Communication Systems

9 September 2016

All goals must be measurable to then measure the progress towards the successful outcome, to measure progress is to monitor and access success and achievement. Attainable Stresses the importance of goals that are realistic and attainable, how can the goal be accomplished? Relevant Choosing goals that matter Time bound Grounding goals within a time frame providing a target date A commitment to a deadline supports others to focus their efforts on completion of the goal set. A time bound goal is intended to establish an urgency.

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Example- Care plans goals, client needs to loose weight, how, activities exercise, diet plan and education- SMART. Support team of care on best to support clients the SMART procedure, enforce and practise, make others aware of person central. Good communication and documentation provides consistency in supporting staff and clients in SMART objectives and goals. Life star and goals as an example- template. Read it and sign n it sheet and summarise it. Unit 501 1. 2 Explain how to support effective communication within job role communication plays a vital role in providing a duty of care.

To provide a duty of care at the best possible standards staff must be able to communicate automaton /sign brail verbally picture charts , books emotion charts preferred language religious views ad wishes body language know clients care plans and communication passports to communicate efficiently ensure to attend full training needed, ensure tools and aids are facilitated and practised. Staff must communicate between themselves in order to provide duty of care, in order to achieve goals – best quality of life, make improvements, access medications, access suitability of activities.

Risk assessment. Improving mental health and behaviour maintaining health, to reduce vulnerability and exploitation, to access s/U suited situations, EG- section informal care settings. All care plans are a form of communication, to inform those needed to know and abiding confidentiality on how best to know a client, assist staff to do so, strong thorough inductions for staff. Communication through documentation, communicate verbally to one another as team members, provides efficient and smooth running of shifts as a team leader.

Communication – knowing where S/U are, staff are, what observations facilitated and supported incidents. Good communications enables others to have a good level of knowledge and understanding of how best to support others, and to be supported. Communication enables others to understand where improvement may be needed, how best to do it and achievements and outcomes of doing so. Barriers and challenges = communication Within a core setting challenges and challenging behaviour may be presented due to communication barriers, verbally and physically.

When there may be communication barriers it can affect a clients behaviour due to frustration the client maybe feeling. A client may become to feel angry that communication barrier is affecting their need, wishes, wants, requests and preferences. Communication barrier may make a client feel sad, lonely and depressed, causing lack of interaction and possible deterioration of health and non- compliance of treatment. UNIT 501 1. 3 Analyse the barriers and challenges to communication within own job within a care setting challenges and challenging behaviour may be presented due to communication barriers, this may be verbal or physical.

Where there may be communication barriers it can affect a clients behaviour due to frustration that individual may be feeling. A client may begin to feel angry because the communication barrier could be affecting there needs, wishes, wants, rights, requests and preferences. A communication barrier may assist a client in feeling sad, lonely, depressed, causing lack of interaction and engagement, also possible deterioration of health and non compliance.

Barriers may be- a verbal communication barrier, mute client tools and aid communication and emotion cards and charts makaton /sign language poor relationships/ rapports between staff and clients= communication barriers may cause challenging behaviour. Lack of communication can cause barriers between staff and clients resulting in poor level of care, client confusion,agitation and challenging behaviour. Lack of communication between a client and there family can cause upset, deterioration of mental health, physical health, effecting recovery and treatment causing client to possibly feel sad, depressed, lonely, rejected and neglected.

Poor communication between staff among themselves can also result in poor care of the clients, lack of organisation and lack of professionalism. Unit 501 1. 4 Implement a strategy to overcome communication barriers Strategy to overcome communication barriers , firstly state all anticipated barriers that may impact upon others causing challenging behaviour. Strategies will be different for each individuals personal barriers, disabilities and core settings.

Listed below are several general strategies to overcome communication barriers take S/U seriously apply yourself with good attitude deliver message skilfully focus on receiver use multiple channels to communicate instead of relying one on one ensure appropriate feedback Unit 501, 1. 4 Facilitators of communication- The following general guidelines may be helpful to facilitate effective communication- work at improving communication skills, the communication model and discussion of barriers to communicate provide necessary knowledge. Include communication as a skill to be evaluated along with all the other skills and training make communication goal orientated when the sender and receiver have a good relationship its more likely to achieve communication goals.

Experiment with communication alternatives, what works with one may not work with another, use diverse communication channels, listening and feedback and techniques work to minimise negative impacts handle noise and disruptive environments should be handled as priority bass, it is essential to identify and eliminate prioritize work, don’t overload, spend time and get to know clients All messages must be complete, in all respect and convey all facts required by the receiver.

