Aishpreet kaur

Student id: 2245746 SH4008

Culture society and ethics.
Introduction:
There may be problems with how service recipients are handled in the
social care professions. I will look at the obstacles raised by the
treatment of Dora .During the course of my case study, I will analyse
the problems caused by the manner in which service users were
treated in social care. After that I’ll describe the scenario and what
transpired , followed by a discussion of the events which took place
during the scene and at the end I’ll provide my recommendations and
justification for them.
Description:
Two people, Dora and Simon, are included in the case study that I
looked at .Simon and Dora recently fell at home , and because Simon
was injured , he was unable to care for Dora while he was healing
,Dora was transferred to a care facility, where it become apparent that
she would require full-time care. Simon visited her every day in the
facility until the local authority decided to transfer her to a permanent
nursing home , which was extremely far away. As a result, Simon and
family members were unable to go visit Dora. Prior to receiving an
Alzheimer’s diagnosis, Dora was not able to care for herself since she
was blind. However, following the pair’s fall, it became clear that
Dora would need round-the-clock care as Simon was no longer able.
When Dora was in the nearby care facility , Simon visited her
everyday since they have a particularly string link. Simon and Dora
have been married for 56 years.
Discussion :
Given that Simon is recovering ,the locally funded care facility
determined that Dora needed full-time care. While this relieves Simon
of some of his burdens by allowing him to focus on healing his own
wounds while Dora is receiving care, the decision to make the move
wasn’t in the best interests of either service user. Nor was it discussed
with or explained to either Dora or Simon , making it difficult for
them both to comprehend what was happening. Simon and their
infants visited her every day during she was at the nearby care facility
. Now that the local authorities have transferred Dora, this going to
cause a lot of problems and upheaval because the family is close.
Given that Simon and Dora are both elderly and have never been
apart before, it will be harmful for their mental health and may affect
how well their family members get along . As she becomes confused
and her routines is drastically altered, this could worsen Dora’s health.
According to NHS Alzheimer’s disease is a progressive disorder,
which means that symptoms appear gradually over a long period of
time before eventually getting worse, therefore Dora was having a a
lot of trouble comprehending what was going on because dementia
has no known therapeutic options and no known cure.
According to the Mental organisation (2018)Alzheimer’s disease is
one of the leading causes of dementia, and because our population is
ageing, mental health organisations predict that by 2025, more than
one million people will be affected by it. Alzheimer’s disease is
present if there are brain changes associated with the disease that
occur prior to the onset of symptoms, if there are subtle symptoms
associated with memory, learning or thinking as a result of the
disease. According to research, the symptoms of Alzheimer’s disease
can last for years and affect both cognitive and physical function.
Severe Alzheimer’s , in which the person’s brain has undergone such
profound change that they are unable to walk and have difficulty
communicating, can also occur.
Dora did not receive the appropriate care in this situation, and her
rights were not taken into consideration, the decision to move her was
not in her best interest, ignoring her right to autonomy is a serious
issue. The right to autonomy and self determination grants service
users the right to decision how they will be treated and taken care of,
as long as those decisions are made within the legal parameters.
Dora’s rights have not at all been upheld in this situation , and more
time should have been spent educating her and her family about what
would be best for her and the various options available. It is not
permitted to make decisions for a patient.
Apart from this, the rights of Dora have not been addressed because
neither she nor her family were involved in the decision to relocate
Dora so far away. According to the1998 Human Right Act , people
with Alzheimer’s disease enjoy the same rights as everyone else. Most
of the time people face some difficulties and they treated badly which
consider as discrimination .Under disability law, conditions like
dementia and Alzheimer’s are classified as disabilities.
The equality act of 2010 defines a disability as a physical or mental
impairment that substantially or long-term negatively affects a
person's ability to carry out day-to-day activities. Because
Alzheimer’s disease is a severe condition that falls under the act ,
people living with dementia should be given full protection under the
act. In accordance with the United Convention on the Rights of
Person with Disabilities , those who suffer from dementia are given
complete legal protection, and any instances of prejudice should be
looked into and dealt with harshly . The disability right movement,
which pioneered the social media of disability, says that people with
dementia should be protected and in the centre of any decision-
making . Before a decision is made for them , as in the Dora case, the
law specifies that decision making is all or nothing and that each
people should be provide all the necessary support and information so
that they can make a decision. The Alzheimer’s Society concurs,
stating that “ a person with dementia or Alzheimer’s should be
encouraged to maintain as much of their independence as possible.

