Old people vs Young people free essay sample

Elderly folks People Elderly folks individuals are continually reprimanding youngsters for the ordinary issues, however elderly individuals are really the ones to fault for these cultural issues. This is in a manner out of line to the young people, since news channel and papers are interminably besieging us with news like ‘kid murders with weapon/knife.’ Or even the ongoing mobs, they are being accused and scrutinized for the issues inside our general public. This is certain that the grown-ups are utilizing us the adolescents as minor substitutes, as the general public we live in is made by the more seasoned age, and we have no voice in saying how the general public, the world we live in are run, because of the way that solitary individuals more than 18 are permitted to cast a ballot, change the laws. In spite of the fact that our chance will come, however once there is an issue, gaining from the more established age, we will accuse the young people since they are the most defenseless and the endless loop will proceed endlessly. We will compose a custom article test on Elderly folks individuals versus Young individuals or on the other hand any comparative subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page All things considered, the more seasoned ages may guard themselves by demonstrating that the quantity of youthful wrongdoers is rising quickly. This may appear to be persuading from the start, yet does this not simply show that there are an ever increasing number of deadly imperfections in our framework? Or on the other hand do they at any point carry out their responsibility, be dependable and show us the right method to act and to recognize great and shrewdness? ‘The acquired underhandedness inside each man shows up once lawfulness is detracted from society.’ †William Golding. So at long last, this was one more one of the more seasoned ages approach to swindle the general population. As I have said previously, it is uncalled for to the young people that they are accused for all the chaos the more established ages abandon, they are by and large dishonestly charged for things they haven’t done. As I would like to think, this has gotten something beyond a habitual pettiness; I believe that individuals have subliminally acknowledged a cliché thinking in their psyche. Each time they see a bundle an adolescents together, they naturally think their up to something evil, each time they hear youngsters working so anyone can hear, they take a gander at them with appall, thinking where are their habits? They don’t even allow them to shield themselves. Taking everything into account, no one needs to endure duty regarding something, so when there is a simple way out, a great many people will pick the simpler way, accusing others and this is actually what a great many ages are doing, they have to stand up, assume the fault and change what’s wrong, so as I would like to think, I think its ethically inadmissible to censure adolescents for our cultural issues.

Ancient Chinese Contributions Essay Example | Topics and Well Written Essays - 1000 words - 2

Antiquated Chinese Contributions - Essay Example China can legitimately make a case for various logical revelations and mechanical developments which extraordinarily enhanced human civilization as these made ready for worldwide advancement. This concise paper is a conversation and work of such antiquated Chinese commitments to progress. Chinese human advancement had existed continuous for a few centuries and because of this reality, it had the option to create to such a degree, that the antiquated Chinese obtained or collected enough information about the common world and insightful enough to make the correct associations with make logical revelations dependent on their speculations and theory; the other valuable association was to utilize these disclosures through innovative developments and applications in order to make life simpler for everyone. Hypothetical information was applied to ordinary use and for this, world human advancement has a great deal to be appreciative for in light of the fact that the disclosures and developments of the antiquated Chinese filled in as establishment for additional logical and innovative advancement to happen. Among the more unmistakable Chinese commitments are the compass, explosive, printing, paper, coal mining, earthenware and porcelain, utilization of oil, sericulture, star m ap book, and meridian. In light of the incomplete rundown referenced over, the four most significant commitments are the compass, black powder, paper, and printing. These four innovations contributed a great deal to the advancement and advance of world human progress as the utilization of these four disclosures spread around the world. The four creations can be considered as the most shrewd and imaginative thinking about the extraordinary measure of information, understanding, and believing that went into these four developments and disclosures. Compass - its revelation was critical to transport route and the possible disclosure of huge new grounds and domains past the extraordinary expanses of the world. In spite of the fact that the compass was

Understanding Income Statements

Understanding Income Statements If you are part of the business world, you need to be aware of some of the financial statements companies are required to produce. If you’ve heard people talk about profits and losses, the chances are they are talking about an income statement. For people who haven’t gone through accounting school, these statements can be all Greek.But understanding income statements is vital for anyone who’s involved with the business world â€" whether you are an aspiring business journalist, a small business owner or an investor. © Shutterstock.com | Achmad Fahmi RosyadThis guide is going to explain 1) the basics of an income statement, 2) help you understand the terminology used in these statements and 3) provide you with tips for analysing income statements.WHAT IS AN INCOME STATEMENT?An income statement is an essential part of a company’s financial records. The official definition says an income statement is:A financial document generated monthly and/or annually that reports the earnings of a company by stating all relevant revenues (or gross income) and expenses in order to calculate net income. Also referred to as a profit and loss statement.In essence, the income statement looks at the financial performance of an entity over a specific period in time. It provides the entity a summary of the revenue and expenses by looking at operating and non-operating activities.In most instances, an income statement looks at the net profit or loss of the entity over a fiscal year, but in certain instances, this cou ld also be a quarter or even a month.In crude terms, an income statement is divided into two sections:The income coming into the entityThe expenses going out of the entityThe two sections are then combined to show whether the entity is making a profit or a loss.Who gets and uses an income statement?Publicly traded companies must provide income statements, as well as balance sheets and cash flow statements. For these companies, the income statements must be publicly available for the general public at any given time. In addition, other companies and entities also create income statements, although they are not necessarily publicly published.The basics of the income statement remain same from business to business, but there are differences within the sectors depending on the industry and the type of business in question.In essence, any entity that makes money will use an income statement. But business’ income statements are also essential for investors, as they provide financial inf ormation on the business and can therefore influence investor decisions.Why are income statements essential?While income statements are often required by law for accounting purposes, they do also provide plenty of essential information for businesses. Therefore, an income statement shouldn’t just be considered as unavoidable, but also as an important part of improving the business’ finances.Income statements are important for any entity because they:Provide vital financial information â€" you can quickly establish how well the business is doing in financial terms and whether it is profitable. Furthermore, as mentioned above, the information is not only vital for the business entity, but also for investors.Shows trends in the business’ finances â€" business entities can collect their income statements over a long period and by comparing them, learn a lot about the business and any possible trends behind the business’ finances. This can help the business to improve profits and grow the business.A TYPICAL INCOME STATEMENT FORMATIn order to make the most of the income statement, whether as investor or business owner, it is important to understand the income statement format. The good news is income statement formats are relatively generic, although there might be slight differences between countries as well as the sectors the business operates in. You can find out more about the differences between countries later on in the guide.In general, an income statement is divided into two parts: the operating and the non-operating sections. Both of these sections will look at the revenue and expenses of the business, with:The operating section focusing on the revenue and expenses associated with the business’ normal, everyday activities. For instance, the costs associated with making of the goods the company sells are part of the expenses in the operating section.The non-operating section informs of any revenue and expenses that are outside of this normal, every day activity. For example, the business might at some point sell some of its investments, which is considered as an occasional income.In terms of formatting, it is possible to have the income statement produced either in:Single-step format, orMulti-step format.The multi-step format is often the most professional option, mainly because it clearly states the different profitability measures of the business, which are not included in the single-step format.These four profitability measures found in the multi-step format include:Gross income,Operating income,Pre-tax income, andNet income (after tax).This differentiation is not available in the single-step format, although it can naturally be calculated with the data provided by the income statement. The single-step format will show profitability in terms of:Pre-tax income, andNet income.The formats are often chosen depending on the size of the business. For example, a small business with very clear revenue and expense streams can manage with a single-step format. On the other hand, a larger company, with different revenue and expense streams, might want to consider a more detail approach to the income statement.Terminology used in income statementsIn order to understand income statements, you need to understand some of the common terminology used in the statements. The following might not be present depending on whether the format is a multi-purpose or a single-format, but