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Impact of Policies on Disabled Patient Care

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Added on  2020/02/05

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This assignment analyzes how organizational policies and practices influence the quality of service provided to patients with disabilities. It explores advancements in technology and patient feedback, emphasizing the importance of understanding patient activities and communication for improved care outcomes. The report also delves into factors contributing to the loss of independence among patients and proposes strategies to enhance their autonomy within healthcare settings.

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Contents
Introduction.................................................................................................................................................3
Task 1..........................................................................................................................................................4
Factors that may promote and maximize the rights of Mr. Brown as a user of health and SC services...4
Role of communication between care laborers and people in care delivery.............................................5
Task 2..........................................................................................................................................................7
Explain the factors that might contribute to the loss of independence, on- participation and social
exclusion of the three types of vulnerable individuals.............................................................................7
Care plans for elderly individuals to promote independence and participation........................................9
The key worker system in residential care for young people with learning disability to promote
independence and participation.............................................................................................................10
Task 3........................................................................................................................................................11
Risk factors included in the case of Ms. P.............................................................................................11
Effectiveness of the managerial processes and procedures....................................................................12
Task 4........................................................................................................................................................14
Review the current legislation, codes of practice and policy that apply to the handling of medication in
your own workplace..............................................................................................................................14
In the same care setting as above, evaluate (i.e. explore how effective they are the effectiveness of
policies and procedures for administering medication...........................................................................15
Conclusion.................................................................................................................................................17
References.................................................................................................................................................18
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Introduction
Various types of national rules, service standards, and legislations are influencing the
organizational policies and practices. Besides that, many rules related to care quality
commission, standard care act, commission for social care investigation, the act of age relation,
the act of race relation, the act of gender discrimination mainly focus on the best quality care for
all age groups of people. On the other hand, the government of the UK had issued lots of
standards and policies to give the best possible service to the customers of health care
organizations. Apart from that, according to care standard act 2000, each and every health care
organizations needs to fulfill some essential requirements of their customers, for example, as per
this Act, the management of the health care organization must provide a category of people who
are not appropriate to work along with vulnerable adults. Along with this side, with the help of
this Act, the regulatory system of the care service organization has been reformed such as
children's home, care homes, domiciliary agencies and nursing homes. Also, the health care
organizations also introduced fostering agencies, voluntary adaptation agencies due to the Care
Standard Act, 2000. On the other hand, various types of factors that influence care service that
maximizes rights of users along with participation and independence of user of health and social
care will be explained in this report. Also, risk assessments along with medication practice of
health care organizations will also be evaluated through proper arguments and justifications.
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Task 1
Factors that may promote and maximize the rights of Mr. Brown as a user of health and SC
services
There are various types of factors affect the success of the best outcome of the treatment of Mr.
Brown who is suffering from Alzheimer disease. Also, he needs more quality care service for
both long and short-term care, and these factors are discussed below:
Problems in communications: due to the damage of corresponding nerves, the patients like Mr.
Brown unable to understand both spoken and written languages of the care workers which
creates several communication problems(Ginter, Duncan, and Swayne, 2013).
Animosity: Aggressiveness is normal frequently between the Alzheimer patients. In the
meanwhile, care providers or specialists won't distinguish patient's requirements if he/she doesn't
let them know. Along these lines, they may sense disturbed on the off chance that they are gotten
some information about their current health disorder. On the off chance that they are asked to
clarify more than when they get to be distinctly forceful other than helping them by giving the
response.
Culture, behavior, and convictions: On the other hand, health care suppliers may neglect to
understand the social requirements of patients. Along these lines, absence of social learning and
around their conviction can deterrent in the method for accomplishing best consistency.
Individuals from various culture have distinctive social standards, convictions, demeanor, and
desire (Evans, 2005).
Training and pay: Occasionally, the patient may imagine that they are being requested pointless
data by taking the risk of their lower instruction and salary. Also, this can make obstruction to
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accomplish the best result also. Similarly, they may need to wage them for a specific sort of
treatment however they are hesitant.
National standards and enactments: According to Gallagher and McHale (2003), adult people
has the privilege to reject treatment. Along these lines, data may not be accessible however that
is basic for their shielding. Some of the time, they can state that the data which requested will
attack their secrecy or regard. In these cases, specialists or social laborers may take ruling
without wanting not to let them accomplish the best result.
