SH4003 Culture, Society and Ethics: Case Studies for Assessment A Here are several case-studies of...

Question

SH4003 Culture, Society and Ethics: Case Studies for Assessment A

Here are several case-studies of relevance to our module. We have discussed some of these in class.

For
Assessment A, the ‘Case-study response’, you may select ONE of these case-studies to write about, OR you can create another one in a similar style.

N.B.

If you write your own, make sure it is realistic, and you MUST have it agreed by your Tutor before you begin writing your assignment.

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1. A community health centre produces written leaflets in English about breast cancer and screening. The leaflets are distributed in an area where English is not the first language of a significant number of residents. Despite being aware that these recipients may be unable to access the information, the health centre manager refuses to provide translations or audio-visual versions of the leaflets.

2. An elderly woman named Violet Simpson, 84, was receiving treatment for angina over the course of two years. Prior to having an operation for a bunion on her big toe, she was sent for a heart scan. It was then discovered that the issue was in fact not angina, but a leaky valve. However, when requesting for it to be treated, Violet was disregarded by doctors. She said, “I asked if I could have this fixed. The attitude from doctors was: What are you bothered about, at your age?”

She eventually managed to get an appointment; “I stuck to my guns and said I wanted this job done.” But she said, “The whole experience made me feel pushed aside.”

3. Mr. S is a 41-year-old unemployed male. He is diabetic and suffers from ischaemic heart disease and cerebro-vascular disease, leading to his stroke in 2000. In 2001, his kidneys failed as well. His condition is irreversible, and he is now in the final stages of chronic renal failure. His life could be prolonged by regular renal dialysis treatment. He has sought such treatment from the renal unit of the public hospital; however they can only provide dialysis treatment to a limited number of patients. Because of the shortage of resources, the hospital follows a set policy regarding the use of its dialysis resources. Only patients suffering from acute renal failure that can be treated and remedied by renal dialysis are given automatic access to renal dialysis at the hospital. Those patients who, like Mr. S, suffer from irreversible chronic renal failure are not automatically admitted to the renal dialysis programme. Access to dialysis treatments for patients like Mr. S is given only to those eligible for a kidney transplant. Mr. S suffers from ischaemic heart disease and cerebro-vascular disease, and is therefore not eligible for a kidney transplant. Therefore, the hospital has been unable to provide Mr. S with the treatment he has requested. Mr. S has managed to receive dialysis treatment from private hospitals and doctors, but his finances have been depleted and he claims he is no longer able to afford such treatments.

4. Dora and Simon had been married for 59 years. Dora was blind and had recently developed Alzheimer’s. She and Simon were injured in a fall at home, and Simon was no longer able to care for her while he recovered. During this time, Dora was moved into a local publically funded nursing home.

It became clear that Dora would have to stay in a nursing home, but Simon visited her every day. However, their relationship was threatened when the local authority decided to move Dora into a permanent nursing home that was too far away for Simon and their children to visit.

5. In 2014, paediatrician Dr. Roi refused to care for a same-sex couple’s baby because of her anti-gay religious beliefs. After “much prayer” she’d decided she couldn’t treat their baby because they are lesbians. The couple had to instead be seen by a different paediatrician even though they had handpicked Dr. Roi out of all the ones they had interviewed. Dr. Roi sent them a letter of apology 4 months later, although she didn’t retract her refusal to care for their baby.

Dr. Roi made it clear that she was very strongly invested in delivering wholesome care; she stated “I love my families, my patients. I love my kids, and I have become very close with all my patients.”

6. Your dad’s in a care home. He has mental health problems and can become aggressive if he’s stressed or anxious. Recently his behaviour has become worse, he’s very anxious and refuses to eat. The care staff do not seem to know how to deal with him and he’s not getting appropriate care. You’re angry because you’ve told them they should do things a certain way to make your dad feel safe and less stressed, but no one listens to you.

7.BaldeepisabaptisedSikhandfollowsthepracticeofwearingthe5‘Ks’thisincludeswearingtheKirpan.TheKirpan isaverysmallsword.Asisthecustom,Baldeepwearshersunderherclothinginaclothsheath.Forher,andforall baptisedSikhs,itisasymbolofthecommitmentshehasmadeto followtheSikhwayoflifeandcarriesadeepspiritual significance.Shewillneverremoveitunlessabsolutelynecessary.

Unfortunately,onedayBaldeepfeltveryunwellandhadtogothenearestAccidentandEmergencyDepartment. Whilstsheremovedclothingtobeexaminedthenurseaskedwhat itwasthatshewaswearing.Thenursebecame alarmedthatBaldeepwascarryingwhatlookedlikeaknifeandrefusedBaldeepanyfurtherassistanceuntiltheKirpan wasremoved.BaldeepexplainedthattheKirpanwasasacrediteminherfaithandshecouldnotremoveit;wasit absolutelynecessarytoremoveitinordertobeexamined?Thenursesaidthatonhealthandsafetygroundsnopatient shouldbecarryingaweapon.Baldeeparguedthatiftreatmentwasdeniedtoherbecauseshewaswearingthissacred symbol,itwastantamounttoreligiousdiscrimination.

