Supportive relationships P6 and M3 In this essay, I would be explain and discussing the roles of supportive relationships in reducing the risk of abuse and promoting the rights, independence and wellbeing of adults and using health and social care services. Abraham Maslow is a psychologist who had developed the Hierarchy of needs model in 1940-50s, and the Hierarchy needs theory is still being used to day and for understanding the human motivation. In his hierarchy he believes that people are motivated to achieve certain needs. And when a human had fulfilled a person would seek to fulfil the next one. Maslow’s hierarchy needs is concerning the responsibility of service providers to provide a workplace environment that encourages and enable service user to fulfil their own unique potential. This could be from service provider helping service user with biological and physiological needs such as giving service user basic life need such as food, drinks, shelter, warmth, sleep and this would relate to a service user who could be homeless and giving them the basic needs is the best thing for them because before they can think about giving that service user love they would need to provide him with physiological needs.
When working as a health and social profession a service provider, would need to be able to identify where a service user is, in Abraham Maslow hierarchy. In knowing this knowledge service provider can help service user in knowing what stage they are in on the pyramid. If service users are at the bottom of the hierarchy then it’s the health and social profession job to move them up. For example, vulnerable old service users who might be living alone depressed don’t go out much and is finding hard to survive financially. The service provider would need to find what stage the vulnerable adult is in at the moment and to do this; service provider would need to know what the service user have and what hierarchy they are in. For this service user they would already have biological and physiological needs such as food, drink, shelter, warmth and sleep. The service provider would need to find a way in moving the old vulnerable adult up the stage of hierarchy and the next stage would be love and belongingness needs.
The way this can be achieved is by giving the old vulnerable adult a domiciliary care which is care in their home. This way service provider can help this service user by giving her a personal care and service provider helping the service user to go out more. This would help the vulnerable adult feel as they are part of the society and could start the stage of love and belongingness needs. Another example is, of an old vulnerable disabled adult who in a care home and are feeling alone even though this vulnerable adult is surrounded by many other service users and providers. The way in which this service user can be helped would be to feel love and belongingness and such as making friendship, intimacy, affection and love. The service user can be participating in activity and ensuring that they are not leaving that service out due to her disability. Need to ensure that the activity being done can be done by that service user. The service user should also be given the opportunity to get to talk with the other service user to create friendship and the service user would feel loved and belongingness. The service provider would need to ensure they are making sure that the disabled vulnerable adult is involved in all things the other service users are doing.
Maslow’s theory helps us understand what humans need to be happy and healthy. In this way, health and social profession would need to use his theory in helping service users to be happy to improve their health and self-esteem. Carl Rogers’s theory was different, he believed that people can only fulfil their potential and grow if they had a positive view on themselves. Carl Rogers believed that people’s problem was linked to their self-esteem and self-concept and if people feel that they are valued and respected. The problem in which people had was that most people don’t perceive the positive regard and comments we get from other but rather, we dwell on the negative comments we get from other people and question if we are like that. It is said that we internalise information we gain from the world and then we build it into our sense of self. In other words, when we human are praised and shown love and respect we gain high self-esteem and we forget about it and it doesn’t bother us. However, when we are cussed and something bad is said about us, we tend to think about it not forgetting it and those who experience this would have a low self-esteem.
It is also said that those with low self-esteem others can increase it. In health and social profession, many service users would suffer from low self-esteem, due to the way in which society treats them because of their disability or they have been made to feel sad or unhappy about themselves. It is the health and social provider’s job to ensure they increase the service user self-esteem and ensure they are happy about themselves. The way in which service providers can improve a service user’s self-esteem is by giving an unconditional positive regard towards that service user. An unconditional positive regard is a totally non-judgemental way in which health provider view service user and value the service user in a positive way with no conditions attached. This is hard for service users in being totally non-judgemental of service users because we human judge even without noticing due to the fact it is part of human race. The way in which service providers can do this is to ensure when working with service users to continuously compliment them and to praise them ensuring they feel loved.
For example, a service user at a care home who has learning difficulties and suffers a low self-esteem a way in which service providers can increase this service users self-esteem is by unconditional positive regard. If that service user were to do chores or small little task they should be praised and given positive comments. The service user should be told nice things about themselves in this way their self-esteem would increase and they would begin to love themselves and would also increase their confidence. Another way, in which service providers can improve and increase service user’s self-esteem is the use of empathy. Empathy is the ability to understand and share the feelings of another. The way in which service providers can use empathy in increasing the service user’s self-esteem, would be to try and put themselves in the service user’s shoes and try to understand the way in which they feel and try sharing this feeling. This would make the service user not feel they are alone and the only one who may have experienced what they have; this way service user would relate to the service provider and make them happier knowing they are not alone.
