1.1 People communicate to understand their needs, to have a conversation, to express feelings, needs, to build relationships and trust. They communicate to share information and opinions, to ask questions and get answers.
1.2 Communication between staff effects service provision, understanding each other, team work and dignity in care. If communication is not effective, it can affect again residents-we can do harm to them, it can affect their health and well-being. Communication with staff is essential for passing information from one person to another. Information can be passed from carer worker to carer worker via verbal communication or written documents from care plans and daily reports, to fire books. Written communication has to be effective as it provides an on-going picture of a certain person, situation. Effective communication between staff is essential for care to be professional. Without effective communication care needs of the clients may go unnoticed leading to medical problems, abuse, depression etc. Communication with residents is most important in care job. That’s the way how you can easier understand they needs, requirements. It can affect service that carer provide to residents-more effective communication, better service to residents; with effective communication carer is building trust between residents and staff that helps in future work with them.
1.3 The care worker should always observe an individual’s reactions to see whether person fully understands what you have said to them. If the resident for example looks confused then the carer must then adapt their communication and ask again the question or other. In this way communication will be effective. It is also important to observe an individual’s reactions so as to spot anything that may be worrying them or upsetting them; the carer must to change their approach – this may be noticed through the resident change in facial expression or body language. If resident cannot verbalise what they want or prefer, then observing their reactions staff can make a decision about resident needs.
2.1 It makes more effective communication, more understand what other person trying to say. More understand they culture, religious believes. To be involved in their daily life. To avoid the individual feeling excluded, becoming distressed, frustrated or frightened.
2.2 Is verbal and non-verbal communication.
Non-verbal communication is all without making noises, sounds. It can be writing, showing pictures with food choice, walk in park, toilette need. Can be even facial expressions, eye contact, body language, gestures or touch to get attention, physical gestures, behaviour. Verbal communication is vocabulary and tone in what person like to talk, involved in conversation.
3.1 Communication barriers can be place where person is, people around, noisy environment, values, culture, beliefs, his wishes and needs. Reason can be even lighting, how close you stand to that person or language barrier.
3.2 Communication barriers can reduce if you take the person to another room. Can try to turn lower music volume on television or radio. Try to talk with person in more private place, ask about his needs. Another way how we can reduce the impact of this barrier is by using a translator when you or resident do not understand what you both are saying because of a language barrier. Finally this would work because by using a translator you will not be offending people who speak a different language. Communication barrier can be because of different cultures and they include different cultures using different words or signs which may not be accepted in other cultures. One example of a mechanism which can be used to reduce the impact of this barrier to communication is by respecting other people’s beliefs and social habits.
3.3 To be sure that person understand me I can see it by his facial expressions, body language or his action on what I said. Ask if the person understand me, rephrasing. Some person need more time for get right answer or you should repeat a question, sentence.
3.4 It can be more enable:
Colleague – staff member who knows resident issues, needs, wishes, more about his culture, values, beliefs. Speech therapist – can tell who has had a stroke.
GP – is person who know more about resident general health problems, how staff can make that person more relax and comfortable. Family – can tell more about carrier person daily life, person food choice, needs. Psychotherapist – can advise on exercise for people at all stages of dementia. They can also give advice carers on safe ways of helping someone to move. Dentist – can be used if the individual has dentures which are to loose and move when speaking.
4.1 Confidentiality means keeping residents information private and safe and passing information to only those who have rights to it. Confidentiality means also not passing information outside care house, keeping information safe and private. 4.2 Confidentiality you can maintain with not passing information outside of work or to other resident visitors. Be professional and don’t talk about residents in public places when you have a meal with work colleagues or in public transport on a way home. Don’t leave a written personal records lying around. You need to put them in safe place, where access is just for staff members. Health records are confidential. They should be shared only on a need-to-know basis. Carrier can give access to resident relevant information to those who have rights to know it.
4.3 Can share confidential information when the person is being placed in danger, harmed or abused. You can share information with other staff members in situation if for example resident is telling you he feels in danger of other resident or staff member and ask you not to tell anyone. It is situation where you need to explain person that you can’t keep information, because you want him to be in safety and need to help him by acting straight away. Can share when a criminal act has taken place. However, even, where it is clearly beneficial to share information for direct care, rules about confidentiality and privacy still apply. That means that only those who have a clear need to know should have access to the relevant confidential information.
4.4 Can seek advice about confidentiality if speaking with manager or with the organisation’s confidentiality policy. If someone is calling by phone and asking some information about any of residents and you are not sure who it is you can always ask him to speak with manager or just take persons phone number and tell him that manager will call him back. The Data Protection Act is a law that applies to all social services and health records. It means that any information about resident should be kept accurately and securely, and there should be measures restricting who can see it. There are circumstances when an authority may have the right to break the rules about confidentiality. This is normally in extreme situations.
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