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GCE JUN 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] WEDNESDAY 3 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 4198 Marks 1 Pauline lives in Hillgrove, a purpose built residential unit, which specialises in providing accommodation and support for people with multiple sclerosis who want to retain their independence but need specialist care. Prior to Pauline moving to Hillgrove she lived in a residential home that catered mainly for the needs of older people. With the support of her social worker, who advocated on her behalf, she found out about Hillgrove and obtained the funding to move. Pauline felt isolated in her previous living accommodation as staff focused mainly on her physical and medical needs. Hillgrove aims to provide holistic care , with the unit being well supported by a range of health care professionals, including a district nursing team. (a) Explain the following terms: Disability _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Concept of need _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 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 Pauline. Examiner Only Marks Remark Social work 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] District nursing services 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 3 [Turn over (c) Write down two key features of the social model of disability. Examiner Only Marks 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] (d) Explain two ways care workers at the unit could meet Pauline s emotional needs. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 Remark (e) Discuss the role of advocacy for Pauline. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [6] 4198 5 [Turn over (f) Analyse the contribution of the Disability Discrimination Act (1995) to the lives of disabled people. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4198 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [10] 4198 7 [Turn over 2 Peter Jones, aged 38, has been diagnosed with bipolar affective disorder (formerly known as manic depression ), which is a mood disorder. Sufferers have extreme mood swings from the lows of depression to elated highs, known as mania. Peter had his first manic and depressive episodes last year. He was detained (sectioned) and taken into hospital where he spent six weeks. After six months he tried to return to work but his confidence was low and he felt stigmatised. Unfortunately after a few months he was told that his work was poor and he was no longer competent to do his job. He was demoted. Since then he has suffered four more episodes (two depressive and two manic) and has recently resigned from his job on health grounds. He now sees his life as pointless and considers himself a social outcast. His wife remains supportive but is at a loss to know what to do. Community Care - adapted from: http://www.communitycare.co.uk/Articles/2007/03/15/103753/bipolar-affective-disorder -practice-panel-advises.html (a) Explain what is meant by the term stigma. _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (b) Explain three ways discrimination can affect adults with mental health problems. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 Examiner Only Marks Remark Examiner Only 3. _______________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Explain one advantage and one disadvantage of categorising an individual like Peter as an adult with mental health needs . Advantage _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Disadvantage _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 9 [Turn over (d) Explain three ways a psychiatrist could provide care for clients with mental health problems. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (e) Under the Mental Health (NI) Order 1986/The Mental Health Act 1983 clients can be detained / sectioned . Explain what is meant by this. _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 10 Examiner Only Marks Remark (f) Discuss the impact of the Mental Health (NI) Order 1986/The Mental Health Act 1983 on adults with mental health needs. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4198 11 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [10] 4198 12 Marks Remark 3 A recent survey found that the place where people are cared for in their dying days is in direct contrast to their wishes. So although most people are looked after in hospital, only 11% would choose to be in this setting and whereas 56% prefer to die at home, only 20% do so. Now it s easier for people with cancer or advanced illness to be cared for at home and to die there if that is what they want, thanks to a growing movement of hospices at home. Being cared for at home allows people to be surrounded by their family, pets and other things that are important to them. Despite the obvious need for these services, securing funding can be a challenge. Examiner Only Marks Remark Community Care - http://www.communitycare.co.uk/Articles/2007/08/08/105384/hospice-at-home-an-award -winning-service.html (a) Explain three ways voluntary organisations, such as hospices, are funded. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4198 13 [Turn over (b) The voluntary and community sector have stated that they want to protect the sector, strengthen . . . integrity and confidence and [apply] higher standards of transparency and accountability . Adapted from: http://www.ncvo-vol.org.uk/press/releases/?id=1049 Explain three consequences for clients if care organisations do not maintain high standards of care. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) In caring for people who are terminally ill the mixed economy of care approach enables a range of care options. Evaluate the mixed economy of care in providing services for people who are terminally ill. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4198 1 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4198 15 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] (d) Discuss how the Care Value Base may be applied by workers caring for adult clients. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4198 1 Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4198 17 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] THIS IS THE END OF THE QUESTION PAPER 4198 1 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. T59971/3

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Additional Info : Gce Health and Social Care June 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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