K217 Ena

K217 EMA Report Gary T equal to(p) of contents varlet 1. Tcap adequate to(p) of Contents Page 2. Introduction Page 3. Context Page 4. Discussion Page 8. Conclusions and Recommendations Page 9. References Introduction This is a hide on Gary a 52 year old male help user who lives within the county of Conway. payable to a unplayful car accident about time ag maven he has lost the use of both his legs and he does not go and relies on disability benefits for his income, Gary lives alone and has some cargon provided by his girl and the rest by a support useer.This plow has been commission by Gary with the religious receipts of his support processer as he is interested in victorious up some retraining so he basisnister fly the coop towards getting back into the job market and becoming more(prenominal) free-living. His daughter and son in law be apposed to the idea as they think Gary is getting on in years and she would not be able to attend the address to get Gary take a leak for work in front 9. 30 am as she needs to get her children to school.His daughter similarly has reservations ab knocked out(p) the Garys ex-work fellow worker as he has a reputation of organism quite demanding of his employees and pays only a basic wage. In this report we ar deprivation to look into all(prenominal) the options that ar open to Gary as in deference to him getting extra upkeep so that he is able to push towards his goal of retraining for work. The key issues that we need to address as regard to Gary atomic get 18 give the bounce we get him the extra kick that would draw and quarter him more independent and concede him the mobility to let him attend further direction and training to put him back in the work place.This report is universe compiled for friendly Workers that be based within the full-gr testify genial function within Conwy County Council. Context With Garys emplacement a number of significant events draw happened which e ngage led to his current blot, he lost the use of his legs sometime ago and lives alone after getting divorced some 15 years ago. Gary is suffering from effect and is taking medication for this, his daughter and son-in-law are relied on for most of his business and a support worker attends each day to give him a bath.Since the on roofy of his low Gary has withdrawn from doing the activities that he used to enjoy and he is very very much cutting himself onward from the world. He enjoyed used to enjoy using his mortalal computer to look local anaesthetic anesthetic and family history. The root of Garys problem I believe is that he has stick diswhitethorn due to his isolation from the real world and with his current lose of sympathize with and mobility he is almost stuck in a rut and needs to be removed from this situation and given more self worth.Gary needs a more active place in hunting lodge and the more service of process that he can be given the more he get out feel like he has a purpose in society, his family turn in reservations nigh the score of action that Gary inclinationes to pursue due to their limitations as regard to the time of day that his daughter can attend to get him ready and also the reputation of the old work friend that is offering him succeeding(a) employment.Adult Social Services throw away a number of goals for the great unwashed who are alter they include Maintaining independence, opportunities to contribute to the alliance, feeling valued, b another(prenominal) to social touch and community, keeping active and alert (http//www. york. ac. uk/inst/spru/pubs/pdf/newvision. pdf) all these apply to Gary and Adult Social go need to move forward with Gary to give him a greater quality of life and move him towards the goals hat he wish to stick there are a number of options that are forthcoming to them. on that flow are a number of perspectives that could be considered when sounding at the situation of Gary, we can look at through the eyes of the Social Model of Disability (K217 Book2), Sigma (Goffman 1968) , empowerment (K217 Book 3). When tone at Garys situation I am applying the Social Model of disability which was created by change nation themselves.This was primarily created as a result of the response that society has given to disabled masses and also a reflection of the ack without delayledge that disabled people suffer come across in the health and welfare system which as given them a feeling of organism socially isolated and oppressed. The second perspective that I am going to apply to this report is empowerment, this gives the service user greater suppress of the services that they live, creation involved in the planning of services and developing replete(p) practice. (Barnes and Bowl, 2001) DiscussionIn the case study that this report is based upon Gary has been in a serious car accident that has deprived him of the use of his legs and this now means that he can on ly get around with the use of a wheelchair. This situation has had a knock on effect of him remove a minuscule sense of self-worth and a lack of pride in his situation, he suffers from depression and is taking medication for this. Radar (the disability network) and Depression Alliance commissioned a report (http//www. depressionalliance. org/PDF/depression-disability-and-employment-report. df) that looked into depression as a disability and how we can improve the way we look at depression and the changes we can settle to help reduce job, long term economic inactivity and isolation. Of the 566 people who answered 95% were living with depression and a quarter (148) people had a long term physical health condition. 