Explain how principles of support are applied to ensure that individuals are cared for in health and social care practice: There are seven principles which are underpinned by an explicit value base: (DH 2008) Principle 1 Ensure individuals are able to make informed choices to manage their self care needs Principle 2 Communicate effectively to enable individuals to assess their needs, and develop and gain confidence to self care Principle 3 Support and enable individuals to access appropriate information to manage their self care needs
Support and enable individuals to develop skills in self care Principle 5 Support and enable individuals to use technology to support self care Principle 6 Advise individuals how to access support networks and participate in the planning, development and evaluation of services Principle 7 Support and enable risk management and risk taking to maximise independence and choice. Expound these 7 principles for discussion. Outline the procedure for protecting clients, patients, and colleagues from harm Stepped approach to safeguarding by the BMA:
Prevention – identifying adults who may be vulnerable . Identifying and recording factors that may contribute to a patient’s vulnerability can be a vital first step in ensuring that he or she receives necessary support. Step 2: Assessing the individual’s needs. Once an individual has been identified as vulnerable, the next step is to assess his or her needs. Where harm or abuse has occurred, or where an individual is at immediate risk, it is important to consider whether the local multi-agency adult safeguarding procedures should be engaged.
Responding to harm/abuse – Assessing competence Adults with capacity have the right to make decisions about their own care and treatment. Treatment decisions made on behalf of adults lacking capacity should be made on the basis of an assessment of their best interests. Step 4: Responding to harm/abuse – identifying relevant services . This could involve referral to social care, or to other sources of support such as citizens’ advisors or to charitable organisations offering support and advice for individuals suffering from specific disorders or with particular social needs
Responding to harm/abuse – taking a consensual approach . Ultimatelythe decision about accepting care and treatment rests with the competent. Where adults lack capacity, they should be involved in decision-making as far as possible. Those close to the adult, including specifically anyone with the power of a health and personal welfare or property and affairs attorney should be involved as appropriate. Step 6: Safeguarding What is safeguarding??? – it is protecting individuals from harm/abuse against other people or themselves.
These abuses can come in form of physical, psychological, financial, institutional, neglect. Basic principles for safeguarding vulnerable adults (DH): Principle 1: Empowerment – Safeguarding must involve promoting the independence and quality of life of adults and must maximise their ability to control their own lives. Where adults cannot make decisions, as a result for example of a lack of capacity to make the specified decision, they should still be involved in the decision as far as possible. Principle 2: Protection – Patients should be offered the support necessary for them to protect themselves
Prevention – Prevention of harm or abuse is the primary goal. Prevention involves working with individuals to reduce risks of harm or abuse that they find unacceptable Principle 4: Proportionality – In addition to respecting the informed choices of competent adults, safeguarding responses should be proportional to the nature and seriousness of the concern. Options should be presented that are the least restrictive of individual rights and choices while remaining commensurate with the desired goals.
Partnership – Safeguarding adults is most effective where individuals, professionals and communities work together to prevent, detect and respond to harm and abuse. Principle 6: Transparency and accountability – Good safeguarding requires collaboration and transparency with partner agencies. Confidentiality – Data protection act Risk assessment and management SOVA Policies and principles Analyse the benefit of following a person centered approach with users of health and social care service A person-centred approach Although the phrase ‘vulnerable adult’ is widely used, it is not without its problems.
Competent adults have a right to make decisions that affect their lives, even where this may result in exposure to risk. Labelling adults ‘vulnerable’ can be stigmatizing and lead to unfounded assumptions that individuals lack the ability to direct their own lives. This can lead to unacceptably paternalistic interventions and result in the kinds of disempowerment that this guidance is designed to avoid. Alternatively, drawing too narrow a definition of vulnerability could mean that opportunities to identify adults who may benefit from additional consensual support can be lost.
Recognising the wide range of circumstances in which safeguarding issues can arise, a key message in this tool kit is the need for an approach that addresses the specific needs of individuals. Such a person-centred approach, rooted in good communication skills and respectful of each individual’s dignity and independence is likely to lead to optimal outcomes. Explain ethical dilemmas and conflict that may arise when providing care, support and protection to users of health and social care services. Protection from risk of harm
When people are given the choice to make decisions for their own, there will always be risks involved. Managing risks does not mean avoiding it. Managing risks together with the service user and the other members of the health team is better than completely avoiding any risks but in exchange, a boring/monotonous quality of life for the resident. The following should be taken account when considering risks: Identifying and meeting needs Minimising situational hazards Protecting the individual and others Balancing the benefits and harms Accounting for resources and priorities Wariness of lurking conflicts.