Mr. J., an 80-year-old man who lived alone with none of his family members living close by got admitted to the hospital twice last year because of a chest infection. Nevertheless, his family is of the point of the view that he keeps sick as he does not much care about himself. They want him to get some support at home, but Mr. J. does not like the idea of having carers around at his place.
He again got admitted in the hospital for a third time with one more chest infection. When his health got better, he was shifted to Parkside Manor, which is a short-term residential facility for older people, for rehabilitation to enhance mobility and recover freedom and liberty in the activities of daily living. Mr. J. got regular support from carers which he truly accepted because 'they were there anyway'. He participated in the rehabilitation programme. And now as he has become, settled there he doesn't want to leave. He doesn't even wants to discuss any alternatives to staying at Parkside Manor.
Parkside Manor is a very busy facility and is set up only to give short-term rehabilitation, not for long-term care. Mr. J. needs to move on. Discussing the next steps, the social worker gives his suggestion to the occupational therapist and nurse that they should remove care. This will display to Mr. J. that he actually has care needs that need to be met at home or in a long-term residential facility. Withdrawal of care will also persuade him to consider moving on from Parkside Manor. The nurse and the occupational therapist don't agree with this plan but are not sure what to do next. Using the principles of ethical and critical practice, analyze the issues that need to be measured in Mr. J.'s situation in coming up with a decision as what should be done next.
Discussion
Analysing the Issues Using the Two Principles and Three Processes of Ethical & Critical Practice
There are two guiding principles of ethics and critical practice that can help us anaylse this case which have been stated as below:
The Principle of 'Respecting Others as Equals'
Provided with the comparatively dominant spot of career oriented people with in our society, and the reality that health and social care practitioners are together working openly with people in helpless areas, it doesn't not get startling that built-in domination is augmently identified.
Respecting others as equals is very much essential not only to maintain a good connection and also comprehending other service-users but working with colleagues, making sure that proper support is being provided by them and lending them your support as well. In our case Mr. J who never thought would ever need support and care by a caregiver actually was enjoying the involvement and care he was being provided at Parkside Manor. Getting care and giving care is a relationship which requires equal respect from both ends. This principle has been associated to care giving ...