Sunday, March 31, 2019
Dignity in Care for Adults with Learning Disabilities
Dignity in C ar for Adults with learnedness DisabilitiesThe primary election aim of the proposed question is to analyse the meaning, perceptions and step of self-respect in health perplexity with respect to adults who have acquire disabilities in the get together ground and take up the range of health fretting work obtainable for adults with eruditeness disabilities.Specific ObjectivesTo pass judgment ch totallyenges of entrance, inclusion, choice, attitudes and legislation set about by adults with skill disabilities in health accusation.To determine whether self-regard in cargon for adults with erudition disabilities exists in truth as proposed and promoted by the UK Department of health or non.To understand and qualifiedise the types of health cargon operate offered and available to adults with instruction disabilities.To analyse the quality of healthc are succeedd to adults with erudition disabilities in the United Kingdom and inequalities faced by th em.Methodological dilateThe primary method that leave behind be utilised in this seek is establish on opinionated publications reassessment whereby observations are do on the basis of data entreible in the respect of plenty with larn disabilities. Literature search pass on include key lecture such as intimately study disabilities self-worth and type of work offered and available for them in the United Kingdom. This method is implemented in this investigate because it would definitely be assistive because of diverse reasons identified in the proposal. The applicable literary productions provide be ga at that placed from various sources including journal articles, look for reports and books.Ethical IssuesConfidentiality and privacy of unmarrieds participating in a enquiry is kinda important curiously if the investigate topic is rather an sensitive as the case is with lordliness in care for adults with development disabilities. The researcher require to u nderstand and echtise the seriousness of ethical sheers and considerations in such a research. Although there is a danger of participants being named or psycheal randomness being compromised, the approval from the ethical issues committal is not necessary, as the proposed cultivation will only endue a systematic publications check everywhere of the data already accessible by public.relevancy to PracticeThe consummate research would be quite recyclable in enhancing the level of dignity in adults who are torment from nurture disabilities in United Kingdom. However, mavin of the major points that should be localiseed by unalike agencies and social workers would be how fast and effectually they give the axe implement all these processes. Moreover, signifi fag endt research has been carried out in this regard from variant perspective and from variant researchers hardly the reviewed literature shows several gaps in the standards laid down by polar giving medication health authorities and the current practices relate to dignity in health care of adults with development disabilities.IntroductionDignity is a across-the-board and complicated notion that can be used in legal, religious, bioethics, scientific and political contexts with unlike meanings. The term dignity signifies that a person has a birth justly of being respected and cut acrossed morally and ethically by former(a)s. Dignity implies that hoi polloi should be treated in such a room that they feel their value and worth as individuals within the societal context (Soulen and Woodhead 2006). Dignity can be elevated and alleviated by several promoters in a healthcare facility. These factors include the facility culture, environs and environment, attitudes and behaviour of caregivers and the practice of care being carried out in the facility. quite a little feel more comfortable, confident and in control for making various decisions on their own in the presence of dignity solely if there is a lack of dignity they whitethorn feel discomforted, devalued, embarrassed and miserable (Weisstub and Pintos 2007). Dignity is concerned with how people feel, think and behave in carnal knowledge to the worth or value of themselves and others. To treat someone with dignity is to treat them as being of worth, in a way that is respectful of them as valued individuals (RCN, 2008).As dignity constitutes a sense of comfort and control, it is quite important that caregivers in medical institutions realise the impressiveness of dignity epoch giving care to adults with acquirement disabilities. The proposed research will analyse the literature associated with dignity in care for adults with acquirement disabilities in the United Kingdom.The force field AimThe primary aim of the proposed research is to analyse the meaning, perceptions and quality of dignity in healthcare with respect to adults who have acquirement disabilities in the United Kingdom and view the range o f healthcare services available for adults with tuition disabilities.The Study ObjectivesTo assess challenges of access, inclusion, choice, attitudes and legislation faced by adults with breeding disabilities in healthcare.To determine whether dignity in care for adults with learning disabilities exists in reality as proposed and promoted by the UK Department of health or not.To understand and compare the types of health care services offered and available to adults with learning disabilities.To analyse the quality of healthcare provided to adults with learning disabilities in the United Kingdom and inequalities faced by them.The following(a) section of the research proposal will discuss the literature as methods and methodology used to achieve the research aim. As it is systematic literature review in ordinary and as it used to this take in in research particular.MethodologyResearch methodology is an important medical prognosis through which researches are conducted. A resear ch