Disability Work

Answer 1 Five ways a Support worker can support and encourage the independence and self determination of a client with a disability are: 1. ‘Empower individuals by treating them with respect, treating their rights and interests as important and allowing your client to have a real influence over what happens in their lives. 2. Assist people to maintain their dignity by maintaining existing valued social roles and by finding ways for them to gain more valued roles. 3. Respect the individual’s right to self-esteem and self-determination. 4.

Assist people in developing new skills and competencies by providing emotional and practical support. 5. Ensure they actively participate in the important decisions affecting their lives by first providing them with information and possible choices. 6. Recognise and respecting a person’s individual, cultural and religious differences. ’ (Ref 2006 DE MARIA Enable Text, CHCDIS2C pg 7) Answer 2 Advocacy is often misrepresented, It is not a person, who goes on your behalf, to seek a refund on a piece of faulty equipment, it is more involved.

Webster dictionary online defines Advocate as follows: To represent the interest of another or present an argument or opinion on behalf of another or a topic. 1. to speak or write in favor of; support or urge by argument; recommend publicly 2. a person who speaks or writes in support or defense of a person, cause, etc. (usually fol. by of): an advocate of peace. 3. a person who pleads for or in behalf of another; intercessor. 4. a person who pleads the cause of another in a court of law To be an advocate the support worker must have the appropriate knowledge, experience and skills.

They MUST follow the instruction of the client. The client is the person who determines what should be done, how and when. This determination is reliant on having all of the relevant information, being aware of the possible consequences of actions and making an informed decision. Regardless if the decision is felt to be wrong by the support worker, if the client decrees it the support worker, if they have agreed to act as the client’s advocate, must do as they are instructed. Support workers do not always have to be the client’s advocate.

If they feel that there is going to be a conflict of interest or it is beyond their scope of knowledge, skills and experience, they can refer the client to an agency or person who is more suited to the role . e. g. South West Advocacy, Disability Ombudsman, local MP. This fulfills Duty of Care and the support worker recognizing their limitations and conforming to professional standards. Answer 3 Provision of information, choice and supporting the client are the three main elements to enable a client to make decisions/choices.

Listening to the client and allowing them to make the choice is so important and support workers need to recognize that the client has the right to choice, the right to information, the right to refuse, the right to participate, the right to be included in discussions, the right to be recognized as a person with a disability (not as a disabled person, as so many ignorant people tend to refer to people with disabilities). Respect, honesty and being truthful in your interactions with any person, regardless of their abilities (as opposed to their dis abilities) is the crux of a successful , beneficial relationship.

Answer 4 Facilitate communication strategies and options for the client, support and encourage the client to take calculated risks (Dignity of Risk), expose the client to different, varying situations in an environment that is safe and secure initially then widening the environment to one that is reflective of the normal environment (community inclusiveness), provide activities that are achievable, challenging and provide satisfaction and pleasure for the client. Answer 5 ‘To actively defend and protect the current level of independence a person may have.

Often a well meaning Carer or relative/friend may take over simple (to them) tasks that they feel may be helping the client when in fact they are eroding that persons independence. They may feel that the client is taking too long to complete a task. They may even innocently denigrate that client by saying, “”Here let me do it” or “”You (client) can’t do that” or even, you don’t want/need thar when in fact that might be the client’s wish, want or need at the time. There may be no other justification for this, than perhaps, a time factor The other is to find ways to further increase the level of their independence.

This can be done by simply encouraging and supporting the client with their attempts at independence providing they are not placing themselves or others in danger (see dignity of risk and duty of care)’. (Ref 2006 DE MARIA Enable Text, CHCDIS2C pg 7) Answer 6 Throughout life we all encompass problems and difficulties, if we didn’t turn them into a positive and learn from our mistakes, or take the risk to venture forth on something new, we would never grow or have new experiences.

This applies to everyone and as support workers we need to be aware that it can and does impact on our clients and we must encourage and support them through our attitudes, beliefs and actions. ABILITY as opposed to disability, should be the first thing we view when we see a person with a disability, promote their abilities, support them in their choices, encourage them to take the risk, expect the positives, turn negatives around and make them a learning curve- this creates positive expectations.

