A11: Safeguarding Flashcards
Give the types of physical abuse
FGM
Hitting
Burns
Give the meaning of FGM
Female circumcision or cutting when a females external genitals are removed, cut or injured for non-medical reasons.
Modern day slavery
Exploitation of individuals for work using threats and violence for personal or commercial gain. They may have been promised a better life or an opportunity to earn money.
Sexual abuse
Forcing someone to take part or watch sexual activities
Belittling
Putting someone down so they feel small or unimportant
Bullying
Can take place anywhere and it’s classes as repeated behaviour that is intended to hurt someone either emotionally or physically.
Verbal abuse
Range of words and behaviours used to manipulate, intimidate and maintain power and control over someone.
Gaslighting
Form of psychological abuse where a person makes another person question their perception of reality or memories and often leaves the victim of feeling confused, anxious and unable to trust themselves.
Coercion/control
Making someone do something they do not want to do usually through force.
Assaults
Threatening or carrying out physical force or action that makes someone frightened.
Threats and intimidation
Intent to injure or hit someone because of not complying with their request or instructions.
Humiliation
Putting down a person and making them feel small or embarrassing them.
Give some organisational/institutional types of abuse
Regimented meal times
Removing personal choices
What are regimented meal times?
Institutional settings involve rigid routines such as set mealtimes that do not respect privacy, comfort and unique needs.
Removing personal choice
Failing to uphold rights can have a negative effect and this can include removing choice around bed time, choice of clothing, what food they can eat.
Withholding/taking of money
Most vulnerable adults are susceptible to financial abuse as they have a limited understanding of money.
Neglect
Failure to give the minimum standard of care to meet the individuals basic needs e.g nutritional neglect, ignoring medical issues, inadequate heating and clothing.
Self-neglect
Neglecting personal hygiene or neglecting to eat, neglecting your own health and surroundings.
How might neglect happen by others?
Withholding access to food or the right food.
Not supporting a person to wash and maintain hygiene and comfort
Not supporting a person to change soiled or wet clothing.
Not seeking medical assistance when it is needed.
Withholding access to appropriate medication that is necessary for the health of the person.
What can domestic abuse include?
Harassment
Bullying
Violence
Emotional abuse
Stalking
FGM
Forced marriage
Trafficking
What is professional abuse?
Abuse by someone in a position of power over the victim of a position of trust.
What is honour-based abuse?
Used by families to control behaviour to protect the reputation of the family.
If an individual is deemed to have bought shame or dishonour to their family that their family do not approve of, the family will punish the individual including violence.
Cruelty
Inflicting mental or physical suffering on an individual who is weaker than themselves.
Forced marriage
One of both people do not consent to marriage as they are pressurised or abuse is used.
Child sexual exploitation
Abuse by people who have power over young people and use it to sexually abuse them.
Victims may receive gifts such as money, drugs, alcohol in exchange for performing sexual activities.
Child criminal exploitation
When children or young people are taken advantage of by criminals e.g county lines.
Give the possible signs of physical abuse
Bruising
Unexplained bleeding.
Give the possible signs of emotional abuse.
Depression
Low self-esteem.
Give the possible signs of organisational abuse.
Restricted visiting times: if an individual is denied access to a residential home, this can be a sign of abuse.
Patient complaints: if a complaint is dismissed very quickly this can be a sign of abuse.
Give the possible signs of financial abuse
Lack of money and or belongings
Sudden debt and unexplained unpaid bills.
Give the possible signs of sexual abuse
Unwanted pregnancy
STI
Sexual promiscuity: individual has indiscriminate sexual intercourse with multiple partners.
Give the possible signs of sexual abuse
Unwanted pregnancy
STI
Sexual promiscuity: individual has indiscriminate sexual intercourse with multiple partners.
Give the possible signs of neglect
Malnutrition
Unkempt appearance.
What should be done if abuse is suspected or disclosed?
Communicate with the individual and respect confidentiality balanced with assessing risk.
