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GCE MAY 2010 : AS, 5 Adult Client Groups

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Centre Number 71 Candidate Number ADVANCED SUBSIDIARY (AS) General Certificate of Education 2010 assessing Unit 5: Adult Client Groups [A3H51] A3H51 Assessment Unit AS 5 *A3H51* Health and Social Care FRIDAY 21 MAY, 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 three 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 5237 Marks 1 People with Down s syndrome are now living longer with a life expectancy exceeding 50 60 years, but they are at higher risk of early onset dementia. The first signs are changes in behaviour, for example, a normally calm person with learning disabilities gradually becomes more angry and aggressive. Maria, 43, suffered such a change in behaviour that her mother and brother no longer felt capable of caring for her in the family home. She was also experiencing delusions: she believed that characters from TV soap operas were hiding under her bed and around the house threatening her. She was also hearing their voices through the radio. Believing that Maria had late onset schizophrenia or early onset dementia, she was referred by her GP for assessment to a local eight-bed residential unit run by a private provider. Adapted from http://www.communitycare.co.uk/Articles/2007/11/07/106381/ the-risk-factor-a-woman-with-downs-syndrome-develops-delusional-beliefs.html (a) Explain the following terms: Concept of need _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Vulnerable adult _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5237 2 Examiner Only Marks Remark (b) Explain two different ways each of the following professionals may contribute to Maria s care. Examiner Only Marks Remark (i) Psychiatrist 1. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] 2. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] (ii) Mental health nurse 1. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] 2. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] (c) Discuss how the staff in the unit may meet Maria s communication needs. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 5237 3 [Turn over (d) Staff at the unit also have a responsibility to meet Maria s social needs. Explain two ways they may do this. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (e) Rather than attend the local statutory hospital Maria has been admitted to a specialist residential unit where she is to undergo assessment. Discuss two advantages of clients like Maria being cared for within the private sector. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 5237 4 Examiner Only Marks Remark (f) Analyse the process of assessment within the care planning cycle for clients like Maria. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5237 5 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [8] 5237 6 Marks Remark 2 Jessie, aged 39, is an asylum seeker from Zimbabwe. In November 2009 she was devastated to find that both she and her husband had been diagnosed as HIV positive. She had to stop her treatment because the first combination of drugs had side effects. Jessie has been admitted to hospital to undergo liver function tests. She and her husband have been referred to the local social services department, as it has a legal duty to support the couple on Jessie s discharge. Examiner Only Marks Remark Adapted from http://www.communitycare.co.uk/Articles/2007/06/07/104727/ how-an-asylum-seeker-bonded-with-her-hiv-support-worker.html (a) Explain the following terms: Minority group _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Discrimination _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (b) Discuss how the medical model of disability can be applied to Jessie. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 5237 7 [Turn over (c) Jessie feels that staff at the hospital are discriminating against her. Explain three ways the ward manager could challenge the discriminatory attitudes of the staff. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5237 8 Examiner Only Marks Remark (d) The Patients Charter sets out the rights of patients in the NHS. Explain four rights patients have in accordance within the Charter. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5237 9 [Turn over (e) On her return to her flat Jessie and her partner are going to require services from the statutory, private and voluntary sectors. Evaluate the mixed economy of care approach to providing services for clients such as Jessie. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5237 10 Examiner Only Marks Remark _________________________________________________________ Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] 5237 11 [Turn over 3 (a) Discuss the purpose of maintaining confidential information which is a core principle of the Care Value Base. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [6] 5237 12 Examiner Only Marks Remark (b) All health and social care professionals must adhere to codes of conduct. Explain two ways professional codes of conduct contribute to the provision of quality care for clients. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) In the UK there are approximately 6 million carers, who look after a disabled friend or relative. By 2037 the number of carers could increase to 9 million. Adapted from http://www.crossroads.org.uk/index.php?pgid=207 Analyse the difficulties faced by informal carers. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5237 13 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5237 14 Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] 5237 15 [Turn over (d) Analyse how the NHS & Community Care Act 1990 supports clients with learning disabilities to live at home rather than move into residential care. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5237 16 Examiner Only Marks Remark _________________________________________________________ Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [12] 5237 17 Remark 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. T79870/2

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Additional Info : Gce Health and Social Care May 2010 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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