Identify possible barriers to active participation?

Ans. Possible barriers to active participation are as follows:

• An individual may have physical inability to take part in any events and activities such as individual may be immobile or may have poor mobility or pain or bed-bound. Those barriers may discourage or prevent an individual from active participation.

• An individual may have depression or emotional bereavement or other critical mental illness that can discourage or prevent an individual from active participation.

• An individual need encouragement to active participation such as invitation, reminder, persuasion and discussion about the topics etc. If carer, social worker or responsible person do not encourage an individual to active participation, an individual may feel low self-esteem to participate.

• Organisational responsibilities are to arrange events and activities for individual service users to participate. Also they have responsibilities to inform their staff and provide training on how to encourage an individual to active participation.

Not everyone like crowds or monkey dancing or circus. Some people may prefer to read books or stay quiet and peaceful in their room or wherever they want. It is may be because event is not interested to them or they are a kind beyond your thoughts. So respect their privacy, quiet and peaceful life.

By Md. Foisal Miah Talukdar


Is Mutation Possible?

One great quote I can remember today is ‘Created hand will create’. After successful mammal’s cloning, it has been proved that evolution that occurred naturally can be occurred now by us. It all started from the ‘theory of evolution’ great scientist Charles Darwin. Unfortunately, he is not alive today to see the actual result of his theory. He knew among this vast diversity of lives, all species are somehow connected. He knew our families evolved from fish. Then fish slowly transformed into ape over a long period of time then ape transformed into today’s human beings. He used to call it ‘Descend with Modification’. But he never knew why? What was making creature change? What’s happening inside the creature’s body to transform them utterly different from their own species? His entire works was concluded here. He left these mystery to the next generation to solve.

After relentless efforts, modern scientists has given his theory a complete credibility and presented with clone, mutation. ‘Genome’ that helps creature to transform- The only answer was unknown to Charles Darwin. I am not talking about mutation of our own species. I am talking about cross-species mutation like ‘Centaur’ (my first saw replica cross-mutant in Hercules when I was child). In the future, don’t be surprise if you see someone walks along with you on the street human body with swan’s wing on back or human body with elephant’s feet. It’s all just matter of time.

Cross-species mutation technology may become very dangerous for our own species for existence if it falls in wrong hand what I don’t want to explain here. Mutation in own species may generates variations can give us good survival advantage like free from fatal diseases. Hence Darwin’s another word came true ‘Struggle for existence’.

Cross-species mutation has not been fully successful yet. Already experimented on human and frog’s combining their genes. Creature transformed into a lower body of human beings with frog’s head with damage.

Imagine, if further research goes well your pet can have a leg or head like yours and more exciting matter is they can talk. If you are very interested to experiment of such a thing learn more about our body cell and genome, then buy an electronic microscope and buy other stuff like jar, test tube to turn your garage into a lab.

------Md Foisal Miah Talukdar

 

 

Explain how you could influence the quality of the service provided? a) Following best practice within your role;

Following best practice within your role

 

The only way you can influence the quality of service following best practices, agreed ways of working (policies of procedures) and maintaining health and safety. The quality of service will be improved if you follow best practices, policies and procedures and work according to health and safety rules. You will apply practices into your service provision only what and the way you have been agreed, taught or trained following health and safety and company’s policies and procedures. You may also bring some practices from other places or discover your own practices using your best judgement during the span of your role. But you must have to inform and justify from Manager or accredited person before you apply it.

 

Example: Suppose, you have noticed a resident has been manhandled by a carer while trying to assist with mobility.

The best practice is for you to record and report to the manager immediately which can resolve issue quickly and help to improve services by eliminating causes. But if you do not do so and incident reoccurs again another day in front of a visitor then the bad quality of service in your care home may spread in public.

So, it depends all in your action, practices, knowledge, skills and impartial judgement what can influence the quality of service you are providing.

Following best practices or working accordance with, services or quality of life not only may be improved but also your skills and position may be improved.

---------------------- Md Foisal Miah Talukdar

 

 

What can be done to minimise the impact of challenging behaviours?

