1.1 The types of abuse can be:
Physical: is non-accidental use of force against any person that results in physical pain, injury, impairment or confinement. Signs of physical abuse are, injuries that are consistent with physical abuse, present of several injuries of a variety of ages, Injuries that have not received medical attention, a person being taken to many different places to receive medical attention, Skin infections, unexplained weight changes or medication being lost, behavior that indicates that the person is afraid of the perpetrator, change of behavior or avoiding the perpetrator. Sexual: is when a person is forced or tricked into taking part in any kind of sexual activity. When sexual contact is non-consensual, it is an abuse. It can include sexual penetration of any part of the body with a penis, finger or any object, sexual exploitation, making threats about sexual activities, exposure to pornographic material, touching of breast, genitals and kissing.
The signs and symptoms of sexual abuse in the can be bruises around breasts or genitals, genital infections, unexplained vaginal or anal bleeding, torn, stained, or bloody underwear, disturbed sleep patterns, vulnerable person appears withdrawn and fearful, inappropriate. Emotional Abuse is where one person gains power and control over another through words and gestures which gradually undermine the other person. Emotional abuse can be name-calling, blaming, screaming, making threats, yelling, neglecting, manipulation, not listening, withholding affection and information belittling and untrue accusations. Signs of emotional abuse are depression, anxiety, withdrawing or refusing affection, fearful or agitation, lower self-esteem and Self-confidence, shouting or swearing, behaviours such as rocking, hair twisting and self-mutilation.
Financial: stealing or defrauding someone of money or property, tricking or threatening individuals into giving away money or property, withholding money, refusing to allow individuals to manage their finances or using money for personal use when put in charge of service user finance matters. Signs of financial abuse are signatures on cheques that do not resemble the service users, unexplained withdrawals of large sums of money by a person accompanying the service user, lack of amenities, such as TV, personal grooming items, appropriate clothing Institutional: happen when the lifestyles of service users are sacrificed in favour of the routines or restrictive practices of service providers. Institutional abuse comprises neglect, physical abuse, sexual abuse, verbal abuse, discriminatory abuse, psychological and emotional abuse and financial abuse. Service users not being allowed to go out, their privacy not respected their interest not at the centre of every decision being made, excessive medication and complaints procedure not made available for the service users.
Signs and symptoms include lack of own personal clothing and possessions, no flexibility of bedtimes, eating times or waking times, dirty clothing or bed linen, misuse of medication, lack of care plans, lack of heating Self-neglect is when a person does not pay attention to their health and well-being. Service users can neglect themselves due to illness or depression or might intentionally neglect themselves. The signs and symptoms include: living in dirty conditions, poor personal hygiene, poor nutrition…not getting medical help, not being interested in the way they look, long toe nails not taking medication. Neglect by others is when a carer or family member does not carry out their duty of care and fails to care for a service user as stated in agreed care plan.
This can be deliberate or unintentional due to the carer being untrained, ill or stressed. Signs and symptoms of neglect include absence of food, water, and heat, poor personal hygiene including soiled clothing, dirty nails and skin, inappropriately dressed for cold or hot weather, bedsore, withdrawn, illness 1.2 Signs and symptoms of neglect include absence of food, water, and heat, poor personal hygiene including soiled clothing, dirty nails and skin, inappropriately dressed for cold or hot weather, bedsore, withdrawn, illness 1.3 People I support maybe abused because some of them are unable to take care of themselves due to they are old or disables. Some of them no even can´t talk so is very difficult to communicate any abuse.
Outcome 2 Know how to respond to suspected or alleged abuse
2.1 if i suspect someone is being abused i will talk in private, mentioning some of the things that concern me, if is right that the person is being abused I will ask them what they want to do, advise my manager about the situation and inform about they will need help, taking a note about what person is saying and asking when, who, where. Will inform my manager and search for help 2.2 If someone told me they are being abused, I will stay calm and listen to them and take what am are being told seriously. I will assure the individual that he/she did the right thing by telling me about the allegations. I will write down what the person tells me using their own words. I will offer support stop the abuse happening. I will ask them what they want me to do. I will inform the person I will have to share what they have told me with others who will be helping out. I will also inform the person that they are organizations that can help to stop the abuse. I will speak with my line manager as soon as I can, giving them all the details.
2.3 evidence of abuse is preserved when: keeping all things in same place, touching minimum possible and making sure that evidence is kept safe from contamination or going missing. Make a note and give it to the right person to sort it out the problem.
Outcome 3 Understand the national and local context of safeguarding and protection from abuse
Outcome 4 Understand ways to reduce the likelihood of abuse
4.1 To reduce the likely hood of abuse, the service user has to be involved in all decision making about their care plan. Person centered values means the client choice has to be respected, discuss with that person what they want, how they want it and when they want it. .for example they may always have porridge in the morning but perhaps that day they may want toast instead. It is about choices and ensuring care plans are up dated. Clients should be allowed to participate on decision making about care given to them. This make them will feel valued and respected .for example by asking what they will like to wear on that day person choice of things. It is good practice to involve the resident with their care plan as their wishes are core to the plan. In this way then it reduces the risk of abuse, gives that person the confidence and self-esteem to speak up if there is an issue.
Choices and rights is all about allowing people taking control of their lives, even if this is in a small way by deciding what you want and when they want it. In our own homes we make decisions on things. So it is a right for the people we care for to make decisions about their lives .by including a service users say in their care it allows them to be individuals. It also makes them feel good. 4.2 Complaints procedure should be explained to clients and be available on care plan. This will help when the client wants to make a complaint. When the procedure is there and explained, the client will feel valued by the company and have confidence of making a complaint if there is one
Outcome 5 Know how to recognize and report unsafe practices
5.1 Unsafe practices as Moving and Handling of the persons, preparing food with out gloves is a unsafe practice and in a dirt surface, not giving the medication on time is a unsafe practice.
5.2 I will speak to the responsible person explaining to them what I think is unsafe practice and how it is happening, when, where etc.
5.3 If I see that the problem has not been resolved I will speak to my manager and and making sure that the unsafe practice has been corrected.