1.1: Religious/cultural beliefs – some religions/cultures may not permit women/men to interact alone together – work commitments – impairments – hearing/visual – English as a second language – social anxiety/agoraphobia – family situation – young children can prevent or hinder communication – discomfort with the situation that communication takes place – discomfort about the topic in hand.
1.2: Create a special needs trust that is managed by a trustee. To not jeopardize government assistance, the disabled individual cannot have access to draw from the trust at any time. The trustee must be responsible for spending the money only for the care not covered by Medicaid or SSI. Try to obtain the advice of an attorney experienced in the setup of special needs trusts. All it takes is one word or phrase that is stated incorrectly, and the money intended to provide for a wide range of necessities can become the sole support for the disabled person.
1.3: Privacy is the ability of an individual or group to seclude themselves or information about themselves and thereby reveal themselves selectively. The boundaries and content of what is considered private differ among cultures and individuals, but share basic common themes. Privacy is sometimes related to anonymity, the wish to remain unnoticed or unidentified in the public realm. When something is private to a person, it usually means there is something within them that is considered inherently special or personally sensitive. The degree to which private information is exposed therefore depends on how the public will receive this information, which differs between places and over time. Privacy partially intersects security, including for instance the concepts of appropriate use, as well as protection, of information.
2.1: The person you care for may be physically or mentally unable to maintain their own personal hygiene. Keeping clean is essential for good health. Poor hygiene can cause skin complaints, unpleasant smells and bacterial or parasitic infections. The daily personal hygiene of the person you care for is very important, so make sure: their hands are washed after they’ve used the toilet; their genitals and anal area are washed every day; their face is washed daily; they’re fully bathed or showered at least twice a week; their teeth are brushed twice a day, preferably after each meal For most people, washing is a very private activity. When helping someone to wash or bathe, be sensitive and help maintain their dignity.
You’ll both probably feel awkward and embarrassed, especially at first. To make bathing as pleasant and comfortable as possible: use pleasant-smelling shampoo, bubble bath or soap; play music that the person you care for likes and is familiar with; if the person is confused, explain what’s happening as you go along; be sensitive to the mood of the person. Be aware of the emotional state of the person you care for when helping them wash. For example, some people can be anxious about deep bath water. Adaptations, such as seats or recliners, can help with anxiety. Reassure the person that you won’t let them be hurt.
Overhead showers can be frightening to some people. If you have no bath or there is a good reason for using a shower rather than a bath, use a hand-held shower unit. Ask the person how they would prefer to be helped and allow them as much independence as you think is safe. If they had a routine before you began caring for them, find out what it was and stick to it as much as you can. Find out which shampoo, shower gel or soap they prefer to make the experience more familiar to them. Many people become self-conscious when undressed in front of others.
Be sensitive to the situation and approach it in the way you think is most appropriate. The person you care for may feel isolated if you leave them alone. How you handle this depends on your relationship with them. Have clothes and towels with you so you don’t have to leave them alone in the bathroom if they don’t want you to. Toileting is an important part of personal hygiene, regardless of whether the person you’re looking after is continent (able to control their bladder and bowels) or not. Incontinence can create feelings of shame or embarrassment for both the carer and the person being cared for.
Sometimes, they may be in denial about their incontinence or refuse to accept help. Reassure them that it’s not their fault and approach the issue in a calm, reassuring way if they’re in denial. If the person you care for cannot move or has extremely limited mobility, you may have to give them a bed bath. You will need to be extra careful, for your own safety, when moving or lifting them. Specialist disposable baths are available if they need a proper immersive bath (to be put fully in the water).
2.2: There is a need to observe personal protection and hygiene procedures whenever they are deemed necessary – both at home and at work. The main objective of this is to minimize health and safety risks and maximize efficiency and productivity when carrying out various tasks. The observation of such procedures is particularly important in high-risk industries or jobs which deal with people who may be injured or made unwell by a failure to carry out the necessary processes.
The key here is to remember that any personal protection or hygiene procedure is made with one thing in mind: Your safety. This means that it’s your responsibility to know about the procedures relating to your role and how they are applied on a day-to-day basis. To properly understand the importance of observing the above described procedures, we must first be aware of what they actually entail. Using the engineering business as an illustrative example, we can see that personal protection is essential to employee welfare. Workers must wear protective clothing at all times during a job – including full body suits, gloves and even eye protection (if necessary). Hygiene procedures are also essential in the engineering business.
Any oil spillages must be cleaned up after they’ve been made to minimize any slipping hazards, whilst equipment must be washed and replaced back where it was found after use. Likewise, hygiene procedures must be observed in the food industry to ensure products are all of a consistently high quality. In a test kitchen, for instance, control checks are carried out at every stage of the manufacturing process to check for physical, chemical or biological contamination/hazards.