they can be found in most income statementsThe first part of the terminology focuses on the revenue aspect of the income statement. The revenue is often the first thing announced at the top of the income statement. The following are the key revenue-related terms.Net salesThis refers to the entity’s sales or revenue and highlights the company’s sales of goods and services during the fiscal period.The part is often a good indicator of the company’s profitability, as most businesses won’t be able to grow faster than their revenues. For inve stors, it is important to also keep an eye on this part.The next section of the income statement typically looks at the expenses of the business. It is good to remember income statements don’t differentiate expenses and revenue with a minus sign. Therefore, understanding the meaning of the terms is vital in order to understand whether the business is making or losing money.The following are the key expenses-related terms of the income statement.Cost of salesThis section highlights the costs of goods or products sold, as well as the cost of services provided by the entity. Cost of sales generally also includes the depreciation expenses.For manufacturing businesses, the cost of sales is often related mostly on the creation of the goods. It is the combination of the expenses relating to raw materials, labour and manufacturing.Wholesalers and retailers also focus on the cost of purchasing and reselling the goods or products. On the other hand, for service-related businesses, the secti on looks at the cost of creating and providing the service to customers. This is often especially focused on labour costs, for example.The cost of sales can be divided into more detailed sections. For example, the business could list the cost of labour separately to the cost of business premises.Selling, General and Administrative expenses (SGA)The SGA section of the income statement comprises the operational expenses of the business. It shows the managerial efficiency of the business.This part of the statement is often the most looked at, as financial analysts believe businesses are the most able to control it. If businesses want to decrease their spending, then this is often considered the easiest part of cutting costs.Interest expenseIf the business has borrowed money, the interest expense section deals with any interest payments the company might have. Generally, businesses record a net figure here for interest expenses as well as the interest-related income businesses might rec eive from investing in funds.Income taxesThe income tax announced in the income statement doesn’t necessarily refer to the actual paid tax. It is rather an estimation of the income tax for the period and shows what the company is likely going to have to pay.Special Items or extraordinary expensesThere might be a variety of occasional expenses businesses might need to pay. These could be restructuring charges or unusual and non-recurring items.These one-off events need to be carefully considered when looking at the business income. It is important to understand that they could potentially distort evaluations, as the one-off events might not actually mean the business is making a regular loss, for example.Finally, the bottom of the income statement looks at the profits or losses of the company. This part of the statement will be calculated based on the information above and depending on the format of the statement, it can include single income figures or different profitability indi cators.The following are the key profit or loss-related terms of the income statement.Gross incomeGross income is often referred to also as gross profit or gross margin. Simply put, the figure represents what you get when you calculate the difference between net sales and the cost of sales.Gross income is the amount of money the entity has available for paying off other expenses the company might have. Therefore, the bigger the gross margin, the higher the net income is likely to be.Operating incomeOperating income is achieved by deducting the SGA from the gross income. Operating income is the income, the entity has been able to generate before any non-operating expenses and costs are deducted or added. None of the occasional income or expenses is included in the operating income.The operating income is often a crucial figure for investors, as it tells a more reliable picture of the company’s earnings than the net income, for example.Pre-tax incomePre-tax income is another crucial indicator of the company’s health for both the business owners as well as the investors. The section is rather self-explanatory, as it refers to the income the company makes before taxes are deducted.The figure is crucial because companies have different methods and techniques at their disposal to minimise their tax burden. Therefore, this figure can be a better indicator of the company’s real profit capability.Net incomeFinally, perhaps the most crucial aspect of the income statement is the bottom line or the net income section. This is the section where all operational and non-operational revenue and expenses are calculated. If the company’s revenues are bigger than expenses, the entity naturally makes a net profit. If the expenses are higher than the revenue, the company is making a net loss.Comprehensive incomeIn addition to the above, the multi-step format can also talk about comprehensive income. This term is relatively new and many income statements don’t include thi s concept.Comprehensive income first entered income statement formats in the 1998 in the US. It’s the most useful for international companies and other such large-scale businesses.It takes into account the effect of items such as foreign currency translation adjustments, as well as minimum pension liability adjustments and unrealised gains/losses on certain investments the company might have in debt and equity.Things such as market volatility and other such economic events often influence the above items and are outside of the management team’s control. Therefore, many investors don’t think the comprehensive income tells much about the company’s actual profitability.Differences in standard formatsTo make the above format and terminology seem more familiar, below are examples of both styles.A single-step income statementRevenue1,250,000Net salesInterest revenuesGain on sale of investments1,000,000150,000100,000Expenses535,000Cost of salesSelling, general and administrative ex pensesInterest expenseExtraordinary expenses250,000125,000110,00050,000Pretax income715,000Income tax expenses215,000Net Income500,000A multi-step income statementNet sales1,000,000Cost of sales250,000Gross income750,000Selling, general and administrative expenses125,000Operating income625,000Other income250,000Extraordinary expenses50,000Interest expense110,000Pretax income715,000Income tax expenses215,000Net income500,000Differences between countriesThe above examples, as many of the terms mentioned above, refer to the standard model for income statements used in the US. The US model is commonly used elsewhere in the world, but there can be slight differences between countries.Countries have been trying to standardise these accounting formats in recent years and the good news is the basic structure is easily identifiable across countries.Often the differences between different countries are only in terminology. For example, the British income statement refers to ‘turnover’ ins tead of ‘revenue’. Furthermore, instead of saying ‘Net income’, the statement might refer to ‘Profit after taxation for the year’.ANALYSING AN INCOME STATEMENT The above terminology and examples should give you a basic understanding of the income statements. But there are certain other things you need to keep in mind when you are looking at and analysing an income statement.Here are some of the key things to keep in mind when you are trying to make out what the income statement is saying.Understanding the numbersAs mentioned above, the income statement will reveal some key financial information for you about the company’s performance. It is vital all the numbers on the income statement are correct. If you’re the business owner, you need to go over the numbers to ensure they are correct. As an investor, you might not have the resources to recheck the numbers, but make some basic calculations and estimations to ensure the data is correct.You need to identify the key pr ofitability indicators that matter to you the most and analyse them. Gross margin, for example, is the first indicator of whether the business product or service is profitable. On the other hand, the operating profit will reveal how efficiently the business is managed and whether it should consider cutting operating expenses.   Finally, the net income might be the most important figure for an investor. It provides the final verdict on the profitability of the firm.In addition, you should also look at the development of the figures in the income statement over a certain period. As an investor, you want to know how well the company has managed to increase its sales over the years and to grow its net profit. On the other hand, as a business owner, you must be able to see whether your business is growing and if certain expense cuts have proved a success or a failure.Comparing it with othersWhether you are an investor or a business owner, it is important to compare the business’ income statement with other similar organisations. This can reveal a lot about how well the business entity is doing against other companies in the sector and reveal which areas of your business might require special attention.Small- and medium-sized businesses might have trouble accessing income statements for other similar companies, as the statements are only required to be public for publicly traded companies. But certain firms sell financial statement studies, which can reveal a lot of crucial information, and big accounting firms might also have some data available.Make sure you don’t just compare the actual amounts, but also the percentage of how specific revenues and expenses relate to each other. For example, it is important to see how much similar companies in the industry are spending on SGA as a percentage of revenue.The importance of accounting methodsThe accounting methods the business uses can have a big impact on the income statement. Companies can, for example, have dif ferent methods of determining revenue. Some businesses use the cash method of accounting, which only accounts for income when the cash is received. On the other hand, there are businesses that consider all billed cash as income, whether or not the cash is received at the time of creating the income statement.Furthermore, similar accounting differences can also appear in the expenses section. Expenses such as depreciation and the way the company accounts for these can have an impact on the company’s annual expenses.When you are looking at an income statement, you need to identify the areas where companies might have used discretion. Depending on whether the company uses aggressive or conservative accounting methods, the income statement might look different.

