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Public Health and End-of-Life Care

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Added on  2020/11/23

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Literature Review
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This assignment delves into the intersection of public health and end-of-life care. Students will analyze the historical development of the public health approach to end-of-life care, examine its core principles and practices, and evaluate its effectiveness through a review of scholarly literature and case studies. Emphasis is placed on understanding the role of policy, community engagement, and ethical considerations in shaping end-of-life care within a public health framework.

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Principles of HSC
Practice

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TABLE OF CONTENTS
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INTRODUCTION
Health care industry is analysed as an important part of every nation as it has provided
major growth and development to the economy. Social care sector deals with the psychology and
religious beliefs of employees working in HSC services and they are usually responsible to
provide treatment to users (Blais and et.al. 2015). Various important principles and provision
have been developed by professionals and relevant authorities such as NHS and government for
monitoring ethical practices in care homes. Present task is based on analysis of different
procedures adopted by care homes for protection of their patients as well as staff from damages.
Various important policies and strategies discussed relevant to own performance in HSC. Along
with this, Influence of these regulations on organisational policies and practices have also been
discussed in this report. At last, there are various important policies and regulation that needs to
be followed by ICON is also discussed in this report.
TASK 1
FACT SHEET
1.2 Procedure implemented within care enterprise to secure users and workers from damages
A care home must develop a procedure
so that it clients can be protected from harm. It
also helps in proper and systematic working
and providing care. The procedure followed is
as follows:-
Stage1 – Firstly, policies must be designed that
will describe the rules and regulations. This
will help service providers to follow them
while providing care.
Stage 2 - An effective plan will be developed
that will help in protecting people from harm.
Stage 3 - Risk assessment will be done that
will help in developing measures that can be
taken in occurrence of any hazard (Stiglitz and
Rosengard, 2015).
Step - 4 Employees will be given with training
on how to deal with hazard. In this, they will
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be informed about different types of risks and
their prevention methods.
Step 5 – Manager and worker will work
together so that risk of hazard can be reduced
and people can be protected from harm.
Step 6 – At last, records of patient will be kept
so that service which are provided by
professional can be reviewed by family
members and management.
2.1 Application of various policies and regulation relevant to own work in HSC
The legislation develops effective
policies and operations that are enforced in
health care. It helps in setting standards while
providing care to patients. The home care also
works together with government while
developing policies. This helps in selecting
suitable procedures. Besides` this, policies help
in removing barriers that occur while providing
care to patients according to their needs (Brett
and et.al, 2014). For the present care home, a
proper care plan will be developed.
It will help in providing effective care
to patients according to their needs. In this
plan, staff will be allowed to share data and
information. This will make it easy to do
individual assessment so that needs can be
identified. In addition to this, plan will also
allow staff to work with stakeholders so that a
Care standard act 2000: It has been
made to ensure that all the provisions should
meet with NMS (National Minimum
standards). In involves set regulations to
specific level of care provide to require HSC.
As per this, overall employees should be kept
after police verification prior they start
working with young and child care home.
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safe environment can be created. UK
government formulated various plan of action,
regulation and legislation in order to secure
everybody in HSC settings employers,
workers, patients and their family members
Health and safety at work act, 1974: This act
is required to comply with the middle to make
sure that employee should provide appropriate
facilities to clients and also meet their wants
and requirements of safety.
Patients can be authorized by taking
their adequate participation in the process of
making decisions and analysing their
requirements and preferences (Aveyard, 2014).
2.2 Methods of developing local policies and procedures
National policies have major impact on the
resourcing of HSC services but increasingly,
they will also set various effective performance
indicators and criteria of evaluation.
Government has also created structure of
Professionals in organisation should
carry out research and collect information
about the policies of NHS. It points out
different HSC needs. It also presents advanced
and modern techniques of care which lead to
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national service in England and Wales to a
range of various important location of care,
involving care service for old people and
acting as guideline for Professionals.
In other words, department of health
care usually set national regulation and
demonstrate various models of care service.
