Systematic Review Dignity In Care For Adults Nursing Essay

doctrinal Review Dignity In C atomic number 18 For Adults Nursing Essay originDignity is a broad and complicated thought that good deal be used in legal, religious, bioethics, scientific and political contexts with assorted meanings. The border hauteur signifies that a person has a birthright of be respected and hard-boiled mor altogethery and estimablely by others. Dignity implies that pack should be inured in such a manner that they feel their value and expenditure as individuals within the social context (Soulen and Woodhead 2006). Dignity can be elevated and all in alleviated by several(prenominal)(prenominal) factors in a wellness cathexis facility. These factors take on the facility culture, surroundings and environment, attitudes and deportment of upkeepgivers and the practice of complaint world carried out in the facility. large number feel more comfortable, confident and in control for making various decisions on their own in the carri years of self-i mportance- examine provided if there is a lack of hauteur they whitethorn feel discomforted, devalued, embarrassed and humiliated (Weisstub and Pintos 2007). Dignity is vexationed with how pot feel, imply and be commit in relation to the worth or value of themselves and others. To brood someone with dignity is to treat them as creation of worth, in a way that is respectful of them as valued individuals (RCN, 2008).As dignity creates a genius of comfort and control, it is instead important that cargongivers in medical institutions win the wideness of dignity while giving c be to adults with training disabilities. The proposed look for go out crumble the literature associated with dignity in c ar for adults with accomplishment disabilities in the coupled state.The study AimThe primary aim of the proposed enquiry is to analyse the meaning, perceptions and quality of dignity in wellness c atomic number 18 with respect to adults who hurl learnedness disabilities in the United Kingdom and study the range of wellnessc atomic number 18 serve devilible for adults with cultivation disabilities.The Study ObjectivesTo assess challenges of access, inclusion, choice, attitudes and legislation establishment up by adults with accomplishment disabilities in wellnesscare.To determine whether dignity in care for adults with discipline disabilities exists in reality as proposed and promoted by the UK De servement of wellness or not.To actualize and compare the types of health care go offered and available to adults with study disabilities.To analyse the quality of health care provided to adults with instruction disabilities in the United Kingdom and in bear uponities buttockd by them.The following section of the inquiry project allow discuss the literature as methods and methodology used to strain the enquiry aim. As it is authoritative literature review in commonplace and as it used to this study in investigate particular.Methodolo gy look for methodology is an important aspect through which questiones are conducted. A research methodology w ill luck real depict that what is the appropriate climb up of conducting a research and which research strategy will be applied in this research. In the sympathetic manner it would similarly depict that which data will be tranquil for the research and how it will be collected.This entire research would focus on tuition disabilities with adults and the protrude of dignity will also be addressed in this research. The principal(prenominal) objective of this research is to understand the issues of meaning, perceptions and quality related to education disabilities and how dignity of these individuals is affected. The primary method that will be utilised in this research is based on positive literature review which is useful for several reasons such gives a genuine, take a leak idea nigh the issue being studied.This method is implemented in this research because it would definitely be helpful because of several reasons. First and the inaugural reason is that it would give a clear some the issue that is being studied. Wolf (2008) presented an idea about that systematic literature review that school of thought of science, development of health related materials etc can be analysed through systematic literature review. In the similar manner it gives a genuine and a clear idea about the issue that is being studied. Through this approach findings can be properly analysed and systematic literature review helps the researchers in the decision making process. Wolf (2008) believed that through this approach the information that is collected for this research can substantially be stated. The benefits of this approach would be that past(a) researches can easily be utilised and this would definitely reduce the embody of researching. Another important factor for choosing this approach is the benefit of time that is tie with systematic literature re view.According to Britton and Jonsson (2004) systematic literature review is actually a cost good approach for conducting a research. Both the researchers concur with Wolf (2008) that commandisation and assembling of data in this approach is quite simple and easy as compared to other approaches. Therefore, it can be say that because of these benefits this approach of systematic literature review is selected for this research.Ethical ConsiderationsEthics is the term used for diametricaliation of right over wrong, good over iniquity and signification of justice or equality in the oecumenical behaviour or actions of individuals in a hostelry (Hinman 2007). Confidentiality and privacy of individuals participating in a research is quite important especially if the research take is quite sensitive as the case is with dignity in care for adults with learning disabilities. The researcher inescapably to understand and realise the seriousness of ethical issues and considerations i n such a research. Although there is a danger of participants being named or in-person information being compromised, the praise from the ethical issues direction is not necessary, as the proposed study will only present a systematic literature review of the data already accessible by public. The information collected in the proposed research will only be used for research purposes and real identities will be replaced by codes or false names when demand. The following section provides an analysis of literature germane(predicate) to the research trespassic that will be used in the proposed research. In this research proposal, there is no need to seek the prior approval of the research ethical issues committee because the study will be beleaguered to summarise the related literature only. All the subjects included as a part of the literature review and studied / observed are free from whatever such biases. This research does not use any kind of personal information of patients or people misfortunate from learning