a2 coursework into health
Extracts from this essay...
Unit 3 Positive care environment Ao1 During both of the care environments in which I have worked I have been able to witness how the care value base is implemented. The care value base is an ethical code which governs how carers should act. It is designed to guide the practise of professionals in working situations, to be certain that they are not discriminating, being unkind, or providing poor care or poor services to the service user. For the purpose of this Unit I have decided to discuss how I feel a positive care environment was achieved in the nursing home I worked in. The care value base covers five main areas: 1. Promoting anti-discriminatory practice: Carers have a duty to promote anti-discriminatory practice in their professional lives. 2. Maintaining confidentiality: Clients must know that they can trust their carers: Clients may be put at risk and their self esteem damaged if confidential information is shared with others, and there are legal requirements to keep personal records confidential. 3. Promoting and supporting individual rights. 4. Acknowledging individuals' personal beliefs and identities. 5. Promoting effective communication. In the care home, the majority of the service users had communication difficulties ranging from aphasia to the use of inappropriate words, some had visual problems and deafness, and all the service users had a learning disability. One of the ways in which the staff managed to achieve care values was the use of life story books for each individual were possible. In the early nineties life story work was introduced to the field of learning disabilities (Hewitt 2000)
Carers can ignore the client and ask the relatives questions that could be answered by the client. The health and safety of clients is a key area where there is a shared responsibility between the client and the carer. Where a client is highly dependent on the carer for support, then the carer also takes on more responsibility for health and safety. However, where a client is able to take responsibilities she/he should be encouraged to do so. The recognition of rights and choice is important. It is important to encourage individuals to express their needs and wishes. Individuals should be encouraged to be as self-managing as possible. In the care home I witness clients been actively involved in all aspects of their daily life. From choosing whether to wash in a morning, what to wear the food they eat and the activities they took part in. However most of these clients had communication problems. The care workers actively sort ways to overcome the barriers that lack of verbal communication might cause. The use of sigh language, body language, in particular facial expression and sound, where used. By not acknowledging a individuals wishes the carer can cause loss of self esteem and disempowerment for the client, and have the effect of increasing client dependence on the carer. They also cause physiological changes leading to increased risk of illness and depression, the carer can help to prevent this by: Challenging discrimination whenever and wherever it occurs. Strive is maintain client dignity.
The people in the care setting in which I worked had very restricted communication skills and I guess some of the words I have listed above must describe some of their feelings on a daily basis. So it is not surprising that many people with learning disabilities either give up communicating and are then described as withdrawn, uncooperative or develop behaviours which are regarded as difficult or challenging. These may be simply a response to the frustration of having limited communication skills, or the challenging behaviour may be the only effective way the person has of making sure they are' listened to'. Communication is a central factor in almost everything we do in life. If for any reason we cannot communicate effectively, it is a barrier to: Making relationships; Learning new skills; Having our needs met; Making choices; Projecting our own identity and personality; Taking part in family, community, leisure pursuits; Making sense of the world; For these reasons, developing a person's communication skills should be a priority, and will almost certainly be done most effectively in their everyday environment, with care staff and family members they are familiar with. In the care setting in which I worked I witness the use of sign language in the form of makaton been used, British sign language and body language to communicate between the clients and carers. One client also had an object board whereby he would point to the things he wanted, these included listening to music, having a bath, brushing his hair, stroking the cat, it appeared obvious that every attempt was made to help the client's to be able to communicate their needs.
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