Answer 7 Colleagues can be encouraged to promote the independence of people by? training and education ? role example ? exposure to clients and organisations where people with a disability are recognized and viewed as people with abilities ? conversant with current standards and legislation which is reflected in organisations policies and procedures ? feedback from clients with a disability ? involvement and active participation in forums, seminars, conferences.

Answer 9 The action must be stopped immediately, the client’s needs are paramount, any thing they require must be dealt with first then the incident must be reported to the supervisor and an incident report completed.

It is a strong possibility that the organisation would commence disciplinary action for serious breaches of conduct. (Ref 2006 DE MARIA Enable Text, CHCDIS2C pg 57) Answer 10 Disability Discrimination Act 1995 Answer 11 People commonly think of sex as sexual activities. Sexuality means much more than these. Human sexuality comprises a broad range of behaviors and processes, including those of the physiological, psychological, social, cultural, political, philosophical, ethical, moral, theological, legal and spiritual or religious aspects. Sexuality includes: ? Values regarding relationships, dating, marriage, sexual ethnics, sexual culture ?

Psychology in relation to gender, sexual role ? Physical factors such as sexual characteristics, sexual drive, sexual intercourse, sexual activities ? Sexual orientation, that is heterosexual, homosexual or bisexual Answer 12 Some of the myths and beliefs about sexuality and people with disability are: 1. Disabled people are asexual. 2. Disabled people are oversexed. 3. Disabled people are dependent and childlike, generally needing protection. 4. Disabled people are like everybody else when it comes to being sexual. 5. Sexual intercourse with orgasm is impossible for people with disabilities.

6. Relationships only complicate the lives of people with disabilities. 7. The more people with disabilities know about sexuality, the more appropriate their behavior will be. 8. The best way to protect people with disabilities from sexual exploitation is to limit their freedom. 9. Parents of teenagers with disabilities usually do not approve of sex education for their children. 10. If a person with a disability has sexual problems, it is almost always a result of his/her disability. Answer 13 Affirmative action training Encouragement and development of a mentor relationship.

Confirmation and validation of their values, rights and choices Provision of appropriate and relevant sex education Provision of sexual aides and sex protection techniques/treatments Respect, privacy and appropriate time and space for sexual activities Availability of a sex therapist Answer 14 Facilitate discussion in a secure private confidential environment Treat with respect any questions or concerns expressed by the client Refer any queries or concerns to the appropriate person (with the permission of the client) Respect the clients choices and provide information which is appropriate to the client’s intellectual and emotional capacity.

Answer 15 Sexuality is a complex term comprised of elements including sexual identity, sexual orientation and sexual behaviour. Sexual identity is how we perceive and what we call ourselves regarding our own sexuality. It can develop through a person’s lifetime and it may be related both to a person’s identity with their sexual characteristics and their sexual orientation, though this is the subject of some debate. Sexual identity can be a core component of a person’s sense of self along with other elements such as culture, ethnicity, gender and personality.

Sexual orientation is an enduring emotional, romantic or sexual attraction that people feel towards others. Even though many people are exclusively heterosexual or homosexual, it is increasingly accepted that sexual orientation occurs along a continuum: that is, “someone does not have to be exclusively homosexual or heterosexual, but can feel varying degrees of attraction” to people who are male, female or mixed-gender.

Sexual orientation is generally a favoured term over sexual preference as the latter implies a degree of voluntary choice about sexual affinity that is not substantiated by anecdotal or scientific research. A person’s sexual orientation can develop throughout their lifetime, with different people realising at different points in their life that they are heterosexual, gay, lesbian or bisexual.

Realising sexual identity may or may not be the most important influence on a person’s personality or behaviour. Sexual identity and sexual orientation are not the same as sexual behaviour. For example, many adolescents (and adults) may identify themselves as heterosexual, gay, lesbian or bisexual without having had any sexual experience. Other people may have had sexual experiences with a person of the same gender but might not consider themselves gay, lesbian or bisexual. [pic]

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