Posted at 10.31.2018
The Health and social good care sector in the United Kingdom is a massive sector and it constitutes of different facet of care to different kinds of service users. There are lots of relevant theories which is applicable in medical and Social care and attention sector. Abraham Maslow described a few of these theories as humanistic, behaviourist, cognitive, psychoanalytical, public and natural.
Humanistic Theory is achieved whereby you approach a person positively. In health insurance and social care service users are considered to be susceptible and the way to deal with them should be in a well positively way by using humanistic manner, thoughts, actions, love, admiration and dignity by giving the relevant care and attention in line with the philosophy of attention according to legislation.
Behavioural Theory relates to how people respond to straighten out some ways of coping with people for performance through acting, considering and feeling. A good example in health insurance and social care environment is where co-workers at work provide services to service users in a positive manner that can help in monitoring the behavior of the average person according of the well being.
Cognitive Theory is about what we should recognise about the necessity of a person or situation to have the ability to implement instantly according to his behavior.
Psychoanalytical is about the analysis in depth of the individuals internal mental state and thoughts to explain their identity of their subject matter, ego and very ego following strange behaviour.
Social Theory pertains to people socialising with other people in any sort of environment
Mr X is a 24 years of age gentleman. A few hours in the past, he was accepted in Psychiatric Intensive Attention Unit. He's a well known service individual and he is suffering from paranoid schizophrenia and experienced this disorder since he was a child. From previous entrance on a mental health ward, Mr X was intense and abusive to the nurses. He has a brief history of attacking personnel during his previous entrance. Mr X was quite aroused and frustrated as the ward he's at the moment is a locked unit. He does not have access to a lot of things such as heading off the ward to smoke cigarettes. Mr X became very challenging and it is eager to leave the ward and started to kick the doorways.
The multi disciplinary team needed to intervene in this situation as Mr X was becoming more and more aggressive and this started to make the other service users unpleasant.
The shift head confronted him and have him in a proper positive way to walk himself in the very soft furniture room for a chat. He was unwilling to go but I had a good rapport with him from his past admission. I contacted him in a humanistic way and I asked him politely to include me in the very soft furniture room which he decided. I also up to date him that the other nurses should be there in the room while I talk to him. He eventually arranged. That's the way the humanistic theory of communication helped to relaxed him down.
During the interview, he described about his behavior of smoking. I told him that there have been smoking facilities on the ward and that this would quiet his stress. I advise him about the advantages of medication which staff are here to help him at all whatsoever. He affected with staff but he was unwilling to have his medication. I used the behavior techniques I also informed that he was detained under Section 3 of the Mental Health Take action and medication is part of his treatment without any choice. I also explained to him about his privileges under the Section 3 of the Mental Health Take action.
He agreed and was at concordance with his prescribed medication. I demonstrated him the smoking room and he was presented with time to mirror about his behavior. In fact he has been agitated because he wished to smoking. His ego was to smoking, so once this was facilitated he became fine.
Later during the move, I applied the public theory i. e I prepared him about the importance of socialising with other service consumer on the ward. There are so many activities on the ward and Mr X conveyed to me that he likes to play video gaming. I told him that you will see games activities in 1 hour and he said that he'll be happy to participate in these activities.
Mr Z is an individual on the psychiatric Intensive treatment unit and suffers from dementia. Alternatively, he broke his remaining hand and it was plastered. Mr A is having difficulty while active on the ward and he did not have a bathtub for two days now. I helped him to provide him a bathtub. I went into his bedroom and told him that he should have a shower and this I was prepared to help him in doing this. I asked Mr Z about the clothes he would prefer to wear. He said the blue denims and a t-shirt. I brought him to the bathtub and aided him. I provided him shampoo and helped him by scrubbing all around his body as he previously difficulty as his remaining hand was plastered. I helped him to dried up himself and put his clothes on and brought him back again to his bedroom. I made him comfortable and he wanted to lie down and pay attention to his music. Mr Z thanked me for my support. In this system, my modulation of voice was at the right level, my speech was coherent and my abilities to help him shows that humanistic and behavioural theory idea were looked after.
