Safety and Well-Being in Care Settings

 

Legislation relating to health and safety in care settings


The  health and safety related legislation are: COSHH (Control of Substances Hazardous to Health), Management at work regulations 1999, Ridder 1995, Manual Handling operations regulations 1992, First aid regulations 1981, Food Safety Act 1990, Fire protection Regulations 1997, Personal Protective Equipment and The Health and Safety at Work Act 1974.
To keep the safety and security in the workplace, the employers develop the health and safety policies and procedures. The health and safety work act (1974) direct the employers to set a framework and policies for all the workers to maintain the safety-oriented discipline and update the policies according to the time and requirement (Sanderson, Kennedy, Ritchie, and Goodwin, 2002).
The primary health and safety responsibilities are listed below
Self. The health and safety responsibility f self-suggest that take care of your health and safety on your own. Report any injury, accident, and illness if you suffered from during the job or at the workplace. Do not misuse any equipment and never use any instrument without proper training. Cooperate with the management staff and co-worker in a challenging situation to avoid the possible harm.
The employer of manager. In a workplace, the employer or manager responsibility is to provide the safe workplace initially. Provide in-depth information about the possible hazard at the workplace. Train the employees before the implementation of practical work with equipment (Sanderson, Kennedy, Ritchie, and Goodwin, 2002).
Others in the work setting. The responsibilities of others are to follow the given instructions and advice related to health and safety. Pursue the equipment use oriented instruction, and take responsibility for their action at the workplace.
The following task should not be carried out without the special training such as peg feeding, injections, emergency first aid, COSHH, medication, colostomy and fighting fire. All the health and social practices have some limitations and associated risk. Therefore the code of practice is imperative to follow to avoid the potential adverse consequences.

Sudden accidents and illness that may occur in own work setting

The different types of the accident may occur in work setting such as, fall, trips, burn, choking and slips. The sudden illness may also happen in work setting such as cardiac arrest, food poisoning, stork, heart attack, allergies, asthma, seizures, bugs, flue, influenza, and fainting (Sanderson, Kennedy, Ritchie, and Goodwin, 2002).

Prevention Procedures

In the case of sudden illness and accident, first, report to senior staff members or doctor by raising the alarm or finding them instantly. Secondly, remain to relax and explain the matter to senior, implement the assessment tools in the limit, provide assistant training limits. File the accident or illness report; inform the health and safety department following the code of practice.
The self-rule in supporting other to reduce the spread of infection is to follow all the policies and code of practice implemented by COSHH and infection control. I motivate other people to attend the courses regarding the health and safety of the people. I attend that all the training courses. In case of missing or incomplete information, I do not guide or treat my client and discourage other who deliver incomplete or ambiguous information or provide services. I abide by all the health and safety protocols such as hand washing, using safety precaution. I also recommend the health people for regular examination to avoid infection risk (Sanderson, Kennedy, Ritchie, and Goodwin, 2002).

Causes of infection

        Bacteria, through these small cells the infection spread such as urinary tract infection, throat infection, and tuberculosis.
        Fungi cause the skin infection such as athlete foot and ringworm.
        The virus causes numerous diseases from common cold to AIDS.
        Parasites are transmitted to the human body through mosquitoes bite and animal feces and cased bacteria. 

Main points of legislation that relate to moving and handling

Avoiding Hazardous Manual Handling
        The Manual Handling Operation Regulation1992 (MHOR)
Reporting Immediately any Difficulties
        The Health and Safety at Work 1974 (HASAW)
        Conducting a full Risk Assessment Role,
Using Equipment Correctly,
        Lifting operation and lifting equipment (LOLER) 1998
The Employers Duty
        Assess and reduce the risk of injury, and provide an appropriate assistant.

Principles for safe moving and handling

The basic principle of moving and handling suggests that the equipment related to moving and handling should be check thoroughly if they work well or not following the Health and Safety at Work Act 1974. The supporting staff should be well trained and qualified in using that instrument and guide the patient appropriately. The supporting staff must have the patience to teach the client how to use the equipment slowly and accurately using Manual Handling Operations Regulations. The preferences and needs of the parents must be considered in that process (Sanderson, Kennedy, Ritchie, and Goodwin, 2002).