My Beloved Car - Original Writing - 866 Words

I use to be invincible, or at least that is what I use to think. I was a teenager and up until that point I had been in a few accidents, but nothing as compared to the one on that March evening. That accident would not only take my beloved car, but would also alter my life. One of my greatest possessions, was my ’94 Ford Mustang. Van Gogh, named for his mixed paint job, was red and grey with a clean body. When I got him he wasn’t running, but after a couple hundred dollars and a few new parts, my dad and I had him working like new. He wasn’t the prettiest or the fastest, but he was a product of our hard work. I would’ve never imagined that it would only take a few minutes for all that hard work to go to waste. It was a night like any other, I was going fifty-five, traveling down the jet black highway. I was listening to the radio and focused on getting to my dad’s house before the evening grew any later. Normally the traffic is sparse and that night was no exception. In the distance I could see the flashing lights of a car in the emergency lane. As I approached, I decided that it would be safer moved into the lane furthest from the disabled vehicle, this decision would later turn out to be the best decision I could have made. Before I could completely transition from one lane to another I felt a jolt, unlike anything I had ever felt before. In the blink of an eye my car came to a stop and my body erupted with pain. Dazed and disoriented, I sat still, glass spread across myShow MoreRelatedEssay on A Storm Story - Original Writing708 Words   |  3 PagesA Storm Story - Original Writing Usually I could have cared less about a the arrival of a hurricane. Many had come and gone causing little damage in their wake. This one though, with winds traveling upwards to one hundred and forty miles per hour, proved to be a force to be reckoned with. Hurricane Jeff had left a devastating path of destruction every where it went and made everyone fearful. 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Laila took the opportunity to hide the fact that she was pregnant with Tariqà ¢â‚¬â„¢s child, and mask it as Rasheed’s baby. Many years after living with Rasheed, the little girl, Aziza

The Murder Of Dahmer s Victims - 1786 Words

Well Known Serial Kills Dahmer Jeffery Dahmer was a homosexual serial killer that raped, dismembered his victims while also engaging in necrophilia and cannibalism. Dahmer was an active between 1978 and 1991 when he was in his late teens and early twenties. He committed his acts of murder through the use of throat cutting and strangling. All seventeen of his victims were male ranging from there early teen years to early thirties. His victims included Stephen Hicks, Steven Tuomi, James Jamie Doxtator, Richard Guerrero, Anthony Sears, Eddie Smith, Ricky Beeks, Ernest Miller, David Thomas, Curtis Straughter, Errol Lindsey, Tony Hughes, Konerak Sinthasomphone, Matt Turner, Jeremiah Weinberger, Oliver Lacy, and Joseph Bradehoft, All of Dahmer’s victims were killed in Ohio and Wisconsin. All seventeen of Dahmer’s victims ranged in race, but ten out the seventeen victims were African American. Dahmer had two victims that ended up getting away Keison Sinthasomphone and Tracy Edwards. 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You Suck A Love Story Chapter 2~3 Free Essays

Chapter Two The Last Poop â€Å"So that was it?† â€Å"Yep.† â€Å"Never again?† â€Å"Nope.† â€Å"Not ever?† â€Å"Nope. We will write a custom essay sample on You Suck: A Love Story Chapter 2~3 or any similar topic only for you Order Now † â€Å"I feel like I should save them or something.† â€Å"Would you just flush and come out of there.† Chapter Three I am Poor and My Cat Is Huge Jody walked a step or two behind Tommy, just watching him, as they made their way up Third Street toward Market. She was watching his reaction to his new senses, giving him some room to look around, whispering hints about what he was experiencing. She’d gone through this herself only a couple of months ago, and she’d done it without a guide. â€Å"I can see the heat coming off the streetlamps,† Tommy said, looking up and spinning as he walked. â€Å"Every window in every building is a different color.† â€Å"Try to just look at one thing at a time, Tommy. Don’t let it overwhelm you.† Jody was waiting for him to comment on the aura that each person was giving off. Not a heat aura, more of a life force. So far they’d only seen healthy red and pink ones – not what she was looking for. â€Å"What’s that noise, like running water?† Tommy asked. â€Å"That’s the sewers running under the street. All that stuff will fade after a while – you’ll still hear it, but you won’t notice it unless you focus.† â€Å"It’s like a thousand people are talking in my head.† He looked around at the few pedestrians who were out on the street. â€Å"Televisions and radios, too,† Jody said. â€Å"Try to focus on one thing, let the rest fall back.† Tommy stopped, looked up at an apartment window four floors up. â€Å"There’s a guy up there having phone sex.† â€Å"Figures you’d zero in on that,† Jody said. She focused on the window. Yes, she could hear the guy panting and giving instructions to someone on the phone. Evidently he felt the caller was a dirty little slut and therefore needed to apply varieties of hot salsa to her body. Jody tried to hear the voice on the other end of the phone, but it was too faint – the guy must have been wearing a headset. â€Å"What a freak,† Tommy said. â€Å"Shhhh,† Jody said. â€Å"Tommy, close your eyes and listen. Forget the salsa guy. Don’t look.† Tommy closed his eyes and stood in the middle of the sidewalk. â€Å"What?† Jody leaned against a â€Å"No Parking† sign and smiled. â€Å"What’s just to the right of you?† â€Å"How do I know? I was looking up.† â€Å"I know. Focus. Listen. Two feet from your right hand, what is it?† â€Å"This is dumb.† â€Å"Just listen. Listen to the shape of the sound coming from your right.† â€Å"Okay.† Tommy squinted, showing he was concentrating. A couple of androgynous students dressed in black with severe hair, probably from the Academy of Art on the next block, walked by and barely gave them a look until Tommy said, â€Å"I can hear a box. A rectangle.† â€Å"Acid noob,† said one of the students, who sounded like it might be a guy. â€Å"I remember my first trip,† said the other, who was probably a girl. â€Å"I wandered into the men’s room at the Metreon and thought I was in a Marcel Duchamp installation.† Jody waited for them to pass then asked, â€Å"Yes, a rectangle, solid, hollow, what?† She was a little giddy now, bouncing on the balls of her feet. This was better than buying shoes. â€Å"It’s hollow.† Tommy tilted his head. â€Å"It’s a newspaper machine.† He opened his eyes, looked at the newspaper box, then at Jody, his face lit up like a toddler who has just discovered chocolate for the first time. She ran into his arms and kissed him. â€Å"I have so much to show you.† â€Å"Why didn’t you tell me?† Tommy asked. â€Å"How could I? Do you have words for what you’re hearing? For what you’re seeing?† Tommy let her go and looked around, took a deep breath through his nose, as if checking the bouquet of a wine. â€Å"No. I don’t know how to say these things.† â€Å"See, that’s why I had to share this with you.† Tommy nodded, but looked a little forlorn. â€Å"This part is good. But the other part†¦Ã¢â‚¬  â€Å"What other part?† â€Å"The foul, dead, blood-drinking part. I’m still starving.† â€Å"Don’t whine, Tommy. Nobody likes a whiner.† â€Å"Hungry,† he said. She knew how he felt, she was feeling some of it herself, but she didn’t know how to solve the feeding problem. Tommy had always been her go-to blood guy; now they were going to have to hunt. She could do it, she had done it, but she didn’t want to do it. â€Å"Come on, we’ll figure this out. Don’t pout. Let’s go watch people on Market Street. You’ll like it.