Ensure a record of any disclosure is recorded by a word by word and concerns should not be passed on verbally without a written report to support this.
Reporting the concerns and understanding the next point of escalation if suspected abuse is not investigated
Ability to challenge authority
Preserving evidence e.g documentation of facts, observation charts, clinical photography.
What action can be taken by individuals and organisations to reduce the chances of abuse?
Raising awareness and education.
Staff training: up-to-date training to ensure knowledge and skills remain current and effective.
Effective complains procedure: enables individuals and others who work in and visit healthcare settings to openly raise and discuss any concerns and complaints.
Risk management procedures: significant risks should be focused on supposed to minor risks.
Working with person-centred values
Multi-agency working
Implementing holistic approaches
Accessing and promoting of advocacy.
What action can be taken by individuals and organisations to reduce the chances of abuse?
Raising awareness and education.
Staff training: up-to-date training to ensure knowledge and skills remain current and effective.
Effective complains procedure: enables individuals and others who work in and visit healthcare settings to openly raise and discuss any concerns and complaints.
Risk management procedures: significant risks should be focused on supposed to minor risks.
Working with person-centred values
Multi-agency working
Implementing holistic approaches
Accessing and promoting of advocacy.
Give the meaning of patient safety
Avoidance of accidental or unintended injury or harm during a period of receiving healthcare.
Give the meaning of patient safety
Avoidance of accidental or unintended injury or harm during a period of receiving healthcare.
What measures are in place to maintain patient safety?
All staff have name badges and all wards will have security doors with intercom buzzers.
Give the meaning of clinical effectiveness
Application of healthcare, taking into consideration the individual wishes, healthcare professionals experiences, and evidence-based research in the approach.
Why is patient safety and clinical effectiveness important?
Raises the standard of care, improving the patients experience and quality.
When is patient experience improved?
When they make informed choices about their care because they have been given high-quality information to help guide their decision making.
Give the meaning of radicalisation
Action or process of someone to adopt or support terrorism, or radical extremism beliefs connected with terrorism or terrorist groups.
When does radicalisation occur?
When individuals believe and support extreme ideas or ideas around political, religious or social ideas with a regard of use to violence.
How can we identify signs of radicalisation?
Detachment from friends and family
Raised levels of angers
Failure to avoidance in discussing own views
Increased interest in privacy or secretive behaviours.
What is the purpose of the prevent strategy?
To work with communities to support vulnerable people at risk of becoming radicalised.
What is PREVENT?
A community safeguarding programme about identifying individuals including children and young people before they become radicalised.
What is PREVENT part of?
Counter-terrorism strategy CONTEST.
What are positive behaviours expected of a healthcare professionals?
Key to safeguard individuals
Failure ti comply with behavioural standards could result in noncompliance and deregistration
Improves quality service provision for positive outcomes
Effective practised clinical competence
Maintain safety
Encourage professionalism and trust
What are the types of support for managing positive behaviours?
Behavioural frameworks: NHS core values
Workplace policies e.g whistleblowing and social media policies setting out.
Performance management
What are the NHS core values?
Working together for patients
Respect and dignity
Everyone counts
Commitment to quality
Compassion
Improving lives
What is performance management?
Process involves meetings and observations over time to provide feedback on performance and identify targets for improvement where necessary.
What is conflict of interest?
A professional finds themselves unable to make an objective decision as they will be affected by results positively or negatively.
Give an example of conflict of interest.
A GP maybe discussing a hip replacement with a patient and may mention the long waiting list for the operation, and the patient is willing to pay privately to carry out the procedure and asks the GP on the different private hospitals offering this procedure.
It is difficult for the GP to recommended a private hospital where he works as a consultant because it would be a conflict of interest.
How should conflict of interests be dealt with?
Be open and honest and act with integrity.
Following workplace guidelines by following the organisations policies and procedures.
Declare any personal conflicts e.g personal relationship with the individual.
