PPB: Supporting and Protecting Adults from Harm Flashcards

1
Q

What is the current relevant legislation in regards to protecting adults from abuse?

A

The Adult Support and Protection (Scotland) Act 2007

ASP Act

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2
Q

What does the ASP Act do?

A

Introduces new adult protection duties and powers, including:

  • Councils duty to inquire and investigate
  • Duty to cooperate
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3
Q

Who is an Adult at Risk?

A

“Adults at risk” are adults (over the age of 16) who –
a) are unable to safeguard their own well-being, property, rights or other interests;

b) are at risk of harm; and
c) because they are affected by disability, mental disorder, illness or physical or mental infirmity, are more vulnerable to being harmed than adults who are not so affected.

Other adults can also be vulnerable however this criteria is designed to identify patients who are likely to be abused.

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4
Q

What are the statutory duties of cooperation with the ASP Act?

A

Report the facts and circumstances to the local Council when they know or believe that someone is an adult at risk and that action is needed to protect that adult from harm;

Co-operate with the Council and each other to enable or assist the council making inquiries.

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5
Q

What is the role of NHSG Staff in terms of adult protection?

A

Will report all cases where an adult is considered at risk of harm to the Council and agree how to proceed with the investigation. This includes instances where the allegation is made against a NHSG employee (Section 5)

Will co-operate with the Council making inquiries and with each other where that would assist the Council. Information and records regarding the adult will be provided when requested under the Act. (Section 10)

A doctor, nurse or midwife may conduct a medical examination during a visit or part of an Assessment Order (Section 9)

It is an offence to prevent or obstruct any person from acting under the Act and to refuse without reasonable excuse to provide information. (Section 49, 50)

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6
Q

Who can cause harm to vulnerable adults?

A

Adults at risk may be harmed by a wide range of people including relatives and family members,

professional staff,
paid care workers, volunteers,
other service users, neighbours,
friends and associates, people who deliberately exploit adults at risk and strangers

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7
Q

Where can harm take place?

A

Any where

Family home
Hospital ward
Day centre
Lunch club
Social club
Care home
Supported accommodation 
Sheltered housing
Transport
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8
Q

What are the types of harm?

A
Physical
Sexual
Psychological
Neglect
Financial
Discriminatory
Information
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9
Q

Physical harm is:

A
Hitting
Slapping
Burning 
Biting
Punching
Kicking
Lacerating
Force feeding
Overmedicating
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10
Q

Sexual Harm is:

A

Subjecting someone to any sexual act without their consent, or understanding.

Inappropriate touching, fondling, kissing
Exploitation
Subjecting to pornography 
Ritual or Satanic harm
Penetration with fingers, objects
Rape
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11
Q

Psycological Harm is:

A
Verbal comments
Humiliating
Intimidating
Ridiculing
Threatening
Bullying
Shouting
Inappropriate humour
Patronising
Harassing
Isolating
Ignoring
Denial of rights
Being overprotected
Withholding belongings
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12
Q

Neglect is:

A

Malnutrition

Dehydration

An unkempt appearance

Left to sit in soiled, stained clothing/bed linen

Not dressing someone appropriately

Refusing to buy new clothes

Isolation/lack of stimulation

Being left in cold rooms

Lack of supervision or abandonment

Loss of aids, e.g. glasses

Restricted in a chair/bed

Failure to provide access to the appropriate health and social care or educational services

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13
Q

Financial Harm is:

A

Cash stolen

Full benefits/pension not being received by the person

False pricing

Bills not being paid

The appointed person withholding money

Sudden transfer of a persons assets

Disappearance of property or belongings

Unexplained shortage of money

Restricted choice in where you live

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14
Q

Discriminatory Harm can be as a result of?..

A
Age
  Gender
  Disability
  Race
  Colour
  Sexual orientation
  Religious orientation
  Political views
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15
Q

If someone is identified what should be done next?

A

Is the person in immediate danger/in need of urgent medical assistance
You must report to your line manager and it will then be progressed by the relevant Adult Protection Network
Consider calling the police
Complete recording sheet/record of inquiry
Enter on Datix

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16
Q

What are the 5 Rs if someone has been identified?

A

Recognise - Be aware that people may be at risk of harm and may need support and protection

Respond - Address immediate support/ health needs. Ensure the people at risk are safe.

Report - Follow procedure outlined below

Record -Record all information including actions and decisions.

Reflect - Learn lessons from the experience. Share learning with team/ services. Use your experience to support colleagues.