component 2: barriers to accessing health and social care/ settings.

Question 1

physical: what are these linked to/ define it?

Answer 1

physical access to services of the person or the building itself. these barriers prevents someone from using the service.

Question 2

physical: example: rahi- arthritic hips. walk independently, no aid but needs time and to be careful. appointment to see orthopaedic consultant. what issues may he face and what can be done to help?

Answer 2

may not be able to access room as he may require added help to allow him to feel more confident- handrails, stairlifts/ lifts.
bad mobility- ramp instead of lots of stairs, lower floor appointments, lowered curbs.
may not feel confident going by himself- bring an advocate.
may struggle- provide/ offer aids; lower desks/ higher desks depending on wheel chair needs to see over but needs to fit under. also needs to be able to manoeuvre around the room.

Question 3

physical: sensory impairment- hearing: example: Mathew- complete hearing loss. barriers faced when booking an appointment and when trying to attend- issues he may face and what can be done to help?

Answer 3

if book on phone- can’t hear what other person is saying- advocate, go in, online, caption phone.
booking in/ seeing consultant- sign language interpreter, makes sue he has access to look at people lips to lip read, caption phone, signs.
having his name called out to know when his allotted time is ready- have someone come up to him and show him it’s time to go.

Question 4

physical: sensory impairment- visual: example: Sarah- visually impaired, going to a hospital appointment. what barriers may she face- what issues may she come across and what can be done to help her?

Answer 4

aids: white stick, braille, guide dogs, different textures/ bumps, advocate.
if book online or if it’s on the phone- can’t see appointments, can’t see the phone number- read out phone number from the computer or have an advocate.
finding where to go- advocate, people telling her where to go, braille on signs.
cant get themselves to the appointment- advocate to drive/ take/ support them getting them there.
don’t know if there’s stairs or change in floor- surface adapted eg: bumps.

Question 5

what are the 9 examples of social and cultural barriers and some explanation of it?

Answer 5

self-diagnosis- diving to deep/ worse case scenario.
stigma- ex: not talking about mental health, men don’t need help.
drug and alcohol problems- embarrassment/ accessibility.
fear of life changing diagnosis- loss of independence.
opening hours- lack of accessibility.
lack of awareness- where to go, who to go to.
different cultural beliefs- gender preference, second guess going, may need to break religion; hijab, expose body, no eye contact.
negative experience- didn’t like service provider.
mental health difficulties.

Question 6

how can you/ health service help you overcome social/ cultural barriers?

Answer 6

notes- detailing preferences.
out of hours services- in person, phone call or video chat.
leaflets/campaigns.
use NHS website, 111.

Question 7

language: how can we overcome this barrier?

Answer 7

professional notes, translator- online/ in person, visual aids, pre-printed on to signs in common language.

Question 7

geographical: why might this stop people from receiving help and a short explanation?

Answer 7

transport- may not have access to it.
distance- too far.

Question 7

language: what does EAL stand for?

Answer 7

english as a second language.

Question 8

geographical: how can you overcome these?

Answer 8

voluntary services can take individuals to appointments- good neighbours, red cross.
mobile units- mobile screening which visit different areas.

Question 9

what are the advantages of voluntary services?

Answer 9

no appointments missed. decreased stress and increased health/ support.

Question 10

what are the limitations of voluntary services?

Answer 10

increased anxiety- may not know driver.
difficulty in locating house.
lack of knowledge to begin process.

Question 11

what are the advantages of mobile units?

Answer 11

easy access/ no appointment so decreased anxiety leading up to it- spur of the moment.
checking before a decrease in health.
normalise’ popping in’ with friends.
free.
positive peer pressure.

Question 12

what are the limitations of mobile units?

Answer 12

legitimate professional support?
may feel embarrassed or anxious in case someone they know sees them.

Question 13

what are not advantages but not the limitations of mobile units?

Answer 13

can identify symptoms. increased stress, false positive.

Question 14

what can learning conditions affect?

Answer 14

understanding complex information.
learn new skills.
carry out everyday tasks.
look after themselves.
live alone.

Question 15

why might an individual with learning difficulties might struggle about accessing services?

Answer 15

may be difficult to comprehend what is wrong with them and what looks like longer term.
remember info- diagnosis, treatment, prescription, medication.
medication.
may find it difficult to recognise ill health.
may find it difficult to book appointment/ someone to take them.

Question 16

what can someone who suffers with text barriers find difficult to do?

Answer 16

fill out forms and documents as they can be complicated and difficult to complete.

Question 17

text: what might someone who finds it difficult to understand information and to read an write avoid doing?

Answer 17

avoid accessing services.

Question 18

text: what might someone who faces a text barrier might feel about doing what?

Answer 18

embarrassed or worried about completing forms.

Question 19

text: how can someone who struggles with a text barrier find something a little easier?

Answer 19

writing and presenting information clearly.
friends, family and carers can also help with reading and writing.

Question 20

text: what people can support people who struggle with a text barrier and what role do they each play?

Answer 20

GP: ensure individual and their family receive appropriate support and refer to specialists.
Learning disability nurses (LDN’s): work with individuals and their family to provide specialist care and support.
Speech and language therapist: support speech and language skills to aid communication.
Occupational therapist: provide adaptations to support independence.
Physiotherapist: support physical movement and mobility.
Support workers and personal assistants: help with activities of daily living.
Informal carers: support and advocate to promote the rights of the individual.

Question 21

text: what does the assessable information standard make a legal requirement?

Answer 21

for health and social care providers to ensure all service users and carers can access and understand information given.

Question 22

text: what does the local council have to do if someone doesn’t have family or friends to help if they have difficulties in what?

Answer 22

advocate.
remembering and understanding information, difficulty communicating and understanding pro’s and con’s of different options.

Question 23

financial: what are some services that aren’t free?

Answer 23

are, dental care, complementary therapies (massages, reflexology), chiropody (treatment of feet sometimes for painful conditions which make it difficult to walk), care and support services.

Question 24

financial: what might some people who can’t afford certain aspects of healthcare do?

Answer 24

may decide to go without which could make their condition worse.

Question 25

financial: why might some people not go for a treatment?

Answer 25

fear of loosing income can be a serious barrier to accessing health for some families.

Question 26

financial: what can you get if you need to repeatedly pay for prescriptions?

Answer 26

save money by buying an NHS prescription prepayment certificate. the certificate covers dental prescriptions. you can pay by direct debit to make it less of a financial strain.