INTRODUCTION
Adult care refers to programs or services designed to assist adults with mental or physical impairments who often require long-term, institutional rehabilitation and care (Mason, Cornes, and Dobson, 2017). A theoretical perspective involves a set of assumptions that help address questions and find effective solutions for analyzing results. This study will critically examine the legal and ethical issues related to adult care practices, as well as explore key safeguarding and abuse concerns in the healthcare sector. Additionally, the study will demonstrate how theoretical perspectives in health and social care can be applied to resolve these issues and improve care outcomes.
MAIN BODY
CW 1. To examine legal and ethical issues associated with adult care practice.
Covered in PPT
CW 2. To assess the theoretical perspective in H&SC.
As per the case, Margaret Jones is the main caretaker of the son Paul who tends to have a learning disability. Paul tends to have high degree of depression and anxiety. Paul is good at speaking his language but he has difficulty in understanding the language of other people. June is a daughter of Margaret and they do not have a close relationship. Margaret has suffered 3 falls within this year. This in turn happens because of poor vision problem and poor balance. She again experiences a fall which in turn results in a broken arm and hip for Margaret. Paul has also been experiencing persistent pain in the abdomen. He also tends to have headaches and difficulty in sleeping.
One of the major and critical issue faced by the Margaret is that, it tends to have faced institutional abuse because the social worker of the hospital were not acting in authoritarian manner. Health care practitioners within the hospital institution tends to have poor standard of care because they consider moving Margaret to the residential facility because of the shortage of the beds within the hospital. One of the key safeguarding issue because Margaret wants to go back to the Paul even she was finding it hard to recover and was feeling restless. But the healthcare practitioners were sure that moving Margaret to the residential facility will in turn leads to deterioration in the health outcomes of an individual. Even though, the health care workers considered to moving Margaret to the residential facility because of the lack of the beds within hospital premises. Eklund, and et.al., (2019) sought to establish the fact that, Patient centred care theory is appropriate within the case because it aids health care practitioners in providing quality care to the patients which is responsive and respectful. This theory helps in taking into consideration individual needs, values and preference of the patient seeking care. Patient centred care theory is considered to be very useful in improving the health outcomes of an individual which in turn results in improved patient satisfaction, high degree of morale of the employees, higher productivity and in turn also leads to reduction in the cost associated with the care. Methley and et.al., (2017) said that, Patient centred care theory is considered to be very useful in defining the needs, desires, goals and wants of the individual patients rather than focusing on the key priorities of the health care practitioners. This theory is useful in enhancing the health outcomes of the Margaret by providing them with proper medical treatment and assessment by helping her to improve the vision and physical balance of the Margaret in order to reduce fall. Health care practitioners must also focus on assessing Margaret to recover from the broken arm and hip. Institutional abuse towards Margaret tends to result in lack of poor care practice within the care setting of the Margaret. Institutional abuse results in maltreatment of the person and poor standards of the care because of the discharge of the vulnerable adult due to lack of availability of the bed or resources. This in turn impose the patient at the greater risk of fall and disability. Safeguarding people by protecting them towards the health of an individual, human rights, well- being, etc. in order to provide high degree of care services to the patients. Rantell, Cardozo and Khullar, (2017) sought to determine the fact that, Integration of Patient centred care theory within the hospital sector helps in respecting the preference and needs of the patients, integrating and coordinating care, providing physical comfort and emotional support, involving family and friends and assessing care, etc. in turn helps in gaining better quality care results in case of Margaret. Application of patient centred care theory within the adult care sector in turn helps in better utilization of the resources, improving the outcomes of the patients, increasing satisfaction of care among patients and reducing the cost associated with the care. It encourages health care practitioners to treat patients with care, compassion, respect and dignity. It is also considered to be one of the effective practice which helps in tailoring the care of the patient seeking care. It also considered to be very useful in coordinating and communicating the activities associated with the care of the Margaret in order to recover her from broken arms and hips. The key indicators of the institutional abuse is mainly associated with the lack of flexibility, lack of appropriate procedure, inadequate staffing level and lack of standard of care and lack of adequate resources or lack of number of beds in this specific heath and care case. Jakimowicz, (2018) investigated that, Patient centred care in turn is considered to be very useful in tailoring the service of care in accordance to the needs and want of the Margaret. Involving patients in the decision making process in turn is considered to be very useful in attaining higher care results and outcomes. Providing safe environment to the patients by maintaining personal privacy of the patients. Healthcare practitioners mist provide continuous support and customized care services to meet the internal value, medical needs, etc. of the patient. In case of Margaret Jones, health care social workers must focus on maintaining a clean and appropriate environment in order to improve the vision and reduce fall. This helps in better recovery of the broken arms and hips in case of Margaret Jones.
