@if(!empty($errors->all()))

@foreach($errors->all() as $message)

@endforeach

@endif

Status

Participant Name

Date of Birth

Address

NDIS no

Contact No

Assessment Date

Next Review Date

Assessor

Assessor NDIS practitioner ID

Diagnoses ID

Information source ID

Risk Overview: Please see overleaf for detail.	Past	Current	Future/Potential
Medication compliance	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'medication_compliance','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'medication_compliance','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'medication_compliance','column'=>'answer_3'])
Absconding	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'absconding','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'absconding','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'absconding','column'=>'answer_3'])
Self-Harm/ self-injurious behaviour	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'self_harm_self_injurious','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'self_harm_self_injurious','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'self_harm_self_injurious','column'=>'answer_3'])
Harm to others	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'harm_to_others','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'harm_to_others','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'harm_to_others','column'=>'answer_3'])
Aggression/Violence	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'aggression_violence','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'aggression_violence','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'aggression_violence','column'=>'answer_3'])
Drug & Alcohol	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'drug_and_alcohol','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'drug_and_alcohol','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'drug_and_alcohol','column'=>'answer_3'])
Vulnerability	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'vulnerability','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'vulnerability','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'vulnerability','column'=>'answer_3'])
Medical Risk/Health Condition	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'medical_risk_health_condition','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'medical_risk_health_condition','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'medical_risk_health_condition','column'=>'answer_3'])
Homelessness	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'homelessness','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'homelessness','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'homelessness','column'=>'answer_3'])
Accommodation issues	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'accommodation_issues','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'accommodation_issues','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'accommodation_issues','column'=>'answer_3'])
Forensic History	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'forensic_history','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'forensic_history','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'forensic_history','column'=>'answer_3'])
Other	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'other','column'=>'answer_1'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list_risk_management','keyName'=>'other','column'=>'answer_2'])	@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['configKey' => 'yes_no_list','keyName'=>'other','column'=>'answer_3'])

LOW RISK(0-10)	MEDIUM RISK(11-20)	HIGH RISK(21-48)

Orders in place:

Date

Review

Community Treatment Order

Guardianship Order

Administration Order

Community Detention Order

Legal Orders/Requirements

Summary profile of the person

Family and relationships history

Accommodation history

Their skills and strengths

Protective factors (i.e. factors that reduce the risk of harm)

Barriers

Add More

@if(!empty($riskManagementSocialBarriers))

@foreach($riskManagementSocialBarriers as $index => $irdata)

Social barriers

@endforeach

@endif @php $count = count($riskManagementSocialBarriers); @endphp

Social barriers

Add More

@if(!empty($riskManagementLackOfSelfMotivation))

@foreach($riskManagementLackOfSelfMotivation as $index => $irdata)

Lack of self-motivation/confidence.

@endforeach

@endif @php $count = count($riskManagementLackOfSelfMotivation); @endphp

Lack of self-motivation/confidence.

Add More

@if(!empty($riskManagementSymptomsOfMajorMentalIllness))

@foreach($riskManagementSymptomsOfMajorMentalIllness as $index => $irdata)

Symptoms of major mental illness.

@endforeach

@endif @php $count = count($riskManagementSymptomsOfMajorMentalIllness); @endphp

Symptoms of major mental illness.

Add More

@if(!empty($riskManagementSignificantAlcohol))

@foreach($riskManagementSignificantAlcohol as $index => $irdata)

Significant alcohol or other drug use

@endforeach

@endif @php $count = count($riskManagementSignificantAlcohol); @endphp

Significant alcohol or other drug use

Add More

@if(!empty($riskManagementCommunicationBarriers))

@foreach($riskManagementCommunicationBarriers as $index => $irdata)

Communication barriers.

@endforeach

@endif @php $count = count($riskManagementCommunicationBarriers); @endphp

Communication barriers.

Add More

@if(!empty($riskManagementLackOfFormalSupport))

@foreach($riskManagementLackOfFormalSupport as $index => $irdata)

Lack of formal support

@endforeach

@endif @php $count = count($riskManagementLackOfFormalSupport); @endphp

Lack of formal support

Add More

@if(!empty($riskManagementMaladaptiveBehaviour))

@foreach($riskManagementMaladaptiveBehaviour as $index => $irdata)

Maladaptive behaviour

@endforeach

@endif @php $count = count($riskManagementMaladaptiveBehaviour); @endphp

Maladaptive behaviour

Add More

@if(!empty($riskManagementTheBuiltEnvironment))

@foreach($riskManagementTheBuiltEnvironment as $index => $irdata)

The built environment

@endforeach

@endif @php $count = isset($riskManagementTheBuiltEnvironment)?count($riskManagementTheBuiltEnvironment):0; @endphp

The built environment

Add More

@if(!empty($riskManagementTransport))

@foreach($riskManagementTransport as $index => $irdata)

Transport

@endforeach

@endif @php $count = isset($riskManagementTransport)?count($riskManagementTransport):0; @endphp

Transport

Nature of issue

Identify Risk factors and Consequences

Risk Management Strategies

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'mental_health_checkbox', 'keyName'=>'mental_health'])

Mental Health

{{ $risk_management_3['mental_health']['answer_1']??'
 Risk Factors
 <ul>
 <li>Homelessness</li>
 <li>Unemployment</li>
 <li>Alcohol and other drug use.</li>
 <li>Family conflict</li>
 <li>Lack of informal support</li>
 <li>Stressful life events/trauma</li>
 <li>Financial problems</li>
 <li>Low self-esteem, perceived incompetence, negative view of life</li>
 <li>Being in an abusive relationship or friendship</li>
 <li>Poor social skills, poor communication skills</li>
 <li>Lack of access to support services</li>
 <li>Medication non-compliance</li>
 <li>Negative influence in the community</li>
 </ul>
 Consequences
 <ul>
 <li>Change in behaviour</li>
 <li>Not engaging with staff/isolate him/herself</li>
 <li>Changing support times</li>
 <li>Inconsistent routine (not following the </li>
 <li>Sleepless nights</li>
 <li>Missing planned activities</li>
 <li>Fearful with staff</li>
 <li>Inviting strangers at home</li>
 <li>Decline in selfcare (not showering, personal hygiene, clothes changes)</li>
 <li>Sudden change in mood (happy to sad)</li>
 <li>Excess smoking</li>
 <li>Drug use</li>
 <li>Verbal/physical aggression towards staff</li>
 <li>Attention of SA Police and ambulance</li>
 <li>Relapse</li>
 <li>Hospital admission</li>
 <li>Loss of skill</li>
 </ul>
 ' }}