In health and social care we need various kinds communication techniques in order for the system to be effective. We are able to use verbal and non verbal communication ways to package with service users and acquaintances.
It is good practice in the health service that there is a handover. Generally, there is a handover during each move. A handover is essential whereby it posts you on the improvement of something end user. A handover normally review the service user health condition and usually the nurse responsible for the morning switch discussed with the evening staff the improvement of a customer.
Training is necessary in the Country wide Health Service. There are so various kinds of training whereby it improves one's communication techniques in the work place. Staff are encouraged to be present at these trainings as it benefits the health sector and ultimately it provides an improved service to the customers. Sometimes during training, the utilization of dvd and blu-ray and video is offered.
There is also a communication reserve on the ward. This e book is vital as it provides information of what has happened or will happen at the workplace. Staff are held current by examining the communication publication.
There is also a notice plank on the ward. On this table, clients name is written and as well as their allocated nurse and support staff member. The name of personnel working on this specific move is written and the actions during this switch.
The recruitment process is one of the hardest stage before actually engaging in a job. There's a formal interview which is completed and usually communication skills are examined in this interview. The candidates should demonstrate the ability of effective communication. When there is a team meeting about the service consumer, verbal and non verbal methods of communication occurs. Notes are usually taken on papers. Alternatively if there is staff getting together with, the minutes of the conference are taken and usually published so that each and every staff member is aware of the ward issues.
When a visitor rings the ward to visit their close relatives, these details is written on the visitor's e book.
These verbal and non verbal is of great importance to medical sector.
There will vary techniques to support the vulnerable people in medical sector. The government has implemented an insurance plan regarding these techniques and regarding to one's individuals rights. Staff employed in this sector are provided with different training prior to starting the work and the utilization of verbal and non verbal communication helps a lot. Gradually as time passes, staff are encouraged to attend more of the training in order to update their knowledge and skills and perform better at work.
There are many types of equipment being used for the handicapped, in physical form impaired and the most vulnerable people such as use of Makaton, Picture Exchange Communication System and communication passport. Technology has been improved to such an extent like there are speaking mind set, reading lenses and voice recognition, screen key pad and Braille helped the prone people greatly.
MRI (magnetic resonance imaging) is a reasonably new technique that is used because the start of the 1980s.
The MRI check uses magnetic and radio waves, and therefore there is absolutely no exposure to xrays or any other damaging forms of rays. The MRI check show the picture of the tissues of the body
Another technique used is the Picture Exchange Communication System. This system is mainly used as an help for children who have problems with autism. Makaton is
Communication is more than simply communicating. Communication is important between carers and service users. It's important to obtain good communication skills in the treatment setting in order for the smooth running of the service. Effective communication is an important aspect to work in the health care sector. It really is with greatest importance that we should avoid the inappropriate ways of communication.
Communication is a learned skill. Speaking, Tuning in and our potential to understand verbal and our capability to understand verbal and non verbal meanings are skills we develop in various ways.
An example will be if an individual cannot speak because of stroke condition. A menu will get to him and by illustration he can decided from the menu set in place. If somebody suffers from a aesthetic impairment, a great way of communicating with this person will be bringing out yourself in the first place, " Hello I'm Arshad and I am one of the carer and I am assigned to look after you today". With this way I've communicated effectively and efficiently with him.
From the case study below is an example of how there exists inappropriate interpersonal communication between individuals.
Mr J has a history of bipolar disorder. His feelings splits from severe mania to major depression and at this time Mr J is quite upset with himself and with life. He was sense suicidal and was very isolative on the ward. He contacted a member of staff, requiring a razor to shave his moustache. There was an instantaneous risk as he was sense suicidal. The carer refused to provide him a razor and Mr J was very annoyed and started screaming. "Why can't you give me a razor, If you believe I'm going to destroy myself then why don't you have shave my moustache yourself". "It really is my human right to have a shave and you have to respect this". The personnel was shocked as he said something was true. Therefore the staff helped him with his shave. Humanistic and psychological approaches in this situation help understand and offer with inappropriate interpersonal skills.
