Nvq_3_Unit_22

NVQ 3 UNIT 22 1.1 *national health service and Community Care Act 1990,Disability Discrimination Act 2005,Equality Act 2010,Disability Equality Duty 2006 *policies of the organisational kind are:Department of Health 2001 (a new strategy for learning disability for the 21st century like valuing people 1.2 *covert discrimination,overt discrimination,harassment,rights,labelling,vulnerbility,stereotyping,inclussion,prejudice,empowerment,abuse,opportunity and equality 2.1 *an incomlete or state of arrested of the mind,an individual with LD has significant impairment of intellectual function,stages can range from mild,moderate,severe and profound 2.2 *It can be:unknown factors,environmental,before,during and after birth,chromosomal and genetic factors.Others can include:being intellectually impaired like:dyslexia,visual processing disorder,social or adaptive dysfunction,early onset,dysgraphia,dyscalculia 2.3 *person centred approac,medical,inclusivity,socia,community integration 2.4 among people with LD in about 50% of cases has been unknown.Significant amount can be because of environmental and genetic factors even though diagnosed genetic causes have been foun in only 5% of people in this category.Higher rates in some social classes shows that factor as powerty,overcrowding are also importan.There can oaso be organic causes such as exposure to alcohol and drugs prior to a birth.In people with severe or profound LD unknown cases are fewer but still high around 25% 2.5 *can be very challenging involving pactical and emotional issues.There are medical and educational decision which can be very demanding,hard,financial pressures,lack of time are all additional responsibilities for parents.Parents can go through all kind of emotions like being concern,disappointment,anger,blame 3.1 *Prior to the Community Care Act 1990 adults and children with learning disability were cared for in large institutions where their basic needs were met but there was little or no opportunity for development or they stayed at home to be cared for by their family with little or no choice.After the Act they were moved into smaller residential homes where they lived as part of community with activities for development and much more individual care or they lived at home with their family with a package of care to support their individual needs.They got support workers from various agencies overlooked by social services or social workers specialising in learning disability so PWS can be intergrated/included to schools or community,respite care and holiday breaks.With person centred appproach,personalistion,direct payments we as support workers providing support with things what individual wants rather than whas is available or client led rather than service led/person centred planning,take them shopping,eating out,clubs,concerts etc.Hopefuly all charities,agencies,organisations these days promoting person centred planning like Mencap does. 3.2 People with LD used to be cared for in institutions,hidden away,not as individuals and with very little or no person centred planning,this approach is now recognised as totally inadequate and wrong so services supporting,caring for people had to change and now they are guided by legislation,regulations and codes of practice that ensures equality and individualised person centred care.However,there are still cases which destroy reputation of social care and ther still are some workers who still do not understand learning disability and may have outdated ideas. 3.3 a.people with LD used to live in institutions with little or no choice of lifestyle but nowdays they live in residential care with support or supported living with staff support via person centred approach,their life/their choices,living and being part of community b.people with LD used to go to day centres with scheduled activities like painting,art and crafts,play pool and games,wheres nowdays they decide wat and how they want to spend their days with support-going dancing,socialising,horseriding,cooking classes at their own homes/by choice of each and every individual c.*in 2010/11 6.6% of adults with LD were reported to be in some form of paid employment *the majorityof those people worked part time *men were more likely to be working 30+ hours per week than women(1.3% v 0.4%) d.major changes have taken place in the way we think about people with LD and in our approaches to their needs and those of their families and we now do recognise that adults with a LD should be acknowledged as real adults whose individual requirements needs to be met as all human beings are sexual beings and everyone no matter who has feelings and sexual drives and nowdays its been recognized much more than in the past.In past people with LD used get sterilised in order to prevent them having children without their agreement or understandin,nowdays its completely ruled out. e.doctors are recognising more people with LD on their pactice lists,4.3 in every thousand in 2010/11 and although progerss has been made from 2008/09 to 2010/11 in the delivery of health checks to people with LD still less than 50 % of eligible adults received a health check in 2010/11 4.1 *it is a society where all people feel valued,their wishes and differences are respected and their basic needs are met so they can live in dignity and not being shut out from social,economic,political and cultural systems,it is society when individuals with LD can live to their full potential and have all rights and decision making as any other individual living in the same society 4.2 *advocacy means employing someone called an advocate to express your views and represent your intrests *advocacy enables people with physical or learning disability/LD,older people and those with mental health needs to make informed choices and decisions about their own health and social care needs *advocacy means taking action to help people to express their views,secure their rights,have their intrests represented,access information and services and explore choices and options 4.3 *case advocacy-crisis advocacy,focusing on one issue or set of issues and not intended to have a long term basis,dealing with particular problem *self advocacy-people coming together to speak up for themselves,people with LD can form self advocacy groups (usually people who use services or have the same interests locallly having their say in how those services are run.Very good way for people to support each other. *peer advocacy-this is when the advocate and the advocacy partner share similar experiences for example people with learning disability with the same experience for example *paid independant advocacy-generally independent advocates are unpaid many not taking even expenses but volunteers and charities are always in short supply so than paid independat advocacy can step in *citizen advocacy-volunteers developing long term relationships with people and speaking up for them,it is a partnership between 2 people,one is usually called the advocacy partner and one the citizen advocate.Citizen advocate is unpaid and independent of service providers and families and is a member of the local community *statutory advocacy-government policy is clear that people should be able to be active citizens and have a say about how things work where they live.It also recognises that some people need support to make tis happen,Mental Capacity Act 2005,Mental Health Act 2007 4.4 *enabling people with LD to develop daily living skills and relationships as well as increasing their confidence,working towards teir independence *working on basis of person centred planning/approach enabling people to make their own choice and live the life they choose