Hi, specific conditions affecting individuals could be :
arthritis, stiff, possibly swollen, painful joints and frequently have limited movement in the affected areas.
cerebral palsy, 3 main types, may affect muscle tone, communcation may also be affected.
spinal injury, symptons can very from pain to paralysis.
a stroke, paralysis or weakness which effects one side of their body, or they may be in a deep coma, need to know what part of the body had been affected, person's communication may be affected: need to be observant for signs of pain or discomfort ie. non-verbal communication, pressure sores, etc.
Parkinsons, limb rigidity, person may have slower reaction times, they may have communcation difficulties.
If the individuals' wishes conflict with their care/support plan in relation to health & safety & their risk assessment you would need to ensure that the individuals' wishes were listened to & respected & that their, your own, & others, health & safety was not put at risk.
Include the individual in the risk assessment to help prevent conflict from arising, help them feel empowered, the reasons why it's necessary, that it's for them as well as the people that are helping them, ask the individual why they object/disagree - give them time to explain, give reassurance, try to reach a compromise that is safe & protects individual, yourself & others' well-being, explain the consequences for themselves eg. they may fall if they walk down the steps, injuries that may occur. Report to your line manager, record in the individuals' notes/support records, etc. Risk assessment/support/care plan may need reviewing/revising.
Explain to the individual your reasons