National plan of action have major Influence
on resourcing of various HSC services whereas
they increasingly also fix performance
highlighters and criteria (Whittington and et.al,
2015). In the present scenario, national care
policies are also followed by Prince of Wales
house, Ipswich which aims to provide proper
treatments to users of services and
improvement of services.
enhancement of services. In addition, local
polices will also be applied at local community
level by undertaking guidance and permission
of local authorities who have more
understanding about different kinds of services
which are prevailing in prince of Wales house.
National policies like care standards are
usually developed by government after
considering issues related to standards to HSC
services. These policies provide influence in
sourcing of overall health care services as they
set criteria of evaluation and performance
indicators.
2.3 Influence of these policies on organisational strategies and exercise
There is major impact of application of
these rules as well as regulations along with
the code of practice on that policy and practice
of Prince of Wales house. Through their
application, requirement and interest of
patients for using service at care home is well
protected and safe guarded.
 Policies and regulation involves code of
conduct and behaviour which is
required to be followed by all other
practitioners and their implementation
help in their proper behaviour towards
 Equality act allows the users to take
action against non-legal and unethical
activities of Prince of Wales house.
For instance, when the legislative
requirements of equality as well as health and
safety act are accomplished by organisation
then it will support to provide satisfaction to
users from different groups and improvement
of services because they will be treated
equally. Legislation and policies also allows
patients to take action for unethical and unfair
delivery of service against care home
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the patients according to the policies
and procedures (Knott and Scragg,
2016).
 Implementation of these policies and
regulation will also provide major
impact on quality of service and
facilities as it encourage organisation to
adopt effective administration at
workplace.
(Brownson, Colditz and Proctor, 2017).
Policies of organisation involves
various factors such as health and safety
human rights, maintenance of health care
standards, risk assessment, confidentiality and
equal opportunities. These policies will
provide positive influence on Prince of Wales,
Ipswich as they carry out necessary and
adequate measures for ensuring safety, security
and quality of service.
D2.
Every business enterprise have some policies and producers which tends to promote
equal opportunities and reinforce the codes of practice for specific professional bodies. These
policies are considered as mechanism through which the legislations has been delivered and
implemented. Various policies in organisation involves Health and safety, harm minimization,
risk assessment, equal opportunities, confidentiality and disputes of interests. Every care
professionals is also implemented to state the experience which is required to deal with the
promotions. To make ensure the policies of health and safety at workplace, care professionals
needs to focus on requirements of service users and keep proper monitoring on treatment
provided to patients.
TASK 2
1.1 Application of principles of support to ensure better service for patients in Care home
Supply major assistance to the patient is considered as important principle of HSC
practice in Icon residential care, principles of support needs to be implemented in such as way
through which it will assure and hold patient’s better health as well as well-being and
professionals in care home needs have information related to this and professionals should
respect rights and personality of service users. Further, people of different cultural backgrounds
come in HSC centres but care workers should respect customer’s rights and beliefs. Patients will
can also make their own decision about treatment because they have the right to do so. Support
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principle are essential as will provide help to ensure that proper HSC services can be provided
by ICON residential care to their patients suffering from dementia (Drummond and et.al, 2015).
Apart, these important measures are being developed by organisation through
emphasizing upon their group values which already satisfactory within the society. Major rules
of support which have been implemented by Icon care home to make sure that patients which
are cared for equality, dignity of concerns and deserving, inclination, social justice and safety are
secrecy, honesty in effective manner. Application of these important principles will tend to
provide support in ICON should ensure about patients and people living in health care must be
obliged to pursue overall important principles.
3.1 Theories that support HSC practice
In ICON, system theory has been considered as effective and it is applicable because it
provides major focus on human behaviour and its complexness of the system. Moreover, middle
should concentrate upon the group and this involve accomplishment of care, service on time,
achievement of characteristics and also provide understanding about the expectations of people
which are completely existing in this system (Glasby, 2017). This system theory is also
recognised as major group efforts which can individual or group should apply in order to create
and live better life style. In case of ICON, it is also applicable because patients have faced issues
due to interruption and inappropriate services which are provided to users. Moreover,
implementation of system theory provide support in sustaining business operations in appropriate
manner. In this case, it is also analysed that social acquisition is also important procedure which
is used for increasing knowledge, awareness and education of people. It also provides support in
increasing the living standards of people and increasing awareness regarding keeping the major
fit for longer. ICON must take help of External agencies like NGOs and other important
enterprise to build HSC centre a better place.
