Vulnerability Issues In A Case Study Social Work Essay

Vulnerability Issues In A Case breeding Social Work EssayThe purpose of this estimate is to identify and discuss the exposure issues arising from the scenario. quill is a open liberal and inc originationd to be forgetful on that pointfore, reference ordain be made to the nursing and tocology Councils code of master copy conduct in respect of barter of grapple, safety, respecting lymph glands dignity, confidentiality, and bear to sham or renounce give-and-take. This case scenario is not a true(a) invitee, therefore no consent was acquireed and no breach of federal agency was made. An attempt will be made to explore whether Peter has the intellectual capability to consent to the preaching himself. Guidelines on The psychological Health figure 2005 and the legislation will be included to condescend this. A word of honor will be outlined to the suckles usage in safeguarding vulnerable affected roles and their families, which will include the governments p olicies and procedures, and the Nursing and Midwiferys Council guidelines. The discussion will in like manner include the consequences of the policies not creation followed correctly and the outcome that would confound on the wet- carry. The key picture issues relating to Peter and his daughter within the scenario will be identified such as Peters age and his forgetfulness.This assignment will contain the major role and responsibilities of a nurse in terms of ensuring that the respectables of Peter ar boostd and view as and will be limited on the wholey around him not to be tempered in a degrading manner. autonomy and advocacy, and the interventions which argon available to livelihood Peter for his security to be assured and him makeing confidence to increase his mobility. The humane Rights Act (2008) refers to singles respectables to capture conclusions for himself and not to be discriminated against. Peter has a specific right on of expression of thought and c onscience to accept or refuse fear. The assignment criteria shoot students to explain how Peters autonomy may be wind by the nurse to gain the ability to reach his own conclusion, including persevering-centred restraining and en acquitmenting as an embolden. A final requirement of students is to specify and justify get professional behaviour and interventions for Peter. Reference will be made to therapeuticalal relationships amid the nurse and Peter, highlighting the maintain the nurse should give to the patient and his family, and to discuss the importance of maintaining professional boundaries. The multi-disciplinary team will as well bemuse to assess Peters home to see if there were whatever adjustments needed to support him further with his mobility. Peter would also need further extensive health services if he agrees to go up with the surgical procedure.The paper is presented in consistency in line with the Universitys academic guidelines presented as ap pendix 7 in the Student Handbook 2010. References will also be citied in line with the Universitys own version of the Harvard referencing system.Main BodyVulnerability section 1According to Rogers 1997, vulnerability is Liable to damage or harm, especi all(prenominal)y from attack or attack.Vulnerability is when a person is put into a posture where they argon not familiar with, which makes them feel uncomfortable. A vulnerable adult is any ane over the age of 18 who is unable to cherish themselves against harm or exploitation. The types of mess who may be pickicularly vulnerable argon children, the elderly, adults with visual, auditory sense or speech impairment. Other types of vulnerable adults include those with learning disabilities, noetic health problems or a severe corporeal illness.People who require armorial bearing services may have an increase in their vulnerability as they are draw ining a new environment with unfamiliar with(predicate) surroundings. Another concomitantor could be their age and if they are unable to cook care of themselves. Therefore, they are not in control of the situation and could get under ones skin full dependant on a nurse to care for them which to the patient increases their risk of becoming vulnerable. Peter is particularly vulnerable due to him being 85 years old and inclined to be forgetful, also the fact his daughter is trying to force Peters decision in going ahead with the surgery yet he is no longer certain he wants too.Abuse is a violation of an individuals human and civil rights by any other person or persons (Department of Health, Pg 9).Abuse feces consist of a single act or repeated acts. It may be verbal, physical or psychological it may be an act of neglect or an omission to act. It may occur when a vulnerable person is persuaded to enter into a financial or sexual transaction to which he or she has not consented, or cannot consent. Abuse can occur in any relationship and may result in significa nt harm to, or exploitation of the person subjected to it.A nurses most all important(predicate) function is to the guest first. The NMC (2008), states that Nurses have an absolute trade to safeguard and entertain vulnerable adults from harm.The responsibility of a nurse is to promote health, prevent illness, restore health and comfort suffering. A nurse should take appropriate action to safeguard the individual when their care is endangered by a co-worker or anyone else. Nurses have a right but also a responsibility to act on behalf of the client if they feel he or she is being mistreated.Registered nurses persuade a position of trust to the client and this must never be breached, they should also maintain professional relationships with vulnerable clients at all measure. A nurse not entirely has a professional duty to protect vulnerable clients, but also a legal responsibility. If a nurse failed to comply with legal obligations they could be struck off the NMC register, bu t also it could be classed as a criminal offence.The Independent Safeguarding Authority is a government policy which helps to prevent unsuitable people from working with