{{ $risk_management_3['mental_health']['answer_2']??'
 Proactive Strategy
 <ul>
 <li>Keep active: Encourage and support to involve in physical activities, e.g.-Regular exercise, household chores, planned outdoor activities etc.</li>
 <li>Eat well/healthy eating habits: Support participant to make healthy choices. Assist in doing weekly menu planning, buying less processed food, and assisting in cooking home cook food as much as possible.</li>
 <li>Sensibly alcohol Drinking: When participant engaging with staff and appear in a good mood, educate him drinking is not a good way to manage difficult feelings or cope up with stress. Do not ask to stop suddenly; work on harm-minimisation strategy and support participant to reduce the alcohol on a sliding scale. Also educate participant on the standard Australian drinking limit.</li>
 <li>Engage Participant in planned activities of his choice.</li>
 <li>Help/ encourage him to follow routine (refer to the visual chart).</li>
 <li>Booking regular GP and Psychiatric appointments.</li>
 <li>Educate Participant the importance of taking prescribed medication</li>
 <li>Book regular GP/Psychiatrist review (check if need Psychiatric review on only GP)</li>
 </ul>
 Support when going through Episode of mental health
 <ul>
 <li>If stressed provide Participant interpersonal support, reassurance and the opportunity to be listened too and opportunity for him to express his feelings safely.</li>
 <li>Encourage participant to do something participant is good at (write what participant likes to do in general: e.g.: music, game, shopping, talking someone etc.)</li>
 <li>Treat Participant with respect and dignity.</li>
 <li>Talk with participant about their feelings, if willing to talk.</li>
 <li>Suggest that speaking to someone they feel comfortable with, their GP or other mental health professional, may help them feel better.</li>
 <li>Seek help and assistance from mental health services, possibly a mental health assessment</li>
 <li>Never challenge psychotic ideas or beliefs – reassure the person they are safe (i.e. you might say I believe that you think the voices are real, even though I can’t hear them) (for psychotic illness only)</li>
 <li>If things are not getting better, check if the participant has any PRN medication or call an ambulance. (check if PRN is applicable for the participant) </li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'absconding_checkbox', 'keyName'=>'absconding'])

Absconding

{{ $risk_management_3['absconding']['answer_2']??'
 Proactive/preventative strategies
 <ul>
 <li>Ensure participant had planned activities to avoid boredom</li>
 <li>If staff doing case notes of doing any other chores, ensure staff can see participant.</li>
 <li>Staff to avoid any distraction, e.g.- using a mobile phone, leaving participant unattended, sitting in staff room with lock door etc.</li>
 <li>Restrictive interventions to reduce wandering (see below if any applicable)</li>
 <ul>
 <li>Mechanical restraint </li>
 <li>Chemical restraint – any medication that is used to control behaviour or subdue a person</li>
 <li>Seclusion the sole confinement of a person at any hour of the day or night in any room or area of any place; and</li>
 <li>Physical restraint – the use of physical force to prevent, restrict or subdue a person’s movement (physical restraint is identified in a direction under section 150 of the Act).</li>
 <li>Environmental restraint, which prevents free access to parts of a person’s environment (such as locking or placing alarms on doors)</li>
 </ul>
 </ul>
 Try to locate him:
 <ul>
 <li>If staff noticed participant is going out without informing, do not chase and follow from the distance</li>
 <li>If participant begin running on the road, stop following him to avoid any road accident</li>
 <li>Call participant’s friends/Family (only if the participant has friend/family) where participant usually goes.</li>
 <li>Locate in near by areas/shops</li>
 <li>Ring participant on his mobile after half an hour or so, if he picks the call explain that staff are worried about him and if he wants to be picked up ask him to meet at safe place, e.g., at service station or in market etc.</li>
 <li>(If working on 2:1 placement) If staff sees participant left the house, one staff to follow participant from the distance and the second staff to take the placement van out. Both the staff to be in touch with each other for the update via phone and share the location so staff driving the van can go as close as possible and when participant agrees, both the staff can drive home back</li>
 </ul>
 Engage the police: 
 <ul>
 <li>Call Police in (write the time in hours) hours explaining the participant’s details and the associate risks due to participant’s disability.</li>
 <li>Explaining behaviours of concern.</li>
 <li>Ask for the call reference number and MPR number.</li>
 <li>Give the placement phone number to the police to contact staff back for any further information.</li>
 <li>Be in touch with the police if not found</li>
 </ul>
 Post finding
 <ul>
 <li>Once participant is found, do a visual check for any sign of injury.</li>
 <li>If any sign of cut/bruises call an ambulance for an assessment.</li>
 <li>Follow the medical professional advice </li>
 <li>Report to management with the full detail to take further decision..</li>
 <li>Review the current system and make useful changed with the involvement of legal guardian and other stakeholders</li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'confabulation_checkbox', 'keyName'=>'confabulation'])

Confabulation (Providing misleading information)

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'self_harm_checkbox', 'keyName'=>'self_harm'])

Self-harm

{{ $risk_management_3['self_harm']['answer_1']??'
 Risk Factors(Those who are at increased risk of self-harm)
 <ul>
 <li>Aged 15–19</li>
 <li>Mental health condition or personality disorder</li>
 <li>Aboriginal or Torres Strait Islander backgrounds</li>
 <li>immigration detention or juvenile justice facilities</li>
 <li>in out-of-home care</li>
 <li>live in rural and remote areas</li>
 <li>Identify as lesbian, gay, bisexual, transgender, intersex (LGBTI)</li>
 </ul>
 Risk Factors(Why does participant do self-harm)
 <ul>
 <li>Intense emotional pain and distress</li>
 <li>Relationship difficulties</li>
 <li>Knowing others who self-harm</li>
 <li>Having a family history of self-harm</li>
 <li>Being bullied</li>
 <li>Alcohol and drug abuse</li>
 <li>Past trauma, neglect or abuse.</li>
 <li>Low self-esteem</li>
 <li>Physical illness or disability</li>
 <li>Impulsivity – acting without thinking </li>
 <li>Poor coping skills</li>
 <li>Difficulties with problem-solving.</li>
 </ul>
 Consequences
 <ul>
 <li>Depressed mood and irritability</li>
 <li>Isolation/ Social withdrawal</li>
 <li>Reduced self-care and decreased motivation in ADLs</li>
 <li>Sometimes it may be unknown</li>
 <li>It can lead to a higher risk of developing physical and mental health issues, </li>
 <li>Feelings of shame, self-loathing and helplessness</li>
 <li>Substance misuse and unemployment.</li>
 <li>Attention of emergency services and hospitalisation.</li>
 <li>It can lead to serious injury. </li>
 <li>Even accidental death.</li>
 </ul>
 ' }}

