrictive way possible to prevent the individual from being hurt and all other options have been explored. A restrictive intervention can feel very intimidating to a vulnerable person who is unable to control themselves. By not exploring other options first, there is a risk that the situation can escalate, causing more damage. For example I support a customer who will be happily smiling, singing and interacting with people, her facial expressions and body language will suddenly change. She will begin to spit, hit out, stand up and try to kick other individuals or damage objects. The individual displayed these behaviours to a member of staff who was supporting her. The member of staff did not explore other options first or follow her behaviour support plan and used a restrictive intervention to deal with her negative behaviour. The situation escalated and the customer became more anxious, damaged property and the staff member became injured. In my opinion if the member of staff had followed the customerââ¬â¢s guidelines and offered calmness, communication and distraction, the incident may not have escalated. We must also use minimum intervention to encourage the customers to trust individuals who are supporting them this helps to form positive relationships with each other and also staff will not be feared. Understand the context and use of proactive and reactive strategies. The difference between proactive and reactive strategies is that proactiveà strategies are put into place to avoid any problematic or foreseeable situations and a reactive strategy is a response to a situation that has already happened. In my own work role the reactive strategies that are used are based on the results of an individualââ¬â¢s functional behaviour assessment and the support put into place. Everyone involved in an individualââ¬â¢s care should be involved in creating the behaviour support plan this should include writing a description of the behaviours and working out a reason for the behaviours. Proactive Strategies are used to make sure that the person has got what they need. They also describe ways to teach the person communication and other skills. Examples of proactive strategies that I use include: Teaching the individual skills for example Makaton signs for ââ¬Å"finishedâ⬠ââ¬Å"Thank youâ⬠ââ¬Å"Goodâ⬠Using communication charts with sig ns, symbols or pictures which also outlines the routine for that day. The environment for example dims the lights, tying hair back to stop the individual from pulling hair. Rewards Routine and Structure Boundaries Giving the individual access to preferred activities Making sure that a personââ¬â¢s cultural and religious needs are being met Reactive strategies are designed to keep the individual and those around them safe. Examples that I use include: I donââ¬â¢t respond to the behaviour, if you ignore the behaviour sometimes it stops as the individual wants a reaction I give the individual reminders I distract the individual, by offering a different activity I give the individual what they want for example a drink or a biscuit Ask the Individual if they are in feeling ill or they are in pain. Remove myself from the situation for example leave the room, making sure I am still supporting the customer from a safe distance. Ask another member of staff if they will assist the customer as sometimes another person can be more productive. The importance of identifying patterns of behaviour or triggers that will result in challenging behaviour is that early warning signs can be spotted and acted upon before the behaviour happens or escalates. Factors that can lead to mood changes include: Body Temperature, is the customer tooà hot, too cold. Over sensory stimulation Lack of choice, boredom, Limited communication or understanding Over stimulation through noise A general disruption to a customerââ¬â¢s routine Overcrowding? For example are there too many people in one activity for the customer to be able to cope with. Provocation by other people, for example if a customer is showing signs of disruption they need to be removed from the situation before it escalates. The importance of maintaining a person centred approach when establishing proactive strategies is that challenging behaviours are an individual thing, the causes and triggers differ according to each individual, as do their reactions and degree of severity. I therefore feel it is important when planning strategies for dealing with challenging behaviour that we ensure they are just as individual as the triggers. No two people will respond in the same way to established strategies. In my own experience, a one size fits all approach does not work and does not show the ability to adapt and respond. By responding to customers behaviours in different ways to each other not only shows that we can identify and recognise each individuals strengths and incorporate them into the strategies planned for that individual, it also tells the individual that you are supporting that they have value and worth and no matter how challenging their behaviour may be, there is always something positive to build on. Reinforcing positive behaviour with individuals can improve their behaviour. Positive reinforcement is a powerful and effective way to help shape and change behaviour. Positive reinforcement works by presenting a motivating item to the individual after the desired behaviour is shown, making the behaviour more likely to happen in the future. When I am supporting customers i praise them using speech and Makaton, for example when an individual has washed their hands, put their