Compare key principles of relationship theories

Levinger’s Theory	Stimulus Value Role Theory
Key Principle: 1) Introduction or start up 2) Build up 3) Maintenance or Continuation 4) Deterioration 5) End of relationship	Key Principles: This theory has only three stages. 1) Attraction or evaluation to commence a relationship) 2) Values (can be described as target) 3) Role (work together to build a relationship

In my opinion, the principles of relationship lies on the individual type of relationship in health and social care. We meet people from different walks in our life. We meet people for different reasons on different occasions. Therefore, principles are different from one type of relationship to another type of relationship. Although introduction or start up is the main basic principle for all types of relationship, but end of relationship may not be the principle for some types of relationship. Relationship can be broken down temporarily between participants (depending on factors), but may commence again sooner or later. An inherent (Genetic or DNA whichever you prefer to call) relationship can be deteriorated but never ends. According to law, rights prevail between or among participants even though relationship has ended. We do not terminate relationship declaring in a piece of paper. We just do not continue a relationship due to the factor influence deterioration. 

In health and social care, there are many different forms of relationship we observe. They are –

·         Personal relationship

·         Professional relationship

·         Inherent relationship

·         Social Relationship

Above mentioned relationships, may depend on relationship objectives between participant. An inherent relationship may not require following reciprocity in order to maintain the relationship where as a personal relationship or social relationship may depend only on reciprocity.

By Md Foisal Miah Talukdar

Describe predisposing factors which may exacerbate risk of impaired tissue viability and skin breakdown

Age: Many individuals may have freckle or wrinkle existed on their skin due to their age which might become prone to develop bruise or sore.

Dehydration or Dry or Flaky skin: Dehydration may cause dryness of skin which can be very prone to develop bruise or sore.

Medications: Some medications may have side affect of dry, itchy and rash on skin. Some topical medications may cause sun burn on skin because of exposure to the sun.

Friction: Vigorous friction of any object with healthy skin or affected skin can develop bruise, blister and sore or exacerbate risk of impaired tissue viability and skin breakdown.

External factors: Sharp edges of any object can cause damage to skin or exacerbate the existing issue.

Medical conditions: Some individuals may have limited mobility or none at all due to medical conditions. In these situations, individuals are very prone to develop pressure sore, bruises and blisters; or exacerbate the existing issue due to their inability of relieving pressure by movement.

By Md Foisal Miah Talukdar

Explain the implication of that legal entity on the structure and management of the organisation

Every human being is responsible for their own action if liberty and democracy are properly exercised.  Although we are all responsible for our own action, but there are merely few people who have legal standing in the eyes of law, and can influence the structure and management of the organisation. Legal entity can be the head of each department or section within organisation or just Manager or Director. Home managers, area managers or regional managers are specially registered manager who have legal responsibilities on the structure and management of the organisation. In the matter of any recruitment process, Head of the HR have legal standing in the eyes of law. Different departments have got different legal entity within organisation.

Due to legal and various regulators’ obligations, those legal entities have huge responsibilities to impose and maintain regulators’ standard and guidelines within organisation, to meet legal requirements. The regulators’ requirements and guidelines change from time to time. Hence, there are many changes occur from time to time within our service provision, due to imposing this new changes by legal entities. Every professional must be answerable to the legal entity as and when needed. Therefore, all other professionals must be working towards the objective and standard imposed or set out by the legal entity. The implication of the legal entity on the structure and managements are pointed out in below -

·         Legal entities are responsible to impose rules and guidelines and maintain standards according to regulators standards and internal policies and procedures

·         Legal entities must inspect or appoint someone to inspect or ensure regulators’ standards are being met within organisation.

·         Legal entities can take reasonable action to change organisational structures and management if it is necessary. 

·         Legal entities can add or remove services or change any features of the existing service within organisation

By Md Foisal Miah Talukdar

Explain a few common conditions which require recording of physiological measurement?

There are many conditions which require recording of physiological measurement. We take physiological measurement to verify or identify symptoms and severity of symptoms. There are different types of physiological measurement for different types of symptom. Common conditions which require recording of physiological measurement are described here in below –

Weight Loss or Obese: Individuals who are suffering from weight loss or overweight, need their weight monitoring, by taking their weight and height measurement to determine the level of malnutrition or diet control.

Heart problem, stroke, high or low blood pressure: Individuals, who are suffering from heart problems or experienced stroke in the past or experiencing other associates problems, due to irregular blood pressure, need their blood pressure measurement to determine severity of symptoms or control level.

Diabetes: Individuals, who are suffering from diabetes, need their blood sugar level measurement to determine severity of condition and control level.

Poor eye sight: Individuals, who are suffering from poor eyesight, need their near and distance sight recording to determine symptoms and remedies.

By Md Foisal Miah Talukdar

Describe ways the assessment and planning process or documentation can be adapted to maximise an individual’s ownership and control of it

Ans.

·         By listening to the individual’s opinion prior to the assessment process

·         By respecting individual’s choice of date and place

·         By encouraging individual’s to invite family or friends

·         By providing interpreter service if individual is from different culture

·         By providing Braille copy of the document to the individual

·         By providing summarise document in clear and readable format

·         By addressing individual with respect when assessing and planning

·         By using person centred and respectful language in the document

By Md Foisal Miah Talukdar

Describe ways of supporting the individual to lead the assessment and planning process

We can have an informal or formal conversation with the individual about the assessment and planning process. We can also explain to the individual about how it works and what we expect him to do. We can encourage individual to bring any representative if they like. We can request a date and place at individual's convenient to set out. We can issue a formal letter addressing him about the meeting date, place and time. We can also assist individual to identify needs and encourage him to bring it forward during the assessment.

By Md Foisal Miah Talukdar

Explain the importance of a holistic approach to assessment and planning of care or support

It is very important that assessment and planning of care or support must cover individual’s all aspect of life. An individual may require support on something specific which may depend or contribute to other aspects of life. If an individual should have assessed for supporting mobility only, then we have to take into account of other aspects such as deprivation due to lack of mobility or health and safety. We must consider all of these issues while assessing and planning of care and support for the individual. If we do not take into account individual’s all aspect of life, then support or care plan will not be person centred and individual’s care needs will not be met.

By Md Foisal Miah Talukdar