case studiesAdult Case StudiesMerryvale ResidenceThe Merryvale Residence provides support for 10...

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case studiesAdult Case StudiesMerryvale ResidenceThe Merryvale Residence provides support for 10 older men and women who are all over the age of 75. Three of the residents have a hearing impairment, two have dementia and the remaining residents have varying degrees of reduced mobility.Two of the female residents are in a same-sex relationship and have experienced discrimination from one member of staff, but do not want to cause problems and have therefore not made a complaint. The couple feel that they must be entitled to a double room but are not certain what their legal rights are on this issue. One of the women has noticed that her partner, who requires support with dressing and bathing, has developed bruises on her neck and arms. When questioned by her partner, she states that she fell over.The residence has a high turnover of staff and often operates with less than the legal limit in terms of care workers. This can mean that residents who require support with personal care have to either wait for long periods or manage by themselves. Some residents have remained without a bath or shower for two or three days, causing distress and, in some cases, worsening of a skin condition.The residence has recently lost its full-time cleaner Mary Jones, following a dispute between Mary and the deputy manager. This means that the care staff are currently sharing the domestic duties between them. Spilled food and drinks are often left on work surfaces and waste bins overflow, as staff cannot keep up with all the cleaning in addition to caring for the residents.Zebra WardZebra Ward is a paediatric medical ward at the Prince Oswald Children’s Hospital, providing care for children from the age of six months to two years with a variety of medical conditions.Lucy Smith, aged six months, and Kevin Smith, aged four years, are brother and sister and have recently been admitted to the ward from the Emergency Department, following a car accident involving their father as driver and a stone wall. Neither of the children were secured in their car seats and have both sustained serious injuries. Both have broken bones and bruised faces.When the duty doctor examines the children, she notices bruises at the base of Kevin’s spine and round marks on Lucy’s neck that resemble burns. When the children’s father is questioned, he states that the marks were inflicted by his wife who died three months ago due to a long-term illness that had affected her mental state. The doctor is unconvinced, as the marks appear to be more recent. However, another emergency is admitted and the doctor forgets to record her opinions.A nurse is asked to give each child a sedative to help them sleep. He notices the marks, but is in a hurry to complete the medicine round before going off duty and fails to record his observations. The nurse also fails to complete the ward records with regard to the sedatives given to both children.The children’s father did not sustain any major injury and was allowed home after examination. He comes the next day to visit his children and bring them each a present. A visitor to Zebra Ward notices that Kevin and Lucy do not look pleased to see him. Kevin hides under his bed, refusing to come out, and Lucy cries when her father lifts her out of the cot. The nursing staff assume that the children’s reaction is due to delayed shock from the car accident. However, the visitor, a social worker, is not convinced and asks to speak to the ward manager, who says that he cannot discuss such issues with a visitor.

Dr Rinki · Accepted Answer

UNIT 5
Assessment criteria
	Pass
	Merit
	Distinction 
	Learning aim A: 
	
A.D1
.
Anti-discriminatory practice is excellent techniques which have aims to work against the negative effects of prejudice on patients and to fight discrimination in all its forms. This practice must not be involved in any actions that could be seen as discriminatory. On the other hand potentially insulting to any individual group, and colleagues.
	A.P1 
On the basis of this present case study good promoting equality and diversity practices ensure that this practices provided to community are fair and easy to get all health related service and care to everyone. Generally, this service are identical to all people who were admitted to hospital ward however; they are treated as equals, that people get the dignity and respect. They are also deserve and their differences are celebrated.
A.P2  
The skills and the personal attributes are also called as  soft skills. That act as communication tools which use to engage with community. It can also aid to influence how you communicate and relate to patients including colleagues, family and other friends. However, these skills are additionally more significant in professional existence. 
Also some other skill superiority resembling Intelligence, charm and a sense of humor which makes more care of patients with different requires. Therefore, skilled person needs to developing relationships
with individuals in good way.
 
	A.M1 
Because of the people, would feel happier, additional integrated, respected, safe and sheltered from any types of harm.
 A.M2 
Positive relationships –. 
Health environment. 
Social care environment 
 Child care environment –  .
	BC.D2 
Both the strategies and techniques, used to conquer ethical issues along with challenges and experienced by person with their various requirements. Whatever planning and providing health care with support the nursing code of ethics, it offer ongoing education, create an environment where nurses can speak up and Bring different regulations together.
	
	
	D.D3
.
By number of way confidentiality define, don’t telling any person, on the other way, other than those who should and need to know, what an individual has said to the care worker or the problem that they have
It is also imperative not to show anyone and an individual's personal notes or computer records.
A number of point which are more important  to working practices which  are important to maintain Confidentiality, along with other that are more significant :
o keeping yourself informed of the relevant laws
o keeping information locked away or password protected
o sharing information only with clinet who are entitled to have access to the
information, e.g. other people in the multidisciplinary team, service users and their
carers or families (depending on the situation) being professional about how information is shared.
D.D4 
Numerous organization bent by the combination of multi-agency and multidisciplinary teams work together and  provide co-ordinated
Support. Ex- An autistic child may have involvement with the following agencies and
Professionals such as 
NHS (GP, paediatrician, clinical psychologist, counsellor, speech and
language therapist), local authority and education services (social worker, SENCO,
educational psychologist), and the voluntary sector (family support officers from the
National Autistic Society).
	Learning aim B: 
	
	B.P3 
1. There are four main ethical  principles which strengthen the provision of care and support to convene individual needs are: autonomy: 
2. To respect and promote person’s right so that make their own decisions which beneficence. honesty;integrity;promise-keeping & trustworthiness;loyalty;.Fairness;concern for others;respect for others;Law abiding
	B.M3 
Number of  benefits of distributing  health care in an ethical approach for reasons like as the persons independence and rights which are respected and taken into account. The person is empowered, so that feels confident in the fact that they have the power to say what happens in their care and how they live their and they become powerful.
	
	Learning aim C: 
	
	C.P4 
1. awareness and knowledge
2. practical challenges
3. skills challenges
4. acceptance and belief challenges
5. motivational challenges
6. communication challenges.
By these techniques individuals different needs to overcome different challenges
C.P5 
Shared decision making, access to more information, choice of provider and greater collective patient voice are all committed to as routes to achieving this. Personalisation communication provides an opportunity for health care staff to think about what it is like for service users to access and navigate the healthcare system. Along these, they are getting addition benefit- Using a collaborative approach, patients, health and care professionals, families and carers discuss. Ensuring that every person receiving care and support is able to set their personal goals and has choice and control over the shape of their care and support
	C.

case studiesAdult Case StudiesMerryvale ResidenceThe Merryvale Residence provides support for 10 older men and women who are all over the age of 75. Three of the residents have a hearing impairment,...

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