disabilities and hence there is no incidence of violation of rights on moral or ethical grounds.Study of the LiteratureAccording to The UK Department of health (2001) learning disablement is a combination or collection of several disabilities and disorders. These disabilities may include hindrance to understand new information or skills, impaired function in society and an onset of any disability that started before maturity and had a lasting effect. Learning disability or mind disability also referred to as learning difficulty in the United Kingdom is quite difficult to explain as it covers a broad collection of disorders or disabilities that people may suit.These disabilities include but are not limited to challenges in processing information, misgiving written or verbalize language and other challenges that may affect quality of life (Corley and Taymans 2002). This notion by Corley and Taymans (2002) is O.K. by Turnbull and Chapman ( 2010) who suggest that people with learning disabilities face several problems in understanding and processing complex information and face challenges in developing new skills. These descriptions of learning disabilities indicate that adults with such disabilities may contribute difficulties in processing information in several favorable circumstances including healthcare. This implies that adults with learning disabilities will have a higher microscope stage of healthcare call for as opposed to people with no learning disabilities at all.McGrath (2010) argued in an extensive literature review that people with intellectual disabilities have greater healthcare requirements as compared to the general creation. While explaining the temper and intensity of these healthcare unavoidably he argues that the health care needs of people with intellectual disabilities are more complex in simile with the general population and can result in premature death, which could differently be p revented through effective care. This argument by McGrath (2010) is also backed by several other researches conducted in the context of healthcare needs of people with learning disabilities (Michael 2008 Leyshon et al. 2004 Cooper, Melville and Morrison 2004 Paxton and Taylor, 1998 Nocon, Sayce and Nadirshaw 2008). Gaskell and Nightingale (2010) also agree with McGrath (2010) regarding the greater healthcare needs of people with learning disabilities. They suggest that healthcare needs of adults with learning disabilities tend to be higher in comparison to the general population due to a variety of reasons including visual and hearing impairment, challenges in mobility, bosom contexts, diabetes and osteoporosis.The greater needs for healthcare of adults with learning disabilities are also sensed by caregivers as Vecchio, Cybinski and Stevens (2009) in their study analysed the effect of disability on needs of caregivers. They implemented descriptive statistics and regression analy sis to conclude that caregivers of adults with disabilities indicated that they required assistance while providing care to such adults. It was also conclude in the study that the needs of adults with learning disabilities were even greater than the needs of adults with bodily disabilities with respect to healthcare (Vecchio, Cybinski and Stevens 2009).Adults with learning disabilities face several challenges with respect to societal factors including unethical treatment, subvert, undue pressure in interpersonal communication and biasness from the general population due to their specific disability (Slater 2005). Slater (2005) argued that the most prominent challenges with respect to societal factors in healthcare were neglect, unretentive treatment and abuse by caregivers. He argues that adults with learning disabilities have every right to dignity in life as the general population and should not be subject to abuse due to a specific disability. The Department of Health (2001) provides a clear strategy regarding treatment and care of elderly people especially when they face challenges due to learning disabilities. The recommendations presented by Slater (2005) are in line with the department of health framework with respect to poor treatment and abuse. The framework clearly outlines that dignity should be a top priority in healthcare where people should be treated in an ethical, moral and respectful manner. The importance of dignity and equality in healthcare operate is iterated by another report of The Department of Health (2002) by implying the importance of fair access to care assists irrespective of age and any disabilities a person may have.Philp (2007) recommended that dignity in care should not be an afterthought and caregivers should understand and realise the importance of dignity in healthcare of adults with learning disabilities. He suggests that caregivers are very grouchy and they need to incorporate dignity into the overall framework for providing care. In his study, Philp (2007) emphasized the need for treating adults with respect and integrity while giving them a sense of freedom and control over their actions and behaviour. He concluded that there are various forms of abuse and caregivers need to provide care with thorough understanding and realisation of dignity in care of adults with learning disabilities (Philp 2007).Holland (2000) on the other hand, analysed how ageing affects people with learning disabilities with respect to social, psychological and biological issues. He argued that adults with severe learning disabilities faced more challenges in later split of life with respect to services as compared to adults without any disabilities. He concluded in his study that gaps were present in the healthcare and social services provided to learning disabilities and the standards established by the department of health (Holland 2000). This implies that albeit healthcare providers may focus on providing the mos t effective quality of services but improvements can still be made to make the quality of services more effective especially with respect to dignity in care.Batesa and Davis (2004) in their study of social inclusion and services for people with learning disabilities presented several societal challenges faced by adults with learning disabilities. These challenges include hindrance in local community participation, perceptions of general population, problems in safety and trust, limited access to social networks and limited access to services being offered. The study indicates that these challenges are faced by adults with learning disabilities mainly due to the perceptions of community and general population with respect to these people. The research concludes that social capital concept provides an effective model for services that focus on promoting social inclusion of adults with learning disabilities (Batesa and Davis 2004). The concept of social capital, which is based on socia l networks, and standards of trust and reciprocity Batesa and