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What’s happened with the NHS? Find as many headlines as you can……. XP4.

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Presentation on theme: "What’s happened with the NHS? Find as many headlines as you can……. XP4."— Presentation transcript:

1 What’s happened with the NHS? Find as many headlines as you can……. XP4

2 KWL Know WonderLearnt Write down what you already know about the NHS and the care value base? Throughout the lesson – think what are you wondering about? At the end of the lesson – what have you learnt? Today’s topic is the NHS and the value of care.

3 Cambridge Nationals - R021: Essential values of care for use with individuals in care settings – this is an examined unit A real story about a hospital experience……….. Once upon a time, there was a woman called Louise. She decided to book a holiday abroad and take her family. This consisted of her husband, daughter and son. They arrived in Majorca on 24 th March On the first evening they unpacked and went out for a meal. It was a lovely evening. Later on they went to bed.

4 The next day the family woke up early as it was an important day. It was Carl’s birthday. As Louise prepared breakfast for everyone, the hotel manager sent champagne as a birthday present. The children went for a swim. The family decided to go for a walk. They head towards the shops and restaurants. Louise wanted to take Carl out for a meal as it was his birthday. Euan decided that he wanted to buy a football and play with it on the beach. Louise wanted to sunbath. In the end, the family decided to play volleyball on the beach. Carl drew a line in the sand and said “boys versus girls”. They started to play the game. Carl hit the ball over the line to Evie, Evie hit it back to Euan. Louise saw the ball coming towards her and hit it back as she did, she fell over.

5 As Louise fell, she heard both of her bones break in her left leg. She screamed and screamed. People left the beach. Both children saw what had happened and ran to help their mum. Carl had not seen what had happened and thought it was just a small sprain. This is where the problems started……..

6 Louise sat on the beach crying. A restaurant owner ran over and gave her a bag of ice to put on her leg to try and reduce the swelling. She sat and waited. She couldn’t stand up and couldn’t raise her leg as it started to swell and swell. What do you think happened next?

7 If you thought an ambulance should have arrived. You are correct, however, it didn’t. The police arrived. There was a language barrier and as the policeman came over he grabbed Louise’s leg and squeezed it. She screamed. They tried to speak to one another but didn’t understand. The policeman helped Carl carry Louise off of the beach and took her to the local doctors surgery. Do you think this is the right place to go? Was Louise consulted? Why do you think that they took Louise to the doctors? Was she given a choice?

8 At the doctors surgery, the receptionist refused to fill in any paperwork or make an appointment until Carl fetched the E111 form and insurance paperwork. Louise was left in reception. Carl ran to the hotel and fetched it. Louise was given an injection to help with the pain. They waited for 4 hours until the ambulance eventually arrived. As it was Easter Sunday there was many accidents and they were busy with fatalities. The ambulance driver asked Louise to get up and walk to the ambulance. Louise couldn’t do this. Louise was put in the back of an ambulance, but by this time the pain relief had worn off. Was Louise given all the medication and help she needed?

9 Louise arrived at the hospital. She was put on a stretcher and left in a corridor with several drunk men who had been in car accidents. Her husband couldn’t stay with her as the children were too young to leave the reception area. Louise waited another 4 hours in a corridor. She was seen by a doctor and taken for an x-ray. Louise met an interpreter who told her that she had broken both bones in her left leg. They decided that she needed to have her bones pulled back into place. This was done by several doctors and nurses. After waiting for 8 hours Louise was taken to the ward. What do you think happens next?

10 Louise remained in the bed for the next 3 nights and 4 days. She was not given any food at all during this time. This was because they were unsure as to whether she was going to have an operation. Louise was not able to wear her own clothes. Louise was not able to go to the toilet and needed to use a bed pan, however, she was often left for hours and hours. Luckily, she was next to an English speaking patient and had someone to talk to. There were no leaflets or information in English given to Louise. She often asked for help and to speak to the interpreter but no one came. What do you think should have happened? Was Louise given a choice of what to eat, drink or wear?

11 On the third night, Louise’s family left the hospital after visiting hours. Louise was falling asleep. A nurse came up to the bed and started to drag it away. The nurse stated, “you operation”. Louise grabbed onto the wall as none of her family knew she was having an operation. Louise text her husband. Louise was taken to the preparation area for the operation. She had her clothes taken off her. Again she asked for an interpreter but no one came. An anaesthetist then pushed Louise’s head forward told her not to move and injected her spine, giving her a spinal block. She was then wheeled through into the operating theatre, awake. The operation started, however, the anaesthetic had not taken and Louise could feel the first cut in her leg. She had no idea what they were going to do to her leg. During the operation Louise had no one talking to her and could smell the burning bones and hear all the noise from the drill. The anaesthetists sat at the back of the room reading magazines. After 3 long hours the operation was over, Louise still had no idea as to what had happened. She was in a lot of pain and given paracetamol. This did not take the pain away. Louise called for a nurse, she said “you should respect me if you want more help.” Louise then called for a doctor, he stated, “you should have learnt to speak more Spanish before coming here.” Do you think these comments were appropriate? Do you think the nurses kept the information confidential?

