ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

1 Download8 Pages / 1,917 Words

Course Code: ASS0721
University: University Of Bedfordshire

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Country: United Kingdom

Questions:
A reflective report detailing skills learned or mastered using gibbs/kolb/schon. Individual reflective journal. A range of learning styles and the factors that influence successful study in higher education and health and social care setting. An appreciation of the importance of the use of academic skills, reflection and self-evaluation in developing as a learner.
A range of methods that promote effective communication in a health and social care setting. Theories of communication and explain factors that may influence effective communication. Assess the importance of reflecting on cultural differences and individual circumstances when working with people in health and social care settings.
Answers:

Health and Social Care
The Gibb’s reflective model is amongst one of the most renowned models of reflection. It is a theoretical model frequently utilized by various professionals especially those in the social care and health sector. It is also useful to students because they use it as framework particularly in assignments which need reflective writing. The model entails six crucial stages. They include evaluation, action plan, conclusion, feelings, description, and analysis. Gibb’s reflection model was established from earlier existing theoretical models like the Kolb’s four-stage experimental learning cycle (Husebø, O’Regan and Nestel, 2015, 368). Although the Kolb’s is known as the experiential learning model, Gibb’s model is known as the iterative model. Therefore, Gibb’s model emphasizes learning different aspects through repetition.
Notably, the model entails the six steps which must be followed systematically since every phase informs the next one. Students frequently confuse the analysis, conclusion and evaluation stages. These stages have various questions which appear similar and repetitive. It is only the analysis stage that involves analytical writing (Zheng, 2014, 10). Additionally, the other five stages are only comprised of statements. The statements encompass aspects of value (if something was bad or good), description, summation, and justification, that is, the reason why something was done.
There are diverse factors and learning styles which influence prosperous studies especially in social care and healthcare settings. The Gibb’s reflection model various aims which make it significant for utilization. These involve the ability to challenge or critically evaluate one’s assumptions and to link theory and practice (Asselin and Fain, 2013, 113). Linking theory and practice encompasses combining observing or doing with thinking and applying knowledge. In the same token, other objectives of the model are to enhance self-improvement and explore contemporary approaches and ideas towards thinking about things. Promoting self-improvement can be done through identification of weaknesses and strengths and also taking appropriate actions to address or correct them.
A reflective cycle is usually an efficient tool for reflection, especially after crucial incidences and experiences. The experiences that necessitate reflective thinking are primarily those that may have significant positive or negative impacts (Wallace et al., 2013, 236). The model trains people that they should learn only by doing.
The description stage involves a brief description of an event or experience. It is usually one of the sections which do not involve a lot of details. It is important to include all the relevant information concerning what happened to inform a sound and effective critical reflection. Reasons which lead to the occurrence of the experience, any actions taken during the incidence and all parties involved ought to be clearly stated (Jones and Alinier, 2015, 325). Remarkably, this information is necessary since it helps when accurately performing reflection. The information also aids in attaining an appropriate evaluation of the experience.
At the second stage of Gibb’s model, a person should describe feelings which arose during the event. The feelings stage provides an opportunity for people to explore any feelings or thoughts that they were having during the encounter. To have a suitable description in regards to feelings, it is vital to ensure that people do not provide detailed explanations or evaluate the emotions. It is imperative the people provide an explicit distinction between feelings and thoughts (Vijaya 2014, 31). Moreover, the parties concerned ought to explain what they felt in comparison to just providing descriptive words. An essential aspect of this stage is to expound on how the feelings and thoughts impacted the occurrence.
The third stage of reflection when using Gibb’s model is the evaluation phase. In this section, people are presented with the opportunity of comprehensively explaining what was bad and good in regards to the experience (Nicol and Dosser, 2016, 34). It is significant to consider both the bad and good sides even though the encounter might have been positive or negative. It also entails what other persons did not or did well.
Remarkably, the first, second and third phases of Gibb’s reflective cycle are all concerned with what happened. On the other hand, the fourth, fifth and sixth stages encompass making sense of the occurrence and how it can be improved if the situation happens again. The analysis stage is where the event is keenly examined. It is usually the largest stage of any reflection. It is paramount to consider all the concerns that have already been pinpointed previously during the reflection. Each of the aspects should be critically analyzed separately. Subsequently, in the analysis stage, relevant, contemporary and academic literature can be utilized to aid to make sense of the occurrence (Burden, 2016, 949). For instance, in the social care and health sector, a person may become nervous in regards to inquiring about a complicated procedure from a placement supervisor. Additionally, this nervousness might impact negatively on the person’s comprehension of the procedure. Therefore, it is at this stage that a person ought to consult applicable literature concerning how one can communicate effectively.
The conclusion phase is the fifth stage of Gibb’s reflective cycle. The stage is reached after all the other sections have been effectively completed. A person has to be honest about his or her feelings and contribution to the experience (Finlayson, 2015, 717) People, therefore, bring together all the previous aspects so that they can sensibly conclude. The conclusion can only be done after critically examining the occurrence and consulting appropriate literature. Therefore, in the conclusion stage, people ought to be able to make reasonable and logical conclusions concerning how they can overcome similar incidents.
The action plan is typically the last stage of Gibb’s reflective model. In this phase, previous aspects of the cycle are taken into consideration. Afterward, parties involved in the entire reflection process suggest an action plan for the event or a similar one in case it happens again (Crothers et al, 2014, 670). The action plan involves recommending what would be done differently or kept the same. Generally, the action plan is the final phase of any reflection cycle. Therefore, although a similar event might occur in the future, it is paramount to reexamine the cycle as opposed to assuming that the situation was already dealt with properly.
There are diverse communication theories that are appropriate to the various sectors more the social care and health field. Remarkably, cognitive dissonance theory of communication pinpoints that the discordancy of various actions, beliefs and views are aversive therefore making people steer clear of it. People avoid listening to opinions which they do not believe in, transform actions in regards to their ideas, seek assurance particularly when they are required to make difficult choice and decisions to steer clear feelings of dissonance. In the same token, communication accommodation theory is imperative. It highlights the analysis of consequences of what is likely to happen whenever two parties engaging in a communication transform the communication styles. During conversations, people normally try to modify their conversation styles to match those of others. Moreover, this is attained through the usage of two significant methods which are convergence and divergence. Persons with solid racial and ethnic pride regularly use divergence reveal their group identities. On the contrary, convergence arises when social approval is necessary frequently from people who are powerless. Subsequently, coordinated management of meaning is another key communication theory. Persons that advocate for the theory state that in communication, people co-found meaning by attaining some coordination and coherence. 
There are some aspects of the social care and health sector which influence efficient communication. The aspects are both positive and negative. Foremost, the environment may positively influence an effective conversation. For instance, the existence of a conducive environment where a conversation is taking place curtails successful communication. On the contrary, personal factors like attitudes impact communication. People with respectful attitudes positively inspire fruitful communication (Katz, Lazarsfeld and Roper, 2017, 19). Other fundamental factors which impact on communication are beliefs and people’s values. For example, evaluating different people’s values and beliefs positively influences communication since the probability of making stereotypes, assumptions and insults is reduced.
Active and attentive listening encourages the parties involved in a conversation, therefore, influencing communication positively. When someone listens keenly, he or she inspires the other party to communicate. Providing feedback forthwith is also essential. Feedback should be simple therefore easily comprehensible. Likewise, clear and precise responses facilitate easier understanding of different aspects that are conveyed (Afshari et al., 2014, 25). Adopting a relevant sequence, speed and tone of speech makes a communication session effective. Detailed understanding of the topic in discussion, proper articulation, maintenance of a good relationship between sender and receiver and making sure that there are straightforwardness impacts conversations positively.
It is vital to reflect upon personal circumstances and cultural differences particularly in the social care and health setting. The effective reflection on the two outlined concepts establishes an atmosphere of respect in any workplace environment. Therefore, this makes sure that there is the existence of improved productivity. Respecting the cultural background of other persons leads to the reduction of unnecessary misunderstandings and conflicts. In the same token, this increases efficiency leading to the provision of advanced services (Burtch, Ghose and Wattal, 2013, 14). Showing respect to all people in a workplace environment reveals that one is cognizant of their different circumstances. Consequently, this creates confidence which further encourages workers especially in the social care and health settings to work hard.
References
Afshari, M., Bakar, K.A., Luan, W.S., Samah, B.A. and Fooi, F.S., 2014. Factors affecting teachers’ use of information and communication technology. International Journal of Instruction, 2(1).
Asselin, M.E. and Fain, J.A., 2013. Effect of reflective practice education on self-reflection, insight, and reflective thinking among experienced nurses: A pilot study. Journal for nurses in professional development, 29(3), pp.111-119.
Burden, M., 2016. Using a change model to reduce the risk of surgical site infection. British Journal of Nursing, 25(17), pp.949-955.
Burtch, G., Ghose, A. and Wattal, S., 2013. Cultural differences and geography as determinants of online pro-social lending.
Crothers, L.M., Kolbert, J.B., Kanyongo, G.Y., Field, J.E. and Schmitt, A.J., 2014. Relational and social aggression and reflective processing in a university sample. Journal of Aggression, Maltreatment & Trauma, 23(6), pp.670-681.
Finlayson, A., 2015. Reflective practice: has it really changed over time?. Reflective Practice, 16(6), pp.717-730.
Husebø, S.E., O’Regan, S. and Nestel, D., 2015. Reflective practice and its role in simulation. Clinical Simulation in Nursing, 11(8), pp.368-375.
Jones, I. and Alinier, G., 2015. Supporting students’ learning experiences through a pocket size cue card designed around a reflective simulation framework. Clinical Simulation in Nursing, 11(7), pp.325-334.
Katz, E., Lazarsfeld, P.F. and Roper, E., 2017. Personal influence: The part played by people in the flow of mass communications. Routledge.
Nicol, J.S. and Dosser, I., 2016. Understanding reflective practice. Nursing Standard (2014+), 30(36), p.34.
Vijaya Kumari, S.N., 2014. Constructivist Approach to Teacher Education: An Integrative Model for Reflective Teaching. Journal on Educational Psychology, 7(4), pp.31-40.
Wallace, J.P., Blinkhorn, A.S. and Blinkhorn, F.A., 2013. Reflective folios for dental hygiene students: what do they tell us about a residential aged care student placement experience?. European Journal of Dental Education, 17(4), pp.236-240.
Zheng, S., Gaitonde, P., Andrew, M.A., Gibbs, M.A., Lesko, L.J. and Schmidt, S., 2014. Model?based assessment of dosing strategies in children for monoclonal antibodies exhibiting target?mediated drug disposition. CPT: pharmacometrics & systems pharmacology, 3(10), pp.1-10.

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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Course Code: ASS0721
University: University Of Bedfordshire

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Country: United Kingdom

Question:

Title:
Demonstrate how health and social care workers apply relevant legislation to safeguarding issues in practice.
Introduction
Students will be introduced to the concepts of enablement, self-care and self-management and be able to explain the importance of the health and social care worker in the delivery of safe and effective practice. In addition, the importance of effective interpersonal communication and how this impacts on working within in a team and with service users.
The Care Quality Commission state that Safeguarding means protecting people’s health, wellbeing and human rights. Regardless of your level or role, it is your professional duty to report any concerns you have about activities in your workplace which may put the safety of the people in your care or the public at risk and to respond to any concerns raised to you.
Throughout your work you should maintain confidentiality, and ensure no client/individual/population can be identified.

Answer:

