Enable Rights and Choices of Indivduals with Dementia Whilst

ENABLE RIGHTS AND CHOICES OF INDIVIDUALS WITH dementia WHILST MINIMISING RISKS1 UNDERSTAND KEY economy AND AGREED WAYS OF WORKING THAT SUPPORT THE FULFILMENT OF RIGHTS AND CHOICES OF INDIVIDUALS WITH DEMENTIA patch MINIMISING RISK OF HARM1.1 The key legislations atomic number 18 Adult and In electrical condenser spell 2000, rational Health d anyy 2007, Disability Discrimination Act 1995, Safeguarding defenceless Groups Act 2006 and the Mental Capacity Act 2005. Human Rights Act. These are whole core principals of legislation regarding an individual with frenzy.Policies and procedures and agreed shipway of operative and safeguarding one-on-ones is some other key factor. All organisations and authorities take in a duty of tending towards an hole-and-corner(a) with dementia, GPs, Social Workers, Health Visitors, Family and Carers. All respective(prenominal)s with dementia comport the practiceds to nonplus choices. separates with dementia should be upgraded to ch ip in as many decisions as possible for them however they must be guided so they catch ones breath within the Mental Capacity Act 2005.Related article levelheaded and Organisational Requirements for Dealing With ComplaintsWe must assume that the various(prenominal) with dementia has capacity unless it has been assume that they lack the capacity to discover choices. We must non think that an man-to-man is not to be treated as futile to make a decision unless this has been established. An psyche is not to be treated as unable to make a decision because they might not al shipway make a wise decision. If a decision is do beneath the Mental Capacity Act on behalf of the psyche, the decision must be make for the best interests of the exclusive.Before a decision ground organise be made on behalf of the exclusive we must ask ourselves whether the purpose of the decision discharge be effectively achieved in a way that would not cut short the someones flops and freedom of choice and action. We overly have to ad here(predicate) to the Human Rights Act and code of Practises. The several(prenominal) with dementia result have to be embrace chances assessed. The psyche pull up stakes be encouraged to make their confess choices and decisions, if they make an unwise decision they should be offered other options which will dish proscribed intimation them to make a wise decision.Risk holds to be fit with Independence and mortals choices and working within legislations. We should not assume that all item-by-items with dementia are vulnerable this depends entirely on the stages of dementia. We should not restrict the Individuals from having choices and making decisions for themselves. Risk assessments send away be actually complex as no two assessors will come to the same conclusion regarding the Individual. We have to let the Individual with dementia take a certain amount of bump for themselves, al commencementing this to happen makes the I ndividual relish worthy and independent and more at ease with their illness.If we were to retch all(prenominal)thing an Individual did down as a luck the Individual would feel worthless, inadequate, and useless and they would feel that they are a slant on their family. We have to weigh up the risk against the danger this is the key. If we were to take away all the choices and decisions and have someone else make these decisions and choices on behalf of the Individual this would have a negative extend to on the Individual as they would be having everything took away from them and they wouldnt feel in control.A despotic impact on supporting the Individual to take risks, the Individual can motionless do their day to day activities etc, make their own meals, make cups of tea, do their own housework, laundry, take bathes, go for straitss. Wherever possible we should eliminate spirited risks and look at ways to reduce these risks so they become low risks etc, admiting an Indivi dual to make their meal observing them so they foolt hurt themselves, or ac beau monde them on a walk etc.1.2 People with dementia may have other difficulties too, corresponding loss of hearing, make trustworthy that the hearing aids are working well and that you speak to them in a loud clear vocalize so they can understand you. The person could excessively be in pain or dis comforter, they could be having side effects from medication which will affect the way they communicate with you. Other troubles would be eyesight, make sure they are wearing the correct prescription of glasses. Dentures are important as well, if the dentures are loose fitting then this will affect the persons speech and this will be frustrating for them . 3Personal schooling comes under the Data Protection Act 1998. We have to make sure private teaching is confidential. We have to dwell how to handle the own(prenominal) Information, agreed ways of working, policies and procedures are all legislat ion frameworks. The Information should be processed middling and lawfully. The Personal Data should be processed for limited purposes. The schooling should be adequate, pertinent and the entropy should be for the purpose of whom the selective breeding is processed for.The set forthation should be kept up to date and accurate. The claimation should not be kept longer than intended for. The Persona Data will be processed in accordance with the rights of data subject under the Act. Measures are in place to avoid the information world lost or unauthorised and unlawfully processed or damaged to. The Personal Information shall not be transferred to some other country outside the European stinting Area unless that country ensures an adequate level of protection for the rights and freedoms of data.Personal Information may be shared with others, have is carryed to do this at all times from the Individual or in the case of an emergency, abuse, or if neglect is suspected. If the In dividual is mentally incapable, informed consent should be given by the family or next of kin. Information that is shared with an advocate should be information that is for the Individuals best interest, Exchange of information from one organisation to some other should be shared and done securely and entrance money to the information should be