Block 1

Block 1

1. Carers

   • supports and helps a family or friend due to age, sickness or disability
     • Ann & Angus
       • Ann became carer when her mother died
         • Felt expected to care for Angus (a woman's job)
           • Promised her mother on her death bed to care for Angus
             • No choice
               • Loves Angus
               • had to care for Angus
                 • most people being cared for are older
           • majority of carers are woman
         • cares for her step father who has parkinsons
       • Ann doesnt see herself as a carer
         • saw herself as a wife,mother & dutiful daughter
         • If she recognises herself as a carer she faces Angus isnt getting better
           • the word carer is a label as is being cared for
         • if she did she may get more help/support
           • unaware of help available to her
             • informal support
               • support from family/friends
             • formal support
               • support from outside agencies
         • some things she does for Angus are done for the whole family ie: cooking tea
       • personal tasks - wahsing/toileting
         • Physcial tasks - in & out of bed, up & down stairs
           • Gives medicine/keeps company
       • Consequences of care
         • for both the carer& families
           • Hardwork
             • some sort of crises often prompt people to ask for help
               • stress
           • demadning
             • time consuming
           • guilt
           • lack of income
             • 1/3 carers live in poverty
             • have to adapt home/extra heating cost etc
           • less family / personal time
             • feeling alone
           • lack of choice
             • had to give up work
         • care relationships
           • easier to care for if relationship is good
             • families can help build confidence being cared for by attitude and expectations
               • reciprocity - you scratch my back ill scratch yours as such
         • people being cared for
           • loss of independence
             • feeling relient
             • isolated
               • relatives may not live close
               • may not have many friends/cant go out
             • lack of choice with tasks at home
               • lack of choice with whom cares for them
               • lack of support
           • feel a burden
           • scared
           • fear
             • vulnerable to abuse
       • social care
         • assessments if people need a care package
           • care package: set of services to meet care users needs
           • can be waiting a while for an assessment
         • care plan - record of care people can expect & have to sign to agree to it
         • Marslows hierarchy of needs - until basic needs are met such as food, drink then higher needs will be less of concern
         • help of support & aids/adaptations
         • not every one is eligable
           • lack of funding, councils decide who gets authortive help - usually critical risk care users
             • postcode lottery - what you get varies as to where you live
         • health care free/social care is not
         • home care
           • enables care users to stay at home
           • work to a care plan which determines what they do for each client
           • clear work boundaires eg: being friendly not a friend
           • principles of care
             • support people
             • having a voice and being heard
             • respect peoples beliefs & preferences
             • support people rights to appropriate services
             • respect privacy & confidentality
   • cost of care higher without carers
     • cost government more without carers
   • 6million people provide unpaid care support in the uk
   • Carers allowence
     • provide atleast 35hrs care a week
       • hard to measure time caring & it varies day to day
     • 16 and over and not a student
     • caring for someone who is disabled and recieving DLA / over someone over 65
     • does not earn more than £95pw
     • only get £60pw (2013)
       • does no increase with the more work or hours you do

2. The sick role

   • 3 key features
     • sick person not repsonsible for being ill but expected to want to get better
     • temporarily exempt from normal duties but expected to stop other things you normally do
     • expectation to seek help from a health care professional & follow it
   • being ill but cant show it eg :back pain
     • others may not believe back pain for eg is a condition
   • illness is to do with bodies minds & social surroundings
     • biological, psycological & social aspect

3. Anwar Malik

   • Did not see himself as ill
     • scared to go to a doctor
       • perhaps felt a burden on the NHS as he is an immigrant
         • english is not his first language
         • different culture eg: didnt like to talk openly about private things with a woman
     • Hansa (wife) was concerned about her husband
     • felt it was just his age
     • may carry personal consquences so may not accept illness
   • Primary health service
     • services directly accessible eg GPs
       • GP - medical doctor whom works in the community
         • GP have more help now than they did 50yrs ago eg: receptionists, practise nurses etc
           • many memebers of PHCT and are managed by a practise manager and have other GP within the surgery
         • GP surgery has its own culture and can be unsettling for some people
     • Make your own decission to use primary services
     • secondary health service
       • services available by being referred from a primary service eg: renal unit
       • Hospital
         • diagnoses/treatment
         • more specialist doctors
         • advanced equipment
         • round the clock nursing
         • obsevation
         • Biomedical science
           • support & diagnose treament
           • research
         • more teamwork as oppose to heirarchy
   • felt scared/awkward
     • GP surgery is a strange environment
   • Diabetes
     • type 2 - body lacks insulin so blood sugar rises to dangerous levels
       • could cause damage to his eyes and body if his blood sugar isnt checked daily
         • self monitoring kit & leaflets given to help Anwar
           • diet sheet given & diet advise
     • change of lifestyle
       • change in diet
       • daily excerise
       • life changing condition - needs commitment to manage via self care
         • demanding condition
         • may cause him to be depressed
   • barriers Anwar faced
     • the diet didnt fit in with his culture
     • his wife couldnt read english so she couldnt use diet sheet provided a she done most the cooking
     • cultural barriers with excerise ie: men and woman tend not to mix and i wasnt in his culture to excercise
     • did not fully understand about treatment or care
       • influenced by beliefs that tablets didnt work