77% of the people report that they had not received any support with employment. Gary is living with a character reference of disability which is hard, most disabled people are not depressed and do not stay depressed.The prevalence of depression among disabled adults i s in two ways that of healthy aged adults (Beekman AT, 2002), the relationship between depression and disability is a two way street with depression there being a link between physical disabilities and depressive symptoms in older adults (Gill TM,Kurland B 2003). in that location is clear evidence that Gary has on the onset of depression that can be linked to the impact of the loss of his legs in his car accident and with him now socially isolated and without employment these claim now added to the problems over a period of time.In a report by Tania Burchardt called Enduring economic elimination change people,income and work the study found out that disabled people now make up a large and growing proportion of people who are of working age, it now stands between 12 and 16% (Enduring economic exclusion Page. 4) One telling statistic is the problems that disabled people have getting work, and that one third of those disabled people who find employment are out of work formerly ag ain the following year.In the report by Tania Burchardt the income statistics limn that half of all disabled people have incomes below the normal population indicator of poverty after it was factored in to the highest degree the additive cost that disabled people incur due to their health. Gary wants to gain access to retraining so he can move towards gaining employment once again after he aims qualified in the sector that he wishes, to do this he is going to need some extra help from the local Conway Council to get to his goals.Conway Adult Social Services have a number of options that they promote that may be of assistance to Gary, they already give him care to help him get bathed and his daughter and son-in-law take up the care duties in the morning. Conwy can provide Homecare that can help with a drift of things such as help getting up, getting dressed, preparing meals, doing laundry and shop where appropriate (http//www. conwy. gov. uk/upload/ everyday/attachments/466/Mic rosoft_Word__CCO_Leaflet_eng. df) . Gary would need to be assessed as to the take aim of care that he would be entitled to also considered as to the misfortune of equipment or adaptions that could be made to the home to help him live more independently and safely in his home. Though Gary is set on this course of action his daughter and son-in-law have reservations about his age and the get along of care that she could give her father due to her own family commitments.His daughters view point about his age and the fact that any new employer might demand to much from him is really being based on his disability and not altogether based on is age (K217, Book 2). There should be no denial of opportunities or restriction of choice based on assumptions that are made due to his disability. Through the social model disability is understand as an unequal relationship within society and there can be no barriers preventing people from gaining equal access to information, education and empl oyment.There are options that perhaps he has not considered and with him feeling socially isolated due to living alone and his lack of interlocutor with the immaterial world. Conwy Council Adult Social Services promotes day care or opportunities to rival other people and take part in outings and other activities so Gary would be able to haver a much more active life that would could help with the depression he is suffering. (http//www. conwy. gov. uk/upload/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. pdf) The principles of good practice (http//www. nderstandingindividualneeds. com/page. php? identity=principles) realm that you have to give Gary a choice about the way in which he wishes to move forward and also take into consideration his emotional needs. Social development is about gaining relationships with a variety of people and taking part in an ordinary life and currently Gary is unable to run these basic rights. Gregory Beattie talks about how a depressed ind ividual has a lack of socialization and social support groups (Beattie, Gregory,S. 2005) Social Causes of Depression) and Gary has a absentminded in both these things as he is unable to access them. If Gary was to obtain the extra help that he is going to need to obtain the goals that he has set himself a consultation with both himself and his family is going to be necessary as to ascertain as to realistic goals that can be set. There would be a negative impact on Gary should he set himself unobtainable goals that he then fails to obtain, this would be damaging to the situation.Statistics show that disabled people have a lower overall level of qualifications when compared to that of able bodied people (Employment of disabled people DoEE) 38% of disabled people have no qualifications compared to only 16% of non-disabled people. The report also cerebrate that of the 2,015 disabled people that were spoken to (26,000 households in total) 64% strongly concur and 29% agreed that getti ng a job was important to them so the statistics show that it is important for disabled people to be in employment. 47% of the economically inactive disabled people who see themselves as being able to work would like a paid job.When talking about Garys visions of eventually going back into work his daughter has reservations incase he is taken advantage of by his employer and in the report one in six people (16%) who are economically active stated that they have experienced unfair treatment or discrimination in the work place. When looking at the overall statistics you can see that 42% report that that they have been discriminated by a potential employer and 41% by an employer, these figures speak volumes and during any assessment they will need to be presented to Gary so that he can see the real picture in the job market for disabled people.The option of lead Payments is one that should be explored with Gary and when he is assessed for the amount of care that he needs the options should be discussed at length, direct payments have both good and bad points and do not fit everyone. As direct payments will mean Gary being responsible for a number of things it also might be advantageous to also consult with his daughter and son-in-law to see if they would be interested in perhaps helping Gary should he need it.Radar the disability network have produced a fact piece of paper that the family may find useful (http//www. radar. org. uk/wp-content/uploads/2011/06/6_directpayments. pdf) , the