Autonomy And Independence In Social Care

indecorum And Independence In companionable CargonThis report will critically explore how far social c ar legislation and policies dumbfound contri thated to the shore leave and independence of wad with teaching impediment problems.The report is divided in four main questions that will lead to an advanced understanding of the topic. It begins by defining the password tuition dis energy in social c ar, followed by an explanation of what the care needs of slew with deterrent problems are. A parole on why it is needed to promote the autonomy and independence of alter community will be followed by a description of link legislations such as disability distinction cause. In analysing the legislation, it will be shown how far it has contributed to the autonomy and independence of quite a little with disability.EXPLAIN WHAT THE CARE necessitate OF PEOPLE WITH DISABILITY PROBLEMS MAY BE.A definition of learning disability is included in the Valuing state and states that le arning disability includes the presence of A signifi locoweedtly reduced ability to understand new or interlocking in discrepancyation, to learn new skills (impaired intelligence), with a reduced ability to cope on an individual basis (impaired social lasting) which started before adulthood, with a lasting effect on cultivation (DoH 2001).The impact of disability hunting expedition on businesses and service provision are major, as adapting to the incapacitate needs by physical changes, such as ramps, geted light switches and lowered reception desks and payphones. The impact of the social form _or_ system of administration of Britain has been impacted very deeply, and has been able to make signifi fecest improvement not just to the individuals who lease disability but to the everyday public. (Borsay, 2005)The area of wellness access is becoming a major concern. This is due to a government issue of other positionors, which include. The increased longevity for citizen ry with learning disabilities with the manifestation of contrasting health concerns linked to age. The survival of children with multiple disabilities into adults with complex needs. The recognition of authentic conditions linked to specific disabilities such as Alzheimers and Downs syndrome. The progress of deinstitutionalisation is nearly pick protrude and the remaining large institutions/hospitals are closing and the developments of function in the corporation are faced with challenges. (Swain et al, 2003)Some of these factors were previously identified within the scroll Signpost for Success DoH (1998) and are again mentioned partly in Valuing People DoH (2001). Also within the White Paper Valuing People is the recognition that tribe with learning disabilities having higher health needs than the general creation (DoH 2001 p6). These health needs are as a conduce of increased incidence of epilepsy cerebral palsy prevalence for both of these conditions is persuasion to b e three times higher than the general population (Drake,2002), visual problems, hearing difficulties and increased dental needs. It is recognised that individuals with learning disabilities are sometimes deprived of the best standard of health care service evaluate by people who do not establish learning disabilities (Drake, 2002). In fact despite their higher health needs people with learning disabilities access primary health care less than the general population (Shakespeare, 2003). It is essential that this inequality of care be addressed and unless this is done with the remain firm of the specialist operate, and community learning disability nurses in particular, the health-related needs of people with learning disabilities will continue to be overlooked (Oliver et al ,1996). talk about WHY IT IS NECESSARY TO PROMOTE AUTONOMY AND INDEPENDENCEAutonomy refers to the realization that a patient is an individual who is also allowed to be given elementary compensates like the right to information, the right to receive care and treatment and the right to confidentiality (Dalley, 1991). When a patient understands clearly the consequences of complying or refusing his treatment which is called the principle of sure consent, should be the main idea in the cares mind when proposing either form of treatment (Dalley, 1991).The fundamental dilemma is that of balancing the individuals autonomy and civil self-direction with the need to shelter both the individual and the public from perceived risk. In addition, how far should learning disability go in maintaining a function of social control? Swain (2003) believes that when a nurse does not notice their role as an agent of social control, that fuel the publics misconceptions that surround learning disability.The word care is equally misleading its application of warmth for (protect ion/supervision) and caring for (worry or show concern). From the perspective of people with disabilities, protected or oversee can sound patronising and disempowering. The need for supervisory care undermines the publics ability to see people with impairment as autonomous people. To much or less people the term care highlights a dependency as do most of the charities set up to support the needs of people with disabilities.(Borsay,2005)Medical services alone are unable to empower a person with a disability to live independently in the community. The provision of the correct equipment and conveniences would empower the person to exercise more than control over their life. This can single be achieved by the person with the impairment deciding on the level of care that is provided and the equipment required for them to achieve self fulfilment. The condole with Standards shape 2000 gives independence but not autonomy and again restricted by financial constraints. We often see fund raising schemes to raise monetary resource to purchase wheelchairs for children with multiple sclerosis and spasticity as th e specialist equipment gives them the freedom of mobility with out high dependency. This equipment is not available through the welfare system even we do pay 3,800+ per week for people to attend drug replacement units to help them regain control of their lives. Swain and Cameron define autonomy as the ability to make knowledgeable preferences regarding care plan and implementation, (Swain et al, 2003).DESCRIBE THE applicable LEGISLATION AND POLICYPeople with disabilities face discrimination from a deface or loophole in the very legislation that is set up to protect them from discrimination by permitting the rights of proprietors and businesses to make only reasonable adjustments to tackle disable barriers. Due to the ground of finances, conservation and practicality, disable people are not treated fairly due to impairment (Disability Discrimination Act, 1995). These barriers can be reflecting in the statistics published by the Disability Rights Commission in 2005, suggesting o nly half of disabled adults at working age are in oeuvre, compared with four out of five non-disabled people in employment. The DDA 1995 was introduced to prevent people with disabilities from being take awayd on their rights to employment, housing and access to facilities or services. The stipulates adjustments required by employers but only for employers who employ 15 people or more and reasonable adjustments make by housing associations