These techniques may include music therapy, relaxation therapy, complementary therapies and multi-sensory environments. Staff should receive train inning on these areas and techniques so that if a situation does arise, they’re equipped with information and confidence to handle the issues without any further implications arising.
If these are successful, the Care Plan must be updated immediately and this information must be passed ever to the senior in charge or the General Manager so that it can be passed on to other appropriate members of staff. This will then provide others with the right tools to prevent a situation or to help manage it if one does arise again. The Care plan must be reviewed and updated every time an incident occurs. Restraint can be used as a way to manage challenging behavior however this should always be a last resort and only if the danger to the service user outweighs the effect of losing their freedom.
If restraint is used too frequently or for inadequate reasoning, it can damage a person’s mental ND physical well-being; subsequently causing them to become more dependent, can increase the risk of pressure sores, incontinence and loss of dignity. If restraint is going to be used as a last resort, the senior in charge or the General Manager must be informed and must be in charge of the situation at hand. There should be clear instructions of what’s going to happen, to the staff and the resident to avoid further distress and not provoke further action from the service user.
The Care Plan must be updated and the family should be informed immediately so that they can be involved in the risk assessments put in place. A common cause for discrimination is a simple misunderstanding or a lack of knowledge in that certain area. A way of gently challenging discrimination would be to have a look at our own prejudices and perceptions until we feel confident to discuss them with ours. If we feel confident within our-selves, the feedback from these discussions will be positive and allow alternate views.
This will encourage people to speak more freely, feeling more comfortable and at ease thus minimizing the risk if discrimination taking place. This can be out into practice with the staff or service users, for example, a resident may eave taken a dislike to another resident or staff member for no apparent reason. One way to try and overcome this would be to involve them both in an activity or group discussion where they may both have something in common; this would then help them to identify with one another, overcome the previous feelings towards each other and develop a new relationship with the aspects they have in common.
The training provider should also provide courses on how to deal with and manage discrimination should it arise. The courses should focus on how we think as an individual and promoting costive ways of thinking and discussions and also modifying the way we behave in a positive way. This will then help equip people to act in a way which should minimize discrimination but also give them the tools and confidence to address it should a situation arise. Conflicts within the work place can arise easily and escalate quickly between service users so it’s important to understand the correct ways to deal with these.
Remaining calm is crucial, if you are distressed and anxious, the service users can pick up on this allowing the incident to intensify and become uncontrollable. The person dealing with the conflict should speak in a clam UT firm voice so that they’re aware the behavior isn’t acceptable and will not be tolerated, along with verbal or physical abuse. It’s important to listen to both sides of the story to gain an accurate picture, allowing both parties involved to speak freely allowing them to feel valued and listened to.
Once both sides of the story have been explained, the actual problem must be identified so that everyone involved is aware and has a clear understanding. It must then be pointed out that a compromise is the only way it was will resolved and put forward ideas which will meet in the middle. This is not only or the service users but colleagues also. Verbal or physical abuse will not be tolerated between staff so the incident will need to be treated within the same way. If it is an issue that cannot be dealt with between staff, management may need to be informed so that they can take over and take actions to prevent this happening again.
Conflicts may arise between a staff member and a service user or their family regarding the way their family member is cared for or their interactions with the resident. If he service users family feels things are not right they can go to management to discuss what hey have seen or how they feel. The person involved with then is invited to share their side of story. After this, both parties may be called together to figure out a strategy to prevent this happening again and finding a solution to move on.
With some of the service users we care for, dementia or early onset can distort their view of their capabilities therefore resulting in them wanting to carry out something which they’re unable to do or which is unsafe to do so. For example, a resident with dementia wanted to walk down to breakfast in the dining room but they had forgotten they cannot walk that distance anymore. As a way around this, they were supported with a frame and a care each side Of them as well as someone behind them with a wheelchair. They were then able to walk a short distance and had the chair ready for when their legs were tired and couldn’t go anymore.
This allowed the service user to complete their wish to the best of their ability and not taking their freedom or human rights away as stated in the Mental Capacity Act but also keeping them safe and minimizing the risk of them getting hurt. The service user felt satisfied that they had walk to breakfast as they wanted to resulting in a good DOD, their dignity had been promoted throughout and also giving the care staff involved a feeling of achievement for the task they handled and the happiness the service user felt.