Role of communication between care laborers and people in care delivery
As indicated by Rabins et al. (2006), with Alzheimer includes confronting trouble while
speaking with somebody. Many ways are given beneath for successful correspondence to
accomplish the best result. Besides that, they may not understand even the basic words and their
comprehension can be completely turnaround from the speakers. Also, they may respond brutally
and should be extremely careful while introducing something to care service (Wastewater
treatment process modeling, MOP31, 2013).
Motivated speech: famous studies expressed that, the care dealers must know about their non-
verbal communication and voice of tone while conversing with them. On the other hand, they
should convey graciously generally patients may feel debilitated, undermined or confounded
which can rise the sentiment disengagement, fomentation and challenge the trust.
Saying name: apart from that, obviously care providers must present themselves at the
beginning discussion with a patient. Besides that, care supplier or specialists should talk rapidly,
boisterously or unmistakably by no chance(Teeley and Bashe, 2004). In the difficult case of
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patient's condition which is basic then doctors may let them know their service to progress the
sentiments of the patients.
Asking questions: Obviously care suppliers or specialists need to make inquiries to know
patients' illness, yet they should not utilize long sentences to make any inquiry as they need
lengthier period than others to comprehend the significance even sentence is not sufficiently
enormous. Additionally, they ought to be made the inquiry that requires answer just yes or no.
Also, they should not be asked more than one question at once. In this manner, any individual
can guarantee the best result for the patients like Mr. Brown.
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Task 2
Explain the factors that might contribute to the loss of independence, on- participation and social
exclusion of the three types of vulnerable individuals
There are many elements which can add to loss of independence, non-interested and social
rejection and these can be needy to somebody including care specialists. They are not offered
time to settle on a decision for them, limitation, changing something identified with them without
taking their authorization, not offering an opportunity to take part in basic leadership(Teeley and
Bashe, 2004).
Dependency: Most of the cases, defenseless grown-ups like Mr. Brown misfortune their
independence and social prohibition given being reliant to somebody, for example, care
employees. On the other hand, patients' physical and mental situations might be considered
entirely. In the other side, the patients may not be allowed to convey their everyday exercises in
light of the absence of capacity or hazard (Giuliani and Kurson, 2003). Along with this fact, they
may not be offered authorization to pick how they will spend their conditions, where will they
invest their recreation energy, how they spend their cash, what will be their customary eating
regimen and so forth on account of the absence of aptitudes. Along these lines, they might be
hesitant to take an interest in get-togethers as it might affront for them that they are needy. Thus,
they will lose their base ability to lead their very own existence.
Avoiding basic leadership: From the situation, we have seen that Mr. Brown was offered the
opportunity to settle on her choice. Apart from that, this can bring about dissatisfaction and they
turn out to be more reliant. Be that as it may, for the most part, administration customers in the
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care homes or nursing homes may not be given this open door since they may bring about an
issue.
Imperative is one of the significant routes for what benefits clients get toward Mr. Brown was
not compelled to do anything while remaining in the care home. Also, it can bring about danger
as they might be compelled to think as other individuals think. Though, he was urged to play out
her throughout the everyday action, and therefore he turns into a good example in that care home
(Guez, 2007). On the other hand, they may consider their weakness. However, they must be
urged to work without anyone else's input evaluating the risks. Fundamentally, grown-ups are
helped to convey their everyday movement except not doing the aggregate thing for themselves.
Apart from that, they will be reliant, disappointed and will lose their essence of life. According
to many significant studies and researchers, strengthening of access to data, physical,
enthusiastic necessities, scholarly variables, social, looking after privacy, investment in the basic
decision and leadership can expand the autonomy and decision for people. These are given
beneath Advancing privileges of them. For instance, letting them keep up their secrecy,
wellbeing, and security. Apart from that, permitting them to go out on a limb. In any case,
chance must be surveyed. On the off chance that that can bring about the extreme issue, they
may be supported limit from specific things. Also, allowing them to impart and make
associations with anybody that they need. For individualized care, including duties, the
management of care organization must allow them(McSherry and Warr, 2010). On the other
hand, everybody has the duty not to encroach on the privileges of other individuals. People must
be offered an opportunity to take their particular choice and settle on decisions for them. Along
with this side, individual will get full access to assemble data. Moreover, they should be offered
appropriate to complete their religion and social exercises. Also, by giving a scope of alternatives
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from which they can settle on decisions and urging them to take care of issues later on all alone
effectively (dey, 2015).
