Principle of Health and Social Care Level 4

Question: Explain how principles of support are applied to ensure that individuals are cared for in health and social care practice.Outline the procedure for protecting clients, patients, and colleagues from harm.Analyse the benefit of following a person centred approach with users of health and social care services.Explain ethical dilemmas and conflict that may arise when providing care, support and protection to users of health and social care services.Understand the impact of policy, legislation, regulation, Codes of Practice and standards on organisation policy and practiceExplain the implementation of policies, legislation, regulations and codes of practice that are relevant to own work in health and social careExplain how local policies and procedures can be developed in accordance with national and policy requirements.Evaluate the impact of policy, legislation, regulation and codes of practice on organisational policy and practice.Understand the theories that underpin health and social care practiceExplain the theories that underpin health and social care practiceAnalyse how social processes impact on users of health and social care.Evaluate the effectiveness of inter -professional working.Be able to contribute to the development and implementation of health and social care organisational policyExplain your own role, responsibilities, accountabilities and duties in the context of working with those within and outside the health and social care workplace.Evaluate your own contribution to the development and implementation of health and social care organisational policy.Make recommendations to develop own contributions to meeting good practice requirements. Answer: Principles of support that be applied to guarantee care in the Health and Social care According to this scenario, Angela is working with Ahmed and Sylvia from a very long time. Both are 70 years old. Angela is concerned with the care of both of them. The couple is having health issues, and they do not want to go into a care home. Angela has discussed the matter with her manager and the children of Ahmed and Sylvia. They decided to move Ahmed to a care home so that Sylvia can take a break from her responsibility of caring. The principles of support are concerned in applying the guarantee of care in the practice of health and social care. According to Human Right Act 1998, every patient should be treated equally and with dignity irrespective of their circumstances. Every individual, regardless of age, gender, disability, ability to consent should be treated in a respected manner. The individuals should be given the opportunity to choose their desired level of care in the care home so that they can exercise their right of preference in all the activities of their daily life. The individuals should be given privacy and should be able to connect to his/her family member. There should be activities to encourage independence, and they should also be helped to overcome the difficulties related to the disease or aging (Van Malderen et al. 2013). Procedures for protecting the patients from harm Protecting the patients, clients, social group from harm is an important consideration for all the care home managers and the other staff members. For ensuring the safety of the patient, the healthcare organizations should identify the reasons for impairment and risk in the place of work. The care workers must also make sure that they provide value services which are effectual in nature, and it should also be risk-free (Jetten et al. 2014). It is difficult to handle the mental patients because they need more psychological support and supervision. In the given scenario it is very much essential to give mental support to Ahmed who is suffering from Alzheimers disease and is now sent to the care home for the treatment (Wacker and Roberto 2013). The confidentiality of the patients should be of utmost concern. The healthcare professionals should share the information with the other individuals if there is a need to share that particular information. They should respect an individual's right to privacy in all facets of the care which they provide. Even if a patient dies, the right to privacy and confidentiality should be given respect. All the healthcare care professionals are bound by the official duty of confidence to protect private information that they come in get in touch with during work. This is not only the necessity of their job responsibilities but also a requirement within the Data Protection Act 1998. According to this law, the employees are bound to keep all the personal information in a strict manner (Markle Reid et al. 2013). Benefits of following a person-centered approach with users of Health and social care services A person-centered approach is concerned with sustaining and fulfilling the requirements, preferences and desires of the patients. The patients are expected to make choices and by strictly maintaining their self-respect and solitude. It is on e of the finest practices to manage the overall care of the patients in all the health and social care settings. This process makes certain the best care of the patients by fulfilling all the needs and demands of the patient. The patient feels the sense