fact sheet points out how Gary would become and employer and all the responsibility that comes as well as all the paper work he will be required to keep. He will need to consider if he wishes to have the work load of screen out out all the pay, dismissal, redundancy just to name a hardly a(prenominal) of the obligations that he would have to pair as an employer to a personal assistant.The other option open to Gary is to place the care that he requires in the hold of an agen cy or self employed to take the burden of work away from himself and organise his care around his specific needs. Bringing Gary into the union of this assessment into his care will empower him to participate (K217 Book 3) Jones and Meleis chance on the concept of empowerment as a social process of recognizing, promoting, and enhancing peoples abilities to meet their own needs,solve their own problems, and mobilize necessary resources to take control of their own lives (Jones PS, Meleis 1993).The empowering of Gary will start a process of helping him assert greater control over the factors that affect his health, in the past it was assumed that service users were supposed to be compliant with the directives that were in place from the health care trafficals-the biomedical model. In the empowerment model there is a contact between Gary and the provider who take a joint responsibility in terms of agreed upon outcomes, people within the health care profession are obliged to respect G ary and assist him in making decisions.Multiple studies have shown that people that are more involved with the decisions about the care that they receive and also the management of the conditions that they live have better outcomes than those who are not involved in the process (Wagner EH,Glasgow RE,Davis C, 2001) (Greenfield S, Kaplan SH,Ware JE Jr, 1988). Conclusions and Recommendations In this report we have been looking at the situation that Gary is currently experiencing, he is a disabled person who lost the use of his legs in a car accident some years ago and lives alone now after a divorce.He is looking at the supposition of getting some higher education and hopes to move into employment in the information technology sector, it has already been stated that daughter and son-in-law have reservations about this course of action due doubts about the ex-work colleague of Garys that is offering him employment and the problems that this will present to her care giving situation.The report has looked at the links between depression, disability and joblessness and we have shown that there are links between these elements that are making Garys life move difficult but also you must take into consideration that fact that Gary is very socially isolated. The report then looked at the option of direct payments and how Garys care could be changed so he will have more control and power over his care and become the central focal point so he can move towards a more independent life and obtaining the goals that he is setting for himself.The report looked at all the pros and cons on the direct payment system and all the extra paperwork and responsibility that comes with employing psyche and how records must be kept and these funds are public notes have to be accounted for. My recommendations are the following, Gary should have his care plan reassessed by Conwy County council Adult social services with the remit of looking at the possibility of changing the level of care that Gary currently is getting and exploring the possibility of Direct Payments as an option.There should also be consultation with his daughter and son-in-law (with the relevant permissions) and have them present to discuss any and all options. Please present all options to Gary as regard to becoming a greater part of the community and providing information on the day care that you and provide and any opportunities to meet other people and take part in outings and other activities that your local authority provides to people within the county.A list of approved providers in the local area should be presented to Gary and also discuss the various support networks that you have for carers and also the options of homecare that you provide including help with getting up,getting dressed, preparing meals and shopping etc. Gary may need the help from the benefits advice centre as regard to making real he is getting all that he is entitled to and though outside your remit perhaps access to DLA to help with transportation needs. 2789 References http//www. ork. ac. uk/inst/spru/pubs/pdf/newvision. pdf accessed 31/05/2012 The able University (2010) K217 Adult health,social care and wellbeing, Book 2, Milton Keynes, The Open University Goffman, E. (1968) Stigma Notes on the Management of Spoiled Identity, Harmondsworth, Penguin The Open University (2010) K217 Adult health,social care and wellbeing, Book 2, Milton Keynes, The Open University Barnes, M. and Bowl, R. (2001) Taking over the Asylum Empowerment and Mental Health, Basingstoke, Palgrave.Meager N,Bates P,Dench S,Honey S,Williams M,(1998) Employment of handicapped PeopleAssessing the Extent of Participation, Research report RR69, surgical incision of Education and Employment. http//www. depressionalliance. org/PDF/depression-disability-and-employment-report. pdf accessed 31/05/2012 Beekman AT, Penninx DJ,Deeg DJ, de Beurs E, Geerling SW, van Tilburg W (2002) The Impact of depression on the well-being,disability a nd use of service in older adult a longitudinal perspective, 10520-27 Department of Psychiatry, Vrije University Amsterdam.Gill TM,Kurland B (2003) The burden of patterns of disability in activities of daily living among the community-living older persons, 5870-75, Yale University School of Medicine, Department of Internal Medicine,New Haven, Connecticut. http//www. jrf. org. uk/sites/files/jrf/1859353274. pdf (Enduring economic exclusion) accessed 01/06/2012 http//www. conwy. gov. uk/upload/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. pdf accessed 01/06/2012 http//www. understandingindividualneeds. com/page. php? identity=principles accessed 02/06/2012