Principles of safeguarding & protection in health & social care 205: Outcome 1
*Physical abuse: any act or maltreatment resulting in a physical injury, such as hitting, punching and kicking. *Sexual abuse: any act or mistreatment of a sexual nature imposed on someone else without his or her consent, such as rape and inappropriate touch. *Emotional/psychological abuse: any intentional act or mistreatment resulting in a mental/ emotional pain or injury, such as verbal abuse and humiliation. *Financial abuse: any misuse of someone’s money or property through theft or fraud. *Institutional abuse: any mistreatment of service users caused by poor care, support and practice which may affect the entire setting, such as lack of person centred care due to inadequate staffing. *Self neglect: any behavioural act in which the individual neglects to attend to their basic needs, such as personal hygiene. *Neglect by others: the state of being uncared for, such as ignoring a service user’s medical care needs. 2- Signs and symptoms of types of abuse:
*Physical abuse: injuries to face & head, unexplained falls, bruises. *Sexual abuse: change in behaviour, injuries to genital and anal area, difficulty in walking, and sitting, self harm. *Emotional/psychological abuse: fear, anger, low self esteem, depression, withdrawal, weight loss/gain, changes in appetite, sleep. *Financial abuse: lack of cash on day to day basis, unpaid bills, misuse of supermarkets’ club cards. *Institutional abuse: inability to make choices, agitation if routine broken, showing signs of challenging behaviour, feeling of depression if service users can’t go out due to shortage in staffing. *Self neglect: absence of hygiene, low self esteem, isolation. *Neglect by others: preventing service users to have access to services, absence of prescribed medication, isolation, and absence of personal hygiene. 3- Factors that can contribute to an individual being more vulnerable to abuse may include a learning disability, mental illness, elderly, children, homeless, being abused in the past or/and being inexperienced.
1- Actions to take if there are suspicions that an individual, a service user in particular, is being abused:
*Follow the guidelines stated in my employer’s policy.
*Report the suspicion/incident to my line manager, filling the relevant safeguarding adults from abuse form. *Make careful records of what was suspected including the date, time, and evidence if available. 2- Actions to take if an individual alleges that they are being abused: *keep the vulnerable adult safe.
* be receptive & perceptive.
*take it seriously.
*Make careful records, preferably the individual’s own words, of what was suspected including the date, time, and evidence if available.
*Report the allegation to my line manager.
3- Ways to ensure that evidence of abuse is preserved: *Statements by the victim or/and witnesses if there are any. *Physical evidence (as in to keep any tools used for the abusive incident, also not to wash the person if they’ve been sexually abused or bleeding unless it jeopardizes the wellbeing of the service user). *Use of tape records and photographs if need be.
1- National policies and local systems that relate to safeguarding and protection from abuse may include the following: * The Concerns and complaints procedure
* Risk Assessment and Management Pack
* Grievance Policy
* Disciplinary Policy
* Risk Management Strategy
* Risk Management Policy
* Client risk assessments
* Major clinical & serious untoward incident policy
* Whistle blowing policy
* Accidents, Incidents and Near Misses Guide book
* Accidents, Incidents and Near Misses reporting policy
* Claims Management Policy & Procedures