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GCE JUN 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] WEDNESDAY 4 JUNE, 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 1 2 3 Total Marks A3H51S8 3502 Marks 1 Jennifer, who is in her early 40s, had been suffering from headaches and dizzy spells. Her GP referred her to a neurologist who diagnosed a brain tumour. She has successfully undergone surgery and is preparing to return home where she lives with her husband Ian and their three young children. Jennifer s speech has been affected by the operation and she finds she has impaired balance and poor co-ordination. Her eyesight has also been affected as she suffers from blurred vision at times. She feels physically and emotionally drained and often finds herself crying. She is worried about her recovery and the effect on the children of having a mother with a disability. Ian, a school teacher, is considering giving up work to care for his wife. Jennifer has requested a visit from a member of Brainwaves N.I. (a voluntary organisation) which has agreed to advocate with health and social services on her behalf since she is concerned that, due to the Trust s lack of resources, she will not get the help she needs. (a) Explain the following terms: Empowerment _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Impairment _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51S8 3502 2 Examiner Only Marks Remark (b) Write down two key features of each of the following models of disability: Examiner Only Marks Remark Medical Model 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] Social Model 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] (c) Explain two different ways each of the following professional services may contribute to Jennifer s care. (i) Speech therapy 1. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] 2. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] A3H51S8 3502 3 [Turn over (ii) Physiotherapy Examiner Only Marks 1. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] 2. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] (d) Explain two ways staff in the hospital could meet Jennifer s emotional needs. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51S8 3502 4 Remark (e) Explain three ways voluntary organisations can be funded. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (f) Discuss how clients like Jennifer may benefit from advocacy. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51S8 3502 5 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [6] A3H51S8 3502 6 Marks Remark 2 Men in Scotland suffering from depression are reluctant to seek medical help, according to a study. Examiner Only Marks Remark Depression Alliance Scotland claims 300,000 people with depression were seen by GPs. While the condition afflicts men as often as women, men accounted for only a third of GP consultations. The discrepancy has led to concerns that Scotland s already high level of suicide among young men could increase. According to the study, treatment could improve and more could be done to lessen the stigma attached to the condition. Barriers to effective care highlighted in the report include: a lack of public awareness that depression is a medical illness people have difficulty in expressing themselves to their GPs problems in accessing services directly Ilena Brown, co-ordinator for Depression Alliance Scotland, said: Our findings confirm that there are still major barriers in Scotland when seeking to encourage men with depression to seek help. It is of particular concern that the major barrier would appear to be the stigma associated with depression, and other forms of mental illness, and that this is preventing men from accessing treatment, which could significantly improve their quality of life and, in many cases, avert the tragedy of suicide . She added: The message is simple we have to work as a society at reducing the stigma associated with depression if we are to avoid the further premature loss of life in young men . http://news.bbc.co.uk/1/hi/scotland/2976828.stm (a) Explain the following terms: Stereotype _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Stigma _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51S8 3502 7 [Turn over (b) Explain three ways stigma may affect men who are suffering from depression. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51S8 3502 8 Examiner Only Marks Remark (c) Explain three different ways the Community Psychiatric Nurse (CPN) can provide care when working with clients who suffer from depression. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Evaluate the mixed economy of care approach in providing services for young men who suffer from depression. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51S8 3502 9 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51S8 3502 10 Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A3H51S8 3502 11 [Turn over 3 Paula Green, aged 79 has lived alone in a third floor flat for many years. She has a son, Peter, who visits daily and occasionally takes her out shopping. She has very good friends and neighbours who call regularly. Mrs Green was admitted to hospital four months ago for routine gall bladder surgery but due to complications she became very ill. Mrs Green is now feeling much better and is keen to return home. The consultant has asked the social worker to complete an assessment of Mrs Green s suitability to return home and the support she might require. Mrs Green has also been asked by her son to consider a period of convalescence in Crestwood, the local residential home. She is not keen to do this as she has heard rumours about the poor quality of care in Crestwood. Her son is thinking of moving in with her when she returns home, although he is concerned that he will not be able to cope. Neighbours have agreed to visit daily. (a) Write down five stages of the care planning cycle. 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] 3. ____________________________________________________ [1] 4. ____________________________________________________ [1] 5. ____________________________________________________ [1] (b) Explain four ways the Care Value Base contributes to raising the standards of care in residential homes such as Crestwood. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51S8 3502 12 Examiner Only Marks Remark Examiner Only 3. _______________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Explain how the following policies may enable care homes to maintain high standards of care for older people. (i) Health and safety policies _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A3H51S8 3502 13 [Turn over (ii) Protection from abuse of vulnerable adults. Examiner Only Marks _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [3] (d) Evaluate the potential contribution of informal carers to providing quality care for Mrs Green in her own home. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51S8 3502 14 Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51S8 3502 15 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A3H51S8 3502 16 Marks Remark (e) Discuss how the NHS and Community Care Act, 1990, supports clients like Mrs Green who prefer to be cared for in their own homes. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51S8 3502 17 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] A3H51S8 3502 18 Marks Remark THIS IS THE END OF THE QUESTION PAPER A3H51S8 3502 19 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) T50073/3

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Additional Info : Gce Health and Social Care June 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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