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GCE JAN 2008 : AS, 5 Adult Client Groups

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Centre Number 71 Candidate Number ADVANCED SUBSIDIARY (AS) General Certificate of Education 2008 Health and Social Care assessing Unit 5: Adult Client Groups A3H51 Assessment Unit AS 5 [A3H51] TUESDAY 15 JANUARY, MORNING TIME 2 hours. INSTRUCTIONS TO CANDIDATES Write your Centre Number and Candidate Number in the spaces provided at the top of this page. Write your answers in the spaces provided in this question paper. Answer all three questions. INFORMATION FOR CANDIDATES The total mark for this paper is 100. Quality of written communication will be assessed in all questions. Figures in brackets printed down the right-hand side of pages indicate the marks awarded to each question or part question. For Examiner s use only Question Number Marks 1 2 3 Total Marks A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 1 7/11/08 10:31:52 1 Mr Johnston, aged 52, has been diagnosed with early onset dementia. For the past nine months he has been cared for by his wife, Amanda. He suffers long bouts of foregetfulness and rarely speaks or interacts with anyone. Paul, their son, lives nearby and he visits regularly with his two children. Mr Johnston recently fell and fractured his leg and is in hospital. His wife told staff that she has been finding it difficult to care for her husband. Prior to his admission to hospital he was not sleeping and would not eat the food his wife prepared. It has been agreed at the multi-disciplinary meeting that an occupational therapist will assess Mr Johnston s needs for returning home. A social worker has agreed to draw up a care plan and a home care worker will call twice a day to help Mrs Johnston to get her husband up in the morning and to bed at night. Examiner Only Marks Remark (a) Explain the following: Vulnerable adult _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Disability _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Concept of need _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 2 2 7/11/08 10:31:52 (b) Mr Johnston is being categorised as a user of services for older people. Explain one advantage and one disadvantage of categorising clients. Examiner Only Marks Remark Advantage _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Disadvantage _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Explain two different ways each of the following professionals contributes to the provision of care for clients such as Mr Johnston. Social worker 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 3 3 [Turn over 7/11/08 10:31:52 Occupational therapist Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Explain two ways legislation contributes to improving standards of care for clients such as Mr Johnston. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (e) Discuss how the care planning cycle may be used to provide care for clients like Mr Johnston. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 4 7/11/08 10:31:53 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 5 5 [Turn over 7/11/08 10:31:53 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 6 7/11/08 10:31:53 2 Mr Piebalgs moved from Latvia to Great Britain five years ago and obtained work at a local factory. Two years later his wife and son joined him. Their son, Eduards, aged 18, has Down s Syndrome. He attends a day centre two days a week and goes on outings with the local Gateway club, which he really enjoys. It has helped him to feel welcomed by the local community. Mr Piebalgs now speaks good English, but his wife is finding it much harder to learn the language although she can generally understand it when people talk to her. Yesterday Mrs Piebalgs went to collect her son from the day centre. When she went into the activity room she saw two care workers watching her son playing pool. She realized they were talking about Eduards. They should not be giving places at the centre to foreigners, sure they haven t paid taxes. He s taking up a place . . . He should go back to where he came from, he doesn t belong here . . . sure look at the state of him, he can t even speak English, and sure what s the point of teaching him English. They walked away laughing and mimicking his accent. Mrs Piebalgs was very upset and later that night she discussed the situation with her husband. Examiner Only Marks Remark (a) Write down four ways Eduards may be affected by this experience of discrimination. 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] 3. _______________________________________________________ ______________________________________________________ [1] 4. _______________________________________________________ ______________________________________________________ [1] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 7 7 [Turn over 7/11/08 10:31:53 (b) Mrs Piebalgs reported the incident to the day centre manager. Explain three ways the manager could challenge the discriminatory attitudes shown by his staff. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Explain three ways Eduards communication needs could be met by staff at the day centre. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 8 8 7/11/08 10:31:54 Examiner Only 3. _______________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Describe one different way each of the following organisations involved in providing health and social care for adult clients like Eduards, is funded. The day centre statutory sector _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Gateway club voluntary sector _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (e) Discuss how the following policies contribute positively to the care of adults, such as Eduards, in health and social care settings. Whistle blowing policy _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 9 [Turn over 7/11/08 10:31:54 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] Staff training policy _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 10 10 7/11/08 10:31:54 Confidentiality policy Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 11 11 [Turn over 7/11/08 10:31:55 3 In tandem with the modernization of acute services there is a need to expand the range of care services that can be delivered in the community. This is in line with the strategic vision described in A Healthier Future and the objectives set out in the Department s Public Service Agreement. The key aim is to support an increasing number of people to live independent lives, preferably in their own homes. To do this, the HPSS needs to develop effective alternatives to hospital care, which are designed to reduce inappropriate admissions and unnecessary lengths of stay. There also needs to be a strong focus on rehabilitation in tandem with assessment of long term care needs to avoid unnecessary reliance on residential and nursing home care. Examiner Only Marks Remark Source: www.dhsspsni.gov.uk/index/hss/ec-community-care.htm (a) The purpose of the Patient s Charter is to outline the rights of patients. Write down four rights under the Charter. 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] 3. _______________________________________________________ ______________________________________________________ [1] 4. _______________________________________________________ ______________________________________________________ [1] (b) All professionals who work in health and social care should adhere to codes of conduct/practice such as the nurses and social workers codes. Discuss how codes of conduct/practice contribute to the quality of service provided for clients. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 12 12 7/11/08 10:31:55 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 13 13 [Turn over 7/11/08 10:31:55 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] (c) The government aims to enable people to live independently at home for as long as possible. To achieve this objective community care needs to include care from a range of sectors. Evaluate this mixed economy of care approach to providing services for adult clients. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 14 1 7/11/08 10:31:56 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 15 15 [Turn over 7/11/08 10:31:56 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 16 1 7/11/08 10:31:56 (d) Informal carers play a vital role in enabling clients to live independently at home. Evaluate their role in the provision of care for adult clients. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 17 17 [Turn over 7/11/08 10:31:56 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 18 18 7/11/08 10:31:57 Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] THIS IS THE END OF THE QUESTION PAPER A3H51W8 3503 T46424_A3H51U5Jan08t46424.indd 19 1 7/11/08 10:31:57 Permission to reproduce all copyright material has been applied for. In some cases, efforts to contact copyright holders may have been unsuccessful and CCEA will be happy to rectify any omissions of acknowledgement in future if notified. SP (NF) T46424/3 T46424_A3H51U5Jan08t46424.indd 20 7/11/08 10:31:57

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Additional Info : Gce Health and Social Care January 2008 Assessment Unit AS 5 Unit 5: Adult Client Groups
Tags : General Certificate of Education, A Level and AS Level, uk, council for the curriculum examinations and assessment, gce exam papers, gce a level and as level exam papers , gce past questions and answer, gce past question papers, ccea gce past papers, gce ccea past papers

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