This would increase the service users self-esteem knowing they are not alone and service provider understand the way in which they feel. An example would be a service user who had experience rape and still affects their self-esteem and this service user feel that her key service provider doesn’t understand the way she feels. However, her key service provider shares something similar to the service users experience and this makes the service user feel better increasing her self-esteem. The service user would also have felt her key service provider understood how she felt making her have a better professional relationship with her service provider. Another way in which health and social providers can increase service user’s self-esteem is by trying to understand the service user’s feelings and putting themselves in the service user’s shoe. Understanding service users feeling would make them feel important and increase their self-esteem. For example, if a service user doesn’t want to have contact with his/her family and doesn’t want his/her family to visit service provider would need to put themselves in the service user’s shoe and ask themselves why the service user doesn’t want contact with his/her family.
Service provider would need to support the service user and this would increase the service user self-esteem because he/she knows that their opinion and decision is taken seriously and they are supported. Service providers showing that they are actively listening to service users would increase service uses self-esteem. Ensuring that service providers are listening and taking actions if needed would make service uses feel respected and valued knowing that they are cared for and listened to. Health and social profession would need to ensure they are adopting a non-judgemental approach meaning not judging service users based on their family status, race, region, disability or sexuality. When forming a supportive relationships there are thing service providers must do and there are things they must not do. The thing in which they should do should increase service user’s self-esteem and confident and the things they shouldn’t do would likely decrease their self-esteem and confidence.
The things they should do is to encourage service users to be independents and make their own decision and choices rather than relying on the service providers this would increase service users self-esteem being told they are able to do things on their own would make them feel good about themselves. Service providers must respect service user as individuals and must not try and change them. With service providing respecting service users individuality would make service users feel loved and respect and would increase their confidence and self-esteem and make them feel good about themselves. Service providers should ensure they encourage service users to participate in their care planning. This would increase service user’s health and wellbeing knowing that they are involved in what they are doing on daily and if they have any problems they can easily discuss this with service providers.
The things in which service provider shouldn’t do is to judge service user, if service provider judges service user they would make service users feel unloved and would feel worst about themselves which would decrease their self-esteem. Service providers shouldn’t have obvious favourites because this would lead to them treating certain service users differently to other service users and not giving equal service this would be a form of discrimination. Service providers shouldn’t accept inappropriate gifts, due to the fact their services to the service user is for free and they shouldn’t be expecting anything back from service users. Inappropriate gifts includes expensive products which service users have brought for service provider e.g. car. Service provider can’t and would need to refuse this gift. Service providers must ensure they do not form intimate or personal relationships with the service users due to the fact they are a career and are there to provide service and not have inappropriate relationship with the service users which would be seen as the service user abusing his/her power by forming a sexual relationship with service users.
It is important to empower service users because it means service providers giving service users control of certain tasks they have been asked to do or over their lives. Health and social professionals would need to make sure they give service users control of their health and wellbeing by empowering them to do so. This can be achieved by giving the service users the support and encouragement and would require a lot of patience. For example, giving a service user the power to take their own medication this is giving the service user the power to take charge of their medication. Health and social profession would need to ensure they are respecting service user’s privacy as long as the service users don’t hurt themselves they are entitled to their own privacy. To ensure that service providers should keep service users treatment and care private and their information shouldn’t be passed to people who have no right to access it. For example, if a service user doesn’t want service provider going into their room without their permission service providers would need to respect the service user’s privacy. Service providers would need to ensure they are promoting individual rights and this can be done in many ways.
An example is that health providers can offer the service user help with language and communication for those service users who finds it hard to communicate. Service provider would need to ensure they are giving service users different types of choices this can be the choice from saying yes or no or the service providers giving service users different choices of food. Service providers would need to provide advocacy for service users who are too ill or fail to speak themselves or do not know their rights. Advocacy is also for vulnerable adults who may not be aware of their rights and would need an advocacy to ensure they get what they are entitled to. Overall service providers needs to ensure they are helping service users with their personal care or any other things service users may need help with to ensure their health and wellbeing.
Miss Harris PowerPoint
http://www.psychlotron.org.uk/newResources/approaches/AS_AQB_approaches_HumanisticBasics.pdf Health and social care Book 1 level 3 page 75 – 79