dirty dinner plates on the trolley, thrown something in the bin, put an item away they have been using in an activity. I use praise ââ¬Å"Thank youâ⬠, ââ¬Å"pleaseâ⬠, ââ¬Å"well doneâ⬠which is effective when reinforcing positive behaviour. Using an incentive also works in reinforcing positive behaviour, for example a customer who ià support likes football and cricket. When the customer shows positive behaviour he will get a trip out to the cricket ground to watch a match and have his packed lu nch there, or to the football ground to have a cup of tea and a cake. Using reactive strategies can have an impact on an individualââ¬â¢s wellbeing. For example i support customers who display challenging behaviourââ¬â¢s. A previous manager asked one of my colleagues and me to assist a customer to go out for a walk. The customer is extremely afraid of dogs he will scream and run when he sees one. This is because he was bitten by a dog when he went on holiday to India. Whilst we were out walking, the customer saw a dog in the distance and began to scream and run towards a busy main road. Both my colleague and I ran after the customer shouting ââ¬Å"stopâ⬠. When we managed to catch up with the customer we had to restrain the customer using S.C.I.P (strategies for crisis intervention and prevention) because the customer was in danger of running into the road and getting hurt or even killed. The customer was very upset; he was shaking, sweating, crying, and screaming. When we got back into the centre the customer was upset and angry for the rest of the day. He displayed the need for more sensory stimulation by rocking back and forth and flapping his hands. The customer became very vocal and began making loud noises, (which had an effect on other customers) he also began to barge into other people. This in itself is not being proactive as we did not explore other options first or even prepare the customer for going out for a walk. What I feel should have happened is photographs of dogs should have been used and pat dog should have been brought into the centre(as it is a safe environment) on numerous occasions to begin the process of helping the customer to overcome his phobia of dogs. This had an effect on the customerââ¬â¢s wellbeing because he would not get out of bed in the morning and would refuse to come into the centre. He would not eat his food and if he saw a dog through the window he would scream. In my opinion, we put the customer through unnecessary anxiety and stress. Be able to promote positive behaviour. There are a range of factors that may be associated with challenging behaviours these Include: Illness, Pain, Medication, The need for sensory stimulation or sensory overload Seeking interaction, Staff not working consistently, Staff not following customer guidelines, Communication difficulties, Past experiences that have happened to the individual, The environment being too hot or too cold, Boredom Lack of boundaries or goals, Mental and physical health, Bereavement! Phobia The goal of using proactive strategies on mitigating challenging behaviours is to reduce the future probability of the behaviour. It helps if proactive strategies are identified when supporting customers who display challenging behaviours. Risk Assessments means evaluating the consequences and likelihood of challenging behaviour, it identifies measures to help avoid, mitigate or control the risks. The risk assessment should take into account of personal, environmental or situational factors which increase the likelihood of challenging behaviours. To reduce risks associated with challenging behaviour we need to identify the emotional, physical and psychological needs of the customer. Dignity and respect is important and where possible a customer should have choices concerning their care. A strategy for reducing risks also requires communication between staff to form an understanding of an individualââ¬â¢s behaviour and what they need to do to prevent the behaviours. Other services, family/carers should also be involved in discussions and decision making. A crucial part of managing risk is to understand the reasons for the behaviour so that strategies can be put into place for example: What is causing the distress? What are we doing that is leading to the distress? What can we do differently? It is important to highlight praise when supporting customers so that we can reinforce positive behaviour. I feel it is important to offer praise to aà customer I am supporting, immediately after they have demonstrated a skill, this will hopefully learn to make an association between the skill and the reward which means the customer will start to use the skill more often. For example a customer who I support is very impatient and does not like to wait. The individual has to share a toilet with other customers. In the past when another customer is using the toilet, the individual has kicked the toilet door and started pulling on the handle; she would scream and try to attack the other customer when they have come out. In the individuals behaviour support plan it is highlighted how to support the customer if the situation arises. The protocol is, if another customer is using the toilet ask K to wait using speech, Makaton and picture signs explain what is happening and why. Keep reminding K and also use praise.