Effective Support for Personal Needs and Pressure Area Care

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Added on  2023/06/14

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Homework Assignment
AI Summary
This assignment solution covers various aspects of healthcare, focusing on pressure area care, supporting individuals with personal care needs, and effective communication with those experiencing sensory loss. It addresses key areas such as undertaking agreed pressure area care, including proper handling techniques, skin condition monitoring, and adherence to relevant legislation and care plans. Furthermore, it emphasizes the importance of maintaining patient dignity, safety, and active participation throughout the care process. The solution also details supporting individuals in meeting their personal care needs, obtaining valid consent, and maintaining hygiene and safety. Additionally, it discusses the significance of infection prevention and control, including hand hygiene and waste disposal. The assignment underscores the importance of teamwork and communication in providing holistic and patient-centered care, ensuring that healthcare professionals can effectively address the diverse needs of individuals in their care.
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QUESTIONS
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TABLE OF CONTENTS
232 Undertake agreed pressure area care........................................................................................6
1.4................................................................................................................................................6
1.6................................................................................................................................................6
2.1................................................................................................................................................6
2.2................................................................................................................................................6
3.1................................................................................................................................................6
3.2................................................................................................................................................6
3.3................................................................................................................................................6
3.4................................................................................................................................................7
4.1................................................................................................................................................7
4.2................................................................................................................................................7
5.1................................................................................................................................................7
5.2................................................................................................................................................7
6.1 a..............................................................................................................................................7
6.1 b.............................................................................................................................................8
6.1 c..............................................................................................................................................8
6.1 d.............................................................................................................................................8
6.1 e..............................................................................................................................................8
6.2................................................................................................................................................8
6.3................................................................................................................................................8
6.4................................................................................................................................................9
6.5................................................................................................................................................9
6.6................................................................................................................................................9
6.7................................................................................................................................................9
241- Support individuals to meet personal care needs....................................................................9
1.1................................................................................................................................................9
1.2..............................................................................................................................................10
1.3..............................................................................................................................................10
2.1..............................................................................................................................................10
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2.2..............................................................................................................................................10
2.3..............................................................................................................................................10
2.4..............................................................................................................................................10
2.5..............................................................................................................................................10
2.6..............................................................................................................................................11
3.1..............................................................................................................................................11
3.2..............................................................................................................................................11
32- Support to individual for washing hand..................................................................................11
4.1..............................................................................................................................................11
4.2..............................................................................................................................................11
4.3..............................................................................................................................................11
5.1..............................................................................................................................................12
5.2..............................................................................................................................................12
6.1..............................................................................................................................................12
6.2..............................................................................................................................................12
6.3..............................................................................................................................................12
244- Move and position individual as per their care plan.............................................................13
1.1..............................................................................................................................................13
1.2..............................................................................................................................................13
1.3..............................................................................................................................................13
2.1..............................................................................................................................................13
2.2..............................................................................................................................................13
3.1a.............................................................................................................................................14
3.1b............................................................................................................................................14
3.2..............................................................................................................................................14
3.3..............................................................................................................................................14
3.4..............................................................................................................................................14
3.5a.............................................................................................................................................14
3.5b............................................................................................................................................14
3.6..............................................................................................................................................15
4.1..............................................................................................................................................15
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4.2a.............................................................................................................................................15