controlled.Personal Information may be shared with dealrs who have access to the information regarding the service exploiter. The pityr will write up her findings when she has visited the service user and they will be on the log sheets in the care intention. When another carer goes to visit the service user they will look at the former notes the other carer had historyed and they will have a go against judgment of the service users situation and needs. This is one form of information sharing also the carer will access information from the care plan and from the med sheets.If a service user was to be hospitalised the paramedics may need the care plan and log sheets so they can read up and bump into if any information documented is relevant to the response of the paramedic. Also if a service user was to go into a care home the care plan and log sheets would be taken in to the home so the relevant members of staff could read the data and have a better understanding of the service user. The Medication sheet would also be in with the care plan a key factor is acquire consent to access information.BE ABLE TO MAXIMISE THE RIGHTS AND CHOICES OF INDIVIDUALS WITH DEMENTIA2.1 incur STANDARDS2.2 It is very important not to assume that an Individual with dementia cannot make their own decisions. From the time the Individual has been diagnosed the time scale is important as this gives the Individual time and may be capacity or limited capacity to make own choices and decisions. This is the time when the relevant authorities should prompt the Individual and gather as ofttimes information closely the Individual this in formation can come from the Individual, the family, the next of kin.Information on preferences, choices and decisions and wishes. Information on Individuals carriage experiences, strengths and abilities, family history, favourite foods, pastimes, hobbies, favourite drinks, dislikes, likes, favourite radio station, favourite tv programmes, routines, clothes the Individual likes to wear and socialising. All the information and choices and preferences will do the Individual and the masses supporting the individual prepare for the future. Early diagnosis of an Individual will give the Individual the rights to their freedom and this must be respected.As dementia advances the risk assessment plan will need to be reviewed and the care plan may need to change to halt the changes within the Individual. We should still encourage the Individual to make decisions and choices as much as possible, bearing in mind the risks which come with these decisions and choices. All the choices and deci sions should be monitored and recorded. Taking away the rights of an Individual with dementia can be intellect destroying, it can be frustrating, the Individual may become depressed, withdrawn, feel isolated, worthless, a burden, emotionally detatched and angry.Every emotion a normal person feels, the Individual with dementia will feel the same but on a higher scale. Dementia Individuals need to be in an environment of comfort and empowerment. The Individual will respond better to a person revolve closely approach. The Individual needs to feel a sense of belonging and attached, they need to feel included and feel part of a group or physical setting, they need to be occupied and kept busy beneficial as they was in their everyday life before they got the illness. Their environment needs to be created so that the Individual has support and can do the things they have always enjoyed doing.All Individuals with dementia have their own personal identity operator they are all unique so learning about their life stories and experiences can be of utility to the care they receive as the information learnt can be built into their interactions within their care plan needs.2.3 sympathise STANDARDS.3 BE ABLE TO INVOLVE CARERS AND OTHERS IN SUPPORTING INDIVIDUALS WITH DEMENTIA3.1 SEE STANDARDS.3.2 There can be conflicts and disagreements between carers and Individuals with dementia and also conflicts with family members. When the job arises we have to address the problem and try and resolve the problem as soon as possible.We have to take into account the rights and choices of the Individual and balance this with the risk and safeguarding of the Individual. An Individual who has dementia may not necessitate carers to come into their homes they may not want anybody doing things for them and refuse the help. This can be frustrating for the carer however the carer may talk to the Individual in a subtle way and beg off that he or she is not here to take over their lives but just here to help support them when they need help and just here to see that the Individual has had their medications.The carer will find it useful to read the Individuals notes and care plan and get as much information as possible on the Individual. The carer will have to reassure the Individual and try and gain their trust. The carer may ask the Individual if you could accompany them to the shops or to an appointment etc. The Individual must be allowed to take risks however if the risks look like they are dangerous or appear to be harmful we must explain the reasons to the Individual. If we cannot resolve the problem there and then, we must record the information and report it to the autobus of the company supplying the service.The manager will take the appropriate action with the relevant authorities. The safeguarding of the Individual is paramount and we should never ignore potential high risks or dangers to the Individual, and we must work to policies and procedures and a greed ways of working at all times.3.3 All organisations and service brookrs have a system for ailments and procedures these are licit requirements. Everybody has the right to complain about poor quality services, services not being delivered, services that Individuals need but are not being supplied, conflict with carers, service providers.The Individual will have a document of bursting charges within their care package. The document should be clear and informative on how to make a complaint. The document will state who the complaint should be made to and timescales for when the complaint will be dealt by. If an Individual with dementia cherished to make a complaint I would support them and if they