Tuesday, May 5, 2020

Protection of Child and Vulnerable Persons for Down Syndrome

Question: Discuss about theProtection of Child and Vulnerable Persons for Down Syndrome. Answer: Indicators that coursed concern From the case study above, there is several point of concerns, one of the concern about Leo is that, he has a problem known as the Down syndrome. Down syndrome refers to a state in a person, where an individual is born with additional complementing chromosome ( 11 Facts about Down syndrome | DoSomething.org | Volunteer for Social Change"). Secondly, Leo despite his health status, Leo still has no one to take of him and his roommate during the night and that why, they have joined a bad company at the club. The greatest point of concern in this case is that, Leo has ended up interacting with strangers and they are using him to conduct their businesses in the name of paying him after the service. This case has a social effects on people living with such disabilities (Young?Southward, Philo,. and Cooper, 2017) Thirdly, Leo has engaged himself in a business that he has no knowledge about it. In this case, Leo is being used by friends to run their business by asking him to deliver products that he does not know what they are at all. The big question here remains, what business exactly is being transacted by this people Leo call them friends. Lastly, Leo has ended up not listening to those who are providing support to him against this unknown business he is doing during the day on behalf of the friends who he just mate in a night club. Individual living with Down syndrome have an issue in taking care of themselves, and looking at the case of Leo and his friend, they have been staying by themselves during the night, which is not right because, individual suffering from Down syndrome are not able to take of themselves. From that case, there is a relationship between the inability of self-care and decision making. This is a clear indication that, Leo has no capacity at all to make decision on his own (Reed, and Berrier, 2017). According to the cognitive symptoms of Down syndrome, it very clear that, a person living with this kind of syndrome suffers from; below average intelligence, such individual are not very good from differentiating good from bad and doing the right thing. Secondly, they have cognitive impairment, where such individuals are not able to judge situation in the right manner (Horvath, Garagnani, Bacalini, Pirazzini, Salvioli, Gentilini, Di Blasio, Giuliani, Tung, Vinters, and Franceschi, 2015). Thirdly, slowed learning, such individual take long to establish what is right and what is wrong. Adult with Down syndrome should be supported in the right way to understand their rights just like any other normal person. This to allow and give them the opportunity to make decisions and take control of their life and everything they engage in. independence amongst this people living with such syndrome should be encouraged. In so doing this people with such syndrome will be encouraged to do things their own way. Like Leo who has not heed to the advice of those taking care of him, they should allow him to make is own decision through guiding before withdrawing their support. A point of concern from this case is that, despite Mrs. B being at his old age, she is been living alone all along except on the rare few visitation from the daughter who is actually about 50 miles away from home and the help receives form her neighbors. Secondly, Mrs. B is at now not able to support herself after the fall and she now need to be taken care of. This is a point of concern because Mrs. B is now not able to walk by herself and at the same time she is living alone without anybody to look after every day. Thirdly, Mrs. B has not been assessed by a social worker who could have been helpful to her all this time she has been living alone. Lastly, she doesnt want to be taken to the nursing home. Instead she wants to be taken back to her home. According to the research conducted by psychologists on Theoretical perspectives on cognitive aging and effects of aging, there is a positive relation that exists between aging and a declining cognitive functioning (Salthouse, 2016). But this does not mean that, there is significant poor decision making. However, aging in the process can affect decision making in a more complex manner. In this case therefore, Mrs. B has the capacity to make decision on her own either to choose to be taken to the nursing home or to be taken to her home. Therefore, she should be allowed to make her own decision, since, in any case that they force her to be taken to the nursing home might be more risky as this may lead to psychological distress because of the unfamiliar environment, unwillingness from herself and the fact that she is not well. Other conditions that have raised concern in this case is that, Mrs. B does not like idea of being taken to a nursing home as suggested. Nursing home has its own advantages and disadvantages. ("Advantages Disadvantages of Nursing Homes Aging in Place,) This therefore raise more concern as to, if she be allowed to be taken home, who will be taking care of her at home and also as to whose decision will be final given that her daughter supports fully the decision of her being taken to the nursing home to be taken care of there. In such a scenario, there are measures that can be taken into consideration. First, as there has never been any assessment done by the social worker, it is therefore important to fast approach this case by invite a social worker to come and asses her and other planning that might be required (Parker, 2017). In the case that, the social worker approve to be legible to be offered