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Freedom from
Physical QUALITY
comfort FACTORS
Physical safety
Social contact…read more

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Treating people badly
Neglect Rejection
Hostility Bullying
Discrimination…read more

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Barriers internal to carers
· Attitudes and prejudices ­ The use of stereotypes to explain or categorise
different groups in society. Beliefs from either carer or service user may have
developed or been encouraged at a young age. For example, someone may have
been brought up to think Asian people are inferior, causing that person to value
them less. It is important for carers to accept and be aware of other beliefs in a
positive way.
· Stereotyping ­ use of labels or characteristics to describe a person or group of
people. It is usually negative and unfair. E.g. an overweight person is perceived as
lazy or slow, or a young person wearing a tracksuit is classed as a `chav' (do not
use in exam, but you get my gist.). Stereotyping may lead to discrimination.
· Lack of motivation ­ Ensure all team members are motivated. Everyone must
have set purposes and a clear goal that people can work towards. Lack of
motivation can be found when there is no set goal and care workers become
demoralised and the reduction of quality in care is reduced. This may cause
service users to feel under valued so it is important that motivation has a crucial
role. This target can be met through challenges and team work, this includes
setting challenges to improve quality of the care setting.…read more

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Barriers internal to carers
Conformity with inappropriate workplace norms ­ conformity means following the
rules and routines that other individuals do. This usually occurs in new settings. E.g.
when an individual starts a new job, they follow the social norms of more experienced
staff members. If a care setting has not valued job roles, this could lead to verbal and
non-verbal communication which could be considered negative and inappropriate
physical contact, e.g. touching a patients arm, even if rules are said otherwise.
Pre-occupation with own needs ­ Failing to put the service users needs first. E.g. a care
assistant is due to finish their shift in five minutes, a service user asks for assistance to
the toilet but the care assistant refuses as she is finishing work in five minutes, she tells
the service user she will tell someone else, though she forgets to and half an hour later
the resident (service user) has wet themself and is now feeling distressed as a
Lack of skill ­ Inexperienced, lack of training, inability to reach the level of skill required.
Managers must always make sure that if training is needed, then it is provided. It is
managers responsibility to guide this person, suggesting other career options if they do
not meet the skills needed.…read more

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Service user barriers
Lack of status or power ­ People who are perceived or perceive themselves as being
less valuable than others. This can be people with disabilities, older people or people
with mental health problems. There are cultural differences in status, for example
China consider elderly to be of extremely high status as they have the most wisdom
and experience. In the UK less respect is shown towards them as they are seen as
needy and dependant. This is can be lead to feelings of insecurity and low self-esteem.
Getting to know a service user is vital as finding out likes and dislikes can help people
find hobbies even when going into residential care.
Concealing real needs ­ Service users do not always conceal their real needs as they
do not want to seem a nuisance to those who look after them. This could also be due
to embarrassment or discussing someone who may be of opposite sex, such as an
elderly woman seeing a young male doctor. Skills of a carer must be used to gain trust.
Tendency to exaggerate ­ some service users may exaggerate their illnesses, needs or
concerns in guarantee that they will receive the appropriate care. This can sometimes
be attention seeking if an individual feels lonely and wants social contact. Care
workers must take it into account, as problems may seem more real to the service
user than them.…read more

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