M2.
The theories are related to health and social care practice. In accordance with individual
requirements of those theories, various programs and process get priority. Patient’s spiritual,
social, emotional and mental fitness to promote healthy life styles and to attain high level, this
theory helps to develop plan.
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Maslow's hierarchy of needs is also related with health and social care practice. In this,
human needs are classified in different level and basic needs are kept first. It involves needs like
physiological needs, social needs, safety needs, self-esteem and self-actualization. In care home,
Service user’s physical demands needs to be fulfilled by professionals. Users belonging
traditional backgrounds must be provided appropriate atmosphere in which they can survive and
recover from disease. They must keep dignity and appropriate behaviour with patients to
maintain their self-esteem. Safe and appropriate working environment should be provided to
patients.
3.2 Influence of social procedures on patients in HSC services
Human being is important part of society because they can survive better within their
social groups and communities apart from living in care home. They can also communicate
with other important individuals at workplace for maintaining their quality of life and standard of
living. In this case, Icon residential also needs to apply similar strategy with the users facing
issues of dementia. This will be effective for them to recover from these types of diseases
through social care (Stewart and Wild, 2017). Icon can also organise the effective
communication and social care practice in order to provide satisfaction to their users and positive
environment in care home. Interactive session should be there among the people of different age
groups. Every person within enterprise always possess opportunities to communicate with the
users as well as communicate their experience in health care activities.
Apart from this, Icon also uses communication about different human rights in order to
communicate with a dialogue between these important perspectives which might otherwise be in
conflict. Training will be provided to staff by taking in to consideration a broad spectrum of
views and from those who will not agree with the basic and important idea of compulsory
treatment to those who will consider that it will save like as legal implications and service users
rights that need to be taken in to considerations (Karapliagou, Kellehear and Wegleitner, 2018).
It also harnesses the personal and often very much difficult experience of those who will utilize
mental health service in order to stimulate the debate about the rights of human beings and
finding out the ways of communicating that break down barriers among different point of view.
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3.3 Determination of effectiveness of interpersonal working
Inter professional working will be analysed as practice of group which usually belongs to
various disciplines and other important skills with similar organisation. Professionals always
used to communicate with each other for sharing their experience, knowledge and getting
appropriate results. In this context to ICON, inter personal working will be effective and
implementable (Gradinger and et.al., 2015). In HSC centre, patients which belong to diseases
like dementia, mental health, and physical disability are also present. It is also considered as
advisable for Icon Home care to apply this interpersonal style of working because it will provide
support in helping the members of staff to deliver facilities to the patients according to their
requirement and convenience.
In addition to this, inter personal style of working also deliver requirements to the
patients related to service and also regain previous brand recognition of home care. However,
this association of professionals will communicate the real and important situation to users and
also make some goals in order to recover him from displease. It will also increase satisfaction
level of patients that will be achieved recovered of the patient as soon as possible.
D1
Service quality depends upon the ways through which different professional in
organisation work together. Glasby, (2017) believes that knowledge and experience of health
professionals needs to be mixed in order for professionals to obtain new blends of knowledge
and skills. Professionals working together with coordination provide care which is designed to
meet the requirements of clients. Moreover, professional which are working to meet the
requirements of clients must focus on organisation policies and service standards. The number of
professionals involved and significance of their ability to work collaboratively increases with the
complexity of client’s needs.
TASK 3
1.3 Benefits of allowing a person centred approach
Person centred approach always directs all major HSC organisations and their practices in
UK. This method health care is emphasized upon the curative analysis or attempts done by Carl
Rogers which is usually focused upon protecting the personal rights and promotion of equality
for users. It also formulation and application of decisions in a way which complies with different
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major needs in appropriate manner (McMurray and Clendon, 2015). Person Centred approach is
also utilized in Prince of Wales house but they usually discover themselves as totally dependent
upon the financial as well as political thoughts while making plan for improvement of care
services. Further, benefits of these people centred approach is very wide and it ranges from the
clients' satisfaction along with capabilities reach which belongs to different cultural backgrounds
Implementation of this approach with users in Prince of Wales House will users to put
some preferences, needs and serving them in appropriate manner. These professionals should
possess competencies to provide services to patients with dignity.