When moving into a care home, their human rights are always respected and as long as the correct risk assessments are in place, they’re free to live as they normally would at home. However, the service user themselves should consider their own responsibilities when carrying out certain actions and how these actions may affect others. For example, some service users may have had an alcoholic drink every-day for the last 1 0 years so of course coming into care home isn’t going to stop that from happening.
The person compiling the care plan must ensure the correct risk assessments are in place for this to ensure the persons safety and wellbeing as well as others. The service user themselves also have responsibilities attached to this as they have to think about how their actions will affect others around them. For example, if when they drink they become angry or violent, they need to ensure this doesn’t happen around other service users or even staff members to ensure they feel safe and comfortable and there isn’t a risk of harm towards them.
If this is the ease, the persons alcohol intake should be monitored to find a level where this anger doesn’t arise so that they can drink safely but also without the risk of harming themselves or others. The service user drinking may be wobbly on their feet when they’ve had a drink, so staff members need to ensure there are methods of transferring from one place to another safely. The service user may walk down the corridors where other service users also walk posing a risk to them being bumped into and falling; these need to be considered by the care staff so that the correct precautions can be put in place.
If danger, harm or abuse is suspected to be occurring within the home, ifs important to speak up about the situation and not ignore it as this may cause more abuse to follow and it’s our duty of care to prevent this from happening. If a service user tells you thieve being abuse, before asking them any questions about whom, what or where, the member of staff involved must get someone else to be a witness to what is being said to help validity and reliability.
Once there are two members of staff, the service user may begin to speak freely about what has happened, while this is happening, it’s important o not ask them leading questions which may result in false accusations. Allow for silences as this provides the service user with time to collect their thoughts and say how they feel without feeling pressured. Important to not promise to keep the information confidential and explain that it may need to be passed on to the manager to ensure their safety and to prevent this from happening again.
Once the information has been given, staff should assure the service user that they have done the right thing, that they believe in what they have said and that it will not happen again. It’s important to make the arrive user feel safe and comfortable as it takes a lot of courage to speak out in the first place. Once all the information has been gathered, it must be passed on to the manager or the line manager providing they’re not the person in question. They can then carry out a full investigation into the allegations so that the truth can be determined and the correct actions taken, for example disciplinary or sacking of staff.
If someone is accused of abuse that is found out to be guilty, the manager must report them to ICQ and they must go on the bared list preventing them from working with vulnerable adults or children again. If the police are contacted it’s important to preserve all the evidence possible to help build a strong case against the accused. If staff are unsure on how to preserve the evidence, they should ask the police on the phone before they arrive and they will give them the correct instructions.
Ways to preserve the evidence Can be to not alter any Of the surroundings around the alleged accusation as these may provide Vital footprints, fingerprints or other types of DNA don’t let the accused and the victim come into contact once the allegation has been made, do not clean anything for example, blood and do not throw anything away. Another important consideration is to remember it’s never too late to make a report. If the incident happened days after the report is made the police may still be able to collect evidence.
There are many factors which can lead to unintentional abuse, for example, someone working too much may result in them being tired and forgetting things before they re finished caring for a service user, for example, they may forget to give them their call bell; this is a form of abuse as the service user now cannot let anyone know if they require support. This could result in them wetting their clothes as they do not wear pads but cannot get to the toilet themselves. In turn this will cause them to lose their dignity and to feel disrespected even though that was not the staff member’s intention.
Improper training can lead to abuse occurring as staff may not be equipped with the correct techniques or knowledge to deal with situations which could lead to abuse. Having vulnerable adults within the care home could be considered a main reason abuse occurs as they may not have the facilities to speak out for themselves, leaving them vulnerable to everyone; a member of Taft may take things from them, ignore them or hit them but the individual cannot speak up for themselves so it keeps on happening.