Communication is the main methods to find the needs and requirements of individual. The way of understanding communication is through Abraham Maslow.
Referring to Abraham Maslow "theory of hierarchy needs" individuals in health insurance and social care environment are being taken care of with much matter with regards to their required needs for a normal living. They can feel to be considered and treated in individuals and safeguarded by the legislation.
I was planned to work an early on shift on this Monday day. I went to the handover and I was told to assist Mr T with his personal hygiene. From nursing notes, Mr T slept well yesterday evening and he woke up early and was still in his bedroom. Breakfast time time was next to and I asked him if he preferred to own breakfast first or to have a shower.
Good day Mr T, I said.
He replied Good morning, Arshad.
I engaged in a dialog with him and advised him about the sports last night. He was nice with me. He explained that he wanted to have a shower first. As Mr T has a physical disability, I exposed his drawers and asked him about the clothes he wanted to wear. He told me that he wished the dark-colored trousers and a white top. I helped him by walking to the bathroom where I sat him down on the bath tub chair and provided him a rinse.
Soon after, I helped him to wear his clothes and used his shoes. I escorted him to your day area, where he had his breakfast. In this case study, I have showed by domain flipping assisted something individual in his basic needs.
Mr H is suffering from paranoid schizophrenia. He was diagnosed of the disease since he was five. Mr H is a 19 year old gentleman and has been on the ward for the previous1 week. Mr H needed a 1:1 communication along with his primary nurse. Sadly his key nurse was off responsibility and I was allocated for his good care. He conveyed to me that he preferred to have a talk in the interview room.
I asked him if how was his mental state on the ward. He told me that he was sense low in spirits and sometimes he was responding to visible and auditory hallucinations. I asked him what were the voices asking him to do. He said that the voices advised him that there surely is poison in the in the bathtub and this is the reason he didn't have a shower for weekly.
I involved with him in a therapeutic way whereby I prepared him about his medication which can help him within the next few days and he will stop responding to the voices. I also emphasised on him possessing a bath and advised him irrespective of his disorder, he should be motivated to own one as other residents they may have the same bath with the same water. He was rational beside me and thanked me can certainly make money handled me. He reassure me after the interview he will have a hot bath tub and help with his personal health.
I was on gross annual leave at my work place for the past 3 weeks. On my get back in to work, I attended the handover. Mr B, a 21 yrs. old gentleman presented as a first time admission on a psychiatric unit. He was diagnosed from paranoid schizophrenia.
I travelled into his bedroom and asked him if he'd like breakfast time. He began to shout at me and became irritable and said in an angry build "I've my bathtub before I eat breakfast"
I still left Mr B by himself so that he can relaxed himself down. I read his care plan and eventually its part of his treatment that he likes to have his bathtub before breakfast. I helped bring him some bathtub gel and bath towels and travelled into his bedroom and contacted him a healing way and advised him that he would have his bathroom and soon after I'll make him some breakfast time.
In this research study, the service individual has an option and this implies that it is vital for the service consumer to participate in sociable development activities and considered them within the population.
Mr Q is a service user on my ward. Mr Q is 85 years of age and speaks hardly any British. Mr Q requested that he should write his will before he dies. He conveyed to me that he was happy to do that. I liaised with the administrator of the ward and he suggested me to get hold of support services and also to reserve an interpreter as well at the same time. A meeting was delivered up with support services and the interpreter and Mr Q where they could discuss about the will.
In this case study, Mr Q has the rights to create his will. It is vital to provide him with the support he needs.
For visitors to be able to live happily and especially those who need support for their living, the communication process that needs to be devote practice must be made sure that it includes some influences after their behavior and necessity. Therefore by applying the hierarchy of needs of the theory, we will get the ways to help these folks.
Good practice in communication in the work place is achieved by various methods. The Data protection Function is one of the top legislation of the place of work. Information can't be disclosed to alternative party with no consent of the service user. It really is in the best interest of the client to withhold these information as this will impact on patient's attention. The Data protection Act of 1998 promotes good practice and medical sector is run easily.