M1.
Supporting preferences related to right of patients of getting desired and informed choice
of treatment in health and social care. In this case, service in care home needs to be person
centred, seamless and proactive. They should support independence and allows every users to get
quality of treatment, care workers should treat every individual with respect and disunity and
support them in overcoming barriers to inclusion. Care workers should be tailored to religious,
cultural and ethnic needs of care users. It must focus on ethnic, positive outcomes and well
beings, work proactively to involve the most disadvantage groups.
1.4 Ethical dilemmas and conflicts that occurs in providing care
Service providers and professional in health care organisation usually have to face
various ethical dilemmas and major conflicts which usually arise while providing care and
security of patients. The major activities professionals is analysing and resolving various
important customers issues at the biological level of operations, etc. (Sallnow and et.al., 2016).
Ethical dilemmas are those situations in professional will not be able to take decisions about
treatment of their patients. In the present case, ethical policies which are stated by national health
care service for professional in health care home needs to be considered by management of
Prince Of Wales House for improvement of service in care home. In addition to this,
Many ethical dilemmas occur while provide care support and protection to patients. This
kind of dilemma involves: Confidentiality: Where care worker's obligation to secure patient confidentiality issues
with an obligation to report crime or actions the clients takes which may cause harm to
himself and others.
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 Self-determination: Where health care worker's obligation is to respect the rights of
patient of self-determination issues with the realization that the users are committing or
threatens to commit actions which can harm himself or others. Receiving Gifts: Users wants to express some gratitude to care professional to the social
workers with gifts which depend on the value.
 Moral beliefs: A religious health care worker's views also affects its way of providing
care support to patients for example: issues with the users rights to take own decision in
matters related to reproduction.
In present case, Patricia is 84 years old widow which is living with Alzheimer's disease
believes that she is in this residential care home for some special treatment and it will soon return
to home. The ethical dilemma is that the patients is disorientated and always ask when the
treatment will be completed. But the staff usually answer that the treatment is almost finished. It
is a tough situation for care workers to lie but the truth would distress her.
4.1 Own roles, responsibilities, accountabilities and duties in context of with those in health and
social care practice.
The major aims of Prince of Wales House is to achieve high reputation and recognition
among users appropriate care home which implemented towards wellbeing and requirements of
patients. As a manager, it is responsibility to monitor the professionals to analyse their
behaviours and performance towards patients (American Speech-Language-Hearing Association,
2016). The statements of patients as well as attendant is requirements in order for making direct
improvement. Through, regular improvements as well as change should be done to attain
previous brand recognition.
In health care, when a patients calls for help in any condition, whether it is illness,
disability, old age care, guidance or information, mental or physical trauma. Therefore, the roles
of care staff at every level in H&S care organisation is of utmost importance
Further, Sec4b determine some standards in course of executive of duties such as:
 To take reasonable care of health and safety at workplace for people such as staff and
requirement of safety. Care worker is also responsible to cooperate with employers to
ensure compliance with requirements of health and safety.
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 Not to discriminate against any patients or staff and also provide adherence to equal
opportunities, equality and human rights legislations.
 To protect confidentiality of personal information which care professional hold at
workplace.
 Care workers should aims to maintain high standards of H&S care service, treatment of
every patient with compassion, dignity and respect, being responsible not only for the
care people personally provide, but also for continuous wider communication to the
aims of teams and the NHS.
4.2 Own contribution to the development and implementation of health and social care
organisation policy
It is important that I am employee of care home which is carrying out service in
miscellaneous range of settings. As manager, my role in the organisation is very broad as I have
to take care of various service and management of activities which are required to be carried for
effective management of service in care home (Knott and Scragg, 2016). Being a manager, my
place will be at middle level and having task of securing the major as well as vulnerable
population and mainly accountable for major acquiring of resources required to encourage
effective practices standard in Prince of Wales House, Ipswich. By involving in the ethical
regulations, effective management of case loads of professional skills and abilities.
In H&S care, employee needs to ensure smooth running of system by following all the
regulations which are included in policies while providing treatment to care workers. To reduce
misunderstanding and misrepresentation, it is essential that organisational policies must be clear
and blunt.
