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London College of Professional Studies

LCPS Assignment Cover Page

Student name

Rudo Victoria Mujeni

Student ID

15799

Student e mail

rudovictoriamujeni811@gmail.com

Programme/qualification title

OTHM Level 3 Foundation Diploma in Health and Social care

Qualification code

603/6776/3

Unit title Health, Safety and Wellbeing in Health and Social Care SettingsUnit code

F/618/5292

Submission date

Click here to enter a date.

I declare that the attached work is entirely my own and that all sources have been acknowledged HEALTH, SAFETY AND WELLBEING IN HEALTH AND SOCIAL CARE SETTING

Executive Summary

TABLE OF CONTENTS

Introduction.

Main Body.

Defining Types of abuses.

Action to be done upon suspension of abuse.

Factor that contributes to being vulnerable to abuse.

Roles of different agencies in Safeguarding and protecting individuals.

Introduction

We can define abuse as a threat from someone to cause harm or distress upon someone else. A violation of an individuals human and civil rights by any other person or persons CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010). It can take many forms, ranging from disrespect to causing someone physical or mental pain. It can occur at home, a care home, or public place. Abuse can be any form be it criminal, mental, physical, emotional abuse and so on. It can often to be difficult to detect.

Anyone can become a victim of abuse. However, people with care and support needs, such as older people or people with disabilities are more likely to be abused or neglected. People with difficulties communicating are particularly at a higher risk because they cannot express themselves fully.

Main Body

Defining the Types of Abuse

Physical Abuse: Unexplained injuries that are done to a body of an individual by another. Unwanted contact leading to injuries or pain, e.g., hitting, pushing, biting, restraining an individual incorrectly CITATION Lin17 l 2057 (Linda Wyatt, 2017). It may also include misuse of medication(over-sedation), forcible feeding or withholding food. Someone experiencing physical abuse has unexplained bruises, signs of malnutrition and often has frequent injuries.

Domestic Violence or Abuse: This type of abuse involves threats, aggression, or maltreatment of people who are linked to one another, such as emotional or physical abuse. CITATION Lin17 l 2057 (Linda Wyatt, 2017). This type of abuse, such as cutting off the victim's financial support, can even make it impossible for the victim to go. An essential component of domestic violence is the use of control. Victims have guidelines for daily behaviour that must be followed.

Sexual Abuse: is any sexual activity to which the other partner has given consent but is incapable. It may involve rape, an attempt at rape, an attempt at penetration through the mouth, vagina, or anus. The symptoms might range from unexplained vaginal bleeding to thigh, breast, and genital area pains and bruising.

Psychological/Emotional Abuse: This type of abuse can range from forced social isolation to a failure to respect for personal space. behaviours that humiliate and devalue a person are possible. Symptoms can include eating difficulties, sleep disturbances, and worry. It undermines confidence.

Financial/Material Abuse: It involves the offender misusing money which limits and controls the victim current and future actions and freedom of choice. We can also say the unapproved personal properly, money or possession e.g., theft, fraud in relation to financial transaction CITATION Lin17 l 2057 (Linda Wyatt, 2017). They can be identified by not wishing to spend money on day-to-day essentials for examples food or valuable items disappearing. It can also be classified as exploitation type of abuse

Modern slavery: It is a type of abuse that considered as severe exploitation of other people for personal or commercial gain. For example, you could have on work for you, and you do not pay them. This may include trafficking individuals, forced work, slavery and so on.

Discriminatory Abuse: This is an unequal treatment based on age, gender, religion and beliefs and so on. A person who uses a wheelchair may be denied a job due to their immobility CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010)Organisation/Institution Abuse: The focus of the service of needs of the department and its staff rather than on the needs of the individual who access the service e.g., provision made available to meet individual needs, rigid routines and system CITATION Lin17 l 2057 (Linda Wyatt, 2017). Can Include neglect or poor care procedure within an invitation or specific care setting e.g., hospital or care home. In care homes for example poor quality care homes, service users are deprived the ability to have a choice about what they eat, what time they go to bed or when they can go to the restroom CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010)

Neglect or Acts of Omission: Sometimes called Passive Abuse. Failure to provide or to meet the needs of the client for example not providing food, or access to medical care. It could also be looked at as providing care in a way the client does not like. Even isolating the patient from others and not giving them the right to privacy and dignity.