Another abusive issue associated with the case is that, Paul is in turn is at the risk of emotional and physical abusive from Lee. This is because there has been a sign of black eye and bruising on the cheeks of the Paul. In the present case, Lee is not interested in taking care of the Paul because he is very slow and it also results in extra expenses in order to take care of the Paul. June is also unemployed and is completely dependent on the wages of the husband Lee. Sociological understanding tends to play a very critical role in order to emphasize the influence of individual's social background. This in turn helps in improving the quality of the health of an individual (Algeo and Aitken, 2019). The conflict approach tends to mainly emphasize on the inequality in quality of the health care. Oppression of one group of people over the other in turn eventually leads to lower growth and recovery of the person seeking care. Adult learning theories helps in bringing the own background and culture together which in turn leads to providing care by taking into consideration the needs and goal of the patient seeking care. Paul has already been suffering from learning disability, anxiety, depression, persistent pain in the abdominal area and high headache. Crane, (2017) sought to establish the fact that, Cognitive behaviour therapeutic perspective is considered to be one of the most appropriate approach in turn helps in gaining better cure results (Cognitive-Behavioral Therapy for Depression and Anxiety, 2018). CBT approach is useful because it mainly focuses on examining the behavioural patterns and changing attitude of the Paul. This in turn helps in finding the key cause of the issue and provide them with the better cognitive care. In accordance with this theory, patient tends to have an active role throughout the procedure of the therapy. Adam, Osborne and Welch, (2017) sought to determine the fact that, Cognitive behaviour therapeutic perspective approach is very useful because it tends to focus on present behaviour, communication and thinking which is useful in solving the health and abusive issues associated with the Paul. This theory is based on psychotherapy where the wide reach of psychological problems faced by Paul like depression, learning disability, personality problems and anxiety can be resolved as quickly as possible. Paul tends to get really aggressive when he misses out on his favourite programme. Steel and et.al., (2017) investigated that, Cognitive behaviour therapeutic perspective approach is considered to be very useful because this in turn helps in addressing issues associated with the sleeping by the Paul because of the severe headache and severe pain the abdomen level. The cognitive behaviour approach is also useful in effectively addressing issues related with the relationship problems between Paul and Lee. This theory helps in changing the behaviour of the individual by effectively focusing on the belief, thoughts, attitude and images of the individual person (Cognitive-Behavioral Therapy for Depression and Anxiety, 2018). This in turn helps in finding the appropriate way in order to deal with the emotional problems. The health care practitioners tend to mainly focus on carrying out various sessions like communication therapy, relationship counselling and psycho-education in order to improve the relationship which in turn is characterized by validation and empathy (Ochieng and et.al., 2018).
