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Do social workers have confidentiality
Do social workers have confidentiality
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Social work practice has a responsibility to adequately support the chosen lifestyle of unpaid carers as their efforts form an invaluable service which saves the economy £132 billion per year (Carers UK, 2015a). Without the thousands of carers, the health of many of society’s most vulnerable would suffer as the government would struggle to fund the costs of providing alternative care. Yet there is a growing reliance upon unpaid carers who are willing and able to provide the care which allows people to remain within their home. Firstly, the health issues of an aging and unhealthy population means there are increasing numbers of people aged 18+ who find it difficult to look after themselves. Secondly, there is an expectation that unpaid carers …show more content…
Caring for someone with significant health issues is an exhausting and stressful experience and it is hardly surprising that carers are prone to developing ‘burnout’. Observed in nursing, this phenomenon, described as ‘…a haemorrhaging of oneself for others’ is detrimental as stress over-load causes the cognitive and emotional responses to severely malfunction (O’Mahoney, 1983 cited in Farrington, 1997). Carers in this state of mind inevitably develop negative internalised and externalised feelings, including self-depletion, low self-esteem, limited energy, negativity and hopelessness (Taylor and Barling, 2004). A report conducted by Age UK highlights that 6 out of 10 carers suffer damaging conditions related to their mental health, including depression and lack of confidence. Furthermore, these feelings are often intensified by carers’ perseverance which aggravates existing disabilities, such as arthritis, crumbling spine, heart problems and cancer, and leads to further pain (Carers Trust, …show more content…
Carers have a right to an assessment if they ask or are observed as having present support needs or probable ones within the future (Care Act 2014: c.23:pt1:s10). Carers have the right to refuse an assessment if they wish so a social worker must seek their permission beforehand, yet the consent of the person in receipt of care is unnecessary. In addition social workers, bound by legislation regarding confidentiality and information sharing, must reserve the carer’s right to privacy whilst uphold their right to a fair hearing. This is achieved by only disclosing carer’s personal details to 3rd parties with consent, unless a safeguarding concern arise, for instance it is believed that the individual being cared is at risk (Human Rights Act 1998:6,8; Data Protection Act 1998). Protection for vulnerable adults is a fundamental aspect of social work practice as 50 people per hour are abused or neglected within their own home by people known to them, such as friends or family (Age UK,
The person’s care I have chosen to analyse is that of a 65 year old female, for the purpose of confidentiality she will immediately be known throughout as Mary (NMC 2008). Mary was admitted to the continuing care unit where I was placed. Although Mary had come into the unit as a new admission, she has been known by the trust the unit resides in for over 10 years. Mary has only one known relative, her next of kin whom was married to her deceased brother. Mary was admitted as an informal patient, meaning she had not been sectioned under the Mental Health Act (1983). She was also deemed as having full capacity in regard to the Mental Health Capacity Act (2005).
...tion with the outside world and loss of their life style. Communities need to be educated on dementia so that as to include and create activities they can join in. The residential homes decision makers need to monitor the cares’ behaviour as they and address issues within their working environment to improve and keep everything up to standard. The government need to implement and review their policies to make ensure quality care in residential homes. According to United Kingdom Health and Social Care (UKHCA), (2012) and The National Institute for Health and Care Excellence (NICE), have been working on introducing new guidance which will help dementia patient to get more funding to live in their own homes and avoid living in residential home which is a positive move as people will still enjoy the comfort of their homes and receive excellent care.
If an individual can’t speak for themselves and be in control of their own lives they will need someone to act as advocate for them. The Care Act 2014 states that if an individual has no-one to assist them to make decisions then it is the responsibility of the local authority to provide an independent advocate to work on their behalf.
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
The Open University (2010) K101 An introduction to health and social care, Unit 3, ‘Social Care In The Community’, Milton Keynes, The Open University.
Furthermore, they have introduced a human rights approach, which is to respect diversity, promote equality help to ensure that everyone using health and social care services receives safe and good quality care. Human rights approach will help to apply the principle of promoting equality. The CQC have a process in which you answer five key questions to consistently integrate human rights into the way they regulate, which healthcare providers must work alongside. They also have equality objectives which were introduced in 2017, the objectives are, person-centred care and equality, accessible information and communication, equal access to pathways of care and to continue to improve equality of opportunity for our staff and those seeking to join CQC, as well as patients. Also filling in a safeguarding adults review, which is a process for all partner agencies to identify the lessons that can be learned from complex or serious safeguarding adult’s cases, where an adult in vulnerable circumstances has died or been seriously injured because of abuse or neglect. At winterbourne view residential home, abuse and neglect had been made clear to the public eye and could clearly be identified, although no staff logged it as a safe guarding adult
The Australian Association of Social Workers (AASW) Code of Ethics (2010) proposes three core values of Social Work, respect for persons, social justice and professional integrity (pp.12). These core values establish “ethical responsibilities” for the social worker (AASW, 2010, pp.12), specifically, the value of respect for persons, which sustains the intrinsic worth of all human beings as well as the right to wellbeing and self determination consistent with others in society (AASW, 2010,p.12). This Code of Ethics stipulates the duty of care a social worker must provide, a...