vulnerable adults. They assess those individuals working or wishing to work in adjust activity that are referred to them on the grounds that they pose a come-at-able risk of harm to vulnerable groups. The Government ensures the safety of vulnerable adults by integrating strategies, policies and services relevant to abuse within the framework of the NHS and association Care Act 1990, and the Mental Health Act 1983.The Mental electrical condenser Act 2005 and Code of Practice is another vitally important phone number of legislation setup by the government. The Code of Practice provides guidance and support to anyone who is working with or caring for adults who may lack a decision making capacity. This includes professionals, carers and families who cope the person crush. It focuses on those who have a duty of care to person who may lack the capacity to agree to the care that is being provided.As the NMC (2008) states, You must disclose entropy if you believe someone may be at risk of harm, in line with the constabulary of the country in which you are practising.Section 2The key vulnerability issues relating to Peter is that he is an elderly client of 85 years. He has not yet consented to the treatment as he is feeling apprehensive as there are major risks associated with the procedure. His daughter is very keen for the surgery to go ahead and Peter is seeking help from the nurse as he obviously feels he cannot discuss his fears with his daughter.Section 3 denomination 3 in the Human Rights Act states no one shall be tortured, or suffer inhuman or degrading treating or punishment.Although there is no absolute right to receive care in the UK, all patients have certain rights in their dealings with health care professionals. In 1995, the government issued the patients charter to allege clients of their rights, it is designed to improve the services people receive and it lays down the level of care that people can post from the National Health Service. The charter was made public so that clients know the standards they should expect, they can take steps to complain and have things put right if the standards are not met.Clients rights include the right to make their own decisions nearly their own lives and the right to be given appropriate schooling to make advised decisions. The right to silence and confidentiality and to be given appropriate help in exercising their rights, when they are unable to themselves, such as having an advocate available. Clients also have the right to freedom from exploitative and abusive practice, and the right to have personal beliefs, preferences and choices including religion, culture and political beliefs.Peter should expect the nurse to maintain his rights by having his dignity and privacy maintained while care is being given. The right to be included when making his care plan, the right to accept or refuse treatment, and for his patient development to be unplowed confidential. Also as Peter asked the nurse to help him make the decision and due to him being vulnerable and inclined to be forgetful, the nurse should act as Peters advocate for him if needed.As the NMC (2008) states You must uphold peoples rights to be fully involved in decisions approximately their care.AccountabilityAccountability is based on three conditions including ability, responsibility and authority. Nurses hold a position of responsibility and to promote efficiency and safety as other people rely on them. They are professionally accountable to the NMC and to the law for their actions. Nurses use their professional judgement, noesis and skills to make a decision based on evidence for best practice and for the clients best by-lines. Nurses need to be able to justify the decisions they make. If you are a professional in charge of a task you can be called by law to account what happened, especially if something goes wrong. This is because if a nurse performs a task, they immediately take responsibility for that task and its outcomesAs a professional, you are personally accountable for actions and omissions in your practice, and must always be able to justify your decisions (NMC, 2008).Duty of careAny health care professional who undertakes the care of a client owes them a duty of care. A nurses duty of care includes managing risk appropriately, work effectually as part of a team, share information with colleagues and delegate effectively. Treat people as individuals and respect their dignity and confidentiality. Nurses should also need to ensure they gain consent, maintain clear professional boundaries, and collaborate with those in your care.ConfidentialityThe most substantial broker to confidentiality is it must be built on trust. The nurses need to know that the client trusts them but also that they trus t the nurses professional judgement, knowledge and skills. It is also essential that the nurse feels the client will inform the nurse all that is necessity to deliver the most appropriate care. Confidentiality is an integral component of the nurse-patient relationship and a fundamental element of professional conduct and ethical practice. Sharing information with other professionals can only be done on a strict need to know basis, and patient confidentiality can only be breached in exceptional circumstances. Nurses must maintain confidence and respect the privacy of a patients health information at all times. Professionals must only disclose confidential information with consent from the client, if they are required to by the court of law or where they can justify that it was in the publics interest.Section 4 AutonomyAutonomy is approximately independence and the freedom to choose, and about not being coerced into doing something one would not otherwise choose to do. Autonomy has been defined as the power of self-determination and freedom from alien mastery and constraint (Smith, 1967).Autonomy involves clients making choices for themselves. As a nurse you should actively encourage clients to be involved in the decision making help and ensure that their voice is heard. Respecting clients autonomy means to