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Treating people well
and treating people
badly
Treating people well
   It is well understood that clients and patients
    should be treated well by care workers.
   An ethical reason for treating people well is that
    being a care worker implies having a duty of
    care.
   A practical reason is that clients who are
    treated well tend to behave more cooperatively,
    recover more quickly and have fewer problems.
 Treating people well involves trying to
  provide life quality factors, e.g. ensuring
  that people have occupation or privacy
 It is not always possible to do this, e.g.
  drilling a tooth may be painful and
  uncomfortable!!
   It is a good idea to think about the long term
    effects of treatment, i.e. that whilst treatment
    may be uncomfortable or painful it will mean a
    better quality of life eventually.
   A care worker should think carefully about the
    needs of the client or patient and take whatever
    action seems to give the best outcome.
Your examples
   Discuss how care workers can provide life
    quality factors in these care settings:
     HospitalA & E department
     Day nursery
     Residential home for elderly people

   You will need to think back to how these
    can be lacking in some care situations.
Treating people badly
   In practice there are many ways in which clients
    or patients are sometimes treated badly
   Neglect – means ignoring or otherwise failing to
    attend to a person’s needs. Physically this may
    involve not feeding a person. Psychologically it
    may mean not using effective communication or
    giving social support.
   Think of another example of physical and
    psychological neglect.
 Rejection – means showing the client that
  the care worker does not accept
  responsibility for caring for them
 Hostility – means expressing dislike or
  aggression towards a client, by verbal or
  non-verbal communication or
  unsympathetic treatment
 Can you think of a way that a care worker
  could show rejection to a client?
 When might a client be hostile towards a
  care worker and vice versa?
 Punishment – means responding to a
  client’s unwanted actions with unpleasant
  consequences, e.g. sending a patient to
  their room if they have disturbed or upset
  other residents or sending a child to the
  ‘naughty’ corner of the playroom.
 Punishment is always negative and
  inappropriate in care settings
 Do you agree that there can never be a
  time when a care worker is justified in
  punishing a client?
 Think back to the ethical reason for
  treating people well – what is it?
 Bullying – can take various forms
  including physical abuse or intimidation,
  e.g. using demeaning language or teasing
  a person
 Violence – means physically hurting a
  client, with or without producing detectable
  injury, e.g. a parent smacking a child
 Which groups of vulnerable people are
  most at risk or being bullied by care
  workers? (What reports have you heard in
  the news?)
 Is violence ever ethical?
Discrimination
 Means acting differently towards certain
  people or groups of people.
 Not always negative, e.g. a GP has to
  discriminate between two patients, treating
  them differently according to their illness
 Most care workers are able to discriminate
  between clients in terms of their
  personalities
 For example, you may speak light-
  heartedly to one client who enjoys this and
  in a more formal way to a different client
 Unfair discrimination involves treating
  people differently not because of their
  different needs, but because of their
  membership of certain groups
Types of unfair discrimination
 Sex discrimination - means treating
  people less well than others because of
  their sex.
 Discrimination on the grounds of sexuality
  means treating people differently because
  they are gay, straight, bisexual or asexual
 Ethnicity is a difficult concept and refers
  to the cultural origins of a person.
 Ethnicity can refer to a nation, e.g.
  Australian, or to a race, e.g. ‘Caucasian’.
 It can also refer to a person’s religion
  when this is a major part of a particular
  culture, e.g. when a person thinks of
  himself or herself as a Muslim.
 For many people ethnicity is a mixture of
  nationality, race and religion.
 Disability discrimination covers people
  who have a physical disability, a mental
  illness or emotional, behavioural or
  learning difficulty.
 Physical disability does not necessarily
  mean wheelchair bound but is any
  physical condition that prevents a person
  from doing something.
   Social Class discrimination – treating
    people unfairly because they come from a
    different area – can be from a deprived
    area or can be the other way round with
    people discriminating against the rich.
   Age discrimination – treating people
    unfairly because of their age might include
    not giving older people a job because they
    may not stay very long OR – not giving a
    younger person a job because they may
    be unreliable.
   Complete the spider diagram with the
    correct words for treating people badly.
    Remember in this exam you will not gain
    marks for explanations without giving the
    exact term.

