Achieving Autonomy: Case Study

1) To build therapeutic relationships with paediatric patients and their families in order to establish patient and family centered care.

As Kimberly described her client interactions and methods of assisting those involved with the case, and providing outside resource for the children and caregivers. She stated “it is essential that you are completely honest with the caregiver in regards to the status of the case that they are involved in”. Meaning that a caregiver should be aware of the rules for home visit such as having announced as well as unannounced visitation by the case manager, court appearances the requires the child to be in attendance, as well as meetings conducted to discuss the status of the child’s progress while in their

The section 17 also sees the possibility of family support service being offered to family of the children in need where they also provide a view of safeguarding and promoting the child’s welfare. The package of services could include home help, day care provision for family member other than the child in need, temporary placement so that the carer could get rest . These are put in place to evaluate to see whether it has met the needs of safeguarding of the child’s welfare.

Positive relationships with other people who are involved in the care of children and young people are important because…

This will in turn build a relationship based on trust, mutual respect and understanding between the care worker or professional and the service user. By using appropriate verbal and

The responsibility of the practitioner is to work as part of a team with other professionals and staff members effectively to bring children and parents the best possible service i.e. working with social workers, speech and language therapists, and family support workers. Practitioners must also have a working partnership with parents, to work effectively with the child as the parents are the primary carers and they will know what the child is like at home and what the child’s interests are. For example they would have a policy called ”parents as partners”.

If we think about autonomy and agency in the same term that Crawford does, it seems that he is right when he says that there is a paradox there. It seems that in some ways autonomy and agency contradict each other, or cancel each other out at times, and this is something that should make us all stop and think about it. Crawford then goes on to talk about choice, freedom, and autonomy and how these ideas feel as if they are being forced upon us rather than being a choice. Also, Crawford talks about self-realization in this section and how it has become to having us buy new items rather than keeping old ones and fixing them. Does all of these things mean that the world is attempting to train us to just accept things the way they are? That is the real question.

I am Jack, Harriet's husband. I would expect the team from the Community Mental Health Team to consider my case seriously. I would want to stay involved in the whole process of the decision making. If social workers decide that they want to talk to me about whether I am able to look after my children I would like the Community Mental Health Team to tell me well in advance. I would like the Community Mental Health Team to help me prepare for any difficult questions that the social workers may ask me. On a more serious note, I would like the Community Mental Health Team to inform me of whether they think I am suitable or not to look after my children as if they think that I am not, I will go with their decision as I do not want to put my children in any danger that could result from my behaviour. I also expect the staff at the hospital where Harriet will have her operation to keep me well-informed of her progress. When I go to visit her, I do not want them to shy away from giving me information and I do not want them to feel that they cannot tell me if she is not doing so well, just to protect my mental health, she is my wife

Dialectical tensions are important to practice and understand in order to maintain healthy relationships. There are three that are the most useful in my everyday life. They are autonomy verses connection, novelty verses predictability, and openness verses protection. I also use the three strategies of cyclic alternation, segmentation, and disqualifying to ease the dialectical tensions in life. I think it is important to know how to understand and work through these dialectical tensions in order to maintain healthy relationships.

Parental engagement has been a challenge for child protection workers. When a family is going through issues like violence or substance abuse it is hard to focus on the children. Not having connection or communication with children can

Autonomy means behaving and thinking independently of others (Woo, 2014). As per Oxford dictionary (2014), autonomy is “the right or condition of self-government”; “Independence”; “Freedom from external control” and as per Webster dictionary, autonomy is “the state of acting separately from others”; “the state of being self-governing”. So, autonomous people are considered as self-directed, self-controlled and having the capacity to choose their own destiny. In the childhood context, autonomy means independence and exploration that make ready a child to say "let me do it". Freedom helps them in building their confidence, increasing ability to do work and learning the value of responsibility of completing the task. Consequently, it is very essential for a child to be independent. However, children get autonomy gradually over the course of development. They start to develop it by experiencing and exploring their internal and external environment and then by doing things themselves. Mostly people think that children don 't have the capacity to govern by own that is why they need interference of adults in terms of protection and proper guidance (Dore, 2014). Moreover, complete freedom is not good for them because it is impractical. Now the question arises that how much freedom should be given to children and how much inference of adults should be involved in early childhood education. So, this essay will discuss the 'sense of autonomy ' required for children to grow as explored

Individual autonomy enables patients to choose intentionally, with understanding, and without controlling influences in order to make their own decisions (Stiggelbout, Molewijk, Otten, Timmermans, Bockel, and Kievit, 2004). Creating autonomy refers to a basic work to enable a person, and to provide adequate conditions of welfare, so that they are able to realise fulfilling possibilities, whereas, respecting autonomy refers to a person facing disabling issues, and makes no objection to the health worker addressing these issues; hence we are to respect their autonomy (Seedhouse, 2009). The importance of autonomy in this case is high, with respecting autonomy; the person using this facility should be respected for their autonomous choice, no matter the circumstance. The case proposal creates a facility that is safe and allows the involved people to achieve their potential by making an autonomous choice, however, there are limits. Whilst respecting and creating autonomy, the babies right to an autonomous choice is taken, thus, autonomy is quite conflicting, as the autonomy of another is an influencing

To provide quality service for families. While demonstrating a positive and professional attitude to maintain a healthy and safe environment at all times. I enjoy working with families and children I will commit to providing a positive input for all children and families in my care that will guide them into a successful future, I would like help members of the community who are in need by providing support services food, health, and child care. I am willing to work diligently to create and maintain a positive relationship through teamwork. As an employee I will deliver quality work and submit documents in a timely

I strongly believe in allowing each relationship individually between myself the client I support and family to be what they are going to be and not force them into the clinical helping relationship. I have experienced several clinical helping relationships in my life and I realize they lack benefits for the client or family. Speaking from the client’s perspective you feel like an object that people are trying to manipulate and change. I have seen and know firsthand what a clinical relationship does to people supporting children, youths, young adults and families. The client’s physical, physiological and social well being can be destroyed along with the people supporting them. Personally, I wholeheartedly feel having a professional and personal

I am Diem Nguyen. I have a passion of helping and protect children. I find that building relationships with children and their families will be the most challenging aspect in working in protective services. To me, building relationship means that I get to know children and their family really well including their history, their ways of managing money, personal relationship and their problems. Especially, most of my clients are hurt and/or angry/scared because of their situations.