1.1 Life Quality Factors (14) 1 Physical Factors (5) 2 Intellectual Factors (2) 3 Emotional Factors (5) 1.4 Factors affecting Communication (11) Exercise, Diet, Physical comfort and safety, Hygiene, Pain relief 31 Emotional Stimulation, Engaging in Activities Privacy, Dignity, Approval, Psychological security, Autonomy 32 Environmental 33 Physical or intellectual disabilities 37 Use of technical terminology or colloquialisms 38 Appropriate speed clarity and loudness 39 Use of eye contact, facial expressions, body language 34 Cultural influences 40 Legibility and accuracy 35 Stereotyping and labelling 41 Lack of resources 4 Social Factors (2) Social Contact, Social Support 1.2 Principles of Care (7) 9 Acknowledging individuals' 5 Promoting effective personal beliefs and identity and communication and relationships respecting diversity 6 Promoting anti-discriminatory 10 Protecting individuals from practice abuse 7 Maintaining confidentiality of 11 Providing individualised care information 8 Promoting and supporting individuals’ rights to dignity, independence, empowerment, choice and safety 1.3 Caring Skills and Techniques (13) 12 Encouraging 13 Showing approval 14 Creating trust 15 Gaining compliance 16 Social perception 17 Observation 18 Providing individualised care 19 Disengagement 20 Distraction 21 Physical contact 22 Modelling 23 Working alongside 24 Setting challenges 25 Safe working practices 1.4 Communication Types (5) 26 Written 27 Verbal 28 Non-verbal 29 Graphical 30 Alternative 36 Time constraints and pressures 1.5 Barriers to Communication: Care workers (7) 1.5 Strategies to overcome Barriers: Individuals (9) 62 British Sign Language, Makaton, 66 Interpreter Braille, Widget 63 Equipment – hearing aids, adapted computers, electronic voice output, pendant call system 67 Facilitating access – e.g. use of community alarm aid ramps 64 Use of an advocate 68 Adapted equipment and facilities 69 Anger management / 65 Use of support groups assertiveness training 1.6 Rights and responsibilities (12 Acts) 70 The Disability Discrimination Act 76 The Children Act 1989 42 Attitude and prejudice 46 Preoccupation with own needs 1995 71 Race Relations Act 1976 77 The Work and Families Act 2006 43 Lack of motivation 47 Ethical dilemmas 72 Mental Health Act 1983 78 The Data Protection Act 1994 44 Conformity to workplace 79 The Access to Personal Files Act 48 Stress and physical strain norms 73 Sex Discrimination Act 1975 1987 45 Lack of skill 80 The Access to Health Care 1.5 Strategies to overcome Barriers: Care workers (9) 74 Human Rights Act 1998 Records Act 1990 49 Clear and effective policies 51 Advice and support within the 75 NHS and Community Care Act 81 The Health and Safety at Work and codes of practice workplace 1990 Act 1973 52 Appraisal, continuing professional 1.6 Systems of Redress (7) 50 Training development procedures 1.5 Barriers to Communication: Individuals (9) 53 Lack of status 54 Social exclusion 55 Physical impairment 82 Organisational policies 57 Attention seeking 58 Hostile behaviour 83 Local complaints procedures 59 Feelings of frustration and isolation 84 Industrial tribunals 60 Communication barriers - sensory 85 Regulatory bodies impairments, learning disabilities, 56 Concealing problems language barriers 61 Poor access to services and resources – physical, psychological, financial, lack of information, geographical, cultural and language barriers 86 Ombudsman 87 Commissions – Equal Opportunities, Racial Equality, Human Rights, Disability Rights 88 European Court of Human Rights WJEC Health Unit1
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