{{ $risk_management_3['self_harm']['answer_2']??'
 Intervention/Maintenance strategies
 <ul>
 <li>Maintain routine in placement – visual routines stuck up on the walls, visual charts of which staff is next on shift with photos, a weekly calendar. Help participant know what is happening each day and who is caring for participant – will give her an increased sense of control and predictability</li>
 <li>Maintain routine with activities that keep participant busy – eg. art, going for walks, going for drives, tennis</li>
 <li>Work on emotional literacy by noticing participant feelings out loud so she can connect with them “Oh I can see you smiling when you are drawing! You look happy”</li>
 <li>Interest in participant internal world – be curious and understanding about how participant is feeling without problem solving.</li>
 <li>Then validate participant and sit with feelings, rather than trying to solve “Wow that sounds pretty tough. Thanks for telling me about it. You’re brave”</li>
 </ul>
 Preventive Strategies
 <ul>
 <li>(If 2:1 support, edit accordingly) Both the staff to work in a coordination with each other and ensure Participant in sight when awake.</li>
 <li>Ensuring hazards have been removed (broken toys, other maintenance issue)</li>
 <li>House manager to do a monthly house risk assessment or earlier as required and inform to management for any maintenance needs. </li>
 <li>Ensuring Participant is occupied by giving him preferred activities (items to him, such as, beads, playdoh, etc. refer to his sensory activities)</li>
 <li>Follow My Support My Way policy and procedures- incident management procedures. </li>
 <li>Organise any immediate maintenance</li>
 </ul>
 Reactive Strategies 
 Physical self-harm management strategies
 <ul>
 <li>(For limited verbal communication) Use the visual to communicate and distract Participant, such as safe hand Participant, time for snacks, or diverting him to any preferred activities (bath or swimming pool) </li>
 <li>Attempt to redirect/distract to a preferred activity or sensory activity </li>
 <li>Continue to speak calmly to Participant: simple, direct, and brief instructions </li>
 <li>After the behaviour (if Participant slapped himself more than a minutes) administer Paracetamol 500mg x2 -when safe to do so.</li>
 <li>If Staff noticed minor cuts or grazes, administer first aid, and do an incident report.</li>
 <li>If Participant accidently hearts himself seriously, staff to first call an ambulance for an assessment, then notify the management and family</li>
 <li>Call for assistance from senior staff as needed. </li>
 <li>Call 000 is Participant posing threat to staff and other’s safety</li>
 </ul>
 (Medication overdose) self-harm management strategies
 <ul>
 <li>Approach participant, maintaining personal space and ask to handover the medications.</li>
 <li>Ring ambulance and follow the instruction.</li>
 <li>Ring ambulance for assessment.</li>
 <li>Encourage him to attend regular psychiatric appointment</li>
 </ul>
 (Head banging and hanging with rope) self-harm management strategies
 <ul>
 <li>Use the calm voice to communicate and distract Participant, such as safe hand Participant, do you want to talk to us so we could help you) </li>
 <li>Attempt to redirect/distract to if safe to do so.</li>
 <li>Continue to speak calmly: simple, direct, and brief instructions.</li>
 <li>Use pillow/soft object to avoid serious head injury when participant is engaged in head-banging.</li>
 <li>If Staff noticed minor cuts or grazes, administer first aid, and do an incident report.</li>
 <li>If Participant accidentally hurt herself seriously or overdose with medication, staff to first call an ambulance for an assessment, then notify the management and Support coordinator.</li>
 <li>Call for assistance from senior staff as needed. </li>
 <li>Call 000 (When Participant not calming down, suspicions of injury and posing a threat to staff and other’s safety)</li>
 <li>Participant to be admitted to ED for psychological assessment.</li>
 <li>Staff to be trained in ligature training</li>
 </ul>
 (Feeling suicidal) self-harm management strategies
 <ul>
 <li>Do a quick assessment if participant is under the influence of alcohol or street drugs.</li>
 <li>Take a minute to ask how participant is feeling.</li>
 <li>Listen to what participant say, and not be judgemental</li>
 <li>Ask questions, e.g., if participant has any plan to commit suicide</li>
 <li>Validate feeling and offer support </li>
 <li>Do not leave participant alone</li>
 <li>Call 000 or take the participant to the local emergency department. Tell them the person is suicidal, has made a plan, and you fear for their safety.</li>
 <li>Other Crisis resources</li>
 <ul>
 <li>Kids Helpline 1800 55 1800</li>
 <li>Lifeline (24-hour crisis telephone counselling) 13 11 14</li>
 <li>Suicide Call-back Service 1300 659 467</li>
 <li>Call 000 for urgent medical attention or police attendance</li>
 </ul>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'aggression_and_property_damage_checkbox', 'keyName'=>'aggression_and_property_damage'])

Aggression (Verbal & Physical) and property damage

Verbal aggression

Raising voice
Sudden scream, without any known triggers
Swearing, pacing within the house without interacting with the support staff
Threaten to hurt the staff.
Asking to transport participant friends in the placement van

Physical aggression

Reach out to grab staff.
Pushing staff
Using any object to assault whoever comes in the close proximity.
grabs staff

Property damage

Extensive property damage
theft,
graffiti,
arson

{{ $risk_management_3['aggression_and_property_damage']['answer_1']??'
 Risks
 <ul>
 <li>Psychological stress to support staff</li>
 <li>Injuries to staff members, </li>
 <li>Misuse of the emergency services</li>
 <li>Cost to the organisation (staff turnover, recruitment, retraining staff, property maintenance etc.)</li>
 </ul>
 Risk Factors(Why do participant may engage in the behaviour)
 <ul>
 <li>Medication non-compliance</li>
 <li>Physical health (may be feeling pain or sick)</li>
 <li>Many mental health conditions can contribute to aggressive behaviour. For example, these conditions include: ASD, ADHD, Mental illness</li>
 <li>Participant may act aggressively in response to stress, pressure, substance abuse.</li>
 <li>Family/relationships with others</li>
 <li>Environment (staff aware of the routine or address early signs appropriately)</li>
 <li>Societal or socioeconomic factors</li>
 <li>Impulsive behaviour to respond </li>
 <li>Brain damage limit participant ability to control aggression. brain damage as the result of stroke, head injury, certain infections, certain illnesses</li>
 </ul>
 Consequences
 <ul>
 <li>Miss pre booked appointments/activities.</li>
 <li>Going through Past trauma</li>
 <li>Involve in impulsive behaviour without thinking of consequences.</li>
 <li>if not responded appropriately, risk of serious injury, or death.</li>
 <li>Staff burnout and vicarious trauma</li>
 <li>Loss of accommodation; costs of property damage</li>
 <li>Hospital admission</li>
 <li>Breach of her bail conditions and involvement of legal system.</li>
 </ul>
 ' }}

