Module4topic1en
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Module 4 on cultural competence aims to enhance understanding of equality, non-discriminatory practices, and the needs of older people. It covers legal aspects and best practices in safeguarding older adults, emphasizing culturally competent assessments and the importance of person-centered care. A case study illustrates the challenges in care provision and the need for improved communication and advocacy for the rights of older patients.
Module4topic1en
- 1. MODULE 4: CULTURAL COMPETENCE Prepared by Irena Papadopoulos and Alfonso Pezzella Middlesex University London
- 2. 1. Gaining awareness of the national and international legal aspects of equality and discrimination, guidelines, policies, best practice of ageism. 4. Cultural aspects of safeguarding and advocacy for older people 2. Learning to perform culturally competent assessment of social care needs of older people 3. Implementing person centred culturally appropriate and compassionate care Module topics Module 4: CULTURAL COMPETENCE Summary This module synthesizes and applies your learning from the previous three modules. In particular this module aims to: • Enhance your knowledge of principles of equality, non-discriminatory practice, confidentiality and trustworthiness • Discuss how to perform cultural competent assessment of patient’ needs • Explain the importance of person centred culturally appropriate and compassionate care • Advocate for the patient’s human rights of older people including that of safeguarding There are four topics in this module: Aims Module topics
- 3. The aim of this topic is to enhance your knowledge about the principles of equality, non-discriminatory practice, confidentiality and trustworthiness. European law, national legislation, policies and guidelines and best practice Older people are assuming a greater importance in the European Union as both their numbers and their proportion of the population increase due to the ageing of the population. The European Union (EU) and its Member States have adopted a number of policies and programmes that affect older people directly or support them in various ways. Module 4: CULTURAL COMPETENCE Topic 1 National and European legislation, policies, guidelines & best practice Day 1: Aim European and National Legislations Policies, guidelines and best practice Learning activity Resources
- 4. Learning activity a) Access the document below by clicking on the link. Make a list of the key points in the document and post this and your reflection about the key points on the discussion board for this module. b) Read at least 5 entries from other participants and provide feedback to them. Read the full document https://epthinktank.eu/2014/05/22/older-people-in-europe-eu-policies-and- programmes/ Module 4: CULTURAL COMPETENCE Topic 1 National and European legislation, policies, guidelines & best practice Day 1: Aim European and National Legislations Policies, guidelines and best practice Learning activity Resources
- 5. Case study: Mrs Thomson is a 85 year old White English lady who is a retired school mistress. She moved to a large and busy care home following a stroke. Her speech was not affected by the stroke, but she has some memory issues. Mrs Thomson has a slight weakness on one side of her body and she uses a walking frame which provides stability when she is moving. Despite the use of a walking frame, yesterday evening she had a fall whilst on her own in her bedroom but she managed to get up. However she did not make any of the health workers aware of this. In the past she always took pride in the fact that she had been very independent and in control of her life. She now feels embarrassed about losing control and fears her dignity will be compromised if she admits to this. The next day Mrs Thompson wakes up with some back and hip pain which she hopes it will subsides once she is out of bed. However, due to the persistence of the pain, she has reluctantly informed her care worker that she has pain in her hip and back and would like to see the doctor. Mrs Agnieszka Safarova, the care worker assigned to Mrs Thompson, is a qualified nurse in her country, who has recently moved to the UK. Agnieszka likes working with older people and as a qualified nurse in her own country, she feels well able to conduct an assessment of Mrs Thompson after which she may or may not call the doctor. Agnieszka believes that the aim of care for older people should be to keep them safe, clean and fed. She believes that ‘expensive’ interventions for old people should not be provided since they have lived a long life and most probably will not live much longer even with the latest treatments. Agnieszka begins her assessment without much explanation as to what she is doing, or explicit consent by Mrs Thompson who shares a room with another lady. Mrs Thompson shows signs of discomfort when Agnieszka undresses her without due concern of her privacy, but the signs are ignored by Agnieszka who also fails to answer any of Mrs Thomson’s questions. When she finishes her assessment Agnieszka concludes that apart from a small bruise, there is nothing wrong with Mrs Thompson who, in her opinion, is merely asking for attention. She gives Mrs Thompson a pain killing tablet and reassures her there is nothing to worry about. She reports her actions to the care home manager and enters a brief note in Mrs Thompson’s records. Later in the afternoon, Mrs Thompson reports that her pain is getting worse and she requests again to see a doctor. Agnieszka, informs the manager who calls the locum doctor, who arrives 20 minutes later. Mrs Thompson tries to explain how she feels to the doctor but Agnieszka takes over, indicating to Mrs Thompson to be silent as the doctor “knows what he is doing”. The doctor decides that Mrs Thompson needs an X-Ray to exclude any fractures. Arrangements are made and Mrs Thompson is accompanied to the hospital by another care worker as Agnieszka goes off duty. This care worker, is aware that Agnieszka often ignores the residents but she believes this is because she is always very busy and has no time to listen to them. In this instance, although she was aware and a little concerned about what was going on with Mrs Thompson, she chose not to intervene or say anything to her colleague or the manager. Following the X-Ray, it is discovered that Mrs Thompson has a hip fracture and is kept in hospital for treatment.