Incompleteness, understanding and confusion between staff and clients. Always make sure the information correct. Clarity in communication makes understanding easier and enhances the meaning of a message. Staff should make sure an attempt to understand the clients requirement, emotions, and problems. Ensure that the self-respect of all are maintained and kept at a high standard at all times. Unit 501 1. 5 Use different means of communication to meet different needs Different means- different needs communication.

All individuals have different needs, requiring different types of care. Personalised care. If a client is mute/particularly mute that person may need a source of communication particular communication tools and aids in order to support clients to express views, feelings, emotions, requests, needs, wishes and preferences. Picture charts/cards emotion communication cards picture menu communication personal pack talking technology aids sign language/ Makaton For blind clients they will be supported with brail aids, a support stick , talking technology support and possibly guide dogs.

Sign is a means of communication for deaf clients, deaf clients may have a hearing aid, notification tools to inform others of impairment(possibly guide dogs). Different means of communication, meet different needs. All individuals have different means of communication , some may be louder than others, some may characterise/ cartoons express verbal communication. Some may be excitable and verbally loud, possibly invasive of personal space. Staff need to understand each clients individuality, how to adapt to each individual, how to manage all individual needs.

Some clients may only prefer to work with a certain gender, if not facilitated communication may fail. Some clients may express themselves through body language communication, staff need to know and understand personalised body language. Body language can in some cases display escalation prior to agitation and de-escalation. Body language can display feelings, likes, dislikes, so’s and dint’s. Staff should know their clients and know their care plans, know signs and body language In order to support one another with efficient communication. Unit 501, 2. 1

Monitor the effectiveness of communication systems and practices In order to monitor the effectiveness of communication systems and practise an in health care setting, a system must be put in place that is able to track and observe all the information. In order to provide good communication, staff should always reflect feedback in order to access where improvements can be put into place. Oe source of feedback can be to monitor communication systems and practises. Monitoring communication systems and practises empowers staff to document actions, results and further improvement .

When effective monitoring takes place it supports clients to communicate to the best possible standard. A care setting can monitor effectiveness of communication systems by support of a occupational therapist, a activity co-ordinator. The best method of monitoring systems s to document efficiently, when practising communication systems, make sure the documentation is fully detailed, state the source of communication, how the client responded and update regulatory, when updating you may notice a pattern or an improvement, if so then its clear to change the method so its suited to the client.

Evaluate the effectiveness of existing communication systems and practises As a senior support worker I believe that my communication skills and systems are very effective, within my job role it is essential to uphold and maintain a good standard of communication with, team members nurses, deputy management, management, doctors, co-co-ordinators, activity co-ordinators, occupational therapists, social workers, service users, ext of kins and family. This may be directly or indirectly , verbally, face to face, over the phone, emails, letters, meetings, supervisors and appraisals.

This may be due to discuss progress, deterioration of service users, planned /new activities, to provide input in personalised care, care plan assessment meetings, tribunals, medication assessment. For staff this may be due to supervision appraisals, complaints, disciplinary, discuss new referrals or any issues that may arise. Unit 501, 2. 3 Propose improvements to communication systems and practises to address any shortcomings The best standard of care for a service user must be personalised to suit that particular individual.

Also a part of personalised care is personalised support and communication systems for the service users support system. Some families prefer to collect the client themselves but wish to have regular contact with the supporting staff and updates. Information updates may be via several methods, face to face, phone calls, letters and email. Which ever method is preferred by the families should be suited and facilitated, how they wish. Some families may only want to speak to the clients key workers, where as others will discuss information with any staff.

Some families may also only prefer to discuss information face to face at visits or meetings set up. Unit 501, 2. 4 Lead the implementation of revised communication systems and practices As a key worker , I review care plans which Is a source of communication, during a review I have to update information and behaviours. Part of a care plan I build communication care plans and life stars. In my communication passports I build information about the particular client, in order to assist them and any care team to support that particular individual to the best possible standard.

A communication passport details how that client best communicates and the best way to communicate with them. This may include sign language , Makaton and personalised signs. It will include personalised body language and preference on how that client responds best. Communication passports ad any health visits, planned or unplanned, this aids the external care members to support a client they do not know. For example- If a client falls over and needs medical attention , that client may attend hospital but who ever supports them will not know the dos and dint’s , how to communicate and provide support in order to give medical support.

Communication passports also are a source of communication to new staff which supports them with efficient induction. It empowers staff to get to know a client, there communication an systems and practices, their triggers and how to provide successful de-escalation. Life Stars- life stars are built to track current status, monitor progress and set goals to achieve. Life stars state current stages on various abilities and show where progress can be set and achieved. This system is also a communication aid to new staff and all care members.