{{ $risk_management_3['aggression_and_property_damage']['answer_2']??'
 (Always maintain a safe distance and keep the exit clear)
 When Participant is at home, staff is ensure the day has been planned to keep participant busy in the activities of his choice. 
 Same time, staff to respect participant personal space. Same time staff also to be conducting different chores side by side without disturbing participant. Staff can begin indirect conversation while performing the task; it is evident participant likes communicating that way. When Participant is engaged in the chores and activities and staff is supportive, there is less likely Participant engages in the behaviour of concerns.
 Staff to ensure avoid using word “NO”, it may be a trigger for behaviour escalation. Staff to explain the situation without using word “NO: 
 Verbal aggression
 <ul>
 <li>Reassurance Ask Participant to if participant is happy to discuss her frustration with the support staff </li>
 <li>Distract remind participant about her planned activities/offer her favourite activity- art, cooking recipes, shopping etc.</li>
 <li>Positive reinforcement need to explore further,</li>
 <li>Reminder of the bail conditions (when able to listen and concentrate then only tell het the condition, otherwise behaviours of concern are likely to escalate further)</li>
 <li>Explain the consequences if the behaviour continues and participant</li>
 <li>still willing to listen to staff</li>
 <ul>
 <li>We all care for you and want to ensure you are safe.</li>
 <li>Your family (grandmother) will not be happy with your behaviour.</li>
 <li>We all are here to ensure you are safe and making a right choices</li>
 </ul>
 <li>Disengage (if Participant behaviours escalating and not calming down- give participant personal space and gently remind participant staff are here if she is willing to talk to)</li>
 <ul>
 <li>Leave the room/ area</li>
 <li>Do not react to the behaviour.</li>
 <li>Keep your body language positive.</li>
 <li>Provide Participant with time to calm, and then re-engage. (if safe to do so)</li>
 <li>Keep participant in line of sight through staff screen door (office)</li>
 </ul>
 </ul>
 Physical aggression and Property damage
 Use crisis communication to calm Participant down.
 <ul>
 <li>Ensure to maintain the safe distance and keep the exit clear for the emergency exit.</li>
 <li>Keep a calm voice and use non-threatening body language so that Participant can co-regulate herself by role-modelling your demonstration of remaining calm</li>
 <li>Continue talking with Participant - (participant are you OK, we can sit and talk, what is bothering you)</li>
 <li>Offer help-if safe (you want to speak to staff or at mental health triage, or need to see doctor, or want us to call an ambulance etc.)</li>
 <li>Try to establish a communication with Participant from the distance if safe to do so, such as (are you ok etc). </li>
 <li>Maintain the safe distance and ensure exit is clear.</li>
 <li>Try to identify the immediate cause/trigger and address them accordingly.</li>
 <li>Distract: (2:1 placement, modify for 1:1 support) one staff to communicate with Participant from a distance, second staff to ensure removing the immediate hazards which Participant potentially may use to hurt staff/ others </li>
 <li>Play music in background etc.</li>
 <li>No consequences to be given in the crisis stage, this is only likely to escalate the situation.</li>
 <li>Only remove yourself from Participant ’s sight if required for your own immediate safety as leaving Participant on her own can exacerbate her behaviour.</li>
 <li>When travelling in the car, make sure Participant is seated properly, and the seat belt is on. Always follow the road rules and never exceed the recommended speed limits. Where possible drive on the far-left lane so it would be easier for staff to pull over the car in an emergency. When Participant engages in behaviours of concerns, in that situation, the role of the second staff is to distract Participant , so the staff driving the cat has time to pull-over the car safely</li>
 </ul>
 If Participant is extremely aggressive and puts your (staff) safety at risk, then remove yourself from the area, go to the carer’s room, or exit the house to give Participant space in the rest of the house to calm down. 
 <ul style=" color:red;">
 <li>One staff to monitor from the distance how she is going intermittently to check for de-escalation. </li>
 <li>Second staff to contact emergency services for support in the crises- (when she is not calming and attempting to harm staff and property- This is the last resort).</li>
 <li>Meanwhile both the staff to take a turn to deal with the situation until emergency services arrived</li>
 <li>Once the emergency services attend Participant, staff to contact management to inform about the incident.</li>
 <li>If there is any damage in the house, the damage must be fixed before Participant return to the property to mitigate the risk of further injury and safety for staff</li>
 </ul>
 <ul>
 <li>In Community:</li>
 <li>"While picking participant, staff observed she appears under the influence. The majority of the time, she is calm. However, she may be engaged in behaviours of concern. To ensure safety, staff to follow the below guideline when there is a risk of substance abuse or she is presenting risky behaviour (threatening to hurt staff, kicking at car, trying to grab staff)</li>
 <li>Transporting in placement van (or staff car) is not recommended when Participant is not able to follow the instruction or posing threat to staff. Staff to call emergency services (an ambulance and/or SA Pol) to ensure Participant had not overdose any illicit substance or other medications which can compromise participant health. </li>
 <li>Transporting other than Participant (friends or family) is not allowed unless it is approved, and risk is accessed</li>
 <li>Staff to support Participant in hospital as required.</li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'access_unsafe_drug_and_alcohol_use_checkbox', 'keyName'=>'access_unsafe_drug_and_alcohol_use'])

Access/unsafe Drug and alcohol use

Going out without support to access AOD

Unsafe smoking and drinking in her room (lock the room)

Diabetes (is a chronic condition in which the levels of glucose (sugar) in the blood are too high. Blood glucose levels are normally regulated by the hormone insulin, which is made by the pancreas. Diabetes occurs when there is a problem with this hormone and how it works in the body.)

Participant may experience the below sypmtoms

Increased thirst
Frequent urination
Increased hunger
Unintended weight loss
Fatigue Blurred vision
Slow-healing sores
Frequent infections
Numbness or tingling in the hands or feet
Areas of darkened skin, usually in the armpits and neck

{{ $risk_management_3['access_unsafe_drug_and_alcohol_use']['answer_1']??'
 Risk Factors
 <ul>
 <li>Anxiety</li>
 <li>Coping up strategy to manage mental health</li>
 <li>Access to money</li>
 <li>Boredom.</li>
 <li>Influence of others</li>
 </ul>
 Consequences
 <ul>
 <li>Poor mental health</li>
 <li>Not able to engage with the support staff</li>
 <li>Inviting guests at home (negative influence)</li>
 <li>Unable to manage finances (fails to prioritise her needs and miss out to buy essentials items)</li>
 <li>Neglecting responsibilities (not participating in household chores, leaving dirty dishes in her room for several days and denying anyone to assist her)</li>
 <li>Changes in sleeping patterns.</li>
 <li>Vulnerable in community</li>
 <li>Risk of fall</li>
 <li>Agitation and aggressive towards staff and other residents.</li>
 <li>Negative impact on health</li>
 <li>Breach of bail conditions</li>
 </ul>
 Risk Factors (Type-Two)
 <ul>
 <li>smoking.</li>
 <li>high blood pressure hypertension). </li>
 <li>unhealthy diet, such as inadequate fruit and vegetable intake.</li>
 <li>Have prediabetes.</li>
 <li>overweight.</li>
 <li>45 years or older.</li>
 <li>Have a family member with type 2 diabetes</li>
 <li>Physically active less than 3 times a week.</li>
 </ul>
 Risk Factors (Type-One)
 <ul>
 <li>Genetics</li>
 <li>Family history.</li>
 <li>Exposure to viruses and other environmental factors</li>
 </ul>
 Consequences
 <ul>
 <li>Heart and blood vessel disease. </li>
 <li>Nerve damage (neuropathy) in limbs. </li>
 <li>Kidney disease. </li>
 <li>Eye damage.</li>
 <li>Susceptible to skin problems. </li>
 <li>Slow healing.</li>
 <li>Hearing impairment.</li>
 <li>Sleep apnea, </li>
 <li>Dementia</li>
 </ul>
 ' }}