of individualism and the effect is good concerning their health and well-being. The patient's physical, psychological, emotional and mental health properly cares during their process. The personal requirements of the patient are met to a much more extent. A fine communication among the service providers and the care workers is very much necessary in this process. The confidence of the clients may be improved if the queries are appropriately answered. The character in the given scenario needs to be questioned regarding the problems he is facing and the quality of care he desires during treatment. The care home should consider the discussed approach to analyzing and find a solution to the problems which the patient is facing. This approach is useful for the service user as well as the healthcare provider. The job of the care workers will become trouble-free, and their level of self-confidence will also increase by utilizing this process (Baldwin et al. 2012). Ethical dilemmas and conflict of a care worker who may be faced with the course providing care, support and protection Now and then the health care professionals face such circumstances which are enormously ambiguous for them. It is necessary for the care workers to uphold the rules and policies of the organization every time buy it should always be for the welfare of the patients but in a few situations, they are unable to execute those. Hence, as a result, the creation of ethical dilemmas occurs in these types of situations. Sometimes disagreement may occur in opinion, culture and, belief among the service users and the care workers. Consequently, the wellbeing and societal care of the service user may get exaggerated by this disagreement and the eminence of health and social concern can be hindered by it (McCormack et al. 2013). If an individual is an adult, he/she has the right to take his/her individual decision. At times, the patients take insignificant decisions e.g. sometimes they don't want to take medications. But for gaining the normal health, it is very much necessary to take medications on a regular basis. On the other hand, the patients are obliged to follow and respect the decision of the patient. Thus, as a result, the patients face an ethical quandary. A health care professional cannot assist the patient although it is his/her responsibility to be bothered of the patients as they refuse to take the treatment. The care workers will be accountable for all the happenings of the patient, if a patient is not willing to take the medicine, the doctor cannot force him to take it and he will always motivate the patient in every possible way (Hamric et al. 2013). Implementation of policies and legislations to find a care home for Rachels Mother According to the case study scenario, Rachel's mother had already been abused by her caregiver, which makes Rachel more cautious to find a care home for her mother. In this procedure, several policies and legislations could be implemented to ensure the security of her mother in a care home. Home Health Care Planning Improvement Act of 2015 could be implemented to allow Pas/NPs to sign health care plans for the home. Also, Safeguarding Vulnerable Groups Act 2006 (SVG) could be implemented to ensure the security of Rachel's mother in a care home (Kocher and Adashi 2011). According to the Care Act 2014, a stack of general responsibilities goes to the local authorities to help the elderly people in their care home as well as ensuring their security. Rachel can certainly find a community where the people are well aware of these acts and concern the facilities provided by the care homes. On the other hand, the code of practice of the NMC enlisted a list of working guideline for the nurses and midwives to ensure the patient's safety. Before selecting a care home for her mother, she needs to make sure that the care givers in that organization follow the code of practice published by the NMC along with other acts. The World Health Organization (WHO) also published several policies to ensure the safety of the elderly people, especially who are mentally ill. However, Rachel's mother is intended to pay her bills, which excluded the coverage of Human Rights Act. Development of the local policies and procedures to help the situation There are different policies and legislations that cover the security issue of Rachels mother. However, it is found that the implementation of only legislation and policies are not helpful to ensure her safety. Rachels mother was already abused once; therefore, Rachel needs to make sure if the care home also follows local policies and procedures to provide proper safety towards their clients or patients. The Care Act 2014 introduces the care and support plan for the elderly and vulnerable people and the roles and responsibilities of the local authorities (Act 2014). The general responsibilities of the local policy makers include promotion of the individual well-being and take care of the needs of the people who live in the care home. The local policies and procedures need to be improved in such way that can improve the quality care of the care home improve. The improvement of the local policies and procedures may be helpful to implement other acts and national policies to help the vu lnerable