† She took his hand and dragged him up the street toward Market, where rivers of tourists, shoppers, and freaks were flowing up and down the streets and sidewalks. Rivers of blood. â€Å"Everyone smells like whiz and feet,† Tommy said, standing on the sidewalk in front of a Walgreens drugstore. It was still early in the evening and the convention crowd from the hotels was flowing down the sidewalks like a great migrating herd, looking for dinner or a watering hole. Out on the edges, hustlers, homeless, and hangers-on worked their angles, playing the secret path of eye contact to the pocket, while the herd defended itself by paying rapt attention to their companions, their cell phones, or a spot on the sidewalk twelve feet ahead. â€Å"Feet and pee,† Tommy continued. â€Å"You get used to it,† Jody said. â€Å"Is there a clean pair of underwear anywhere on this street?† Tommy shouted. â€Å"You people are disgusting!† â€Å"Would you settle down,† Jody said. â€Å"People are looking. They think you’re crazy.† â€Å"Which makes me different, how?† She looked up the street – for the three blocks she could see there were about three people per block shouting at passersby, wild-eyed and angry, and obviously bat shit. She nodded. He had a point, but then she snatched his shirt collar and pulled his ear down to lip level. â€Å"The difference is that you aren’t living anymore and it’s not a good idea to attract attention to yourself.† â€Å"Which is why you chose to wear that delightful ensemble from the skank-wear collection at Hoes-N-Thangs?† â€Å"You said you liked it.† Jody had become a little more provocative in her dress since becoming a vampire – but she saw it more as an expression of confidence, not a means to attract attention. Was it a predator thing? A power thing? â€Å"I did – do like it, but every guy who passes is staring at your cleavage. I can hear their heartbeats go up. Did you have to turn to mist to get into those jeans? You did, didn’t you?† A tap on Tommy’s shoulder. A young man in a white, short-sleeved dress shirt and a black tie had sidled up to him, holding out a pamphlet. â€Å"You sound troubled, brother. Maybe this will help.† The pamphlet proclaimed rejoice! on the cover in big green letters. Jody covered her mouth and turned away so the guy wouldn’t see her giggling. â€Å"What?!† Tommy said, turning on the guy. â€Å"What? What? What? Can’t you see I’m trying to discuss my girlfriend’s – uh – well, those.† Tommy gestured to Jody’s shoulder, which was now where those had just been. â€Å"Show him, Jody,† Tommy said. Jody shook her head and started to walk away, her shoulders shaking with laughter. â€Å"There’s a message here,† said the tie guy. â€Å"It can bring you comfort – and joy.† â€Å"Yeah, well, I was trying to show you some examples of that, but there she goes with them.† â€Å"But this is a joy that goes beyond physical – â€Å" â€Å"Yeah, like you’d know,† Tommy said, cupping his nose and mouth as if covering a sneeze. â€Å"Listen, I’d love to discuss this with you, buddy, but right now you have to GO HOME AND WASH YOUR ASS! You smell like you’re smuggling a stockyard back there!† Tommy turned and strode after Jody, leaving the tie guy blushing and crumpling his pamphlet. â€Å"It’s not funny,† Tommy said. Jody was trying so hard not to laugh, she snorted. â€Å"Yes, it is.† â€Å"Can’t they see we’re damned? You’d think they could tell. At least you. We are damned, aren’t we? » â€Å"No idea,† Jody said. She hadn’t really thought about it. â€Å"Didn’t cover that in your advanced vampire course with the old guy?† â€Å"Forgot to ask.† â€Å"No problem,† Tommy said, with no effort at all to suppress sarcasm. â€Å"Minor detail. Anything else you might have forgotten to ask?† â€Å"I thought I’d have more time, for follow-up,† Jody said. â€Å"I didn’t realize that the man I love was going to bronze us that first night.† â€Å"Yeah – well – okay. Sorry.† â€Å"Where’s the trust?† Jody said. â€Å"You killed me,† Tommy said. â€Å"Oh, there you go again.† â€Å"Please, folks. I need a dollar,† said a voice from the left. Jody looked down to see a guy sitting against the granite wall of a closed bank. He was dirty beyond age or race, sort of grimy to the point of shine, and on his lap was an enormous long-haired cat. There was a cup on the sidewalk in front of him and beside it a hand-printed sign that read I AM POOR AND MY CAT IS HUGE. Tommy, who was still fairly new to the city and hadn’t learned to look past this sort of thing, stopped and started digging in his pocket. â€Å"That is sure a huge cat.† â€Å"Yeah, he eats a lot. It’s all I can do to keep him fed.† Jody nudged Tommy, trying to get him back into the pedestrian flow. She liked that he was a nice guy, but it could really be irritating sometimes. Especially when she was trying to teach him the profundities of being a creature of the night. â€Å"Mostly fur, though, right?† Tommy asked. â€Å"Mister, this cat weighs thirty-five pounds.† Tommy whistled and handed the guy a dollar. â€Å"Can I touch him?† â€Å"Sure,† the guy said. â€Å"He doesn’t care.† Tommy knelt down and poked the cat gently, then looked up at Jody. â€Å"This is a huge cat.† She smiled. â€Å"Huge. Let’s go.† â€Å"Touch him,† Tommy said. â€Å"No thanks.† â€Å"So,† Tommy said to the cat guy, â€Å"why don’t you give him to a shelter or something?† â€Å"Then how am I supposed to make a living?† â€Å"You could print up a sign that says ‘I’m poor and I lost my huge cat’? That would work on me.† â€Å"You may not be the best sample,† said the cat guy. â€Å"Look,† Tommy said, standing now and digging into his pocket. â€Å"I’ll buy the cat. I’ll give you, uh, forty – â€Å" The cat guy shook his head. â€Å"Sixty – â€Å" Furious head shaking†¦ Tommy untangled bills from a wad he’d pulled out of his pocket, â€Å"One hundred – â€Å" â€Å"No.† â€Å"And thirty†¦ two – â€Å" â€Å"No.† â€Å"And thirty-seven cents.† â€Å"No.† â€Å"And a paper clip.† â€Å"No.† â€Å"That’s a great offer,† Tommy insisted. â€Å"That’s like four bucks a pound!† â€Å"No.† â€Å"Well screw you, then,† Tommy said. â€Å"I don’t feel sorry for you and your huge cat.† â€Å"You can’t have your dollar back.† â€Å"Fine!† Tommy said. â€Å"Fine!† said the cat guy. Tommy took Jody by the arm and started to walk away. â€Å"That’s a huge cat,† he said. â€Å"Why were you trying to buy it? We’re not supposed to have pets in the loft.† â€Å"Duh,† Tommy said. â€Å"Dinner.† â€Å"Yuck.† â€Å"It’s a stopgap,† Tommy said. â€Å"You know that the Masai of Kenya drink the blood of their cattle with no apparent ill effect to the cow.† â€Å"Well, I’m sure it violates our lease if we get a cow.† â€Å"That’s it.† â€Å"What’s it?† â€Å"A lease.† Tommy swung her around and brought her back to the cat guy. â€Å"I want to rent the cat,† Tommy said. â€Å"You could use a break and I want to show the huge cat to my aunt who is an invalid and can’t come down here.† â€Å"No.† â€Å"One night. One hundred and thirty-two dollars and thirty-seven cents.† The cat guy raised an eyebrow, the grime over that eye cracked a little. â€Å"One fifty.† â€Å"I don’t have one fifty, you know that.† â€Å"Then I want to see the redhead’s hooters.† Tommy looked at Jody, then back at the cat guy, then back at Jody. â€Å"No,† Jody said calmly. â€Å"No,† Tommy said indignantly. â€Å"How dare you suggest it?† â€Å"One hooter,† countered the cat guy. Tommy looked at Jody. She gave him the wide, green-eyed expression that she would have described as I will slap you so far into next week that it will take a team of surgeons just to get Wednesday out of your ass. â€Å"No way,† Tommy said. â€Å"The redhead’s hooters are not on the table.† He grinned, looked back at Jody, then looked away, really fast. The cat guy shrugged. â€Å"I’ll need some kind of security deposit, like your driver’s license – â€Å" â€Å"Sure,† Tommy said. â€Å"And a credit card.† â€Å"No,† Jody said, pulling her jacket closed and zipping it up to her neck. â€Å"Nothing kinky,† said the cat guy. â€Å"I’ll know.† â€Å"Going to show him to my aunt, and I’ll have him back tomorrow, this time.† â€Å"Deal,† said the cat guy. â€Å"His name is Chet.† â€Å"You first,† Tommy said. They stood in the great room of their loft on either side of the futon, where the huge cat, a crossbreed between a Persian, a dust mop, and possibly a water buffalo, was actively shedding. Tommy had decided that he was going to be very cool about the whole blood-drinking thing, despite the fact that he was so amped he felt as if he could run up and down the walls. In fact, he wasn’t sure that he couldn’t run up and down the walls, that was part of what was freaking him out. Still, since coming to San Francisco a couple of months ago, he had spent entirely too much time overreacting, and he wasn’t going to do it now – not in front of his girlfriend. Not at all, if he could help it. â€Å"You should go first,† Jody said. â€Å"You’ve never fed before.