methodology will real depict that what is the appropriate approach of conducting a research and which research scheme will be applied in this research. In the standardized manner it would also depict that which data will be collected for the research and how it will be collected.This entire research would focus on learning disabilities with adults and the issue of dignity will also be addressed in this research. The main objective of this research is to understand the issues of meaning, perceptions and quality related to learning disabilities and how dignity of these individuals is affected. The primary method that will be utilised in this research is based on systematic literature review which is useful for several reasons such gives a genuine, clear idea close to the issue being canvas.This method is implemented in this research because it would definitely be helpful because of several reasons. First and the foremost reason is that it would give a clear about the issue that is being studied. woman chaser (2008) presented an idea about that systematic literature review that philosophy of science, development of health related materials etc can be analysed through systematic literature review. In the same manner it gives a genuine and a clear idea about the issue that is being studied. Through this approach findings can be powerful analysed and systematic literature review helps the researchers in the decision making process. Wolf (2008) believed that through this approach the nurture that is collected for this research can soft be summarised. The benefits of this approach would be that past researches can easily be utilised and this would definitely reduce the cost of researching. Another important factor for choosing this approach is the benefit of time that is attached with systematic literature review. concord to Britton and Jonsson (2004) systematic literature review is actually a cost in effect(p) approach for conducting a research. Both the researchers agreed with Wolf (2008) that ordinaryisation and accrual of data in this approach is quite simple and easy as compared to other approaches. Therefore, it can be said that because of these benefits this approach of systematic literature review is selected for this research.Ethical ConsiderationsEthics is the term used for differentiation of right over wrong, good over evil and signification of justice or equality in the general behaviour or actions of individuals in a society (Hinman 2007). Confidentiality and privacy of individuals participating in a research is quite important e excessly if the research topic is quite sensitive as the case is with dignity in care for adults with learning disabilities. The researcher admit to understand and realise the seriousness of ethical issues and considerations in such a research. Although there is a danger of participants being named or personal information being compromised, the approval from the ethical issues committee is n ot necessary, as the proposed study will only present a systematic literature review of the data already accessible by public. The information collected in the proposed research will only be used for research purposes and real identities will be replaced by codes or false names when required. The following section provides an analysis of literature relevant to the research topic that will be used in the proposed research. In this research proposal, there is no need to seek the prior approval of the research ethical issues committee because the study will be beleaguered to summarise the related literature only. all told the subjects included as a part of the literature review and studied / observed are free from any such biases. This research does not use any kind of personal information of patients or people low-down from learning disabilities and hence there is no incidence of rape of rights on moral or ethical grounds.Study of the Literature harmonise to The UK Department of He alth (2001) learning stultification is a combination or collection of several disabilities and disorders. These disabilities whitethorn include disability to understand unseasoned information or skills, impaired function in society and an flack of any disability that started before adulthood and had a lasting effect. Learning disability or intellectual disability also referred to as learning difficulty in the United Kingdom is quite difficult to apologise as it covers a broad collection of disorders or disabilities that people may face.These disabilities include save are not limited to challenges in touch on information, apprehension written or spoken language and other challenges that may affect quality of life (Corley and Taymans 2002). This notion by Corley and Taymans (2002) is backed by Turnbull and Chapman (2010) who suggest that people with learning disabilities face several problems in understanding and bear on interlacing information and face challenges in developi ng late skills. These descriptions of learning disabilities indicate that adults with such disabilities may have difficulties in processing information in several social circumstances including healthcare. This implies that adults with learning disabilities will have a high degree of healthcare needfully as opposed to people with no learning disabilities at all.McGrath (2010) argued in an panoptic literature review that people with intellectual disabilities have greater healthcare requirements as compared to the general population. While explaining the nature and intensity of these healthcare needs he argues that the health care needs of people with intellectual disabilities are more complex in comparison with the general population and can result in premature death, which could otherwise be prevented through effective care. This argument by McGrath (2010) is also backed by several other researches conducted in the context of healthcare needs of people with learning disabilities (Michael 2008 