Self-Neglect: This can be defined as failing to meet or reach personal needs for example personal hygiene, not taking prescribed medication. Other people may cut themselves or take an overdose of tablets CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010)Action to take:

When abuse or neglect has taken place, it needs to be dealt with immediately and efficient. The responsibility comes with identifying victims, and it is up to you to choose which approach is best for the situation. It can be from whistleblowing, to dialling 999 for on ambulance. To also informing the manage immediately

Factor that contributes:

There are several factors that contribute to an individual being more vulnerable to above. For instance, Communication difficulties, whereby they have challenges finding the words to explain what happened CITATION Mar10 l 2057 (Marilyn Billingham, 2010) and language barriers can be contributing factor. Lack of mental capacity. Individual not being able to make a decision. Social isolation, being physically dependent on others. People who are ill health, are at risk as they do not have strength be it physically or mentally, to complain CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010)Inadequate staff training, poorly done training is done, this could be a contributing factor. Also, if staff lacks knowledge of the policies and procedure of the company to be adhered to. Also, shortage of staffing could be a factor.

Agencies in safeguarding:

Different agencies operate in partnership to protect an individual. They can be government, or they can be non- governmental agencies. When we look at agencies, we can mention Safeguarding Adults Board (SAB), Social Services, Police, Health and Social Care just to mention a few.

References:

Beryl Stretch, et al, 2010. Health &Social Care Book 2. pp 84-85

Elizabeth Rasheed, et al, 2010. Health &Social Care pp238-241

Linda Wyatt, et al, 2021. Safeguarding Health and Social Care. Extended Diploma in Health and Social pp 53-54

Legislation relating to Health and safety in Health and Social care work Setting

Safe practises are crucial while demonstrating care. Several laws and legal relationships underpin the Health & Safety at Work Act of 1974. The "HASAWA" of 1974 sets forth general obligations for both employees and any visitors to the premises. Care personnel are given responsibilities. This law mandates a risk assessment and names a person in charge of workplace health and safety. CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010). Laws Regarding Manual Handling The goal of 1992 was to lower the danger of accidents when moving patients or cargo. It ensured that businesses would offer sufficient training in an effort to lessen or eliminate the health risks related to moving or handling. This action was intended to minimise manual handling whenever possible. Rules for Reporting of Diseases, Injuries, and Hazardous Occurrences (RIDDOR), 1995. This act addresses accidents, disease outbreaks, and hazardous situations. The Health and Safety Executive must be informed of all events and receive records of them (HSE). events like an employee's death or serious injury occurring on the job site. The Control of Substance Hazardous to Health Regulations (COSHH) 2002 were designed to give employers the power to regulate potentially harmful substances. CITATION Lin17 l 2057 (Linda Wyatt, 2017). Under this act it states that substances should be stored in safe ad correct places. It also informs workers of any protective equipment that they may need to use CITATION Eli10 l 2057 (Elizabeth Rasheed, 2010).

Health & Safety Policies and Procedures and other Agreed ways of Working underpin

A policy is a strategy or a set of guidelines for how action will be taken in a nursing home or at a workplace. A procedure can be a list of the steps necessary to complete a certain task.

The accepted codes of practise in a care setting are found in the Health and safety policies and procedures. There are rules and regulations that both the employer and the employee must abide by. For instance, an employer should emphasise the procedures to follow when administering first aid, how to manage a patient's emergency fall, including how to complete the required paperwork, what to do, and how to use the equipment provided for a particular duty. as well as how to deal with food preparation.

