What skills and knowledge the nurse is demonstrating as he deals with Albert in a sensitive situation?
The skills and knowledge that are being used by the nurse is trying to give Albert a bath and is demonstrated by asking a sensitive situation and Albert being private about having a bath and that the nurse and Albert have privacy between them. The nurse makes sure that he is comfortable and dry before his bath.
What more could the nurse have done to demonstrate respect for Albert?
The nurse could off been patience because Albert is having a bath and probably needed time to finish, acceptance of choices made because maybe Albert wanted something but didn’t ask for it, skilled interactions between the health worker and the individual wasn’t clear because Albert probably didn’t understand what was the nurse was saying.
Case study page 72
How did the paramedics demonstrate respect for Agnes?
Agnes has soiled herself and is in tears because she is pain. On arrival, the paramedics ask the neighbours who are watching with great interest to move into the sitting room. The paramedics immediately set about reassuring Agnes. They cover her comfortable on the stretcher, before taking her out to the waiting ambulance which has been reversed right up to the door.
The respect for Agnes was that the paramedics moved the neighbours into the sitting room because of privacy so the neighbours cannot see anything that is going on.
How did they help maintain her dignity and privacy in a difficult situation?
They cover her comfortable on the stretcher, before taking her out to the waiting ambulance which has been reversed right up to the door, so this helped maintain her dignity and privacy because she was in the bathroom for over three hours.
What would have been the effects upon Agnes if the neighbours have been allowed to remain?
The effect that the neighbours have remain than they would made Agnes like uncomfortable and they would have made fun of her and she wouldn’t like it and wouldn’t get the respect and dignity she wanted to have because of the neighbours.
Case study page 73.
In 1991, nurse Beverley Allitt was arrested and tried for the murder of four young children and the attempted murder of at least another nine patients in her care. At all times, Allitt demonstrated deep empathy and feelings for the patients of the children involved. Later, during the investigation, Allitt was diagnosed with Munchausen’s Syndrome by proxy. This is a form of attention-seeking through other people. During the police investigation it was noted that patients’ notes were missing from the hospital. Sections of the patients’ missing care notes were later found in Beverley’s home.
How did the health care system fail to protect these children from harm?
The health care system fail to save the children because they didn’t know that Allitt was diagnosed with Munchausen’s Syndrome and wanted attention and also had a problem so this probably had an affect on him and aimed that the children and the nine patients. He also had kept the patients notes and hid them in his home so that he only could treat the children and patients.
Whose rights were abused?
The children and the patients rights were abused and killed because of the health care person Allitt because the health professional must keep their records in order, be able to find information quickly and easily and enable colleagues to find information quickly and easily in case they are absent. So then, something like this does not happen.
What action/s do you consider could have been taken by line managers or others to prevent this tragedy?
Maybe check on the person and interview them before if there are good or if there have a problem and check his personal detail if there is something wrong.
The rights to be cared for in a way that meets needs, takes account of choices and protects.
In order to meet a individual needs and account for choices we have to make sure that all other rights are protected and promoted. For example, you cannot provide care that meets an individuals needs without taking account:
Privacy
Dignity
Individuality (for example, the freedom for an individual to follow their own beliefs and values and make their own choices)
Equality and respect
Protection and safety.
Meeting needs
It is essential to meet an individual’s basic health needs prior to other needs. The models argue that warmth, food and shelter are the buildings blocks upon which other needs can be balanced. Therefore, once an individual’s basic care needs have been met we can concentrate on meeting higher-level needs such as social and intellectual ones.
Taking account of choices
Valuing choice is a central part of the care value base. Making choices does not have to be significant as choosing a hospital or place of residence – we can make differences to health and social care outcomes by offering quite simple choices. Often simple choices make a huge difference to everyday lives of the individuals involved. As you might expect, simple choices would include:
Choosing from a menu
Deciding which clothes to wear
When to have a bath or shower.
