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Introduction The incident which I have chosen for my Nursing Project happened on the last day of my learning difficulties placement It involved a young Autistic man who I will refer to as John throughout my assignment This is to protect the clients identity this is in accordance with the UKCC Code of professional conduct 1992 clause 10 Protect all confidential information concerning patients and clients obtained in the course of professional practice and make disclosures only with consent where required by the order of a court or where you can justify disclosure in the wider public interest One incident which I believe highlights the problem I will address involved myself bathing John This was not the first time that I had bathed a person during the placement however the difference this time was that while I was washing John he would display elf-injurious behaviour by slapping his face and then repeating the phrase stop slapping face I chose this incident from my clinical diary as I feel that the self-injurious behaviour that John exhibited is an interesting and difficult Nursing problem and one which affected my ability to care for him Rather than focussing on the self-injury specifically related to Johns case I will examine the possible ways to manage self-injurious behaviour especially in persons with learning disabilities To manage this problem effectively a multi-disciplinary approach is required but for the purposes of this essay I will look at the problem from a Nurses perspective I will begin by giving a brief description of self-injurious behaviour and the possible causes I will then highlight the different techniques available to Nurses for the management of this behaviour Self-injurious behaviour Murphy and Wilson1985 define this as Any behaviour initiated by the individual which directly results in physical harm to that individual As is apparent in the literature self-injurious behaviour is referred to as
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