{{ $risk_management_3['access_unsafe_drug_and_alcohol_use']['answer_2']??'
 Strategies: When Participant is Sober and engaging with staff
 <ul>
 <li>Education Participant about the effects and the harms associated with the use of alcohol and other drugs</li>
 <li>providing positive role modelling of alcohol and other drug use</li>
 <li>Establishing a positive relationship with Participant to reduce stress.</li>
 <li>developing safe environments that reduce the risk of harmful use.</li>
 <li>Having an open conversation (if Participant is willing to talk) educate her on Harm reduction approaches (we are not asking you to stop, however, work towards reducing the consumptions on a sliding scale as convenient to you). Aim to reduce the negative consequences associated with alcohol and other drug use and reduce other related risk factors.</li>
 <li>Reminding the bail conditions</li>
 </ul>
 Strategies to minimise harm when Participant is under the influence of drug/alcohol.
 <ul>
 <li>At home: Visible assessment of the safety. Allow Participant space and do not give any instruction as it may trigger the behaviour.</li>
 <li>Distract and encourage Participant to be involve in art or cooking as she enjoys those activities.</li>
 <li>Gently remind to smoke outside if smoking inside of the room.</li>
 <li>If Participant faints or losses consciousness, staff to call an ambulance immediately. While waiting for the ambulance, ensure she does not have anything in her mouth, as it may cause choking.</li>
 <li>If she vomits, reposition her in the recovery position to ensure airways are open for clear breathing</li>
 <li>In Community When staff arrives and she appears under the influence, staff to do a visual assessment of her behaviour (normally she is quiet when under the influence of AOD, however there is risk of escalation). If safe and Participant is quiet, staff to transport her back to the placement.</li>
 <li>Staff not to transport other than Participant in the van unless it has been approved and risk has been accessed.</li>
 <li>Staff not to go inside unknown’s people house. If Participant requests staff to pick her from specific/unknown address, staff to be in touch with Participant via phone and ensure staff is prepared in case of emergency escape due to stranger danger (staff to be in car) </li>
 <li>When picking Participant from unknown address/friend’s house. Staff to Encourage Participant to meet at nearby local service station/public place.</li>
 <li>When Participant posed behaviours of concerns (verbal physical aggression and property damage), staff not to transport Participant in the van.</li>
 <li>Gently remind the risk and allow time for Participant to calm down, if not calming, ring ambulance and/or police.</li>
 <li>If Ambulance decided to take Participant to ED for assessment, staff to follow Participant to hospital and get an advise from hospital if they want staff to be there.</li>
 <li>If Hospital wants staff to wait outside or go back to placement, staff to provide placement number and ensure phone is on ringer not on silent.</li>
 <li>For other verbal, physical aggression and property damage, please refer to the above mentioned strategies (verbal, physical aggression and property damage) </li>
 <li>If staff is unsure and Participant appear sick due to overdose of alcohol, please contact an ambulance for an immediate assessment</li>
 </ul>
 <h2>Promoting a healthy lifestyle </h2>
 (Prevention Healthy lifestyle choices can help prevent type 2 diabetes, and that’s true even if you have biological relatives living with diabetes. If the participant received a diagnosis of prediabetes, lifestyle changes may slow or stop the progression to diabetes. A healthy lifestyle includes: 
 <ul>
 <li>Eating healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains. </li>
 <li>Getting active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as a brisk walk, bicycling, running or swimming. </li>
 <li>Losing weight. Losing a modest amount of weight and keeping it off can delay the progression from prediabetes to type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight can reduce the risk of diabetes. </li>
 <li>Avoiding inactivity for long periods. Sitting still for long periods can increase your risk of type 2 diabetes. Try to get up every 30 minutes and move around for at least a few minutes.</li>
 </ul>
 Diabetes management:-All the staff to 
 <ul>
 <li>Check glucose levels</li>
 <li>Ensure participant is taking medication</li>
 <li>Choose appropriate diabetes-friendly food</li>
 <li>Shop for appropriate food items </li>
 <li>Educate participant to reduce the consumption of cigarettes and alcohol</li>
 <li>Work for more than 30 mins and accept feedback </li>
 <li>Engage in planned activities</li>
 <li>Record the BGL readings</li>
 <li>Follow the diabetes management plan to manage BGLs</li>
 <li>Staff to take all the record when attend diabetes educator appointments</li>
 </ul>
 <h2>Management for conscious Hypoglycaemia </h2>
 (if the person is able to follow the instruction and able to swallow)- For detailed information please refer to participant’s updated Diabetes management plan
 When the GGL level drops below the 4mmol/l then follow the below steps
 Step-1
 <ul>
 <li>Give them 15 grams of fast-acting carbohydrates to eat or drink (e,g.- 6-7 jellybeans, ½ can of regular soft drink (not diet), ½ glass (125ml) of fruit juice, 3 teaspoon of sugar or honey, etc)</li>
 </ul>
 Step-2
 <ul>
 <li>Wait for 15 minutes and re-check the BGL reading.</li>
 <li>If the BGL reading is above 4mmol/l, then move to the step three.</li>
 <li>If the BGL reading is still below 4mmol/l, then repeat the step one</li>
 </ul>
 Step-3
 <ul>
 <li>Wait to ensure the person has fully recovered before the staff continues their usual activities.</li>
 <li>Ensure the access to BGL monitor and treatment plan is close to the person if needed</li>
 <li>After the hypo episode, if there is a plan to go out, take the BGL monitor and required treatment with you.</li>
 <li>Do no give anything to eat or drink if the person is losing consciousness or not able to eat/drink</li>
 <li style="color:red;">If person losing the conscious stop and call “000” immediately</li>
 <li style="color:red;">After repeating 2-3 times in the step-1, if person’s BGL reading is not going above 4mmol/l, call ambulance and take another reading. Handover the readings to the ambulance officers and follow the instruction </li>
 </ul>
 <h2>Management for Hyperglycaemia (High Blood Glucose above 15 mmol/l)</h2>
 <li>Hyperglycaemia can occur when there is a mismatch between insulin dose and carbohydrate food and drinks
 <ul>
 <li>missed insulin dose</li>
 <li>not enough insulin for carbohydrates eaten</li>
 <li>eating more carbohydrate food than usual</li>
 <li>insulin is out of date, is not stored correctly (was it frozen?) or has been used for more than 28 days at room temperature</li>
 <li>being less active than usual</li>
 <li>emotional or psychological stress</li>
 <li>being unwell or having an infection</li>
 <li>taking steroid medication</li>
 <li>over-treating a hypo</li>
 </ul>
 </li>
 <li>Watch for symptoms of hyperglycaemia these may include:
 <ul>
 <li>being excessively thirsty</li>
 <li>pass more urine</li>
 <li>feeling tired</li>
 <li>blurred vision</li>
 <li>infections</li>
 <li>weight loss</li>
 </ul>
 </li>
 <li>Ensure blood glucose levels are checked frequently (every four hours) and also check for blood ketones (please see Values for Blood / Urine Ketones table below)</li>
 <li>Recommend the person drinks extra water or low calorie fluids to keep up with fluid loss by passing more urine</li>
 <li>Contact the person’s General Practioner, Endocrine doctor or attend local Emergency Department if
 <ul>
 <li>blood glucose levels remain high</li>
 <li>blood ketones are positive (see details about ketone levels and requirements below)</li>
 <li>nausea, vomiting or abdominal pain occur</li>
 </ul>
 </li>
 <h2 style="color:red;">Ketoacidosis</h2>
 <li>Ketoacidosis is related to hyperglycaemia, it is a serious condition associated with illness or very high blood glucose levels in type 1 diabetes. Itis a sign of insufficient insulin</li>
 <li>Without enough insulin, the body’s cells cannot use glucose for energy. To make up for this the body begins to burn fat for energy instead. This leads to accumulation of a dangerous chemical substance in the blood and urine called ketones</li>
 <li>Without enough insulin, the body’s cells cannot use glucose for energy. To make up for this the body begins to burn fat for energy instead. This leads to accumulation of a dangerous chemical substance in the blood and urine called ketones</li>
 <h2>Ketoacidosis is a serious MEDICAL EMERGENCY and can be life threatening if not treated properly. If these symptoms are present attend RAH EMERGENCY DEPARTMENT IMMEDIATELY:</h2>
 <li>High blood glucose levels and high blood or urine ketone levels with:
 <ul>
 <li>rapid breathing</li>
 <li>flushed cheeks</li>
 <li>abdominal pain</li>
 <li>sweet acetone / fiuity smelling breath</li>
 <li>nausea and / or vomiting</li>
 <li>dehydration</li>
 </ul>
 </li>
 <li>Blood ketone levels are more precise as it provides a current reading and are the preferred testing method. Freestyle Optium B-Ketone Test Strips are used with Freestyle Neo blood glucose meter</li>
 ' }}