Care plans for elderly individuals to promote independence and participation
According to Sussex and Scour field, empowering individuals likelihood, ensuring execution of
workers, proper guidelines, and inspirations to work by claim exercises, staff get ready, getting
feedback, examination and assessment wellsprings of information for each and every individual
can be a few cases to propel speculation and opportunity for individuals by legitimate structures.
These are depicted underneath:
Drawing in individuals: Hermann et al. express that, each and every illustrative of any
affiliation may be raised to participation and independence by empowering their resting
likelihood (Alper and Domnitz, 2010). As demonstrated by him, the change of organization
transport and organization quality may be extended basically by the fortifying of delegates'. To
realize this, proper tenets to allow them to work without any other individual's information will
be imperative. From that point on, they can be told the favorable circumstances so they can
comprehend the need of the reinforcing (proxy, 2015).
Ensuring execution of individuals: Huber has exhibited that, definitive speculation can be
made by ensuring execution of individuals. The progressive organization will guarantee that each
one of the agents is aware of everything in regards to changes with the objective that they can
perform bitterly. When they find their extraordinary execution, they will intend to share extra
various leveled practices and don't waiver to work self-sufficiently (Alper and Domnitz, 2010).
Wellsprings of information: Employees from each one of the affiliations should have free
access to information so they can deal with their key issues without any other individual's info.
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Additionally, they will know the favorable circumstances and impediments of the affiliation.
Accordingly, they will think themselves as an individual and basic part of the affiliation which
happens them to participate and incorporate all through the affiliations.
The key worker system in residential care for young people with learning disability to promote
independence and participation
According to Thompson et al. (2004), there are numerous parts which cause trouble while
offering thought to the frail adults e.g. Prosperity versus self-sufficiency, security versus rights
and obligations of individuals et cetera. For example, if patients with dementia or slight people
need to go someplace free from any other individual, then care providers' are stuck in a shocking
circumstance. People with dementia may lose their heading and believe that it's difficult to
recuperate it (Goodman, 2006). Similarly, they can make hurt others and themselves by their
compelling behavior. Delicate people may tumble down easily and cause real harm to them. Like
this, the relatives or even the individual himself/herself may protest against the care providers
when they are in an awful position. Considering these segments, mind providers are reluctant to
allow them to do anything which can hurt their clients. In a comparative time, each and every
individual has suitable to live uninhibitedly anyway it can achieve conflict between relative
versus client, client versus delegate, laborer versus relative, kids versus parent, parent of children
versus master centers and staff versus staff. In this way, weights can develop while confirming
the rights and ruling against the care providers' commitment. All in all, mind providers will first
consider and assurance their clients' security and after that flexibility (Goodman, 2006).
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Task 3
Risk factors included in the case of Ms. P
Ms. P is a patient of learning disability. She has left her college and willing to stay separated
from her parental home. However, her parents have decided to support her to live independently.
Though it is one of the best ways to handle a patient of learning disability, it has many risks
which can inject more harm into the patient. The potential risks for Ms. P are described below.
Family conflict and discord: Ms. P can find many conflicts after being living independently
without her parents. Depending on that it is portrayed in many cases that the patents are
becoming obscene with their parents. In many conditions, they don't get to the same point of any
discussion with their parents (Alper and Domnitz, 2010).
Depression: it is also found that in many cases the patients become depressed with his or her
live. In this way, Ms. P can be depressed with the separation or the freedom that she was
expecting from her parents. Ion this way, the parents can be separated from the social life and
become obsessed with the loneliness (Ansel, 2010).
Physical illness: being separate can bring much physical illnesses to the patient with a learning
disorder. However, there will be no one to treat her and look after to her illness. Thus, the patient
can become iller if she or he is not brought to the hospital or health care supervision within the
time by someone.
Discipline problem: it is measured that patients become selfish and behave in a wrong way.
Depending on the fact it is vital to take care of the patient. In the case of Ms. P, it is also visible
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that she become very selfish and behaving very odd with her parents. She remembers her one
friend only when she was frequently (Alper and Domnitz, 2010).
