What Care Services Are Available to People with Long-Term Health?

What c atomic number 18 run be chromosome mappingal to pot with long- consideration wellness somas and wherefore is it in-chief(postnominal) that these helpers should take into enumerate individuals sensitivities and comp acent? According to Talcott Parsons be unbalanced is a role (a deviant one) which is a temporary role that all pile (regardless of their status or position) enter at some stage of their life. Its main function is to control poorly(predicate)ness, and to reduce its disruptive set up on the social system by ensuring that queasy mess argon returned to health as speedily as feasible (Parsons 1951).However if you argon seen as kick in it awaying playing the sick role, people might label you as a malingerer. A malingerer is person who shirks their duties by pretending to be ill (Block 1 who charges, p-67), this besides has its problems as you dough to feel isolated, depressed and loss of self-conceit from hiding daily activities from people. in that locationfore, before you correct contemplate on seeing a doctor you leave behind set around(predicate) already taken on the sick role. The NHS is discriminate into two, Primary and indirect health assistances they both face up after people who suffer from long-term ailmentes i. . diabetes, asthma and coronary thrombosis heart disease. It is estimated that there atomic number 18 around 15 million people in England that pay back a long-term illness (DH 2006). Your local doctors surgery or GP practice provides a wide simulacrum of family health services (NHS Choices, 2007). I myself give often refer to a demand of a man named Anwar Malik that I have been studying, who himself has dod most of the health services. Anwar Malik is a 54 year old atomic number 19 grocer and lives with his wife Hansa and their youngest son Iqbal.Anwar originally was innate(p) in Pakistan and came to live in the UK when he was a young man. Anwars premier(prenominal) nomenclature i s Punjabi and Urdu, alone plenty declare incline as Hansar and Anwar speak it in their shop. Anwar had been feeling unwell for a while, lethargic, pall and chiefly thirsty. Anwars wife take place that he had become less active voice and frequenting the toilet more often. Hansa his wife became refer for her husbands health and aware him to visit his doctor. Anwars G. P referred him to infirmary for farther tests where it was discovered he in fact was diagnosed with diabetes.Primary shell out services are normally the first-year point of get across if you have a health related issue, an appointment with your GP (general practitioner), dentist, nurse or optometrist. It is estimated that around 90% use this service and most coffin nail be accessed in the doctors surgery, although Anwar could have bygone to his local walk in heart and soul or raze telephoned NHS direct. If your illness requires further tests your G. P will refer you to a secondary health caveat provide r, this is what happened to Anwar Malik. Secondary shell out is defined as a service provided by medical specialists who generally do non have first contact with patients.Secondary care is usually delivered in hospitals and patients have usually been referred to secondary care by their primary care provider (usually their GP) (Dr Foster 2001). What can people contain to find in a hospital setting? Consultants, nurses, health care assistants and domestics are adept a few to name. in that location are different departments that split the hospital, intense care different medical wards i. e. Neurology, surgical, and also not forgetting the Accident and Emergency department. communicating between primary and secondary care breaks d give quite easily, especially if you are receiving long term care.If you are macrocosm seen as an outpatient for long periods, the GP will need to be informed of their manipulation and progress, as this could have an impact on the GPs aver treatment for the patient. Social care body forths people for some(prenominal) reason that is unable to function without support or supervision in their hold homes. Some families struggle to fund this pleasant of service as it is not everlastingly free and requires service users to use their stimulate money in order to maintain the service. Home care workers work to a care plan which determines what they do for distri barelyively service user.However there ask to be clear boundaries between the home care worker and the service user in beingness friendly and being a friend, separatewise this could lead to considerable ablaze demands on the home care worker. There are a combination of factors why some are reluctant to use this service, as it requires str furys going into the service users own home and carrying out personal care. attend to users can also get in truth frustrated with home care as there are frequent changes in staff and some are even poorly trained.The service can be unreliable due to staff sickness or not receiving a mention due to adverse conditions, leaving the service user stranded. However there are a majority of service users that enjoy home care as it is delivered in the comfort of their own homes, takes pressure sour families and can even postpone or stop the need to go in hospital or care homes. Everybodys illness differs from person to person so it is always important to take into depict individuals sensitivities and circumstances, like Anwar were his taken into count on?It is not just the individual with the illness that needs to be thought roughly, the family is often impact to. As we are aware Anwar originated from Pakistan and mayhap he did not fully apprehensiveness English properly, also Hansa cannot read English very well and this proved difficult when trying to plan and follow meals for Anwar from a leaflet given to her by the nurse. The carte du jour showed typical English sustenance had bothone taken into flyer that Asians eat western food and their eating