Suggested Meal Plan for participant

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'sleep_hygiene_wandering_at_night_checkbox', 'keyName'=>'sleep_hygiene_wandering_at_night'])

Sleep Hygiene/ wandering at night (strategies):

{{ $risk_management_3['sleep_hygiene_wandering_at_night']['answer_1']??'
 Risk Factors
 <ul>
 <li>Physical and chemical changes associated with disability.</li>
 <li>Daytime sleeping (napping) and physical inactivity</li>
 <li>Depression and anxiety</li>
 <li>Pain</li>
 <li>Excess consumption of Caffeine</li>
 <li>Excess smoking habit (nicotine)</li>
 <li>Medication’s side effect</li>
 <li>Obsess to use social media at night</li>
 <li>Obsess to use inline games</li>
 <li>Influence of strangers while using social media</li>
 </ul>
 Consequences
 <ul>
 <li>stays awake for almost the whole night and sleeps the whole of the next day</li>
 <li>misses essential medical and dental appointments.</li>
 <li>Misses planned daytime activities which are pre-planned </li>
 <li>Fatigue</li>
 <li>prevents participant from developing new skills and working towards independent living</li>
 <li>Decline in self-care and ADLs</li>
 <li>Risk of absconding</li>
 <li>Risk of developing other secondary health issues</li>
 <li>Poor relationship with family</li>
 <li>Befriending with strangers on social media and inviting them to the house</li>
 </ul>
 ' }}

{{ $risk_management_3['sleep_hygiene_wandering_at_night']['answer_2']??'
 Daytime Suggestions
 <ul>
 <li>Essential that support workers spend sufficient time with Participant to enable trust and rapport to be established</li>
 <li>Establish a good working relationship by instigating appropriate communication methods, e.g., making timetables, menu planning, shopping, etc</li>
 <li>Set an alarm to wake up at about the same time every day.</li>
 <li>Include meaningful activities in your daily schedule. Encourage Participant to become involved in and learn to enjoy all activities of daily living, household chores, shopping, etc. Participant loves to shop, but buys mostly unhealthy food, e.g., cakes, chips, biscuits, ice cream, fizzy drinks etc.</li>
 <li>Get off the couch and limit TV watching.</li>
 <li>Exercise every day. Regular exercise improves sleep problems also helps in reducing depression and anxiety. </li>
 <li>Get outdoors for some sunlight during the daytime. If you live in an area with less sun in the wintertime.</li>
 <li>consider using light box therapy.</li>
 <li>Limit napping to no more than 20 minutes during the day.</li>
 </ul>
 Night-time Suggestions
 <ul>
 <li>Prompt participant to go to bed at about the same time every night.</li>
 <li>Follow a bedtime routine. For example, put out your clothes for the morning, brush your teeth and then read or listen to relaxing music for 10 minutes before turning out the light.</li>
 <li>Support participant to limit the consumption (or avoid) of caffeine, nicotine, alcohol and sugar for at least five hours before bedtime.</li>
 <li>Avoid eating prior to sleep to allow time to digest, but also do not go to bed hungry, as this can also wake you from sleep.</li>
 <li>Do not exercise within two hours of bedtime but stretching, meditation or a warm bath before bed may help with sleep.</li>
 <li>Do not eat or watch TV while in bed.</li>
 <li>Create a restful atmosphere in the bedroom, protected from distractions, noise, extreme temperatures and light. </li>
 <li>If you go to bed and don’t fall asleep in 20 minutes, get out of bed and do something relaxing or boring until you feel sleepy.</li>
 <li>Avoid using mobile, laptop or any device</li>
 </ul>
 Environment
 <ul>
 <li>Keep quiet noise levels at sleep times</li>
 <li>Maintain room temperature at 16-20°C, and select bedding and sleep clothes to maintain a comfortable body</li>
 <li>Ensure darkened bedroom (blackout blind)</li>
 <li>Consider sensory sensitivities of participant (if any)</li>
 <li>Ensure the bed is comfortable (consider sleep systems)</li>
 <li>Remove or hide stimulating toys/instruments</li>
 <li>Use nightlight, or red modelling bulb if preferred</li>
 </ul>
 Talk to your health care provider.
 <ul>
 <li>If participant’s sleep problems is not getting better, talk to the GP to explore safe and effective solutions. Evaluation of sleep problems should include a thorough</li>
 <li>history of such problems, </li>
 <li>medication review, </li>
 <li>an assessment of your bedtime routines, </li>
 <li>and a comprehensive medical evaluation.</li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'vulnerability_checkbox', 'keyName'=>'vulnerability'])

