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CHCMHS011 NOTES;Q5.For example, most organisations will have a code of ethics and/or acode of conduct inplace to inform the work of their staff.A code of ethics is a set of core ethical principles that informs andguides ethicalpractice within a profession. It defines the values and responsibilitiesthat arefundamental to a particular profession.Your job role and key responsibilities are usually contained within a JobDescription (sometimes called a Position Description, Work Profile orDuty Statement). The job or position description will outline the nameof the position, the award classification, the department or area orwork, the industrial award or agreement, the duties to be completedand the selection criteria, as well as many other things.Q6.Professional behaviourIn professional life, practitioners must display a standardof behaviour that warrants the trust and respect of thecommunity. This includes observing and practising theprinciples of ethical conduct.The guidance contained in this section emphasises thecore qualities and characteristics of good practitionersoutlined in Section 1.2 Professional values and qualities.Q7.Develop strategies to improve physical health.Support and encourage the person to identify areas where physicalhealth could be improved. Talk to the person about their currentphysical condition, then talk about the persons physical wellness goals.Identify what their health goals are. Goals should be realistic and havea specific timeline. If the person identifies their own goals and areas forimprovement, they are more likely to achieve their goals.Physical therapists are in an ideal position to promote health andwellness in their patients and clients.Having a clear understanding of what you can and cannot do enablesyou to communicate this clearly to your client and significant others. It
helps to avoid misunderstandings, breakdowns in communication andunreal expectations being placed on you and the client.Q8.Professional boundariesProfessional boundaries refers to the clear separationthat should exist between professional conduct aimedat meeting the health needs of patients or clientsand a practitioner’s own personal views, feelings andrelationships which are not relevant to the therapeuticrelationship. Professional boundaries are integral to a goodpractitioner-patient/client relationship. They promote goodcare for patients or clients and protect both parties. Goodpractice involves:a).maintaining professional boundariesb).never using a professional position to establishor pursue a sexual, exploitative or otherwiseinappropriate relationship with anybody under apractitioner’s care; this includes those close to thepatient or client, such as their carer, guardian, spouseor the parent of a child patient or clientc).recognising that sexual relationships with peoplewho have previously been a practitioner’s patientsor clients are often inappropriate, depending onthe extent of the professional relationship and thevulnerability of a previous patient or clientd).avoiding the expression of personal beliefs to patientsor clients in ways that exploit their vulnerability or thatare likely to cause them distress.Q9.As aworker, it is yourresponsibilityto: Read the workplace safety and health poster atthe jobsite. ... Follow all lawful employer safety and health rules and regulations, andwear or use required protective equipment while working. Report hazardous conditionsto the employer.It is anemployer's dutyto protect the health, safety and welfare of theiremployeesandother people who might be affected by their business.Employersmust do whatever isreasonably practicable to achieve this. ...Employershavedutiesunder health andsafety law to assess risks in the workplace.Be treated with respect, dignity and courtesy regardless of age, disability, cultural andlinguistic background, gender, sexual orientation, socio-economic status, and religious or
spiritual beliefs. Have yourright toprivacy and confidentiality protected, within the limitsimposed by the law and the duty of care.Q14.SexualityPrinciplesPeople have a right to express and experience their sexuality,provided it is legal and does not harm others.Feelings connected with sexuality should be validated just like otherfeelings and actions.Privacy should be provided rather than restricting sexual activity.Knowing people well, through individualised care, means staff cancheck whether a particular sexual activity is welcome or not.Regular assessment and attention to boredom, loneliness and needfor touch can reduce sexual acting out.The need for touch can be addressed by massage, dance or otherless sexually explicit physical activities.Masturbation may reduce sexual behaviours that involve otherpeople.Strategies for sexual and sensual expressionDevelop policies on practices and procedures relating to sexualexpression.Promote staff awareness and recognition of coercive or unsafesexual behaviour.Think about older people’s sexuality a routine part of life.Watch forcues regarding needs for intimacy or sexuality to help support theseneeds as appropriate.Include measures to protect against inappropriate sexual behaviour,for example public masturbation. Such actions reflect unmet need;help people to address this in an appropriate way.Assist sexual expression by providing privacy, appropriatefurnishings (for example, a double bed), and permitting overnightstays.Guarantee an environment conducive to sexual expression, forexample provide ‘Do not disturb’ signs for doors.Strategies for intimacy between residentsDescribe and document what someone is doing in objective terms.Ask ‘Is this a problem and if so, for whom?’If it is a problem for the person with dementia, family member orfacility, identify what triggers the actions.Develop and use a care plan and evaluate its use.Focus on people’s needs.Educate and counsel staff and families, where appropriate, to helpthem understand older people’s need to express intimacy andsexuality.
Establish a process for discussion so staff can voice concerns aboutclose relationships among those in their care.Provide opportunities for families concerned about individualintimacy and sexuality to discuss their feelings.Strategies for staff training and awarenessRun a staff workshop on sexuality.Include intimacy and sexuality as topics for staff orientation andcontinuing education programs.Develop procedures for difficult incidents involving sexualexpression.Accept such incidents can be complex and may have no easyanswers.Use a case example of a real sexual incident to help staff exploretheir feelings.Encourage staff to voice their anxieties and discuss ideas andattitudes to reduce stress and respond reflectively.Encourage supervisory relationships open to issues of older people’ssexual needs.Q17.Would medical treatment of mental illness necessarily givepositive outcomes for a client? Explain your answer.Many people diagnosed with mental illness achieve strength andrecovery through participating in individual or group treatment. Thereare many different treatment options available. There is no treatmentthat works for everyone – individuals can chose the treatment, orcombination of treatments, that works best.Yes, some people are helped by taking medication for awhile; othersmay need it on an ongoing basis. Medical research shows that manymental illnesses are associated with changes in our brain chemistry.Medications help the brain to restore its usual chemical balance, sothat the symptoms are reduced or even eliminated.Yes, mental illness can be treated. This means that many people whohave a mental illness, and are treated, recover well or evencompletely. However, because there are many different factorscontributing to the development of each illness, it can sometimes bedifficult to predict how, when, or to what degree someone is going toget better.Your treatment depends on the type of mental illness you have, itsseverity and what works best for you. In many cases, a combination oftreatments works best.
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