Introduction
Legislations in the healthcare sector are very significant as they ensure that both clients and, health and social workers are protected. The primary objective of evaluating legislation is to ensure that the healthcare standards which are followed by health and social workers to attend patients are current and relevant to ensure that both the clients and healthcare practitioners safe and they observe ethical care for all people (Van Dongen et al., 2013, p.57). Understanding health and social care theories and models which are used within healthcare systems, healthcare professionals are able to understand legislation and policy reforms easily (Kwon & Johnson, 2014, p.451). The health and social care act which was established in 2012 is currently serving as the most significant legislation guiding the field of health today (Groves, Kayyali, Knott & Van Kuiken, 2013).
The Typical Illnesses which are related to Long-Term Conditions and Their Impacts on Activities of Daily Living
There are various infections which are associated long-term condition once they affect an individual. This illness includes diabetes, obesity, tuberculosis, HIV/AIDs, etc. individuals are exposed to the risk o been infected by diabetes if they do not participate in physicals exercise and they do not take balanced diets. AIDs is a global health hazard. The numbers of victims of this infection have been rising since 2000. A person is exposed to the risk of getting infected by this infection if they engage themselves into unsafe sex practices, sharing of sharp objects and through blood transfusion in cases where the healthcare professionals who are carrying out this operation and they end up giving infected blood which is not screened to patients (Ma, han & Carruthers, 2014, p.986). These infections have long-term impacts on both patient and the society at large. These illnesses makes a person body weak and not able to perform their daily operation. In case the person is the breadwinner of the family they are not able to work again which means they will no longer be able to give basic needs to their families. Family members and friends have to spend most of their times taking care of the patients and thus been unable to attend other significant roles. Treatments o this infection requires a lot of energy and capital which can affect the economy of the country. This happens because the government is forced to spend most of its capital importing drugs and treatment techniques to attend its citizens.
Application of healthcare legislation by health and social workers
The purpose of healthcare policies and the law is to ensure standardization in daily healthcare operations which are carried out by health and social workers. Legislations makes it easier for health and social workers to be able to understand how to deal with various issues and challenges which they encounter as they deliver healthcare services to patients. Health and social care workers can apply legislations formed such as privacy act to keep patient’s information and data private and confidential (Grajales III, Sheps, Novak-Lauscher & Eysenbach, 2014). They are not supposed to share patient’ information with other parties without the knowledge of the patient. Application of healthcare laws and legislation cannot be disputed but the way in which healthcare professionals best manage them vary from one hospital to another (Reeves, Perrier, Goldman, Freeth & Zwarenstein, 2013). Policies and legislation helps healthcare professionals to be able to understand their responsibility which they are supposed to take carry in hospitals (Trotter, 2015).
For health and social workers to be able to utilize these legislations entirely in hospitals, they must ensure that they make use of the latest technology techniques which are used to enhance the quality of healthcare services delivered to patients. The best hospital makes use of technology and education to manage their health care policies and legislation (DuBois & Miley, 2013). Technology processes make delivery of health care service by health and social workers more efficient and straightforward. Technology can help in providing updates, authorization, and communication within a hospital. With the use of technology, health and social workers are now able to keep a patient’s information confidential, and the system only allows authorized parties to access the data (Andrews, Darnell, McBride & Gehlert, 2013, p.67).
Healthcare policies protect the health and social workers which motivates them making them deliver quality healthcare services to patients. Legislations such as code of conduct for healthcare professionals provides a clear set of standards which have to be used by healthcare professionals. This legislation forbids health and social workers from using abusive language to the patient (Ventola, 2014, p.491). Code of conduct enables healthcare professionals to be able to work together as a team to ensure quality healthcare services. In a challenging situation, healthcare professional can ask for help from other colleagues so that they do not end up causing medication errors which can have adverse effects on the health of the patient. According to Enthoven (2014), health and social workers maintain clear professionals’ boundaries with use of policies and they know their limits with patients so that they do not end up asking a patient more confidential information which can make them uncomfortable.
Importance of health and social care workers in the delivery of safe and effective practice
Health and social care workers are charged with the key responsibility of assessing the need of the clients and determine the best treatment technique and medication which they can offer to the client to enhance their health status. This can involve interviewing the patient, their family and their healthcare professional so that they can be able to acquire all the necessary information which the need to be able to offer the best medical practice to them (Sallis, Owen & Fisher, 2015, p.43). Health and social care workers coordinate services such as home care services in which they move from one home to another assessing the health conditions of individuals in various communities. Health and social workers assist clients to be admitted to inpatient and outpatient healthcare centers where they can receive high-quality healthcare services which meets their needs at affordable medical charges.
Epidemics such as cholera outbreaks can lead to increased mortality and morbidity rates if not severe (Bowling, 2014). It is, therefore, the role of health and social care workers to ensure that they teach society on the risk factors which can lead to this health epidemic so that they can be able to avoid them. It is also the role of health and social care workers to inform the patients about their rights according to the new health care legislation so that they can be able to defend themselves from healthcare professionals who try to violate their rights by reporting them to the top leaders in the hospital (Groves et al., 2013). Health and social care workers work with a various group of individuals it is therefore necessary that they should be able to develop specific skills which include listening skills so that they can be able to pay attention when a client is explaining their healthcare condition.
Values and principles within health and social care practice allowed by healthcare policies and legislation
There are various values and principles which health and social care workers should have according to healthcare policies and legislation. Privacy is a critical value which requires health and social care workers give the patient a chance to be alone and undisturbed and free from intrusions so that they can be able to make their own decisions regarding their health. Healthcare workers should also have confidentiality according to healthcare policies. This value is very significant in health and social care practice because it authorizes healthcare professionals to keep patient’s information confidential and not to expose it a third party without their knowledge. The healthcare policies and legislation take action against any health care professionals who violate the privacy of a patient. Dignity is a crucial value for health and social workers because it allows them to treat all patients with dignity and respect without mistreating and intimidating them.
Communication is a significant value in healthcare institutions. Health and social care workers need to have effective communication with the patient so that they can be able to gather all considerable information regarding their health (Cameron, Lart, Bostock & Coomber, 2014, p.225). This can be made available by the establishment of a strong therapeutic relationship between healthcare professionals and the patients so that they can feel free to share their health situation without any fear. Healthcare policies and legislation encourage unity in the hospital. Unity is an essential value which enables healthcare professionals to work together to ensure that they deliver quality healthcare services to patients. For example, if a health and social workers encounter a complicated situation when offering healthcare services to a client, they can request for assistance from other healthcare professionals so that they do not end up causing medication errors which can adversely affect the health of the patient. Health and social care practice values and principle have many benefits to the patients. They ensure patients’ information is kept private and confidential and they promote and support an individual’s right to dignity and respect. These values help protect individuals from abuse, and they make communication effective as well as enhancing the relationship between healthcare professionals and patients. They also acknowledge individuals personal beliefs and identities.
Models of care and the role of health and social workers in relation to service delivery
There is a various model of care which health and social care workers use to deliver health care services to patients. Outpatient care is a model of healthcare delivery method which is provided in healthcare institutions such as clinics and hospitals. Outpatient healthcare services do not need a patient to be admitted in the hospital for treatment. A patient who is seeking medical attention first visits a physician to receive primary health care services. Outpatient healthcare is made up of three categories which include primary outpatient care in which a patient visits a healthcare professional for diagnosis of infections and prevention measures (Cameron et al., 2014, p.225). The second type of outpatient healthcare is specialized outpatient care. This care requires health and social workers offering medical attention to patients. The last category is stationary care in which a patient needs to seek medical care on a daily basis. Inpatient is the second model of care. This care is given to patient have a sudden illness or sudden worsening chronic condition.
Inpatient model involves three categories of care. The first category is acute standard inpatient care which is given to patients who are undergoing medical procedures which cannot allow them to be assigned outpatient care (Grajales III et al., 2014). Acute intensive care is the second type which is given to patients with critical health conditions which could be threatening their life. The last kind of inpatient model of care is follow-up inpatient care which is given to patients who are partially or dependent on some therapeutic, rehabilitative care. Health and social care workers are given a lot of responsibilities concerning healthcare service delivery. They provide medical health assessment and counseling.  They offer individual education on how they can be able to handle various types of infections.
Principles of Positive Health Interventions Related To Self-Care, Self-Management, and Enablement
There various principles which can be applied in healthcare institutions such as hospitals to enhance self-care, self-care management and enablement. The first principle ensures patients are capable of making informed decisions which can help them be able to manage their health condition. Patients should decide on the kind of diets they should eat as advised by healthcare professionals so that they can be able to enhance their health (Kennedy et al., 2013). The second principle involves communicating effectively so that patients can be able to assess their needs to develop and gain confidence to self-care. Health and social workers should most often inform individuals about their health situations so that they can be able to come with ways in which they can take care of themselves regarding their health. Healthcare professionals should also inform patients about how they can be able to access support networks which can help them manage their health. Support and enable individuals to develop self-care skills is a critical principle which should be performed by health and social care workers.
Links between legislation in England, UK and other nations and their impacts to health and social care
 There are various health and social practice legislations which can be applied by healthcare professionals in various nations to ensure that they give high-quality healthcare services to patients. Healthcare Quality Improvement Act (HCQIA) which was established in 1986 provides immunity for health care professionals and various institutions during conduct assessment. This legislation originated as a result of the Supreme Court ruling which involved abuse of healthcare professionals peer review process (Kastanioti, Kontodimopoulos, Stasinopoulos, Kapetaneas & Polyzos, 2013, p.7).  Legislators passed the law to protect the health and social workers from peer related lawsuits and encourage them to be able to file complaints after they encounter any form of the unprofessional issue and dangerous peer conduct. The second legislation which is currently applied in the healthcare sector by health and social worker is Medicare. Medicare programs offer health insurance covers too many individuals across the globe. Medicaid is another healthcare legislation policy which ensures medical insurance coverage or those individuals who have low income (Mainz, Kristensen & Bartels, 2015, p.523).
The policy helps them settle the medical bills, and they punish health and social workers who attempt to discriminate them due to their poor financial status. Medicaid covers various individual with special needs such as uninsured pregnant mothers, disabled individuals, and jobless people. The children’s health insurance program (CHIP) is a legislation which has created a strong foundation for delivering high quality healthcare services to infants who are from poor backgrounds this policy originated from Children’s Health Insurance Authorization Act which was established in 2009 and it has successfully managed to offer healthcare services for clients who were previously disqualified (McLellan & Woodworth, 2014, p.541). In 1996 Health Insurance Portability and Accountability Act (HIPAA) which protects workers so that they can be able to carry their insurance health cover from one employment to another. This legislation also enables workers to be able to select a group of health insurance plans so that they can be able to cover the lost coverage and adjust their family changes due to marriage, birth, and adoption. According Healy (2014), HIPAA legislation eliminates discrimination against policy applicants due to health problems. It ensures that an individual who is denied an application by an insurance company can apply or insurance outside the enrollment period. Patient safety and quality improvement act policy which was enacted in 2005 to protect the health and social workers who are exposed to the unsafe working condition (Brayne, Carr & Goosey, 2015). The legislation fine confidentiality breaches as to protect the patient’s privacy (Thompson, 2015).
Conclusion                                                          
Healthcare policies are very significant in healthcare, and they ensure adequate health and social care practices in health institutions. This legislation is very important as they protect the rights of patients and ensure that they are not mistreated in hospitals as they seek medical attention. Health and social care workers can apply this legislation to understand their role and responsibility in delivering healthcare services. This makes them keen, and it has led to an improvement in the quality of health care services which is offered to patients. Health and social workers should ensure that they educated the community on some means which they can use to prevent and control some infections which are a threat to life.
Bibliography
Andrews, C.M., Darnell, J.S., McBride, T.D. and Gehlert, S., 2013. Social work and implementation of the Affordable Care Act. Health & Social Work, 38(2), pp.67-71.
Baicker, K., Taubman, S.L., Allen, H.L., Bernstein, M., Gruber, J.H., Newhouse, J.P., Schneider, E.C., Wright, B.J., Zaslavsky, A.M. and Finkelstein, A.N., 2013. The Oregon experiment—effects of Medicaid on clinical outcomes. New England Journal of Medicine, 368(18), pp.1713-1722.
Bowling, A., 2014. Research methods in health: investigating health and health services. McGraw-Hill Education (UK).
Brayne, H., Carr, H. and Goosey, D., 2015. Law for social workers. Oxford University Press, USA.
Cameron, A., Lart, R., Bostock, L. and Coomber, C., 2014. Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature. Health & social care in the community, 22(3), pp.225-233.
DuBois, B.L. and Miley, K.K., 2013. Social work: An empowering profession. Pearson Higher Ed.
Enthoven, A.C., 2014. Theory and practice of managed competition in health care finance. Elsevier.
Grajales III, F.J., Sheps, S., Ho, K., Novak-Lauscher, H. and Eysenbach, G., 2014. Social media: a review and tutorial of applications in medicine and health care. Journal of medical Internet research, 16(2).
Groves, P., Kayyali, B., Knott, D. and Van Kuiken, S., 2013. The ‘big data’revolution in healthcare. McKinsey Quarterly, 2(3).
Healy, K., 2014. Social work theories in context: Creating frameworks for practice. Macmillan International Higher Education.
Kastanioti, C., Kontodimopoulos, N., Stasinopoulos, D., Kapetaneas, N. and Polyzos, N., 2013. Public procurement of health technologies in Greece in an era of economic crisis. Health policy, 109(1), pp.7-13.
Kennedy, A., Bower, P., Reeves, D., Blakeman, T., Bowen, R., Chew-Graham, C., Eden, M., Fullwood, C., Gaffney, H., Gardner, C. and Lee, V., 2013. Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial. Bmj, 346, p.f2882.
Kwon, J. and Johnson, M.E., 2014. PROACTIVE VS. REACTIVE SECURITY INVESTMENTS IN THE HEALTHCARE SECTOR. Manage Inf Syst Q, 38(2), pp.451-471.
Ma, V.Y., Chan, L. and Carruthers, K.J., 2014. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Archives of physical medicine and rehabilitation, 95(5), pp.986-995.
Mainz, J., Kristensen, S. and Bartels, P., 2015. Quality improvement and accountability in the Danish health care system. International Journal for Quality in Health Care, 27(6), pp.523-527.
McLellan, A.T. and Woodworth, A.M., 2014. The affordable care act and treatment for “substance use disorders:” implications of ending segregated behavioral healthcare. Journal of Substance Abuse Treatment, 46(5), pp.541-545.
Reeves, S., Perrier, L., Goldman, J., Freeth, D. and Zwarenstein, M., 2013. Interprofessional education: Effects on professional practice and healthcare outcomes. Cochrane Database of systematic reviews, (3).
Sallis, J.F., Owen, N. and Fisher, E., 2015. Ecological models of health behavior. Health behavior: Theory, research, and practice, 5, pp.43-64.
Thompson, N., 2015. Understanding social work: Preparing for practice. Macmillan International Higher Education.
Trotter, C., 2015. Working with involuntary clients: A guide to practice. Routledge.
van Dongen, J.M., Tompa, E., Clune, L., Sarnocinska-Hart, A., Bongers, P.M., van Tulder, M.W., van der Beek, A.J. and van Wier, M.F., 2013. Bridging the gap between the economic evaluation literature and daily practice in occupational health: a qualitative study among decision-makers in the healthcare sector. Implementation Science, 8(1), p.57.
Ventola, C.L., 2014. Social media and health care professionals: benefits, risks, and best practices. Pharmacy and Therapeutics, 39(7), p.491.

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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Course Code: ASS0721
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Questions:
1. Describe how each factor positively or negatively affects someone’s access to services.
2. Using the case studies below, explore the factors that affect access to services.  Give examples from the cases to show how that factor may affect the individual’s access to services.
3. How to improve access to services for ONE of the case studies below.  How might you adapt the provision, using the examples below?  Remember to talk about the positive and negatives, but ALSO to discuss what might the challenges in implementing your recommendations. You should include some LOCAL EXAMPLES OF SERVICES to show your understanding.
Case Studies
Giselle is 23 years old and has Cerebral Palsy and a mild learning difficulty. She uses an electric wheelchair to get around independently, but she needs assistance to wash and dress.  Giselle needs ongoing treatment for a heart murmur and sees a Consultant at her local hospital.  Giselle is a member of a Traveller community, who have moved 4 times in the last 2 years.  They have currently settled in a site on the outskirts of Croydon.  Because of her disability, Giselle is unable to work and is in receipt of benefits. Giselle is obese and her diet is poor.
Naomi is 45 and works in the City of London as a Financial Manager.  She has recently been diagnosed with Breast Cancer and is about to undergo a course of treatment. Naomi has a hearing impaired and wears a hearing aid.  Naomi has been married to her wife Tracey for the past 3 years.  Tracey plans to attend all of Naomi’s appointments with her, to offer support. Naomi and Tracey live in Catford.
Samuel is 35 and is a self-employed builder.  He was admitted to hospital yesterday after he fell from some scaffolding and suffered 3 separate fractures. Samuel is entitled to Statutory Sick Pay whilst he is off, but this is much less than he gets from his business and his wife does not work. Samuel is Jewish and he attends the Synagogue every Friday evening. Samuel has been told that he will be in hospital for the next 3 weeks, but will need several more weeks at home recovering before he is able to return to work.
Joaquin is 61 and moved to London from Mexico 3 years ago and lives in Brockley with his daughter and son-in-law.  Joaquin is experiencing mental health problems and has started hearing voices and seeing things crawling on his skin.  He attended his G.P last week, who has prescribed him medication, but has said that if there is no improvement, then he will recommend a stay in hospital. Joaquin was working as a teacher until last summer, but gave it up when he started to feel too anxious and unwell.  Joaquin is a devout Christian and it is important for him to attend church and to read his Bible daily.

