Sumaiya Begum, S2200411
Unit 7 - Principles of Safe Practice in Health and Social Care
UNIT 7 - Assignment 1B: Principles of Safe Practice in
Health and Social Care
Date: 17/03/2023
Scenario: Chilchester Drop-In Centre
The drop-in centre offers assistance to young adults suffering from mental illness. Recently,
the staff has expressed concern about Zara, an 18-year-old who has an anxiety disorder.
To help her with this, medicine has been prescribed. Zara's primary care provider has seen
that her symptoms have gotten worse; she now experiences panic attacks that seem to start
when any of the male service users or staff members approach her.
Zara has started to show up in long-sleeved sweaters despite the fact that it is currently
warm outside, claiming that she is cold. Zara's look has declined recently; her clothes are
frequently soiled and her hair is frequently untidy. Zara claims that she is protecting herself,
but she is silent about what.
The employees are aware of Zara's displeasure with her mother's new boyfriend. She
complains that he is too "nice," but she won't say what she means.
Elizabeth Green, Zara's social worker, has observed the physical changes in Zara and her
heightened anxiety and has connected these to what she believes to be envy over her mother's
new relationship. Zara's case file has not been updated by Elizabeth because she believes
Zara will eventually "get over" her envy and needs to mature.
Zara has begged Elizabeth to find her alternate housing, but the social worker has declared
that Zara does not have a legal right to this because she is not vulnerable enough.
Scenario: Zebra Ward
The Prince Oswald Children's Hospital's Zebra Ward is a paediatric medical ward that
treats kids with a range of medical issues from six months to two years old.
Kevin Smith, 4 years old, and Lucy Smith, 6 months old, were recently admitted to the ward
from the Emergency Department as a result of a car accident involving their father as the
driver and a stone wall. Both of the kids have suffered major injuries since neither of them
were buckled into their car seats. Both had facial bruises and shattered bones.
When the on-call doctor checks the kids, she finds bruises at Kevin's spine's base and round
markings that mimic burns on Lucy's neck. When the children's father is questioned, he
claims that his wife, who passed away three months earlier as a result of a long-term illness
that had damaged her mental state, was responsible for the marks. Due to the marks
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,Sumaiya Begum, S2200411
Unit 7 - Principles of Safe Practice in Health and Social Care
appearing to be more recent, the doctor is not persuaded. But when a new emergency is
brought in, the doctor forgets to write her thoughts.
Each child is given a sedative by a nurse in order to put them to sleep. He observes the
marks, but because he needs to finish the medication round before leaving the shift, he
forgets to note his findings. The nurse also neglects to accurately note the sedatives
administered to both youngsters in the ward records.
The father of the kids wasn't seriously hurt and was permitted to go home following an
inspection. The following day, he visits his kids and brings them all gifts. Upon entering
Zebra Ward, a visitor notes that Kevin and Lucy don't appear to be happy to see him. When
Kevin's father removes Lucy out of the cot, she sobs, and Kevin hides under his bed,
unwilling to come out.
The nurses believe that the kids' behaviour is a result of delayed shock from the collision. The
visitor, a social worker, is not persuaded and requests a meeting with the ward manager,
who declines to discuss such matters with a visitor.
Content:
Page 3 - 6: B.P3 - Describe the types and signs of abuse and neglect that may be
experienced by different individuals
Page 7 - 13: B.P4 - Explain the factors that contribute to and reduce the likelihood of
abuse and neglect for service users in health and social care
B.M2 - Assess the importance of recognising and responding to evidence or concerns
about different types of abuse and neglect in health and social care
Page 14 - 18: B.P5 - Explain how to respond to concerns about abuse and neglect in the
selected health and social care setting
B.M2 - Assess the importance of recognising and responding to evidence or concerns
about different types of abuse and neglect in health and social care
Page 19: B.D2 - Justify procedures for responding to concerns about abuse and neglect in
the selected health or social care setting.
Reference:
Billingham, M. et al. (2016) BTEC National Health and Social Care Student Book 1: For the 2016.S.l.:
PEARSON EDUCATION LIMITED
URL: Unit 7 Principles of Safe Practice in Health and Social (1).pdf Student Book [Accessed 28th Mar 2023]
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, Sumaiya Begum, S2200411
Unit 7 - Principles of Safe Practice in Health and Social Care
B.P3 - Describe the types and signs of abuse and neglect that may be
experienced by different individuals
In this section, I will be discussing the types of abuse and neglect that one may experience as
well as some signs that would reveal themself in the face of these experiences. I will also be
referring to some case studies, one child and one adult case study each, to further my point
on abuse.
Types and Signs of Neglect and Abuse:
Neglect and Acts of Omission:
This can be defined as the failure to respond to a person’s basic needs or preventing another
from meeting the needs of that person. For example, a professional may withhold access to a
certain service which would lead to the individual facing the consequences, such as the
worsening of their condition or being unable to fulfil their needs. (Harrow Council, 2023)
Some signs of neglect and omission include an unkempt appearance, weight loss and bed
sores.
Physical:
Physical abuse counts as an act in which a person inflicts harm or injury on another person
using their body. (Cheprasov, 2022) This may be hitting the other, burning the individual or a
misuse of their medication which would result in visible harm that would create difficulty for
the victim when they wish to handle their daily needs. Some may be able to identify physical
abuse through unexplained injuries to the victim, burns and malnutrition.
Psychological:
Psychological abuse means the regular and deliberate use of words and non-physical actions
to manipulate, hurt or frighten a person. This may look like gaslighting the victim into
believing information that is beneficial to the manipulator, causing the victim to become
vulnerable and change their behaviour as well as desensitising the situation. (Kaukinen,
2004) Psychological abuse is quite easy to see as the victim will have an unexplained change
in behaviour, show signs of anxiety and may become depressed.
Sexual:
Sexual abuse is sexual behaviour forced on another without their permission. This can
include sexual assault, rape, molestation and more. (Wikipedia, 2023) A service user may
experience another service user touching them on sensitive areas, resulting in the service user
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