This instance survey concerns a service user whom I came to cognize and cover with during my arrangement at a twenty-four hours attention Centre for people who were more than 50 old ages of age.
The service user is an 85 twelvemonth old lady. She is Christian, white, a British national and speaks English. The service user suffers from diabetes and glaucoma and has developed cataract in the right oculus. She has besides been enduring from dementedness for some clip. The service user lives entirely in her place but has a little Canis familiaris for company. She takes attention of herself with the support of personal place attention attenders. She besides uses the services of the twenty-four hours attention Centre, physicians and nurses, the cab driver who takes her to the twenty-four hours attention Centre, and the 2/3 societal workers who have been assigned to her. She is prone to falls and has given up go forthing her house because of apprehensivenesss about falling and wounding herself. She is besides discerning about acquiring dizzy, losing her balance, and falling in the house, particularly in the shower. She does non hold any friends and has limited contact with the community. She nevertheless does hold a pendent dismay, which she can utilize during exigencies, and a telephone. She is nevertheless dysphasic, which disturbs her communicating with people.
The service user suffers from dementedness, which is acquiring worse. She has on more than one juncture stated that her carers have stolen her money, her neighbors maintain on endangering her, and that person supports on strike harding on her door and calling her. At one clip she even stated that her societal worker had threatened to direct her to prison if she did non manus over the money that was with her. She has besides come out on the streets, shouting and shouting for aid. She used to phone the twenty-four hours attention centre repeatedly to ask about the reaching of her cab and needed changeless reassurance during her low tempers.
She is really affiliated to her pocketbook and keeps on impeaching others of taking her money from it. I interacted with her once at the twenty-four hours attention Centre when she became highly upset with another service user, impeaching her of taking things out of her bag and complaining that it had excessively many pockets. She nevertheless calmed down after I removed the excess pockets from her bag.
The service user suffers from diabetes and glaucoma and is being provided with appropriate medical attention by her GP. She besides suffers from dementedness, a mental complaint related to ageing that can impact the perceptual experiences of persons about the universe around them. Persons with dementedness frequently feel that they can hear or see non-existent things or believe something that is untrue ( Furay, 2010, p 1 ) . Whilst people enduring from with dementedness in the early phases of the disease are normally able to recognize such happenings as figments of their imaginativeness, they have increasing problem in separating between world and phantasy as it gets worse. Persons with dementedness can besides see hallucinations and psychotic beliefs ( Furay, 2010, p 1 ) . Hallucinations represent experiences when people feel, hear, smell, or gustatory sensation something that is non at that place. Delusions concern false apprehensions about present happenings ( Dementia Care Central, 2010, p 1 & A ; 2 ) ) . Peoples with dementedness might for illustration believe that their near 1s are poisoning them or seeking to steal from them ( Dementia Care Central, 2010, p 1 & A ; 2 ) . It is therefore frequently thwarting for carers to cover with people enduring from dementedness because the disease affects the relationships between them ( Dementia Care Central, 2010, p 1 & A ; 2 ) .
The service user came to the twenty-four hours attention Centre late to the twenty-four hours attention Centre in a really frightened province and complained about unusual work forces holding entered her house. She has since, after being visited by the societal worker, being placed in residential attention and is expected to remain at that place until she becomes better. The service user has been coming to the twenty-four hours attention Centre for four old ages and 2-3 societal workers had been assigned to supply her with appropriate attention. Whilst she was being provided with attention for her mental wellness status in the community attention scene, her dementedness has worsened and it is felt that she now needs to be kept in a residential scene in order to handle her mental status and guarantee her physical safety.
Section 2: Social Policy and Legislation for the Service User
Social work in the UK loosely maps within the scope of societal policy and appropriate UK statute law ( Payne, 2005, p 18 ) . Social workers, mental wellness professionals, wellness professionals and other participants of the countryaa‚¬a„?s societal and wellness attention system work separately and jointly to further societal policy aims and map within and in conformity with legislative models ( Payne, 2005, p 18 ) . Social policy is articulated clearly for different countries of societal work and is modified from clip to clip in line with new developments ( Payne, 2005, p 18 ) .