Davis (2004) can also be implemented in healthcare for adults with learning disabilities for better outcomes.Health care services are of utmost importance to individuals who are suffering with different learning disabilities. McGrath (2010) believed that people with learning disabilities needs health checks to monitor the discrepancies they have. Annual health checks is a type of health care service that is offered and available to adults with learning disabilities. Usually, people who are confront these difficulties are less likely to receive continuous covering and they have less frequent routine checks. That is the reason why annual health checks should be offered by different health care institutions so that they can benefit from it in both the short and the big run. However, a concern is that whether these health checks are needed or not because if they are not viable enough so there is no need to have an exercis e that would engage them in such activity. Albroze (2005) discussed that these annual health checks are very important because they assist the patients in every aspects and people who are suffering from these difficulties can gauge that what is their current situation. People who have learning disabilities usually hold water in communities and they have the right to access different mainstream health care services.Deshler, Schumaker and Bulgren (2001) discussed that individual importance should be given to people who are suffering with learning disabilities and this can be considered as a health care service. Nurses should be effectively trained in this regard and they should help the individuals who are veneer learning difficulties. These researchers also believed that equal health care services should be provided to patients who are suffering from learning disabilities. In the similar manner disability awareness should be given to them in different regards like trainings and wor kshops should be organised so that they can easily benefit from these activities. Certain special health care services should be allotted to those individuals that have complex and special needs (Bergmark, Parker, Thorslund, 2000). In the similar manner, definite action plans should be developed for this cause so that all these health care services would be implemented in a proactive manner. Besides certain annual checks individuals suffering from learning disabilities should be offered regular checkups. This will provide an equal opportunity to learn about their health and they can lead a happy and a wanton life. Certain picture-based books should be provided to them so that they can learn how they can face different complex situations (Deshler, Schumaker and Bulgren 2001).Emerson, Davies and Spencer (2005) analysed that learning disability in adults is a condition that is quite long lasting. A survey showed that about 62% of all the people who are suffering from this disability live with their parents or with their relatives. Similarly, 30% of the people especially adults live in certain form of residential care or they live with people who are also suffering from learning disabilities. However, only 7% of the people live with their partners or they live alone.There are different inequalities faced by adults when they are receiving health care facilities. Michael (2008) believed that at times people receive unequal health care treatment and this can be considered as an important issue for people who are providing learning disabilities and for those who are accessing it. People that are facing learning difficulties are not always offered the same level of services and treatment as the general population. People and health care service providers assume certain things when they are dealing with individuals facing learning disabilities (Kuntz, Minnes, Garcin, Martin, Lewis, Holden, 2005). In the similar manner the routine health care services stock by these adults over the year in the United Kingdom is patchy too. Finally, people who are suffering from learning disabilities as not served and perceive as a priority (Michael 2008).Cooper, Melville and Morrison (2004) believed that people who are facing learning difficulties face unequal atmosphere. They are not treated as equal citizens in many conditions and this creates a sense of inequality in them. People with learning disabilities are discriminated in the society and there are different health care professionals who do not understand much about learning disabilities. In the similar manner many professionals in the society are not familiar with the laws associated with capacity to consent. There are certain professionals who are aware with this scenario but most of them do not touch on the family of these individuals who are suffering with learning disabilities (Corley and Taymans 2002). Individuals that are suffering with learning disabilities may not understand the significance a nd importance of health care screening or it is highly probable that they may not recognise the symbols of ill health. This factor might create issues for the carers in both the short and the long run. Therefore, people with learning disabilities should be dealt with extreme point care and the level of dignity should be maintained so that they can lead a sinewy and a prosperous life.SummaryThe primary aim of the proposed research is to analyse the issues related to dignity in healthcare with respect to adults who have learning disabilities in the United Kingdom and study the range of available healthcare services. This primary aim will be accomplished by achieving several underlying objectives. All the researches that were analysed in the literature review depict that adults with learning disabilities face several challenges especially with respect to dignity and they should be dealt with extreme care. There are certain discrepancies and difficulties in this regard and there should be a proper equal approach adopted to care for adults with learning disabilities. It was also stressed in this research paper that dignity of these individuals is the main issues and once the dignity of these individuals are present they can live with self respect in the society.Relevance to PracticeThe entire research would be quite useful in enhancing the level of dignity in adults who are suffering from learning disabilities in United Kingdom. However, one of the major points that should be focused by different agencies and social workers would be how fast and effectively they can implement all these processes. A significant amount of research has been conducted in this regard but the reviewed literature shows several gaps in standards fit(p) down by government health authorities and current practices. The proposed research will be helpful in filling these gaps. The proposed research would be beneficial for adults who are facing with learning disabilities and it would be benefi cial for caregivers who are planning to implement these processes.