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Treating Clients Ethically

  • 1. Treating people well and treating people badly
  • 2. Treating people well  It is well understood that clients and patients should be treated well by care workers.  An ethical reason for treating people well is that being a care worker implies having a duty of care.  A practical reason is that clients who are treated well tend to behave more cooperatively, recover more quickly and have fewer problems.
  • 3.  Treating people well involves trying to provide life quality factors, e.g. ensuring that people have occupation or privacy  It is not always possible to do this, e.g. drilling a tooth may be painful and uncomfortable!!
  • 4. It is a good idea to think about the long term effects of treatment, i.e. that whilst treatment may be uncomfortable or painful it will mean a better quality of life eventually.  A care worker should think carefully about the needs of the client or patient and take whatever action seems to give the best outcome.
  • 5. Your examples  Discuss how care workers can provide life quality factors in these care settings:  HospitalA & E department  Day nursery  Residential home for elderly people  You will need to think back to how these can be lacking in some care situations.
  • 6. Treating people badly  In practice there are many ways in which clients or patients are sometimes treated badly  Neglect – means ignoring or otherwise failing to attend to a person’s needs. Physically this may involve not feeding a person. Psychologically it may mean not using effective communication or giving social support.
  • 7. Think of another example of physical and psychological neglect.
  • 8.  Rejection – means showing the client that the care worker does not accept responsibility for caring for them  Hostility – means expressing dislike or aggression towards a client, by verbal or non-verbal communication or unsympathetic treatment
  • 9.  Can you think of a way that a care worker could show rejection to a client?  When might a client be hostile towards a care worker and vice versa?
  • 10.  Punishment – means responding to a client’s unwanted actions with unpleasant consequences, e.g. sending a patient to their room if they have disturbed or upset other residents or sending a child to the ‘naughty’ corner of the playroom.  Punishment is always negative and inappropriate in care settings
  • 11.  Do you agree that there can never be a time when a care worker is justified in punishing a client?  Think back to the ethical reason for treating people well – what is it?
  • 12.  Bullying – can take various forms including physical abuse or intimidation, e.g. using demeaning language or teasing a person  Violence – means physically hurting a client, with or without producing detectable injury, e.g. a parent smacking a child
  • 13.  Which groups of vulnerable people are most at risk or being bullied by care workers? (What reports have you heard in the news?)  Is violence ever ethical?
  • 14. Discrimination  Means acting differently towards certain people or groups of people.  Not always negative, e.g. a GP has to discriminate between two patients, treating them differently according to their illness  Most care workers are able to discriminate between clients in terms of their personalities
  • 15.  For example, you may speak light- heartedly to one client who enjoys this and in a more formal way to a different client  Unfair discrimination involves treating people differently not because of their different needs, but because of their membership of certain groups
  • 16. Types of unfair discrimination  Sex discrimination - means treating people less well than others because of their sex.  Discrimination on the grounds of sexuality means treating people differently because they are gay, straight, bisexual or asexual  Ethnicity is a difficult concept and refers to the cultural origins of a person.
  • 17.  Ethnicity can refer to a nation, e.g. Australian, or to a race, e.g. ‘Caucasian’.  It can also refer to a person’s religion when this is a major part of a particular culture, e.g. when a person thinks of himself or herself as a Muslim.  For many people ethnicity is a mixture of nationality, race and religion.
  • 18.  Disability discrimination covers people who have a physical disability, a mental illness or emotional, behavioural or learning difficulty.  Physical disability does not necessarily mean wheelchair bound but is any physical condition that prevents a person from doing something.
  • 19. Social Class discrimination – treating people unfairly because they come from a different area – can be from a deprived area or can be the other way round with people discriminating against the rich.
  • 20. Age discrimination – treating people unfairly because of their age might include not giving older people a job because they may not stay very long OR – not giving a younger person a job because they may be unreliable.
  • 21. Complete the spider diagram with the correct words for treating people badly. Remember in this exam you will not gain marks for explanations without giving the exact term.