2.3: The regulations which relate to cleanliness, hygiene and infection control require service providers to: have appropriate procedures for the control of infection and of clinical waste; Ensure premises are kept in a good state of repair externally and internally and are fit for the provision of care; provide facilities and equipment to address the needs of the service users and keep a record of; maintenance of such items; ensure staff receive training appropriate to the work they are to; perform and provide suitable assistance to staff; keep records of incidents detrimental to the health or welfare of the service user.
This would include notifying the Care Commission of outbreaks of any infectious diseases which are deemed sufficiently serious by a doctor attending people in the care home. Services which have requirements noted on inspection will be asked to submit an action plan showing how these requirements will be met. They can also be subject to formal enforcement action which can vary or impose new conditions on their registration.
Where there is continued failure to meet the terms of the Act, regulations or conditions of registration, the Care Commission may serve an improvement notice which will set out clearly the improvements required and the timescales within which they must be made. Where services do not satisfy the improvement notice the Care Commission may proceed to cancel the registration of the service. To date, infection control has never been the single reason for any enforcement action in care homes for older people. It is usually part of an enforcement action, consisting of many other issues such as staffing and management issues and poor, or lack of, facilities and equipment.
Where infection control contributed to reasons for enforcement action, the same issues as stated previously for requirements were most common. Examples of issues which contributed to enforcement:no up-to-date infection control procedures or staff training; out of date foods in use;; hot foods served cold from dirty serving area; lack of cleaning, odours such as stale urine; poor state of repair of building and facilities; inappropriate treatment of people with infection and lack of information in the person’s personal care plan; lack of management support/poor management; lack of staff.
2.4: There is wide range of personal alarms and other emergency response equipment available to those who live on their own, and they can take many forms. Some might depend on someone being nearby – for example in another room or next door Telecare alarms, known as community alarm services, are very useful for people who live alone. They work through a base unit in your home, which is connected to your phone line. You can press a button on the unit or on a pendant that you wear around your neck. This connects you to an operator who can arrange the help you need.
Some telecare alarms have movement sensors that can detect if someone has fallen and cannot get up, or leaves a certain area. Those alarms will be activated automatically, so the person does not need to do anything to summon help. Another device worth considering is the mobile phone, these can be programmed with emergency contact numbers, at least one of which could be entered on speed dial, so that all the person at risk has to do is press a certain number, ie, 1, on the keypad. Then there is the emergency cord or panic button, which could be linked to a call centre who will alert the emergency services if necessary
2.5: To ensure safe disposal of waste materials, never leave any waste sacks lying on the floor because they become a safety hazard. When collected they must immediately be placed in the collection container. If you see any waste lying around which you think might be hazardous such as a clinical waste bag leaking fluids always call Facilities for help as we have the cleaning items to deal with it safely.
3.1: All people deserve to be treated with dignity and respect. Fortunately, there are laws in place to safeguard the physical and emotional well-being of the mentally challenged. These range from ensuring that group home residents are not unduly restrained to allowing community mental-health patients the opportunity to appeal a denial of services.#
3.2: Its best for individuals to use soap while washing hands after using toilet facilities, and also avoid not getting wet.
4.1: the person in care needs must be met. The temperature preferences, particularly their bathing and personal hygiene habits and frequency of dish washing must be met to the individual’s standards. They must also meet the wildlife’s basic needs with water.
4.2: you need to show that: 1. you place toiletries, materials and equipment safely and within the individual’s reach 2. You provide individuals with equipment to enable them to call for help 3. You support individuals in ways which cause as little discomfort as possible 4. Your own personal hygiene follows good hygiene practice and minimises the risk of cross infection 5. You report any problems and significant changes in the individual’s personal hygiene to the appropriate people
4.3: Active participation is a way of working that recognises an individual’s right to participate in the activities and relationships of everyday life as independently as possible; the individual is regarded as an active partner in their own care or support, rather than a passive recipient. Activities an individual may use to manage their personal appearance may include: Hair care; Nail care; Shaving; Skin care; Use of cosmetics; Use of prostheses & outhouses.
5.1: Self-esteem, self-worth, identity and a sense of oneself, promoted by all the elements of dignity, but also by ‘all the little things’ – a clean and respectable appearance, pleasant environments – and by choice, and being listened to.
5.2: Individuality is the ability to have sense of identity, an ability for self expression and recognises the individuality of people. It is important because: Remembering and promoting peoples individuality helps peoples self esteem and helps them recognise what makes them unique, therefore defining their own identity within themselves. Doing so prevents the likelihood of conforming to a stereotype and the eventual institutionalisation of people who are not allowed to express their own individuality, and being forced to conform to a set regime that is more akin to a conveyor belt of care.
January 9, 2018
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