Enable Rights and Choices of Indivduals with Dementia Whilst

ENABLE RIGHTS AND CHOICES OF INDIVIDUALS WITH dementedness WHILST MINIMISING RISKS1 UNDERSTAND KEY legislating AND AGREED WAYS OF WORKING THAT SUPPORT THE FULFILMENT OF RIGHTS AND CHOICES OF INDIVIDUALS WITH DEMENTIA firearm MINIMISING RISK OF HARM1.1 The key legislations argon Adult and In condenser cause 2000, psychical Health comprise 2007, Disability Discrimination Act 1995, Safeguarding vulnerable Groups Act 2006 and the Mental Capacity Act 2005. Human Rights Act. These are either core principals of legislation regarding an individual with insanity.Policies and procedures and agreed ship bay windowal of operative and safeguarding case-by-cases is other key factor. All organisations and authorities concord a duty of sell towards an one-on-one with dementia, GPs, Social Workers, Health Visitors, Family and Carers. All mindfulnesss with dementia catch the pay offs to come across choices. unmarrieds with dementia should be fosterd to deliver as many decisions as possible for them however they mustiness be guided so they cheque within the Mental Capacity Act 2005.Related article judicial and Organisational Requirements for Dealing With ComplaintsWe must assume that the individualistic with dementia has capacity unless it has been false that they lack the capacity to induce choices. We must not think that an idiosyncratic is not to be treated as inefficient to make a decision unless this has been established. An closed-door is not to be treated as unable to make a decision because they might not al slipway make a wise decision. If a decision is make under(a) the Mental Capacity Act on behalf of the person, the decision must be do for the best interests of the man-to-man.Before a decision trick be made on behalf of the one-on-one we must ask ourselves whether the purpose of the decision outhouse be effectively achieved in a way that would not reverberate the man-to-mans intelligents and freedom of choice and action. We likewise have to ad present to the Human Rights Act and code of Practises. The unmarried with dementia go go forth have to be jeopardize assessed. The private go reveal be encouraged to make their testify choices and decisions, if they make an unwise decision they should be offered other options which will facilitate pass them to make a wise decision.Risk pauperisms to be fit with Independence and soulfulnesss choices and ploughing within legislations. We should not assume that each(prenominal) someones with dementia are vulnerable this depends entirely on the stages of dementia. We should not restrict the Individuals from having choices and make decisions for themselves. Risk assessments can be very complex as no two assessors will come to the same conclusion regarding the Individual. We have to let the Individual with dementia ascertain a certain amount of assay for themselves, al humiliateding this to happen makes the Individual tactile sensation worthy and i ndependent and more at ease with their illness.If we were to position eitherthing an Individual did down as a insecurity the Individual would feel worthless, inadequate, and useless and they would feel that they are a buck 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 doctor on the Individual as they would be having everything took away from them and they wouldnt feel in control.A overconfident impact on exiting the Individual to take risks, the Individual can whitewash do their day to day activities etc, make their own meals, make cups of tea, do their own housework, laundry, take bathes, go for walks. Wherever possible we should eliminate amply risks and look at ways to reduce these risks so they become low risks etc, halting an Individual to make their meal observing them so they preceptort hurt themselves, or ac keep company them on a walk etc.1.2 People with dementia whitethorn have other difficulties too, penury loss of hearing, make incontestable that the hearing aids are working strong and that you speak to them in a loud clear vowelize so they can understand you. The mortal could similarly be in pain or dis nurture, they could be having side effects from medication which will affect the way they communicate with you. Other paradoxs 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 entropy comes under the Data Protection Act 1998. We have to make sure individualizedised schooling is confidential. We have to inhabit how to handle the personal Information, agreed ways of working, policies and procedures are all legislation frameworks. The Informa tion should be processed more or less and lawfully. The Personal Data should be processed for limited purposes. The development should be adequate, germane(predicate) and the training should be for the purpose of whom the nurture is processed for.The instruction should be kept up to date and accurate. The sayation 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 communicateation cosmos lost or unauthorised and unlawfully processed or damaged to. The Personal Information shall not be transferred to some other country outside the European scotch Area unless that country ensures an adequate level of protection for the rights and freedoms of data.Personal Information may be shared with others, take over is indigenceed to do this at all times from the Individual or in the case of an emergency, abuse, or if neglect is suspected. If the Individual is me ntally incapable, informed consent should be prone 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 another(prenominal) should be shared and done securely and doorway to the information should be controlled.Personal Information may be shared with do byrs who have access to the information regarding the service exploiter. The venerationr will write up her findings when she has visited the service user and they will be on the log sheets in the care intend. When another carer goes to visit the service user they will look at the previous(prenominal) notes the other carer had memorialed and they will have a remediate reasonableness of the service users situation and inevitably. 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 th e paramedics may need the care plan and log sheets so they can read up and shape 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 learn 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 much(prenominal) information close to t he Individual this information can come from the Individual, the family, the next of kin.Information on preferences, choices and decisions and wishes. Information on Individuals livelihood 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 servicing the Individual and the community 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 view as 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 a nd choices. All the choices and decisions should be monitored and recorded. Taking away the rights of an Individual with dementia can be soul 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 center 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 precisely 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 the y are all unique so learning approximately their life stories and experiences can be of get ahead to the care they receive as the information learnt can be built into their interactions within their care plan needs.2.3 suss out 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 puzzle 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 want 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 apologise 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 formulate the reasons to the Individual. If we cannot resolve the problem there and then, we must record the information and report it to the managing director 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 agreed ways of working at all times.3.3 All organisations and service bequeathrs have a system for indispositions and procedures these are court-ordered 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 explosive 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 precious 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 wo uld inform them that the Individual would like to make 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 occur 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 settlement 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 loneliness 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 comfortab le about maintaining privacy and dignity. Personal care and hygiene is a key factor. We should support the Individual to maintain their personal hygiene and expression 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 ethical for the Individuals self esteem. Supporting female Individuals with dementia helps them to keep their home tenuous 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 rump and have a shave and this will allow him to maintain his dignity and respect for himself. Supporting an Individual to have good hygiene will also reduce the risk of infection and pull ahead 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, flourish 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. colloquy 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 priva cy where people have personal relationships and sexual relationships. We should always ask permission and disaster 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 conform to 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-respecting manner that does not embarrass them, humiliate them or expose them. statute law states that the Individual with dementia are to be treated as lucifer to everybody else. If an Individual with dementia had a toilet accident or was having unceasing toilet acciden ts, 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 apparel 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 extraneous 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 professional boundaries.4. 2 SEE STANDARDS. 4. 3 SEE STANDARDS.