Feedback and Mark scheme Upper sixth - back to college test

Describe two differences between the role of a Healthcare assistant and the role of a Nurse.  Mark scheme Answer Common Misconceptions HCA: help SUs with daily personal care: washing, toileting, feeding, mobility, making beds etc. work under the guidance of a qualified professional e.g. a nurse or a doctor  General personal care duties  Non-professional, may have NVQ qualifications but not a degree  Nurse: professional – has a degree and maintains registration with NMC  Will have a specialism such as critical care nursing, surgical care, mental health  Give treatments and may prescribe drugs  Offer specialist care and expertise  NOT A MARK:   Both work in similar settings  Both take temperatures, pulse, respiration rates and weight Nurse is a professional with a degree qual. The nurse is responsible for the patients overall nursing care, they make medical judgements and are accountable for their  decisions Nurses are regulated by the MWC HCA are still trained - NVQ

In which healthcare settings would a patient get: Diagnosis. Treatment In which healthcare settings would a patient get:  Diagnosis? Treatment? Recovery?    Mark Scheme Answer Common Misconceptions Most people recover at home! Don't need changes in treatment or constant medical care Research has shown people recover better – less risk of infection Diagnosis?  GP surgery, A and E, pharmacy  Treatment?  GP surgery, A and E, hospital, surgery department  Recovery?  Home, residential care home, nursing home, sheltered housing 

Describe two differences between a Care manager and a Social worker. Mark Scheme Answer Common Misconceptions Care manager: Responsible for day-to-day running of a residential care home. Will work with elderly or people with disabilities or learning disabilities.  Recruit and manage staff  Control the budget  Meet national care standards  Policies and procedures are in place and adhered to  Social worker:  Wide range of people find solutions to their problems  Work in social care centres, homes and clinics  Protect vulnerable people form harm and abuse  Help people live independently  Support children with foster carers and adoption  Help people with mental health difficulties, learning disabilities and physical disabilities  Support refugees and asylum seekers  Help people with alcohol, drugs and substance addictions  Help support young offenders  Care managers manage the care home like any other business Clearly show you understand what they DO

Give 3 advantages and 3 disadvantages of a person moving into a residential care home.  Mark Scheme Answer Common Misconceptions Advantages:  Trained staff support them and their needs  Specialist support is available if patients have more complex needs  24-hour care  Company – other residents  Stimulating activities  All food and bills etc. organised for you  Not a burden on friends or family  Disadvantages:  Losing some or all independence  Reluctance to leave own home  Isolation from neighbours, friends, relations  Strange surroundings  Loss of personal space  Loss of personal routines  Cost of the care  Waiting lists for residential care Don't mix residential care up with nursing care They will NOT be lonely in a care home

Give 3 services which an NHS Foundation Trust would provide. Mark Scheme Answer Common Misconceptions Run hospitals and A and E  May provide mental health services (but not in GMMH) May provide community health services  May provide children’s health services  Therapy – what is this? Be more specific Can't accept NHS it is too general Accepted any service ran by the hospital trust Must be HEALTHCARE not social care

Give 3 services a local authority would provide. Mark Scheme Answer Common Misconceptions Adult social care services e.g. help in the home – domiciliary services, meals on wheels  Finance and manage day centres  Residential care homes and nursing homes  Children’s services e.g. Adoption and fostering services  (Social workers and Youth workers offices and bases)  Commission services from public, private or voluntary sectors (mixed economy of care)  Not HEALTHCARE  Must be a social care service This supports people in general ways – not medical

Which sector do these organisation fall under? Mark Scheme Answer Common Misconceptions NOT voluntary or private Public Can also accept Statutory sector

Describe the voluntary health and social care sector and give 2 examples.  Mark Scheme Answer Common Misconceptions Cannot accept that service users do not have to pay – they also do not need to pay for NHS or local authority services! Make sure you explain it AND give 2 examples Non- profit organisations  Provide services alongside public and private – need  Usually charities  Paid staff and volunteers  Age UK, Mencap, Bardardo’s, Mind etc. etc. 