The twenty-four hours attention Centre where I was placed aimed to assist service users above 50 old ages of age, in life fruitful and productive lives, and in safeguarding them in assorted ways by supplying them with appropriate support in countries of wellness and societal attention. The societal policy towards Safeguarding of Adults is defined by the National Framework of Standards for Safeguarding Adults ( Commission for societal… , 2008, p 3 ) . The policy instrument aims to safeguard grownups from maltreatment and disregard that can impact their physical and mental wellness and well-being ( Commission for societal… , 2008, p 3 ) . It aims to supply appropriate societal and wellness attention through multi-agency partnerships between assorted bureaus in countries of societal services, lodging, instruction, legal services, medical services, constabulary services and other relevant bureaus ( Commission for societal… , 2008, p 4 ) . Safeguarding of grownups includes all types of work or activity that can assist in back uping vulnerable grownups to retain their independency, their well-being and their pick, as besides their ability to populate lifeaa‚¬a„?s free from maltreatment and disregard ( Commission for societal… , 2008, p 7 ) .
The Living Well with Dementia scheme, an of import societal policy result that was introduced in 2009 and is relevant for the service user, aims to better dementedness services in three specific countries, viz. ( a ) betterment of consciousness, ( B ) swifter and earlier diagnosing and intercession and ( degree Celsius ) better attention quality ( Department of Health, 2009, p 2 ) . The scheme specifies 17 of import aims that need to be implemented, mostly at the local degree, for conveying about significant betterment in the apprehension of the grounds and consequences of dementedness, every bit good as in the quality of services to people enduring from dementedness ( Department of Health, 2009, p 3 ) .
The safeguarding and attention of people like the service user are considered under statute law like the Health and Social Care Act 2008, the Mental Capacity Act 2005, The Mental Care Act 2007, The Disability Discrimination Act 2005 and The Equality Act 2010 ( Legislation.gov.uk, 2008, p 2 ) . The Health and Social Care Act 2008 established the Care Quality Commission for ordinance and review of all wellness and societal attention services in England including the services of bureaus like the NHS, private companies, voluntary administrations and local governments, be they in the ain places of service users, residential attention places and infirmaries ( Legislation.gov.uk, 2008, p 2 ) . The Mental Capacity Act 2005 aims to protect and empower persons who may non be capable of doing some determinations on their ain. It besides allows people to be after in front in instance of the development of fortunes where they may be unable to take important determinations about their ain egos in future ( Mental Health Foundation, 2011, p 2 ) . The act sets out what will go on when people are unable to do specific determinations, and screens different types of determinations like personal finance, medical intervention, societal attention or even mundane determinations ( Mental Health Foundation, 2011, p 2 ) . The Mental Capacity Act nevertheless does non cover determinations refering compulsory detainment and intervention for people with medical upsets without their consent ( Mental Health Foundation, 2011, p 3 ) .
The Mental Health Act 2007 has amended the Mental Health Act 1983 and the Mental Capacity Act of 2005. It aims to guarantee that persons, with mental upsets of dimensions that can endanger their wellness and safety or of the populace, can be treated irrespective of their understanding, where such intervention is indispensable to keep them from harming themselves or others ( Blaenau-gwent.gov.uk, 2007, p 3 ) . The Mental Health Act 2007 amends the Mental Capacity Act 2005 with respect to processs for the mandate of remotion of autonomy of individuals in infirmaries or attention places who lack capacity to consent to being at that place ( Blaenau-gwent.gov.uk, 2007, p 3 ) . The Equality Act 2010 develops the commissariats of the Disability Discrimination Act to protect single rights and provide equality to all people ( Legislation.gov.uk, 2010, p 1 & A ; 2 ) ) .
The inside informations provided in the instance survey of the service user clearly reveal that she suffers from mental disablements, ( dementedness, accompanied by hallucinations and psychotic beliefs ) , which prevent her from taking a normal life and taking appropriate attention of herself. Bing prone to falls and enduring from psychotic beliefs and hallucinations, she can good harm herself if she is allowed to remain entirely in her place. It besides does non look that she is in a place to give rational consent to be treated in a residential attention installation. Her attention and intervention should therefore be organised in line with the societal policy for safeguarding grownups and with the usage of the commissariats of the Mental Capacity Act 2005 and The Mental Health Act 2007.
Contemporary societal work policy and pattern besides calls for the acceptance of a person-centred attack, which in bend calls for puting the service user at the nucleus of societal work procedures and affecting her in all appraisal procedures and obtaining her understanding for planned intercessions ( Cambridge & A ; Carnaby, 2005, p172 ) . Whilst the Mental Health Act 2007 and the Mental Capacity act do ease relevant determination devising by professionals when the service user is unable to do a considered determination, such determinations should be made merely in conformity with the precautions mentioned in the Acts of the Apostless and careful usage of person-centred and anti-discriminatory attacks.