patterns differ from our own culture, this can lead to cultural barriers.Should the hospital have translated the diet sheet into the purloin language that Anwar and Hansa are familiar with? What about communion and visual aids? Should the hospital have provided a translator, so that both Anwar and Hansa fully understand the effects of diabetes? The hospital also could have shown Anwar and Hansa photos of a gangrenous root word or even an amputee, this could have do Anwar look twice about his own health (this could be me). Two per penny of the UK suffers with diabetes, South Asian residents of the UK are 4 times likely to be modify by diabetes than the rest of the population (Block 1, who cares p-85).What about financial worries? Having to follow a bouncing eating plan can throw financial burden on the consentaneous family. Families struggle to eat healthily amid climb food bills and shrinking budgets (Guardian 2012), could this be other obstacle in the way of Anwars treatment. Can they afford to change the whole familys diet, or have they generous money for extra food just for Anwar? Should the hospital be taking this into account for the sake of peoples health? However it is also important to think about a persons psychological needs, do they understand what is being asked of them, are they fully aware of the condition that they have.Living with a chronic illness is a demanding job and can often lead to bouts of depression m all people are so overwhelmed by complications that may cabbage with their health and may experience a number of other emotions apart from depression, anger is also common as to why this is happening to them, mood swings, frustration and devotion of the unknown. If such emotions do arise it is important for the health care professionals to support them and make headway them to communicate their concerns straight away, otherwise this can have a long term effect on how they and t heir families win their illness, therefore helping to improve a ersons health for the see able future. oer the last century health care has been totally transformed by biomedical attainment to understand what causes illness and diseases, and to find a cure. However biomedical science is not enough to encourage people to administer their own care. To provide utile health care involves educating, informing, engaging and financial support people and their families, so that they can manage their own treatment. This means you would have to look at things from the service user perspective, inquire them how they feel and helping them make intelligence of their illness.Any treatment that has to be given moldiness take into account peoples cultural, social circumstances and lifestyles. Word Count-1420 Good practice 1) Liz appears to be ensuring Clarice gets the level of support she wants, to do the things she wants, in the way she wants. Liz doesnt appear to overturn an agenda of her own or one defined by Somebody Cares. I think this is financial support Clarice s rights to appropriate services. 2) When Clarice is in conversation with Liz, not still does Liz listen but lets her lead the conversation.Liz puts no time pressure on Clarice and lets her do what she can for herself and only helps when asked by Clarice. Liz is supporting Clarice in maximising her authorization to being independent. 3) Clarice opens the door to Liz they then have a little chat before any working classs are done. Not at any point does Liz talk about some other client and lets Clarice lead the way to the bath agency. I think Liz is maximising Clarices potential by letting her be as independent as possible and by not divulging confidential information onto Clarice about another client. Bad practice ) Marjorie does not engage signal flag in two-way conversation at any point. She talks over her all the time. Consequently, gladiola has no contingency to give voice to her views or wi shes. She doesnt get a chance to make her point even in her own room. This is not supporting pin to have a voice or be heard. 2) Iriss room is treated like a in the public eye(predicate) place, where Marjorie comes and goes as she pleases. Iris is given no dignity in her own room shouting do you want the lavvie? Marjorie moans about another person to Iris, leaving Iris wondering does she speak about me to other people.I think Marjorie has no theory of peoples rights to privacy and confidentiality. 3) Iris is capable of having a bath she probably would find it a pleasure but unfortunately Marjorie runs it for her. This is not taking into account Iriss capabilities or wishes and decidedly not maximising Iriss potential to run it herself. Word count-346 My buss feedback has helped me to develop my writing, thinking skills and to real believe in myself. The only damaging I had was no reference list, but I did send one (maybe didnt receive it).The most difficult task Ive found while doing TMA02 was not to ramble on and miss the point. References The impolite University (second edition2010), block 1 who cares, Malta, Gutenberg Press particular(a) (p-67) & (p-85) Parson, T, (1951) the Social System, Glencoe IL, the Free Press. segment of Health (DH) (2006) Our Health Our Care, our Say A New Direction for Community operate, Norwich, The unmoving Office also available online at www. dh. gov. uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4127453 (Accessed 26 February 2008).NHS Choices (2007) About NHS Services NHS GPs/Doctors online, www. nhs. uk/AboutNHSservices/doctors/pages/DoctorsSummary. aspx (Accessed 17 December 2007 www. guardian. co. uk/society/2012/nov/18/families-rising-food-prices-budgets (Accessed 10 November 2012). www. uwic. ac. uk/shss/dom/newweb/Sick_role/Introduction. htm (Accessed 10 November 2012). www. drfosterhealth. co. uk/medical-dictionary/terminology/secondary-care. aspx (Accessed 12 November 20 12). www. medicalprotection. org/uk/booklets/common-problems-hospital/communication-between-specialties (Accessed 17 November 2012).