Tuesday, May 5, 2020

Residential Care Policies-Free-Samples for Students-Myassignment

Question: Discuss about the Residential Care Policies for Elderly Persons with Disability. Answer: Introduction The number of elderly people with intellectual disability has increased considerably. As one ages the functional deficient generally decreases with the age. People having intellectual disability often have to confront with dependency and functioning impairment related to chronic situation, especially the ones who are residing away from home in residential care facility. This report aims to focus on the elderly individuals with intellectual disability under residential care setting in Ireland. It also provides an insight to the history of elderly care taken in the nursing homes in Ireland, Canada and United Kingdom. History and development of residential facility for the intellectually challenged elderly In the late 1970, in spite of the national community care policy for the elderly and the disabled which emphasized on the fact that older disabled people should be kept at home, a possibility was noticed in the income support system for meeting the majority of the person's cost if they are shifted to a residential care setting (Cooney, 2012). There was an escalation in the social security costs spend on residential care settings. This paved the way for a burgeoning private sector expansion of the residential care homes that were often run as small businesses. For example it was quite natural to find a local builder adapting properties for becoming care homes which were afterwards managed by his spouse and staffed by the family members. Thus became a very flourishing business. In the era of 1800 and 1900, there had been an epidemic of Asylums in Ireland, as at one point about 20,000 people in the institution were being treated for mental illness; most of them were older adults (Cooney, 2012). According to the published history of Ireland, it was actually not an epidemic of mental illness; instead there was a combination of social, political and other factors that lead to such a higher number of people. According to Cooney, (2012) early residential care and the asylums were more like prisons than a proper residential care. Formal domiciliary care has come as a solution to the challenges in providing care to the ageing population of Ireland. Previously there was a lack of community care for the elderly. It is asserted frequently that home care is the most preferred choice of care for the elderly. But according to the researches, equal proportions of elderly find informal care acceptable. Previously most of the care provided to the people was mainly based on home care. One of the earlier policy documents meant for the intellectually disabled older individual stressed on the desirability of domiciliary care from the perspective of the well being of an older person and from the cost perspective (Cotter et al. 2012). Although nursing had existed since the development of early human beings, it was not before Florence Nightingale that nursing became a profession. The nursing profession had diversified its sector leading to specialization in many fields, which is represented by the division of Irish professional register of nursing maintained by the regulatory board of Ireland, An Bord Altranais (ABA). Historically, the elderly people having intellectual disability were institutionalized with people who are poor, infirm, unemployed and mentally instable. Institutionalized care was predominant from 1700s. At that time the untrained members of the religious order constituted the major work force of the asylums and the hospitals. Provisions for the people having intellectual disability started by the end of the nineteenth century and the services were structurised concretely to meet the needs of the people. The concepts of typical nursing homes moved above a custodial approach of care and emphasized more on a holistic view of elderly people who are intellectually challenged and that focused on their need and education. The nurses working came from psychiatric and general background and they started employing illness oriented initiatives for the caring of those elderly who were not ill and have intellectual disability (Cotter et al. 2012). The intellectual disability nursing in Ireland for the elderly was in the late 1940s. Current provisions in the area The health services executive of Ireland offers a wide range of services for older individuals in Ireland. Local support can also be obtained from agencies like Department of social protection, Local authorities and certain voluntary organizations. The role of the residential care homes is to provide a family style care for the elderly people who do not have a positive health. Intellectually challenged people needs both medical care and also responds better to social and family care model. The residential care homes help the intellectually challenged elderly people to remain in a society, where they can interact with their type of people and thus increase the scope to socialize, thus enhancing their mental and social well being. Cotter et al. (2012) will provide medical monitoring apart from the stay. The residential facility has trained health care professionals, Health care volunteers and entrepreneurs that can offer help to the frail intellectually challenged elderly persons to ma intain their quality of life. It should be remembered that elderly persons are affectionate hungry. Approximately 6% of the older people seek help from residential care facility. Because of the difference in the life expectancy rates the majority of the older intellectually challenged people receiving residential care facilities are women. Eldercare in Ireland is mainly a combination of private and public provisions, a large proportion of which is given by private individuals within a family (Cotter et al. 2012). The Irish system of health care had to depend heavily on unpaid care, most of which is offered by the women (Doody et al. 2013). Locally, the important source of help to the older people came from women having extended family structures. At the local level the most important support to the older people increases and those who are dependant becomes a higher population of the people. The residential care homes for the older adults in England were registered with the care quality commission that provides a number of residential care beds. The Canada community residential care sector encompasses a range of living options for elderly people with different needs. With varying terminologies across the country, residential care facilities can include the lodges, assisted residency, and supportive housing and care home s for long term. The community integrated care in UK provides specialist residential care to the people with age related health care needs and dementia for leading a happy and full lives. The community integrated care provide spacious bedroom, trained staff, meals , specialist furnishings and the facilities, engaging various activities programs, regular access to proper doctors. It also communicates with the local community to provide care to the elderly with intellectual disability (Doody et al. 2013). Legislative framework and policy provisions A number of standards