Treating a person as humane as is possible is one of the fundamental aspect in health insurance and social care. Level of privacy and dignity is reputed and human rights is achieved. There may be freedom of speech, choice and rights of an individual. With the launch of the equality function in October 2010, the service in medical sector could be more effective.
Management sends staff for Induction plus they attend each one of these training prior to starting their job as they are the fundamental areas of care.
There are various procedures and procedures at work. Those are governed by the trust. Information is not disclosed to alternative party and unqualified person in the team cannot disclose any information. Only qualified person in the team can disclose such information with the consent of the ward administrator. Anybody seen to be disclosing information may be disciplined as this is written in the procedures and techniques of the trust.
There is a software applications on my ward relating to information stored on computer. Different staffs have various gain access to level to these types of information. Trained staff are familiar with the software that may give them full access as others are limited.
There is a policy at my workplace regarding the personal development review. Each personnel should complete one of the PDR inorder to be up to date and they should upload this file using the pc system. On the non-public development review, it reports the supervision and appraisal of personnel and all the trainings and skills achieved. It says the performance of staff and usually they are simply promoted if they're deemed skilled to be so.
These are the various methods of good practice in the workplace.
The authorities is devoted in considering the bills of protection under the law. Adopting Charges of Rights provides a moment when culture can define itself. "A Invoice of Rights is a rules protecting the essential privileges and freedoms to which each individual is entitled. Those rights might are the to life, the to freedom of faith, the to freedom of manifestation, the to education or the right to good healthcare. Each country's Expenses of Privileges should reflect this needs and circumstances of its people.
Each person gets the right to
request desired objects
refused undesired objects, actions or events
express personal choices and feelings
be offered selections and alternatives
reject offered choices
request and obtain someone else's attention and interaction
ask for and obtain information about changes in regular and environment
receive intervention to boost communication skills
receive a reply to any communication, whether or not the responder can match the request
have access to AAC (Augmentative and different communication ) and other AT (assistive technology) services and devices at all times.
be in surroundings that encourages one's communication as a full partner with other folks, including peers
be spoke to with admiration and courtesy
be spoken to immediately rather than be spoken for or talked about in third person while present
have clear, meaningful and culturally and linguistically appropriate communications
Taken from the Country wide Joint Committee for the communicative needs of individuals with severe disabilities. (1992). Asha, 34 (Suppl. 7), 2-3
The Human Privileges is the essential privileges and freedoms that all humans should be assured, including the right to life and liberty, liberty of thought and manifestation, and equality before the regulation. Therefore in a health insurance and social care context, through assistive technology and the utilization of facilities, these have been integrated to be able to help susceptible clients within society.
The conclusion of privileges can be classified as follows
i) Every person with a communication impairment has a right to be given information in a way they can obtain and reply.
ii) Everyone with a communication impairment has a responsibility to recognize how they may communicate to exchange information.
Support and Training
Every person with a communication impairment and their family members have the right to get access to training and support to minimise the impact of the impairment and improve communication skills.
Time to communicate
i) Every person with a communication impairment has the directly to be given time to receive, comprehend and respond to information.
ii) Everyone with a communication impairment gets the responsibility to ask for extra time when making appointments.
Access to services
i) Every person with a communication impairment has the to gain access to services appropriate to their needs regardless of their current address or what their income is.
ii) Everyone with a communication disability has the right to be assessed and provided with the essential tools or equipment to help them talk.
Inclusion in Community Networks
Every person with a communication disability has the to be contained in social networks.
Services from Employers
Every person with a communication disability has the right to expect that employers and potential employers provides the support they need to connect effectively.
Good practice relating in health and social care establishing can be achieved through other ways. The use of computer has revolutionized the National Health Sector. There is a new system which includes been put in place in the NHS called RIO. It was launched in the past due 2005. Upon this system, detailed information in regards to a customer is stored on the databases. This has helped to lessen a lot of paperwork.
With the release of internet and it, it has revolutionized medical sector. All clinics have been computerized and this acts as a good practice in communication.