â⬠Well done K for waitingâ⬠. K will smile and wait patiently. This has and is working well and has created positive reinforcement as K will now stand away from the door and say ââ¬Å"waitâ⬠without being reminded or prompted. It is still important to praise K and not become too complacent because of the risk that K can become challenging again in this situation and regress. It is essential that everyone working with challenging behaviour develop a general understanding of promoting positive behaviour. In my opinion a consistent and proactive approach should be followed rather than reacting negatively to situations. Strategies should be in place that allows us to work positively with individuals and focus on their achievements rather than highlighting their inappropriate behaviour. Staff communicating with each other and sharing ideas and information is vital. In our centre we have daily half hour team briefings where we can discuss the events of the day. The meetings are also used to discuss all customers we have been supporting whether they have had a good day or bad day. Have there been any incidents that have happened, any new information about a customer? Have Colleagues had a good day? We share information and ideas about working with individual customers and share what worked and what didnââ¬â¢t work when dealing with challenging behaviour. I key work a customer who displays challenging behaviour, he will shout, swear, bang his fists on the table, threaten to smash a window and threaten to hit a person. This is usually when he has dropped an item on the floor and been asked to pick it up, or he is not feeling very well, there is too much noise, something has happened at home or on the bus that morning. Theà individual has got a behaviour support plan which I ask staff to read and sign which enables everyone to understand his guidelines on how to support him. I have monthly meetings so that we can share ideas, information, whatââ¬â¢s working/ not working. Is there any new behaviour or any behaviour that have resurfaced? What can we do better? We discuss activities that the customer appears to like and dislike. It is important for colleagues to support each other when a customer is displaying challenging behaviour. Where possible I ask my colleague if they need any assistance or time out for me to take over, especially if they have been injured by the customer. Blaming the member of staff is not helpful or constructive for example I have witnessed colleagues in the past say ââ¬Å"he doesnââ¬â¢t behave like that when he is supported by me, what they have done to make him like that?â⬠We must all share our experiences, skills, knowledge, thoughts and ideas with each other . How can we promote positive behaviour with our customers if we do not promote it within our staff team? Be able to respond appropriately to incidents of challenging behaviour Challenging behaviour shows there is some need being unfulfilled or a problem with communication. Behaviour is challenging if it causes harm to the individual or others. There are different types of challenging behaviour these include: Spitting, self-harm, aggression (physical, verbal, mental, emotional) destruction (breaking furniture, tearing things up) Shouting, swearing, biting self and others, eating inedible objects, smearing faeces, soiling and urinating in odd places, stripping clothes off, eye poking, hand biting, pulling own hair and others, hitting others and self, Threatening or hitting others with objects, inappropriate sexualised behaviour, destruction of clothing. An appropriate response to challenging behaviour depends on the type of behaviour that is being exhibited by the individual. My opinion on the response to this behaviour should be consistent, fair, so not to cause any further disruption to a group session or the individual, thus calming the situation and the customer using this behaviour. A proactive response is likely to be more effective than one that is merely reactive. When responding to incidents of challenging behaviour it is important to ensure that an individualââ¬â¢s behaviour support plan is followed as no two people are the same. A behaviour support plan describes situations that an individual finds difficult and what others can do to help them cope with distress. They are aà very useful way of encouraging staff supporting the person to respond consistently. The plan should include Strategies to encourage staff to respond to the first signs of distress and resolve issues before they escalate. This helps to ensure that the least restrictive interventions are being used and the strategies being used are in proportion to the level of risk. The behaviour plan should include: Triggers ââ¬âWhat can cause the individual distress? In Specific situations, places, activities, changes, sensory issues (noise, touch, smell?) Proactive strategies ââ¬â How can staff support the person to cope with these triggers? Early warning signs- How do we know the person is becoming distressed? Are the First signs- body language, facial expression, language, behaviours, and tone of voice? What can help the individual calmer at this time? Medium intensity behaviours ââ¬â What might the individual do at this stage? Are there Specific behaviours and who might be at risk? What should staff do at this time? Things we can do to prevent the situation from getting worse. What can staff do to ensure everyone is safe? High intensity behaviours ââ¬â What might the individual do at this stage? Are there specific behaviours? How long they may last and who is at risk What should staff do at this time? What can staff do to ensure everyone is safe? Often the best course of action is to withdraw and leave the customer in a safe area to calm down on their own (But this may not be the case for some individuals) When responding to an incident of challenging behaviour