Block 1

Block 1

Carers
1. supports and helps a family or friend due to age, sickness or disability
  1. Ann & Angus
    1. Ann became carer when her mother died
      1. Felt expected to care for Angus (a woman's job)
        Promised her mother on her death bed to care for Angus
        No choice
        Loves Angus
        had to care for Angus
        most people being cared for are older
        majority of carers are woman
      2. cares for her step father who has parkinsons
    2. Ann doesnt see herself as a carer
      1. saw herself as a wife,mother & dutiful daughter
      2. If she recognises herself as a carer she faces Angus isnt getting better
        the word carer is a label as is being cared for
      3. if she did she may get more help/support
        unaware of help available to her
        informal support
        support from family/friends
        formal support
        support from outside agencies
      4. some things she does for Angus are done for the whole family ie: cooking tea
    3. personal tasks - wahsing/toileting
      1. Physcial tasks - in & out of bed, up & down stairs
        Gives medicine/keeps company
    4. Consequences of care
      1. for both the carer& families
        Hardwork
        some sort of crises often prompt people to ask for help
        stress
        demadning
        time consuming
        guilt
        lack of income
        1/3 carers live in poverty
        have to adapt home/extra heating cost etc
        less family / personal time
        feeling alone
        lack of choice
        had to give up work
      2. care relationships
        easier to care for if relationship is good
        families can help build confidence being cared for by attitude and expectations
        reciprocity - you scratch my back ill scratch yours as such
      3. people being cared for
        loss of independence
        feeling relient
        isolated
        relatives may not live close
        may not have many friends/cant go out
        lack of choice with tasks at home
        lack of choice with whom cares for them
        lack of support
        feel a burden
        scared
        fear
        vulnerable to abuse
    5. social care
      1. assessments if people need a care package
        care package: set of services to meet care users needs
        can be waiting a while for an assessment
      2. care plan - record of care people can expect & have to sign to agree to it
      3. Marslows hierarchy of needs - until basic needs are met such as food, drink then higher needs will be less of concern
      4. help of support & aids/adaptations
      5. not every one is eligable
        lack of funding, councils decide who gets authortive help - usually critical risk care users
        postcode lottery - what you get varies as to where you live
      6. health care free/social care is not
      7. home care
        enables care users to stay at home
        work to a care plan which determines what they do for each client
        clear work boundaires eg: being friendly not a friend
        principles of care
        support people
        having a voice and being heard
        respect peoples beliefs & preferences
        support people rights to appropriate services
        respect privacy & confidentality
2. cost of care higher without carers
  1. cost government more without carers
3. 6million people provide unpaid care support in the uk
4. Carers allowence
  1. provide atleast 35hrs care a week
    1. hard to measure time caring & it varies day to day
  2. 16 and over and not a student
  3. caring for someone who is disabled and recieving DLA / over someone over 65
  4. does not earn more than £95pw
  5. only get £60pw (2013)
    1. does no increase with the more work or hours you do
The sick role
1. 3 key features
  1. sick person not repsonsible for being ill but expected to want to get better
  2. temporarily exempt from normal duties but expected to stop other things you normally do
  3. expectation to seek help from a health care professional & follow it
2. being ill but cant show it eg :back pain
  1. others may not believe back pain for eg is a condition
3. illness is to do with bodies minds & social surroundings
  1. biological, psycological & social aspect
Anwar Malik
1. Did not see himself as ill
  1. scared to go to a doctor
    1. perhaps felt a burden on the NHS as he is an immigrant
      1. english is not his first language
      2. different culture eg: didnt like to talk openly about private things with a woman
  2. Hansa (wife) was concerned about her husband
  3. felt it was just his age
  4. may carry personal consquences so may not accept illness
2. Primary health service
  1. services directly accessible eg GPs
    1. GP - medical doctor whom works in the community
      1. GP have more help now than they did 50yrs ago eg: receptionists, practise nurses etc
        many memebers of PHCT and are managed by a practise manager and have other GP within the surgery
      2. GP surgery has its own culture and can be unsettling for some people
  2. Make your own decission to use primary services
  3. secondary health service
    1. services available by being referred from a primary service eg: renal unit
    2. Hospital
      1. diagnoses/treatment
      2. more specialist doctors
      3. advanced equipment
      4. round the clock nursing
      5. obsevation
      6. Biomedical science
        support & diagnose treament
        research
      7. more teamwork as oppose to heirarchy
3. felt scared/awkward
  1. GP surgery is a strange environment
4. Diabetes
  1. type 2 - body lacks insulin so blood sugar rises to dangerous levels
    1. could cause damage to his eyes and body if his blood sugar isnt checked daily
      1. self monitoring kit & leaflets given to help Anwar
        diet sheet given & diet advise
  2. change of lifestyle
    1. change in diet
    2. daily excerise
    3. life changing condition - needs commitment to manage via self care
      1. demanding condition
      2. may cause him to be depressed
5. barriers Anwar faced
  1. the diet didnt fit in with his culture
  2. his wife couldnt read english so she couldnt use diet sheet provided a she done most the cooking
  3. cultural barriers with excerise ie: men and woman tend not to mix and i wasnt in his culture to excercise
  4. did not fully understand about treatment or care
    1. influenced by beliefs that tablets didnt work

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	Creado por Linzi Kent hace más de 10 años