Answers:

1. Using the case studies below, explore the factors that affect access to services.  Give examples from the cases to show how that factor may affect the individual’s access to services.

Factors

Description of Factors

1: Geographical location

 How do these factors positively affect someone’s access to services?

 How do these factors negatively affect someone’s access to services?

Proximity to services

Proximity to service will is helpful as in need the person can be admitted to such healthcare service.
For severely injured and affected patients proximity to service is beneficial (Okwaraji et al. 2012).

The negative effect of proximity to service is that it reduces the person’s access to healthcare in case of emergency. If the service is far from the person, it will delay care for patients like Giselle, who is wheelchair dependent to admit  when severely ill or injured and hence, their health will be compromised (Betancourt et al. 2016)

Transport links

1 For instance, Giselle was a member of traveller community and having good transport link is advantageous for her.

If the social and healthcare unit does not have better link to transportation, then the place will have higher rate of mortality (Okwaraji et al. 2012). As Giselle has cerebral palsy she may have asthma attack, respiratory distress syndrome, it will be difficult to access the speciality services

2: Socio-economic factors

 How do these factors positively affect someone’s access to services?

 How do these factors negatively affect someone’s access to services?

Education

With education, the person will be able to understand the importance and implication of healthcare and wellbeing in their life and hence, will utilize the health care services on time to stay fit and healthy (El Rifai, Mosaad and Farghaly 2017).

Without education, a patient has poor health literacy and eventually does not understand the consequences of worsening symptoms or long-term impact. For instance the

Health awareness and lifestyle choices

Health awareness and lifestyle-related choices hold importance as with proper knowledge of these two help the person to make healthy decisions. Joaquin can be educated about his hallucinations for early treatment.

Without proper knowledge of healthy choices and lifestyle choices, the patient may not be able to make health or lifestyle related  decisions  (El Rifai, Mosaad and Farghaly 2017). Joaquin may not agree to stay in hospital without the health awareness and impact of hearing voices.

3: Equality and Diversity

 How do these factors positively affect someone’s access to services?

 How do these factors negatively affect someone’s access to services?

Cultural and religious

Culturally competent care helps the patients to attain healthcare and feel comfortable as their rights, privacy, and confidentiality are maintained and ensures mental well being ((Betancour et al., 2016). For instance, nurses helping Joaquin to meet his needs to read bible daily will allow him to access care positively and stay in hospital.

The healthcare  nurses must consider the cultural and spiritual needs of patients else it will lead to non-compliance of treatment (Betancour et al., 2016). For instance, Giselle is obese with poor diet. Before recommending dietary changes her cultural factors and cooking traditions may be addressed else she may not comply.

Gender

Addressing the patient’s gender preferences in accessing health care ensures positive outcomes (Betancour et al., 2016).  For instance,  Giselle is recipient of benefits and hence may prefer female nurse for washing and bathing. It will preserve her dignity and give sense of security or safety

The presence of stereotypical norms of society, services is affected due to gender barrier (Betancour et al., 2016). Giselle may not prefer the help of male nurse in transferring patients from bed to wheelchair. It will resist her from taking help making her insecure

4: Communication

 How do these factors positively affect someone’s access to services?

 How do these factors negatively affect someone’s access to services?

Age-appropriate language by professionals

This helps to create a therapeutic relationship between physician and patient enhancing the quality of the service (Levesque et al., 2013).
Giselle is 23 years old young lady; She may feel confident if the nurses address the language needs of her age say being open and jovial.

Absence of age-appropriate language affects people using the service. They cannot trust the service. Joaquin is 61 years and if professional greet him like any other young patient, he may feel disrespected. Joaquin may prefer more formal tone than informal to be comfortable in accessing health services.

Use of jargon and acronyms

Usage of medical jargons by the professionals will help patient to understand the illness and treatment procedure better. Joaquin was a teacher so he may better cooperate with his anxiety, understanding its impact.

Patients without the health literacy and high educational attainment may fail to interpret the given health information. Giselle has learning difficulty. She may poorly understand her illness if jargons are used. She may fail to manage her illness and comorbidities.   

5: Financial Factors

 How do these factors positively affect someone’s access to services?

 How do these factors negatively affect someone’s access to services?

Cost of transportation and cost of services

Low cost of transportation and service increases the number of people  accessing the service, hence assures that maximum people in the society is using the service

Higher cost of transportation and service generally affects the low socioeconomic people  to access the service

Loss of income due to treatments

Less loss of income due to treatments encourage people to access care and adhere to treatment

On the other hand, excessive loss of income can affect the patient’s medication intake. Excessive loss of income leads to the imbalance in their social and financial condition, leading to survival related issues (Heiman and Artiga 2015).

6: Quality of Care provision

 How do these factors positively affect someone’s access to services?

 How do these factors negatively affect someone’s access to services?

Respect from professionals

If the person, seeking care related to healthcare and social responsibility, receives respectful responses from the person, then the person builds trust on the service and in any adverse condition seeks help from the healthcare and social care facilities.

If the person seeking care does not respect, then he or she will not be able to focus on the work and eventually will suffer from mental and physical distress.

Preserving dignity

It is essential in the care settings to maintain and able to protect the dignity as it helps to maintain the self-esteem and self-respect of the person (Levesque, Harris and Russell 2014).

Without maintaining and preserving dignity, the person will not be able to achieve health care and therefore, the self-esteem, self-respect of the person will be at stake.

2. Now, give recommendations on how to improve access to services for ONE of the case studies below.  How might you adapt the provision, using the examples below?  Remember to talk about the positive and negatives, but ALSO to discuss what might the challenges in implementing your recommendations. You should include some LOCAL EXAMPLES OF SERVICES to show your understanding.

Adaptations

What are your recommendations to change or adapt services?
What are the benefits to service users or providers?
 

What are your recommendations to change or adapt services?
What are the difficulties you might experience in making these changes?  How can you overcome these difficulties?

Alternative formats

To change or adapt to different services Joaquin should be provided with healthcare literacy and should be made aware of the positive and negative implication of her disease so that all the nervousness and anxiety can be overcome. Benefit will be application of interventions.

The difficulty will be related to high anxiety and stress level in the patient as after knowing about her healthcare condition it might possible that the patient gets affected negatively and do not apply any healthcare intervention (Ebrahimi et al. 2012).

Domiciliary services

This service will be an appropriate service for Joaquin as she is facing health and mental complications and she needs assistance in activities of daily life. Further, with the help of this she will be able to control the anxiety and anger within her personality (Rasella et al. 2014).

The adverse effect of this service will he her minimal health complications such as her anxiety and stress level will be affected. Further instead of controlling, may be due to health and mental complication, she can develop severe condition (Rasella et al. 2014).

Support from volunteers

Support from volunteers will help to relieve her stress; her distress related to her mental stability will be decreased. Further, she will be able to perform her activities of daily life and that will increase the self-esteem and respect within the patient (Ebrahimi et al. 2012).

Without the support from volunteers, Joaquin will increase her stress and anxiety level and further due to which, she will not be able to attain health care. Therefore, healthcare support and volunteers should be provided so that she can improve her mental health and can continue with her teaching related jobs.

References
Betancourt, J.R., Green, A.R., Carrillo, J.E. and Owusu Ananeh-Firempong, I.I., 2016. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and healthcare. Public health reports.
Ebrahimi, H., Torabizadeh, C., Mohammadi, E. and Valizadeh, S., 2012. Patients’ perception of dignity in Iranian healthcare settings: a qualitative content analysis. Journal of medical ethics, pp.medethics-2011.
El Rifai, D., Mosaad, G. and Farghaly, Y., 2017. Urban Framework As An Approach Towards Health Equity In Informal Settlements. WIT Transactions on Ecology and the Environment, 210, pp.87-98.
Heiman, H.J. and Artiga, S., 2015. Beyond health care: the role of social determinants in promoting health and health equity. Health, 20(10), pp.1-10.
Levesque, J.F., Harris, M.F. and Russell, G., 2013. Patient-centered access to health care: conceptualising access at the interface of health systems and populations. International journal for equity in health, 12(1), p.18.
Okwaraji, Y.B., Cousens, S., Berhane, Y., Mulholland, K. and Edmond, K., 2012. Effect of geographical access to health facilities on child mortality in rural Ethiopia: a community based cross sectional study. PLoS One, 7(3), p.e33564.
Rasella, D., Harhay, M.O., Pamponet, M.L., Aquino, R. and Barreto, M.L., 2014. Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data. Bmj, 349, p.g4014.

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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Task
Ethics for Nurses Create a some random brief ethical issues on how nurses justify their actions using the following bioethical principles: autonomy, beneficence, nonmaleficence, and justice.
Answers:

Introduction
The world is changing randomly at the moment and as a result, the healthcare professionals are a subjected to diverse challenges that revolve around ethical dilemmas. the healthcare professionals and the patients in most instances are at loggerheads regarding the best option for healthcare or services. often, the nurse usually acts as the advocate and the resource person to the patient. it is during such challenging times, however, that the nurse utilizes an essential tool called ethical decision making. according to beauchamp and childress, there are basically four principles in the field of healthcare ethics that outlines or define the importance or rather the significance of ethical decisions in the clinical or hospital set up (casey, 2015). the four principles are autonomy, justice, beneficence, and non-maleficence. however, it is necessary to understand that these ethical principles can be applied in a different manner depending on the situation at hand. the different laws governing these principles as well as the conditions applied to them can influence the manner in which they can be utilized. since this paper is based on a random ethical issue, i will explore on how nurses justify their actions based on the four ethical principles in relation to an incidence where there was poor prognosis of a patient suffering from an inoperable tumor but the family members of the patient requests the nurse not to disclose information about the improper prognosis to the affected patient. however, there still remains no perfect response to ethical dilemmas up to date.
A Critical Analysis of the Incidence
From a close review of this scenario, there is one conspicuous question that arises. the particular question is whether the harm in withholding the information about poor prognosis to the patient is greater than telling the patient the exact truth. during the entire nursing course, nurses are expected to develop a habit of telling the truth and being honest in any case. trustworthiness and honesty are the core values of the nursing profession though they are not restricted to the two mentioned. from the scenario above, the nurse is at cross-roads or rather dilemma as to whether he should tell the truth to the patient or not. in simpler terms, there is a disagreement between what is right and wrong. according to the moral ethics, the nurse has to disclose the true information to the patient. on the contrary, the nurse has the obligation to respect the request or rather the decision of the family members since revealing the information to the patient may worsen the condition.
Ethical Principles in the Scenario
Autonomy
The principle of autonomy is usually at interplay in relation to rights and obligations. the principle emphasizes the need of the patient to take full control of decisions about their medical treatment of any disease. from the explanations of beauchamp and childress, autonomy is being free from the control and personal influences or to a further extent personal limitations such as partial understanding. healthcare professionals should always be truthful with their patients and should respect the decisions they make as well. the patients, on the other hand, have the obligation to decide the best treatment services or plans they should be exposed to once they receive information that is complete, accurate and comprehensive from the nurses or healthcare providers. from the scenario above, the nurse would be abusing the bioethical principle of autonomy if he fails to disclose the true information to the patient. in so doing, the patient will be denied the chance to decide future treatment plans. furthermore, hiding information from the patient may later result in false assurances to the patient so as to suit the demands of the family. according to the american nurses association code of ethics provision two, the primary commitment of the nurse is the patient (fowell, 2011). from the explanations of the principle of autonomy coupled with the american nurses association provision of 2001, the nurse has to justify his actions, in this case, using the principle of autonomy by declaring the true information to the patient. failure to do this will be violating this principle and the consequences may be dire.
Beneficence and Non-Maleficence
The principle of beneficence dictates healthcare professionals to provide services or provide treatment that will offer maximum benefits to the patients. the principle of non-maleficence, on the other hand, gives assurance that the role of the healthcare provider is to avoid any potential harm to the patient. the principle of non-maleficence has its roots to florence nightingale who had a strong faith in avoiding harm to the patient (farrimond, 2013). in simpler terms, the principle of non-maleficence is to protect the patient at all costs. non-maleficence goes along the same way with another ethical principle called utilitarianism whose focus is providing maximum benefits to the patients at a reduced cost as well as minimal risks. in most cases, the principle of beneficence and non-maleficence go hand in hand and rarely do they override each other. in the given scenario, the decision by the nurse to keep away information about the poor prognosis to the patient may protect the psychological well-being of the patient. in so doing, the principle of beneficence will be partially in the application. this act, however, outweighs autonomy in relation to non-maleficence. the nurse, therefore, is justified not to disclose the information to the patient even though it would lead to deterioration of trustworthy between the nurse and the patient. besides the therapeutic relationship, the patient may develop dire complications such as suicide or self-harm. in this case, therefore, the principle of beneficence holds though the chances of non-maleficence can be very high. the principle of beneficence is however in most cases at conflict with the principle of autonomy based on descriptions above and this would form an interesting research later on.
Justice
Literally, justice means in equal measure or being fair. justice in the healthcare industry refers to the equitable distribution of resources. there are different forms of justice according to conn and they include distributive and rights-based justice. in the healthcare industry, the rights-based justice holds more water. patients have equal chances or rights when seeking healthcare services as well as participating in their plan of care. from the scenario above, the act of denying the patient information about the wrong prognosis would be against the principle of justice. the nurse, therefore, ought to disclose all the information to the patient. that is if he adheres to the principle of justice.
Conclusion
There still remains no exact or perfect response to ethical dilemmas in healthcare. the paper has tried to dig deep into how nurses can justify their actions using the four ethical principles in a given ethical dilemma. it is, however, difficult to justify the application of one principle over the other even though the ethical decision-making process gives a guide on how to utilize the best principle. to make the best decision, therefore, nurses should take into consideration the america nurses association code of ethics and the patients’ bill of rights whenever there arises an ethical dilemma. to get the possible solution as well, the pros versus cons and the risks versus benefits should measure against each other to get the best solution.
References
Casey, p. (2015). beneficence and non-maleficence: confidentiality and carers in psychiatry. irish journal of psychological medicine, 33(04), 203-206. doi:10.1017/ipm.2015.58
Farrimond, h. (2013). ethical principles and codes. doing ethical research, 25-37. doi:10.1007/978-1-137-29553-8_3
Fowell, m. (2011). ethics in nursing: cases, principles, and reasoning – martin benjamin joy curtis ethics in nursing: cases, principles, and reasoning – fourthedition oxford university press300pp£22.50978 0 19 538022 40195380223. nursing standard, 25(24), 31-31. doi:10.7748/ns.25.24.31.s40

