This study explores the significance of ethics and values in health and social care, focusing on inpatient stroke rehabilitation. It discusses core ethical principles, legal frameworks, and professional boundaries. The study also addresses ethical dilemmas faced by care providers and provides solutions to resolve them.
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Ethics and Values in Health and Social Care
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INTRODUCTION Ethics and social values in the health & social care are very important. It is necessarily followed by each and every health and social care unit & centre and professionals. Inpatient stroke rehabilitation is the necessary part of the recovery of patient after the stroke. The main aim of this stoke rehabilitation is helping in relearning the skills which are lost due to stroke that affected the part of brain. It is helpful in regaining independence again and improving life quality. Thus the centre where this treatment are being done is inpatient stroke rehabilitation unit where patients are kept with the care taker and their recovery process is being performed there by expert care providers. The rapid recovery occurs within three to four months after stroke whereas serious recovery can take one to two year in recovery. Thus this units are helpful in the recovery of these patients and new life is given by them to these patients. The above study includes the core ethics and values for the inpatient stroke rehabilitation. Legal framework related to that. The study carried forward with the ethical dilemma which is being faced in the mentioned situation and the report ends with the appropriate measures which can be taken for solving that issues. TASK 1 Core Ethics and values - There are prescribed core ethical principles which must be followed by the care taker while taking care of the patient in inpatient stroke rehabilitation unit. The care taker or nurse should be fair while distributing care to their patients. The care must be done justly, fairly and equitably which is to be divided among the patients group. The nurse should respect their patients and their duty and perform that well & treat patient with the appropriate treatment and care. Good communication must be done by the care taker or nurse no rude behaviour is being done by them and should converse with the patient in polite and gentle way (Pols, 2015). The privacy of patient must be maintained by the nurse or care taker. They must be accountable to their owns action, and nursing care. Legal and regulatory framework - Care Act – The Care Act has received royal assent on 14 May, 2014. the main aim of the act legal framework for the adult social care and places duty on the council's for promoting well-being of
people. The promotions of independence of working age and well-being for disabled adults and old age people and their carers. Mental Health Act - The Mental Health Act 1983 is legal framework in Wales and England. There is number of mental health professionals who are responsible for treatment of patients (Reamer, 2018). The clinician must be approved and the healthcare must be registered and approved by authority for purpose of mental health act 1983. Human Right Act - Human Rights Act 1998 , is the act of United Kingdom's parliament. The main aim for incorporating UK law where rights contained in European Convention on Human Rights. The convention rights that are right to life, right for respecting for family and private life & right to freedom of belief and religion. Health and Safety Act - HealthandSafetyAct1974statesthefundamentalstructure&authorityfor encouragement, regulation & enforcement of workplace health, safety and welfare across UK. The act safeguard all the workers at the workplace which obliges the law to pay for that if any one could get harm at their workplace. FREDA Principles - Itisthehumanrightapproachprocessinwhichhumanrightsareprotectedin organizational and clinical practice by adherence for underlying the different core values of respect, equality, dignity, fairness and autonomy which called (FREDA). The principle are base for good clinical care seamed into what clinicians should do on the daily basis (Carey, 2017). All these principles must be followed in the social and health care for treating the patients. Principles of public life - The UK government had developed an Committee on Standards in Public Life. There are seven principles in this standards of life which is known as “Nolan principles.” The seven principles are - Selflessness Integrity Objectivity Accountability
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Openness HonestyLeadership Role of CQC - CQC is independent regulator for health and adult social care services across England. The role of CQC is to making sure social and healthcare service provides people with effective, safe, high-quality care, compassionate and encourages the care service to improve their services (Nguyen, Zavoretti and Tronto, 2017). It monitor, regulate and inspect services for making sure that they could meet the fundamental standards of safety and quality what that finds, considering performance rating for helping people in choosing care. It regulate the various services in several ways based on the things which matter people a lot. TASK 2 Female patient refuses to be attended by the male staff member the ethical dilemma which is faced by the male staff under this situation is that morally and ethically the female patient must be treated by male staff. But the morale values of the male care takers is to treat the patient as it is necessarily required for that female patient to be treated but she refused for that. It is very general now a days majorly female patient are not agreed to be treated by the male staff in the health care (Filipe, Renedo and Marston, 2017). So none of the care takers or staff of health care can forcefully treat that patient then they must choose or select the other alternative for that by which the female patient can be treated with that. None of the patient can be forced to be treated after they refuse for such. The other alternative must be found by the health and social care so that they can attend that patient well and should satisfy that with their choice and treat them on time. It is legally obliged under the law that the none of the female patient are forced to be treated by male care taker if she refuses (Worthington and Rohrbaugh, 2017). Under this situation the care taker is in major ethical dilemma is what to follow whether to treat that female patient or should leave it for the further alternative which can be selected. The caretaker is under the ethical dilemma where two situation has been arrived before them and they had to select one of them which is appropriate and couldn't harm the moral & ethical perspective of the care taker. A carer refuses for care to a client going through gender transition the ethical dilemma under this situation is that the morally the care taker can't allow himself to treat that patient but ethically patient must be treated by the caretaker they must be accountable to their patient they