The care act 2014, which went into effect in April 2015, can be
particularly important for persons with dementia because it prioritises
both the wellness of those with Alzheimer’s .Local authorities are
required to maintain and enhance the wellbeing of both dementia
patients and those without the disease. The care act also provide
carers, and it was the first time , the right that people have that they
accessed eligible needs met. Having control over daily life and
having good physical and mental health are all components of
wellbeing .

Ageism is a major issue in today’s culture, and it can be especially

difficuilt for those with Alzheimer’s disease and other forms of
dementia.Individuals who grow older and experience cognitive
impairments frequently encounter prejudice in workplace ,healthcare
system, and daily life. Alzheimer’s disease is a neurological condition
that progressively impairs memory, thinking, and behaviour.
Dementia patients are at a disadvantage because older persons are
frequently denied access to the full spectrum of mental health services
that are provided to young patients. Dementia patients are typically 65
years of age or older . The NHS, the local government that moved
Dora, and the carers who are caring for Dora are the stakeholders
who should be helping .They could arrange meetings with Dora’s
family in attendance. They need to help offer support and care based
on Dora’s needs. Additionally, they must keep in mind that the 2010
Equal Opportunity Act protects people with impairments. It should
always be adhered to because it was put in place to prevent abuse of
individuals.
As in our case with Dora , it even covers serious life-changing
decisions, like moving into a permanent care home. It is stated that “if
you make decision for someone who lacks mental capacity it must be
in their best interest,” and as in this case, this was not the case. The
mental capacity act protects people who lacks mental capacity to
make their own decisions about their care and the treatment they
receive . It covers things what happens to the patients in their day to
day life. They also claim that person who lack the mental capacity to
make their own decision should have an impartial advocate who will
help them to make the best choices because Dora’s best interest are at
stake because she won’t even be able to visit her family . They even
offer a guide on how to care for them, so you should encourage
participation, note all pertinent facts work to understand each person’s
requirements, and ask what they would prefer if they could choose for
themselves. Before making a decision, it is important to consider each
individual’s viewpoint in order to prevent prejudice. The MCA also
believes in looking for the solution that is the least restrictive. The
Local Authority did not question whether there was anything else they
could see in this case study. When a decision is final , it should always
be made with the patient’s best interests in mind , which is not the
case here .The Mental Capacity Act is applicable to all professions ,
and the staff involves have a responsibility to make sure they are
aware of how to use it. This act also includes crucial judgment
regarding a person’s property, finances, health, and social care.
Decision concerning what a person wears, what they eat and how they
take care of themselves are included in this category of decision-
making as well. Making precise decisions and making future plans
can be made easier with the support of the act for people with
dementia , their carers , and professionals. If the MCA had been
employed in the decision-making process over Dora’s future , she
would have been in a position.
Conclusion:
To conclude , I would advise that going forward, Dora, Simon, and
their family stand up for their rights and make sure they are respected
at all times. Communication is required so that the family can
understand what is happening, and the local authorities are required to
communicate about moving Dora closer to home. A meeting is
required so that it can be decided to move Dora closer to home. To
conclude, I can see that Dora, Simon, and their children have not had
their basic human rights respected in this case.
After his fall, support should also be given to Simon; I recommend
creating a care plan for him so that he won’t be struggling on his own
at home. Also, emotional support might be given; even though Dora is
present physically, couples sometimes grieve when their spouse is
absent emotionally. An assistance line run by the Alzheimer’s Society
is available. Simon can benefit from counselling or meet-up group for
those who have cared for a person with dementia. His emotional and
physical health are also very essential. Age UK, dementia UK, and
admiral nurse dementia helplines are just a few of the helplines that
Simon is aware of. I suggest these various possibilities because
having in good shape will also aid Dora and be good for their
relationship.
Reference list:
Alzheimer’s Society 2018- www.alzhiemers.org.uk (accessed18
March).
Care Act(2014)- www.dementiacarers.org.uk accessed(21 February).
Care and support plans2018- www.nhs.co.uk Accessed (25 February )
Equality Act 2010 – www.alzheimersnexus.com Accessed( 02 April ).
Dementia rights 2018- www.mentalhealth.org.uk Accessed on (10
February )
Mental capacity 2005- www.legistration.gov.uk Accessed on (26
February ).