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According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Questions:
Task
Write this title what is the parterner ship working?
What will you do in this work ?
What a multi agency and multi disciplinary is ?
professionals that work together for Clive
Occupational therapist answer the three questions in reference to occupational therapist?
Psychiatric nurse answer the three questions in reference to psychiatric nurse ?
Answers:

Introduction
In the hospital, there is usually an interplay of different professionals whose agenda however, is to provide the best care possible to the patient. In this assignment, I will analyze a certain case concerning a patient by the name Clive who has gone through several problems. The aim of all this is just to see how the different professionals like occupational therapists, psychiatric nurses and care givers can work together to ensure that Clive who is the patient in this case, is offered the best care possible.
Multidisciplinary and multiagency
Multi agency is a situation whereby different forces or teams or professionals team up to work in a collaborative manner so as to achieve a prevention agenda. Multi-disciplinary on the other hand is joining together of different disciplines as well as professional specialization in an approach to a certain problem (Poulton, et al.). Like in this case it involves the occupational therapist, psychiatric nurse and the care givers.
For the case of Clive, there are three different professionals that will work together to ensure that Clive’s situation is well managed. The three professionals in this case therefore include the occupational therapist, the psychiatric nurse and finally the care giver. All this three professionals have a unique role to play in the case of Clive.
The occupational therapist.
An occupational therapist is a professional who works with clients to ensure that they achieve a fulfilled as well as satisfied state of life by the use of different activities that are designed to achieve their objectives that can bolster health, prevent injury or development of the disability and finally improving and sustaining on the highest level of independence of the patient (“AUSTRALIAN ASSOCIATION OF OCCUPATIONAL THERAPIST”). According to this case study, Clive has been admitted in the hospital several times due to injuries sustained after falling. It is the work of the occupational therapist therefore to prevent such occurrences. One concern that has attributed to frequent falling of Clive is the absence of a ramp outside his flats. The Occupational therapist can therefore on ensuring that the ramp is fitted so that Clive does not fall regularly.
The psychiatric nurse.
A psychiatric nurse is the one who has the obligation or rather is specialized in handling issues to do with mental health. This therefore includes caring for all patients with mental issues regardless of the age or gender. Some of the conditions related to mental illness include schizophrenia, mood disorders, anxiety, psychosis, paranoia, self-harm and finally personality disorders (Carpenter and Hubbard). Nurses under this category receive highly specific training in psychological therapies as well as dealing with very challenging behaviors. According to this case study of Clive, He is widely believed to be totally confused and delusional. This are typical characteristics of mental disorders that need special attention from the psychiatric nurse. The psychiatric nurse therefore has to work in conjunction with other professionals like the care givers and the occupational therapist to ensure the best form of care is accorded to Clive.
Care givers
A care giver is anyone within the social unit that can either be paid or offer voluntary services in relation to help individuals who are either impaired due to their old age or certain disabilities or mental disorders as well. Typical roles for the care giver include taking care of someone who is ill, ensuring adherence to medications, helping them bathe or dress them and assisting them to answer the calls of nature. Care givers can also talk to the doctor on behalf of the patient. According to this case study, Clive is lucky enough to have one care giver who dresses him at night before he sleeps and gets him washed as well. Besides, the care giver also provides food to Clive. This is a good initiative however there was an instance where the care giver failed on duty whereby we are told that Clive resorted to urinating in a bottle. This is not advisable at all.
Type of information being shared by the agencies and how it is being shared.
There are different agencies in this case that include the fire services, the council flat and the hospital agency. Information being shared include the possible ways of preventing accidents like the fire incidence and falling due to lack of the fitted ramps. This information is being shared through meetings as well as visits.
what are benefits of this services working together?
There are several benefits associated with different services especially in the healthcare set up. First of all I will define what each service mean and later on finish by explaining the benefits of how they work together.
Cost reduction
Is the operation on a very minimal budget but for the best possible outcome. Despite reduced costs of operation, the services offered should act in the maximum benefits of the patient. This a criteria that is mostly used by hospitals so as to reduce on the expenditure but maximize on the revenues.
How psychiatric nurse can work with other profession to reduce costs
In the case of Clive, the psychiatric nurse can work with other professions to reduce costs by making frequent visits to ensure Clive has the best services without necessarily travelling to the hospital. The psychiatric nurse can also do that by sharing ideas with other professions on how to improve the condition of Clive.
Occupational therapist how working with other professionals can reduce costs.
Occupational therapist can effectively work with other professions to reduce costs by preventing injuries to Clive so that he does not use a lot of money seeking treatment.
How care givers can work with other professionals to reduce costs.
Care givers can work with other professionals by providing them on the progress of Clive and how he is responding on medication so that they avoid excess costs in buying unnecessary medicines.
2.
Benefits of use of expertise
how psychiatric nurse can benefit from other professional expertise
As explained earlier, professional expertise are the skills that an expert has. In this case, a psychiatric nurse can really benefit from other professional expertise in many ways. One such way is that they can get information on how to avoid injuries and this expertise can be got from the occupational therapist
How care givers can benefit from the expertise of other professionals.
The core function of the care giver is to ensure that Clive is well taken care of. However, a care giver can really benefit from the expertise of other professionals like occupational therapists and psychiatric nurses. In this case, a care giver can benefit from the expertise of the psychiatric nurse on how to effectively provide care to patients with mental disorders.
How occupational therapist can benefit from the expertise of other professionals.
As explained earlier, the function of the occupational therapist is to ensure that the patient does not suffer from any injury. Like in this case of Clive, the occupational therapist should advocate the fixing of ramps at the council flats to prevent Clive from being injured. The occupational therapist can therefore benefit from the expertise of the psychiatric nurse on how to prevent injuries in patients with mental disorders.
Continuity of care
Continuity of care advocates that the patient is subjected to quality care throughout the intervention.
how psychiatric nurse can benefit from other professionals to continue care
In the case of continuity of care, the psychiatric can really benefit a lot.One such way the can benefit is through the continuous providence of services by the occupational therapist. Continuous will at least make the work easier to the psychiatric nurse since there will be constant obligations from each professional.
Occupational therapist benefit of working with other professionals to continue care.
The function of the occupational therapist is to prevent injuries to the Patient who is Clive in this case. The occupational therapist can therefore benefit from continue of care since he can get that chance to interact with both the psychiatric nurse and the care givers on how to provide the best quality of services to the patient who is Clive in this case.
care giver benefit of working with other professionals to continue care.
Since it is the function of the care giver to provide care to the Clive who is the patient, care givers can really benefit by ensuring there is constant contact between the occupational therapists and the psychiatric nurses.
Seamless service
Seamless service is used to imply the pathway that a patient goes through from the time he or she makes the first contact until all the processes are complete.
How psychiatric nurse can work with other professionals to provide good service to clive.
The core role of a psychiatric nurse in the case of Clive is to enable him go over his mental disorders. The psychiatric nurse in this care can therefore ensure quality services by seeking the progress of Clive from other professionals like the care givers and occupational therapists so that he can know on where to improve on.
Occupational therapist working with other professionals to ensure continuing of service.
The major role of the occupational therapist is to prevent Clive from getting injured. In this case, the occupational therapist can ensure continue of care by seeking information from the psychiatric nurse and the care givers on how best to improve the condition of Clive so that he does not get injured.
Care giver benefit of working with other professionals to continue care.
The core role of the care giver is to provide care to Clive at home and at the hospital through ensuring adhering to medication, providing food and dressing the patient. The care givers can really benefit from other professionals to continue care by sharing information to both the psychiatric nurse and the occupational nurse on how to effectively give care to patients with a mental disorder like Clive.
References
AUSTRALIAN ASSOCIATION OF OCCUPATIONAL THERAPIST. (2010). Australian Occupational Therapy Journal, 20(2), 107-108.
Carpenter, L. M., & Hubbard, G. B. (2014). Cyberbullying: Implications for the Psychiatric Nurse Practitioner. Journal of Child and Adolescent Psychiatric Nursing, 27(3), 142-148.
Poulton, R., Moffitt, T. E., & Silva, P. A. (2015). The Dunedin Multidisciplinary Health and Development Study: overview of the first 40 years, with an eye to the future. Social Psychiatry and Psychiatric Epidemiology, 50(5), 679-693.

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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Question:

What are the principles of care and why are they important in health and social care?
– Definition of Care, what are the 5 principles….
– You may want to focus on 2 or 3 principles to go in to more depth……and relate to the relevant law/policy……
 
Consider Legislation, Regulation and Policy (Data Protection Act; Equality Act; Mental Health Act etc.. relevant to standards of care practice in health and social care
 
Consider what right and autonomy is. Give an overview of how the principles of care affect the rights and autonomy of vulnerable people and the need to protect and respect individual choice (eg; providing people with choice and autonomy but if this puts them or others at risk then this would affect their rights etc)
 
Use a theoretical concept to outline the importance of principles of care in health and social care situations – usually Maslow-
– Maslow Hierarchy of Needs; freedom of express needs/concerns (link with chosen principles of care)
– Relate care and control, power relationship in health and social care to practice/class discussion/ case study etc
 
Consider the issue of risk/risk management, equality, challenging behaviour, abuse, ethics etc…and the application of the principles of good practice in carrying out care in health and social care context
 
In relation to principles of good practice- Consider how boundaries in care are implemented in health and social care practice
– How does having boundaries in care practice relate to the principles of care – e.g. confidentiality, consent

Answer:

