1. will be a more preferred option as

1.       In regards to the case of Nusrat Patel
who was a 19 year old female who is suffering from learning disabilities and
epilepsy. As she suffers from epilepsy and learning difficulties she finds it
hard to care for and look after herself and her own needs. Due to her issues
Nusrat may develop a low self-esteem and confidence resulting in her becoming
depressed. Nusrat may also form depression if she is being discriminated
against for her condition that she has no control over, so it is important and
emphasised that her carers and providers should be compassionate, empowering
and do not show any signs of discrimination towards Nusrat in anyway (not
allowing her to take part in particular activities due to her disability) in order
to promote her independence and allow her to rebuild her confidence. Due to
Nusrat being incapable of looking after herself, her mother decided to give up
her job to become her full time career. However this means her mother isn’t
receiving a monthly or weekly income due to her not working which will result
in finance becoming an issue for them and finding it difficult to afford and
provide the necessities for Nusrat and herself. This may result in Nusrat not
receiving the nutrition needed. A solution to deal with this situation would be
to supply Nusrat with a different full time carer so her mother can go back to
full time employment without having to worry about Nusrat. This will be a more
preferred option as Nusrat will be receiving the care needed whilst her mother
can bring home an income in order to allow them both to live a full efficient
life.  Compassion and caring behaviour is
shown from the community environment in which Nusrat lives as they understand
and allow her to have a say in the decisions that are made about her care. This
act of understanding allows Nusrat to feel independent and as if her carers are
listening to her needs and wants. Nusrat will be able to live a more
independent life knowing that the care provided for her is based upon her
wishes as it shows that she can take responsibility of her own life in given
situations. In association with Nusrat a professional advocate has been put
into place to ensure that her needs, wants and wishes are being fully met and
understood with compassion, competency and commitment. An advocate is assigned
in order to achieve Nusrats desired outcomes by properly communicating to the
team in order to work out what is the right conclusion for Nusrat. However, it
is highly beneficial that Nusrats mother is not her advocate as she may be too
protective over Nusrat and she may influence Nusrats wants and needs with her
own ideas and therefore have her thoughts expressed instead of Nusrats. Due to
Nusrats complications with men and her low sense of trust in them, her advocate
may need to be a women as she needs to be able to trust her advocate with the
information she provides them, as well as look to them for support and
guidance. It will also be the best option for the advocate to be female as
Nusrat attaches herself to friendly people easily, therefore is Nusrats
advocate was male, Nusrats feelings may develop into something more than
friendly, which would not be healthy for a working relationship, unless, if a
part of Nusrats care plan includes rebuilding her trust in men, a male advocate
may be assigned. Nusrat will need to feel comfortable and confident around her
advocate as they will be developing a close relationship. It will also be very
useful if Nusrats advocate was able to speak, read and understand Makaton due
to Nusrats learning difficulties and her lack of ability to communicate, as
well as to ensure that al, of her needs are properly communicated to the rest
of the team. This skill will allow Nusrat to be able to communicate comfortably
with her advocate and rely on her advocate to translate communication to
others. Nusrats needs are also being met as she has been given a referral to an
epilepsy specialist, this is beneficial to Nusrats health and wellbeing and may
result in an improvement in her epilepsy. The specialists could provide Nusrat
with prescribed medication to help calm her epilepsy. If her epilepsy is tamed
some forms of stress may be relieved of Nusrat and she may feel more confident
when going out into her social environment. However if she was not provided
with an epilepsy specialist, she could in fact develop a more severe case of
epilepsy and even become associated with the development of certain mental
health issue. This may in turn affect her confidence levels even more, cause
her self-esteem to lower and she may even develop suicidal tendencies as she
will become more vulnerable and feel even less independent as a result of all
the issues she is suffering from.


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