Social problem: the patient cannot get confidence when she or he is going to do some work.
This is one of the great issues in the case of Ms. P. she might lose her confidence in many cases.
Thus, she might be called unsocial as she will not take help of anybody when she wants to
become free from al barriers of her life.
Suicidal attempt and criminal behavior: being lonely can make a patient criminal, and the
patient can attempt suicide during being lonely (Ansel, 2010). A suicidal attempt is one of the
major tendency of these patients.
From the above discussion, it is very likely to say that Ms. P is very much willing to live her life
as an independent person though she has the learning disability. Though her parents have
approved her to fulfill her wishes, these risk factors are very much effective for her. Thus, it will
be the best way for her parents to keep her in observation and also take help of a health care
service person will be the best option for them to protect Ms. P from such kind of risks.
Effectiveness of the managerial processes and procedures
Every organization of healthcare industry should have some managerial processes and
regulations to control the patients' behavior and to meet the organizational goals and objectives.
Depending on the situation of Ms. P should be treated with bet managerial approaches and rules
to protect her from any risks. The managerial process for Ms. P was not correct as the process
includes one review within four weeks (Crum, 2006). However, according to many healthcare
organizations reviewing a patient with learning disorders should frequently be reviewed and as
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soon as possible. Thus, recording risk factors for the patient and also to assess the risk proportion
is very crucial. In this way, the paid healthcare worker should look after of Ms. P frequently and
should assess the risk for her. On the other hand, a leadership motivation should be worked to
assess the risk for Ms. P. the health career should lead Ms. P in a right direction, and also the
person should be familiar with the patient. A proper health care policy should be implemented to
the care process of Ms. P. Moreover; the career should have adequate equipment to measure Ms.
P's actions and behavior. The process can provide a better understanding of her motives.
Feedbacks should be produced to the patient's family and the senior career to take advice on the
situation (Crum, 2006).
However, it is also important for the health care organization to assess the improvements and the
service quality of the worker who is servicing to Ms. P. Meanwhile, the performance indicator
and the improvement advisers can improve the worker's service process can could be a better
process of taking care of Ms P. apart from that, screening of the employee can give a better idea
of the job role that he is associated with (Goodman, 2006). Getting regular feedback can give an
impression of the service quality that the employee is providing. It is also noticed that by regular
feedback the employee and the healthcare organization can get an update of the risk factors and
minimization of the factors. It can reduce the risk factor for the patient. Implementing necessary
equipment can reduce the risks for Ms. P. Thus, the nurse should understand the need of
necessary equipment that is important for the patient.
Thought the patient is not willing to go to any nursing home it is one of the best suggestion for
her to attend the care practices in the hospitals to get more updated care. Being at home is very
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much costly for any family. Thus, the family should also be very much responsible for
motivating her to admit in hospitals not supporting her in every occasion (Goodman, 2006).
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Task 4
Review the current legislation, codes of practice and policy that apply to the handling of
medication in your workplace
As showed by Association for Real Change et al., there are some particular laws, institutions,
heading and courses of action to handle pharmaceutical Furthermore it's asking for and taking
care of, association, stockpiling, recording, and exchange. These are Drug Act, Poisons' and
Therapeutic Goods Act 1964 No 31, Poisons' and Therapeutic Goods Regulation 2006, Public
Health Regulation, Medicines Act, Drug manhandle Act et cetera. These laws and establishments
have portrayed the organization and supervision systems for the association, stockpiling,
exchange and recording of medication (Crum, 2006). As demonstrated by another law, a selected
support must handle the association of remedy to ensure the standard of care in the care homes.
In like manner, it offers assurances to the association of medication nearby individual care
experts and in the hotels. Drugs act 1966 has given a legal structure inside which experts,
authorities, tranquilize pros, suppliers and chaperones can control medications. As showed in this
exhibition, there are a couple of arrangements which are restricted to the arrangement, supply,
and association. A prescription handler must need to allow to support or mastermind any
pharmaceutical (Crum, 2006). They moreover need to re-establish every allow permitted under
this Act, unless in advance energized or renounced or will end toward the end of the season of
five years from the date on which it was surrendered or the date as from which it was last
restored (Soumerai, 2008). Cure Act 2003 and mishandle of prescription act 1987 have given
astoundingly strong law to handle and secure panhandle of pharmaceuticals. As showed by this
exhibit, a supplier of pharmaceutical needs to exhibit that, it has a considerable desire to give
drugs. The court can acknowledge against a supplier for a mauling drug if they can find less
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quantity of prescription than suggested. Moreover, an issue can be raised if the impugned won't
have had the pharmaceutical safely guarded with the point. Like this these authorizations,
bearing, and methodologies help to safe treatment of pharmaceutical.