12 The insurance company then phoned the hospital and wanted to move Louise to a private hospital. Louise could hear the nurses and doctors talking about her, but didn’t know what they were saying. Louise, did not receive any pain relief. A nurse came to Louise and asked her to sign papers, she had only had the operation 8 hours previously, she had been discharged, in Spanish. She was unable to take any paperwork with her to the next hospital and the ambulance drivers came to move her. She couldn’t walk or move as the spinal tap had not worn off. When Louise arrived at the private hospital the doctors and nurses were all ready to operate on her. They had not realised that she had already had the operation the evening before. There had been no communication between the two hospitals. Louise was really scared as she could not communicate with the doctors and nurses. As the doctor had not been informed that Louise had already had the operation, he decided to cut the pot off her leg. This was done without pain relief. Louise was taken for an x-ray to try and establish what had been done during the operation as Louise didn’t know. Louise was taken to a private room, given pain relief, introduced to the interpreter, taken to the toilet and given a healthy meal. What is the difference between both of the hospital treatment received?

13 In pairs, write down on your whiteboards everything that is wrong with this scenario

14 What are my rights? Equal and fair treatment Choice Confidentiality Protection from abuse and harm Consultation

15 What happens if my rights are ignored? The Staffordshire NHS Scandal. Equal and fair treatment Choice Confidentiality Protection from abuse and harm Consultation wzdk_U

16

17 The Values of Care Around the room there are a variety of stories about some of the unfortunate deaths and scandals……..fill in the answers with as much detail as possible. Remember to think about the values of care.

18 Peter Burnhill O Leukaemia patient Peter Burnhill, 84, was taken to Stafford hospital in 2007 with breathing problems. O When he arrived at A&E he was left to wait for six hours on a trolley. O His wife Sonia Burnhill said he was left without food and was "practically ignored by nurses" despite having low oxygen levels. O After being transferred to an assessment ward Mrs Burnhill said his condition rapidly deteriorated. He died at home less than a week later. O She said: "The whole experience stressed him out, and he came out of hospital visibly shaken and much weaker.“

19 Bella Bailey O Bella Bailey, 86, had a hiatus hernia and suffered breathing difficulties. O She died in Stafford hospital after spending two months on a ward following a routine operation in September O The public inquiry heard she was left without oxygen because of a shortage of nurses to restore the supply and she was also dropped by hospital staff while being transferred back to bed. O Following her death, her daughter Julie Bailey set up the Cure the NHS campaign group to highlight failings at the hospital. O She said: "I just wanted to stop what was going on in the hospital and after the first meeting, we realised that the problems at the hospital were more than just our own experiences.“ O Bella’s daughter Julie starts the cure the NHS campaign.

20 Joan Giles O Joan Giles, 81, was admitted to Stafford Hospital in January 2009 for cancer treatment. O Her lymphoma was originally misdiagnosed as kidney stones. O Her family maintain that she was not killed by the cancer but by neglect and misdiagnosis during her month at the hospital. O They claimed that she would be left without pain relief for as long as two hours and doctors failed to spot bed sores and severe constipation which left her dehydrated. O Her son-in-law, Roger Dobbing, said: "Neglect left her so weak that by the time she got to the sixth session of chemotherapy she was not fit to receive treatment."

21 Arthur Peacham O Arthur Peacham, 68, was admitted to Stafford hospital in 2006 with back pain. He was diagnosed with osteoarthritis. O He caught the Clostridium difficile bug while in hospital, before being transferred to New Cross hospital in Wolverhampton when a tumour was discovered on his spine. He later died. O His wife Gillian Peacham said when Stafford Hospital told her he had caught C. difficile they admitted they had known 11 other people on the ward were already infected but they had no other place to put him. O She said: "The wards were filthy and there were never any nurses and he was often lying in his own soiled bed sheets. O "They failed in their duty of care. If it had a been a dog being treated in that way the RSPCA would have blown the hospital apart."

