Block 1 - Care in Families

Block 1 - Care in Families

1. Are they a carer?

   • Over 35 hrs per week
   • Not earn more than £95 per week.
   • Caring for someone registered disabled
     • Interdependance - In case of Ann and Angus: Angus provides home, Ann provides services and care for Angus...reciprocating care.
   • Be over 16 and not a registered student.
   • Case Study: Ann and Angus.
   • Meets Direct Gov's : ...someone who looks after a friend/ relative or neighbour who needs support because of illness, age or disability. Does not apply to professional care worker. (2006) Parker and Lawton 1994 - Performs personal serices (washing/toileting), physical labour, gives medicine, and/or keeps company..".

2. Caring for relative:

   • Positives for carer: Sense of accomplishment. - Loyalty - Knowing the person who you are caring for - Carer's allowance - Closeness and bonding - reciprocation.
   • Positives for person receiving care: Knowing the carer - loyalty and love less risk abuse - closeness.
   • Negatives for carer: Sense of duty - Loss of dignity - embarrassment for personal care - reduced social life - isolation - feeling trapped - feeling of being taken for granted - Injury - pressure from other family members - unable to pursue a career.
   • Negatives for the person receiving care: Loss of dignity - embarrassment at personal care - restricted access to the outside world - stress for family members could lead to a breakdown in the relationship.
     • Case Study: Mrs Bliss p13, talks of strain of caring for relative.

3. K101 principles of care:

   • Maximising potential
   • Right to have a voice and be heard.
   • Respect for beliefs and preferences
   • Right to appropriate services.
   • Rights to privacy and confidentiality.

4. Technical terms:

   • Biomedical approach: traditional approach where doctor diagnoses what is medically wrong and then prescribes treatment.
   • Sick Role: Illness is not regarded as the person's fault - exempt from responsibility from normal activities - must see health professional and follow advice. Must also stop any other activities.
   • Assessment: process of determining needs. Care package: services that meet the needs identified in the assessment. Care manager: the person responsible for managing the care package, budgets, plans and organisations to deliver care. Care plan: record of what someone can expect. p121
   • Maslow's hierarchy of needs. State that as in the pyramid, the needs on a lower block must be met before moving to the next set of needs/wants. i.e. needs for air and water must be met before the need for shelter becomes a real issue. p205 (1990)
   • WHO definition of health p108 (1946). A carer is someone who provides care for more than 35 hrs per week.
   • Parker and Lawton 1994 - Identify what carers do - personal services, washing, physical labour, administer medicine, be company for.
   • Health care - free at point of delivery i.e. hospital care, inpatient.
   • Social care - is means tested.

5. Acts;

   • Carer's recognition Act 1995 - First to recognise carers.
   • Carer's Equal Opportunity act 2004 Allows carer's an assessment of their needs as well.
   • Townsend. 1950's Bethnal Green

6. Changing roles of family networks

   • 6m family carer's in UK
   • Families living further appart
   • 58% women carers. 42% men, but seen as a predominantly female role.