4.2b............................................................................................................................................15
4.2c.............................................................................................................................................15
4.2d............................................................................................................................................15
4.3..............................................................................................................................................16
4.4..............................................................................................................................................16
4.6..............................................................................................................................................16
4.7..............................................................................................................................................16
4.8..............................................................................................................................................16
4.9..............................................................................................................................................17
5.1..............................................................................................................................................17
5.2..............................................................................................................................................17
265 Support effective communication with individuals with a sensory loss.................................17
1.1..............................................................................................................................................17
1.2..............................................................................................................................................17
1.3..............................................................................................................................................18
2.2..............................................................................................................................................18
2.3..............................................................................................................................................18
2.4..............................................................................................................................................18
3.1..............................................................................................................................................18
3.2..............................................................................................................................................19
4.1..............................................................................................................................................19
4.2..............................................................................................................................................19
4.3..............................................................................................................................................19
266 Working as part of a team in health and social care...............................................................20
4.3..............................................................................................................................................20
4.4..............................................................................................................................................20
4.5..............................................................................................................................................20
284 Contribute to the support of infection prevention and control in adult care...........................20
1.1..............................................................................................................................................20
1.2..............................................................................................................................................20
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1.3..............................................................................................................................................21
1.4..............................................................................................................................................21
1.5..............................................................................................................................................21
2.1..............................................................................................................................................21
2.2..............................................................................................................................................21
3.1..............................................................................................................................................22
3.2..............................................................................................................................................22
3.3..............................................................................................................................................22
3.4..............................................................................................................................................22
4.1..............................................................................................................................................22
4.2..............................................................................................................................................22
4.3..............................................................................................................................................23
4.4..............................................................................................................................................23
4.5..............................................................................................................................................23
4.6..............................................................................................................................................23
4.8..............................................................................................................................................23
REFERENCES................................................................................................................................1
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232 Undertake agreed pressure area care
1.4
Incorrect handling and moving techniques can cause damage to the skin as while the dermis
remains stationery, the skeleton moves. This leads to a distortion in the lymphatic system as well
as injury to the blood vessels. As a result the skin is damaged.
1.6
The changes to the skin condition that can be reported are signs of damage such as change in the
color of skin to red or blue (Mervis and Phillips, 2019). Also, swelling, wrinkling, pigmentation
changes etc. the skin loses the ability to blanch when pressed with a finger should also be
reported.
2.1
The legislation affecting pressure area care is Health and Social care Act, 2012. NICE
guidelines also affect this area of care. Further, Care Standards Act 2000 also governs the area of
care related to pressure ulcers. These provide the standards and the procedures that need to be
followed for prevention and treatment of pressure ulcers.
2.2
Agreed ways of working related to pressure area care may comprise of prevention of
pressure ulcers by redistributing the pressure through use of special surfaces. These also include
use of proper manual handling and moving techniques and wound management for treating
pressure ulcers (Gaspar and et.al., 2019).
3.1
It is important to follow the agreed care plan to adopt the steps and take actions with the help of
which the risk factors leading to pressure ulcers can be tackled and these couod be prevented in
the patient. It is also important as the already existing pressure ulcers need to be treated properly.
3.2
It is important to ensure that the care plan has been checked so that loopholes can be
identified and necessary actions and interventions could be included in the pan to provide holistic
care to the patient. Checking of care plan would ensure that all the needs of the patients are taken
care of.
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3.3
Concerns regarding the care plan need to be identified to recognize the needs of the
patient and any co - morbidities that the patient may be suffering from such as diabetes, blood
pressure etc. this is essential as these condition impact the recovery of pressure ulcer wounds.
The concerns may also be related to age of the patient (Jaul and et.al., 2018).
3.4
The actions should consist of taking the necessary steps and including essential actions in
the care plan which consider the patient concerns and meet all their needs. This would involve
updating the existing care plan.
4.1
Pressure relieving mattresses, crash mats and pressure cushions are some of the aids that
are used to relive pressure. Hip and Elbow pads are also available which serve the same purpose.
Further, there are specially designed chairs that distribute and relieve pressure.
4.2
Safe use of aids and equipments for relieving pressure should include following all the
instruction that are associated with those equipment. This also includes providing training to the
staff regarding using the equipments and aids safely for a certain duration of time that does not
harm the patient.
5.1
Preparing the equipment involves checking it for any defects or faults so that it works
properly. This will ensure the health and safety guidelines are followed as it will prevent any
injury to the staff as well as the patient due to faulty equipment. Preparing the environment is
concerned with ensuring that the equipment is hygiene and also clean. It also includes cleaning
the room where the equipment is to be used.
