Outcome 1
1: Factors impacting an individual with sensory loss are mainly how an individual perceives themselves, it can have a negative or positive affect this can cause depression, other related illness or even lead towards isolation. Factors influencing an individual may be the following:

•Is the sensory loss noticeable?

•Is the condition going to improve or worsen over time?

•How do people see me and how they react towards me?

•What support will I receive and is that support trained or adequate?

2: Societal attitudes and belief has a very large to play on an individual. Individuals can fell patronised, made to feel stupid and feel that they are stereotyped, for example all people with disability are stupid. Lack of knowledge, ignorance and beliefs from society can be summed up with some common society beliefs listed below:

•Individuals with sensory loss are old or too disabled to change.

•Use to dealing with people in certain way and are not willing or want to change their ways.

•They are afraid of what the disability is and the cost of dealing with helping individuals with disabilities.

•The time taken to learn new skills in assisting an individual and is worth doing.

Outcome 1
3: Service provision to individuals with sensory loss can be greatly improved by adapting and modeifying surroundings to suit an individual’s needs; this will help to live independently and keep individuals as safe possible. Surroundings should be kept familiar, tidy and routes clear from obstruction. Giving staff training gives staff knowledge and confidence to work with an individual’s care requirements, this will assisting individuals with their independence. Training helps to identify sensory problems and deterioration of sensory loss or spot any improvement. Encourage individuals to access community facilities by guidance and support to developing links and access to facilities within their community such as local shops, libraries’, food outlets and community transport (taxis, bus service).

Outcome 2
1: Methods of communication for:
Sight loss:
•Speech – spoken formal verbal communication to ask, question and answer.

•Braille or moon – system of tactile dots or shapes to read.

•Facial expressions & body language – sad, happy, confused. Nodding yes/ no. Hearing loss:

•Hearing aids – mechanical assistance to aid hearing.

•Lip reading & speech.

•Pictures & written notes – pictures and notes to request.

•Sign language & Makaton – system of hand gestures to communicate affective.

•Facial expressions & body language – sad, happy, confused. Nodding yes/ no. Deaf blindness:

•Adaptation of both blind and deafness aids depending on which sensory loss came first and severity of sensory loss.

•Use of tactile signs throughout environment.

•Tactile support and signing the use of signing on the hand of carer or support worker.

Outcome 2
2: The environment facilitates communication for individuals with sensory loss in the following ways:

•Physically – modification and adaptation of environment with aids such as: induction loops. Different floor textures, reducing noise levels, hand rails, good lighting, contrasting colours in equipment, sound / speech aided equipment.

•Carers / support workers in the individual’s environment need to adapt communication and behaviour to increase understanding of information. Take direct approach to the individual with hearing loss, address a person by name with sight loss, learn and use sign language, leave face free to aid lip reading, Soft clear speech and try not to shout.

•The delivery and access to information for an individual try to keep user-friendly to them. Reading of information with the use of Braille / Moon, printed information, speech operated software on IT equipment, audio description subtitled TV, Interpreters to assist with understanding of information and in a format they can use for giving and receiving to stop an individual been disadvantaged socially in respect to their health.

3: Effective communication can have a positive impact on an individual as it makes them feel less isolated, makes their own needs and beliefs heard. This makes them feel treated more of an adult rather than a child. This can boost their confidence and less depressed. It helps, to develop and contribute in their health & social care and take part as a person in the community. So having a more person centred approach.

Outcome 3

1: The main causes of sensory loss are:
•Congenital defects.
•Acquired disorder.
•Inherited disorders.
•Illness or injury.
2: Congenital sensory loss

•Congenital sensory loss is a condition which is present at birth. It is caused either before or during birth, although it may or may not be obvious until later in life. If the loss shows itself later it could be referred to as being acquired.

Acquired sensory loss

•A sensory loss condition that occurs sometime in life after birth.

3: The various demographic factors influencing incidence of numbers of population with sensory loss is down to where they live and the services required. It is down to life expectance and medical advances in child birth. Elderly people living longer increase the risk of sight and hearing problems. The number of babies born, with severe and complex disabilities now have a greater chance of a surviving. This is due to medical and technology advances.

Outcome 4
1: Indicators to the following sensory loss:
Sight loss
•Person will report flashing or patterned lights in front of eyes.

•Person moves more slowly, bumping and falling over objects.

•Person touches objects, people more and feels their way around.

•Person looks more closely at faces, objects.

•Person becomes depressed more withdrawn.

Hearing loss
•Person turns up Radio, TV so it is becoming a problem to others.

•Person asks you to repeat what you have said.

•Person does not respond to their name when greeted.

•Person speech becomes louder especially in noisy locations.

•Person looks at faces trying to lip read.

Deaf blindness

•May show some symptoms of as above depending on which sensory loss is deteriorating quicker. However, they will struggle to communicate with carers of what is happening to them. Behaviour will change and this may be the only signs, with them becoming more aggressive, irritable or withdrawn.

outcome 4
2: Actions on concerns if an individual is developing sensory loss:

•Report concerns to a manager if it appears that an individual as developed sensory loss.

•Record concerns in individuals personal file / notes, check file to see if the individual is medical susceptible to the loss. •Seek any advice from any professionals who are in contact with the individual.

•If it is deemed sudden or at risk of harm it should be classed as medical emergency, it could be caused by other underlining medical problems (stroke). 3: for individuals experiencing the onset of sensory loss could find help and support from the following:

•Local social services sensory impairment team.

•RNID (Royal National Institute for the Deaf).

•BDA (British Deaf Association).

•Training centres which teach sensory loss courses.

•RNIB (Royal National Institute for the Blind).

•GPs and local opticians.

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