it is important to ensure a customerââ¬â¢s dignity and respect are maintained. Try to speak in a calm and clear voice using language that the individual understands this could be in the form of signs and symbols, makaton, photographs. Speak calmly, quietly and as sertively Avoid threatening body postures such as standing in front or above the individual Avoid what may be classed as threatening gestures such as pointing or waving, arms folded across the body. Avoid threatening facial expressions. Avoid shouting or raising your voice. Avoid giving orders or continually repeating requests. Try to disperse any audience. Ask the individual if they would like to go into a quieter area if possible. Consider adopting a posture which reduces your size (sitting, crouching and moving away) Be aware of gender, cultural difference. Avoid belittling and talking to others negatively about the customer. Avoid forcing compliance. Actively listen to the customer and respect their wishes and feelings. Avoid unnecessary physical contact.à Following an incident of challenging behaviour by an individual it should be recorded in their personal file. A detailed written log must be written which should be dated, timed and signed by the member of staff. An incident report form and star chart must be completed. On the star chart we use the A.B.C approach (Antecedent, Behaviour, and Consequence.) Antecedent ââ¬â What occurs before the behaviour and what may have triggered it. The antecedents are all the relevant things that happened before the behaviour occurred. They can also be considered as triggers for the behaviour such as, things that other people said, emotional state (depressed, tired, anxious.) The environment (is it too hot or noisy cramped, smell, bright lights?) Behaviour ââ¬âWhat happens during the behaviour, what does it look like? Consequences ââ¬â What are the immediate and delayed reactions from everyone involved? Consequences can be pleasant or unpleasant. A pleasant consequence will reinforce the behaviour. (When I yell, everyone gives me what I want)While a negative consequence will discourage behaviour (When I yell everyone ignores me completely) a consistent response from everyone to challenging behaviour can have a very strong effect. Parents/carers are also informed via a customerââ¬â¢s communication book at the end of each day or telephoned. Staff are involved in a team briefing, daily, to be kept informed of any concerns or incidents. In our centre we also have a traffic light system, using laminated cards, they inform people to be cautious or take action. Green- No concerns Amber-Be aware Red- There has been a Serious Incident. A manager is informed whenever the cards are on amber or red. Be able to support individuals and others following an incident of challenging behaviour. I had an incident of challenging behaviour from a male customer who I support on a one to one basis. B is prescribed P.R.N medication by his GP for when necessary, these being Paracetamol for pain and discomfort and Lorazepam for anxiety. B is known to become very agitated and anxious and will slap others very hard without warning. B has his breakfast at the centre each morning when he arrives, as I was preparing his breakfast B became very agitated and anxious slapping me very hard on my arm. After following Bââ¬â¢s behaviour support plan and exploring all of the options listed, I asked B if he was in pain offering him Paracetamol if he needed it but he shook his head as a negative. Cooling him down by removing his sweater I offered sensory consisting of a weighted blanket and calm relaxing music. None of the above options worked so B was given Lorazepam as a last resort resulting in Bââ¬â¢s behaviour improving over time. I also used the traffic light system, as stated earlier in this assignment. To Support an individual to return to a calm state: Use Reassurance and Praise. Provide whatever support that is needed; give individual some space if that is what they want. Behave in a non-judgemental way, even if you might not feel like that. Donââ¬â¢t discuss the behaviour with the individual at this point, unless they want to. Support the customer to continue to recover and calm down. I key work a male customer and support him to access his choice of activities. S enjoys going outside in the garden to feed the birds. As part of the activity S and myself make a flask of tea, sit in a poly tunnel looking at bird magazines before we venture out to feed them. I was asked to support another customer (M) at the same time, as we were short staffed and to involve him in the activity. I explained to S that M would be joining us. S was not happy with this and became very distressed, he started to swear, bang on the table using his fist and bite on his own arm. The staff that should have been supporting M had changed the routine for that day and decided to support two other customers in taking them out in a car. I triedà to calm the situation down by speaking calmly and quietly to S reassuring him that it was just for that day. S continued to display the same behaviours and would not join in the activity, beginning to cry and shoutâ⬠I donââ¬â¢t want to do it with M I want you to do itâ⬠I continued to reassure S who by this time was threatening to hit me. Another member of staff came to my assistance, supported M whilst I continued to support S. S stopped the behaviour and became very quiet with his head down. When I felt S was calm enough for us to be able to talk about the situation together he began to cry saying he wanted the activity to be just Himself and I. I