Introduction
Social and health care was established in order to offer quality medical services to individuals who have old age, poverty or illness. The service was created to improve, treat and diagnose both mental as well as physical health (Adams, 2007). It should be noted that services of social care are accessible as well as available for any individual whose ability and needs are in line with the laid down rules irrespective of the background. Health and social care are guided by specific principles which provide great support to individuals by providing them protection as well as ensuring that they become safe in every aspects of the healthcare system. Principles of care have been significant in aiding in guaranteeing effective social and health care to the patients. Principles are described as guidelines or rules and in this paper, principles of care are very significant to social as well as health care contexts success. Legislations are laid down laws that are governing a sector. The paper will critically evaluate how principles of practice are executed in healthcare systems. It will discuss the impacts of legislations, codes of practice as well as standards on healthcare systems. Lastly, will appreciate how the rights to autonomy has to be formulated and implemented to protect the less disadvantaged members of the society.
Principles of support and practices are Implemented
Health and social care systems have numerous organizations or sections which offer healthcare services to the people with special needs. Social and health care services apply the principle as well as the philosophy of care to offer support to the vulnerable and less privileged individuals by executing their rights in accordance with the right codes of practice and legislation (Brotherton and Parker, 2013). The legislations and policies also offer a way to protect the individuals from any form of abuse as well as harm. It should be noted that a person-centred approach applied by the healthcare providers ensure that patients receive maximum and effective health care services (Grant & Greene, 2012). There are various principles for care that must be followed to ensure effective implementation of social and health care. Principles are described as guidelines or rules and in this paper, principles of care are very significant to social as well as health care contexts success. Most of the principles of care are applied to ensure that people are given effective care by enhancing anti-discriminatory practices (McGee,2005).
Principles of Care
There are various principles of care that are normally used in implementation of health care; 
Dignity; it should be noted that dignity of people is very vital and should, thus, be maintained and has to be considered in the settings of care users by their practices in various facets. Dignity is described as the honor and self-respect that is created in a person with time. Thus, healthcare provider must consider the dignity of the health as well as social care user while offering his or her health and social care services that he or she need. Respecting diversity; diversity is described as key and fundamental nature of personality in which there are numerous factors linked to having various qualities as well as features (Walker et al, 2016). Diversity has to be effectively managed in the process of quality service delivery.
Confidentiality; in line with the data protection act of 1998, it is mandated and demanded that data and information of every individual be respected. There are other rules which should also be followed for effective protection against any harm to the health and social care (Perri, Raab & Bellamy, 2005). Information and data of individuals receiving care can be shared among providers of care in case it is needed for providing effective services. It should also be noted that there are defined parties who can share information and data of the health and social care users. However, it is demanded that the information shared be relevant and given in the right manner and such information and data should make impact on different facets related to the safety facets of the health and social care users. It should be noted that principles of are normally applied in order to make sure that people are given effective care for social and health care by giving support to the people’s identities and beliefs. for instance, if the individuals are Christians, then most of them would be expected to have a church where they can pray.
Legislations
Data Protection Act of 1998 manages as well as controls how an individual’s data and information is utilized by the government, businesses or organizations. The Act is the United Kingdom execution of the general data protection regulation. Users must ensure that the information us utilized transparently, lawfully and fairly. The information has to be utilized and explicit reasons, should be utilized in a manner which is relevant, limited and adequate to only the intended purpose, the information must be up to date and be accurate. The data protection Act of 1998 places confidentiality as a key and basic part of upholding dignity for the health and social care users. The Act demands that public entities comply with an array of principles of data protection.
Care Standard Act; The protection of the vulnerable adults’ program was established by the Care Standards Act of 2000. The aim of the program is to make sure that nobody is allowed or given a chance to work in a health and social care sector if they have any history of harm, neglect or abuse to the vulnerable adults under their care or if they had placed such adults under risk. Care Standard Act of 2000 was amended to Care act 2014. Under the amended Act, the authorities in the local level had their functions revised. They had to ensure that people who reside in those areas get services which hinder and prohibit their care needs from being delayed or become serious. They also had to ensure that such residents receive advice as well as information which they require in order to make prudent decisions concerning support and care and lastly have an array of provision of appropriate and high-quality services to choose from.
The Equality Act of 2010; The disability discrimination Act 1995 as well as the distinct educational needs as well as disability order of 2005 are two discrimination laws for the individuals living with disability; they offer individuals with disabilities vital rights which protect them against discrimination from accessing health and social services in United Kingdom. In 2010, the disability act was changed to Equality Act of 2010 (Manthorpe & Moriarty, 2014). The Act makes it unlawful to treat people unlawfully because of protected characteristics. Anti-discriminatory regulations are very significant to the lawful and ethical framework of provision of care as well as the fundamental protection of individuals dignity. Equality Act of 2010, thus, protects individuals getting care and the professionals who offer it from being treated unfairly due to any features which are under the regulations. The protected features entail; disability, age, maternity and pregnancy, belief or religion, sexual orientation, gender reassignment and sex (Jasanoff, 2011). The legal mechanism for applying the equality act is that it applies to every individual offering facilities, services and goods in the United Kingdom. Any person who is claiming to have been discriminated can either go to a county or tribunal court.
The Health and Social Care Act 2010 aims to give individuals a greater voice in their care
Mental Health Act or the Mental capacity Act of 2005; Protects people who do not have the capacity to make their own decisions. In numerous cases, patients can visit a hospital or any other mental health facility with their approval or agreement. In such instance, the patient can be described as a voluntary patient. Nevertheless, there are certain instances in which a person can be moved to a mental health facility using the laid down mental health act of 1983 without their agreement. Mental health act is the legislation is that covers the rights, treatment and assessment of individuals with mental health disorder. It should be noted that individuals who are under the mental health act require urgent and immediate treatment and assessment for a mental health disorder. Such individuals are normally at risk of creating harm to other people as well as themselves.
Freedom of information act of 2000; this legislation came into force in the country in 2005 and it states that information, for instance, held by the healthcare authorities or by healthcare professionals must be disclosed to the respective patients. Under this act, a request for a particular information can be done by any member of the public with that person writing a formal request letter for disclosure of such information. This means that a patient can be able to access healthcare information for any healthcare organization so long as a formal procedure is followed. 
Sexual offences Act 2003; this act prohibits any sexual offence that is committed by a healthcare worker to patients of mental illness. This was necessitated by the lack of laws protecting mental illness sexual abuse victims. However, the law does not bar healthcare workers from offering intimate personal as well as close care to the mental illness patients so long as the behavior is not perceived or intended to be sexual.
The Human Rights Act 1998 Sets out the basic rights of every human being in the UK
Right and Autonomy and How It Affects the Rights of Vulnerable People
Autonomy is described as having choice as well as control over the life of an individual. Being supported by a health and social care provider to continue with certain everyday tasks like shopping can be key in maintaining an individual’s autonomy (Taylor, 2014). However, an individual’s autonomy is normally at risk in instances in which an individual requires aid in most private and key needs as is observed in residential or health centers care. it can be also at risk when a health impairment impacts on the ability of an individual to communicate effectively.  Health and social care providers should never make the mistake of assuming that since they effectively know the person or the patient, they will definitely know and understand most of his or her preferences. According to Needham & Carr (2015), older people who have been deemed as vulnerable in the society always require more time to recuperate after undergoing surgery or illness, thus, an effective and rehabilitation program is viewed as an intermediate care. However, most of the older people are quickly rushed into longstanding care since they are not offered effective opportunity to benefit from rehabilitation care services (Turner & Cooper Ueki, 2015).
Significance of Principles of Care Using Maslow’s Hierarchy of Needs
Maslow’s hierarchy of needs is a psychological theory which describes the theory of human motivation. This theory emphasizes on key stages of growth of human motivation, applying the terms safety, self-actualization, esteem, love, belonging and physiological.  This theory can be applied in the principle of care in healthcare in the review, implementation, planning and assessment of patient care. This will health and social care providers in identifying unmet as well as unfulfilled patient needs as they transition to health care needs (Zalenski & Raspa, 2006). it also enables health care providers to identify the patient on the continuum of health and illness and to integrate health models as well as human perspectives into meeting the needs. It is should be noted that the meeting of the lower needs is key to an individual’s wellbeing and health.  The principles motivate health care professionals in every sphere of the healthcare systems to look beyond their specific area of professional expertise, that is, clients or the patients will be assessed in the context of their career situation, family and physical health, their ability to effectively communicate as well as the ability to work (Zalenski & Raspa, 2006).
Risk management, behaviora and the principles of support
The changing nature of basic care denotes that community healthcare providers will increasing and gradually be expected to adopt new roles which have conventionally been performed by other experts and in which can be linked to greater level of risk. Principles of care and support provide a platform to the healthcare providers and experts to navigate through various risks that they face in the provision of healthcare services to the people. Ethical dilemmas are always faced by healthcare providers who are treating and taking care of people living with dementia.
Conclusion
Social and health care services are very important in providing support and care to the patients as well as the health workers. In order to deliver quality and effective health and social care services to the public, health care providers are guided by the principles of care and support. These are sets of guidelines and ethical rules which a professional healthcare provider must follow in order to handle patients especially the vulnerable people in the society. In the United Kingdom, there are certain policies and legislations which have been enacted by the national government to protect the vulnerable members of the society and ensures that every individual receives equally and fairly health care services. Thus, it is the duty of every healthcare professionals to observe these legislations and in most cases apply different theoretical concepts like the Maslow’s hierarchy of needs
References
Adams, R 2007, Foundations of Health and Social Care. Basingstoke: Palgrave Macmillan
Brotherton, G. and Parker, S 2013, Your foundation in health and social care: a guide for foundation degree students. London: Sage Publication
Grant, R & Greene, D 2012, ‘The Health Care Home Model: Primary Health Care Meeting Public Health Goals’, American Journal of Public Health, vol. 102, no. 6, pp. 1096–1103, 
Jasanoff, S 2011, Reframing Rights: Bioconstitutionalism in the Genetic Age, Basic Bioethics, The MIT Press, Cambridge, Mass,
Manthorpe, J & Moriarty, J 2014, ‘Examining day centre provision for older people in the UK using the Equality Act 2010: findings of a scoping review’, Health & Social Care in the Community, vol. 22, no. 4, pp. 352–360,
McGee, P 2005, Principles of caring: a practical approach. Cheltenham: Nelson Thornes
Needham, C & Carr, S 2015, ‘Micro-provision of Social Care Support for Marginalized Communities – Filling the Gap or Building Bridges to the Mainstream?’, Social Policy & Administration, vol. 49, no. 7, pp. 824–841, 
Perri, Raab, C & Bellamy, C 2005, ‘Joined-up government and privacy in the United Kingdom: managing tensions between data protection and social policy. Part I’, Public Administration, vol. 83, no. 1, pp. 111–133, 
Taylor, H 2014, ‘Promoting a patient’s right to autonomy: implications for primary healthcare practitioners. Part 2’, Primary Health Care, vol. 24, no. 3, pp. 34–40, 
Turner, S & Cooper Ueki, M 2015, ‘Current policy and legislation in England regarding older people – what this means for older people with learning disabilities: a discussion paper’, British Journal of Learning Disabilities, vol. 43, no. 4, pp. 254–260
Walker, C, Beck, CR, Eccles, R & Weston, C 2016, ‘Health inequalities and access to health care for adults with learning disabilities in Lincolnshire’, British Journal of Learning Disabilities, vol. 44, no. 1, pp. 16–23, 
Zalenski, RJ & Raspa, R 2006, ‘Maslow’s Hierarchy of Needs: A Framework for Achieving Human Potential in Hospice’, Journal of Palliative Medicine, vol. 9, no. 5, pp. 1120–1127, https://youtu.be/9r17FqprE5g

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Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
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Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
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Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
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Introduction
Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
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Introduction
According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
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Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration 

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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Course Code: ASS072-1
University: University Of Bedfordshire

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Questions:

Explain Legislation and policy in health and social care. Explain the given below.
1.Occupational standards2.Common induction standards3.Principles of Care for Nursing4.Record Keeping5.Standards for Record Keeping6.Equality and Diversity Legislation7.Case studies8.Key legislation

Answers:

Introduction
Health and Social Care is defined as services which are provided by the health and social care providers to people. This term is generally used for referring the healthcare provision infrastructure with regards to both public and private sectors. The practitioners in health & care always possess good social skills while working with the patients all the time. They also require developed emotional intelligence for handling more challenging people.
Standards of Health and Social Care
For delivering a good quality social care services, there is a need of leadership that is strategic & clear operation management. The leaders who use National occupational standards always feel that the standards are helpful for reinforcing the link to operational management from strategy and service standards. There is always huge variety in standards and they benefit from comprehensive coverage and user focus. These standards cover complete UK and they are developed by LSIS (Learning and Skills Improvement Services). The basic of all standards is to take care of the patients in any situation and provide them with the best facility possible. NOS give the statements of skills and information required by supported employment workforce (Care, 2006).
Common Induction Standards
There are in total eight common introduction standards:

The role of health and social care worker standard
Standards for individual development
Effectual communiqué Standard
Impartiality and Inclusion Standard
Implementation of the duty of care and its principles
Common principles of protecting the health & social care standards
Support of being centered standard
Health & Safety in elderly people and social heed setting(Skillforcare, 2010).

Principles of Care for Nursing

Nurses should treat every human being with dignity and humanity. They should be able to anticipate the needs of the patients.
Nurses are responsible for the actions taken and are always Answerable to the judgments of the actions they carry out.
They should always be vigilant about the risk so that no one gets harmed.
They should always promote care not just to the patients but to the families too and value their decisions.
Nurses should deal with the issues and the information sensitively and also deal with the complaints in effective manner.
The staff should always be updated with the new skills and the changes in case if any.
The complete staff should work in team collaboratively.
All the people in the nursing staff should lead by examples and keep developing themselves(Adams, 2016).

Record Keeping
There standards are as follows:

The performance indicators should always describe the certain behaviors which display that the standards are met.
All indicators are not expected to become evident.
The performance indicators could be displayed if requested.
There are particular incidents where OT identifies the certain performance indicators have less importance and relatedness because of client factors. This might call for IT to known about further clarification(Raza, 2012).

Equality and Diversity
Equality majorly means to make sure that everybody in a setting has equal opportunities irrespective of their abilities, background and lifestyle.
Diversity majorly means to appreciate the non similarities in between people and then treating people’s values, beliefs, lifestyles and cultures with dignity and respect.
In the environment of health and social; care, it is significant that both these things are at heart with whatever is done. The patients and the users of the health care services are different individuals and the health care practitioners should always make sure that all their needs which are also diverse should be met.
When it comes to promoting the equality and diversity at any workplace, the major criteria is to just prevent the discrimination at the workplace. It might happen that sometime one setting might be discriminating against a patient in an accidental way especially when the patient is vulnerable because of the health, age or any type of disability, hence having an awareness of the probable obstacles and removing them is necessary (Stonehouse, 2015).
Case Studies
The case study is about increasing the symptoms of bowel cancer within the Asian Community. It is done by NHS Hilling don.
It gives the illustration of the support and benefits of Collecting and usage of the information system for identifying the needs of the people.
Background: NHS Hillingdon found that:

Bowel Cancer causes a larger proportion of deaths all over the world.
People under the age of 75 die a lot due to this cancer which is the large in number in Asia.
Cancer is the big contributor to inequality in death rates.

Action: The awareness campaign was launched in the South of Borough in which Asians are high in population. Due to this awareness the people gets to know the symptoms of bowel cancer which reduces the chances of late diagnosis of this disease (Commision, 2016).
Key Legislation
There are several Key Legislations related to Health and Social Care.

Workplace safety and Health Care Act 1974.
Health and Safety Regulation 1981 that also involves amendment on 2009.
Management and Safety Regulation 1999
Time of Work Regulations 1998
Care Standard Act 2000(Excellence, 2013)
Food and Safety Act 1990 and Hygiene Act 2005
Environment Protection Act 1990
Damages, illness and unsafe incidence Regulations 1995
Light at Work Regulation 1989.

Conclusion
This report focuses on the health and Social Care introduction and t he legislation and the law related to it. Principles of nursing ethics are mentioned with the equality and diversity in health and social care. A case study related to the social care is also discussed about the bowel cancer. Standard of Health care and common induction standards are also discussed in brief.
References
Adams, L. Y. (2016). The Conundrum of Caring in Nursing. International Journal of Caring Sciences , 9 (1), 1.
Care, S. F. (2006). A Manager’s Guide to Developing Strategic USes of NOS. Retrieved September 1, 2018, from https://www.skillsforcare.org.uk/Documents/Standards-legislation/National-Occupational-Standards/A-managers-guide-to-developing-strategic-uses-of-National-Occupational-Standards.pdf
Commision, E. A. (2016). Health and social care case studies. Retrieved September 1, 2018, from https://www.equalityhumanrights.com/en/advice-and-guidance/health-and-social-care-case-studies
Excellence, S. C. (2013). Key legislation – Health and safety legislation. Retrieved September 1, 2018, from https://www.scie.org.uk/publications/guides/guide15/legislation/otherlegislation/healthandsafetylegislation.asp
Pirkle, C. M., Dumont, A., & Zunzunegui, M. V. (2012). Medical recordkeeping, essential but overlooked aspect of quality of care in resource-limited settings. International Journal for Quality in Health Care , 1-4.
Raza, M. (2012). Good Medical Record Keeping. International Journal of Collaborative Research on Internal Medicine & Public Health , 4 (5).
Skillforcare. (2010). Common Induction Standards. Retrieved September 1, 2018, from https://www.skillsforcare.org.uk/Document-library/Standards/Common-Induction-Standards/CommonInductionStandardsguidancefornewworkers.pdf
Stonehouse, D. (2015). The Support Worker’s Role In Equality, Diversity and Inclusion. British Journal of Healthcare Assistants , 9 (12).