Challenging behaviour occurs due to many physical and psychological issues. And physical and psychological issues are influenced by many factors such as dementia, schizophrenia, disability, autism, pain, grief, discrimination and even social exclusion. Challenging behaviour has a great impact on the person himself, others and in the community. It is essential to eliminate or minimise the impact of challenging behaviour in order to make community or workplace safer. There is a vital role you can play to eliminate or minimise this kind of behaviour or the impact of this kind of behaviour while you are supporting people in their daily needs.

Observation and documentation: Observation is the most important part of this procedure. You have to observe the behaviours and document the kind of behaviour, person is exhibiting. Same kind of behaviour a person may not exhibit all that time. Observation is required to determine the kind of behaviour and documentation is required to keep record of different behaviours, incidence, evaluate behaviours and to determine and attributing strategies.

Determine Trigger: A person’s challenging behaviour may exhibit for many reasons that we often define as trigger. Part of your observation is to determine the trigger of this kind of behaviour. To determine trigger you must have to observe what happened right before the behaviour and what makes a person to exhibit this kind of behaviour. Author Foisal Talukdar’s Psychological Explanation: Let’s suppose a person has a speech difficulties because of dementia. Stopping the person while stammering to tell you something or directing to other topics may lead to a punch, verbal abuse or if unable to do so, decent amount of spit on your face. Trigger is not that he has speech difficulties. Trigger is your action because of the lack of your knowledge and skills.

Consider the impact of behaviour on the person himself and others: A person’s challenging behaviour may not only put significant changes on himself alone but also on others behaviour. A person himself may become more aggressive, may cause harm to himself and others. Others may react the same way or cause a conflict or become secluded. Few of the following impact may occur on person himself or others and on the wider community:

Ø  Verbal Abuse

Ø  Physical Harm

Ø  Financial Harm (Such as breaking furniture, windows, doors, television and any objects that require money to acquire)

Ø  Phobia

Ø  Low self-esteem

Ø  Withdrawn

Strategies to respond challenging behaviour: After you determine the trigger and impact of specific challenging behaviour, you can make strategies to respond it. Strategies will depend on the kind of behaviour, trigger to such behaviour and the level of impact on everyone is involved. Different strategies should be made for different kind of behaviour. Also different strategies for the repeated behaviour if the trigger is different. Strategies may include the followings –

Distraction: Distraction may sometimes help to minimise challenging behaviour as it helps the person to forget current event or divert thoughts to another fact or event and forget the cause of anger. Distraction may not work on every person. It depends on individual’s circumstances, triggers and medical conditions.

Current Event or Activities: As we all know that an idle brain is a devil’s workshop. Engaging every individual to activities or current events helps their brain to occupy with something useful and stop them to exhibiting challenging behaviour. Also talking about current events that may result in disturbing behaviour can help discouraging a person from doing it. It is all depend on individual’s mental capability, medical condition and all other circumstances. Therefore, keen observation and understanding is required. Music is one of the most common effective activities which may help a person to relieve from stress, depression, anger and griefs. Also talking about favourite topics and past may help a person to avoid thinking about aggression.

Addressing Physical Trigger: If the person’s challenging behaviour because of physical pain, then you have to identify the cause of pain. You may need to discuss with doctors and other professional to find out therapy or if there is any then alternative therapy to eliminate or reduce the person’s physical pain.

Remember if trigger is eliminated then challenging behaviour will be reduced or eliminated unless a person is in serious mentally ill condition. After making strategies you have to document strategies in care plan then implement to follow strategies. Regular review is required to ensure strategies are effective for the person. Otherwise different strategies need to be made. If strategies are not effective, readdressing the trigger and impact are needed and different strategies have to be made.

Written By Md Foisal Miah Talukdar

 

What aspects do you need to consider when providing activities to people with dementia?