Possible policies and procedures in care setting (Elizabeth Rasheed et al, 2011: p.60)

Main Health and Safety Responsibilities

Self: An individual or any personnel that is an employee in the healthcare has the responsibility to look after themselves. They have the responsibility to adhere to policies and procedures of their employer, care home or workplace. They have the duty to report health/safety hazards that they would have noticed. They also equally duty to attend any training set out for them. Before beginning any personal care on or in any environment that has a patient, they are to wear Personal Protective Equipment (PPEs).

Employer/Manager: They have the duty to document policies and procedures, providing employers with adequate training and ensure the staff always have personal protective equipment (PPE) available. Ensuring the workplace is a safe environment by providing safety signage and warning labels around workplace about potential risks. Provide adequate work equipment and free of charge. Report incidents, disease and dangerous occurrences to be reported to the Health & Safety Executive. To also document emergency procedures. Provide first-aid- facilities to be used in the event of an accident.

Others in the work setting: Everyone has the responsibility of others in the work setting. It is done through following policies and procedure of the company. Not to do anything that could cause harm to self or others. And reporting health and safety risks

Tasks In the Work Setting That Should Not Be Carried Out Without Training

There are certain tasks in healthcare that should not be performed without training. One must be trained in food preparation and handling. Use of specialty equipment (hoist, syringe driver to mention a few). moving patients from one location to another. The only personnel who should know how to administer first aid are those who have received training.

Principles for Safe Moving and Handling

Prior to transporting and handling, a number of elements must be taken into account. This task could be carried out manually or with the use of specialised tools. A patient can be transferred using a hoist from a bed to a chair or from a chair to the desired place. There is a recommended distance that one can utilise to transfer a task when using the specialised equipment. It's essential to have adequate training. Be aware of your carrying capacity and be willing to seek for assistance when necessary. CITATION Lin17 l 2057 (Linda Wyatt, 2017). According to CITATION Yvo05 l 2057 (Nolan, 2005) HSE provides guidelines on the weights that can be lifted by an individual. Each situation has its own risk factors that need to be taken into account.

Factors that can affect the risk CITATION Yvo05 l 2057 (Nolan, 2005):p. 330

Safe Practise for Handling Hazardous Substances

Hazardous Substance is any substance that is officially classified as harmful to the health of a person of to the environment. These can be in the form of chemicals, vapours, gases, fumes or mist. Once you have identified any risks you need to find ways to protect yourself. Try as much to avoid using the substance. Using a safer form for example using it in liquid than in powder form. The use of a full Personal Protective Equipment (PPE) for example gloves, overalls and masks. Also, adequate training for the handling hazardous substances.

Principles Of Chain Infection

Infection can be defined as the invasion and growth of germs in the body. Germs may be in the form of bacteria, viruses, yeast, fungi, or another microorganism. Chain of Infection can be explained as how microorganism are transmitted from one person to another. Chain of Infection is a cycle that can demonstrate how infections are spread for example from person to person CITATION Lin17 l 2057 (Linda Wyatt, 2017)

The Chain of Infection CITATION Lin17 l 2057 (Linda Wyatt, 2017): p.102)

Certain conditions must be met in order for a micro-organism or infection to have the ability to spread from person to person. There are six stages involved in the chain of infection. In the infection agent it will be a microorganism, virus or bacteria. With the reservoir (also called the source of infection) in this point, the micro-organisms can live and thrive. It can be a person, animal or an object in the general. Portal of exit the micro-organism leaves the reservoir. It can leave through coughing or sneezing. Mode of transmission this is how it move from one person to another or one place to another. Portal of Entry this is how the infection enters another individual. Breathing in the affected environment even through a catheter. Susceptible host describes the person is vulnerable to infection.

Impact of Breaking the Chain of Infection

Breaking the chain of infection at any point will stop the spread. Some links can be broken easily than others perhaps it is easier to stop a pathogen or a virus from entering a person that it is to stop one leaving an infected person. Standard precaution needs to be done in any situation to reduce the risk. There are several ways to break that chain from good hand hygiene, correct use of personal protective equipment (PPE) to safe disposal of waste.