acts are there for the care and the regulation of older persons in voluntary, public and private residential care setting. The national Quality Standards for Residential settings, the health act 2007, the health Information and the quality Authority (HIQA) was established as a part of the Health act 2007 (Walsh and Shutes 2013). They are responsible for setting variable standards for the health and social services. They undertake registration and the inspection of the public. They provided charitable and the private residential service for the older people (Szebehely and Trydegrd 2012). This involves following up of the information, frequent visits to the residential homes by the officers for ensuring a good quality of life for the elderly persons with intellectual disability. Inclusion Ireland is a National association for providing support to persons with intellectual disability. Their main vision is to engage the intellectually challenged elderly to participa te in their community with equal rights as citizens and for living their life of their choice to the fullest (Dalton and Sweeney 2013). The UN convention on the rights of Persons with disability (CRPD) is an important agreement that has been signed by Ireland, which focuses on elderly people having intellectual disability residing under a residential care. Reflection Social care professionals provide support, advocacy and care to those people who are the vulnerable class of the society, including the people with disabilities. Teamwork and group project are an integral part of the social care professionals as they have to access a large number of people and communities. With the projects and the presentations I have achieved skills and expertise that is required to become a social care worker. We often have to work with children and families at risk, people suffering from addiction issues, asylum seekers and elderly people. The project and the presentation had allowed us to focus and develop our knowledge regarding the residential care, the disability and the society based services. The project and the presentation have helped to examine the nature of the recent theories and practices of social work. It is necessary for us to look at the profession as a whole. The study had helped us to understand that social forces impacting a large number of peo ple recognized by their influence over some people have been seen by other people one at a time. It has helped me to develop a habit of going deep inside the matter instead of just providing help to the needy. Furthermore the group presentation and the project have helped me and my peers to understand about the importance of the collaborative practice in social work. It has helped me to avoid every conflict of interests that normally arises in any team work. I am bestowed with the art of bringing about better social adjustments in the social relationships of human beings. A critical reflection can be made by following the UNSTAR model of reflection. UN (Intellectual understanding)- Projects and presentations in social care can be useful in developing the intellectual understanding among the groups and the partners. Being a part of a team had helped me to develop the interpersonal skills such as listening, speaking as well as the team working skills like leadership and motivating the other members. This project and presentation has helped me to understand the history of nursing care in Ireland, how the elderly with intellectual disability were taken care off. It also provided evidence to the role of religion and the involvement of the religious workers in the workforce development of the asylums and the hospitals. Team work can be defined as the method of working in a group collaboratively to achieve a complete goal. The team work and the projects could help us to gain knowledge about the differential elderly care settings in different parts of the world. In my presentation and project I have worked with the juvenile prisoners and have tried to address their gri evances and understand their cognitive behavior. Situation We have often come across the many vulnerable classes of the society such as persons with physical disabilities, psychotic and mentally challenged people, elderly persons, women and children at risk, sex workers and juvenile prisoners. Reflecting on situations we have come across a project that requires to be dealt with juvenile prisoners. While working on the project and the presentation. We could learn about the history of the detained youths, the harsh conditions and the overcrowding in the detention facilities after being arrested and also while awaiting legal action. The team also required to conduct interviews with staffs or even with the juvenile members. The whole set up needed a collaborative approach from setting up of the presentation to gathering of information, which is only possible being part of a team. Actions As a part of the team, I have visited the Juvenile homes, gathered relevant information, has taken a note of their current conditions. Being a part of a team I have understood how a large task can be accomplished by distributing the work load among the different members. I have also brainstormed through several databases to search for the relevant information. Surveys and questionnaires were made suitable to their age. We also conducted a one- on one interview with the staffs in order to understand the behavioral and the cognitive status of the captives. Result The outcome of the project was that it helped us to understand the underlying reason behind the conditions of the juvenile prisoners, their grievances, mentality and the reasons for the behavioral pattern. The presentation and the project had enough rationale for the scope of this project in future. It helps us to understand the importance of strength based approach over deficit based approach while dealing with the juvenile prisoners References Cooney, A., 2012. Finding home: a grounded theory on how older people find homein long?term care settings. International Journal of Older People Nursing, 7(3), pp.188-199. Cotter, M., Donlon, S., Roche, F., Byrne, H. and Fitzpatrick, F., 2012. Healthcare-associated infection in Irish long-term care facilities: results from the First National Prevalence Study. Journal of Hospital Infection, 80(3), pp.212-216. Dalton, C. and Sweeney, J., 2013. Communication supports in residential services for people with an intellectual disability. British Journal of Learning Disabilities, 41(1), pp.22-30. Doody, C.M., Markey, K. and Doody, O., 2013. Future need of ageing people with an intellectual disability in the Republic of Ireland: lessons learned from the literature. British Journal of Learning Disabilities, 41(1), pp.13-21. Doody, O., Slevin, E. and Taggart, L., 2012. Intellectual disability nursing in Ireland: identifying its development and future. Journal of Intellectual Disabilities, 16(1), pp.7-16. Szebehely, M. and Trydegrd, G.B., 2012. Home care for older people in Sweden: a universal model in transition. Health social care in the community, 20(3), pp.300-309. Walsh, K. and Shutes, I., 2013. Care relationships, quality of care and migrant workers caring for older people. Ageing Society, 33(3), pp.393-420.

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.