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Reflection on Te Tiriti O Waitangi in Practice Setting

Info: 1811 words (7 pages) Nursing Essay
Published: 11th Feb 2020

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Tagged: reflective practicehealth and safetyculture

Assessment Task 1

During my placement my coordinator and I had been practicing te tiriti o Waitangi in all aspect of service given to clients.

It has four principles namely partnership means a written agreement between the client and the social worker through consenting contract in which the client allows the social worker to conduct consultation to gather information and disclose all relative information that will help in caring for the client. Protection means taking good care of one’s culture such as in te tiriti o Waitangi it is stated that maori have their ownj absolute sovereignty in term of their tonga relatively clients should be make aware of their own protection right that greatly serve their culture, traditions and customary practice allowing them express their feeling using their own language respecting them whatever their situation, providing gender appropriate social worker, and by giving privacy and confidentiality. Participation means involvement of nwhanau in all levels of care, consultation and in making of care plans. Also using Maori models of health such as te whare tapa wha which covers all the aspect of wellbeing namely hinegaro, wairua, tinana and whanau. Permission means allowing them to practice their own culture by giving them the right to speak te reo maori any time and providing them accessible service to health.

Assessment Task 2

Context/Setting

Individual/group

Age group

Summary of reason for admission to residential care

L.J.

young adult

The client has committed several times of criminal offending and her family could not control him anymore.

Meetings and Communication (related to admission process)

Date

Notes/key points of information provided to the residents

 

We gave the client a brief information about the facility his going to stay for a brief time, also information about what his going to expect from us and the facility. Furthermore, we described the admitting process so he will be able to cooperate accordingly.

  • The information that I gathered from the clients that determines his place of residence are the following spiritual beliefs, cultural and spiritual practices. I made sure that he can still observe his routines like attending church and perform cultural related acts such as karakia. I also gather information with regards to his health condition if there is any history of disease he has and medication he had been taken if there is any. His dietary requirements if there is limitation or required diet he should take any allergies to food, I made sure that in his placement he will still be able to eat their traditional food. I formation about his whanau and support people is the most important, I asked him some questions about his family background so that I know where to contact them for the progress of the client. Lastly I interviewed him about his hobbies and activities that his been doing before so that I can help him in pursuing it while his inside the facility or give him certain activities that will help him divert his attention.
  • First is that we made sure that his safety is prioritize in a way that he has a safe environment and away from people or things that triggers his aggressiveness. Second, we assessed him with regards to his health situation, any medication his taking also his education and social history. Third, we interviewed his whanau to gather significant information regarding their son’s behavior any gather information with regards to the reason of his offending acts. Lastly, we sort out the information gathered and determine the appropriate placement he needs that will suits his over all wellbeing.
  • we made sure that all relevant information are gathered by having some time to talk with his peers, because we supposed that he is more close to his friends and more comfortable in telling their emotions rather than his parents, to know what are their social activities to determine the main reason of his acts.

Assessment task 3

Contribution to planning for care of the resident

Date

Notes/key points of any meetings or other communication details of actions related to planning for the care of the resident

 

Through meetings with his whanau we were able to gather relevant information of what they observe on their child that can affect his deeds. We also assessed and involved the client in making the plan.

  • Factors that we considered during planning are the following his appropriateness of the service given by the facility, special needs that they can provide such as health needs if he has regular medication, educational necessities like enrolling for an alternative school, cultural needs wherein his given time to attend church to practice his customs and beliefs and making sure that his social needs are met like involving him in a community activities that suits his interest or hobbies. We also considered other agencies that could help on facilitating his rehabilitation such as CYFs.
  • matching of the resident’s needs with the services provided by the residence, objectives of the plan, resources that are available to achieve the objectives of the plan, time frame that is consistent with the use of available resources, the roles and responsibilities of people in the plan, methods of evaluating progress.
  • We made sure that the client and whanau are always involved in all levels of care in order to produce and promote effective care planning that suits his needs and desires while rehabilitating him.

Assessment Task 4

Contributions to care of resident

Date

Notes/key points of any meetings or other communication, details of actions related to care of residents

 

After planning we informed the client that the information that he gave to us during planning will reflect to the cares that will going to deliver.

  • My roles and responsibilities for the client are to ensure the safety and wellbeing of the resident as their first consideration at all times.
  • I was able to fulfil all their allocated responsibilities in accordance with the social worker’s role in the residential care plan such as assessing, planning, intervening, and evaluating.
  • It is important to have an ongoing contact by the whanau throughout the stay of the client in the facility with accordance with the residents plan. Providing contact plan for the resident to know if the whanau comes during the desired day to visit. We facilitated the contact through regular visitation, telephone call if the family is unable to come personally and planned joint meetings with residential staff.
  • Supervision and custodial care of the resident is carried out according to the plan and residential requirements such as secure environment and making sure that the family have a regular visit to the client. We also made sure that legislative requirements are followed, health and safety management is implemented and behavioural management is noted.
  • As a healthcare provider I encourage self-determination through engaging the client in making the plan to fulfill their identified roles and take ownership of these roles. I made sure that I am promoting client’s self determination by outlining agency’s objectives and appropriate legislation. Notifying client and whanau regarding the restrictions and extent of the meeting and allowing them to identify the best options. Mostly, working collaboratively with the family to discover a focus where agency mandate and whanau choices aren’t aligning. We discourage dependency through providing enough room for the family to create their own possible solutions and we also step aside in order for them to step up.
  • During decision making we made sure that all his cultural beliefs and values are given importance. Moreover, care given to him are always based on their customs and in accordance of the te tiriti o Waitangi.

Assessment Task 5

Contribution to evaluation of residential care plan

Date

Notes/key points related to the evaluation of the resident care plan

 

After all the interventions and cares done to the client we are required to have an evaluation. We informed the client about his progress and update about the evaluation process to be done that will determine his objectives are met.

  • I monitored my client’s progress through confirming his safety and wellbeing. I reviewed his daily care plan to know the outcomes related to the achievement of objectives and to know if there are any further options that can be identified.
  • I did a completion of checklist wherein I reviewed his objectives and tick the list of implemented actions that was successfully done and kept accurate records of conversation and meetings. Also regular check of hi placement wether it is secured and safe from triggers like addiction and bad peers. Regarding his wellbeing we made sure that he is regularly checked up by the GP and make sure that all his medication are taken regularly and not lapsing tom cure his current mental illness. Making sure that he is attending the alternative school placement and he keeping his curfew.
  • Secured his information and made sure that only necessary people can access his file and kept his confidentiality by not disclosing the information that I know from people who are not relevant or helpful in his situation.
  • Health and Safety Act 1992 it is relevant because it contains all the important rights of the client on what he can expect from his healthcare provider or social worker. This legislation is helpful in dealing with my client because I know where to based my actions and decisions to make sure that all of it are right and relevant to the outcome for the client.

 

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