wanted I would read the document to them and support them in filling out the form. If the Individual with dementia didnt have full capacity to fill out the form I would liaise with the next of kin, family members or advocates.I would inform them that the Individual would like to mak e a complaint and if they would like to help the Individual to fill the form out providing the Individual gave consent. I would explain how the complaints system works and when they would receive a response to the complaint. I would inform my manager that the service user or service users family have made a complaint and I would take the complaint in an addressed envelope to my manager as soon as possible. When handling a complaints document with an Individual with dementia I would work within the Mental Capacity Act 2005.I would explain to the Individual and the next of kin that the document is confidential and that it will be dealt with in a professional manner and that the complainant has nothing to worry about regarding the complaint and explain that it is their right of choice to complain. I would also explain that whilst complaints are being dealt with it makes the service user resolve the problems and also it is of benefit to the organisations in ensuring the problems dont oc cur again and that they get it right first time and this will have a positive impact on the organisations.If a carer wanted to make a complaint about another carer they would follow the same procedure in filling out the document and they would take it to the manager. The manager would explain that in making the complaint it does not jeopardise their employment as they have a right and choice as whether to make a complaint. The manager would work towards decide the complaint in a professional manner so that the employees can move forward and be happy in their work.4 BE ABLE TO MAINTAIN THE PRIVACY DIGNITY AND RESPECT OF INDIVIDUALS WITH DEMENTIA WHILST PROMOTING RIGHTS AND CHOICES4.1 From a personal experience of supporting an Individual with dementia to maintain screen and dignity, I have found that the more I get to know the Individual and them getting to know me the easier it has become for both of us to feel comfortable about maintaining privacy and dignity. Personal care and hygiene is a key factor. We should support the Individual to maintain their personal hygiene and coming into court and their living environment to the standards that they want. We should respect their choices and decisions of choice of dress, hairstyle etc.We should let the Individual with dementia make own choices and decisions. We should not make assumptions about standards of hygiene for Individuals. We should respect cultural factors and take them into consideration when supporting the Individual. Supporting the Individual to have a clean appearance and pleasant environment is dangerous for the Individuals self esteem. Supporting female Individuals with dementia helps them to keep their home exquisite and clean and helps towards maintaining their dignity and self respect.Supporting a male Individual with dementia, he may need support with shaving, maybe prompting the Individual to shave will all it will take and the Individual may go to the backside and have a shave and this will allow him to maintain his dignity and respect for himself. Supporting an Individual to have genuine hygiene will also reduce the risk of infection and enkindle well being. We should ensure that the Individuals personal preferences are respected as well as their choice in how to support them.Personal hygiene can be of many aspects, washing, bathing, showering, denture care, oral hygiene, foot care, hair care, grooming, demolish care, toilet care , continence needs, dressing and undressing, laundry and housekeeping. We should treat every Individual with dementia with respect like we would anybody else. We should provide a person centered approach towards their care, putting the Individual at the centre of care. confabulation shows how we respect the Individuals and this will help maintain their dignity and respect.Privacy is also a key factor for an Individual with dementia privacy must be respected at all times. We should respect privacy where people have personal relationsh ips and sexual relationships. We should always ask permission and blame before we enter an Individuals personal space. We should get permission before accessing Individuals possessions and documents we should provide space and privacy for Individuals private conversations. We should make sure the Individual receives their personal mail unopened, we should always pull the door too if the Individual is getting dressed or undressed and doesnt require support.We must surveil with the Human Rights Act 1998 as this gives the Individual the rights for respect, dignity, privacy and a private family life. Individuals with dementia should receive care and treatment in a self-respectful manner that does not embarrass them, humiliate them or expose them. ordinance states that the Individual with dementia are to be treated as competent to everybody else. If an Individual with dementia had a toilet accident or was having ceaseless toilet accidents, I would support the Individual by assuring them that it is ok and that it doesnt matter and that it can be cleaned up.I would encourage the Individual to go to the bathroom whilst still assuring them. I would close the bathroom door and support the Individual to take off their soiled attire and prompt the Individual to maybe shower or have a bath or a wash whilst still ensuring them everything is ok, I would encourage the Individual to have a bath in privacy thats if they didnt need support with getting in the bath or shower, I would let them wash themselves in privacy and when they had finished I would knock on the door and ask if they were ok and support them to put clean brisk clothes on so they feel fresh and clean again.If the problem was ongoing I would report the problem to my manager as the Individual may need extra support and may need continence pads or pants, I would also discuss this with the Individual in a subtle way. I would work to policies and procedures and agreed ways of working and adhere to professiona l boundaries.4. 2 SEE STANDARDS. 4. 3 SEE STANDARDS.