In the same care setting as above, evaluate (i.e. explore how effective they are the effectiveness
of policies and procedures for administering medication
Thomas et al. has shown that the methodologies and techniques finish the best outcome for
definitive pharmaceutical and care homes are one of the instances of it. He exhibits that, care
homes reduce the perils of the pharmaceutical by adopting the strategies and methodologies. As
a bit of prescription association game plan, now they keep each one of the records of medication
to keep up a vital separation from future danger. Sometimes they check or review the indications
of any solutions on the web and analyze with any untouchable if essential (Soumerai, 2008).
Reasonability of systems and procedure are given underneath:
Each and every made demand for remedy should express the names of pharmaceutical clearly
which have been asked (Ansel, 2010). They in like manner indicate the measurement, the period
of any medication is to be overseen, a course for the association, the reason for the prescribed
solution. Besides, a specific time of medication or the essential estimations is to be considered
for the association. Along these lines, there will be an extraordinary chance to achieve any
stumble will lead a not too bad outcome for the patients. By the modification in approach,
chaperons are no longer allowed to amass information or get the pharmaceutical from the night
locker unless a medication store is open to allow the arrangement. Like this, mishandle of
prescriptions will tumble down. Besides, specialist's office embraced compressions are being
used as a piece of arrangements so that clinicians and therapeutic specialists can appreciate those
with no inconvenience. It saves time and care organization is ending up being fast. Fierceness
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and quiet train by the medicine in the care homes have been stopped as pharmaceuticals are not
allowed to repel or control direct (Ansel, 2010).
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Conclusion
Organizational policies and practices have improved the service quality for the patients with
disabilities. However, it is vital for the organizations to be up to date with the new technologies
and the impressions of the patients. Understanding the activities of patients can give a better
understanding to the employees about the care process and needed policies for the particular
patient. There are various activities that can affect a patient's positive outcomes shortly. Even,
communication can provide better results. In this report, the reasons for losing the independences
among the patients have also been included very properly. The suggestion of increasing the
independences have also been highlighted in the paper to make a proper conclusion.
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References
dey, P. (2015). Decisions, decisions, decisions. Nursing Management (Springhouse), 46(2), p.6.
Evans, D. (2005). Treating and preventing adolescent mental health disorders. 1st ed. New
York: Oxford University Press.
Ginter, P., Duncan, W. and Swayne, L. (2013). Strategic management of health care
organizations. 1st ed. San Francisco, CA: Jossey-Bass, Wiley.
Giuliani, R. and Kurson, K. (2003). Leadership. 1st ed. Waterville, Me.: Thorndike Press.
Guez, D. (2007). Home care. 1st ed. Paris, France: Serdi Pub Co.
McSherry, R. and Warr, J. (2010). Implementing excellence in your health care organization. 1st
ed. Maidenhead: McGraw-Hill Open University Press.
Teeley, P. and Bashe, P. (2004). The complete cancer survival guide. 1st ed. New York:
Doubleday.
Wastewater treatment process modeling, MOP31. (2013). 1st ed. New York: McGraw-Hill.
Alper, J. and Domnitz, S. (2010). Policy and research needs to maximize independence and
support community living. 1st ed.
Ansel, H. (2010). Pharmaceutical calculations. 1st ed. Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins.
Crum, B. (2006). Revised National Patient Safety Goal on medication handling. AORN Journal,
83(4), pp.955-957.
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Goodman, J. (2006). Reforming schools. 1st ed. Albany: State University of New York Press.
roxy, a. (2015). The exploration of attributes aligning supply chain strategy & resilience
execution. 1st ed. Massachusetts Institute of Technology.
Soumerai, S. (2008). Medication Therapy Management and Cost-Related Medication
Nonadherence—Reply. JAMA, 300(10), p.1130.
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