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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Course Code: ASS0721
University: University Of Bedfordshire

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Country: United Kingdom

Questions:

Task 1
With reference to a health and / or social care organisation of your choice:

Explain how personality and situational strength interact to influence behaviour in the organisation.
Identify similarities and differences in cultural values.
Explain the difference between person-organisation and person-job fit approaches to selection process to manage behaviour within the organisation.
Define management and its characteristics in the organisation.
Assess the professionalisation of management in the organisation.
Assess the roles and responsibilities of managers in the organisation.

Task 2
Examine the concept of shared governance in health and social care context.
Your essay should

Examine the nature of decision making and behaviour in group decision making
Clarify the advantages and disadvantages of group decision making
Critically analyse the leadership role in group decision making. 

Answers:

Introduction
In this assignment, there is the analysis of NHS England. NHS England organisation is the public funded organisation. This organisation provides free Healthcare medical facility to all the English residents. The funding for this organisation is possible with the help of general taxation system of the United Kingdom. Department of health United Kingdom regulates NHS England. The personality of an individual situation with the individual is having an impact on the behaviour of a person in the organisation is analysed in this report. The differences and the similarities in the cultural values followed in NHS England are understood in this assessment. Different approaches for managing the behaviour of the organisation is also investigated in this report. Characteristics of Management is having a crucial role in NHS England is determined in this report. Professionalization for managing things in the organisation is analysed in this assessment. Responsibilities and roles of the manager in an organisation are assessed in this assessment. After that, there is analysis regarding decision making. Pros and cons of group decision making are described in this assessment. The method that can be used for group decision making is also understood in this report. For taking the effective decision leadership roles are defined in this assessment.
Task 1
1.Explain how personality and situational strength interact to influence behaviour in the organisation.
Many circumstances take place with the employees of an organisation. It is a matter of fact that people react to different situations. Situations play an important role in the behaviour of a particular individual. This can be understood well with the help of an example. Any person is in the military or in sports then person will react with aggression. The behaviour of the person will be aggressive (Shamir & Howell, 2018). The reason behind for such behaviour is the circumstances and the situation with the militant and the sportsperson respectively. In the provocation situation, passive people can become aggressive.
The psychological characteristic of the individual can be stable in the present situation. This is because of the personality of the particular individual. Therefore the influence of personality on behaviour creates debate on the behaviour of the individual in the organisation. The prediction of the behaviour can be done with the help of the personality of the individual. The dynamic situation also plays a role in the good behaviour of the individual. The behaviour of the individual can be determined by both situation and the personality of the individual.
The behaviour of the individual can vary in a different situation. Therefore situation can be helpful in analyzing individual behaviour for the particular point in time. For the prediction of the future work of the particular person, personality will be helpful. Choices also reflect the personality of the particular person. Personality shows the behaviour of choices of an individual. The choices of the situation can also be done because of the personality of an individual (Crossan, Mazutis and Seijts, 2013). This can be understood with the help of an example. For example, if the particular individual is having the courage to lead the team in NHS England then the person will optimise the opportunities of leading the different task.
The behaviour of the individual also influenced because of the interpretation of the situation. The person who is having a daring personality will tackle the issues arises in the organisation. A calm and cool person always remains stable in the problematic situation in the organisation. The problem of the organisation can be solved easily with this type of person. It is the interpretation of the person by which different situation can be analysed. The consistent behaviour can be shown by some of the individuals because of their strong personality. Traits can arise on the basis of the situation also. Some of the traits can arise for the shots period of time according to the situation.
Some of the situations can be strongly predicted by the individual. According to the prediction, an individual can behave. For example, in NHS England if the failure of service occurs when some of the individuals will unable to find the solution to this situation (Chou, 2014). On the other side, some of the employees of the NHS England will analyse the problem and make it correct so that other services to patients will not be affected. They will also make out a solution for the affected goods so that error from the goods can be removed.
In this way, it can be said that personality and situation both play an important role in the analysis of behaviour in a different context.
2. Identify similarities and differences in cultural values.
There can be a different type of cultural values that can be followed by an organisation. Cultural values play a vital role in organisational behaviour. Good organisation behaviour will lead to good workplace Ambience. Different type of similarities and dissimilarities can be possible with the cultural values followed in the organisation.
Innovation is the cultural value that can provide large benefits to the organisation. Innovation brings quality in the Healthcare Services. Transparency is followed in the organisation for making satisfaction among the patients. Providing good quality services with the help of innovation and transparency both provide satisfaction to the patients (Chan, Satterfield and Goldstein, 2012).
Trust among the employees of an organisation can also be created with the help of transparency followed for them. Innovation cannot be helpful in meeting out the demands and needs of the employees. Innovation can be used for fulfilling that needs of the organisation. The need for getting high revenues and profits can be accomplished.
Involvement of the employees in organisation and adaptability according to changes in the organisation are the cultural values that followed in the organisation. Both cultural values ensure the effectiveness of the work of the employees for the organisation. These cultural values also help in creating accountability of employees towards the organisation. These cultural values also motivate employees to do hard work for the organisation. The dissimilarity among these cultural values is the involvement of results in less absenteeism while adaptability to change can result negatively and lead to absenteeism (Ahern, Daminelli and Fracassi, 2015).
Mission and goal of an organisation provide direction to the Employees for working in an organisation. The steps can be made according to the core values of the organisation. It is the culture of an organisation to follow its mission. Orientation to time is the cultural value that is followed in the organisations. The goals and mission should be accomplished within the decided time frame. Both of the cultural values are helpful in getting results according to the objectives of the organisation. Thedifference between these cultural value is the mission of an organisation is a long-term goal that have to be followed by the organisation. The orientation of time is made according to the specific objectives of an organisation.
Gender equality and right to equal opportunity to the employee are the cultural values that also followed in the NHS England. It is very necessary for the organisation to provide equal opportunity to all the employees whether the employee belongs to any ethnicity or nationality. The hiring of the employees should not be based on the genders of a candidate. Equal salaries are provided in the organisation on any employee whether the employees male or female. Therefore these cultural values are having a similarity of equality for all. The difference is gender equality is limited to gender-based differences (Minkov&Hofstede, 2012). Right to equal opportunity is for all differences that used to take place in the organisation.
3.Explain the difference between person-organisation and person-job fit approaches to the selection process to manage behaviour within the organisation.
Person organisation fit in the selection process is compatibility between the employee and the organisation. This theory is based on assumption. The first assumption is the behaviour of individualism a function of a personality and Ambience around the individual. Another assumption is that working Ambience and individual are compatible. Person organisation fit is the theory signifies that if the particular individual is having the same cultural values that the organisation is having then that individual will be attracted to the organisation (McCormack, 2017). It can also be said that organisation will hire that employees who are meeting the cultural value demand of an organisation. Any individual used to see that up to what extent he or she is congruent to the NHS England. This makes the person decide to join an organisation. This approach also provides a choice to remain with the company or not.
The organisational behaviour can be managed with the help of person organisation fit approach. The work attitude of an employee of an organisation can be according to the vision of an organisation. The employee will be satisfied with the job in the organisation. The commitment of the employee will be higher towards the organisation.
There will be less employee turnover in the organisation. Stability of the working employees will be more because of person organisation fit approach. This will be helpful in saving the cost of an organisation. Job performance of an individual will also become good enough because of this approach. This will helpful for the organisation growth and development (Warr&Inceoglu, 2012).
The traits and personality of an individual will decide the adaptability of a person towards the organisation. The workplace efficacy depends on the personality-job fit approach. If the adaptability of an individual according to the organisation can be accomplished then the performance of the individual will be high. Job description plays an important for recruiting the individual. The individual according to the needs of workers in NHS England can be selected with the help of job description. The competencies and skills can also be checked under personality-job fit approach U
This will be helpful in achieving the organisational goals. The behaviour of the organisation can be made according to the slogan and vision of an organisation. There will be fewer issues among the employees for the work because of the implementation of the personality-job fit approach (Peng& Mao, 2015). for example, if an individual in NHS England is giving an extraordinary performance as compared to a team then that individual is more adaptable to organisational behaviour. The compatibility of that particular individual to the organisation can be created easily with this approach.
4.Define management and its characteristics in the organisation.
The process of dealing and controlling the activities of an organisation is called as management. Strategy setting for the employees according to the organisational objective is also known as management. Management is simply managing things. It is the combination of controlling, organising, forecasting, planning ,coordinating commanding of things and resources available to the organisation. There can be the different type of characteristics of management in the organisation. This can be understood as
Management is a goal-oriented process
The organisation is having specific goals. Goals are something that gives the direction of work. The organisation motivates the employees of the organisation according to the goals. The task can be accomplished with the help of goal-oriented process in an easy manner.
Continuous process
It is a continuous process that has to be accomplished by the employees of an organisation. The planning of different processes is a continuous method that has to be implemented for the growth and success of an organisation. All the different processes that are associated with the organisation have to be continuous in nature so that effective management can be the output (Boulware, et. al., 2016).
Multidimensional
Management includes operation management, people management and work management. Different type of work that is associated with the NHS England is managed under the work management category. Thenon-living resources are managed under the category of Operation Management. The living resources in the organisation that is human are managed under the people management. The management is also applied to the veterinary organisation and forest management.
Dynamic
It is the dynamic function in which changes in objective have to be accomplished according to the situation and circumstances. Business environment external forces played an important role in making changes to the organisation that can be managed with the help of Management (Chartier, 2014).
Group activity
Management is more pertaining to group activity as compared to individual activity within the organisational context. The collective decision making is taken so that different things can be managed easily.
Intangible
Services under the management are intangible services. This type of function cannot be seen but the presence of this function can be felt. Mismanagement can lead to confusion among the employees as well as patients of the organisation.
The balance between effectiveness and efficiency
The balance between effectiveness and efficiency can be accomplished with the help of management in an organisation. Effective use of the resources present to the organisation can be accomplished with the help of Management leads to good efficiency in the organisation (Antheunis, Tates and Nieboer, 2013). The functioning of the different processes in the organisation can be done well with the help of management results in enhancing the effectiveness of work in NHS England.
Management is not limited to big firms. It can be used in all type of organisation whether it is small or large. It is not limited to the business organisation. It can be used in voluntary organisations also. Management is used in schools, house, Hospital and clubs.
5.Assess the professionalisation of management in the organisation
Professionalization is the method of transformation of trade into the profession of highest skill and completeness. The profession is a body that is having a specialised knowledge about the particular work. Professionalism is done for creating a social responsibility for the society. The services and the product of medical care that can provide ease to the life of patients are made by the professionals for the patients. Professionalization is the standard that can be set for governing and managing the organisation and its operation with the help of clients, employees and public (Manners, 2017).
The professionalization of the management in the organisation can be doneas: –
The organisation can be made a systematic body that is competent in the knowledge of the work. The process of the organisation can be made specialised so that effective working can be possible. The proper code of conduct is followed for the functioning of the specific task for professionalization.
There should be observance from the high level of authorities of NHS England on the work and functioning. This is the part of management that is followed by high authorities. This is the method of monitoring of work. This will be beneficial for completing effective work for the organisation.
The application of new knowledge and innovation should be such that it is beneficial for the patients. The method of providing effective product and services to the patients is a part of the professionalization of Management (Numerato, Salvatore and Fattore, 2012). This will bring satisfaction to the patients of an organisation.
In this way, it can be said that professionalization plays an important role in providing better services to patients. Professionalization helps to increase the patient’s base of an organisation. Efficient methods can be developed with the help of professionalization. The research and development of the process that can make better services are also the outputs of professionalization.
6.Assess the roles and responsibilities of managers in the organisation
There are many types of roles and responsibilities of a manager. This can be understood as: –
Care
It is the duty of a manager to take care of the staff of an organisation. Implementing the equality rights for the employees of an organisation is the key to good organisational behaviour. It is the method that is being followed by the manager of an organisation. It is the responsibility of the manager to analyse different issues between the employees of the organisation. The manager used to tackle the issues between employees and sort out the issue. The concerns that are raised by the employees of an organisation are evaluated by the manager.
Support
For the effective Ambience at the workplace it is necessary for the manager to be supportive. The manager should help staff in their task. It is the responsibility of the manager to provide specification and knowledge about the task to the Employees so that good functioning of an organisation can be accomplished. The different problems regarding task as well personal problem are listening by the managers of the organisation. Maintaining open Team environment and maintaining organisation as one are the responsibility of the manager.
Administration
The role of the manager is to administer the different processes that are present in the organisation. Manipulation and making changes in the work according to the situation is done by the manager of an organisation. All the requirements of an organisation are met or not being checked by the manager of an organisation. Fulfilling the deadline of the different task of organisation is monitored by the manager of an organisation.
Leadership
A manager leads the teams in the organisation. Manager provides direction to the Employees for the new task as well as an existing task (Hibbard & Greene, 2013). Creating coordination among the employees of the organisation like NHS England is the responsibility of the manager. It is the leadership of manager by which all the employees able to work with full of coordination in the team. A good leader always welcome new innovative ideas from the employees of an organisation. After that, the managers have to think about the idea of whether it can be implemented in the organisational context or not.
Emergency response plan
Managers have to make a plan according to the critical situation that arises in the organisation. The critical situation like an error in the manufacturing can be possible in the organisation. Therefore in a critical situation the manager should be competent enough to make an emergency plan (Brett, et. al., 2014).
Instructor
All the instructions are given by the manager to the employees of the organisation. The new rules and guidelines regarding the task and process of the organisation are made understood by the manager to the employees of the organisation. A manager also trains the employees of an organisation. All the important information regarding the task is provided by the manager to the employees of the organisation.
Ensure good ambience
It is analysed by the manager of an organisation that good ambience is there at the workplace or not (Betancourt, et. al., 2016). Effective recreational activities are planned by managers. This is helpful in maintaining the good organisational culture.
Decision making
It is very necessary for the manager to take the important decision of organisation. Decisions are taken collectively with the employees of an organisation by the manager. Suggestions of the employees are helpful in making decisions for the organisation by managers.
Task 2
Decision making is the cognitive process that is followed by employees of the organisation for the selection of a course of action that has to be taken for the organisation. Decision making is the alternative possibility that has to be implemented for the organisation for a particular cause. The distance between is the process of deciding and choosing alternative on the basis of preference for the organisation. Decision making is an important part of an organisation that decides the result of any step taken for the organisation.
1.Examine the nature of decision making and behaviour in group decision making
The 7 natures of the decision making can be described as: –
Goal-oriented process
Decision making is the goal-oriented process. For a specific, the decision has to be taken by the manager and employees of the organisation like NHS England. For achieving the specific goal of an organisation, many methods are available for achieving the goal to the organisation. It is the decision that has to be taken by which the goal can be achieved easily.
Art as well as science
It can be considered art as well as science. In the critical situation like an emergency in the organisation the right decision taken in a fast manner can be considered as part of amanager (Oshima Lee & Emanuel, 2013). The collective decision on the basis of Thinking the pros and cons of the decision can be considered as a science for the decision.
Selection process
Different type of alternative are available are available at the time of decision making by the manager of an Optimisation. The method that will be best suited for the organisation will be taken as a decision. The reason for adapting the particular decision can be more advantageous to the selected decision.
Continuous process
Decision making for an organisation is a continuous process. Differenttype of functioning takes place in the organisation like operations of patients. The effective functioning helps in the growth of an organisation. Decisions have to be taken continuously for accomplishing the different regular task of an organisation (Stiggelbout, et. al., 2012). Therefore it can be said that decision making is a continuous process for an organisation.
Collective responsibility
Decision making is a collective responsibility of employees, leader and manager of the organisation. The collective decision has to be taken by all. In some of the decision making suggestions from the employees are taken and the decision is taken by the senior authority of the organisation. Decision making enhances the coordination between the employees of the organisation.
Positive as well as negative
The decision that has been taken for the organisation can be positive as well as negative it can give any outcome, but it is necessary to take a decision. Positive decisions are in the favour of growth of an organisation. The negative decision provides an experience to the organisation so that in the future better decisions can be taken (Barry & Edgman-Levitan, 2012).
Future action
Future actions of the organisation depend on the decision taken and at present. The decision will provide a way to the organisation for future actions.
Different type of behaviour is followed for decision making in the group are: –

