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Problem Solving: Managing Behaviour, Descalation Strategies

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While on placement, I accompanied a client to the MilkBar for a smoke break. A miscommunication regarding the client’s music preference escalated to aggressive verbal intimidation and threats. To de-escalate the situation, I redirected the client away from the MilkBar and back to the Lodge, ensuring a safe environment for both the client and the public. Once the client returned to baseline, the client was made aware of the consequences (behaviour record in file) and was given a simple response cost 'removal of music and return back to the lodge'. Shortly after, client made amends with me and returned to a positive mood whilst reciprocal to further supports available.

This experience helped me understand the dynamics of behavioural escalation due to external triggers. By calmly redirecting the client and providing space to self-regulate, I applied a de-escalation technique that prioritised their dignity and safety. Observing their emotional cues throughout the interaction gave me practical insights into recognising early signs of distress and choosing interventions accordingly.

This incident taught me the importance of maintaining professionalism in high-pressure scenarios and using non-verbal cues, such as body language and tone, to support effective redirection and conflict resolution.

Furthermore, it provided me the opportunity to direct myself safely out of a physical altercation and the space to write out an behaviour/incident report which was reminiscent to the syllabus taught in my psychology class made applicable with my current scenario.

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Personal Leadership: Documentation and Skill Development

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During my 100-hour placement, I developed the skill of personal leadership by taking responsibility for accurately documenting client progress using the SupportAbility cloud-based client management system. This included recording daily progress notes, tracking client goal achievements, and documenting key observations. I logged a wide range of client activities, such as participation in activities of daily living (ADLs), adherence to plans, compatibility with staff, and recreational support during outings.

I also referred to support plan updates after handovers to ensure my documentation reflected the latest changes in care plans.

As part of demonstrating personal leadership, I took ownership of documenting personal care tasks (e.g., showering, transfers using assistive technologies, and pressure care), health monitoring (e.g., bowel charts, hydration strategies, and fall prevention), and behaviour management (e.g., noting signs of aggression or mood changes). I proactively adapted my reporting style by balancing detailed notes for critical tasks with concise summaries for routine activities, ensuring clarity and relevance in my documentation.

Feedback from my supervisors highlighted improvements in the clarity, accuracy, and timeliness of my progress notes, which met NDIS reporting requirements and organisational standards. By taking initiative and consistently seeking feedback, I developed a strong understanding of evidence-based documentation and its role in assessing client progress and identifying changes in support needs.

This experience demonstrated my ability to take responsibility for the quality of my contributions, a core aspect of personal leadership. It also helped me build confidence in creating accurate, meaningful records that supported report focused decision-making, team collaboration, and client-centred care. My growth in personal leadership allowed me to contribute effectively to client outcomes and team objectives, ensuring high standards in my documentation practices.

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Team Work: Allied Health Assistance and Best Practices

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During my placement, I demonstrated teamwork by collaborating effectively with a physiotherapist from Melbourne Mobile Physiotherapy to coordinate an exercise program for a client with a Traumatic Brain Injury (TBI). The client presented with reduced lower limb function and no functional use of one limb. Together, we ensured the program was clinically appropriate and aligned with the client’s rehabilitation goals. My role involved implementing the physiotherapist’s standard exercise plan while integrating culturally relevant practices to enhance engagement.

To incorporate cultural competence, I tailored the program to the client’s background and personal interests. For example, I numbered repetitions in Greek to reflect their cultural heritage and included an AFL football, acknowledging their history as a football player, to encourage active participation and motivation. This approach created a supportive and familiar environment that helped the client feel comfortable and engaged throughout the sessions.

By supporting open communication and collaboration with the physiotherapist, I ensured the program addressed the client’s functional needs while maintaining safety and proper technique. I provided continuous feedback during sessions to track progress and adapt exercises as needed, reinforcing a team-oriented approach to achieving the client’s goals.

Overtime throughout the 2 weeks, the client demonstrated increased enthusiasm and consistency during the program, actively engaging with the exercises.