Care Always Invovles a Relationship

K101 TMA 02
Care always involves a relationship between the person receiving care and the person providing care. How does the quality of that relationship affect the quality of the care given, as well as the experience of receiving care
There is a large variety of care and care settings in today??™s society, all of which will involve a relationship between the care giver and those individuals that are being cared for. The quality of that relationship I believe can deeply impact on the quality of care received and the care given. In this essay I will describe different care settings that individuals may experience such as primary health care which is free and social care in the home which can be provided by informal careers and care providers which depending on whether certain criteria are met can have an element of cost.. The types of care that can be provided and those people that provide that care. And how other factors such as taking on the sick role, with the associated social, biological and psychological aspects of illness contribute to the care process.

I will also evidence that recognising a need for care, and ensuring and accessing the right support package taking in to consideration social and cultural differences that exist in today??™s society, coupled with the changes in the biomedical model over the past forty years, which now advocates a team based approach by professionals .And a partnership between professionals and the service user to promote self-care and awareness. Giving rise to the expert patient whom then may be able to develop skills to effectively take control of their own condition, thus empowering them to be in control of their lives. (K101, DVD, Unit2, Activity18, Reconfiguring the biomedical model) helps to enable individuals to live more fulfilling lives. .
Primary care, this type of care takes place in the community outside of hospitals or secondary care facility??™s., and I feel this is most likely to be an individual??™s first port of call, when an individual is feeling ill, or not feeling or acting as they would normally do. Primary care comprises of agency??™s such as opticians ,dentists pharmacy??™s and G.P practices which are now days generally multi-agency community based facilities with teams of health care proffesionals,which I believe relieve the pressure on hospitals or secondary care facilities, as these would normally be accessed via a referral. Other than in emergency situations. Drawing on the case study of Anwar Malik and his wife Hansa(K101,Unit2,pp,71-87,) this environment can be very daunting and anxiety provoking, Anwar is a Muslim, and having moved from Pakistan to the midlands in his early years English is not his first language ,after a visit to an optometrist Anwar was advised to see a doctor ,it took time for Anwar to come to terms with the possibility that he may be sick, and that by taking on this role he had an obligation to seek medical advice and embrace it.
As Anwar seemed to find, a visit to the doctors surgery can be very daunting, this may be the case for most people, but this possibly was even more so for Anwar as there were several barriers to him receiving the care that would help him to engage and acquire the skills to take on the obligations of the sick role. Doctor??™s surgeries are busy, formal environments with very little time to take into account, individuals needs in the light of language barriers, cultural differences, and feelings of anxiety, so for Anwar having to experience talking to a female about private issues, not being able to voice his own opinion and be in a strange environment may have impacted on his ability to take in the information he was given. Health and social care workers have to be aware that what may be a normal situation for them may not be for others.
Anwar is diagnosed with diabetes, a long lasting or chronic disease, which requires a large amount of self-care (expert patient). Anwar continued to attend the diabetes clinic at his G.P but was not successful in managing his the cultural differences he faced with trying to maintain a healthy diet, and the inability for his wife to read the diet sheets they were given as they were in English. We??™re not identified early on.. A team meeting was called to make Anwar??™s care more culturally acceptable, with new diet plans which were pictorial, and contact with an Asian support group, I believe this shows signs of a team approach, and a professional partnership with the service user in this case Anwar, I also believe this approach shows three of the five core values of care, the respect of an individual??™s beliefs and preferences ,, a person??™s right to appropriate services,and support in having a voice and being heard.(k101,Unit4,p103)
Another care situation is home care or social care, which can be provided by informal or family carers, or when eligible provided by local authorities thru ,recognised care providers or voluntary organisations, these providers are commissioned by public bodies and have to adhere to National occupational standards, and codes of practice (General Social Care Council,2002,pp,180-181) home carers will often be required to attend to very personal and intimate duties ,these duties need to be approached in an caring considerate manner ,whilst being inclusive of the service user own feelings of maybe shame ,fear or embarrassment. These types of care relationships can be well structured, and when based around the core principles of care practice as seen in (K101,DVD,Unit3,Activity7,Somebody Cares Case Study) show how with good training, and the recruitment of an inspired ,energised and committed workforce and a support plan, that has been implemented with the inclusion of the service user, and is based around a framework of core values that respect an individual??™s dignity,equality,diversty and privacy, in a professional supportive manner ,that can establish clear and defined boundaries whilst treating individuals with unconditional positive regard the service user can continue to lead and maintain a relatively independent lifestyle with the empowerment these supportive relationships may bring. Although somebody cares provides good quality care, it does struggle to meet all the needs of its clients (k101, DVD, unit3, Activity11, Challenges To Maintaining High Quality Care), as there is little flexibility as to whom will be there carer and when and how and at what time the care can be attained, this is due to the constraints of working within local authority budgets.
Another way of providing care is by direct payments, this systems allows a person who has been assessed with need, to obtain care by employing a personal assistant, to help secure those needs, this can be friends, family members or care proffesionals.Those employed are called personal assistants as the role is not specifically home care as in (Staton and boyce 2004,pp65-70)it also allows access and involment in the community,as the service user can control their own care.
The results of the study were very positive, as individuals claimed to feel more in control and have much more choice and the personal assistants could accompany them on many varied activity??™s, and it seemed that the confidence gained by paying possibly family members for the care they received made them feel less of a tie or burden to those family members.
The downside may have been that these individuals were not as well trained in the tasks they were delivering, and the relationships were not as professional without the strict boundaries, and that personal assistants may have been working hrs. That they were not paid for, also job security could be an issue if the supportive relationship were to break down.,

The Open University (2011) K101 An introduction to health and social care,DVD,Unit 2,Activity 18,Milton Keynes, The Open University.
The Open University(2010 ) K101, An introduction to health and social care , Unit 2, Milton Keynes, The Open university
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The Open Universty(2011)K101 An introduction to health and social care,DVD,Unit 3,Activity7 Milton Keynes,The Open Universty
The Open University (2011)K101 An introduction to Health and Social care, DVD Unit 3, Activity11 Milton Keynes ,The Open University
Stanton.T and Boyce,(,2004) Users??™ experiences of direct payments in Johnson.J.and DeSouza.C.(eds) Understanding Health and Social Care;An Introductory Reader,London,Sage/Milton Keynes ,The Open University.