Consensus decision making is the type of decision making in which the majority of people decide is the past for the organisation. This type of decision making is implemented to eradicate the Winner and Loser situation at the time of group decision making in the organisation like NHS England.
The voting based method is the type of decision making in which majority criteria is set for 50%. If the particular 50% vote shares then the particular decision have to be taken for the organisation. This is the democratic method of making a decision for the organisation.
Delphi Method is the type of decision making in which the qualitative forecasting can be accomplished for the group decision making (Goetghebeur, et. al., 2012).
Democracy is the type of decision-making behaviour that is followed in group decision making. There are a number of Ideas that are poised by employees of the organisation. For the agreement on one idea sheets are given to the employees of the organisation in which agreement for a particular Idea has to be made by the employees of the organisation. These are some of the behaviours that are followed in the group decision making in the organisation.

2.Clarify the advantages and disadvantages of group decision making
Advantages of group decision making
A diversity of Ideas is available in group decision-making methods. Different type of Ideas provides an opportunity to select the best idea that can be suitable for the organisation. Number of Ideas provides more knowledge about the topic on which the decision is to be taken. This will be like training for the employees of an organisation to know about the particular topic on which the decision is being taken.
Group decision making provides a greater commitment for the task for which the decision is being made. A number of employees will be involved in creating out a new idea that can be favourable for the particular task. The collective decision which is suitable is taken as a final decision.
Group decision making result in enhancement of coordination between the employees of the NHS England. Group decision making is like a team building activity that creates a good environment in the organisation. The employee gets to know about the critical thinking skills of another employee. Group decision making overall creates good thinking skills for the employees of the organisation (Hwang & Lin, 2012).
The decision that will have greater accessibility will be the final decision. The decision is taken according to the thinking of the employees in the organisation. It creates a good environment in the organisation. A sense of belonging towards the organisation is also accomplished among the employees of the organisation.
Disadvantages of group decision making
Group decision making is a time-consuming process. A large number of Ideas has to be taken from different employees of the organisation. On the number of Ideas, the decision has to be made on the basis of different behaviours of group decision making. Therefore it can be said that it wastes the time of the organisation.
There can be multiple groups can be made within the group. Grouping can be the situation within the NHS England.
Compromising the decision is the situation with some of the employees whose decision is not chosen as the final decision. There is a sense of unusual feeling in which employee thought that his or her decision is not accepted (Saaty & Peniwati, 2013).
Various methods of group decision making involve the high cost for conducting voting etc. therefore group decision making is expensive to process.
There can be a situation of the rushing of decision making in the organisation. The reason behind the rushing is the group decision making.
Due to a large number of Ideas in the organisation for a particular decision sometimes there is the situation in which responsibility is denied by the manager of the organisation.
3.Critically analyse the leadership role in group decision making.
Role of a leader for a group decision making can be as follows
Commanding
The leader should be commanding. The leader should provide the necessary information regarding the topic on which the decision has to be taken. The information regarding the deadlines for a decision is provided by the leader to the employees of the organisation. Immediate guidance can be provided to the Employees so that better decisions can be taken collectively.
Collaborating
The leader has to welcome all the ideas from employees. The leader should be collaborative. Effective coordination can be made by the leader of the employees of the organisation at the time of decision making. Collaboration should be such that there will not be the situation of conflict between the employees because of the decision. All such things are ensured by the leader of the organisation (Yue, 2012).
Democratic
Little should be democratic. At the time of decision making, fair policy should be the reason for selecting the final decision from a bunch of ideas. The leader always makes a final decision in making most of the employees satisfied with the decision. The final decision is a part of the change in the organisation, therefore, a satisfaction of employees is necessary (Laughlin, 2014).
Laissez faire
It is the French Turbo that means let do. It is the responsibility of the leader to make the employees feel free while giving ideas for the decision. There will be full of freedom that can be provided to the Employees while decision making in the group. This will be a good image of the organisation among the employees of the organisation. This is the part of a good organisational culture that should be followed in the organisation. This creates motivation among the employees of the organisation. This helps the employee to give an idea for the organisation with full of commitment in group decision making (Yu, Wu and Zhou, 2012).
Authoritarian
At the time of decision making in the group the leader should be authoritative. The leader should have proper control over the group. The leader should be such that all the members obey the instruction of leader. This will be helpful in conducting group decision making easier and with a proper code of conduct.
Open leadership
A leader at the time of group decision making should have open Outlook. Conducive climate should be established by a leader at the time of decision making in the group. A leader should encourage diverse Idea among the employee population so that best decision can be taken for the NHS England. A leader can adjust according to the situation so that effective decision making in a group can be possible (Betancourt, et. al., 2016).
Group decision making plays an important role in the organisation. Different type of methods can be used for taking a group decision. There is an advantage as well as disadvantages of group decision making for the organisation. Strong leadership can be a helpful group decision making the process for an organisation.
Conclusion
NHS England is providing good services to its patients. Employee behaviour can be analysed well with the help of leadership as well as the situation. Cultural values in the organisation are very necessary. Person organisation approach helps in searching those candidates as an employee of the organisation that is suitable to specific organisational culture. Person-job fit approach makes the employee compatible according to the organisation. With the help of Management, effective services can be provided to the patients of NHS England. Managers are the entity that can provide effective management in the organisation with good professionalism. Group decision making can be good Final Decision. It can also be concluded for NHS England that group decision making is favourable as well as non-favourable for this organisation. A good leader can lead to good decision making process in the group.
References
Ahern, K.R., Daminelli, D. and Fracassi, C., (2015) Lost in translation? The effect of cultural values on mergers around the world. Journal of Financial Economics, 117(1), pp.165-189.
Antheunis, M.L., Tates, K. and Nieboer, T.E., (2013) Patients’ and health professionals’ use of social media in health care: motives, barriers and expectations. Patient education and counseling, 92(3), pp.426-431.
Barry, M.J. and Edgman-Levitan, S., (2012) Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), pp.780-781.
Betancourt, J.R., Green, A.R., Carrillo, J.E. and OwusuAnaneh-Firempong, I.I., (2016) Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports.
Boulware, L.E., Cooper, L.A., Ratner, L.E., LaVeist, T.A. and Powe, N.R., (2016) Race and trust in the health care system. Public health reports.
Brett, J., Staniszewska, S., Mockford, C., Herron?Marx, S., Hughes, J., Tysall, C. and Suleman, R., (2014) Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expectations, 17(5), pp.637-650.
Chan, K.M., Satterfield, T. and Goldstein, J., (2012) Rethinking ecosystem services to better address and navigate cultural values. Ecological economics, 74, pp.8-18.
Chartier, Y. ed., (2014) Safe management of wastes from health-care activities. World Health Organization.
Chou, C.J., (2014) Hotels’ environmental policies and employee personal environmental beliefs: Interactions and outcomes. Tourism Management, 40, pp.436-446.
Crossan, M., Mazutis, D. and Seijts, G., (2013) In search of virtue: The role of virtues, values and character strengths in ethical decision making. Journal of Business Ethics, 113(4), pp.567-581.
Goetghebeur, M.M., Wagner, M., Khoury, H., Levitt, R.J., Erickson, L.J. and Rindress, D., (2012) Bridging health technology assessment (HTA) and efficient health care decision making with multicriteria decision analysis (MCDA) applying the EVIDEM framework to medicines appraisal. Medical decision making, 32(2), pp.376-388.
Hibbard, J.H. and Greene, J., (2013) What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health affairs, 32(2), pp.207-214.
Hwang, C.L. and Lin, M.J., (2012) Group decision making under multiple criteria: methods and applications (Vol. 281). Springer Science & Business Media.
Laughlin, P.R., (2014) Group decision making and collective induction. In Understanding group behavior (pp. 69-88). Psychology Press.
Manners, R.A., (2017) Professional dominance: The social structure of medical care. Germany: Routledge.
McCormack, B., (2017) Negotiating Partnerships with Older People: A Person Centred Approach: A Person Centred Approach. Germany: Routledge.
Minkov, M. and Hofstede, G., (2012) Is national culture a meaningful concept? Cultural values delineate homogeneous national clusters of in-country regions. Cross-Cultural Research, 46(2), pp.133-159.
Numerato, D., Salvatore, D. and Fattore, G., (2012) The impact of management on medical professionalism: a review. Sociology of health & illness, 34(4), pp.626-644.
Oshima Lee, E. and Emanuel, E.J., (2013) Shared decision making to improve care and reduce costs. New England Journal of Medicine, 368(1), pp.6-8.
Peng, Y. and Mao, C., (2015) The impact of person–job fit on job satisfaction: the mediator role of Self efficacy. Social Indicators Research, 121(3), pp.805-813.
Saaty, T.L. and Peniwati, K., (2013) Group decision making: drawing out and reconciling differences. RWS publications.
Shamir, B. and Howell, J.M., (2018) Organizational and contextual influences on the emergence and effectiveness of charismatic leadership. In Leadership Now: Reflections on the Legacy of Boas Shamir (pp. 255-281). Emerald Publishing Limited.
Stiggelbout, A.M., d Weijden, T.V., Wit, M.P.T.D., Frosch, D., Légaré, F., Montori, V.M., Trevena, L. and Elwyn, G., (2012) Shared decision making: really putting patients at the centre of healthcare. British Medical Journal (BMJ), 344, p.e256.
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Yu, D., Wu, Y. and Zhou, W., (2012) Generalized hesitant fuzzy Bonferroni mean and its application in multi-criteria group decision making. Journal of Information &Computational Science, 9(2), pp.267-274.
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ASS0721 Introduction To Health And Social Care

ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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ASS0721 Introduction To Health And Social Care

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Title:
Demonstrate how health and social care workers apply relevant legislation to safeguarding issues in practice.
Written assignment on care home  of the health and social care services that the Care Quality Commission regulate.
Throughout your work you should maintain confidentiality, and ensure no client/individual/population can be identified.
Answer:

