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Advance Care Planning – The process of dialog, knowledge sharing, and informed decision-making that needs to occur at any time when future or potential end-of-life treatment options and preferences are being considered or re-visited. The primary goal of Advance Care Planning is to seek consensus on care plans that reflect the best interests of the person.
Advance Care Plan – The form used to record medical intervention decisions reached through the Advance Care Planning discussions.
Behaviour support: A set of interventions developed to support people with challenging behaviour. These behavioural strategies are designed to improve an individual’s quality of life, are functionally based and are integrated with person-centred planning. (Definitions from Community Living B.C. (CLBC) Behaviour Support and Safety Planning Policy, May 2012)
Behaviour support plan: An individualized, written document developed to support individuals who have challenging behaviour. It outlines specific behaviour support interventions, strategies and implementation requirements. It is a tool for all support networks to be consistent in the strategies they are using when dealing with challenging behaviour. (Definitions from Community Living B.C. (CLBC) Behaviour Support and Safety Planning Policy, May 2012)
Challenging behaviours include:
- Difficult or Unconstructive Behaviour: Impedes community acceptance or interferes with other behaviours and remains unchanged over time. It impedes community inclusion.
- Serious Behaviours: Interfere with learning and daily activities and the behaviours are likely to become severe if they are not addressed. Serious behaviours greatly concerns family members, support network members or staff. This behaviour may prevent individuals from participating in community activities.
- Critical Behaviour or Unsafe Behaviour: Is of such intensity, frequency, or duration that the physical safety of the individual or others is likely to be placed in serious jeopardy.(Definitions from Community Living B.C. (CLBC) Behaviour Support and Safety Planning Policy, May 2012)
Community Living disABILITY Services (CLDS) – services offered by the Province of Manitoba, Department of Families. More information can be found at https://www.gov.mb.ca/fs/CLDS/index.html
Crisis situation is defined as a circumstance where:
- Challenging behaviour places the person at immediate risk of harming himself or others or of causing property damage;
- Attempts to deescalate the situation have been ineffective; or
- The behaviour is new or unprecedented in its intensity such that the Behavior Support Plan (BSP) does not effectively address it.
Culture – is a word for the way different groups of people do things. Different groups may have different cultures. A culture is passed on to the next generation by teaching and modeling. People express their culture in the way they write, talk, dress or interact with others. Specific cultures have different music, cooking or religion.
Delegation of Function – is the extension of authority by a nurse or other regulated professional to an unregulated care provider who does not have the authority to perform the task as an assignment through their scope of employment.
Employment is defined as:
- Activity that is compensated at not less than provincial minimum and not less than the customary rate paid by the employer for the same or similar work performed by other individuals without disabilities;
- Occurs at an integrated location where the employee interacts with other persons who do not have disabilities to the same extent as others working the same or similar positions;
- Where the person receives the same benefits provided to other employees without disabilities in the same or similar positions;
- Presented, as appropriate, with opportunities for advancement that are similar to those offered to other employees who have similar positions
Family – Family is a word that can have many different meanings. People have many ways of defining a family and what being a part of a family means to them. For the purposes of these guidelines, family refers to people that the person supported acknowledges as being part of their family. When that is not known, it refers to people who are biologically or legally related to the person.
Functional Behavioural Assessment: An assessment that seeks to describe the behaviour, the environmental factors and setting events that predict the behaviour, and the function that the behaviour serves. Functions of behaviour may include communication, getting something, or avoiding something.
Health Care Directive
A self –initiated document that allows individuals to make health care preferences known in the event that they are unable to express them. In Manitoba, a Health Care Directive may indicate the type and degree of health care interventions the person prefers and/or may indicate the name(s) of a person(s) who has been delegated to make decisions (i.e. a “Proxy”).
Home – refers to an emotional connection to a space. This space could be any dwelling where someone makes a home. The word home refers to more than a simple building and acknowledges that it is a place of warmth, comfort and sanctuary that goes beyond simple shelter.
Identity – refers to the way one understands or thinks about themselves. People may think about themselves in relation to their culture, religion, family connections, ethnicity, gender, sexuality, economic status, etc.
Intimate Personal Care –defined as activities of care of an intimate nature, associated with bodily functions and personal hygiene, which require direct or indirect contact with, or exposure of, the sexual parts of the body such as assistance with bathing, toileting, or dressing, etc.
Normalization – means making available to people with disabilities the same patterns of life and conditions of everyday living which are as close as possible to the regular circumstances and ways of life.
Organization – service provider or agency which is funded through Community Living disABILITY Services (CLDS).
Over the Counter Medications – refer to those medications that can be purchased and used without prescription. These include such items as cough syrup, ibuprofen, etc.
People – typically when the term people or person is used, we are referring to people who receive services. Others are labeled as per their role such as staff, care providers, family, friends, support network member, etc.
Physical restraint is a holding technique, used by a person on another person, that restricts the latter’s ability to move freely.
Psychotropic Medications – A psychotropic medication is any medication that alters the chemicals in the brain and consequently impacts a person’s emotions and behaviours. Psychotropic medications treat a variety of psychiatric conditions including depression, bipolar disorder, anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), and psychosis.
Safety Plan: An individualized, written document designed to address situations where unsafe behaviour has the potential to harm the individual or those around them. The safety plan outlines the strategies and procedures to respond to the behaviours and reduce risk. Safety plans should only be developed as an adjunct to or in conjunction with an overarching Behaviour Support Plan.
(Definitions from Community Living B.C. (CLBC) Behaviour Support and Safety Planning Policy, May 2012)
Spirituality – refers to a variety of activities and experiences that have deeply personal meaning to someone and often involves a sense of connection to something bigger than oneself. Christina Puchalski, MD, Director of the George Washington Institute for Spirituality and Health defines spirituality as “the aspect of humanity that refers to the way individuals seek and express meaning and purpose and the way they experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred.”
Staff – where the word staff is used in this document it includes all staff employed or contracted by a service provider (direct support, supervisory, management, administrative, executive). For the purposes of this document this would include foster providers and/or people contracted to provide a home share, employment or job coaches, clinical consultants, etc.
Substitute Decision Maker
A third party identified to participate in decision making on behalf of a person who lacks decision making capacity under the Vulnerable Persons Act. The task of a Substitute Decision Maker is to faithfully represent the known preferences and/or the interests of the person.
Support Network is defined to include the individual’s family, friends and other natural supports, circle of support, or others chosen by the individual. An individual’s support network includes involved family members and others as directed by the person.