232 Move And Position Individuals In Accordance With Their Plan Of Care

4.2- outline how the principle of ‘duty of care’ can be maintained whilst supporting individuals to take risks

should check the care plan in order to know they are providing the correct care and support and following the individuals wishes. If any problems are recognised then the care plan can be updated to reflect these changes.

2. ensure the agreed care plan has been checked prior to undertaking the pressure area care

Staff are required to make an entry in to an individuals care plan once in twelve hours. This entry is in the daily life and review and will contain details regarding medication administration, dietary and fluid intake, elimination, mobility, mood, behaviour exhibited and any changes or deteriation of the individual. There is also a requirement to record visits from doctors, nurses and other health proffessionals.

SHC34-2.2 Describe how to manage risks associated with conflicts or dilemmas between an individual's rights and the duty of care.

The importance of the human body with correct moving and positioning in relation to anatomy and physiology includes making sure you understand the different kinds of joints (hinge/ball and socket for example) are held together by ligaments and tendons and how easy it is to damage these joints by pulling on them or for example heaving people around a bed or not using a hoist but instead by dragging people up under their armpits. This could cause a shoulder to be dislocated etc by incorrect handling. There are pressure areas on the human body (shoulders, ankles, bottom etc) which are prone to pressure sores which can progress on to full thickness of skin loss.

Anatomy and Physiology of a human body in relation to the importance of correct moving and positioning of individuals

Before an individual moves into the property they should be given plenty of opportunity to visit the property, this enables them to get to know the other individuals who reside at the property and also gives them a chance to meet the staff team. The individual should first come for a daytime visit with their social worker/CPN and also if they wish a family member or another individual they may choose, after the initial visit the individual should then be invited to the property for a communal meal, then for an overnight stay and finally a 2 night stay.

When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into

Good communication with the individual should be enhanced. Both individual and carer must compromise and negotiate to what would benefit most for the individual as long as it is safe. Thorough information should be given and must acknowledge the benefits of their choices. This is a way of recognising rights and choices of the individual. One example is the resident’s choice not to use his/her walking frame. This is one conflict of decision – making. Decision should be tailored to the needs of the resident

2.2 Describe how to manage risks associated with conflicts or dilemmas between an individual’s rights and the duty of care.

While working with vulnerable groups of individuals in health and social care settings there are times when care workers are faced with a conflict of interests. Very often ethical dilemmas will not have the right answer and will depend upon a number of considerations. When the care worker is faced with a dilemma and will be expected to make a decision. Before making a decision, the care worker must consider their risks to the individual and any other people, the policies of the organisation and if they have all the facts of the case.

2.2 Describe how to manage risks associated with conflicts or dilemmas between an individuals rights and the duty of care.

To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals’ ability to come to his or her own decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self-fulfilment and to as much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his Timetable, how could it have been effective?, he was unhappy and

This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and