Zusammenfassung der Ressource
Block 5 Unit 17 : Concepts
- INTIMATE CARE
- Embarrassing and
uncomfortable
- Service users should be
asked about preferences
- Crosses boundaries of normal
social interaction
- Direct physical touch /
nakedness / emotional
closeness
- Characteristics of sexual
contact / relationships
- Social Taboo
- In residential care home
- Those who do care work
- Risks
- Safety of service
user / severe
disability could hinder
there right to
complain or report a
worker intentionally
exploiting them
- Not reflected in
work inductions or
training
- NEGOTIATING BOUNDARIES
- Naked in front of stranger
- What is care and what is sexual
contact?
- Boundaries between care and sex
are blurred (Twigg, 2000)
- HIDDEN ASPECTS OF CARE WORK
- Washing and dealing with the genital regions
- Not prepared / inexperience
- Usually carried out by junior staff - less
experience = problems
- Needs appropriate supervision
- CHALLENGING
BEHAVIOUR
- Difficult for workers
to manage
- Shift responsibility from
service user to service
provider
- A B C Chart
- Antecedent (Before an outburst)
- Behaviour
(during)
- Consequence (afterwards)
- Finding the function
- Staff need to learn new
behaviour, e.g. Makaton
signing system - to be able to
deal and communication with
those with learning difficulties
- BEHAVIOUR
PROGRAMMES
- Expand a persons skills and
communication to help them
develop different ways of
expressing their feelings -
non-disruptively
- Should we control how others act?
- SAFEGUARDS
- Staff need to feel safe
expressing views and
concerns
- Staff could provide unsafe,
inadequate or abusive care if
not supported
- Minimum force
- Protocols and guidelines
prevent force from becoming
abusive
- DEPERSONALISATION
- Ignoring service
users / not
being polite /
moving around
accommodation
without
permission
- Auxuillaries can work quickly,
efficiently and cope with
challenging behaviour
- Hard approach / punishment = abuse?
- ABUSE
- Physical /
Sexual /
Psychological /
Financial /
Material /
Neglect /
Omission /
Discrimination
- CODES OF PRACTICE
(SOCIAL CARE WORKERS)
- Challenge and report
dangerous/abusive
behaviour / inform employer
of colleagues performing
unsafe care
- WHISLEBLOWING
- Reporting bad practice and getting dismissed - Public
Interest Disclosure Act 1998