† â€Å"But you gave the old vampire some of your blood,† Tommy said. â€Å"You need it.† It was true, she had given the vampire her blood to help heal him from the damage Tommy and his friends had caused by blowing up his yacht and so forth, but he hoped she would say no again. â€Å"No, no, no, after you,† Jody said, with a very bad French accent. â€Å"I insist.† â€Å"Well, if you insist.† Tommy leapt to the futon and bent over the huge cat. He wasn’t sure how he was supposed to go about this, but he could see the healthy red life aura around Chet, and he could hear his little kitty heart pounding. There was a crackling noise inside of his head, like someone was popping bubble wrap in his ear canal, and then there was pressure on the roof of his mouth, painful pressure, and more crackling. He felt something give and two sharp points poking his lower lip. He pushed back from the cat and grinned at Jody, who yelped and jumped back a step. â€Å"Fangth,† Tommy said. â€Å"Yes, I can see that,† Jody said. â€Å"Why’d you jump? Do they look thupid?† â€Å"You startled me, is all,† Jody said, looking away from him like he was an arc welder or a total eclipse and full eye contact might blind her. She waved him on. â€Å"Go, go, go. Be careful. Not too hard.† â€Å"Right,† Tommy said. He grinned again and she shied away. Tommy turned back, braced the cat, who seemed much less freaked by this process than the two vampires in the room, and bit. â€Å"Thuppt, thuppt, ack!† Tommy stood up and started brushing at his tongue to remove cat hair. â€Å"Yuck!† â€Å"Hold still,† Jody said, going to him and brushing the loose, damp cat hair away from his face. She went to the kitchen counter and came back with a glass of water and a paper towel, which she used to wipe at Tommy’s tongue. â€Å"Just use the water to rinse. Don’t swallow it. You won’t be able to keep it down.† â€Å"I’m not going to thwollow it, my mouf is full of cat hair.† Once he had rinsed, Jody picked the last of the hairs from his mouth, and in doing so, she pricked one of her fingers on Tommy’s right fang. â€Å"Ouch.† She pulled her finger away and put it in her mouth. â€Å"Oh, jeez,† Tommy said. He pulled her finger out of her mouth and put it in his. His eyes rolled back in his head and he moaned through his nose. â€Å"Oh, I don’t think so,† Jody said. She grabbed his hand and bit into his forearm, attaching herself to him like a remora to a shark. Tommy growled, flipped her around, and threw her facedown on the futon, his arm still in her mouth. She flipped her hair to the side and he sank his teeth into her neck. She screamed, but the shriek was muted, bubbling out on Tommy’s bloody forearm. Chet, the huge cat, hissed and bolted across the room, through the bedroom door, to wedge himself under the bed, as the sounds of straining leather, tearing denim, and screaming predators filled the loft. The irony, that it sounded like a huge catfight, was completely lost on the huge cat. How to cite You Suck: A Love Story Chapter 2~3, Essay examples

Understanding Spesific Needs in Health and Social Care free essay sample

The aim of this essay is to analyse the concepts of health, disability, illness and behaviour and also investigate how health and social care services and systems support individuals with specific needs and look at different approaches and intervention strategies available to support individuals with specific needs, lastly will explain what challenging behaviour is and explain strategies available for those working with people with specific needs LO1. 1 Health is defined as a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity (WHO, 1974). During the Ottawa Charter for Health Promotion in 1986, the World Health Organisation said that health is â€Å"a source for everyday life, not the objective of living. Health is a positive concept emphasising social and personal resources, as well as physical capacities†. Health is traditionally equated to the absence of disease. A lack of fundamental pathology was thought to define ones health as good, whereas biological driven pathogens and conditions would render an individual with poor health and labelled diseased. We will write a custom essay sample on Understanding Spesific Needs in Health and Social Care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page However, Aggleton amp; Homans (1897), Ewles amp; Simnett (1999) argue that health is holistic and includes different dimensions and all needs to be considered. Bilingham (2010) explains health in two models which are the biomedical model and the socio-medical model. She said biomedical model is an approach to health and illness that identifies healthy as the ‘absence of disease’ and focuses on diagnosing and curing individuals with specific illnesses , the socio medial model is an approach to health and illness that focuses on the social and environmental factors that influence our health, including the impact of poverty and poor housing. The Disability Discrimination Act 1995 defines a disabled person as anyone with a physical or mental impairment which has a substantial and long term adverse effect upon his or her ability to carry out normal day to day activities. Disability can affect someone’s mobility, learning or understanding, and lack of understanding when it comes to danger. Disability covers a lot of impairments which include physical impairments, sensory impairments and communication difficulties. There are three models of disability which are the personal tragedy model, the medical model and the social model. In the past people with disabilities were discriminated by the families and the society. The language and terminology used were words such as imbeciles, handicapped and mental retarded. People with disabilities were called dangerous and scary and they were seen as not equal citizens, in need of special care. They were not seen as normal people. Behaviour is anything that a person does or does not do which has a negative effect on their lives or the lives of others. The negative effects can be emotional, physical and social. Also, one’s behaviour pleases and other’s infuriates. Some behaviour are socially acceptable here in the western world but not socially acceptable in African communities, for example kissing in public is not totally acceptable where I come from nevertheless, here in London (Europe) people can kiss in the public without any problem, people accept such behaviours in Europe . Illness is the partial experience of loss of health (Naidoo and Wills, 2000 p7). Illness is having poor health and is considered a synonym for disease; some have described it as a perception by a patient to define a disease. Illness indicates a condition causing harm and pain. Social constructionists argue that the following concepts illness, health, disease and behaviour are all relative concepts not universal but particular. Social concepts are learned and shared. Concepts often tell us more about the societies out of which they came than about the thing they are actually describing. LO1. 