Introduction
The concepts of self-care, enablement, and self-management are important in the delivery of effective and safe healthcare practice by the social and health care workers. Effective communication is essential in health and social care since it influences working with service users and teams. It is a professional obligation of every individual to safeguard the human rights, health, and well-being of people regardless of his or her role or level. The essay will focus on some of the common illnesses that are related to frailty and long-term conditions including their impacts on the Activities of Daily Living.
The essay will provide a discussion of the principles and values in health and social care practice and their benefits to individuals and their families. The paper will explain the models of care and the role of social/healthcare workers with regards to service delivery.  The essay will appraise the principles of positive health interventions related to self-management, self-care, and enablement. Lastly, the essay will explain the links between legislation in relation to the accountability of practice including its impacts on the protection and safeguarding in social and health care.  
Common and familiar disease conditions related to prolonged ill health conditions in the frail people and results on daily activities of patients.
The most familiar and frequent illnesses which are associated with prolonged and long-lasting poor health and frailty include dementia, diabetes, arthritis, depression, and people with multiple long-term conditions. The word frailty is mostly misused to explain a range of disease conditions in elderly individuals, which include impairment of the cognitive abilities and their general debility among others (Oven et al., 2012, pp.16-24).  In contrast to that, becoming old is not a cause of frailty and neither disability does, such as amputation in the physically healthy elderly individuals. However, a general agreement is growing among professionals that frailty exists as syndrome on its own, and it occurs majorly in a subset of older persons. These individuals can be regarded as the most vulnerable and at high danger of being hospitalized, low life expectancy, and high dependency to those who are around them (Panza et al., 2015, pp.389-412).
As a result, these negative effects of health leads to the contribution of high demand for medical and social care. They are as well associated with the increased economic cost of care. Thus, it is extremely crucial that health officers have knowledge of the issues related to frailty, so as the fitting rehabilitative and preventive measures are taken early enough. Experts have tried to give various definitions for frailty but they have not yet reached a consensus. The debate centers on whether frailty should be defined either in pure terms as biomedical factors or whether to involve psychosocial factors as well. However, the general view of frailty can be explained as the increased vulnerability to poor homeostasis resolution due to stress which aggravates the risk of disability, falls, and delirium (Clegg, Young, Iliffe, Rikkert, and Rockwood, 2013. pp.752-762).
It remains a well and long-established clinical explanation that recommends concern over the elderly people’s prognosis and vulnerability. This shows that an insult like a new drug, little infection or just a minor surgery may result into a disproportionate and dramatic change in the elderly state of health: from mobile to immobile, independent to dependent, lucid to delirious, and from postural stability to falling. The oscillations of dependency usually observed in frail individuals can be termed as unstable disability which reflects the obvious changes in the functionality which are neither strange to the clinicians working with elderly people (Cameron, Lart, Bostock, and Coomber, 2014. pp. 225-233).
 Frailty and other long-term disease conditions have negative impacts on their activities of daily living, such that falls subject them to fear of navigating through some environments. They are also associated with infliction of psychological fear of falling further leading to the development of severe immobility. Fluctuating disability results into day to day un-functionality of patients to fully become dependent hence requiring close healthcare provision and monitoring. Delirium results into confusion and reduced awareness, associated with a reduction in the integrity of brain and function (Hasson, Blomberg, and Duner, 2012, pp.23).
Discussion on the principles and values found in health and social care system and their merits on both families and individuals.
There are utilities which lie at the center of work in health and social care which act as the guiding principles to the workers for them to understand the do’s and don’ts as well as what is more crucial when providing support and care to their clients. Six of them are now recognized and applies to health and social workers. They comprise the 6Cs’ namely; compassion, care, courage, communication, commitment, and competence (Bower et al., 2012. pp.7)
 Care involves the virtue of having somebody’s best interest within the heart and doing whatever it would cost to promote and uphold their quality of life and wellbeing, while compassion is the ability to put oneself into another person’s shoes and be able to experience what they feel and understand their situation of life. The ability to perceive someone’s need and having the skills and knowledge to avail it is referred to as competence (Clark and Weale, 2012. pp.293-316).  Careful listening and attention and the capability act and speak in ways well understood by the person involves adequate communication as courage describes fearlessness to make trial of unfamiliar stuff or express oneself if a concern arises about anything. Commitment is a value of showing dedication to support and provision of health and social care with well understanding of the responsibility of oneself as a health worker.
It is critical to offer support to individuals in the planning of their tomorrow’s general wellbeing and accomplishment in order to upgrade their quality of life, even if it only involves short-term care. The wellbeing of an individual relates to several areas which includes dignity of persons; emotional, physical, and mental health; abuse and discrimination protection; involvement in work, training, education, and recreation; socio-economic wellbeing, personal, family, and domestic relationships; suitable living standards; and the person’s contribution to his or her society (Makai et al., 2014, pp.83-93).The key values which must be pursued in health and social care service provision include autonomy, empowerment, inclusion in social activities, paying respect for diversity, citizenship, protection, and care for vulnerable groups in the community we live.
Explanation of care models and the responsibility of social and health care worker in association with provision of services.
 Care models widely explain the modes in which healthcare services are made available. Ownership of well-articulated care models ensures that every health worker has the same view of the broad picture, working for common set goal achievement, and the ability to assess performance on general agreed backgrounds and foundations (Millar, and Hall, 2013, pp.923-941). There are various models of care present in literature. They comprise of care availed across the field of health settings which include medical coordination, allied health, nursing, bereavement, and volunteer services from both generalist and specialist providers in hospitals and primary care. The models of care have components and systems with involved designs and implementation (Marmot, Allen, Bell, Bloomer, and Goldblatt, 2012, pp.1011-1029).
The individual model is a group of integrated care models that deal with the coordination of personal care for patients at increased risk or those with more than one disease conditions together with their caregivers. These models target to promote delivery and promotion of health care to who, where and when it’s appropriate, and to outdo division among the health and social care providers. The regulation of care for such patients goes beyond just once a time of care, and where cooperation among different providers is much needed. It also embraces the integration concept across the course of life. Among the integration, models include the case-management model, individual care plan models, patient-centered care, and the chronic care model (Ventola, 2014, pp.491).
Case management is a process of collaboration that encompasses the exchange of information and enabling care alongside a continuous effective coordination of resources. The target goals of this model are namely; achieving optimal health, appropriate use of resources and ease of access to health care, and balance with the rights of the patient to self-determination (Sorensen et al., 2012, pp.80). The principle of case management is to ensure coordinated patient care by allocating a case manager, whose role is designated to case managers with certificates who may or may not have medical know-how and also advanced primary care nurses or other health professionals.
 The important parts of case management include; definition and selection of pointed persons whose case management is most fitting, adjusting patients plans of care, individual assessment and plan of care, time to time patient monitoring. There is clear evidence that that case management reduces hospital admissions and re-admission as at the same time promoting the satisfaction of patients (Sorensen et al., 2012, pp.80).
Planning of care is also an approach to care integration for patients with multiple illnesses and long-term conditions. It aims to provide more specialized and personalized care which brings about shared plans of care mapping processes of care, it clearly articulates the duty of every provider and the clients in the process of care, as well as maintain prospective and retrospective information concerning care for certain patients. The care plans remain as reference points for any health service provider who is involved in an individual’s care. The healthcare coordinators assess the patients’ needs, formulate plans of care and regulate the delivery of multidisciplinary care. The success of the plans of care extending to the interface of health and social sectors depend more on the power of influential that is given to the care coordinators. Health care plan designing should be well considered to make sure that the intended outcomes are achieved (Steventon et al., 2013, pp.501-508).
Another model is the patient centered medical home which is aimed at bringing appropriate changes to the organization and provision of primary care to clients at their homes. It was formed due to people lacking access to primary care, challenges of getting through with divided systems of care and the unaffordable care costs to patients and their families (Van der Eijk et al, 2013,pp.45).  It is spearheaded by some of the primary care agencies with its principles widely tested by a large number of consumers and organizations. It is a group practice which is directed by professional physicians and that is able to avail easily accessible, comprehensive, continuous and well-coordinated primary health care in the family as well as the community.
Appraisal of the principles of positive interventions of health associated with self-care, self- management and enablement
It would only take a few health professionals to stage a move for a change or changes of lifestyle. The biggest challenge for health officers is the issue of changing behavior and how this would be effected. Staging a change of self-care behavior for their patients, and not only their patients but every patient is very important just not only to prevent health problems in future including heart and lung diseases but also in mediating the etiology of long-term health challenges. The government’s health policy in action is promoting self-centered care and rising trials to prevent what is preventable (Bravo et al., 2015.pp .252).
There are numerous reasons why self-care matters a lot to all the stakeholders in the health sector including the government and the health professionals. Long terms disease conditions impact on uncountable people which account for a big number of general practice consultations. Thus, it is widely recognized that self-care centered to the patient is a major determinant of the health effects of these patients (McAllister, Dunn, Payne, Davies, and Todd, 2012, pp.157). The modes in which patients have to come up with disease conditions regarding emotional and stress end results is a very paramount aspect of the wellbeing of the patient. Thus, the effects of the patient’s quality of life and the prevailing costs to the community and society of poor patient self-care are very significant.
Patient-based and centered self-care contributes to positive health outcomes in several ways and which every stakeholder can appreciate. Patients are enabled to keep adherence to medications and treatment as advised by their health providers (Bravo et al., 2015. pp. 252).  It also becomes very easy for them to maintain excellent physical fitness and health via lifestyle changes such as smoking and alcoholism. Informed patients who are caring for themselves are able to monitor symptoms and to make self-care decisions. It is also possible to monitor and manage emotion and stress impacts of illness, interact perfectly with their health providers which ensures that their health needs are addressed effectively, and use of social networks to achieve their needs (Moorhead et al., 2013, p.75).
There are wide interventions intended to improve and promote as well as enable self-care for patients. They are of different levels of intensity, content and theoretical underpinnings, ranging from education, theories of change of behavior, and techniques of behavioral counseling. The mentioned interventions are for instance providing useful information, giving priority to barriers and motivations to change, educating patients on modalities of copying up with their life situations, making good designs of action plans, how to deal with negative emotions of disease, support and close monitoring of patients, and involving the family and society, in addition to offering adequate social support (Brett et al., 2014. pp.637-650).
The links between legislation (in England, the UK and other nations) related to accountable practice and its impact on safeguarding in health and social care.
The four nations of the UK, that is England, Northern Ireland, Scotland, and Wales own their laws and systems in place that help to safeguard their children and adults from being abused, neglected, and being ignored. The individual nations have legislation frameworks, practice and guidance to recognize and note the people who are at an increasing risk of harm, and also take a step to protect them from further harm. Each nation stands to be responsible for its policies it formulates and implements and its laws regarding health and social wellbeing of its citizen and also education. Thus, it covers the majority of the aspects of safeguarding the health and social care of its people (Gostin, and Sridhar, 2014. pp. 1732-1740).
Laws are made to counteract any abnormal behavior that can result into harm to the people who require health and social care and help to protect their wellbeing such as information confidentiality, rights to access of heal care and social services at convenience. Each nation also sets up guidance on what health and social care organizations should undertake to play their part in service provision to their clients. Although health and social care system vary in each of the nations, they all base their operations under the same principles (Mechanic, 2012, pp.376-382).
Conclusion
In this essay, I have demonstrated clearly on how health and social care workers put into practice the respective legislative laws to protective and safeguarding issues in the daily practice and service delivery. The various enabling concepts have been introduced, self-management and care and the significance of health and social care provider in the provision of effective and safe practice. Additionally, the paramount and crucial impact of intercommunication on teamwork and with service consumers. As stated by the Care Quality Commission, safeguarding encompasses protection of the health of people, their wellbeing, and their rights and freedoms. However what level or role someone has, it constantly remains his or her professional responsibility to do reporting of any issues about undergoing in the workstation which may endanger the people’s safety. This essay has discussed how different health and social care stakeholders play their various roles in their day to day provision of services to clients. We have also seen how the vulnerable are usually safeguarded and with their rights and freedoms.
References
Bower, P., Kennedy, A., Reeves, D., Rogers, A., Blakeman, T., Chew-Graham, C., Eden, M., Gardner, C., Hann, M. and Lee, V., 2012. A cluster randomised controlled trial of the clinical and cost-effectiveness of a’whole systems’ model of self-management support for the management of long-term conditions in primary care: trial protocol. Implementation Science, 7(1), p.7.
Bravo, P., Edwards, A., Barr, P.J., Scholl, I., Elwyn, G. and McAllister, M., 2015. Conceptualising patient empowerment: a mixed methods study. BMC health services research, 15(1), p.252.
Brett, J., Staniszewska, S., Mockford, C., Herron?Marx, S., Hughes, J., Tysall, C. and Suleman, R., 2014. Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expectations, 17(5), pp.637-650.
Cameron, A., Lart, R., Bostock, L. and Coomber, C., 2014. Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature. Health & social care in the community, 22(3), pp.225-233.
Clark, S. and Weale, A., 2012. Social values in health priority setting: a conceptual framework. Journal of Health Organization and Management, 26(3), pp.293-316.
Clegg, A., Young, J., Iliffe, S., Rikkert, M.O. and Rockwood, K., 2013. Frailty in elderly people. The lancet, 381(9868), pp.752-762.
Gostin, L.O. and Sridhar, D., 2014. Global health and the law. New England Journal of Medicine, 370(18), pp.1732-1740.
Hasson, H., Blomberg, S. and Duner, A., 2012. Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care. Implementation Science, 7(1), p.23.
Makai, P., Brouwer, W.B., Koopmanschap, M.A., Stolk, E.A. and Nieboer, A.P., 2014. Quality of life instruments for economic evaluations in health and social care for older people: a systematic review. Social science & medicine, 102, pp.83-93.
Marmot, M., Allen, J., Bell, R., Bloomer, E. and Goldblatt, P., 2012. WHO European review of social determinants of health and the health divide. The Lancet, 380(9846), pp.1011-1029.
McAllister, M., Dunn, G., Payne, K., Davies, L. and Todd, C., 2012. Patient empowerment: the need to consider it as a measurable patient-reported outcome for chronic conditions. BMC health services research, 12(1), p.157.
Mechanic, D., 2012. Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system. Health Affairs, 31(2), pp.376-382.
Millar, R. and Hall, K., 2013. Social return on investment (SROI) and performance measurement: The opportunities and barriers for social enterprises in health and social care. Public Management Review, 15(6), pp.923-941.
Moorhead, S.A., Hazlett, D.E., Harrison, L., Carroll, J.K., Irwin, A. and Hoving, C., 2013. A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication. Journal of medical Internet research, 15(4), p.75
Oven, K.J., Curtis, S.E., Reaney, S., Riva, M., Stewart, M.G., Ohlemuller, R., Dunn, C.E., Nodwell, S., Dominelli, L. and Holden, R., 2012. Climate change and health and social care: Defining future hazard, vulnerability and risk for infrastructure systems supporting older people’s health care in England. Applied Geography, 33, pp.16-24.
Panza, F., Solfrizzi, V., Barulli, M.R., Santamato, A., Seripa, D., Pilotto, A. and Logroscino, G., 2015. Cognitive frailty: a systematic review of epidemiological and neurobiological evidence of an age-related clinical condition. Rejuvenation research, 18(5), pp.389-412.
Sorensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z. and Brand, H., 2012. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health, 12(1), p.80.
Steventon, A., Bardsley, M., Billings, J., Dixon, J., Doll, H., Beynon, M., Hirani, S., Cartwright, M., Rixon, L., Knapp, M. and Henderson, C., 2013. Effect of telecare on use of health and social care services: findings from the Whole Systems Demonstrator cluster randomised trial. Age and ageing, 42(4), pp.501-508.
Van der Eijk, M., Faber, M.J., Aarts, J.W., Kremer, J.A., Munneke, M. and Bloem, B.R., 2013. Using online health communities to deliver patient-centered care to people with chronic conditions. Journal of medical Internet research, 15(6), p.45
Ventola, C.L., 2014. Social media and health care professionals: benefits, risks, and best practices. Pharmacy and Therapeutics, 39(7), p.491.

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