Types of hazardous substances that may be found in the work setting

The Control of Substances Hazardous to Health Regulation (COSHH) suggest Several types of hazardous substances may found in work setting such as used needles, clinical waste, medication, used dressing, dust, vapors, disinfectants, fumes, gases, biological agents, solvents, and body fluids.

Practices that prevent fires from

Starting. To prevent the fire from spreading identification of hazardous risk, it is imperative to check how the fire starts and spread. The most significant factor is to be aware of a fire triangle, i.e., oxygen, fuel, and ignition. The fire starts with the lit cigarette, naked flame, faulty electrical equipment and hot surface. All these areas must be the check on daily or hourly basis to prevent the risk of fire starting.
Spreading. To prevent the risk of spreading fire is to store the flammable equipment such as paper, wood, waste material, flammable liquid, and furnishing. Regular checking of the smoke detector and keeping the fire door also shut helpful in preventing the risk of spreading fire. 

Explain emergency procedures to be followed in the event of a fire in the work setting

In the first level, the fire alarm should be used to alert the people and working staff about the fire starting and spreading. The knowledge about the firefighting procedure should be accurate and implement effectively such as appropriate use of fire blanket and different fire extinguishers. The evacuation process should be implemented for the safety and security of children, individual and types of equipment. The people should be guided about the evacuation routes such as not using lifts, clear the routes with wood, paper, and other stuff from the stair roots.
The importance of ensuring that others are aware of own where about promote the high-security system in work setting and reduce the risk of loss. All people should be aware of understanding the sign and meaning of fire and smoke alarm to take safety precautions. In this way, maximum life may be safe if all the people may take the initiative on their own. The knowledge of CCTV, in and out routes, mobile codes and signs eliminate the potential harm of fire threat (AGREE Collaboration, 2003).

Common signs and indicators of stress in self and others

The common signs of stress lead to disruptive and destructive behaviors that may be harmful to the individual and the other persons as well. At a personal level the individual may suffer from, depression, anxiety aggression, and psychotic symptoms. For others, he may indulge in threatening activities like conduct and loss of property issues.

The factors that can trigger stress

The factors that can trigger stress can be divided into behavioural, emotional and cognitive factors and  the symptoms are isolation, discrimination, anger, abuse, threat, harassment, and traumatic experience, chest pain, memory problem, poor judgement, inability to concentrate, rapid heartbeat, lack of self-control, irritability, short temper, anger, dizziness, low self-esteem alcohol consumption, smoking and negative self-concept (Department of Health, 2005).

Compare strategies for managing stress in self and others

The strategies for managing stress are coping strategies such as deep breathing; avoid the stressful situation, taking a glass of water, massage, yoga, aromatherapy, physical activity and running. Social strategies are a catharsis, meeting with friends and helping the needy people. Cognitive strategies include the painting, prioritizing goals, distraction techniques, and rational thinking. Faith strategies include the use of religion for reliving conflicts and stress.

Access to support

The counselor, psychologist, healthcare staff and doctors are available in the community setting to help the people for copying their stress. They help the individual to identify the core beliefs of stressors and find the solution on their own using the solution focus therapy.