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This in turn tends to show a positive change in the behaviour of the Lee and helps in better care and treatment from the family members towards Paul. This eventually helps in better care results at outcomes with the help of cognitive behaviour therapy. This therapeutic perspective is considered to be very useful in effectively identifying various biases and distortions in relation with the thinking. This in turn helps in providing appropriate guidance in relation to change this thinking. This approach is useful in developing self help skills which is useful for the patients in gaining effectiveness and independence in order to deal with the various real life issues. Wilmots and et.al., (2019) sought to determine the fact that, Cognitive theory is considered to be one of the wide tested psychotherapy linked with the depression and anxiety disorders. Health care practitioners tends to focus on modifying patterns which in turn is considered to be the most influencing factors which changes the behaviour and mood of the individual. CBT is considered to be one of the most effective approach which in turn tends to focus on effectively presenting the problems and helps in teaching skills which in turn is useful for reducing depression and anxiety among individual. Callaghan, Fellin and Warner-Gale, (2017) evaluated that, Behavioural interaction in turn helps in raising pleasant awareness which in turn tends to increase the positive interaction of the environment and the patients. Individual engaging in pleasurable activities helps in reducing the symptoms associated with the depression and anxiety. Providing proper and appropriate medication treatment to the patients in turn helps in treating depression in Paul. Even engaging in self help strategies like supporting groups, online resources and self help books in turn helps Paul to overcome depression and anxiety in order to live a better quality of life (Algeo and Aitken, 2019). The social workers of the institution tends to focus on breaking down each problem into smaller sections which in turn helps in effectively identifying the patterns, thoughts and actions. This is useful in addressing the specific issue by providing patients with customized care services (Cognitive-Behavioral Therapy for Depression and Anxiety, 2018). Engaging family members in the cognitive practice helps in better understanding about the condition of the person seeking care. Whitfield and Davidson, (2018) investigated that, CBT is considered to be one of the most appropriate approach which is considered to be very useful in anger management. The CBT approach is very useful in responding to the challenges and setbacks in a productive and healthy manner. It is considered to be a goal orientated psychotherapy treatment which is useful in solving problems.
Realed Sample: Unit 2: Equality, Diversity and Rights in Health and Social Care
Another major key issue related with the case study is that, Paul is the risk of emotional abuse because he has been neglected by the Margaret because of the broken arm and hip injury due to fall. Paul was seeking care from his mother Margaret. Paul tends to have a learning disability and is also suffering from anxiety and depression. This in turn results in emotional and mental abuse on the patient Paul. Algeo and Aitken, (2019) sought to determine the fact that, Integrative and holistic theoretical perspective is considered to be very useful in relation to reduce emotional and mental abuse which Paul is suffering. This approach is useful because it tends to blend various elements and theories which in turn eventually helps in reducing the various issues related with the abuse or individual problem. Callaghan, Fellin and Warner-Gale, (2017) sought to determine the fact that, Humanistic theoretical perspective helps Margaret to make rational decision which is useful in the recovery of the health outcomes of the patients. Humanistic theoretical perspective is considered to be useful for the Paul to effectively create an environment which is full of acceptance and genuineness. This in turn helps Paul in achieving the high degree of potential in order to perform the task on its own and gain better care results and outcomes (Camfield and et.al., 2019). Humanistic behaviour theoretical perspective is considered to be very useful in building the core values and also helps in developing a catalyst in order to heal from any sort of abusive issues. This approach tends to largely emphasize on personal worth of person which in turn results in better care results and outcomes (Khan and et.al., 2019). This theory helps individual to reach their maximum potential which in turn strives for maximizing the well being of an individual.
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CONCLUSION
From the above study, it has been summarized that ethical issues such as end-of-life concerns, transmission of communicable diseases, and privacy and confidentiality of patients, along with ineffective relationships between healthcare practitioners and patients, lead to lower care outcomes. This study also identifies key laws and regulations related to health and social care, which are crucial for safeguarding individual rights against specific abuses. Healthcare policies play a significant role in setting principles for achieving care goals within society. Additionally, the study concludes that safeguarding and ethical issues can be addressed through theoretical perspectives like patient-centered care theory, adult learning theories, humanistic behavior theoretical perspective, cognitive behavior therapeutic perspective, conflict approach, and integrative and holistic theoretical perspectives in health and social care. For students needing help with assignments, tools like write my assignment services and plagiarism checkers can ensure academic integrity and quality work.