1.1 It is important you recognise the individuality of the person to help to increase their confidence and self-esteem and make sure you society aren’t labelling them as different . If people were to label them they would forget their individuality and thinking they cant do something because of their disability or ilness and wont be able to live fullfil life.
1.2 The level of care a person needs or the type of care they require varies from person-to-person. All assessments should be done with a person-centred approach to agree on care plan a made around the individual and their needs.
All service user must be always aware of their care plan and the tasks its include and to be discussed with service user at all the times. Just because two people share the same disability this does not mean they require exactly the same level of care and support, so working with a person-centred approach will enable you to identify their individual needs.
1.3 An individual with a disability may find it difficult to do day-to-day things such as wash or dress ( general personal care tasks), meal preparation , medication , social inclusion and will need some support. It is important you also help an individual recognise their strengths to increase confidence and self-esteem as being unable to do simple tasks can affect a persons self-esteem. Having a disability should not determine whether or not their aspirations can be met but careful thinking about how you can help to achieve it.
2.1 Physical disability can be defined as “a physical or mental impairment which has substantial and long-term adverse effect on a person’s ability to carry out day-to-day activities”
2.2 Congenital describes the disability what is since the birth of the person , caused during the birth and it my include , learing disabilities , head injuries and many more Acquired describes when disability is cuased by ilness or accident during persons lifetime. Neurological discribes the ilnessis what is caused by body nervous system its includes , Motor Nueron dissease , Parkinsons, Multiple Sclerosis and many more.
2.3 Congenital can be Cerebral Palsy The symptoms of cerebrxd=al palsy normally become apparent during the first three years of a child’s life. The main symptoms are:
muscle stiffness or floppiness
random and uncontrolled body movements
balance and co-ordination problems
These symptoms can affect different areas of the body and vary in severity from person to person. Some people will only have minor problems, whereas others will be severely disabled.
Many people with cerebral palsy also have a number of associated problems, including repeated seizures or fits, drooling problems and swallowing difficulties. Some people with the condition may have communication and learning difficulties, although intelligence is often unaffected.
Neuroligacla – Stroke There are two main causes of strokes:
ischaemic (accounting for over 80% of all cases) – the blood supply is stopped due to a blood clot haemorrhagic – a weakened blood vessel supplying the brain bursts and causes brain damage There is also a related condition known as a transient ischaemic attack (TIA), where the supply of blood to the brain is temporarily interrupted, causing a ‘mini-stroke’. TIAs should be treated seriously as they are often a warning sign that a stroke is coming.The damage caused by a stroke can be widespread and long-lasting. Some people need to have a long period of rehabilitation before they can recover their former independence, while many will never fully recover.
The process of rehabilitation will be specific to you, and will depend on your symptoms and how severe they are. A team of specialists are available to help, including physiotherapists, psychologists, occupational therapists, speech therapists and specialist nurses and doctors.
The damage that a stroke causes to your brain can impact on many aspects of your life and wellbeing, and depending on your individual circumstances, you may require a number of different treatment and rehabilitation methods.
2.4 Emotional inpact would persons understanding of what can happen and what to expect in a set time scale. It would be easy to get depressed or upset as it might be very progressive and the induvidual can face they cant do anymore things what they used to do usually. Mostly people who is aware that they have progressive ilness they will set targets what they want to complete or people they want to see before their ilness gets worst. Some people become very isolated and push/ block people around them away.
2.5 If person have congenital disability there is a chance they are born with the ilness and during they lifetime have learned to live with it and adopt they life so that they can make most of it. Progressive ilness ( in some cases) can be diagnosed when induvidual have been living healthy life and then be shocked with progressive ilness ( motor nureon dissease) and they life can chnage within few seconds. Its more harderto adjust mentally.
3.1 If the person have a physical disability what has affected their mobility the main barriers what we have is the enviromental adjustance to disabled mobility scooters and other equipment , such a shopping markets and others placses for community. Social barries still is a discrimination and people not awareness of how disability affect the induvidual , comments made in every day life and sometimes if person with physical disability is looking for work it can be affected.
3.2 The ability of earning a decent wage might be affected by the physical disability and career path might be affected or even limited. If the person has a higher edeucation in Nursing and requires to work in busy hospital wards but if affected by accured disability , their career might be affected and they might have to choose lower paid job just to be able to still work. Benefit system and how it can help people with physical disabilities remain independently in the community , the time scales for assesments for benefit has increased and people struggle with their bills , but that also affects they mental health and can cause bigger distress and less quality of the life.