5.2
Obtaining valid consent for the pressure area care is important. Consent needs to be
obtained from the patient as well as his family members. A valid consent ensures that the
equipment to relieve pressure is being used as per the will of the patient. This can be done by
orally asking the patient and recording the same on the patient information sheet.
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6.1 a
It is essential that the pressure area care procedure is conducted taking care of the dignity
of the patient. The patient should be treated in a respectful manner and in a way that depicts that
he is worthy of respect as well. This is essentially needed when the procedure is being
undertaken with an elderly patient.
6.1 b
Carrying out pressure area procedure while maintain safety is concerned with using the
pressure relieving equipments in a safe manner so as to avoid any injuries to the patient. This
also includes caring for the pressure ulcer wounds with proper hand hygiene to avoid any
infections.
6.1 c
While carrying out the care for pressure ulcers, the carer should ensure that comfort of
the patient as well. The patient should be asked while performing the care procedure if he is
feeling any pain or discomfort (Mitchell, 2018). Following this, actions should be taken to make
him feel comfortable.
6.1 d
Pressure area care should ensure active participation of the patient. The service user
should be involved in the care and should be asked for his choice while making decisions
regarding the use of pressure redistribution services. The carer should be in regular
communication with the patient to ensure he takes part in the pressure area care.
6.1 e
This would be concerned with involving other health care professionals as well as the
family members of the patient in his pressure area care procedures. Working with other health
care professionals would help in providing better care and adoption of pain management
strategies for the patient.
6.2
Precaution for infection prevention and control should be adopted. Hand hygiene needs to
be followed before attending to the patient, which includes use of alcohol rubs and hand
washing. For controlling the infection, proper wound management is helpful which will help in
controlling the spread of infection.
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6.3
This would include removing and clothing and bedding strictures that creates obstruction in the
care. The clothing of the patient should be adjusted to expose the pressure wound area so that it
can be treated. Also, the clothing should not be so loose and hanging that it gets stuck when the
patient is moved to and from a pressure relieving surface.
6.4
This would include moving the patient after considering any concerns such as an
underlying injury or medical condition (Mervis and Phillips, 2019). This would also include
following the guidelines for moving the patient so that any subsequent injury or skin damage can
be prevented. It would include lifting the patient and avoiding dragging.
6.5
Use of pressure relieving aids in accordance with care plan and safety instructions
consists of following the care plan as well as the manufacturer’s manual while handling the
patient. This would also involve following the training that has been provided regarding use of
equipment and handling of patients.
6.6
The carer needs to communicate effectively with the individual throughout the
intervention to foster patient involvement. This is also necessary for adopting a person centered
approach (Rae and et.al., 2018). It would make the patient feel comfortable and would lead to
provision of better care by meeting all his needs and concerns.
6.7
Various patient documents and records need to be completed to ensure that the entire
information regarding the patient and his condition is accessible to the required healthcare
professionals. Documentation also helps in partnership working and tracking the recovery of the
patient. With this, better care can be provided to the patient as all the important details are
recorded and could not be overlooked or missed.
241- Support individuals to meet personal care needs
1.1
While taking care, the individual should be encouraged to communicate his or her needs
and preferences. A supportive and motivated communication can be established with the
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individual so that he is able to share his beliefs. Language translator could be employed to foster
better communication if the patient speaks a different language.
1.2
Support should be provided to the individual as per his needs. Those requiring moral or
physical support should be dealt accordingly (Atkinson and Cullum, 2018). Hence, care can be
provided at a level which matches that of the patient and his needs.
1.3
The actions to be taken to maintain the privacy are discussed with the individual. Only the action
he agrees need to be taken. The steps taken to maintain privacy of individual’s medical
information should be explained to him so he can communicate his agreement to them.