reassured S, in future, the activity would be himself and either I or another member of staff. I asked S if he still wanted to do the activity, he replied ââ¬Å"NOâ⬠When S becomes agitated and upset he will refuse to take part in one of his activities and will realise later on in the day that he has missed out. After the incident S became very withdrawn, appeared sad, would not engage in conversation, sat with his head down and would cry throughout the day. After the incident not only did S show complex feelings both M and I also felt different emotions. M became withdrawn, would not engage in conversation or activities, eat his lunch or enter a room S was in, and a lso wanted to be on his own, appearing anxious and frightened. I asked M if he wanted to talk to me or another member of staff about his feelings but he declined. I had a release of adrenaline my heart was racing; body was shaking, I felt angry frustrated, fearful, tired upset and wanted to cry. I sought help and advice from my immediate manager and explained how the incident had made the two customers and me feel. My manager actively listened and took action by informing staff that a clear plan needs to be put into place when changing activities and when we are short staffed the activity sheet needs to be followed. I feel the situation could and should have been avoided, other customersââ¬â¢ activities were disrupted, their needs were not met they had unnecessary upset which resulted in an individual displaying challenging behaviour. After an incident of challenging the steps that should be taken to check for injuries are: Everyone involved in the incident should be checked thoroughly for injuries by a member of staff (preferably a first aider) who was not involved in the incident. In case of any injuries being noticed, immediate action sh ould be taken to seek the appropriate medical help. Injuries should be recorded and reported using theà centres procedures. An incident report form, body map and dangerous occurrence form should be completed. Parents/ carers should be informed. Be able to review and revise approaches to promoting positive behaviour. Working with others is important if individuals that we support are to receive good, consistent support. Family carers and close friends are important when we are thinking about partnership working. It shows respect and also values other peopleââ¬â¢s contributions, different people possess different skills which help good support, it can help with problem solving and creative thinking, and partners have different information about a person they can share with others. Working with others to review and examine information which relates to positive behaviour support should include gathering information about incidents from a variety of sources. Information can be gathered from, A.B.C charts (As mentioned earlier in this assignment, promote positive behaviour) in notes from meetings, and debrie fs incident report forms and logs. It is important to promote proactive positive behaviour support and analyse the risk assessment process; whenever there is a review the risk assessment should be revisited and adjusted where necessary. There must be continuous monitoring and review of the individualââ¬â¢s behaviour as sometimes physical interventions or restrictive practices are used in an emergency. To be able to work with others to review the approaches to promoting positive behaviour it is important for managers to check and update policies and organisation practice against current good practice guidelines. Reflection begins when I pause to think back after something unexpected or out of the ordinary has happened. I replay the happenings, incident or event in my head and think about it more. My thoughts begin to change from a sequence of events into a series of questioning thoughts such as; why did it happen that way? And how could I have behaved or done things differently? If I do something that way, what is likely to happen? Reflection helps me to share my ideas with others who are experiencing similar incidents of challenging behaviour which can help improve the promotion of positive behaviour. It also helps you avoid making the same mistake again, for example, as mentioned earlier in this assignment whilst I was supporting B and preparing his breakfast, he hit me. On reflection I questioned why I had taken him in the kitchen with me and should have asked for assistance from another member of staff to prepare hisà breakfast. My manager has updated Bââ¬â¢s support plan and informed staff that when B has his breakfast prepared the member of staff supporting him must ask colleagues for assistance keeping B out of the kitchen. In my opinion Individuals with the label of challenging behaviour are one of the most vulnerable groups in society. They are often labelled as complex and are at high risk of abuse, neglect and exclusion. Despite some progress in policies and practice that advocate personalisation, the evidence for successful approaches in challenging behaviour is weak. Challenging behaviour is still too often viewed as located within the individual rather than the wider social and physical environment. The appalling events that led to the closure of Winterbourne View hospital in Bristol in 2011 were the latest in a very long line of similar cases that have occurred over many decades. The aim of the winterbourne review was to look into what happened so that lessons can be learned and look into how people with challenging behaviour are supported all over the united kingdom.
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