Essay 5 Block 4

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Part A – Write an essay of no more than 1500 words.

What constitutes a good physical environment for care and support and why is it so important? Illustrate your answer by analysing least two Block 4 care settings.

There are a number of different care settings, however I have decided to discuss and analyse Home and Hospital care, its environments and how the physical environments affect people giving and receiving care.

Healthcare is the prevention, treatment, and management of illness and the preservation of physical and mental well-being through the services offered by the medical health professions. Each type of care facility has its own advantages and disadvantages; I will now go through some of each for home and hospital settings. Being at home the patient is more likely to feel comfortable, at ease and secure, the caregivers (family members) may feel most relaxed about giving and providing for their loved ones at home, loved ones can spend as much as much time as they want with the patient; amongst all these benefits we also must consider the disadvantages of care being given at home, for example there may not be the correct facilities to provide adequate care at home, if there were an emergency at home it may be a little bit more difficult to handle, family caregivers may struggle without enough support. Many people do believe however that if the care needed is non medicational or the patient needs simple medication then home care should be offered for the advantages listed above, the patient would feel comfortable amongst their own therefore hoping to a speedy recovery.

We do also need to look at the hospitals advantages and disadvantages: having care in a hospital provides routine and structure that both the patients will need and quite possibly the families need also, specialized medical and emergency care are available immediately if needed, however there may be little privacy for the patients and their family may feel they are unable to be directly involved in the care given, the routine that hospital provide may not suit some patients in what their personal routine covers, the hospital may not be as easily accessible to the patients family as much as they would like because of the visiting hours. But what both hospital and home care do provide is and what is most important is love and care for the patient.

Evelina Children’s hospital opened in 2005, it joined forces with st’ Thomas to create

140 inpatient beds, including 20 intensive care beds, 3 operating theatres, a full children's imaging service with MRI scanner, x-ray and ultrasound, a kidney dialysis unit, an outpatients department, A medical day care unit, and a hospital school.

This hospital is a fantastic example of what hospitals should feel like to both patients and staff, it has rooms with views, plenty of natural sunlight and fresh air. The hospitals former name was Guy’s, and a number of children patients and their families were consulted when the design and layout discussion were taking place. Pamela Bate, the architect, offered her views as a mother who had stayed in hospital with her daughter. Staff, including clinicians, were asked about the practicalities of what could and could not be done within the budget. The physical environment was designed to achieve a hospital for children that is easy to understand, colourful and friendly, to create a light and airy space be it in single rooms or out on the bays, more importantly a space that is open for the patients families with pop out beds and privacy if and when needed. This would constitute as a good example of the physical environment in a hospital. It was clear to see that Evelina hospital is a much loved place for both patients as well as the staff who work there, as a place of care people said that it doesn’t smell like a hospital, it looks bright and friendly, being a children’s hospital it actually feels like one, it’s an environment for getting better, children...
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