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8 pages/β‰ˆ2200 words
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Style:
Harvard
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
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Date:
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Topic:

Health Inequalities on Rough sleeping (Health, Medicine, Nursing Case Study)

Case Study Instructions:

ASSIGNMENT QUESTION
Rough Sleeping across England has increased by 141% since 2010 (MHCLG, 2020).
The local authority has set up a task force consisting of health and social care
professionals to help reduce rough sleeping in the local area.
You are leading the task force and have been presented with a case for further
consideration and action.
Ministry of Housing, Communities & Local Government (MHCLG). 2020. Rough
Sleeping Snapshot in England: autumn 2019.
Case Study
William Burns is a 47-year-old male who is of Scottish heritage. He has no known
family members in the area. The outreach team first found William three months
ago and reported that he had been rough sleeping for the past ten years in
various locations across the country, most recently within the Westminster area.
Concerns have been raised for his mental health. He was initially referred to the
local Community Mental Health Team (CMHT) for an assessment.
William also has some pressing health concerns. The team noticed that he
regularly drank alcohol and had many Accident and Emergency Department
attendances for abdominal pain, potentially pancreatitis. On the last admission
to the department, it was noted that William was referred to a specialist.
However, he did not engage with the team and absconded before treatment was
completed.
The team has raised concerns that William’s life may be in danger if he continues
to sleep rough. Outreach teams have reported a deterioration of his mental and
physical health. He continues to refuse treatment and housing.
The team uses the following policies and laws to identify what actions may be
taken to keep William safe:
The Rough Sleeping Strategy (2018).
The Mental Capacity Act (2005) – Focus on best interests and the inability to
make decisions.
Vagrancy Act (1824) – Focus on police powers.
The assignment is split into three separate tasks. Guidance of approximate word count
is provided, although the overall patchwork should not exceed 3000 words. It is expected that each task will be completed throughout the module in numerical order.
One final patchwork assignment that includes all tasks will be submitted on Turnitin.
Patchwork task one (approximately 1000 words).
Health Inequalities- Establish priority issues concerning the safety of the
service user, focusing on health inequalities affecting the service user in the
case study.
• Identify at least two inequality priority issues from the case study for
further critical analysis, such as access to healthcare for people who rough
sleep.
• Use the policy and Acts within the case study during the analysis.
(30 marks)
Patchwork task two (approximately 1200 words).
Service user safety- make a decision. Use the Acts and policy within the case
study to decide how the service user's health needs will be met.
• Applying a decision making or problem-solving theory, critically evaluate the
decision made, to ensure the safety of the service user.
• Focus the discussion on one of the following perspectives:
o Impact on the individual,
o Impact on the service,
o or Impact on any further policy implications.
• Discuss an alternative decision from the one above that could be made,
focusing on one of the following perspectives:
o Impact on the individual,
o Impact on the service,
o or Impact on any further policy implications.
(40 marks)

Case Study Sample Content Preview:

Health Inequalities on Rough Sleeping
Student Name
Institution Affiliation
Health Inequalities on Rough Sleeping
Although the US is one of the developed regions globally, it is severely challenged in terms of increasing numbers of homeless and rough sleeping individuals. These are persons who have been forced to sleep on the streets because they lack sufficient income to rent out apartments of any other form of accommodation. There are persons who have rough slept for years and continue to raise their families on the streets. While the number of rough sleeping persons has reduced over the last few years, it is still up by over 140% from the figure witnessed in 2010. It is further estimated that about 4000 people rough sleep daily in the UK. The number of person’s rough sleeping on the capital streets of London reached a record high of 8,855 people recently. Based on the above statistics, it is evident that homelessness and rough sleeping is a serious issue in the US. Rough sleeping puts the lives of the individuals at risk because they are forced to endure blistering weather conditions. According to the assigned case study, William Burns has been on the streets for over 10 years, rough sleeping from one region to the next. He has become an alcoholic and has grave health issues including abdominal pain and pancreatitis. He has remained adamant on receiving treatment. The paper purposes to extensively examine the issue of rough sleeping in the UK with particular focus on William Burns. Highlight on health inequalities, and formulate actions that would ensure the safety of Burns.
Part 1
Health inequalities are unfair differences between two or more individuals. The term is also used to refer to the difference in the medical care that people receive and the opportunities they have to live healthy lives. Health inequalities can therefore include differences in: health status, access to care, quality and experience of care, behavioral risk to health and wider determinants of health. To begin with, inequality in life expectancy is one of the first measures of health inequality. Life expectancy is closely associated to one’s socio-economic circumstances. The most common measure of this circumstance is deprivation (Parr, 2011). Multiple deprivations is a way of determining how deprived people are within an area based on a number of factors that include income levels, employment, crime level and education. In England, those living at the most deprived areas like William Burns are likely to experience a higher mortality rate than those living at the privileged areas. Importantly, this method shows that everyone experiences health inequality- not only those at the bottom but also those at the top. In the recent years, inequalities in life expectancy through deprivation have widened. People who live in the streets face a higher mortality rate due to the harsh weather conditions and the starvation they normally face. Furthermore, men are prone to quicker deaths.
The second inequality is due to deaths from specific causes. Higher mortality rates in people who die from cancer or suicide have been observed. People who live in the streets are likely to die from diseases or suicide at a younger age. The Office of National...
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