Person Centred Support
Principles our staff follow at Easy iCare
Levels and types of assistance
|Independent||the person participates without prompting or assistance from staff|
|Non-verbal cues||the person has a natural cue to remind them of what to do e.g., clothes for the day are laid out on the bed, towel is handed to them when its time to finish in the shower, dishcloth placed on table|
|Verbal cues||the person is given a verbal cue to signal an activity, eg saying “it’s nearly 8 o’clock” (the time the bus arrives), “the laundry looks dry”, “the floor is a mess”|
|Instruction||the person is told what to do e.g., “wash under your arms”|
|Augmentative communication||There is a visual aid or communication device to help the person; e.g. visual instructions on how to make a cup of tea, load and turn on washing machine; routine board so person knows what is happening next.|
|Modified equipment||the person has something modified to participate, e.g. particular cups to prevent spillage, trolley to wheel out laundry|
|Modelling||the staff first model what needs to be done, then the person does it e.g. make a cup of tea alongside the person, demonstrate washing your arms|
|Physical assistance||Staff provide physical help to enable the person to participate, e.g. lift the person, provide support as they walk, feed them.|
Programs to improve people’s level of independence and participation involve:
- Break the task down e.g. making a cup of coffee: fill the kettle, turn the kettle on, get the cup out, get coffee out, get a spoon, measure teaspoon of coffee, get milk, put milk into right level, pour water when boiled to the right level, stir, and drink.
- Forward chaining – starting with the first part of the task and work forward, i.e., fill the kettle, next time fills kettle and turn on.
- Backward chaining – start with last part of task and work back, i.e., stir drink, next time pour water, and stir drink
- Make modifications for independence i.e. use an urn if kettle to heavy, milk jug, set of pictures on steps in making coffee, etc.
- Praise performance – immediate positive regard for the person’s effort, e.g., “well done, you can pour your water.”