to provide access to housing. The word reasonable can be understood or explained in assorted ways which lives an open door to some private bring inlords whom can discriminate on the cubic yard that they can afford to make the adjustments required. Structures of the buildings do not need to be changed and an alternative access can be made. This is already treating disabled people differently on grounds of impairment and lay a price tag on their equality and disempowering people with impairments. (Barnes, 2002) probe HOW FAR THE LEGISLATION/PO LICY OUTLINED CONTRIBUTES TO THE INDIVIDUALS AUTONOMY AND INDEPENDENCE.Only in 1995 it became illegal in Britain to discriminate against disabled people in linkup with employment, the provisions of goods, facilities and services and education. The easy and toothless law of 1995, was amended after the Special Educational Needs and Disability Act was implemented in 2001, which made it unlawful for education providers to discriminate against disabled pupils, students and adult learners . The disability Rights commission in addition to other disability agencies are pressure sensation the government to adhere to new plans to address the low expected institutes and systems to be able to provide premium, service for all special needs people. (Oliver, 1996) forward the Disability Discrimination Act, disabled people could legally be refused employment by employers. The disabled people will unreasonably correspond to jobs of lower status and lower salary jobs, as a result of shortsighted foundation schooling and the lack of opportunities that was made available for the disabled, as mentioned earlier. The stigmatism occurred when the disabled were deemed as unemployable and those who were in employment were openly discriminated against, due to the volume opinion. Employers had a stereotypical outlook to the ability and level of productivity of disabled people.The empowerment of the disabled people is an area of mention. The rise of the disability movement has been based on empowerment of themselves, as it has been mainly led by the disabled themselves. This encourages the disabled users of service to denote unity, and to provide the people of the club a view of ability as opposed to disability.The Community Care Act 1996 is a clear example of attempts of increasing the employment for disabled people. This has had many benefits as the government allows local authorities to release funds directly to service users, who purchase their own services and allocate the serv ices to which they assess as being eligible. It empowers the users to assess their own needs and sink which services cater for their specific needs.The amendments to the law suggest that the society as well as the government were failing in providing disabled people with what they required as humans. British society by qualification necessary adaptations to laws and services automatically give in to the argument that disabled people were not treated equally, were not provided for equally and were not perceived as equal to those without disability. The significance of the acceptance of the disabled people may be more satisfying to them as opposed to the legislations that were amended to provide for needs, although I do not belittle the benefit that came out of the amendments. The way in which they were addressed has also been impacted as they were called crippled which may have been offensive, to the more accepted people with disability. With regards to the social model the governm ent has failed to accomplish their full purpose of providing for all, hence has impacted them by pressuring them into making changes. (Cameron, 2003)The impact of disability movement on businesses and service provision are also major, as adapting to the disabled needs by physical changes, such as ramps, lowered light switches and lowered reception desks and payphones. The impact of the Social form _or_ system of government of Britain has been impacted very deeply, and has been able to make significant improvement not just to the individuals who have disability but to the general public. Nevertheless, Borsay (2005) argues that in that respect are many areas in the act(DDA) that have loop holes such as education and transport, and this makes it far from comprehensive. The Act talks about the transport requirements but yet it only talks about how the new transport have to meet minimum access standards for disabled people, but it only applies to land base transport. Even areas such as employment are limited, for example, the act does not apply to the armed services and before 2004, and it only cover employers who employ 15 or more people. The act is very weak for example the definition of disability stated in the act is delimitate narrowly In terms of impairment and is guided by the hardship of the impairment rather than by the experience of discrimination. Some impairments and medical conditions have not been covered such as HIV and Aids, despite the fact that they are another source of discrimination. (Drake, 2002)Although there are many strategies to ask out or reduce prejudice in society, for disabled people discrimination remains a significant problem at all levels, as discrimination will always occur because of the peoples attitudes and views against a person with a disability in our society. Thus no matter how many acts legislations are in force, discrimination is an ongoing problem in society, as we can not legislate for peoples attitudes in society. T he society should work on educating people about a person with a disability and make them more aware that a disabled person is no inferior to any other person hence no discrimination should be made due to a persons disability. Therefore the social model of disability should be in practise, although it is easier said than done to educate all ignorant attitudes in society surrounding disability. It may be argued that only a disabled person is able to comprehend what it is like to be discriminated on the grounds of employment, education and transport.REFERENCESBooksBorsay, A. (2005) Disability and Social form _or_ system of government in Britain since 1750. Hampshire Palgrave Macmillan.Dalley, G. (1991) Disability Social Policy. London Policy Studies Institute.Oliver, M. (1996) Understanding disability from theory to practice. Hampshire Macmillan Press Ltd.Pierson, J., Thomas, M. (2002) vocabulary of Social Work. Glasgow Harper CollinsShakespeare, T. (2003) The Disability Reader S ocial learning Perspectives. London Contiuum.Swain, J., Finkelstein, V, Oliver, M. (1993) Disabling Barriers Enabling Environments. London Sage Publications.Swain, J., French, S., Cameron, C. (2003) Controversial Issues in a Disabling Society. Buckingham Open University Press.JournalsBarnes, C. (2002) Disability, Politics and Policy in Policy and Politics. Vol 30 No 3.Drake, R.F. (2002) Disabled people, Voluntary Organisations and participation in Policy Making in Policy and Politics. Vol 30 No 3Websites ecumenic Social Care Council. Online, Available http//www.gscc.org.uk/Home/ 10th Nov 2006http//www.opsi.gov.uk/acts/acts1996/1996030.htmhttp//www.shaw-trust.org.uk/page/6/89/http//www.direct.gov.uk/DisabledPeople/EducationAndTraining/EducationArticles/fs/en?CONTENT_ID=4001076chk=AftwGDhttp//www.education-otherwise.org/Links/Samples/FirstContactSampleLetter.htm