2 People’s perceptions on specific needs vary from cultures and societies. People’s perceptions Are also culturally and historically specific. Epilepsy in the Middle Ages was viewed as a violent possession by malevolent or even divine forces. Early part of the 20th century epilepsy was linked with insanity; people believed that the Holy Spirit was working them. In Third World cultures epilepsy continue to be defined in super natural terms. Recently a community study in Nigeria found that after heredity, witch craft was the cause of epilepsy amongst the lay populace (Awaritefe et al, 1985). Danesi (1984) has revealed that most Nigerians with epilepsy experience it as highly stigmatizing and something to be hidden from others but through medical discoveries and medical advances we know that epilepsy is caused by abnormal neurological activity that occurs as a result of damage or result to the brain. Epilepsy is now controlled by carbamazepine tablets and sodium valproate which controls the seizures however, what we all know is subject to reinterpretation. At any time new technological advances, new medical discoveries, new ways of looking at the structure and functioning of the body or brain could replace the current orthodoxy and epilepsy could come to be seen in a completely different light. Department of Health (1999) launched a strategy to ensure that doctors and nurses have the skills they need to use to make the best use of new technology introduced into the NHS. The right to freedom from discriminations for people with a range of disabilities, including those with a learning disability, has been enshrined in the 1995 Disability Discrimination Act which says employers should make reasonable adjustments to allow an individual with disability to gain employment and ramps to be provided so that wheel chair users can access t facilities in the facilities in the community. Also there is the Valuing People 2001 which state that support should be given to people with learning disabilities and their families and that people with disabilities should have control over their lives as much as possible (Department of Health, 2009). I have also done a small scale research and investigated the perceptions of people with specific needs which I carried at Shining Star Residential Care Home . LO1. 3 Social policy is the only one way of encouraging and promoting ethical practice. The functions of a regulatory body go much further than disseminating policies and code of ethics. Legislation acts have helped to set and enforce educational standards, which meet the needs of people, e. g. the Disability Discrimination Act 1995, which protect individuals with disabilities from discrimination (Rogers and Pilgrim, 1991). Legislation plays an important role in ways that services are made available for individuals with specific needs. Legislation modifies attitudes and practices. From the mid 1980’s some western countries e. g. Australia have enacted legislation which embraces a right based discourse rather than a custodial discourse and which seeks to address issue s of social justice and discrimination. The legislation also embraces the conceptual shift form disability being seen as individualised medical problem to rather being about community membership and participation and access to regular societal activities such as employment, education and recreation. Where access is inappropriate, inadequate, difficult or ignored, advocacy processes have been initiated to address situations and promote the people rights. Under the Disability Discrimination Act 1995 an individual has the right to get the information about health services in a format that is accessible to them where it is reasonable for the service provider to provide in the format, a hospital will have to provide forms and any literature in braille or large print to assist any blind person or anyone who have a visual impairment. Most of The Disability Discrimination Act 1995 has been replaced by the Equality act, this was changed on the 1st of October 2010 and is aimed to protect disabled people and prevent disability discrimination. Disabled people are protected in areas of employment, education, access to goods, service and facilities including larger private clubs and land based transport services buying and renting land. The Data Protection Act 1998 is the key legislation that governs the protection of data , when records for service users are kept for the purpose of sharing information to provide a well informed care service the details are kept in the individual service user file , they will have access to it but the information will not be shared with others The Valuing People 2001 was designed to improve support for people with learning disabilities and their families; to make sure people with disabilities are in control of their lives and that they have the job they want. The Mental Capacity Act aims to protect people with learning disabilities and metal health conditions. It provides clear guidelines for carers and professional about who can take decisions in which situations. The Health and Social Care Act 2008 established the Care Quality Commission as the regulator of all health and adult social care services. It is a single Act of Parliament that contains the commission’s powers and duties, and represents the modernisation and integration of health and social care. It contains some new powers of enforcement that were not held by any of the predecessor organisations. LO2. 1 A Care plan is a document that articulates a plan of care for and individual with specific need or disability. It helps individuals achieve valued fulfilling lifestyles, because it is build around the needs of the person rather than expecting them to fit into existing provision (Ritchel et al, 2003). The care plan is for Mr RN , who has autism and has learning disabilities. He is Jewish and is non verbal and he understands little English and uses makaton, sign language and pictures as a mode of communication. To analyse his care needs I will use the Maslow’s hierarchy of needs. See figure 1 for Maslow hierarchy of needs Figure 1 : Maslow hierarchy of needs Mr. RN had stroke and is unable to walk properly. He uses a walking stick to move around in the house and a wheel chair when out in the community. He does not hear properly and uses hearings aids. At the care home staff always checks if it is working properly, by changing the butteries and cleaning it for him. He also uses glasses to improve his vision. Mr RN’s care plan is person-centred to meet all his care needs at the same time he makes his own choices. His holistic needs are met according to his choice through assessment. He is from a Jewish background and sticks to his religious beliefs and culture seriously. RN is always supported to the synagogue every Friday to attend to his spiritual wellbeing. I respect his beliefs to avoid abuse, discrimination, oppression or prejudice. He is also provided with kosher meals. The organisation I work for has a Jewish calendar that recognises all the facts and festivals to highlight his religious rights. I relate this to Abraham Maslow’s (1908-1980) hierarchy of needs, ‘a theory of human Motivation’. It has five levels to it with the most basic needs at the bottom of the pyramid. I prepare meals for RN according to his cultural and religious needs. I ask him what he would like to eat from the variety of his kosher meal. I make sure RN’s safety and security or protection from harm and abuse according to Health and Safety Act 1974. I have to ensure that the environment around the care home is safe and welcoming for family members visiting. Socially, I support RN to visit family and friends. This gives him sense of belonging, love, friendship and trust. During the key working I encourage RN by reassuring him everything is fine. This builds his confidence thus leading to self actualisation growth. When these needs are successfully met chances are the service users feels more valued and respected, it also promotes independence. LO2. 2 At my workplace we have a set of policies and procedures that we use when we work with clients with specific needs. Looking at Mr RN’s care plan I follow the Data Protection Act 1998 in maintaining his confidentiality and that only necessary people access his care plan. He has little awareness when it comes to safety and I follow the Health and Safety at Work 1974 to meet his safety needs, Mr RN cannot walk for long distance, he uses a wheelchair when out in the community and the wheel chair is checked every day before use to see if it’s not damaged. We have the dial a ride that comes to pick him up and take him to the day centre and he has the blue badge scheme that allows him to have free parking he goes to shopping malls. We use the visual communication systems such as Picture Exchange Communication to help him plan for activities; he is able to choose what he wants to eat with no problems. By doing this we are promoting independence as he is able to do things on his own. LO2. 