What is the aim of a hospice? Mark Scheme Answer Common Misconceptions Improve the lives of people who have a terminal illness that cannot be cured.  Take care of a persons’ physical, emotional, intellectual and social needs.  Palliative care – relief from pain and symptoms  Support families, carers and friends during the illness and bereavement  Must use correct terminology – cannot accept "close to death" The vast majority of patients will never leave the hospice This is not a residential care home or a nursing home – don't mix them up The vast majority of hospices are in their own building and grounds and NOT on a hospital site

Explain the differences between a residential care home and a nursing home.  Mark Scheme Answer Common Misconceptions Both are managed by a care manager Most residents are there permanently and not for short term visits Residential care – social care or personal care from care assistants or support workers. Meals, bathing, toileting, medication. People who are unable to look after themselves and who do not have family members to look after them at home.  Nursing home – also need medical care from trained medical staff e.g. nurses 

Give 4 examples of providers of support for people with mental ill health.  Mark Scheme Answer Common Misconceptions Can only accept a maximum of 2 charities as examples. You need to show a range of providers from different sectors Be specific – e.g. day centre for people with mental health difficulties Family and friends  NHS  Charities e.g. MIND  Private sector organisations e.g. the Priory group  (Will accept more specific answers) 

Give 4 examples of providers of support for people with learning disabilities.  Mark Scheme Answer Common Misconceptions Must show a range of types and sectors Can't give two from the exact same service or provision Be specific – Learning Disability Day Centre Family and friends  Support workers  Psychologists  Social workers 

Give 4 examples of providers of support for children under 5 with specific needs, such as have been a victim of neglect or abuse.  Mark Scheme Answer Common Misconceptions Under 5s in general – under 5s is just an example. Schools? Parents? DO NOT use therapist – what exactly is this? Youth workers work with ages 11- 25years What is a rehabilitation centre??? Parents  Other family members and friends  Teachers, teaching assistants and schools  Nursery assistants   Specialist support workers – disabilities  Paediatricians e.g. Great Ormond Street 

Give 3 specific care needs a person in later adulthood may have. Mark Scheme Answer Common Misconceptions Be specific – what exactly will they do to help? Physiotherapist – what exactly will they do? E.g. has worsening eyesight so will need glasses and large type in all written documents Developing or worsening physical conditions and mental conditions e.g. treatment and medication, surgery, appliances, care support etc.  Supporting friends and family who care for them  Healthy lifestyles e.g. sight and hearing checks, exercise programmes, preventing falls, flu jabs, dental health, healthy eating, catching things early – screening etc.

Define this key word: Routine investigations Mark Scheme Answer Common Misconceptions Not an investigation into a problem or a crime! Tests to help with the diagnosis or treatment of your condition e.g. blood tests, weight, height, temperature, urine tests, ECG, spirometry (lung function) etc. 

Define this key word: Patient advocate Mark Scheme Answer Common Misconceptions Doesn't need to be a paid professional – a family member of friend can also act as an advocate Speaks on behalf of someone else, represents their interests. Enables a SU to express their views and concerns and get taken seriously  Access info and support  Defend and promote their rights  Explore choices and options 

Define this key word: Multidisciplinary team Mark Scheme Answer Common Misconceptions Generally answered very well A multidisciplinary team is a group of health care workers who are members of different disciplines (professions e.g. Psychiatrists, Social Workers, etc.), each providing specific services to the patient. 

Define this key word: Acute medical conditions Mark Scheme Answer Common Misconceptions Come on quickly and can be very poorly indeed, but tend to get better fairly quickly Opposite is chronic – long term illnesses you have all your life such as eczema or diabetes Certainly NOT less severe Acute conditions are severe and sudden in onset. This could describe anything from a broken bone to an asthma attack. A chronic condition, by contrast is a long-developing syndrome, such as osteoporosis or asthma. 

Define this key word: Rehabilitation Mark Scheme Answer Common Misconceptions Rehabilitation is about enabling and supporting individuals to recover or adjust, to achieve their full potential and to live as full and active lives as possible. Can be drug, alcohol, physical, mental etc…  Helping someone to recover and get back to full health and normal life Can be following any illness or injury NOT just drugs and alcohol

Define this key word: Continuity of care Mark Scheme Answer Common Misconceptions The quality of care over time.  Two aspects – ideally a patient's experience of a 'continuous caring relationship' with an identified health care professional – same person every time e.g. GP.  As in most cases a patient’s needs usually involve a range of specialist professionals: the delivery of a 'seamless service' through integration, coordination and the sharing of information between different providers.  At a big GP practice, ideally a patient would always see the same doctor to get continuity of care