Explain the processes involved in the development, maintenance and breakdown of relationships

Development: After introduction or attraction between participants, a relationship moves onto the development stage. It usually occurs when participants get attracted to one another, show mutual interests and bear same thoughts, dislikes, notion and intellect on various subjects.

Maintenance: Maintenance of relationship requires maintaining basic reciprocity between participants. It may include celebrating something together, exchanging gifts, inviting one another to celebration, providing active support to one another and indulgement. They also build trust by following commitments made to one another in this process.

Breakdown of relationship: This is the process when a relationship ends. A relationship can come to this stage if it is not being properly maintained. There is also a chance of breaking down a relationship at development stage, especially, when participants misinterpret their relationship objectives. Let me give you an example how misinterpretation can occur. Mr. X fell in love with Miss Y at first sight where Miss Y’s approach was to maintain just a professional relationship.

Md Foisal Miah Talukdar

Describe the possible impact of difficult or dysfunctional relationships on an individual’s well-being and self esteem

Let me start with a common quote occasionally I hear “I have nothing to live for”.

Many individuals may feel lonely and low self-esteem because of dysfunctional or difficult relationship. Dysfunctional or difficult relationship can contribute stress and depression on individual’s health and wellbeing. Due to lack of other human contact, social network or any supportive relationship, an individual may suffer emotional and psychological turmoil in their life. It can affect their self esteem, trust and fairness to others. Some individual may not be able to cope with this kind of mental stress or adapt with this change and become violent and aggressive or even can commit suicide.

By Md Foisal Miah Talukdar

Explain the possible consequences of health and social care workers failing to act in the interests of individuals and others

The possible consequences can be as follows-

·         Put an individual at risk or potential danger

·         Put an individual at risk of abuse or harm by others

·         Put surrounding others such as family, carers, other professionals and members of the public at risk or potential danger

·         Carer of support worker may be subject to disciplinary action for breaching duty of care

·         Individual's care need will not be met

·         The service provider’s reputation may be at risk of damage

By Md Foisal Miah Talukdar

Explain why the tissue viability risk assessment should be regularly reviewed and repeated

Tissue viability risk assessment is very important as part of individual’s health and wellbeing. It is also an organisational requirement and our duty of care. Most of the individuals in our service provision are aged and vulnerable to immunity. Some of them are with no mobility and lack of mental capacity. As part of our duty of care, we must carry out duties which concerns to individual’s health and wellbeing.

Individuals with existing skin conditions may exacerbate if we do not regularly monitor or review the tissue viability risk assessment. Individuals may require further treatment which cannot be identified, if we do not review tissue viability risk assessment regularly. Failure to carry out tissue viability risk assessment or review or monitor existing risk assessment can result in safeguarding issue.

By Md Foisal Miah Talukdar

Give an example of an agreed way of working in your workplace and explain why it is important

Confidentiality is one of the agreed ways of working in our workplace. Therefore, we must not disclose any individual's personal or sensitive information to others. In order to work in this particular agreed way, we must keep care plan and other paper work where we record individual's sensitive and personal information in a locked cabinet or designated place. We must shred any unnecessary paper where individual's personal information is recorded.

Why it is important? : It is against law to disclose individual's personal and sensitive information without individual's consent. It also does not support dignity for the individual. Confidentiality is one of the principle care standard and regulator's standard we must follow. Failure to protect individual's personal and sensitive information may result in penalty, disciplinary action, prosecution and even operation closure. 

By Md Foisal Miah Talukdar

Describe what to look for when assessing the skin

Tissue viability risk assessments are mostly carried out by observation. Therefore, a pair of keen eyes with understanding of healthy skin is needed for the procedures. What to look for when assessing skin are described here in below –

·         Intact or freckled

·         Dryness, moist or well hydrated

·         Existing skin condition or skin disease

·         Colour such as redness or normal

·         Any inflammation of skin

·         Existing bruises, blisters and sores

By Md Foisal Miah Talukdar

Describe the changes that occur when damage caused by pressure develops

The changes that occur on skin when damage caused by pressure are described here in below –

Bruise: Skin colour may change into red, dark red, reddish black or black, due to continuous pressure or strong pressure on skin.

Blister: Blister may appear or develop due to constant and vigorous pressure or friction on skin.

Sore: Bruises may turn into a sore or open sore due to further pressure on affected area of skin. Individual may develop bed sore due to constant pressure on their skin.

Wound: Blisters may turn into an open wound due to further constant pressure on the affected skin.

Pressure ulcer: Pressure ulcer may be developed on skin due to prolonged pressure on skin.

By Md Foisal Miah Talukdar