These are put in place to access risks that may be ‘ risky’ for that particular individual and how best to manage a situation , this is a form of communication. At the end of every shift staff document personalised notes of a clients individual care plan and throughout the day notes are taken. At my work place, an ‘incident analyses form’ is completed to record incidents and accident annalists form is recorded for accidents. Throughout the day staff complete an engagement record and observation forms. This is a form of communication.

At the beginning of every shift staff attend a detailed ‘hand over’ backed up by nursing led notes, where all previous information is verbally expressed to staff at the end of every shift. Staff attend and verbally input information into a shift debrief to reflect and discuss hoe the shift went, issues to be resolved and any improvements that may be made and documented. All communication tools are evidenced at ward round, attended by many professional bodies who access clients care and put appropriate care into place. Unit 501, 3. 1 Use communication systems to promote partnership working

Within my work setting we use communication systems to promote partnership, listed below are many- care plans Risk Assessments Health action plans Communication passports Observations Handover and de brief -verbal and documented Personalised action plans Weekly ward round reviews Regular “CPA”- care plan assessments Weekly physiology sessions Each shift consists of a range of clients and a range of staff, this includes x1 nurse In charge and x1 senior care support worker. The senior care support worker plans and arranges the whole shift , staff and clients on an allocations book which staff only have access.

This allocated sheet is partly completed at the beginning of the each shift and mostly completed during a client morning meeting. Where clients to a degree have personalised in out on their individual day plan. The allocated sheet is a communication tool from from senior to a staff team, in order to organise all people and the shift efficiently, which promotes partnership in the worker. Unit 501, 3. 2 Compare the effectiveness of different communications systems for partnership working Care plans provide efficient information to all care team staff, new staff and provides regular updates for current staffing team.

Care plans may provide information to external care teams, if supported with client or management permission for example- during transitions, external staff may visit a core setting during a client transition of the care environment, staff may access the client care plans in order to access the client prior to shadowing practically. Care plans are personalised. A risk assessment provides current risks a client may experience, this informs others of the possible and previous risks and how best to manage them.

Health action plans provides communication to inform others on clients current health, progress and goals, where improvement can be made and how best to go about it, without this an individuals care and health may not be consistent. Communication passports inform others on how best to communicate with a particular client, it will provide information on ‘dos ‘ and ‘donts’ tools and aids possibly used, personalised and Makaton signs. Observations are a document used by staff on a timely basis throughout the day depending on the individuals current observations, this may be hourly documentation or every 15 minutes observations.

These documents state where the client is, what location, specific engagement and activity and the staff allocated to that person. Unit 501 3. 2 Handover an De-briefing- this s completed prior and after every shift, Handover is prior to a shift to update the staffing team of recent activities, behaviours, incidents, progress and mental and physical health. DE-Briefings commenced at the end of every shift, attended by all our staffing team, to reflect on the shift completed to access how the staff worked , how clients have been, the overall outcome of the shift , improvements that may possibly made.

Ward round reviews- are attended by our doctor, management, nursing team, psychologist, social worker and client. This is to review the past weeks progress, incidents, behaviours, activities and and health of individuals. All of the above is a tool to vital different communications systems for partnerships in work. Without the above communication would be minimal which would decrease the level of care provided. Unit 501 3. 3 Propose improvements to communication systems for partnership working

As a senior support worker within my work environment, I see few faults in our communication systems. I personally feel and experience our current communication systems are efficient. Listed below are few improvements that could be slightly approved upon to become more efficient- staff de-brief to be timely within working hours regular staff meetings arranged in order for majority of staff team to attend, with plenty of notice more detailed morning every de-briefing better staff environment with weekly ward rounds, CPA’s and staff interviews more staff time to complete documentation

Unit 501 4. 1 Explain legal and ethical tensions between maintaining confidentiality and sharing information Confidentiality indicates preserving the privacy of someone you may be providing a duty of care too. All information related to them must be used only by the authorised care team involved in providing the care and care setting. This also includes verbal information. To breach confidentiality is to share information VIA any form, this may be documentation or verbal to share with others who are not on the care team or do not have permission from the client.

Informed consent is when permission is authorised and allowed to be released to other parties. This is provided by completing a legal consent form which becomes record. The meaning of privileged information is shared between an attorney and client, still confidential. Confidentiality must be maintained at all times regardless of the situation at hand. Unit 501, 4. 2 Analyse the essential features of information sharing agreements within and between organisations.

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