There are various aspect you should consider when providing activities to people with dementia. You should always apply person centred approach while providing activities. Maintaining dignity and independence is very important in this exercise. You will have to aware of their interests and preferences and cultural backgrounds before arranging activities. And that is why you may need to study their biography or past history or ask their family or friends about their interests and preferences if direct communication with the person is being failure. Age, professional background and intellectual level of a person is recommended to consider as well from my point of view. Such as, a retired university’s dean, an author or highly intellect person may not be encouraged to your bingo, card game, baking a cake or gardening activities. Therefore you have to find out and arrange an appropriate activities for them. You also need to maintain and encourage to use their existing skills. If their common interests and preferences doesn’t match one another and age, cultural backgrounds, medical history, professional backgrounds restriction interrupts then you may need to make different groups to provide appropriate activities.

Safety is your main concern while arranging activities. You have to make a safe place and environment for this. First, you have to measure the risks if there is any involved and eliminate it accordingly or minimise if it is not possible to eliminate. You also need to allow service users or clients to take risks according to their capabilities, but your observation and assistance should be near at hand on instance.

 

Empathy is also a vital part of this exercise. Therefore your practice need to be inclusive. You have to interact with everyone to feel them valued. Showing empathy is become a part of minor dilemma sometimes. Author Foisal Talukdar’s Theory “Empathy (different Psychology applies on different individuals of different types of dementia or any other brain diseases). Some people may shout you back while you are being empathetic to them. It does mean they feel they are capable of doing things their way and their sense, feelings, self- confidence and self-pride still active in their part of the brain. Your approach should be empathetic from your behalf but not to displayable by words or any action to feel them that they are now the subject to receive your sympathy”. Anyways, I have gone far away from this topic. All you need empathy and understanding of different types of dementia. Such as a person with Parkinson disease may not be able to hold things right way or a person with Alzheimer disease may withdraw himself all on a sudden in the middle of your event or a person with challenging behaviour may start shouting at everyone. All of these you have to take into consideration before you start and provide activities accordingly.

Key Points:

·         Maintain Independence and Dignity

·         Maintain and Use Existing Skills

·         Age Appropriate

·         Culture Appropriate

·         Take into Account Likes

·         Take into Account Dislikes

·         Health and Safety Issues

·         Allow Person to Take Risks where appropriate

·         Empathy

·         Knowledge of the Different Types of Dementia.

By Md. Foisal Miah Talukdar

A thesis: What is dream? And why do we see dream?

Dream is nothing but a reflection of your brain’s present and past activities. It is made up of your past, present and future thoughts, events, imagination and activities. I am not a neuro-biologist who may explain different neuro-biological term more in details. But as a person I put down my point of view that may lead someone to think it different way. All of the human beings at least once in their life time see dreams while they are sleeping or brain and body is in inactive mode. Why does it occur? We do not let it occur (in some cases we can). It occurs automatically. Your thoughts, plans, joys, sorrows, fears, imaginations what you are going through or went through in your real life, all may appear in your dream exact way or different way bearing the same messages. Sometimes people dream future events as well. It can be exactly the same way or different way bearing the same messages and many people call it as a miracle. But it is not miracle. It is almost possible to anyone. Anyone can see the future events depending on their subjects, plans, life style and how deep their thoughts are and how many times they thought about that subject and planned using their memory and how much mark (cache) they left in their memory. In a word it depends on their brains activities. There is a logical explanation for almost everything in this world. Logical explanation is required when it comes to the term ‘different way or different scenario bears the same messages’. Suppose you saw you was drowning in an ocean or ocean of lager and can’t breathe as you are drowning. In reality, you are not likely to drown in a lager ocean. So you called it nightmare. The dream you saw is bearing a message of present, past or forthcoming event in your life and you can aware of that only by logical explanation. Your brain is the mysterious part of your body. 

Knowing this all only one question remains to know that how it occurs. Have you ever seen your browser automatically suggests sites of your choices? Of course it does. Browser suggests pages automatically restoring cookies and caches from your visited pages in the present or past then suggest your next choices. Exactly the same way without programming language and software our memory preserve caches and cookies from our present and past thoughts, events, future plans, imaginations including  joy, grief, fear, excitement, adventures then it produces scenario linking all cache data together which bears the message of your present, past or upcoming events or thoughts. I understand Neuro-biological term is completely different. It is my theory and I do provide logical explanation for my theory.

By Md. Foisal Miah Talukdar

A poster that describes a range of person centred approaches to care

By Md. Foisal Miah Talukdar