groups who are staying at the care home. On the other hand, the practice guide of the NMC (Nursing and Midwifery Council) ensures the safety of the patients as well as the vulnerable elderly people who stay in the care home (Nursing 2010). The code of NMC is helpful to guide the registered nurses and the midwives in the United Kingdom to provide their best quality care as well as educating patients to ensure their safety. Evaluation of the impact of regulation, policy, legislation and codes of practice on organizational practice From the case study, it is found that Rachel's mother is suffering from illness and needs a caregiver to take care of her. However, it is found that she is already abused by one caregiver. Therefore, Rachel is intended to find out an ideal care home, where her mother will be safe, and her privacy will be protected. To ensure the safety of the vulnerable elderly people in the care home, it is important to evaluate the impact of the policies, legislations and practices on those care homes (Holland et al. 2010). The Care Act 2014, Home Health Care Planning Improvement Act of 2015, Vulnerable Groups Act 2006 (SVG) and the code of practices of the nurses (NMC guideline) needed to be followed by the care homes. The Care Act 2014 ensures the privacy as well as the safety of the elderly people in the care home. Home Health Care Planning Improvement Act of 2015 is helpful to provide a proper health care plan for the people in a care home (Kocher and Adashi 2011). On the other hand, Vulnerable Groups Act 2006 (SVG) ensures the security provided by the care home to their guests (Cleary and Erooga, 2012). The code of NMC (Nursing and Midwifery Council) should be followed by the nurses in a health care organization or a care home (Nursing 2010). According to this code of practice, the nurses and the midwives are the liable people for the responsibility of the safety and privacy of the individual patient or elderly people. The theories that underpin the social and health care In the field of social and health care practices, there are several theories, which offer priorities to the individual's need and different events. These theories are helpful to develop plans to encourage a healthy daily life and to attain a high level of mental, social, physical and emotional fitness. Maslow's hierarchy of needs is considered as one of the social and health care theory (Thielke et al. 2012). According to this theory, the human needs could be classified into seven levels, and fulfillment of the basic needs is the first step. Another well known theory in this context is Human growth and development, which emphasizes that that there is a need for caring in different stages of life (Sameroff 2010). According to the researchers, it is found that the requirements of care, as well as services, are changed with the change, growth and the development of an individual. On the other hand, Eriksons stages of psychosocial development are a comprehensive psychoanalytic theory to identify eight stages of healthy development (Rutjens et al. 2013). In the context of stress management, behavior and social processes different theories could be implemented in the health care organizations. In the practice of social and health care, these theories play a critical role. For the speedy revival of the patients from depression and sickness, the care workers need to implement most of these theories in their practice. Several self-assessment tools could be used to assess the stress, such as Mood self-assessment. The health care practitioners need to have profound knowledge about their role and responsibilities to provide best services. The impact of social processes in social and health care In the society, social processes such as social exclusion, unemployment, poverty and marginalization play a critical job in the users of the social and health care services. The behavior of people and their adaptation to the new situation is greatly influenced by these factors (Mehl et al. 2012). The way of peoples opinion, their choices of lifestyle and their actions are greatly influenced by these social processes. To ensure the efficiency of the intervention, the development of the social and health care strategies is considered in the context of social processes. Health and social care services need to be applied in a different way to be more effective since diverse people who belong to different culture and society react in a dissimilar way in the same situation. The people who belong to the poor economic background are afraid to approach towards the health care centers in the urban area and lead a low lifestyle (Caglar-Nazali et al. 2014). On the other hand, social exclusion is the process in which the people of the community are deprived of various rights, resources and opportunities that are normally available for the other groups. The marginalization is a social process of being made marginal, especially as a small community or group within a large society. In a diverse society, different types of people live who came from a different background. Therefore, their requirements also differ from each other. It is the duty of the health and social workers to take care of these different types of people and consider their problems in order