Person-Centred Approaches and Adult Care in Mental Health Settings

Person-centred values identify the person's uniqueness, individuality, choice, diversity, rights, dignity, equality, and independence, which is crucial in the Mental Health Setting. Person centred values prefer the individual's needs, choices, dignity, rights, privacy, and independence while providing the health care services following the  General Social Care Council's (GSCC) codes of practice. It also helps to boost the self-esteem of the patients and secure them from potential harm. Without the person-centred values in work practice, the targeted aims and objectives are hard to achieve.
Care plan provides a framework regarding the preferences of the client to fulfill their health-oriented goal. The care plan comprised of a document, which contains all the long and short-term goals that enable the healthcare professional to managed daily care. The core value of the person-centered approach is to provide the best services to the client without hurting their emotions, dignity, and self-respect.
The need and preferences of the people continually transform. Their feedback regarding their current preferred area of health must be treated initially with the correct tool, weather tool, and level of support, emotional or additional support. These preferences and needs include-
        Mental and memory, depression, stress, and illness
        Physical health dietary needs, illness, physical ability 
        Social activity relationships, responsibilities, family, and friends
        Environmental housing, weather, and aid
The Mental Capacity Act, after 16 years of age, the following points must be consider
        An adult should be considered to have a capacity for taking off their care unless any evidence rejects the fact.
        In the absence of any proof, an adult should be treated as they can make their own decisions independently
        If an individual cannot make a wise decision, they should not be labeled with limited mental capacity. Just because an adult may make an unwise decision, it cannot be assumed they lack the mental capacity to make one
An individual has a right to withdraw the consent at any point. For ample if an individual is taking some medical test or management plan, the extent to which the assessment and management plan should be continued would be purely the decision of the adult. In the case, if an individual says no for further modalities, the action should be stopped and written on paper for further legal actions.

Different ways of applying active participation to meet individual needs

First treating an individual as human and respect their decision, choices, and preferences. The active participation of the client or adult to accomplish his task is imperative. The excessive help of the client may damage his ability of independent functioning. The therapist or co-worker and healthcare staff develop the active participation by evaluating the condition of the client; assign the task according to capacity, ability, and skill. Asking them what, where and t what extent they would like to perform the task. Lastly, softly push your parents for the action.
The people take a decision that may be challenging for them or the other related people. It is obligatory for other people and health carer to make that person realize the nature of his decision. First, it should be ensured if the individual knows about all the cores and pones of his decision. Secondly by discussing the decision with the client and if he does not agree to change his decision to advice hit take other professional help. Lastly, advise them about the complaint procedure.

The links between identity, self-image, and self-esteem

Self-image refers to how an individual evaluates his attributes, such as fatness, thinness, complexion and facial feature. On the other hand, the self-esteem refers to the how a person values himself. The self-image and self-esteem are highly interlinked such as if the person has positive body image, will have high self-esteem and show the high confidence and positive approach towards life.
The positive feedback, appraisal, and encouragement enhance the motivation and ability to fulfill their potentials. If a person has high motivation and potential to do something and achieve his target, that enhances his self-worth. Therefore, for the wellbeing of the individual appreciate even a small achievement of him. Beside that active listening, positive and nonjudgemental attitude also contribute in the well being of the individual (Department of Health, 2000).

Risk-assessment in the care setting

The risk assessment is very useful in reducing the risk related to those activities that an individual want to take part. For example, if an individual wants to ride a bike and there is a possibility that he may fall or get an injury on his head. Then the risk assessment ensures that the individual wears a helmet before riding a bike that reduces the potential risk. Secondly, the risk assessment is beneficial for support staff as after assessing the sign and symptoms of risk, they may help the individual to come out of danger, which also secures the supporting staff. The risk assessment for activity controls the risk assessment related to activities and risk assessment for infection control prohibit the risk of infection spread around.
The risk-taking and risk assessment impose some role and responsibilities towards supporting staff. The risk-taking depends on the choices of an individual using the healthcare modalities. For example, if an individual doesn't want to use a wheelchair, it is a risk-taking behavior, as due to feet fracture and injury he may not walk appropriately without support. Therefore, the supporting staff educates the individual with the associated risk of not using the wheelchair and may offer alternative ways to use support while walking such as stick or frames. The alternative ways offer to respect the choices of an individual that reduce the risk.
Behavior and challenging situation are forever changing. If anything alters, it brings some associated risk, therefore to avoid potential harms the risk assessment and risk level must accommodate this, such as, deterioration in illness, and fulfilling the dietary needs. The activities are the best tool to review risk assessments regularly. The regularity may consist of every 5th or 8th  month respectively depending on the level of vulnerability (Binnet, & Kingston, 1993).