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GCE JAN 2009 : AS, 5 Adult Client Groups

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Centre Number 71 Candidate Number ADVANCED SUBSIDIARY (AS) General Certificate of Education 2009 Health and Social Care assessing Unit 5: Adult Client Groups A3H51 Assessment Unit AS 5 [A3H51] FRIDAY 9 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 1 2 3 Total Marks A3H51W9 4197 Marks 1 Jan Cerowski, aged 87, lives alone. Since Mr Cerowski s wife died he has become a recluse. A neighbour helps with shopping and errands. Due to his poor mobility, SSAFA, the national charity helping serving and ex-service personnel, referred Mr Cerowski to his GP. He had repeatedly fallen while trying to get out of bed. A district nurse visited and found Mr Cerowski s mobility was poor he used a broken broom handle to get around reinforcing his social isolation. He had not bathed for some time as climbing the stairs and getting in and out of the bath were unmanageable for him. He often eats standing up in the kitchen because he struggles to carry his food, hold his stick and walk at the same time. Mr Cerowski has poor hearing and now tends to speak in his native tongue, as he becomes more forgetful. Adapted from: http://www.communitycare.co.uk/Articles/2006/07/06/54853/ polish-older-man-a-war-veteran-needs-more-home-support.html (a) Explain the following terms: Vulnerable adult _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Minority groups _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W9 4197 2 Examiner Only Marks Remark (b) Explain two different ways each of the following professional services contributes to the provision of care for clients such as Mr Cerowski. Examiner Only Marks Remark Physiotherapy 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] General Practitioner (GP) 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W9 4197 3 [Turn over (c) Explain three ways Mr Cerowski s communication needs may be met. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Explain three ways Mr Cerowski s physical needs may be met. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W9 4197 Examiner Only Marks Remark (e) Explain how the following services, which Mr Cerowski uses, may be funded. Examiner Only Marks Remark SSAFA (voluntary organisation) _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] District nurse (NHS) _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (f) Mr Cerowski s neighbour supports him to live at home. Evaluate the role of informal carers in the provision of care. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 5 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A3H51W9 4197 7 [Turn over 2 Phoebe Harrison, aged 54, uses a wheelchair and lives alone in a ground floor flat. Her flat has been adapted and she manages most tasks independently. She receives a package of care to help with household chores, to take her shopping and on outings and to attend a day centre. She is picked up by bus twice a week. Phoebe has repeatedly complained about the level of service she receives. She feels she is a low priority because she can manage her own personal care. Frequently new and temporary staff are sent and they are often late. Sometimes no staff at all turn up. She is convinced that because she has complained so often, they are providing a sub-standard service as a punishment . Phoebe has said that she wants to learn to drive so she does not have to be dependent upon anybody to get her about, and she wants the Trust to pay. They say they will not, even though Phoebe argues that if she could drive she would need less support and thus save the Trust money in the long term. She is also bored at the day centre and wants to do different things, especially gardening and carpentry; but the centre only offers very basic courses and Phoebe wants to excel. She overheard one worker call her a silly day dreamer on the phone. Adapted from: http//www.communitycare.co.uk/Articles/2005/07/21/50245/bored-by-her-services.html (a) Using the scenario, identify two ways Phoebe is experiencing discrimination. 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] (b) Write down three ways Phoebe may be affected by this discrimination. 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] 3. _______________________________________________________ ______________________________________________________ [1] A3H51W9 4197 Examiner Only Marks Remark (c) Explain two ways adult clients such as Phoebe could be empowered. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Write down three advantages of services being provided by the statutory sector (i.e. Trust) for adult clients like Phoebe. 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] 3. _______________________________________________________ ______________________________________________________ [1] A3H51W9 4197 9 [Turn over (e) Explain three ways legislation contributes to improving standards of care for clients with disabilities. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (f) The Carers and Direct Payments Act (NI) 2002/Carers Recognition Act 1995 aimed to give clients such as Phoebe more control over their care packages. Evaluate the effectiveness of this legislation. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 10 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 11 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] A3H51W9 4197 12 Marks Remark 3 The government s document Developing Better Services states that its vision is to provide High quality, safe services which are accessible for all and provided by well trained, motivated staff in modern settings . Examiner Only Marks Remark Source: http://www.dhsspsni.gov.uk/index/hss/developing_better_services.htm (a) Explain three ways professional codes of conduct contribute to the provision of quality care for adult clients. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A3H51W9 4197 13 [Turn over (b) Discuss how the following two policies could enable care homes to protect older people and provide them with quality care. (i) Protection of vulnerable adults policy _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [3] (ii) Staff training policy _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [3] A3H51W9 4197 1 Examiner Only Marks Remark (c) Discuss the role of the private sector in meeting the needs of adult client groups. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 15 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] A3H51W9 4197 1 Marks Remark (d) Evaluate the mixed economy approach to care provision. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 17 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A3H51W9 4197 1 Marks Remark Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] THIS IS THE END OF THE QUESTION PAPER A3H51W9 4197 19 Marks 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. SP (NF) T59974/3

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Additional Info : Gce Health and Social Care January 2009 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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