can made any gender difference. All patients should equal for the care taker they must assist and treat their all patients whether they are male, female or individual going through gender transition. The care taker ethically should treat that patient with high quality services so that patient can be treated and get well soon. The patient can refuse in any situation but the care taker can't they had to treat the patient in any situations. It is the moral and ethical dilemma for the care taker that there are two situation which have been arise in front of the caretaker so the alternative must be identified by the care taker that which must be used and the patient must be treated further (Beckett,Maynard and Jordan, 2017). As it should be done by the care taker without doing any delay in the treatment it could be harmful for that patient and must be treated by the caretakers. A manager overheard staff members having an inappropriate discussion the ethical dilemma under this situation which is faced by the manager is that the manager should not overhear the conversation among any of the staff members within the centre. And the another dilemma is that they should inform to their superior about the inappropriate discussion so that it could be prevent from spreading. The confidentiality of the patient must be maintained by the unit as this can be harmful for the social image of patient. So the no one of the staff member could pass the appropriate message or discussion to anyone among the staff. The manager should inform their superior for that and legal action must be taken for that staff members. The ethics and moral rights are dis followed by the manager also they couldn't privately listen to the conversation of anyone in the premises without any prior permission of them (Barsky, 2019). Ethical dilemma which must be faced by the manager is tow situation that whether to say their superior for that inappropriate discussion by the staff member and another is listening to the other staff member conversation the manager had to select one of the and must take a further action for that which can be helpful in maintaining the confidentiality of the patient which is being treated in the centre. TASK 3 Professional Boundaries - It is limit to relationship of the individual and the nurse in the care which render the safe and therapeutic connection among that persona and nurse. Appropriate ways for resolving the above issues - In the first issue the method or way for resolving that issue is finding an alternative
solution. In the meeting the care takers avails with the situation which is being faced and thus different alternate is provided by the care taker that is whether not to treat that patient, whether treat the patient by forcing him to be treated by the make staff and another alternative is to be treated by the female staff which is available in the unit or centre (Horne, 2018). The best alternative will be decided by the superiors and then the female patient will be treated by the female caretaker. The professional and legal responsibilities of the care taker is to not to force that female patient to be treated by them, and they could leave their patient which is needed to be treated very soon. The professional boundaries must be maintained by the care taker and they must wait until decision is taken by their decision. The second issue is to be solved by value theory approach. In this theory the appropriate and better alternative is to be selected by the supervisor (Cowley, 2015). The care taker will render the situation which are being faced by the caretaker in treating the patient having gender transition. The care taker doesn't want to treat that patient and they doesn't have any situation and alternative for that at the end the patient must be treated by the caretaker that is availed by the superior in the meeting and that is ethically and morally a duty and responsibility of the care taker. The professional boundaries of the care taker under this situation is that they must not be difference done by the professionals on the basis of gender. In the last situation the ethical dilemma is to be solved by applying the Refute the paradox it is approach where situation is carefully analysed by the superior. The manager will present the ethical dilemma which is faced in this situation which can be further critically evaluated by the superior and major action will be taken by the superior (Gradinger and et.al., 2015). The manager should inform their superior about the inappropriate discussion so that the privacy of patient can be maintained and further action can be taken. It is the professional and legal responsibility of care taker not to listen any staff member conversation and informing superior if any patients confidentiality is being broken by staff member. The professional boundaries for the manager is not to listen conversation of any of the staff member without any prior permission. CONCLUSION From the above study it is concluded that the ethical and social values play a major role in the health and social care. The all health professional must follow the ethical and social values while rendering services to the patient and they must not dis follow that. The professional must
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render the appropriate treatment,quality services, confidentiality to the patient so that the best and equal services can be render to the patient.
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