An exemplory case of this effectiveness is described as follows. The police picked up a gentleman thinking on the roads. This middle older man has been shouting and responding to voices and it would appear that he is unwell. The police rang the Mental Health Examination Unit and is asking for more information about the patient, if he's known to the assistance or not. From the use of RIO, a simple search on the web browser will show if he is known or not whether he has been in contact with the services or not. On the system, it will indicate all types of communication and proposal with the customers. These details is kept confidential and no alternative party can get access to it without the consent of your senior administrator.
In Great Britain, there a wide range of folks of different background and ethnic organizations. Cultural beliefs are reputed within society. Religious beliefs and ethnicity is a top priority in the health care sector. An example will be a muslim customer may ask for Halal meal and the hospital should you should provide this meal as it is the client's choice. Strong prices and beliefs can be an aspect of health care setting.
For many people, British is not the official language plus they obviously find it difficult to engage with health care professional. The NHS trust provides translators which helped these folks in such instances. The Section of Health ensures that when information is provided to clients/service users and leaflets are sent out that they must be available in various words. If these leaflets were unavailable, this might have a radical effect on health sector and inadequate communication would lead to low quality services.
It is at good practice and best interest while interacting with somebody to utilize terms like "please" and "thank you". In the event the service consumer wears a headscarf credited to his religious beliefs or develop a beard, he should be reputed and cared for regarding to his creed or religion.
Food placing your order should be ordered and looked after in line with the service consumer choice. The care plan of a customer is vital facet of his good care as this will show if the clients like to socialise the way he will build relationships others.
These plans and techniques are applied so that religion, culture, track record and sociable factor are well known and well employed within a health insurance and social care establishing.
In health and social care we are in need of various kinds communication techniques in order for the system to be effective. We can use verbal and non verbal communication techniques to offer with service users and acquaintances.
The nurse must acknowledge the importance of and use of communication skills for dealing with people with dementia and their carers; particular attention should be paid to pacing of communication, non-verbal communication and the utilization of words that is non-discriminatory, positive, and designed to a person's ability
Mr J is a customer on the ward. He's detained under Section 3 of the Mental Health Work. The doctor discussed Mr J circumstance in the ward round and he agreed to give Mr J around 30 minutes escorted surface leave along with a nurse. I promised Mr J to escort him for his walk following the handover at around 14:30. Regrettably, at this particular time, it was raining closely and the bottom leave could not be facilitated. I contacted Mr J and explained to him that due to weather and the fitness of safe practices of myself and himself, I possibly could not take him on surface leave but I reassured him if the elements gets better, I am going to definitely escort him outside the house. I reassured him by putting my hands on his shoulder. Mr J understood and had taken the message up to speed and jokingly he said "desire the weather gets better". In this particular scenario, I have explained and managed to get clear to him. He recognized my way of interacting with him.
Mr D was used in the Ward from prison. He was escorted by two jail officers. He has a history of Paranoid Schizophrenia and happens to be detained on Section 38 of the Mental Health Take action 1983. On introduction, he was hand cuffed and escorted to the search room where I asked permission to find him for contraband items and some of his razors and toe nail clippers were stored in his lockers. His hands cuffs were removed. I introduced him to the staff present was re-orientated to the ward but he previously been on this particular ward before and realized everyone present. I read his right under Section 38 of the Mental Health Take action 1983 and I asked him if he realized and politely asked him to hint the disclaimer. I also asked him if his essential signs could be taken and recorded it and he was then shown his bedroom. He was cooperative and interacted pleasantly and politely beside me and other staff.
The Country wide Health Sector has integrated something whereby patient's record and daily progress are being preserved on RIO. Upon this system a patient's document can be retrieve and updated according to along the day to day treatment of a customer. In most private hospitals, RIO is being used and it has proved to be effective. The primary drawback of this method is that all staff members whether junior or senior has got usage of RIO. Patient's health are being supervised on RIO. Any personnel can delete information like care and attention plan when they are under exploration. RIO can be assessed by any personnel and there must be a means that Senior Professionals are the only ones that can alter any information whether attention plan or daily progress of a customer. Another method is that, they should send a duplicate of the treatment plan to the senior managers or social workers in order that they know about the existing plan when something goes wrong they don't be able to enhance any information.