Leyshon et al. 2004 Cooper, Melville and Morrison 2004 Paxton and Taylor, 1998 Nocon, Sayce and Nadirshaw 2008). Gaskell and nightingale (2010) also agree with McGrath (2010) regarding the greater healthcare needs of people with learning disabilities. They suggest that healthcare needs of adults with learning disabilities tend to be higher in comparison to the general population cod to a chassis of reasons including visual and hearing impairment, challenges in mobility, heart conditions, diabetes and osteoporosis.The greater needs for healthcare of adults with learning disabilities are also perceived by caregivers as Vecchio, Cybinski and Stevens (2009) in their study analysed the effect of disability on needs of caregivers. They implemented descriptive statistics and regression analysis to conclude that caregivers of adults with disabilities indicated that they required doance while providing care to such adults. It was also concluded in the study that the needs of adults with learning disabilities were even greater than the needs of adults with physical disabilities with respect to healthcare (Vecchio, Cybinski and Stevens 2009).Adults with learning disabilities face several challenges with respect to societal factors including unethical treatment, abuse, undue impel in interpersonal communication and biasness from the general population due to their special(prenominal) disability (Slater 2005). Slater (2005) argued that the most prominent challenges with respect to societal factors in healthcare were neglect, poor treatment and abuse by caregivers. He argues that adults with learning disabilities have every right to dignity in life as the general population and should not be subject to abuse due to a specific disability. The Department of Health (2001) provides a clear schema regarding treatment and care of elderly people peculiarly when they face challenges due to learning disabilities. The recommendations presented by Slater (2005) are in line with the segment of health framework with respect to poor treatment and abuse. The framework clearly outlines that dignity should be a top precession in healthcare where people should be treated in an ethical, moral and respectful manner. The importance of dignity and equality in healthcare services is iterated by another(prenominal) report of The Department of Health (2002) by implying the importance of fair access to care services irrespective of age and any disabilities a person may have.Philp (2007) recommended that dignity in care should not be an reconsideration and caregivers should understand and realise the importance of dignity in healthcare of adults with learning disabilities. He suggests that caregivers are very busy and they need to incorporate dignity into the overall framework for providing care. In his study, Philp (2007) emphasised the need for treating adults with respect and righteousness while giving them a sense of freedom and control over thei r actions and behaviour. He concluded that there are various forms of abuse and caregivers need to provide care with thorough understanding and realisation of dignity in care of adults with learning disabilities (Philp 2007).Holland (2000) on the other hand, analysed how ageing affects people with learning disabilities with respect to social, psychological and biological issues. He argued that adults with severe learning disabilities faced more challenges in later parts of life with respect to services as compared to adults without any disabilities. He concluded in his study that gaps were present in the healthcare and social services provided to learning disabilities and the standards established by the department of health (Holland 2000). This implies that albeit healthcare providers may focus on providing the most effective quality of services but improvements can still be made to make the quality of services more effective especially with respect to dignity in care.Batesa and Da vis (2004) in their study of social inclusion and services for people with learning disabilities presented several societal challenges faced by adults with learning disabilities. These challenges include hindrance in local community participation, perceptions of general population, problems in safety and trust, limited access to social networks and limited access to services being offered. The study indicates that these challenges are faced by adults with learning disabilities mainly due to the perceptions of community and general population with respect to these people. The research concludes that social capital concept provides an effective model for services that focus on promoting social inclusion of adults with learning disabilities (Batesa and Davis 2004). The concept of social capital, which is based on social networks, and standards of trust and reciprocity Batesa and Davis (2004) can also be implemented in healthcare for adults with learning disabilities for better outcomes .Health care services are of utmost importance to individuals who are suffering with different learning disabilities. McGrath (2010) believed that people with learning disabilities needs health checks to monitor the discrepancies they have. course of instructionbook health checks is a type of health care service that is offered and available to adults with learning disabilities. Usually, people who are go about these difficulties are less apparent to receive continuous screening and they have less frequent piece checks. That is the reason why annual health checks should be offered by different health care institutions so that they can benefit from it in some(prenominal) the short and the long run. However, a concern is that whether these health checks are required or not because if they are not viable enough so there is no need to have an exercise that would engage them in such activity. Albroze (2005) discussed that these annual health checks are very important because they assist the