3 The organisation I work for is located in the Redbridge Borough. The borough offers the Community Toilet Scheme which provides clean, safe and accessible public toilets in more convenient locations for residents. Disabled people can use the toilet free of charge during normal working hours. There is a Redbridge Institute of Adult Education that provides a range of courses for people with specific needs and offers pottery lesson, arts and crafts, music and dance lesson for people with learning disabilities . he college provides a range of specialised equipment or learning resources to meet specific needs for people with disability, this includes hearing loops and large print keyboards. Day care services provide  support  for  people living in the community, social inclusion and respite care  for carers. It offers  practical and emotional support by providing  a range of activities and facilities to  help  stay as independent as possible and improve and maintain  quality of life. Dial a ride provides offers door-to-door service for disabled people who cant use buses, trains or the London underground. It can be used for all sorts of journeys, making it easier to go shopping, visit friends and attend doctors appointments. Furthermore, there is London Taxi card, which provides subsidised door-to-door transport in taxis and private-hire vehicles for people who have serious mobility or visual impairment doo The Borough provides ambulances in case of emergencies. There is also Occupational Therapy Service which works with rehabilitation care workers to ensure carers practice safe manual handling. They carry our risk assessments and provide carers with specialised training to use a range of equipment. STAAR (supporting those with autism and Aspergers Redbridge) offers swimming for people with special needs. They organise activities to raise awareness and highlight the needs of children and adults with specific needs. LO3. 1 Autism has no cure and therefore there are a number of approaches and interventions available to help people with various difficulties they may have. Approaches vary in costs and availability in different areas. It also depends what suits an individual, the family, the multi –disciplinary team will decide what best intervention or approach is suitable for an individual. There are ten approaches /interventions for people to choose from, these are: the behavioural intervention, complementary therapies, diet and supplements, medical interventions, physiological intervention, relationship based intervention, service based intervention, and skills based intervention, standard therapies and technology. I will explain the two service based interventions and one standard therapy intervention because we use these at my workplace. TEACCH is a service based intervention/programme and stands for Treatment and Education of Autistic and Related Communications Handicapped Children/Adults. TEACCH is not a technique or a method. It is a complete programme based on the principle that the person with autism is the priority. It provides services for children and adults with autism and related developmental disorders. TEACCH works with people from all parts of the autistic spectrum and offers continuing support with the primary aim of enabling them to live as members of the community. TEACCH programme helps alleviate some possible frustrations associated with challenging behaviour for people who are non verbal or verbal and also assist in communication (Clements and Zarkowska 2000, Cumine at al 2000, Jordan and Jones 1999, Jordan and Powell 1998, Powell and Jordan 1997) SPELL approach is also a service based intervention and stands for : Structure: people with autism find change very frightening and they struggle to cope in new or unfamiliar situations. This safe, predictable and reassuring environments and activities give people with autism the opportunity to increase their independence, develop their communication skills and reduce their anxiety. Positive expectations and approaches: barriers of each person are identified and in this approach people work tom overcome these and achieve their goal and potential Empathy: people see and understand the world in the same way that a person with autism experiences it. They focus on individual interests and preferences, understanding what motivate distresses or preoccupies each person . sing these insights to help people deliver the best possible care and support. Low arousal: in this approach people respond to people’s sensory needs by providing surroundings and activities that are calm, focused and free from clutter and distraction. This approach helps to increase independence in all aspects of life Links: this is linking the family and the wider community and other support services and reducing the difficulties faced by people with autism, it is aimed to help them move together towards a world where they have the same opportunities Lastly the speech and language therapy is a standard intervention. It is aimed to understand the nature and extent of child/adults difficulties and facilitate better communication where possible. Through the speech and language therapy the service users I work with are able to have a say in the things they like to do. LO3. 2 The TEACCH approach has been very effective to the service users I work with. It has enhanced their lives and we have seen an increased improvement in self help skills, social skills and there is reduction in appropriate behaviour. Through skill enhancement one of the TEACCH seven key principles, CA one of the service users can make tea on his own and all staff encourage him to keep on doing that on a daily basis, the risk assessment also highlighted the risk associated with him making the tea and the benefit of him making the tea, the benefit are increased independency. Also a research conducted by Ulster University has shown that communication, concentration and independence has improved by 80% for people with autism. TEACCH has helped our service users to introduce routine and stability in cases where they are hyper sensitive and confused (Cumine et al 2000). The SPELL approach is also effective. , we have a sensory room (it is a quite simple room, for a person with special needs, it is a pleasant environment where the distractions of the outside world are completely absent, present them with, music and attention grabbing moving colours and shapes and then add the ability for the person to actually make things happen that are so dramatic that they cannot be missed and you have the building blocks of real progress. This is a low arousal technique and it really works as the service users have gained a lot of independence. The Speech and Language Therapy is the key part of the autism treatment. This therapy has been effective to the service users I work with because the speech therapist has assisted us in working with the service users through the speech therapy technique. We use makaton, signs, and pictures boards with words to communicate with the service users. This approach is effective because now we are able to communicate with them both verbally and non verbal. Service users are able to make choices and preferences about their day to day lives. JW is able to ask who is sleeping over by showing us this sign (it means sleep). Without the intervention of the speech therapist JW was only saying few words and never learned any news words, this was also said by (Koegel and Koegel 1998) However, some of the approaches cost a lot of money and there has been many service dilemmas and polices. It a service user’s right that they get support to meet their communication needs and we had to wait a long time before a speech language therapist was assigned to our home. Our priority is to make sure service users get the right support they need at all times. In addition, it is costly for Social Services because they have to pay professionals who support families with autistic members. To support residential and day care cost extremely high, for adults who require ongoing support. There is cost of education for individuals with autism who require more level of support. More hours and attention is need for carers who have to go through national training strategy for Autism, to meet the needs of service users. LO3. 