treat them as a person with rights and not as objects of care. This mainly involves discussing their care and treatment with them in an open and honest way and allowing them to make their own decision about what care they want to receive. For a nurse to be able to promote clients autonomy there has to be a relationship and effective dialogue between them and the client. If their autonomy is to be respected, then(prenominal) nurses have to allow clients to make decisions and then act upon them.According to (Hendrick, 2004, pg 95) autonomy is defined as The capacity to make reasoned decisions, the ability to think for oneself, to make decisions for onesel f and to act on the basis of such thought.Patient-centred care includes all aspects of how services are delivered to our clients. This includes compassion, empathy, values, preferences and responding to all their needs. A nurse should be delivering this care at all times and make sure they are giving the patient all the information available, communicating to them at all times and educating them about their care and how processes and procedures work, utilise as little jargon as possible. Emotional support should be provided to help relieve clients fears and anxieties as this can be important to a therapeutic relationship.AdvocacyPromoting and protecting the interest of people in your care, numerous of whom will be vulnerable and incapable of protecting their own interest (NMC, 2008).Advocacy is about acting on behalf of the client in a professional capacity who cannot speak themselves. Anyone could potentially need an advocate as any client may feel vulnerable as they are in unfam iliar surroundings. An advocate is acting as an intermediary between clients and family, significant others, and health care providers. It is a role of support for clients, two speaking and emotionally.As a nurse you have a duty of care to encourage the client to participate or if they cannot speak for themselves then nurses should become that persons advocate by putting their needs and views forward, and to ensure their rights are promoted.You must act as an advocate for those in your care, helping them to regain relevant health and social care, information and support (NMC, 2008).Consent legal consent must be given by a skilled person and must be given voluntarily. Nurses have three professional responsibilities with regard to obtaining consent. They need to make the care of people their first trouble and ensure they gain consent before they begin any treatment or care, ensure that the process of establishing consent is transparent and demonstrate a clear level of professional accountability. After they have obtained consent they need to accurately record all discussions and decisions relating to obtaining consent.Every adult must be dond to have the mental capacity to consent or refuse treatment, unless an assessment reveals they lack the capacity to consent (NMC, 2008).When a nurse needs to inform a client about proposed treatment or care it is important that they deliver the information in an understanding and sensitive way. It is essential that they are given sufficient information for them to make a decision whether to accept or refuse the treatment being offered. Nurses should also give the client enough time to consider the information and the opportunity to ask questions if they need too. Nurses should not assume that clients know even basic medical information and should explain every aspect with as little jargon as possible in order for the client to make their choice.There are three different types of consent including verbally, implied and s cripted. Clients can express their agreement by either of these forms. With Peters surgery includes risks associated his agreement should be made by written consent. Written consent is a entry which shows the patients choice and that discussions have taken place between them and a professional.There can sometimes be difficulties with gaining consent. There are particular vulnerable groups such as old people, people with mental health problems, people with learning difficulties and children. Nurses need to keep these vulnerable groups at the centre of the decision making process. As Peter is a vulnerable elderly client he is weaker and inclined to be forgetful, therefore an assessment would need to be carried out by a nurse of doctor to assess his mental capacity professionals should always presume that older people are able to make decisions.In the equal way a client can accept treatment, they can also make the choice to refuse treatment, even if this may harm them or cause deat h. Nurses should find out why they are refusing and then the consequences of declining the treatment and what will happen to their health if they dont go ahead. If this happens it is important that you honour their rights and wishes and document fully any decisions made to refuse, and clearly record that this is the clients choice.You must be aware of the legislation regarding mental capacity, ensuring that people who lack capacity persist in at the centre of decision making and are full safeguarded (NMC, 2008).The Mental Capacity Act 2005 provides a statutory framework to empower and protect people who may lack the mental capacity to make an informed decision for themselves. The Act is underpinned by five main principles, the first one being that everyone is assumed to have the mental capacity to make a decision until proven otherwise. Every individual needs to be back up to make a decision and if a person makes what seems like an foolish decision, they should not be treated as lacking capacity.Section 5-last bitIn order for a nurse to develop a therapeutic relationship with a client there must be effective communication involved. The very best of care is only achieved if the nurse is act to getting to know the client in there care through with(predicate) effective assessment as individuals. This involves finding out how best to care for and communicate with them from their perspective, whilst ensuring respect, dignity and fairness are maintained.