Question This question has been answered twice by course hero tutors but has… This question has been answered twice by course hero tutors but has not been passed by my trainer/lecturer. Because it is too long to write all the previous answers here, I will write a few to guide you and the responses /comments from the trainer.project 1.Tom is a resident in a disability care facility. He was recently placed in care by his wife Ethel, because he was involved in a motor vehicle accident which left him with physical and mental disabilities. This has affected his behaviour. He was once a gentle, quite man, but he now reacts to various situations with physical and/verbal aggression. Tom used to be a chef and he was an avid gardner. Tom can clean his teeth and dress himself but he needs support with other personal care needs. He is continent and,and he is able to manage simple tasks but he has not yet been assigned to any activities or group sessions.1.How might staff support Tom to develop and follow daily routines? Provide six examples. Answers: find out what Tom’s daily routine was at home……, create staff routines that are supportive of Tom’s routines…..,,, surrounds Tom with a secure and predictable environment…….,,keeping his routine as regular as possible……,,look for opportunities to improve your skills….., look for & take advantage of opportunities……,recognise and report any changes in Tom’s requirements….,,make time requests for Tom….,,baking and gardening hobbies are examples of those pursuits….. to mention but a few. (trainer comments: not yet satisfactory please answer this question using your own words)2. One morning Tom shows resistance to engaging in the cooking activities that he usually enjoys, He has been asked to help make jelly. Identify possible problems with engaging him and identify people staff could seek appropriate assistance from. Answer; Tom could be sick, unhappy or don’t care for jelly, staff might ask his wife why he does not want to make jelly, and if she doesn’t know, what should seek help from the supervisor, who could check on Tom’s well-being. (trainer comments: not yet satisfactory please answer this question using your own words)3.Briefly describe the environment that would be conducive to Tom’s positive and adoptive responses, identifying five of its characteristics. Answers; the environment should be friendly, comfortable, attractive, accepting of Tom’s limitations. (trainer comments; Not yet satisfactory please answer this question using your own words, not those suggested in the unit).4.Provide three examples of reinforcements that might be used to encourage Tom to make his bed. Answers; a walk in the garden, a reward and verb praise.(trainer comments; Not yet satisfactory ,please answer this question using your own examples, different from the ones mentioned).5.Describe how staff could contribute to the development of a behaviour support plan to manage Tom’s aggressive behaviour, which could put Tom or others at risk of harm. Answers: observation and recording Tom’s aggressive behaviour…..,, observing and recording Tom’s emotional well-being in the context of his aggressive behaviour…….,,observing and recording Tom’s physical well-being to see if it is triggered by certain moods such as anxiety, depression or frustration….., observing and recording Tom’s health and meditation in the context of his aggressive behaviour to be if it is related to physical illness, pain, discomfort……(trainer comments: not yet satisfactory please answer this question using your own words).6. What sort of review should be carried out and document if it is felt that the environment should having an effect on Tom’s behaviour? where should recommendations from the review be documented? please explain in detail. Answers; an environment observation and record(review)should be completed in order for identify characteristics of a client’s environment…..,,,,the review can determine what steps need to be taken to improve the present lifestyle and environment, as well as how the service meets the client’s needs…….,, the review recommendations should be written in the individual from receiving inconsistent or inappropriate support, which could lead to behaviour that puts the person and/or others in danger.(trainer comments: not yet satisfactory please answer this question using your own words and in detail).7.The ABC chart has been compiled from reports from staff about Tom’s behaviour on his first day in care:Antecedent. Behaviour Consequences Worker told Verbal Worker Tom it was aggression turned time for him towards off the to get ready staff. TV.for bed whilewatching aprogram on the TV.Client called Verbal Tom was out loudly aggression moved while sitting towards away next to Tom the other from the at the client. client.dinning room table at dinner time.Tom was Physical Tom asked to and verbal wascarry his aggression—. ushered plate and knocked the to his he dropped door & swore. room.it.Tom was Physical Thehaving. aggression—. music afternoon smashed a wastea as part cup on the stopped of a music floor. & Tomevent and waswhen the taken tolive music the began Tom lounge.becameagitated.Describe four strategies that might be identified in Tom’s individual response plan as a result of the information provided.answers: Waiting until a program on the TV in the evening has finished before asking Tom to get ready for bed. Sitting Tom at a table away from clients who are prone to calling out. Being careful not to ask Tom to do tasks that he might fail at. Excluding Tom from the live music group and finding something more suitable for him.(trainer comments: not yet satisfactory, to clarify your understanding, please answer this question using your own words?8. What types of interventions would be inappropriate in Tom’s case? Provide ten examples. Answers; corporal punishment, seclusion, use of barred structures, forced exercise,the disciplining of a client by a client, use of aversive stimuli, procedures and might constitute verbal, psychological, or verbal abuse, the use of the social or mechanical restraints, the use of the prone restraint (face down restraint),any use of unpleasant stimuli…..&etc (trainer comments; Not yet satisfactory please answer this question using your own words to clarify your understanding? there are many interventions that would be inappropriate please list 10.9.Tom becomes frustrated with you one morning because he is telling you some stories about his past and he feels that you are not listening to him. How could you demonstrate that you are listening to him in the future? List and describe eight examples. Answers; 1.use equal positioning…….,2.reflect back….3.are attentive -concentrate on what is being said4.are impartial-don’t from an opinion, just listen….to mention that a few.(trainer comments: not yet satisfactory please answer this question using your own words)10. One afternoon Tom becomes very aggressive. He is angry because he thinks another client stole some of his belongings. He attempts to physically attack the person and when you step in, Tom lungs at you and says he will ‘strangle you if you do not go away’. How should you respond to this incident in order to ensure the safety of yourself and others? Please explain in detail. Answers: take a deep breath before reacting, step back and give the person space….,,activate an alarm to summon help from other workers, help any other clients present to vacate the room, maintaining safe distance from the client, making sure there is a safe exit for retreat, make sure there are no items or objects that the client could use as a weapon,avoid insulting or provocative remarks, ignore abusive statements and other attempts to incite emotional reactions, avoid highly emotive themes or language, discourage other people who might intervene in negative ways, make sure there is another staff member to act as backup, if necessary avoid guiding you client, keep the client and other people around you safe…etc (trainer comments: not yet satisfactory please tell her what would be do? what would you say? how would you react? how would you speak to others in the room? would you ask someone else to activate the alarm? This question requires you to tell a story, like you were making a report of exactly what happened in detail. Please don’t use dot points 11.Write a 1-page incident report for this event. Answers: time & date of the incident, location of the incident, type of the incident, tasks or activities happening at the time, control measures in place at the time, details of any witnesses involved, the immediate action taken for the incident etc( trainer comments: not yet satisfactory, this question is asking you to write a one page incident report, you have provided what the incident report should include. We need you to write in your own words an incident report regarding Tom’s behaviour.12.You is Tom might be depressed but you do not have the expertise or qualifications to diagnose or treat him. Who might he be referred to? Provide three examples. Answers: doctor, psychologist and psychiatric.(trainer comments: not yet satisfactory, please provide your own examples 13.What determines whether Tom will become socially devalued as a result of his disabilities? Answer; Being different from others in one or more ways that are regarded significant by a majority or governing portion of the society who value this difference negatively causes a person to be or labeled as socially devalued. (Trainer comments: not yet satisfactory please answer this question using the words. Health Science Science Nursing N/A CHC33015 Share QuestionEmailCopy link Comments (0)