2.1
A valid consent is required to be obtained which should be voluntary and informed
consent. The patient should have the capacity of giving consent. This means that they should be
able to understand information and make decision. Only then, the consent will be considered as
valid.
2.2
In order to support the individual to understand the reasons behind safety precaution, he
can be educated about the same. Pictures and videos can be used to support him to understand
the importance of hygiene and safety precautions and ways in which these can be undertaken.
2.3
Protective clothing such as disposable gloves and aprons are important to be used for
reducing the risk of infection (Kottner and et.al., 2019). Proper hand washing techniques should
be used along with the use of alcohol based hand sanitizers before coming in contact with the
patient.
2.4
As per Health and Safety Law, the safety and hygiene of the equipment must be reported
as soon as it is found not to be clean and hygienic (Canciani and Canciani, 2019). It is the duty of
the person who use the equipment to fix or clean before next use. Likewise, any electrical
equipment must be discarded if it is found not in good condition
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2.5
If an individual is alone and need help, then in such situation there must be an
incorporation of system of alarm so that the individual can hit the alarm when it need help.
Likewise, calling system can also prove to be helpful in such situation.
2.6
For safe disposal of waste material, the segregation and composting proves to be helpful
method. This means the segregation of the waste will be made under which the waste will be
identified as reusable and recyclable and rest of the waste will be disposed with a due care that it
will not pollute environment (Khobragade, 2019).
3.1
While providing support along with respecting dignity the help need to be offered if the
individual is not able to transfer it itself. Also an encouragement will be provided in order to
promote independency. When the individual is sitting on toilet sit cover its private part with
towel in order to respect its dignity.
3.2
As most of the individual require a complete support for making clean and tidy after the use
of toilet facility so it will be considered that they must wash their hand after the use of toilet.
Those who cannot perform this will be supported by the staff members. Those individual who do
not need support are encouraged to use it and wash hands after use.
32- Support to individual for washing hand
4.1
While carrying out personal hygiene need it must be ensured that the room as well as water
temperature would be in accordance with the patient need. This will include keeping the room
sufficient hot as per patient because he is unwell and suffering from disease and require hot
room. Likewise, the temperature of water will be maintained as per patient need.
4.2
All the essential material, equipment as well as toiletries must be kept in reach of the
patient so that they can use it whenever they need. Keeping the necessary toiletries in bad in the
bathroom will make them to have easy approach and reach. Likewise, the necessary material and
equipment must also have kept in reach of patient.
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4.3
Only minimum support need to be provided to patient in order to ensure safety. The
support will be made enabled as pert the care plan and need of the patient. In case if the support
will be meet by any equipment like non slip mats, bath or shower seat, hand rails and various
other then it will be available so that the patient can perform bath with privacy.
5.1
While enabling care the personal appearance of an individual need to be maintained by
asking the choice of clothes like the colour, dress. Their personal belief would also need to be
prioritize that it will not hurt which may include the personal and cultural belief. The use of
perfumes, aftershave, clothes are all included in this.
5.2
The individual always need to be encouraged to keep its personal care items including the
toiletries and other personal care equipment like the razors and others will be kept clean, safe and
secure. As sharing of such items would lead to spread infection so it must be encouraged that it
must be keep secure.
6.1
This can be made through reading of care plan, asking the individual that the current
method of care meet the need of the individual (Blomberg, Bisholt and Lindwall, 2018). Asking
the individual that whether they need any change in the care plan for the better care and
upgradation of care plan are all counted as such step from which better care will be provided.
6.2
For monitoring personal care function in an agreed way the carer must need to look
towards the care plan that the care is provided in an appropriate manner. Likewise, personal
inspection of the patient by the senior carer will also lead to monitoring of existing care plan and
its needs.
6.3
Recording and reporting of an individual care would lead to enable the agreed way of
working and enabling of services to the patient. In the same way with the aspect of recording the
taken action will be kept on track and timely reporting will lead to have better improvement in
the health of the patient.
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