Adults at risk Flashcards
Community care Service user groups?
People with learning difficulties/disabilities
People with mental health impairment
People with physical and/or sensory impairments
Homeless
People with life threatening illness or other major health conditions
People unable to live alone
People with substance misuse issues
People who are meeting socially
Who decides who uses the community care service?
Lord chancellor’s department 1998 mental capacity and decision making
A person aged over 18 who is or may be in need of community care services by reason of mental or ther disability, age illness AND
Who may be unable to take care of himself , or unable to protect him or herself against significant harm or exploitation
Who is an adult at risk?
Living in residential accom
Lives in sheltered housing
Receives domiciliary care in home
In prison
In contact with probation services
Receiving a welfare service
is receiving a service or participating in an actiivity which is specifically targeted at people with age-related needs, disabilities or prescribes physical or mental health conditions
Expectant or nursing moth living in residential care
Receives support to conduct their lives
Receives direct payments from DHSS/Social services
What does the care standards act define an adult at risk as?
An adult whom accommodation and nursing or personal care are provided in a care home
An adult whom personal care is provided in thier own home under arrangements made by a domiciliary care agency
An adult whom prescribed services are provided by an independent hospital, clinic, medical agency or NHS body
How does the department of health describe abuse?
Is the violation of an individual’s human and civil rights by another person or persons
What are the different types of abuse?
Sexual, physical, psychology, material/financial, neglect
Which groups are at high risk of abuse?
People lacking mental capacity, or with limited awareness People severely mentally imparied People with sensory impairments People semi-comatose/comatose people with aphasia
What factors make people at risk vulnerable to abuse?
over compliance and dependence on service or practitioner
Fear or retaliation from complaining
No support networks outside a service
Social isolation
unable to or have difficulty communicating
Practitioner/organisational factors
7 indications or abuse?
Physical
Psychological - dont want to make eye contact, withdrawn
Neglect - clothes aren’t clean, general hygiene
Financial
Institutional
Self-harm
sexual
What does the inverse care law say?
that those in need are least likely to receive
What are examples of what the inverse law states?
Dentistry has a duty of care to provide services to everyone
Homeless experience high levels of dental problems
People with learning difficulties experience poorer oral health than the general population
Not providing care may be deemed more abusive
Restraining adults at risk may be constituted as abuse
People may exhibit challenging behaviour based on past experiences
What do you do if a patient is being abused
If you suspect create a space for the patient to talk
If disclose then listen, dont judge
Address immediate safety issues
if they do not want to take immediate action signpost them and let them know you are there for them
How do practitioners need to treat people?
With dignity,
respect self-worth
Start from position of capacity
be aware of current legislation and procedures