22 Joyce Williams O Joyce Williams, 86, went into Stafford Hospital in 2007 with a broken arm and a urine infection. O She died from the urine infection, which was not treated. O Her family said that during her stay in hospital she fell out of bed and was mis-handled by nursing staff which left her with bruises all over her arms and back. O Her daughter, Castelle Davis, said: "They kept telling me she had dementia because she was forgetful and hallucinating. O "I was later told by a nurse friend of mine that she had those symptoms because she was so dehydrated. O "She went downhill rapidly because she wasn't eating and weight dropped off her, she was just six stone when she died."

23 Nicola Monte O Mother-of-two Nicola Monte had just given birth to her second child when she had to go back to Stafford Hospital with a bowel condition in O She spent the next nine months in hospital after picking up three hospital superbugs, C. dificile, E.Coli and MRSA, and was left malnourished. O She said sores appeared all over her body, some even a foot wide, but staff did not seem to care. O She said: "Ward 11 was chaotic, not very clean, the toilets were often filthy and people's stool samples were left around in cardboard pots, which I think gave rise to cross infection." O Mrs Monte had to give up work after suffering long term problems from her condition. O "That time in hospital destroyed the person I was," she said.

24 Joan Morris O Joan Morris, 83, was admitted to Stafford Hospital in December 2006 with a chest infection. O Her family said that food and water was left on a table instead of being given to her and she did not have a bath or shower throughout the month she was in hospital. O Mrs Morris suffered a heart attack and died four weeks after being admitted. O Giving evidence at the public inquiry, her daughter Sandra Whitehouse, who had trained to a nurse herself, said that she was "ashamed of the NHS." O She said "My mum received just one day of care in four weeks - and that was the day she died. O "In this day and age that standard of care was unacceptable, what went on with her shouldn't have happened."

25 Dorothy Mountford O Dorothy Kathleen Mountford died at Stafford Hospital the age of 78 in O She had been admitted with shingles. O Her family maintain her death was due to a fall she suffered in the hospital less than a week after being admitted, although the trust had no record of such an incident. O Her daughter Jenny Goring said: "I believe that the fall left her shaken and damaged her lung, she was never the same again. O "I don't want to lose the hospital because it's important for the community but it doesn't seem like they're learning by their mistakes." O She added: "Mum's death devastated our family and lessons need to be learned."

26 Jane Locke O Jane Locke, 46, had been to Stafford Hospital several times with stomach problems and was being treated for cancer. O She contracted C. difficile, MRSA, and a streptococcal infection, which it is thought was what eventually killed her in July O Her mother June Locke felt that Jane, who had learning difficulties, had been neglected by hospital staff. O She said: "They left her in sheets that had faeces on and never put the bed rails up to stop her falling out, when we asked them to. O "We were so preoccupied with looking after Jane that we never thought to complain, you think you're the only one."

27 Ellen Linstead O Ellen Linstead, 67, caught both Clostridium difficile and MRSA at Stafford Hospital while being treated for bone cancer. O Her daughter Deb Hazeldine said the wards were "filthy" and she would often have to wash faeces off her mother's hands. O She said: "What I witnessed on the wards I will take to my grave and it spurs me on to make sure it never happens again to anyone else." O When Mrs Linstead died in December 2006 her body was so badly infected with C. difficile that she had to be buried in a sealed body bag. O Ms Hazeldine wrote to the hospital and then the Healthcare Commission who upheld her complaint in O She said: "There needs to be more accountability - there is no openness - we have a fantastic complaints system on paper, but it's selective whether people implement it or not."

28 George Dalziel O George Dalziel died at Stafford Hospital after surgery for bowel cancer. He was 64. O The operation was a success, but his epidural was dislodged leaving him without pain relief for days. O His wife Christine said he was left in soiled bedclothes for hours and was too scared to ask his nurse for water. O She said: "George was a proud man, he was always very clean and to be put in the position he was put in he felt ashamed, disgusted, he was so upset with what was happening to him." O While in hospital Mr Dalziel lost three and half stone and Christine said "his bones were sticking out of his back." O She said: "When I left him the night he died I was hugging him and I said 'I love you' and he said 'I love you too' and those were the last words we said."

29 Ronald Millington O Retired engineer Ronald Millington, 63, was a regular patient at Stafford Hospital, having CT scans on his chest because of breathing problems. O He was misdiagnosed with fibrous scar tissue until on the third scan doctors found that he had lung cancer. O His wife Mary believed if they had spotted the cancer sooner, he would have had a better chance for recovery. He died in May O She said: "It's just another mistake in a long line of them at Stafford hospital. O "I hope the inquiry helps set it right, because too many people now don't want to go there for fear they won't come out again." O Information gathered from BBC News 2013.

