Stage A – Needs of People Requiring Care
John is 67 years old. He has no family but has a close friend who visits occasionally. John lives in the country as he prefers the peace and quiet. John has had type 1 diabetes, but unfortunately 6 years ago had his right leg amputated due to his diabetes, forcing him to walk with a frame. Since then, John doesn’t go out the house, had to sell his car which he loved, and finds it hard to get about the house. He tries to shower and dress himself but finds it exhausting and difficult. He also struggles to cook for himself. 5 years ago, John had an incident where his blood sugars were too low, and he collapsed on a radiator. Luckily, he was found that day and was admitted to hospital with severe burns. John has arranged for everyday care and is relieved and excited to receive some help as well as interact with people again.
Every individual has basic human needs that must be met in order to survive. These needs are social, physical, emotional, cognitive and cultural needs (SPECC). For example, a physical need that needs to be met in order for humans to survive is food, water and sleep. An individual may require care in order to help meet their basic needs. Care in itself, depending on the health of the person, can be a need.
As John is a type 1 diabetic, he has a physical need of having his blood sugars monitored three times daily. If his blood sugars become too low, this can be life threatening. This need can be met by support workers supervising and prompting John to regularly check his sugars and, if too low, to take action, for example, prompt John to drink a sugary drink such as Lucozade. In relation to the brief and this need, John would be better cared for in a care home as it would be safer for him; he can be monitored for a larger portion of time, and if anything were to happen, he can receive help quickly, whereas at home, he could be left for hours.
John has a social need for interaction. He has this need because he is cut off from the world as he stays out in the country, he is unable to drive, doesn’t have any family and is unable to leave the house due to his condition. This need can be met whilst receiving care at home. Arranging support workers to visit John daily can make him feel as if he still has a connection to the outside world. For example, support workers telling John about their day and what’s happening around the area.
John also has the emotional need for support. He has this need because he struggles with his condition and what his condition has done to him on a daily basis; not just physically but in all aspects of his SPECC. He is constantly reminded of it whilst performing the simplest of tasks such as walking. It can be argued that both being cared for at home or within a care home can help to support John and meet his need. For him staying at home, having a carer come in daily would benefit John by speaking about his concerns to them. Once the carer is gone, John has time to himself to reflect. Within a care home, John would have support whenever he needs it, at any time. Being care for at home and in a care home have advantages to support his emotional need.
Stage B – Human Development
Katie is 8 years old and lives with her parents. Her father has been physically abusive to her mother since she can remember. He has now started verbally abusing Katie when she comes home from school.
Human development is a gradual process of social, physical, emotional, cognitive and cultural development throughout an individual’s life span. (Miller, et al., 2007, p. 90)
Emotional development relates to the development of feelings, how individuals cope with these feelings, gaining self-esteem and developing a sense of the individuals own identity. (Miller, et al., 2007, p. 91)
In Katie’s situation at home, witnessing her father’s physical abuse towards her mother can have a negative effect on her emotional development throughout her lifespan. This can have an impact on Katie’s future relationships because she may think this is how men should treat women; being physically violent and verbally abusive, leading her to accept this as the norm when she does get to the stage of dating. (RC PSYCH, 2018) Katie is now being subjected to emotional abuse, which can lower her self-esteem and her self-worth, as she may believe what her father is telling her is the truth. Even though Katie is not being subjected to physical abuse, witnessing the violence to her mother as well as being emotionally abused can have a long-lasting affect. The abuse can also have an impact on Katie’s education and mental health. (Hidden Hurt, No date)
Removing Katie from this hostile environment and placing her in either a children’s home or a in foster care can improve her life chances significantly. Being removed from a harmful and emotionally damaging situation and being put into a children’s home can give Katie the safety she needs to feel; that she will not be harmed physically or verbally. She may receive emotional support from the support workers in the home as well. Being in care can also help Katie do the best she can in education and could develop new friendships or relationships. These are the positive experiences she can go through whilst in care. (https://www.nspcc.org.uk/globalassets/documents/research-reports/promoting-wellbeing-children-in-care-messages-from-research.pdf) page 26
Social development relates to how we interact with other people, how we take on social roles and how we develop relationships. Socialisation builds a solid foundation of individuals social development. It helps people to develop the quality, skills, knowledge and attitudes to not only acquire successful relationships, but to be able to function efficiently in our multi-cultural and multi-racial society. (Miller, et al., 2007, p. 91)
The abuse that is taken place would damage Katie’s social development and could have an ongoing negative impact on her life. Usually, children of abuse, or witnessing abuse, feel isolated and vulnerable. This is because the father is typically consumed with controlling everyone, and with the mother struggling to survive in such a hostile environment, physically and emotionally, the children are then starved of the attention, approval and affection they need growing up. (Domestic Violence Roundtable, 2008)
After witnessing such violence, Katie could start to show signs of her behaviour becoming more aggressive and take on the role of being a bully, copying what she is seeing at home. Studies suggest that some children find it hard to make friends because they are confused and feel social discomfort in situations, because they are unsure of what is acceptable and normal behaviour. https://www.unicef.org/media/files/BehindClosedDoors.pdf P 7 leaflet
Removing Katie from this hostile environment and placing her in a children’s or foster home can improve her life chances significantly. Being removed from a harmful and emotionally damaging situation and being put into a children’s home can give Katie the safety she needs to feel; that she will not be harmed physically or verbally. With Katie being put into a safe environment, this could help her to realise that she is safe and the people around her will not harm her. This could then lead Katie to open up and start trusting people. When this happens, she could feel more comfortable socialising with other children and support staff, taking her out of isolation. (HOW ACTION FOR CHILDREN WORKS, 2017)