Vulnerability

Stranger danger
Abused by staff
Abused by friends/family

{{ $risk_management_3['vulnerability']['answer_2']??'
 Promoting human rights (CRPD)
 <ul>
 <li>Staff to be able to educate participant for their rights (they have equal human rights and have right to be safe in the community)</li>
 <li>Involving all the interested parties (stakeholders) to get everyone inputs (Guardians/OPA/SSC etc)</li>
 <li>Promoting staff knowledge, experience and training ( portal trainings)</li>
 <li>Education participant how to approach the house manager/management if participant has any concerns with the support team or someone from outside.</li>
 <li>Weekly meeting with participant to discuss the feedback and act on the feedback, house-manager to contact management if any care concern raised by participant</li>
 <li>Assist participant to develop and maintain family, friends and community networks</li>
 </ul>
 How To Respond To Abuse
 <ul>
 <li>Staff to be remain calm and in control</li>
 <li>First step is, if participant is expressing any concern, staff must acknowledge and do not argue</li>
 <li>Protect and reassure participant that they have done the right thing by telling you (staff) (let the person know that you are able to listen, and you want to help)</li>
 <li>Reassure the person that you believe whatever participant said</li>
 <li>Record it exactly and report to management ASAP (seek an advice if any confusion)</li>
 <li>If the person is non-verbal, or finds it difficult to communicate, taking photos of any injuries as evidence could be vital (with the person’s permission).</li>
 <li>Staff to contact immediately management to report and take further action</li>
 <li>Once report is received, has a legal responsibility to report this to the relevant agencies, such as NDIS commission, SA Police, Ambulance, Child protection agencies as applicable</li>
 <li>Dealing with abuse and neglect may be emotionally challenging, staff will be contacted by management for Debriefing and other follow-ups </li>
 </ul>
 Addressing any injury
 <ul>
 <li>Staff to look for any injury and get participant accessed in the hospital or GP to ensure participant health is checked properly. </li>
 <li>If there is suspicion of abuse, staff to call ambulance and police first and do not try to treat by themselves without consulting</li>
 </ul>
 Teaching Stranger Safety Skills to participant
 <ul>
 <li>Instruction: Educating participant to risk associated with mingling with strangers and be supportive</li>
 <li>Role Play Stranger Scenarios</li>
 <li>Staff to ensure the mobile phone always charged so when he is out for a longer period, still bale to contact the house</li>
 <li>Ensure when participant goes out, has mobile with him</li>
 <li>Ensure the important contact details are saved in the phone and educate him to call police when fee unsafe</li>
 <li>Staff to do a regular welfare check when goes out to ensure the safety. When does not pick the phone call, send a text message to call the house.</li>
 <li>If still not answer, staff to notify police and get the police reference number.</li>
 <li>Staff to be in touch with police for the latest update and remind participant is very vulnerable due to his disability.</li>
 <li>When participant contact back the staff, staff to arrange pick up if safe to do so, or notify police.</li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'uv_and_hot_weather_checkbox', 'keyName'=>'uv_and_hot_weather'])

UV & Hot Weather

{{ $risk_management_3['uv_and_hot_weather']['answer_2']??'
 Planning
 <ul>
 <li>Staff must check the Bureau Of meteorology report for the latest weather updates</li>
 <li>Planning the trip/outing/work based on the weather condition</li>
 <li>Avoid outdoor activities if the temperature is 35 degree and above</li>
 <li>Sunscreen before going out (Cancer Council recommends using a sunscreen every day on days when the UV Index is forecast to be 3 or above)</li>
 <li>Make sure the sunscreen is at least 30SPF, broad-spectrum and water resistant.</li>
 <li>Sunscreen must be applied when UV Index is forecast to be 3 or above</li>
 <li>Sunscreen needs to be applied 20 minutes before going outdoors. </li>
 <li>Use a generous amount of sunscreen.</li>
 <li>At least one teaspoon per limb, one for the front of the body, one for the back and one for the head</li>
 <li>Sunscreen should be reapplied every two hours if participant is spending time outdoors.</li>
 <li>wear a hat to cover head</li>
 <li>wear clothes that cover the arms and legs to provide extra protection</li>
 <li>work in the shade.</li>
 <li>Ensure that an adequate supply of drinking water is available </li>
 <li>Arrange for additional rest periods as required</li>
 </ul>
 Managing Heatstroke medical emergency
 <ul>
 <li>Understanding the sign and symptoms of heatstroke</li>
 <li>If participant develops heatstroke:</li>
 <li>Call triple zero (000) for an ambulance.</li>
 <li>While waiting for emergency medical help, get the person to a cool shady area and lay them down.</li>
 <li>Remove excess clothing and wet their skin with water or wrap in wet cloths, fanning continuously.</li>
 <li>Do not give the person fluids to drink.</li>
 <li>Position an unconscious person on their side and clear their airway.</li>
 <li>Monitor their body temperature where possible and continue cooling efforts until the body temperature drops below 38 °C.</li>
 <li>Wait for the ambulance to urgently transport the person to hospital, where more intensive cooling and support can be given.</li>
 <li>If medical attention is delayed, seek further instructions from ambulance or hospital emergency staff.</li>
 <li>Better-health <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/heat-stress-preventing-heatstroke#people-most-at-risk-of-heatstroke">(https://www.betterhealth.vic.gov.au/health/healthyliving/heat-stress-preventing-heatstroke#people-most-at-risk-of-heatstroke) </a></li>
 <li>South Australia (<a href="http://www.sahealth.sa.gov.au/">www.sahealth.sa.gov.au</a> or call (08) 7425 7065)</li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'scalding_checkbox', 'keyName'=>'scalding'])

Scalding

Very hot liquids or steam can cause this type of burn (shower water that is too hot)

{{ $risk_management_3['scalding']['answer_2']??'
 Preventing scalds: hot water standards
 <ul>
 <li>Ensure that all new heated water installations use a thermostatic mixing valve or thermostatically controlled tap to deliver hot water not exceeding 45°C at fixtures used primarily for personal hygiene purposes</li>
 <li>For older heated water installations, consider installing a temperature control device such as a thermostatic mixing valve set to a maximum of 45°C</li>
 <li>Ensure bathroom fixtures such as shower heads limit maximum water flow</li>
 </ul>
 Preventing scalds when supporting participants:
 <ul>
 <li>Always running the cold water in the bath or shower first before the hot water</li>
 <li>Always checking the temperature of the bath, shower or other hot water before a participant enters the water</li>
 <li>Not leaving the plug in while a participant showers, if the shower is a combined bath and shower</li>
 </ul>
 First-aid if scalding occurs:
 <ul>
 <li>Apply cool running water to the site of the scald for 20 minutes </li>
 <li>Do not touch the burn </li>
 <li>Do not apply any lotions or ice to the area</li>
 <li>Remove any clothing or jewellery near the scald</li>
 </ul>
 Call an ambulance if:
 <ul>
 <li>The burn/scald is larger than a 20-cent piece </li>
 <li>The burn is deep </li>
 <li>The burn has blisters, pus or discharge </li>
 <li>The skin appears leathery </li>
 <li>The burn is to the face, airways, hands or genitals </li>
 <li>There are patches of brown, black or white </li>
 <li>The person also has a fever </li>
 <li>The person is having trouble breathing</li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'water_competency_checkbox', 'keyName'=>'water_competency'])

