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Accueil La Clairière Observe, translate what the person is trying to say, sometimes without any word, a base for care support at 'La Clairiere', Arlon, Belgium
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La Clairière
  • Rue de Sesselich, 236 6700 Arlon Belgique
  • + 32 063/22 04 26
  • info@nullla-clairiere-arlon.be
  • Carine Steux
  • c.steux@nullla-clairiere-arlon.be


Observe, translate what the person is trying to say, sometimes without any word, a base for care support at 'La Clairiere', Arlon, Belgium

  • Social Life : Life Project
  • Europe : Belgium
  • Fiche d'expérience

Par Carine Steux le 16/10/2017

If we make of the observation the basis of our work, it's to adapthe the accompaniment to each recipient. Observation allows you to take the time to see the different axes, avoid going too quickly to conclusions and make judgments. It saves time to take the time of observation.

 

  1. The context

 

The 'La Clairière' headquarter is located in Arlon, in Wallon Belgium. We have 5 registered services. Accommodation, day care and administrative services are in Arlon, as well as supportive housing. Our care service shines through a half South of the province of Luxembourg. In Florenville, we have a farm house which accommodates 14 people.

 

The purpose of 'La Clairière' from the beginning is to offer a  varied answers to the needs of beneficiaries. Political and financial issues are in the background. Our concern is above all to individualize the answers. We have different services, but also a commitment to individual observation.

 

Those being received in our hosting or day care services are mostly people with a mental handicap. In the support services, we support people with any type of disability including motor, sensory, or mental disorders.

We welcome about 120 people about which 45 are hosted, 15 come during the day and 60 are supported by our care services. The average age is about 45 years old.

 

 

  1. The purpose of the experience

 

 

If  observation became the basis of our work, it's to reach an accompaniment adapted to each recipient. Their words are not always consistent with their behavior. They often answer what you want to hear and do any other thing in reality. Observation allows you to take the time to see the different axes, avoid going too quickly to conclusions and make judgments. It saves time to take the time of observation.

We have an audience that for some, has no verbal. If we're not sharp in our observation, we're missing the answers to their needs. We had people with behaviour disorders and we had failures. The lessons of these failures pushed us to go towards always and have more sharp observations.

 

Put the person at the center of his project is one of our four core values. It's in knowing his mode of expression that we are going to hear what he or she projects and we will do his project. Take in the plate of his neighbour, for example says something. It's with a fine analysis that we can understand what she wants in this gesture of appropriation, but also what she is not . Observation allows not to reduce the person to this gesture and not to forget the history of life that is long and who built her.

 

 

  1. Translation on a daily basis of observation

 

 

We have a concrete structure of the day that defined moments of activity, rest, leisure, Exchange. This allows to see the changes, different attitudes. It is a first base. We observe successes, failures, the different orientations of what was planned. Taking time, experiencing things with them is another way that takes the observation. Full days leisure activities make us see a different perspective of their daily lives. Observation is not something cold and remote, it's go to meet her, where the person is.

 

This requires a relational experience. Educators must be able to translate all attitudes so that the information can be transmitted. We reword regularly, and for some almost always . We also study the reactions. If the person sees that we have understood, she manifests, otherwise she goes. With non-verbal people, we're looking for somatic problems which would explain behaviour. Even in care service, they can't tell their pain, because they have a bad idea of their body schema.

There is also an exchange in a multidisciplinary team. It is very important. We're trying  not to have a pre-defined judgment.

 

Because of the diversity of disabilities, the observation remains a challenge. Medicine sometimes is unclear. We have people who have opposite reactions to the medication. Time is an ally. Collective life and ritualized daily can lead to less observation. Our personal beliefs are also involved. Each carer bases its own priorities on his course of life.

 

  1. The means of observation

 

People  working at 'La Clairière' are graduates, primarily as educators.  Furthermore, we develop this mindset. We support in difficult situations by a third party service that works on dual diagnosis. The exchange with third parties outside invites us to revise our assumptions.

We have pedagological days to take up these issues and team meetings every 15 days to revisit our practices

 

 

Concerning the methods, in all our service projects we talks about the pyramid of Maslow. Otherwise we are referring to the four values of the associative project: respect, openness, the person at the center of his project, the professionalism.

When something is wrong, taking over these values allows to get out of his personal point of view.

Concerning emotional life, we have defined guidelines.

In addition we have sheets which are very specific protocols for the accompaniment of some people in order to give each of the common benchmarks. Use easy to read language, and pictograms for the discommunicants.

 

  1. How do you evaluate today?

 

I think that we have reached a good level in the objectives. Our observations reassure us. But the fact remains that the day where we will estimate to be arrived, we go to the disaster.

Everyone evolves, beneficiaries as carers. We notice a better life for everyone. The satisfaction of having overcome challenges, not all however, is satisfaying for staff. Greater confidence at the level of the families moved, even, if sometimes we need to get some distance. An understood and listened resident is likely to feel better.

Because of our fine observation, medical and foreign service make us more confidence, there is a better exchange and complementarity is more naturally. We have also developed our creativity.

 

However, regularly fear flush again. When beneficiaries themselves or educators come to experience it, we need to be more vigilant. It requires to decrypt warning signals, announcing where it releases or preventing a change coming. The bearable for a team is always relative.  Sometimes it's an outside view that we remember that we're over the limit, after which there is no more sense

Obeservation should remain a tool. If there is no meaning and purpose, even with the observation we get nothing. Define what we observe and why we try to observe  allows us to keep the sense of observation.

 

In conclusion, my advice would be never lose sight to the beneficiary who is at the Center. It is desirable not to stop at the disability, even if it is an element that must be taken into account. Being creative, daring, risk-taking in a way, makes all the richness of our business.

From an interview with Ms. Steux

 

 

 

 
   

 

 

 

 

 

 

 

 

Langue d'origine : Français
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