THE MAIN BARRIERS TO ACCESSING HEALTH AND SOCIAL CARE The barriers to people who cannot access care are: Physical Barriers: physical barriers occur to people with disability because they may be lack of ramps for them to go around the hospital or even GP, even a women with a baggage’s can find it hard to get around when there is no ramps. This can also affect these types of people and many more by if there is lack of lifts and too much stairs for them. Also people in the wheelchair may have problems reaching for the lifts and this would make it difficult for them to make it to their appointment. Psychological Barriers: psychosocial barriers affect people with mental issues to have access to care, it can also affect some people in many different ways; so people can have fear of losing their independence and they may not even like the fact of being looked after by other. Financial Barriers: financial barriers occur to many different people for many different reasons.
Having had an embarrassing, humiliating experience of an ‘accident’ in public they live in constant fear of it happening again. Many people will stop going out because of this fear. It is also one of the reasons many individuals come into care because either they or their carer’s are unable to cope with their incontinence. Individuals may be inclined to reduce their intake of liquids or food to alleviate their incontinence but this can result in their urine becoming concentrated, which in turn can irritate the bladder and cause a greater sense of urgency or result in infection or inflammation. This can also cause constipation, which in turn can weaken the pelvic floor muscles through straining to pass a constipated stool.
Once diagnosed, the stigma starts and it becomes difficult for them to hold a job or to find a job. Support is needed to encourage compliance with their mental health care such as attending regular psychiatric appointments so that their symptoms are monitored and managed. Medication compliance is a major issue with these patients. Without the proper medication regimen, these patients can be dysfunctional and could not hold a job or interact socially. They may become dysfunctional as husbands, wives, or parents.
The association says there are four types of poor care that patients and relatives continually report. First, nurses do not communicate effectively. For example, patient call bells often go unanswered. Second, patients are not assisted to go to the toilet. Third, patients are not given sufficient pain relief, and finally, patients are not given enough encouragement with nutrition.
Why does missed nursing care occur? Missed nursing care is a failure to perform a required patient intervention, which is either delayed or omitted. It is identified as a nursing task left undone. Omissions in basic care often go unrecognized and unreported and can result in deleterious patient safety outcomes. Missed nursed care by its very essence challenges the nursing professions mandate for patient advocacy and weighs heavily on the minds of patients, direct care nurses, and management alike.
Person-Environment-Occupation • Mrs. Palmer has acquired personal disabilities which will impact upon how well she is able to manage within her environment. Environmental barriers such as inaccessibility inhibit her from carrying out daily tasks affectively and cause decreased occupational performance. Refer to appendix A) The interaction between Mrs. Palmer and her environment • Pain in Mrs. Palmer’s right leg and decreased mobility are affecting her transfers within her physical environment. Car transfers may prove difficult affecting her participation in outings. Sit to stand difficult which is an issue for transfers: toilet and low chairs.
This has an effect on them because they are unable to maintain confidentiality and independence all this leads to isolation and people being frustrated. Information We gather so much information from our sight and hearing. Reading, writing, listening and talking are all things we do in everyday life. We rely on our senses to carry out everyday living skills. Individuals with sight loss are unable to read; people can easily mislead them or give them wrong information.
Communication skills (Essence of Care benchmark) INTRODUCTION As care is the basic ingredient for good nursing similarly good communication skill is necessary for good nursing. If any failure occurs during the communication with the patient it will lead to the breaking of essential relationship that exist between the two that is nurse and patient thus the trust which exist between them slowly disappears. Sometimes poor and ineffective communication can lead to the wrong diagnosis as well as medications error thus making it dangerous for the life of the patients and miseries for their family members. Even though much progress has been done in this sector, but still complain always comes from the middle men as well as the patient families regarding communication gap and related problems, thus demanding that the communication skills study should be incorporated in a different curriculum in nursing domain rather than including it in the same curriculum where they have to read other things especially related to medical sector a lot. ( RECKER ET AL, 1994) But it is not that easy as it seems to carry the communication procedure.
For example, negotiating a complex health care system is almost impossible for many. Despite their heavy burden of illness, they lack access primary or preventive health services. In addition, transportation to and from medical appointments is often impossible because of timing and expense. Health cards, prescriptions and integrated health services are not usually within their grasp, although health and social policy dictates that they are entitled to these benefits. As a consequence, often the only health care homeless people receive is through the emergency department, which is costly and ineffective.” (Turnbull, Muckle, & Masters,
Family can have a big effect on a child’s development for example if the child is an only child he / she will not know how to socialise with other children. If the child has a parent who has a long term illness then he / she is likely to spend a lot of time alone, so he / she would be withdrawn and `hang back` from many activities, also this child probably would spend most of his / her time indoors and their physical development might be delayed. If the child is abused or neglected he / she might be afraid of adults or children that are loud and this could affect all areas of development as the child would not be able to concentrate. Poverty can affect children`s development as children who are in poverty, would get less opportunities, as their family will not be able to afford to buy books, pens, puzzles and sports equipment. Also if the family cannot afford to buy enough food, the child might have trouble concentrating and absorbing information.