Water competency

{{ $risk_management_3['water_competency']['answer_2']??'
 <ul>
 <li>Not to let participant go in water/ beach/ swimming pools when petrol on duty or/and rescue equipment are not available. </li>
 <li>participant need to be supervised all the time by professional</li>
 </ul>
 <h3>WATER SAFETY PRECAUTIONS FOR</h3>
 <ul>
 <h4>1)	MOBILITY DISABILITIES</h4>
 <li>Request or check accessibility information when visiting a public facility, beach or waterway</li>
 <li>If participant is at the pool, make sure you (staff) let the lifeguards know about the person disability or condition</li>
 <li>Assist wearing a life jacket</li>
 </ul>
 <ul>
 <h4>2)	SENSORY (SEEING, HEARING) DISABILITIES</h4>
 <li>Create a safety signal for you and your child to communicate an emergency. Make sure you tell any caregivers what this signal is</li>
 <li>If participant is at the pool, make sure you (staff) let the lifeguards know about the person disability or condition</li>
 <li>Assist wearing a life jacket</li>
 <li>If participant uses a hearing device, check that it can be used in the water</li>
 <li>Earplugs can help mitigate sensitivities in some cases</li>
 </ul>
 <ul>
 <h4>3)	LEARNING DISABILITIES</h4>
 <li>If participant is at the pool, make sure you (staff) let the lifeguards know about the person disability or condition</li>
 <li>Assist wearing a life jacket</li>
 </ul>
 <ul>
 Reference
 <li><a href="https://www.royallifesaving.com.au/stay-safe-active/communities/disability/how-to-stay-safe">https://www.royallifesaving.com.au/stay-safe-active/communities/disability/how-to-stay-safe</a> </li>
 </ul>
 ' }}

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'physical_care_checkbox', 'keyName'=>'physical_care'])

Physical Care

Personal hygiene
Showering/bathing
Continence

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'physical_care_2_checkbox', 'keyName'=>'physical_care_2'])

Physical Care

Eating/feeding self

Dysphagia, safe swallowing, and mealtime management
Meal management plan copy

{{ $risk_management_3['physical_care_2']['answer_2']??'
 Understanding swelling process (educate the participant about that)
 Participant’s favourite food and brinks (write the name)
 <ul>
 <li>A</li>
 <li>B</li>
 <li>C</li>
 <li>D</li>
 </ul>
 Be extra careful when the participant is consuming the following foods Foods that present a choking hazard include:
 <ul>
 <li>lollies </li>
 <li>raw peas </li>
 <li>meat, including chicken and fish (especially with bones)</li>
 <li>nuts</li>
 <li>raw carrot, apple, fruit pips and stones</li>
 <li>bread</li>
 <li>dairy foods.</li>
 </ul>
 Prevention strategies 
 <ul>
 <li>Follow any diet plan, as outlined in the Meal Support Plan.</li>
 <li>Please do not rush the participant to eat their meal.</li>
 <li>Keep noise and activities in the environment to a minimum.</li>
 <li>Do not encourage the participant to drink fluids while eating.</li>
 <li>Do not encourage talking while the participant is eating, as the epiglottis (the hinge-like flap at the base of the tongue that keeps food from entering your windpipe) does not to open or close as it cannot register whether food or air is entering.</li>
 <li>Do not let the participant eat lying down.</li>
 <li>Always peel fruit (e.g. apples, pears) before serving to a participant.</li>
 </ul>
 If a participant is choking
 <ul>
 <li>Firstly, check if they can cough. Encourage the participant to do so, as people can often clear blockages themselves. </li>
 <li>If they are unable to cough, bend them forward, supporting their chest with one hand, and use the flat of your other hand to give a firm back blow between the shoulder blades.</li>
 <li>Check to see if the blockage has cleared before giving another blow.</li>
 </ul>
 Observe, record, report 
 It is essential that care workers:
 <ul>
 <li>are alert to any changes in the participant’s condition and signs of issues in swallowing</li>
 <li>act quickly in passing on this information to a supervisor or manager and in the handover documentation.</li>
 <li>call 000 in emergency</li>
 <li>in the event of a serious incident follow the Reportable Incident, Accident and Emergency Policy and Procedure </li>
 </ul>
 ' }}

Food and Drink Consistency Chart (if the participant is on Modified diet)

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'epilepsy_management_plan_checkbox', 'keyName'=>'epilepsy_management_plan'])

Epilepsy Management Plan

(if participant has epilepsy, must be accessed by a medical professional and must have management plan)

this section must read in conjunction with the Seizure management plan

Is on any medication to manage Epilepsy	{{ $risk_management_3['epilepsy_management_plan_1']['answer_1']??'' }}
Seizures triggers (e.g.: Lack of sleep, fevers or illness, alcohol or drug use, Stress, Hormonal changes such as menstrual cycles, Metabolic problems, certain medications, Excess caffeine, Low blood sugar, Flashing bright lights, Certain sounds, During specific times of the day or night (during sleep)	{{ $risk_management_3['epilepsy_management_plan_2']['answer_1']??'' }}
My seizure description (Describe what happens before and during the seizure)	{{ $risk_management_3['epilepsy_management_plan_3']['answer_1']??'' }}

How to support during seizure (Emergency Medication Management Plan (EMMP)	The medication	{{ $risk_management_3['epilepsy_management_plan_4']['answer_1']??'' }}
	Method of administration	{{ $risk_management_3['epilepsy_management_plan_5']['answer_1']??'' }}
	Dose	{{ $risk_management_3['epilepsy_management_plan_6']['answer_1']??'' }}
	Instructions for administering the dose	{{ $risk_management_3['epilepsy_management_plan_7']['answer_1']??'' }}
	Emergency procedures.	{{ $risk_management_3['epilepsy_management_plan_8']['answer_1']??'' }}

When to call an ambulance

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'physical_care_3_checkbox', 'keyName'=>'physical_care_3'])

Physical Care

Mobility issues

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'legal_checkbox', 'keyName'=>'legal'])

Legal

Forensic history
Licence conditions
Orders

@include('backend.hr_module.risk_management.wizard.risk_management_radio_options',['risk_management_checkbox'=>true, 'id'=>'add_other_checkbox', 'keyName'=>'add_other'])

Add Other