30 Talk Less Teach More – The value of care

31 Think, Pair and Share On the grid - Fill in as many questions as you can on your own. Talk to your partner sat at the side of you. Now you need to walk around and ask other people. At least one person has the answer to each of the questions! FEEDBACK THE ANSWERS

32 Q: An individual has the right to choice. How can choice be given to someone? A: Activities, food options, GP, where and how to receive treatment Q:What is a risk assessment? A:A risk assessment is an important step in protecting your workers and your business, as well as complying with the law. Q: Why is it important to give regular training to staff? A:To have procedures in place to reduce and prevent accidents and to also promote good practice. Q:What does consultation mean? A: To discuss ideas with the patients so they are aware of what is happening. Q:What are the values of care? A: Promoting equality and diversity, maintaining confidentiality and by promoting individuals rights and beliefs Q: What is advocacy? A: It is taking action to help people say what they want, secure their rights, represent their interests and obtain services needed. Q: Should patients be given equal and fair treatment? A: Everyone should be given equal and fair treatment Q:Why is it important to identify staff and visitors at a nursery? A:It is important so that a record is kept for accidents and emergencies and also to ensure that no strangers enter. Q:Why should everyone be protected from harm and abuse? A: So they are not hurt physically, intellectually or emotionally in anyway Q: An individual has the right to confidentiality. What should happen? A: Notes should be stored safely. Not spoken about so others can hear. Q:Why is it important to wash your hands before and after caring for a patient? A: To reduce the spread of infection and germs transmitting from patient to patient. Q: Why should everyone have the right to consultation? A:What type of care they would like to receive. Q:What are the effects of not having the values of care applied? A: physical (e.g. pain if medication/treatment is not given) intellectual (e.g. loss of focus/concentration) emotional (e.g. feeling betrayed, low self-esteem) social (e.g. feeling excluded from the group). Q:Where are the values of care applied? Give as many examples as possible. A: In Health, Social Care and Early years settings eg hospital, doctors, nursery, care homes etc. Q: What areas of personal hygiene should be addressed before caring for a patient? A: ○ hair tied back/covered ○ open wounds covered ○ no jewellery or nail varnish appropriate protective clothing ○ hand washing ○ regular showering and hair washing ○ regular brushing of teeth ○ appropriate use and disposal of tissues/antiseptic wipes Q: What are the key acts of legislation that protect patients? A: Equality Act 2010, Children’s Act 2004, Data Protection Act 1998, Health and Safety at Work Act 1974 and Mental Health Act 2007

33 Nursing the Nation Nursing the Nation - On your whiteboards make notes of when you see…….. Examples of good care When patients are given a choice How confidentiality is maintained How patients are given equal and fair treatment How patients are consulted about their treatment How patients are protected against harm and abuse

34 Why is it important to have the NHS and have people who care? The Joy of Caring - The-Joy-of-Caring.aspx The-Joy-of-Caring.aspx The Benefits of the NHS – The-Benefits-of-The-NHS.aspx

35 KWL Know Wonder Learnt Write down what you already know about the Health and Social Care? Throughout the lesson – think what are you wondering about? At the end of the lesson – what have you learnt? Today’s topic is an overview of the NHS and the care value base.

36 A report following a recent inspection of Eden Residential care home raised some issues with the care provided to the residents. The inspection found that: Several residents were left in their room for three hours without being checked on. In the dining room residents were left to feed themselves; many struggled with this and became very frustrated and upset. Residents who had soiled themselves, became very distressed at not having their incontinence pads changed. Many residents were just left in the day room without any stimulation. Muslim residents did not feel that their religious and dietary needs were being fully met.

37 1 (a) Identify three examples of poor practice at Eden Residential care home [3] (b) Identify three rights of older individuals, such as residents at Eden Residential care home [3]

38 (c) Describe two reasons why it is important to maintain the rights of older individuals at Eden Residential care home [2] (d) Explain two ways in which care workers could better support the rights of older individuals who live at Eden Residential care home [4]

39 Feedback O What have you found out – share with the other groups…………(Remember to fill in the K, W and L sheet) KWL KnowWonderLearnt Write down what you already know about the topic? Throughout the lesson – think what are you wondering about? At the end of the lesson – what have you learnt?

40 Plenary O Complete the questions – What have you learnt this lesson? O I can now explain that………….. O I could improve…………….. O I know understand that……………… KWL

41 Homework Your homework is to learn the 5 values of care What is choice? What is confidentiality? What is consultation? How would you provide equal and fair treatment? How would you protect someone from harm and abuse?


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