3 There are a lot of developments emerging in today’s world to support people with specific needs. As I work with people with autism, there is an Autism Awareness Card and this card is used to educate the general public in challenging moments while in the community. One side of the card contains information specific to the individual and strategies that are helpful to use. The other side of the card is the general information about autism, the card are developed using the person centred approach so that specific information about the individual is used. There are approaches available to help treat autism and organisations that offer advice to parents and organisations. There are services offered to organisations and people working with, or supporting someone who has an autistic spectrum disorder there organisation provide autism specific expertise to advise/help with future service planning and people on mailing list so that they are kept informed of developments or training in the area, they help key people access to resources for people with autism . There are training available for staff to enable them to work with people with specific needs. LO4. 1 Emerson (1995) defines challenging behaviour as â€Å"culturally abnormal behaviour(s) of such intensity , frequency or duration that the physical safety of that person or others is likely to be placed in serious jeopardy , or behaviour which is likely to seriously limit use of, or result in the person being denied access to , ordinary community facilities. Challenging behaviour is a social label and a person is not a challenge, the behaviour may challenge us in terms of our understanding and response Challenging behaviour can ‘result in the person being denied to access, to ordinary community facilities’ (Emerson, 1995). At my workplace service user TB has been banned from five pubs because he was spitting on other customers and urinating on the floor. Customers complained about his behaviour and pub managers had to ban him. Research has shown that males are more likely to display challenging behaviour than females and their behaviours tend to be more aggressive. Challenging behaviour tends to reach a peak between the ages of 15 and 34 years of age and is particularly over represented in the 14-24 year old age group. The service users I work with have autism and present a lot of challenging behaviour. They present a lot of challenging behaviour as an act of communication, environmental factors sometimes causes challenging behaviour for example JW exhibits challenging behaviour when we go to crowded noisy places. Also JW cry when he listens to certain music this is contributed by historical / emotional factors. Some service users self harm by lip and hand biting. Furthermore, challenging behaviour is caused by mental health factors for example a service user with dual diagnosis (Down syndrome and Autism Spectrum Disorder); they develop repetitive behaviour and don’t like to be touched and loud noises. 4. 2. When dealing with challenging behaviour health care organisations need intervention plans, policies and procedures to follow as this is best practice. At my workplace we follow the BILD (British Institute of Learning Disabilities) policy framework for physical interventions which sets out three broad categories of physical intervention and the DoH Dfes guidance on restrictive physical intervention. My manager makes sure staff get proper induction when they start their employment and clear guidelines are written in the employees handbook, all staff attend training to deal with challenging behaviour and this include training challenging behaviour, managing violence and aggression, self harm and Caring for People on the Autistic Spectrum. Also the manager makes sure that policies and procedures are written and all times followed under the BILD policy framework. As professionals in the health care sector we have a duty of care towards the vulnerable people we look after, we need to avoid action that will or may harm others and we should always work in the best interest of the service user. At my workplace we follow the General Social Care Council, Codes of Practice for Social Care Workers (Code 4) which states that as a social worker you must respect the rights of service users while seeking to ensure that their behaviour does not harm themselves or other people. This includes: * Recognising that service users have the right to take risks and helping them to identify and manage potential and actual risks to themselves and others * Following risks assessments , policies and procedures to access whether the behaviour of service users presents a risk of harm to themselves or others * Taking necessary steps to minimise the risks of service user from doing actual or potential harm to themselves or others and * Ensuring that relevant colleagues and agencies are informed about the outcomes and implications of risk assessment. My organisation’s policy is to make sure all staffs are trained in managing challenging behaviours without causing any harm to individuals. This is done in accordance with the Mental Capacity Act 2005, which states that: someone is using restraint if they: use force – or threaten to use force – to make someone do something they are resisting, or restrict a person’s freedom of movement, whether they are resisting or not’. At my care home we use safe practices like the team teach training. LO4. 3 â€Å"Each person is different and each behaviour needs to be considered in its own right. In addition the reasons behind one’s behaviour may not be the same as the reasons behind another behaviour which the person shows. A person may shout because this makes others do as he asks. He may hit because this makes others leave him alone. There is therefore a need to build a detailed understanding of why a particular person is engaging in a particular behaviour and why he is likely to engage in that behaviour more under some circumstances than under others. † (Clement and Zarkowska 2000) p. 38 The NICE (2006) states that non-phamalogical interventions should be used first before medication in cases of challenging behaviours. Some of the challenging behaviours are caused when service users are expressing their unmet needs . At my workplace all staff have been trained in communication as effective communication plays important role managing behaviours. We use body language, signs and pictures to communicate with service users who are non verbal. At my workplace we use different strategies to deal with challenging behaviour for service users. We try to use positive, preventative, calming, defusing and problems solving skills instead of holding, restraining and breakaway when dealing with challenging behaviour and in most cases it works well. For example service user JW likes to know who is sleeping over at the end of the shift, when he is presenting challenging behaviour staff calm him down by saying ‘JW do you want me to do sleep over tonight,’ he answers yes and staff will tell him that what he is doing in not nice and because of that no one is sleeping over ,we encourage him to do something like emptying the dishwasher , and remind him that someone will sleep over if he continues to be good, JW calms downs apologises to staff and the other service user for his behaviour . He continues to sign sleep in makaton to show that he is happy. Also we always try to remind JW of his behaviour at calm moments of the day (Attwood 1998, Clements and Zarkowska 2000, Gray 1995). Also we have a change in setting strategy to manage DC’s challenging behaviour. DC has Autistic Spectrum Disorder and finds any change difficult to tolerate. We support DC to the day centre every Monday we do group activities and DC is disruptive at all times. An assessment was done and it showed that DC did not like crowds and noisy environment. He is encouraged to work in a small quiet room with few other people and once she is settled we give her a small task which means she only visits the larger room for a short time and return. After sometime we reintroduced her to the larger group but we seated her at a table near the door with only two people near her. To manage her behaviour she is asked to deliver things to different rooms. This strategy has worked well and it means DC does not have to spend the whole day in the larger room and the gradual reintroduction resulted in significant reduction of disruptive behaviour.