This is why its so important for the home trainer to provide extensive training sessions on how to minimize abuse but also how to stop if abuse may be happening within the home. Someone may be employed who has a criminal background or a history of abusing people, which is a huge risk to everyone within the home. This is why enhanced Crab’s are performed before anyone is allowed to work for or volunteer at a home. To protect the individuals we care for from abuse, harm and danger is a main rarity within the Home as they need to feel safe and comfortable.
To prevent them from being a victim of abuse its important to act within their best interests to prevent any unintentional abuse from occurring, for example, someone who cannot walk well is trying to stand on their own, stopping them by saying ‘you will fall’ can be considered abuse as they’re being restricted. To act in their best interests as well as allowing them to carry out the activity they wish too is how abuse is minimized; for example, walk with them with a wheelchair so that when they’re tired they can rest.
Intentional abuse must be avoided at all costs, for example, if a service user and a member of staff do not see eye to eye for any reason; do not allow them to come into contact. Ask someone else to care for that individual to prevent any abuse Or harm from occurring. That doesn’t just apply to protect the service user but also the member of staff. People who suffer with dementia may associate that person with someone from their past and therefore act in a negative way towards them.
To prevent any danger or harm coming to the staff member, its best that they do not attend to that individual here possible to prevent them from being at risk and also to prevent the individual from feeling anxious and vulnerable. Visitors of the home expect to come in and not suffer abuse or harm so staff must ensure there is no risk of this happening. If there are clients with dementia or who get angry at new people, they should be sat at the other end of the room, as long as they’re not isolated to prevent the visitor being a victim and to prevent the service user becoming angry.
Whilst it’s important the visitor is protected, the service user must not be isolated or ‘put out of the way’ or labeled as a ‘trouble maker as his is a form of abuse also. A way to prevent them from getting agitated would be to keep them occupied, start any activity with them so that they do not notice the new visitor and therefore a situation doesn’t arise. The visitors within the home may be children or young adults who also need to be protected.
The best way to ensure they will not be a victim of abuse or the perpetrator would be to not allow them to roam the home on their own, but to have a trusted member of staff with them at all times. This way, if something arises which increases the risk of harm, they’re on hand to deal with it and diminish it before it gets serious. For example, people with dementia can change their mood very quickly and so can be considered a risk to vulnerable children, as they may be fun and laughing but something could change and they could lash out.
If there is someone who they recognize with them, they’re less likely to become scared or anxious, keeping the situation under control. There are seven types of abuse which can occur with a number if signs and symptoms which can be used to easily recognize if abuse is happening. The most obvious would be physical abuse, showing signs of cuts, bruising from hits or rough handling broken or fractured bones and burns. These are the common signs that physical abuse would be occurring. The result of these occurring may include withdrawal from activities, weight loss and reduced appetite along with pain or wincing when moving.
Sexual abuse may occur, showing signs of bite marks, injuries to the mouth, unexplainable bruising in private areas, blood stained underwear or the inability to develop normal sexual relationships. Psychological or emotional abuse with signs showing self-harm, comfort eating, tearfulness, withdrawal and aggression; this can be considered the most shocking form of abuse as often there are no physical signs showing abuse so its difficult to spot or point out. It can result in withdrawal from social activities, embarrassment, a lack of confidence and a lack of self-worth.
Financial abuse can be easy for some people to commit if they have power Of attorney and can result in loss of money with no explanation but can also happen within the home with loss of objects and belongings. The victim may become anxious about money, develop a fear of the future and feel a loss of independence and control. Neglect is a form of abuse and can be spotted by an individual being dirty, smelly and in general or health, they may be underweight or over and in inadequate clothing. This can result in starvation, loneliness, being cold and developing pressure sores.
Discriminatory abuse can occur where people arena included in certain things due to their race, origin or background, for example a job may require people to be clean shaven but for some religions they do not shave. This can leave them feeling undervalued, become withdrawn with their head down and refusing eye contact. Institutional abuse can show signs of them being uninterested in the environment around them, the loss of ability to make hoicks or act independently and the lack of communication.
All these forms of abuse are as serious as each other and can all have a detrimental effect on someone’s health, well-being and quality of life. People living within their own home are subjected to abuse as they often don’t have anyone to turn to or ask making them vulnerable to abuse time and time again.