care through social work programs of taking care of the old then her decision will st and. On the other hand, in the case were the social worker has not approved to be considered into their program and the home taken care off, there will be the need to employ someone to take care of her so safe her from the uncomfortability and psychological distress that will result from being taken to the nursing home contrary to her decision (Weissman, Pratt, Miller. and Parker, 2015). What indicators cause concern? Susi has a moderate learning disability. The uniqueness of support service education is that, all the students with disabilities in learning have the tendency to show a notable developmental delay. These scholars may show impaired improvement and studying capability in line with ordinary literacy, putting across information (communication), illiteracy in numeracy, movement and individual development. Moderate learning disability exposes Susi to conditions such as not being able to concentrate for long, autism, physical, hearing or visual impairments. She might also experience emotional disturbance and communication skill difficulties (Messent, Cooke, and Long, 2016). Susi has a wide range of coping strategies developed over the years. Coping is a process where by an individual constantly changes in behavior as an effort to meet specific demands ("Assessment of Coping Strategies and Their Associations with Health Related Quality of Life in Patients with Chronic Heart Failure: the Brief COPE Restructured"). Coping strategies should be accessed on the basis of their effectiveness. Through coping Susi has been able to live with her problems instead of seeking medical attention. Susi has been married twice. Her spouse passed on, she married again but was divorced She could be struggling with loneliness (Van, 2012). Her only child who could provide her company is under permanent care with no contact. Susi grew up in a dysfunctional family, According to a research conducted. Healthy, midrange, and severely dysfunctional families, Beavers, W. R. (2012), family play roles such as making the future of the children; they are our society, stay with you in all situations and celebrate your happiness. Susis family didnt play didnt play any of these roles, It was dysfunctional. Her family lived locally but instead of protecting her, the older men of the family abused her sexually. This has made her tolerant to violence and accepts unwanted sexual relationships. Her poor grooming has made her to live in self-denial, that is why she has been sending pictures of herself online in order to fit in and feel accepted. With susis case, i dont think she has the capacity to make decisions on her own because Susis behavior is out of frustrations resulting from her past predicaments. She has developed coping strategies; she is actually surviving and not living her life. Her past was marked with horrific experiences; sexual abuse by her male family members and neglect. She sends pictures of herself to strangers online. Other concern is that, Susi could be having psychological problems; she should see a psychiatric urgently. She needs counseling in order to heal from her past experiences; her abusers should be arrested by the police and questioned. Id advice that her support worker visits her more often instead of just few times a week since she needs company and someone to talk to. She should be allowed to have contact with her child to share problems with her, give and receive love. Bibliography 11 Facts About Down Syndrome | DoSomething.org | Volunteer for Social Change. (n.d.). Retrieved from https://www.dosomething.org/us/facts/11-facts-about-down-syndrome Advantages Disadvantages of Nursing Homes | Aging in Place. Retrieved from https://www.ameriglide.com/advantages-disadvantages-nursing-homes.htm Assessment of Coping Strategies and Their Associations With Health Related Quality of Life in Patients With Chronic Heart Failure: the Brief COPE Restructured. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295536/ Beavers, W. R. (2012). Healthy, midrange, and severely dysfunctional families. In F. Walsh, Guilford family therapy series. Normal family processes (pp. 45-66). New York, NY, US: Guilford Press. Horvath, S., Garagnani, P., Bacalini, M.G., Pirazzini, C., Salvioli, S., Gentilini, D., Di Blasio, A.M., Giuliani, C., Tung, S., Vinters, H.V. and Franceschi, C., 2015. Accelerated epigenetic aging in Down syndrome. Aging cell, 14(3), pp.491-495. Messent, P.R., Cooke, C.B. and Long, J., 2016. Daily physical activity in adults with mild and moderate learning disabilities: Is there enough?. Disability and Rehabilitation, 20(11), pp.424-427. Parker, J., 2017. Social work practice: Assessment, planning, intervention and review. Learning Matters. Reed, A.R. and Berrier, K.L., 2017. A qualitative study of factors influencing decision-making after prenatal diagnosis of Down syndrome. Journal of genetic counseling, 26(4), pp.814-828. Salthouse, T.A., 2016. Theoretical perspectives on cognitive aging. Psychology Press. Van Den Hoonaard, D. K. (2002). Attitudes of older widows and widowers in New Brunswick, Canada towards new partnerships. Ageing International, 27(4), 79-92. Weissman, J.S., Pratt, L.A., Miller, E.A. and Parker, J.D., 2015. Serious Psychological Distress Among Adults, United States, 2009-2013. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Young?Southward, G., Philo, C. and Cooper, S.A., 2017. What Effect Does Transition Have on Health and Well?being in Young People with Intellectual Disabilities? A Systematic Review. Journal of Applied Research in Intellectual Disabilities, 30(5), pp.805-823.

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