patients in every aspects and people who are suffering from these difficulties can eagre that what is their current situation. People who have learning disabilities usually give out in communities and they have the right to access different mainstream health care services.Deshler, Schumaker and Bulgren (2001) discussed that individual importance should be given to people who are suffering with learning disabilities and this can be considered as a health care service. Nurses should be effectively trained in this regard and they should help the individuals who are cladding learning difficulties. These researchers also believed that equal health care services should be provided to patients who are suffering from learning disabilities. In the similar manner disability awareness should be given to them in different regards like trainings and workshops should be organised so that they can easily benefit from these activities. Certain special health care services should be al lotted to those individuals that have complex and special needs (Bergmark, Parker, Thorslund, 2000). In the similar manner, true action plans should be developed for this cause so that all these health care services would be implemented in a proactive manner. Besides received annual checks individuals suffering from learning disabilities should be offered regular checkups. This will provide an equal opportunity to learn about their health and they can data track a happy and a prosperous life. Certain picture-based books should be provided to them so that they can learn how they can face different complex situations (Deshler, Schumaker and Bulgren 2001).Emerson, Davies and Spencer (2005) analysed that learning disability in adults is a condition that is quite long lasting. A survey showed that about 62% of all the people who are suffering from this disability die hard with their parents or with their relatives. Similarly, 30% of the people especially adults live in certain form of residential care or they live with people who are also suffering from learning disabilities. However, only 7% of the people live with their partners or they live alone.There are different inequalities faced by adults when they are receiving health care facilities. Michael (2008) believed that at times people receive unequal health care treatment and this can be considered as an important issue for people who are providing learning disabilities and for those who are accessing it. People that are facing learning difficulties are not always offered the same level of services and treatment as the general population. People and health care service providers assume certain things when they are dealing with individuals facing learning disabilities (Kuntz, Minnes, Garcin, Martin, Lewis, Holden, 2005). In the similar manner the go health care services received by these adults over the year in the United Kingdom is patchy too. Finally, people who are suffering from learning disabilities as not served and perceived as a priority (Michael 2008).Cooper, Melville and Morrison (2004) believed that people who are facing learning difficulties face unequal atmosphere. They are not treated as equal citizens in many conditions and this creates a sense of inequality in them. People with learning disabilities are discriminated in the society and there are different health care professionals who do not understand much about learning disabilities. In the similar manner many professionals in the society are not beaten(prenominal) with the laws associated with capacity to consent. There are certain professionals who are aware with this scenario but most of them do not consult the family of these individuals who are suffering with learning disabilities (Corley and Taymans 2002). Individuals that are suffering with learning disabilities may not understand the entailment and importance of health care screening or it is highly apparent that they may not recognise the symbols of il l health. This factor might create issues for the carers in both the short and the long run. Therefore, people with learning disabilities should be dealt with extreme care and the level of dignity should be maintained so that they can lead a healthy and a prosperous life. thickThe primary aim of the proposed research is to analyse the issues related to dignity in healthcare with respect to adults who have learning disabilities in the United Kingdom and study the range of available healthcare services. This primary aim will be accomplished by achieving several underlying objectives. All the researches that were analysed in the literature review depict that adults with learning disabilities face several challenges especially with respect to dignity and they should be dealt with extreme care. There are certain discrepancies and difficulties in this regard and there should be a proper equal approach adopted to care for adults with learning disabilities. It was also stressed in this rese arch paper that dignity of these individuals is the main issues and once the dignity of these individuals are present they can live with self respect in the society.Relevance to PracticeThe entire research would be quite useful in enhancing the level of dignity in adults who are suffering from learning disabilities in United Kingdom. However, one of the major points that should be focused by different agencies and social workers would be how fast and effectively they can implement all these processes. A significant amount of research has been conducted in this regard but the reviewed literature shows several gaps in standards laid down by government health authorities and current practices. The proposed research will be helpful in filling these gaps. The proposed research would be beneficial for adults who are facing with learning disabilities and it would be beneficial for caregivers who are planning to implement these processes.
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