The nurses eemedunsureaboutthisandconsultedherwardmanager.

Case-Study Response PLAN

Questions to help you plan your work:

a) what are the problems/issues in my case?

b) how should they be solved, in my view?

c) why should they be solved like this, in my

view?

d) which theories/approaches studied on the module might support my view?

e) are there any laws/policies/codes of conduct that support my view?

SH4003 Making a PLAN for the ‘Case-Study Response’

For Assessment A, you are required to write a 2000-word ‘Case-Study Response’. See the Instructions for this task in the Week 14 Learning Materials folder on Weblearn. It is advisable to create a PLAN before you write your ‘case-study response’. Do this by making notes for what you plan to write in each of the 4 sections:

1.INTRODUCTION,

2. DESCRIPTION,

3. DISCUSSION,

4. CONCLUSIONS/RECOMMENDATIONS.

Select your case-study, & then create your PLAN below.

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Dr. Vidhya · Accepted Answer

SH4003 CULTURE, SOCIETY AND ETHICS
ASSESSMENT A: CASE-STUDY RESPONSE TO DORA AND SIMON
Table of Contents
1. Introduction	3
2. Description	3
a) Case Study Overview: The Recognition of the Concern	3
b) Rationale of the Care Plan	4
c) Process used for Fall Management and Application of Enhanced AI in Care and its Justification	4
3. Discussion	5
d) Theoretical Support	5
e) Ethical Issues	6
The Right Choice to Manage Disability and Human Rights	7
4. Conclusion	7
References	8
1. Introduction
Health is very nuanced and difficult to define; there are hundreds of opinions from numerous writers and different organisations. In fact, the concept of World Health Organisation is recognised by people as health is a full physical, mental and social well-being and not merely the absence of disease and infirmity, which implies that health is linked to various factors such as social, emotional, psychological and even economic factors affect the course of achieving the quality of life.
Individuals can become sick with their mental and social status and their climate. However, the state of having good quality of life becomes typical for the individuals having dementia to face (Mok et al. 2020). People with dementia are starting to forget their everyday routines and personal hygiene and face a daily challenge to deal with it. When they try to remember what becomes more and more complicated as time passes, their mind sometimes gets blank. Life becomes a fragment and a big pile of daunting work.
In the context of the above, the following is the analysis of Dora and Simon, a couple married for 59 years, who now stands at the verge of being separated due to worsening medical condition of Dora. There is a nursing plan for care, which is created for Dora and Simon so that their needs and expectations are met out. There are multiple dimensions of care and support that the couple needs to have and in any formal condition of care given, it will be anticipated by using enhanced state of technology and quality of care as well, the couple is allowed to love together. 
2. Description
a) Case Study Overview: The Recognition of the Concern
At first, it is important to examine some of the major points of concern in the case study of Dora and Simon. The couple has been married for 59 years now and recently, they both eventually had to suffer from the fall at home. Due to the onset of dementia in Dora, there are two issues that need formal addressing at the same time, that is, she requires professional care for dementia as well as for the fall management, which she has recently undergone. However, due to the suffering from fall, Simon is unable to take care of his wife at home. Ultimately, the couple has been placed in a public nursing home where Dora can be well taken care of. Simon, on the other hand, is providing full mental support to her by visiting hospital on regular bases.
However, the situation has become typical by a recent decision taken against the couple on behalf of the public nursing home. The authorities have informed Simon that they are shifting Dora to another facility, which is quite at a distance from the current one. Thus, it will not be possible for Simon to reach out to the hospital daily; nor his children would be able to make up this distance on regular bases. There is a sort of threat over their relationship due to the long-term management of dementia and fall at the same time. As supported by Robertshaw and Cross (2019), a close observation of such cases projects the need of an alternative nursing care plan to be introduced. This care plan would identify the concerns of the couple at first and then, in a systematic manner, it will support them by fulfilling their anticipated objectives from the healthcare system. 
b) Rationale of the Care Plan
In the context of United Kingdom, the nuclear state of families is one of the strongest points behind selecting this care plan for Dora and Simon. In UK, the care given to the elderly community is mostly preferred through in-home support that is people prefer organising the care plans for their parents or any other elderly member at home only so that they can keep up their emotional bonding with the person intact (Davies et al. 2019). Under any condition, until it is an emergency, the person is not carried to the hospital setting.
For Dora and Simon, it appears that they have lived for 59years together and any state of separation would endanger their emotional stability. In other words, the rationale of this care plan renders exclusive privileges given to Dora and Simon, perceiving their togetherness and emotional attachment to each other. Nevertheless, at the same time,

SH4003 Culture, Society and Ethics: Case Studies for Assessment A Here are several case-studies of relevance to our module. We have discussed some of these in class. For Assessment A, the ‘Case-study...

SH4003 Making a PLAN for the ‘Case-Study Response’

Answer To: SH4003 Culture, Society and Ethics: Case Studies for Assessment A Here are several case-studies of...

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