Own role in reducing the spread of infection

An individual has the responsibility to reduce the spread of infection. Vaccinations such as flu shots during the cold season need to be taken. When coughing one needs to cover their month. Quarantining is also another way to reduce the spread of infection. Cleanliness is another way to reduce the spread of infection.

Handwashing recommended method

There are several ways to wash your hands. To begin the process, get your hands wet and apply some soap. Rubbing your hands together and also interlocking your fingers to get soap in between your fingers. Others like to scrub their hands using a small brush to scrub under their finger nails. Rinse your hands under running water (cold or hot).Using your elbow to turn of the tape. There are three ways you can dry your hands namely shaking them dry, hand towel or placing your hands under a hand dryer.

Own Health and Hygiene

Personal Hygiene is the biggest contributing factor so as not to pose threat or rick to yourself or to others at work. In the health washing of hands are performing every procedure for example in the health and care setting before or after handling a service user soiled linen one needs to change gloves. Before and after touching any items of a patient one needs to sanitize their hands. After scrubbing your hands using the elbow to close the tape. Also, before handling or starting any food preparation washing of hands is essential. Using the foot pedal of the bin instead of lifting the lid with your hands.

SPEAKER NOTES

Slide 1: Introduction

The introduction to health and safety was created to help spearhead dignity in the social care sector. Its main focus was to identify risks, managing, controlling and preventing them. Everybody has the duty in care has the mandatory to protect themselves and everyone around them. There are legislations, policies and procedures that need to be followed by employers and employees. This report is presenting the different legislations and how each party is protected and also the hygiene practises that have to be carried out.

Slide 2: Implemented Legislations in Healthcare and Social Care Settings

The main aim of the Health and Safety at Work Act 1974 is to outline the responsibilities of all participants for maintaining the health of others and themselves and also safety at work. It outlines the duty of the employer which is to provide training, undertake any risk assessments, procedures and policies for incidents and report them. Employees have the mandatory to attend training and to also comply to the policy and procedures of the employer. It led to the birthing of many other policies that fall under the Health and Safety at Work Act.

Slide 3: How Policies and Procedures are Implemented

When using specialised equipment for example the Manual Handling Regulations 1992 has made it an objective to reduce or to try eliminate the risk of injury from lifting or moving objects or patients. The principle is to avoid any manual handling if possible. If it cannot be avoided then the risk of injury needs to be assessed. In a care setting we could look at the cloths the patients wear for example if a service user wears a long dressing gown, may present a falling hazard to staff and the patient themselves.

Slide 4: Explaining the Responsibilities for Health and Safety

Responsibility regarding safety can be executed by all parties involved. Regarding staff it has been noted that utilization of equipment when moving or transferring patient and also handling hazardous goods can reduce the risk of being affected while working. Owners have the responsibility of providing training to the employees. Also, to ensure the workplace is safe. To provide documentation of policies and procedures

References

Yvonne Nolan., Neil Moonie., Sian Lavers. S/NVQ Level 3. Health & Social Care (Adults), pp. 79-107

Linda Wyatt., Pete Wedlake., Maria Ferreiro Peteiro., Elizabeth Rasheed., Extended Diploma in Health & Social Care, pp. 177-184

Elizabeth Rasheed., Alison Hetherington., Jo Irvine., 2011 BTEC Level 3 Health & Social Care

Yvonne Nola., 2008. S/NVQ Level 2 Health & Social Care, pp.141-148

Billingham., Marilyn., et al., 2015. BTEC National Health and Social Care Book 1, Pearson Education Limited

Nelson Thornes., Val Michie., Layla Baker., Deborah Boys., Janet McAleavy., 2008. BTEC Health and Social Care, pp.234-237

Yosefi Zarabadi, F., 2021. study of important indicators of HSE between the employees working in the waste organization of urmia municipality in order to provide solutions to improve the current situation .

Zeman, M. & Treslova, M., 2020. Safety of health providers in the physical handling of patients in nursing care.. Nursing Practice Today,, pp. 7(4), pp.234-237..

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