3.3 In October 2004, the final stage of the landmark Disability Discrimination Act comes into force.
Passed in 1995, the bill’s supporters said it was a cultural change in how society thinks about disabilities – defining the environment and public attitudes as the obstacle to participation, rather than the disability itself. Since then, the Act’s key provisions have been come into force in stages to allow different aspects of society to prepare for the changes required:
In December 1996 it became unlawful to treat disabled people less favourably for reasons relating to their condition. From October 1999, businesses and organisations had to start making reasonable adjustments to ensurepeople with disabiliytu s could access their services From October 2004, businesses and organisations are required to make reasonable physical adjustments to their premises.The Act does not set out what constitutes a reasonable adjustment. But, combined with other legislation, British society is changing Community care Act -The Act states that it is a duty for local authoraties to assess people for social care and support. This is to ensure that people who need community care services or other types of support get the services they are entitled to. Patients have their needs and circumstances assessed and the results determine whether or not care or social services will be provided. This also ensures that the people giving the care follow a certain set of rules called the care value base.
3.4 In December 1996 it became unlawful to treat disabled people less favourably for reasons relating to their condition.
From October 1999, businesses and organisations had to start making reasonable adjustments to ensurepeople with disabiliytu s could access their services
From October 2004, businesses and organisations are required to make reasonable physical adjustments to their premises. The Act does not set out what constitutes a reasonable adjustment. But, combined with other legislation, British society is changing
3.5 Often, people with physical disabilities feel frustrated because they cannot do the activities that people without physical disabilities can; playing sports and doing exercise is much more difficult, for example and getting out and about can be difficult because it often requires special transport and the help of people who are willing to assist the individual. Having a physical disability also changes the way a person lives their life. They may find their life changes radically following an incident or illness that leaves them with a physical disability; activities they had previously included as part of their daily routine, such as brushing their teeth, washing and doing household chores suddenly become a huge effort and many people require another person’s help to carry out these activities. Having a physical disability also impacts upon the home environment; people who use wheelchairs, for example, need homes that have ramps, low kitchen units, wide doorways and corridors and a stair lifts (if they live in a house, rather than a bungalow).
3.6 Some people see the disability rather than the person. They look at what the individual can’t do and this places barriers to development and progression. They feel sorry for the individual and think they need to be ‘looked after’ and this can affect the individual’s self perception. They can become dependent with learned helplessness. This in turn supports the negative view.
Others look beyond the disability and see the individual. Disability becomes just an issue to be dealt with and they support the individual to be the best that they can be. The individual can develop positive self esteem and become much more independent. Positive attitudes are upheld by achievements.
4.1 As they physical health is affected and in some cases mobility too , its importnat that the person remains fully in the community and dont feel isolated. Sometimes induviduals with physical disability become isolated and lonely as they access due to their disability to the community might be affected.
4.2 Social inclusion; arrange trips out, visits to friends and family, attending youth clubs or coffee mornings, cultural and other social activities. Community inclusion; we can help with joining and engaging with local volunteer or community groups and events.
Independence can be promote everyday as letting induvidual to make importnate decisions and ecery day smalle decisions , when carers attend they should promote independence by allowing service user to do as much as they can for themselves even if its takes longer.
4.3 It is extremely importnay person to have control of their choices and decisions , in domicilary care it should be taken in consderation since the very early stages when the care is arrnegde by finding out all yhe details of the support required , their preferences and needs. When carers arrive they always must promote choice by letting service user to make all importnat decisions for their everyday life such as what they will wear in the morning , what time they will get up and what they will have for lunch.
4.4 Providing real choice and control for people who use social care means enabling people to take the risks they choose, particularly in the use of self-directed support and personal budgets.
With the support of frontline staff, people using services should be enabled to define their own risks and to recognise, identify and report abuse, neglect and safeguarding issues. Informed choice is vital.
4.5 Induvidual can be encauraged to take some level of positive risks by staff when completing the risk assesment , by identifieng wich risk is too dangerous , and wich still can be taken but still remaining safe. There might be other profesionals involved , for example if the mobility is risk , but it would be positive for induvidual to maintain they mobility , Ocupatonal therapist mght be involved by showing how this can be done safely by minimising the risks.
4.6 Challenge discriminatory remarks immediately and explain why it is wrong if this happens with other collleague or with someone we work together everyday , this kind of behavia must be reported to line managars. . Use your setting’s policies and procedures, always report andrecord all conecrns raised. Model positive attitudes and behaviour. Display posters and leaflets etc. Encourage/arrange social interactions with your individuals and the public etc.