Care workers should aims to inform patients about the utilization of confidential
information and record their objectives as well as consent. In order to develop own contribution
to meet requirements of good practices. Social care worker needs to realize his role in care is
critical and sensitive. This role requires utmost commitment and dedication towards well-being
of patients and colleagues as well as personal well-being.
D3
Organisation policy involve various local, national and European legislation and
requirements such as data protection, health and safety, protection of patients from danger,
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dealing with complaints, development, implementation and review of care plans. In this
situation, I have also created and implemented some care plans at workplace to improve the
condition and facilities for patients
4.3 Recommendation to develop own contributions to meet good practice requirements.
For accomplish the requirement of good exercise of learning of workers is usually critical
and this is required to be managed by organisation. Appropriate training is required to be
provided by organisation to employees (Stiglitz and Rosengard, 2015). By achievement of
progress through attainment of additional training, employees will be able to increase their
abilities and also interrelate with critical requirement of employees in appropriate manner.
National policies like care standards are usually developed by government after considering
issues related to standards to HSC services. These policies provide influence in sourcing of
overall health care services as they set criteria of evaluation and performance indicators.
In order to develop own contribution to meet good practice requirement, A social care
provide must realize that his or her role and duties in the society is crucial and sensitive. For
improvement of contribution, I need to provide focus on protection of rights and promotes
interest of service users in social care. Further, I will strive to establish and maintain the trust
and confidence of service users.
M3
There are is also requirement to promote rights of patients and needs to ensure that my
own behaviour does not harm the other people. I will support service user’s rights to control their
lives and make informed choices about treatment they receive. This will be helps in creating and
maintaining trust and confidence of patients care home. Own capabilities can be developed
through continuous learning and analysis of care standards. These professional required
appropriate skills and efficiencies.
CONCLUSION
In this report, it is concluded that there are various important facilities in HSC that needs
to be provided by Prince of Wales House, as per requirement of service users. Proper
administration of operations is required in care home for improvement of health care service
conditions. Effective measures in accordance with health and safety are required to be taken by
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management of Prince of Wales House for protecting clients and employees from damages at
workplace. Another important case study associated Icon residential also provide understanding
that principles of support are required to be implemented by organisation in order to improve
business operations. Social care service and events are required to organized by organisation in
order to improvement mental health of patients suffering diseases such as Dementia and mental
disability.
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REFERENCES
Books and Journals
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and perspectives (p. 530). NJ: Prentice Hall.
Stiglitz, J.E. and Rosengard, J.K., 2015. Economics of the Public Sector: Fourth International
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Brett, J., Staniszewska, S., Mockford, C., Herron‐Marx, S., Hughes, J., Tysall, C. and Suleman,
R., 2014. Mapping the impact of patient and public involvement on HSC research: a
systematic review. Health Expectations, 17(5), pp.637-650.
Aveyard, H., 2014. Doing a literature review in HSC: A practical guide. McGraw-Hill
Education (UK).
Whittington, J.W., Nolan, K., Lewis, N. and Torres, T., 2015. Pursuing the triple aim: the first 7
years. The Milbank Quarterly, 93(2), pp.263-300.
Knott, C. and Scragg, T. eds., 2016. Reflective practice in social work. Learning Matters.
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2015. Methods for the economic evaluation of health care programmes. Oxford
university press.
Glasby, J., 2017. Understanding HSC. Policy Press.
Stewart, B.W.K.P. and Wild, C.P., 2017. World cancer report 2014. Health.
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movement: history, principles, and styles of practice. Psychosocial Issues in Palliative
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Gradinger, F., Britten, N., Wyatt, K., Froggatt, K., Gibson, A., Jacoby, A., Lobban, F., Mayes,
D., Snape, D., Rawcliffe, T. and Popay, J., 2015. Values associated with public
involvement in HSC research: a narrative review. Health Expectations, 18(5), pp.661-
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McMurray, A. and Clendon, J., 2015. Community Health and Wellness-E-book: Primary Health
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Sallnow, L., Richardson, H., Murray, S.A. and Kellehear, A., 2016. The impact of a new public
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