Leadbetter, D. and Lownsbrough, H. (2005) Personalisation and Participation: The Future of Social Care in Scotland, London, Demos.
Health and social care professionals encounter a diverse amount of individuals who have different needs and preferences regarding their health. As professionals they must ensure that all services users, whether it is older people with dementia, an infant with physical disabilities or an adult with an eating disorder (National Minimum Data Set for Social Care, [no date]), are treated in a way that will successfully meet such needs. In fact, health and social care professionals have a ‘duty of care’ towards services users, as well as other workers, in which they must legally promote the wellbeing of individuals and protect them against harm, abuse and injury. (The Care Certificate Workbook Standard 3, [no date]) Duty of care is a legal requirement
Ethical Issues in Social Work I will provide practical help for new social workers to help them understand and deal with ethical issues and dilemmas which they will face. There are many ethical issues which are important to social work, but I feel that these are all covered by the care value base. The care value base Was devised by the care sector consortium in 1992, this was so that the workers in health and social care had a common set of values and principles which they would all adhere to. It is important because for the first time the social care sector had a clear set of guidelines from which ethical judgements could be made. The care value base is divided into 5 elements - The care value base covers - Equality and Diversity - Rights and responsibilities - Confidentiality - Promoting anti Discrimination - Effective communication Equality and Diversity Carers must value diversity themselves before they can effectively care for the different races, religions and differently abled people they will come across in their caring profession.
However, this type of care brings a lot of unconditioned difficulties due to the constant care they have to provide the elderly people with dementia. In a recent study it was discovered that caregivers experience stress differently given the circumstance this was shown by analysis of 234 people with dementia (Robertson, Zarit, Duncan, Rovine, & Femia, 2007). The findings were that caregivers in intense and distressed groups experienced higher behaviora...
...nate in their work and genuinely care for their patients, but to do this they must set professional and personal boundaries and be aware of the effect pain; trauma and death may have on their lives. According to Bush (2009), nurses must learn forgiveness and love themselves to prevent and overcome compassion fatigue. “Nurses should treat themselves with the empathy and compassion that they give others” (Bush, 2009, p. 27). Nurses should take time to nurture themselves by maintaining a healthy lifestyle and diet. They should also continue to participate in activities that they enjoy, get plenty of rest, and have a sense of self-awareness throughout their career. Additional resources are available to any caregiver to educate themselves on compassion fatigue at The Compassion Fatigue Awareness Project’s web site at http://www.compassionfatigue.org/index.html.
Primary caregivers are given an opportunity to take care of their loved ones; however, this job comes with a lot of stress and its consequences (Tsai, 2003). Primary caregivers take care of those with a chronic illness such as a family member or friend, are given a task that is so immense that it induces a lot of stress. In the previous decades, many research articles have developed studies which focused on stressors that were associated with the task of being the primary caregiver; yet, a theory surrounding this topic has not been developed until the early 2000s. Tsai (2003) developed the Theory of Caregiver Stress based on the Roy Adaptation Model to identify the caregiver’s response, perceptions, and adaptations to the stress and burden that primary caregiver’s experience.
The Irish Association of Social Care Workers have their own set of ethical guidelines, including: must be honest, trustworthy, reliable and dependable while giving precedence to professional responsibility over personal interest in the discharge of duty and must present themselves for duty in a fit state mentally and physically. However, the guidelines set in the Code of and Professional Conduct and ethics for social workers bye-law has a more in depth approach, and more stable guideli...
The Theory of Caregiver Stress was a significant breakthrough for the reasoning of why caregivers are so deeply affected by this job. “The Theory of Caregiver Stress was derived from the Roy Adaptation Model to use as basis in understanding the relationships among caregivers and the stress faced when caring for a chronically ill relative” (Tsai, 2003). The Theory of Caregiver stress is a middle-range theory used to predict the outcome for stress and other various side effects (Dobratz, 2011). These adverse effects are predicted by: Demographic Characteristics, Burden in Caregiving, Stressful life events, Social Support and Social Roles. Also, because of the multitude of different scenarios and background for both the patient and the caregiver, these categories are necessary to compare and effectively use the results. The theory makes four main assumptions regarding adaption: “environmental change; the caregivers’ perceptions will determine how they will respond to the environmental stimuli; the caregivers’ adaptation is a function of their environmental stimuli and adaptation level, and lastly the caregivers’ effectors are results of chronic caregiving such examples include marital satisfaction and self-...