Healthcare Report: Duty of Care, Candour, Safeguarding Exam

This report delves into the crucial aspects of duty of care, candour, and safeguarding within healthcare contexts, presenting three distinct scenarios to illustrate key concepts. The first scenario addresses financial abuse of an elderly patient with dementia, outlining immediate responses, reporting protocols to Adult Protective Services, and relevant legislation like the Human Rights Act 1998 and the Equality Act 2010. The second scenario focuses on the vulnerability of individuals with cerebral palsy, discussing factors that increase the risk of abuse and preventive measures, including education and parental care, referencing the Human Rights Code 2008. The third scenario analyzes a medication administration record error, detailing appropriate actions, incident reporting, and the importance of informing the patient, referencing The Health and Social Care Act 2008 and CQC guidance. The report concludes by emphasizing the prevalence of abuse against individuals with disabilities and the importance of legal protections to ensure their equal treatment and safety.

Duty of
Care/Candour/Safeguarding
exam

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY .................................................................................................................................3
Scenario 1 ........................................................................................................................................3
1. Is this a safeguarding concern ................................................................................................3
2. Type of abuse .........................................................................................................................3
3. Immediate response ................................................................................................................3
4. Whom do you report the issue ...............................................................................................3
5. Legislation applied .................................................................................................................3
Scenario 2 ........................................................................................................................................4
1. Factors that make Mr. B vulnerable to abuse .........................................................................4
2. How case of abuse can be prevented ......................................................................................4
3. Legislation applied .................................................................................................................4
Scenario 3 ........................................................................................................................................4
1. Your response on above case .................................................................................................4
2. Actions taken ..........................................................................................................................4
3. Incident report ........................................................................................................................5
4. Should patient be informed ....................................................................................................5
5. Person responsible for telling the patient ...............................................................................5
6. Legislation applied .................................................................................................................5
CONCLUSION ...............................................................................................................................5
REFERENCES ...............................................................................................................................6
.........................................................................................................................................................6

INTRODUCTION
Safeguarding is a term that is used for protecting a human being against misleading
activities. A safeguarding concern is defined as when an individual is concerned about wellbeing
of someone. Another scenario discussed in this report is cerebral palsy which is permanent
movement disorders which appear in early childhood. Other case discussed is about medical
administration record. The following report will contain questions on the basis of various case
studies related to people suffering from different diseases.
MAIN BODY
Scenario 1
1. Is this a safeguarding concern
Yes, this is a safeguarding concern as 90-year-old client is suffering from early dementia
and her neighbour is taking advantage of this situation. He asks for more money for shopping
every time as she is not able to remember whether she has paid for bill or not.
2. Type of abuse
This is a financial abuse that is taking place with a person suffering from dementia.
Financial abuse is when an individual illegally uses money of a patient suffering from dementia.
3. Immediate response
As soon as this lady told me about financial abuse happening with her, I felt very bad and
I immediately informed my seniors and colleagues about this problem (Livingston, and Et. Al,
2017). I went to talk to her neighbour and asked him to stop misleading my client.
4. Whom do you report the issue
I will report this issue to local Adult Protective services (APS) agency as this is the
primary agency for reporting abuse that happens with aged people. Report in this agency keeps
your identity confidential.
5. Legislation applied
Individuals who are suffering from dementia have similar kind of legal and civil rights.
According to human right act 1998, Dementia is a disability under UK disability legislation.

According to Equality Act, 2010 every dementia patient must be treated equally and in this case,
the patient is not being treated in an equal manner.
Scenario 2
1. Factors that make Mr. B vulnerable to abuse
There are different factors which may make individuals suffering from cerebral palsy
more vulnerable to be victimised. As Mr. B is not able to communicate properly and he wants to
take help of caregiver for doing every daily activity, he can be abused emotionally as well as
physically.
2. How case of abuse can be prevented
Cerebral palsy can be prevented by not having blind trust on person taking care of
patient. Caregivers and individuals who spend alone time with Mr. B must be checked on regular
basis. Another important factor that can help in preventing abuse is education (NovemberShah,
and Luo, 2018). These people must be given knowledge about differentiation of abuse and care.
If a person has relative suffering from cerebral palsy abuse then he must grab information
regarding abuse of these patients. This will help to avoid chances of abuse. Also, proper parental
care will help to prevent such cases. Healthy diet must be provided to people suffering from
celebral palsy.
3. Legislation applied
The legislation applied here is Human rights code, 2008 which helps to protect people
and individuals from discrimination and abuse. This prevents disabled people to be treated badly
in public places like restaurants, stores, clinics, etc.
Scenario 3
1. Your response on above case
A medication Administration record is generally termed as drug chart which serves as a
legal record of drug administered to an individual at facility provided by a health and social care
professional. In the given case, it is seen that care worker has forgotten to sign the record. As a
responsible worker I will definitely report this according to local policy. This is a case of
irresponsibility and hence is against ethics.

2. Actions taken
As a responsible worker I will perform my job role perfectly, I will inform healthcare
professional about this case. Medical errors are very serious health problems and they can even
cause death. I will check whether medicine was given to patient or not. A drug error is one that
leads to inappropriate use of medication. In the given case, there is chance of drug error. In the
given case, I noticed that there is dose of medication due on previous shift was not signed in the
record. I was not sure whether medicine is given to patient or not so this may cause high damage
to life of patient. Thus it is responsible for me to inform issue of medical record to my seniors
and healthcare professional.
3. Incident report
In a healthcare service like hospital or nursing home, an incident report is form which is
filled out in order for recording details of an unusual event which occurs at the facility such as
injury to a patient. The main objective of incident report is to document exact details of
occurrence. This information is helpful for dealing with liability issues. I will write the
misconduct of not writing entry of medical dosage in medical record (Liu, 2016). This will help
in taking strict action against person who was on duty in earlier shift.
4. Should patient be informed
According to me, the first person to be informed is superior. Once it is ensured that there
is no problem with patient then it is right time to inform patient.
5. Person responsible for telling the patient
In accordance to my opinions, person who can tell this case to patient is doctor who is
treating that patient. Doctor is one on whom patient is having full trust so he will be able to
explain in a better manner about medical record problem.
6. Legislation applied
The legislation used in this case is The Health and Social care Act 2008 which provides
fundamental standards that must be met by service providers. There is another fundamental
standard that is given by CQC document Guidance.
CONCLUSION
From the above report, it is concluded that there are many cases in which it is seen that
people with disabilities are often victims of abuse. This badly impacts life of people with

disability. There are many legislations made for these people so that they are treated equally in
society and also their safety is ensured.

REFERENCES
Books and Journals
Liu, P. T. S., 2016, November. Medical record system using blockchain, big data and
tokenization. In International conference on information and communications
security (pp. 254-261). Springer, Cham.
Livingston, G. and Et. Al, 2017. Dementia prevention, intervention, and care. The
Lancet, 390(10113), pp.2673-2734.
Shah, S. and Luo, X., 2018. Biomedical Document Clustering and Visualization based on the
Concepts of Diseases. arXiv preprint arXiv:1810.09597.