to shape their life and demolish the barriers of discrimination. Evaluation of the effectiveness of inter professional working In the practice of health and social care, a health care personals need to work in synchronization with the providers of the health care from the other organizations or completely other fields. In the health team, different people needed to be included from the different fields such as psychologists,health care assistants, physical therapists, Doctors, nurses, respiratory therapists and midwives and made them work synergistically to extract the best care services (Nugus et al. 2010). In the context of health and social care, the inter-professional working is used to cover different aspects of the needs of the different types of users and encourage the health workers to work in a collaborative way and develop a team spirit. The lack of the one health care staffs expertise could be easily replaceable by others who belong to the same field, which makes the implementation of the inter-professional working more effective (Cameron 2011). The implementation of the inter-professional working helps a continuous improvement of the care giving and decreases the delay in the service. In the case of taking care of the patients with multiple disorders or illness in a health care organization, the implementation of the inter-professional working is proved as beneficial since, the patient can receive attention from different health care specialist. Almost in all aspects, it is found that the inter-professional can efficiently meet the needs of the patients or the service users a nd helpful to promote "the holistic" approach to health. Also, it can be said that trustworthy and positive working attitude, as well as a worm relationship between the health care professionals and the service users such as the patients, are encouraged it. Role, Responsibilities, Duty and accountabilities related to working within and outside the workplace of Health and social care. The role of an individual who is concerned with the social care setting is to provide an advantageous and remedial setting for the patient. A relationship of trust is very much important for the process as most of the time the person who is involved with the care stays with the patient. To gain support, the patients depend on the healthcare professional, and the usual function and self-determination of the patient is implemented as greatly as possible because it is the responsibility of the care takers to make certain this issue (Cook and Polgar 2014). According to Dickinson, a care taker should consider all the facets of taking care and provide the patients the utmost care so that he can recover soon. The responsibility for carrying all the process which will take the accountability of care taker is to ensure the needs of the patients provide all the services, taking proper care of the patients and ensure that the rights of the patient are conserved and implemented. By performing their roles, they can meet the physical needs of the patients including hygiene and feeding. While the patients are admitted to the system of health care facility, the patient's physical, financial, and emotional interests will also be respected because they believe in the care taker (Greenhalgh 2013). Evaluation of own contributions for the development and implementation of health and social care organizational policy To ensure the smooth administration of the organization for staff and employees, there is a need to follow the individual, organizational strategy of definite institutions is necessary. For the reason of minimizing the delusion and misunderstanding, it requires making policies of the organization clear and uncomplicated. With the perfection and execution of policies, the contributions of an individual will add much because they are largely exaggerated by it. A superior working labor force will be developed if the employees comply with and adhere to the policy of the organization. It is necessary to evaluate which facet of the plan is the most important reason of nonconformity among the employees. As a result, the plan needs to be altered, or it should be improved (Thomas et al. 2014). Recommendations to develop own contributions to gather good practice requirements There is a need to learn first the sufficient knowledge regarding the system of practice by the common health board, to convene excellent practice necessities. By acquiring appropriate knowledge, one can find out if he/she is sticking to the national standards and policies or not. There is also need to evaluate our performance and ourselves too. The care takers should also take the local and national policies into consideration. By following the common set of laws and regulations, along with legislation in practices of health and societal care and the specific rules which are set by the organization must be compulsory for everyone. The care takers must follow the set of laws and conventions of the healthcare association, and they also need to be aware of their tasks. The care takers should act in an honest manner and treat the patients reasonably without any unfairness. They should all forms of written, spoken, and electronic communication, respecting the right to privacy of the pati ents (Green and Thorogood 2013). They should treat the patients in a way that does not take any benefit of the vulnerability or the reason for their distress. They should maintain the professional boundaries all the times regarding the work of care. They should not be persuaded by any belief will cause any hindrance in their delivery of work concerning the health and well-being of the patient. They should also act as role model for the individuals who wish to pursue their career in this field (Munhall 2012). We can also improve and develop ourselves in our practice of work by concerning the supplementary studies and training. If the individuals want to perform better and want to keep themselves fast paced on the active changes in their field of work, then they need to keep themselves updated on the recent or existing information concerning the practice of health and social care (Pope and Mays 2013). It is probably to reduce the risk of diseases and several risks associated with the delivery of healthcare services. The service providers have to work mutually with the government and other health and social care settings. References Act, C., 2014. Chapter 23.The Stationery Office, London. Available at: www. legislation. gov. uk/ukpga/2014/23/enacted (accessed on 1/9/2015). Baldwin, R., Cave, M. and Lodge, M., 2012.Understanding regulation: theory, strategy, and practice. Oxford University Press on Demand. Caglar-Nazali, H.P., Corfield, F., Cardi, V., Ambwani, S., Leppanen, J., Olabintan, O., Deriziotis, S., Hadjimichalis, A., Scognamiglio, P., Eshkevari, E. and Micali, N., 2014. A systematic review and meta-analysis of Systems for Social Processes in eating disorders.Neuroscience Biobehavioral Reviews,42, pp.55-92. Cameron, A., 2011. Impermeable boundaries? Developments in professional and inter-professional practice.Journal of Interprofessional Care,25(1), pp.53-58. Cleary, K. and Erooga, M., 2012. 3 Policy and LegislationChanging Responses to an Emerging Problem.Creating Safer Organisations: Practical Steps to Prevent the Abuse of Children by Those Working With Them,34, p.44. Cook, A.M. and Polgar, J.M., 2014.Assistive technologies: Principles and practice. Elsevier Health Sciences. Green, J. and Thorogood, N., 2013.Qualitative methods for health research. Sage. Greenhalgh, T., 2013.Primary health care: theory and practice. John Wiley Sons. Hamric, A.B., Hanson, C.M., Tracy, M.F. and O'Grady, E.T., 2013.Advanced practice nursing: An integrative approach. Elsevier Health Sciences. Holland, K., Roxburgh, M., Johnson, M., Topping, K., Watson, R., Lauder, W. and Porter, M., 2010. Fitness for practice in nursing and midwifery education in Scotland, United Kingdom.Journal of clinical nursing,19(3 4), pp.461-469. Jetten, J., Haslam, C., Haslam, S.A., Dingle, G. and Jones, J.M., 2014. How groups affect our health and well being: the path from theory to policy.Social Issues and Policy Review,8(1), pp.103-130. Kocher, R.P. and Adashi, E.Y., 2011. Hospital readmissions and the Affordable Care Act: paying for coordinated quality care.Jama,306(16), pp.1794-1795. Markle Reid, M., Browne, G. and Gafni, A., 2013. Nurse led health promotion interventions improve quality of life in frail older home care clients: lessons learned from three randomized trials in Ontario, Canada.Journal of evaluation in clinical practice,19(1), pp.118-131. McCormack, B., Manley, K. and Titchen, A. eds., 2013.Practice development in nursing and healthcare. John Wiley Sons. Mehl, M.R., Robbins, M.L. and groe Deters, F., 2012. Naturalistic observation of health-relevant social processes: The electronically activated recorder (EAR) methodology in psychosomatics.Psychosomatic Medicine,74(4), p.410. Munhall, P.L., 2012.Nursing research. Jones Bartlett Learning. Nugus, P., Greenfield, D., Travaglia, J., Westbrook, J. and Braithwaite, J., 2010. How and where clinicians exercise power: Interprofessional relations in health care.Social science medicine,71(5), pp.898-909. Nursing, M.C., 2010. Nursing, Midwifery Council (NMC).Standards for Pre-registration Nursing Education. Nursing and Midwifery Council, London. Pope, C. and Mays, N. eds., 2013.Qualitative research in health care. John Wiley Sons. Rutjens, B.T., van Harreveld, F., van der Pligt, J., Kreemers, L.M. and Noordewier, M.K., 2013. Steps, stages, and structure: Finding compensatory order in scientific theories.Journal of Experimental Psychology: General,142(2), p.313. Sameroff, A., 2010. A unified theory of development: A dialectic integration of nature and nurture.Child development,81(1), pp.6-22. Thielke, S., Harniss, M., Thompson, H., Patel, S., Demiris, G. and Johnson, K., 2012. Maslows hierarchy of human needs and the adoption of health-related technologies for older adults.Ageing international,37(4), pp.470-488. Thomas, A., Menon, A., Boruff, J., Rodriguez, A.M. and Ahmed, S., 2014. Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review.Implement Sci,9, p.37. Van Malderen, L., Mets, T. and Gorus, E., 2013. Interventions to enhance the Quality of Life of older people in residential long-term care: a systematic review.Ageing research reviews,12(1), pp.141-150. Wacker, R.R. and Roberto, K.A., 2013.Community resources for older adults: Programs and services in an era of change. Sage Publications.