Section 3: Application of Anti-Discriminatory Approach
Anti-discriminatory attack is an built-in constituent of societal work pattern for the aged, particularly for aged people with mental complaints ( Carter, 2006, p 2 ) . The theoretical construction for the causes of favoritism is elaborated by Neil Thompson, who states that favoritism fundamentally stems from three specific factors, viz. ( a ) personal, ( B ) cultural and ( degree Celsius ) structural influences ( Carter, 2006, p 2 ) . Personal favoritism occurs on history of single likes and disfavors of people for others. Cultural favoritism, which accounts for the majority of prejudiced attitudes, arises on history of assorted cultural and societal influences that shape the thought of people towards others due to issues like age, gender, race, ethnicity, faith, mental wellness issues and gender ( Carter, 2006, p 3 ) . Structural favoritism occurs on history of the assorted ways in which societal substructures discriminate against members of specific communities in countries of employment and public installations ( Carter, 2006, p 3 ) .
It is indispensable for societal workers covering with old, ill, and mentally ailing people to understand the deductions of favoritism and consciously follow anti-discriminatory and anti-oppressive attacks. It is non hard for people to follow insouciant and high handed attacks towards old and vulnerable people, who can non take good attention of themselves or others, on history of their age and their physical and mental infirmities. It is besides easy in such fortunes to bury or overlook the fact that such people have in the past lived long and fruitful lives, wherein they have fulfilled their personal, household, societal, cultural and workplace duties, and contributed significantly to society and to the people around them.
It is even more simple to follow prejudiced attitudes towards the mentally indisposed, who are really clearly unable to take determinations for their ain egos and do non look to be normal in the usual sense of the universe ( Pugh, 2009, p 284 ) . Mentally ailing people have been subjected to favoritism and roast down the ages and such prejudiced attitudes are invariably reinforced through literature, text and assorted types of societal interaction ( Pugh, 2009, p 284 ) .
My cognition and reading of anti-discrimination pattern informs me of the importance for societal workers and mental wellness professionals to near the jobs of the aged and of physically and mentally indisposed people, like the service user, with really steadfastly adopted anti-discriminatory attacks and to see them as persons who have their specific demands, likes and disfavors and have non merely lived productive lives but besides contributed significantly to society.
Section 4: Evaluation
My reading of societal work policy and statute law for ageing and/or physically and mentally ailing people has helped me in informing and bettering my pattern in assorted ways. Old, infirm, and mentally ailing people need to be safeguarded with attention and compassion through good developed policies and suitably enforced patterns. Social and wellness attention policies and patterns, in such fortunes, are required to turn to the issue of independency vis-AA -vis hazard and safety concerns. The personalisation policy, which is expected to come into the mainstream by 2013, will assist service users to go more independent. The policy requires societal attention bureaus and professionals to help and back up people in choosing their preferred attention, therefore enabling them to take on mundane hazards, like the remainder of society and maximizing their independency from outside intervention ( Gardner, 2010, p 2 ) . Such personalisation will intend that cosmopolitan services, like lodging, conveyance, and instruction will go accessible to everybody are accessible to all citizens ( Gardner, 2010, p 2 ) . Social work attacks sing early intercession and bar will besides hold to be developed farther in order to promote people to remain healthy and independent ( Gardner, 2010, p 2 ) .
Whilst modern twenty-four hours societal work policy, theory and pattern recommends the promotion of independency of service users and the provisioning of societal and wellness attention in their places and community attention scenes, the demand for supplying attention in residential attention environments may originate in fortunes where the failure to make so can ensue in injury to the service user or to others. Social workers, in audience with other experts, must, in such fortunes assess the conditions of service users, and might later hold to take determinations to take persons from twenty-four hours attention scenes and put them in residential attention scenes. Such determinations, whilst curtailing the independency of service users, becomes indispensable to safeguard their mental and physical wellness and to protect them from injury.
Appraisal and determination devising in intercessions in such fortunes must be made really carefully with the house usage of anti-discriminatory attacks and the usage of person-centred pattern. Person-centred pattern calls for puting service users at the nucleus of the societal work procedure, affecting them in the appraisal and obtaining their understanding to the intercession programs. Whilst such options may non be available where persons are non able to lend efficaciously to determinations, societal workers should take great attention to guarantee justness and guarantee absence of subjugation.