On some of the wards in the hospital, the verbal and written control of staff is inadequate. Staff should be recruited on the basis of the qualification i. e from the Division of Health conditions personnel should be informed to at the least NVQ level 2 certification, yet this isn't the case as some are being recruited without experience whatsoever. On top of that, their degree of English is so poor that finally this impact on patient's attention. These obstacles are a detrimental to the health sector.
In might work place, the use of pcs have been changed to such an extent which it has lessen all paper work. The Information technology system has been applied and has helped the nurses, doctors, consultants and clients on the ward. Various organization department works combined with the National Health Sector.
Microsoft Office Deals are widely used on the ward. Information keeping are saved and retrieved from the computer and can be edited using such packages. Daily progress records are entered on a sophistical packaged known as as RIO. Day to day care of the customers is being insight on the machine.
The internet at work place is also an important tool as information can be retrieved within minutes. Another positive factor of the use of computers is the fact stock buying for the ward can be carried out via the internet. I was presented with a secret username and a hidden knowledge security password to order stock for the ward. Nurses do order medications via the internet using such system.
The use of Information Technology has helped enormously medical sector. It offers benefited not only the staff but service users as well. You can find two main types of healthcare information system: Clinical Information System and Administrative Information System.
The Administrative section handles patients charges, health care cost, exceptional cost, information on next of kin,
Information technology has benefited the Country wide Health Service in various ways. Information are relayed quick and effectively on the machine. The machine can be accessed 24 hours a day.
On the ward I work, pcs are very functional. They have put in place the use of personal computers on my ward since 2001. I have seen so many changes with regards to health and social care. For instance, they have executed a system in Western London Mental Health NHS trust, it is named RIO V5. With RIO V5, you can access a client information within the certain borough. Almost it is employed in mental health. It really is fast and effective and information about a client is viewed systematically.
For Example, client X has an appointment with his GP. Whilst being at the surgery, there is a screen whereby he is able to enter his date of delivery and address and he's next on the waiting list to be observed by his doctor.
Furthermore, the practitioner can view his notes on the computer and know his past record or his medical diagnosis within seconds. The physician will have all his files helpful and within this technique it updates the database nationally. That is an edge whereby it helps you to save time, effort and money and provides a fast and effective service.
The next benefit is whereby there exists continuity of attention within the system. For instance if an individual is discharged from a ward and would go to the community. THE HOUSE Treatment team can follow the individual whilst he is in the community and eventually there is an improved standard of attention.
The introduction of Information Technology has advanced in medical and Social service sector. Many health care organizations and health sector has better their facilities through Information technology. Remarkable changes have been through the past decade and it is a good tool for many treatment organizations.
With this innovative system in place, the recommendation and copy of a customer is extremely fast and systematical. There is no error no glitch while making the referral online and information is relayed instantly without even making a telephone call or even faxing the other get together. This saves up on costs and you don't have to wait for paperwork.
If a ser vice individual is discharged from the services and if after a couple of months he returns back to see his G. P or local A&E, his details are retrieved from the machine whilst the doctor has an current history of your client. This can help the multi disciplinary team in achieving continuity of treatment and ultimately the client is cared for better when holding out time is preserved.
Social staff on the other hands find it much easier to go on the internet and find out places for service users in different catchment area quickly. Detailed information about the services offered is exhibited and the service customer is up to date whilst communication with him is more coherent and correct.
IT has helped different company whilst presenting training. Most trained in the mental health trusts is done online and files are kept of the training. Refresher course when needed after 12 months of training expires, an email is automatically sent to the appropriate staff.
Rehabilitation of service users in mental health is helped a whole lot because of it. Many clients have accessed to the internet disregarding their race, culture, track record, physical and mental disability. Some even have their own email account whilst being admitted to a healthcare facility.
The health care sector has benefited a great deal while making good use of IT. .