In this report, I’ll be presenting the different types of relationship in a health care setting where I’ll be focusing more on nursing care homes that are specialised for dealing with elderly people who have dementia.A residential home is a communal residential place where the individuals that live there are helped by the staff who regularly provide them personal care such as helping them eat, get dressed and to use the bathroom. Nursing care homes will provide personal care as well as assistance from qualified staff.There are several types of relationship that occur in care homes that occur daily and I’ll be exploring them, they are: This relationship occur daily and is one of the important relationship in the care home as the carer will help the residents with their day-to-day activities such as helping them get dress, eating, having a bath and going to the toilet, etc. A patient with dementia will need extra support because as the symptoms of dementia gets worse, they might feel more distressed as they cannot remember what their conversation was about or what they had done, therefore the carer must support them by maintaining their skills, abilities and social life. The carers will encourage the patients to socialise with other patients while enjoying the entertainment that is provided in the care home such a sing-alongs, quizzes, board games, etc. This is will help the build-up of trust between a carer and a patient and so in the future when the patient is feeling anxious, they can be more open and talk about their feelings to the carer. Carers will have a positive relationship with the residents as they will make the residents feel comfortable and safe and therefore the resident can have trust within the carer. The carer must show warmth, compassion and not show any discrimination towards the resident and must always respect their beliefs, the choices they make. As the patients with dementia might not be able to remember everything they had done, it might seem as if they are lying and so the carer must handle the situation by calming down the patient and by showing respect. Carers also allows the patients to remain independent however it is also important that their safety comes first.Carers will also form relationship with other health professionals (peers) that might come to visit the care home such as the GP or the dietician, etc. They will mainly talk about how the patient is doing and what needs to be done to make sure that the patient is happy and comfortable in the care home. As the carers will be helping the patient with their day-to-day activities, they will get to spend the most time with them and so the carers will need to inform the professionals about what they had done, such as if they had eaten or not. It is also very important in healthcare to record down anything that the patient had done or anything that was given to them and so if the carer is being accused of something then other staff such as care assistance could back them up, forming a positive relationship.However, the carer and the other staff might also have an informal conversation that does not involve the patient. However, the carer could also develop either one-to-one situations. The carer could have a one-to-one relationship with the patient while talking to them about what they might want to eat to give the patient more independence. This can have positive impact on the relationship as the patient might feel as if they are being valued and listened to and so will feel comfortable living in the care home. However,it could also build a negative relationship as the patient has dementia, they might forget things they have done and so might feel uncomfortable to talk to the carer and so might not ask for support. However, especially when there is a one-to-one situation with the patient and the caregiver, their formal relationship can easily turn into something more personal. However, it is the caregiver’s responsibility to maintain their relationship professional at all times. The relationship between a carer and their peers also involve formal relationship as they should not tell personal information about the patient unless the patient is is any harm or danger to either themself or to others. However, they might meet outside of work and therefore will have informal relationship where there is friendship and close connection. They might also share common interest. This will have a positive impact on them as they will feel that they are wanted and a help to others. Patient will have a positive relationship with the Gp as the patient will be reassured and listened to as, the Gp will know what medical issue they will have and so will feel encouraged to take their medication or cooperate with the treatment and care. Gp also have the responsibility to assess, diagnose, treat and manage illness and also promote general health and wellbeing. GPs act as patient’s advocate, supporting and representing a patient’s best interest to ensure they receive the best and most appropriate health or social care. GP will visit the care home regularly and so will build positive relationship with the carer, this will be convenient for those patients that have dementia as having just one doctor that visits them regularly will know what the problems they’re going through and so it will be quicker to support them. Normally, GPs will have a one-to-one relationship as they assess the patients. Through this, the GPs will get to know the patient as an individual as they get to learn about their likes and dislikes. Although they might have a formal relationship, if the same GP comes to visit the patient then it is likely that they have a close connection and this is especially important for patients with dementia as it will help them remember things more. The patient will also feel more comfortable if they keep seeing the same Gp and so will put more trust, this can have a positive impact on the patient as they will feel more safe and confident.Gps will also form formal and one-to-one situation relationship with the carer looking after the patient as the Gp is not around the patient all the time and so will need the carer to explain what has happened with the patient while they were gone. Spending more time with the each other will mean the easier the relationship is formed and so will feel comfortable being around each other. They might also decide to meet outside of work as friends therefore, will have a positive impact as it means that the relationship will be built more deeper.There are several professionals that visit care homes regularly as it is important in maintaining a sense of well-being. Having a hairdresser visit the care home can seem like a treat and the patients can also talk to the hairdresser. Although they might have dementia, the smell, the sight of the beauty salon can might make the patient remember their old memories and it will also assure them that appearance is still important. Another professional that regularly visits care home is a dietician. Dietician are the only nutritional professional that can assess, diagnose and treat dietary and nutritional problems.The main role of the dietician in the care home is to give advice to the other professionals such as the caterer to provide the patients a nutritional meal and therefore could form a positive relationship with them. For the patients who suffer from dementia, eating and drinking well is important for them to maintain their physical and mental health as having good nutrition can help increase their cognitive abilities. Optician also regularly visit care home regularly and normally the same optician visits every time as this can help the patient recognise faces especially when the patient has dementia. Opticians help patients to verify and fit eyeglass lenses and frames, depending on what the patient needs. However, opticians are not permitted to diagnose or treat eye disease. Opticians can arrange appointments in a time that is suitable for the patient. Opticians care about the patients living in the care home as treats all of them individuals by putting their needs first and also considering their options. Another type of professional that also regularly visits is a chiropodist who take care of patients that have struggles maintaining foot health. They provide treatment for those patients that are unable to visit the clinic and can also provide basic training for the carers regarding foot health professional. It will be beneficial to those patient that have dementia to have just one chiropodist as they’ll be able to recognise them easily. Dentist can also visit the care home regularly, providing oral health for the patients. Having poor oral health can be common amongst older people with dementia as they might forget if they have brushed or not. Sometime, elderly people might not have changed their dentures for years and therefore with the dentist visit to the care home then the dentures can be changed regularly, so that their oral health is better again.The hairdresser will have also have a formal relationship with the patient as they might ask the patient for what sort of hairstyle they might like to have. They could form a close connection and therefore the patient will feel comfortable being in the care home as they will feel like they are being listened to. Although their relationship might get personal, it is the hairdressers duty to maintain that relationship as formal.Most patients will need an optician and therefore will visit the care home regularly. The main type of relationship that is formed is a formal relationship Care home manager has the main leadership role within a residential care setting and will be in charge for all aspects of the day-to-day operations, including recruiting and managing staff teams, managing budgets and ensuring that the quality of the services provided for the patients meets national care standards such as the Care Quality Commision (CQC). The care home managers will need to ensure the delivery of quality of care such as using the person-centred approach, this can develop a positive relationship with the patient as by using this approach, the care home manager will get to know what the patient likes, dislikes and their beliefs etc. They will also work alongside the activity coordinator by organising activities for the residents to promote their independence.Care home managers take on a visible leadership role and therefore will be in charge of recruiting, training and supervising staff. This can therefore form positive relationship between the care home manager and the staff such as a carer within the care home as it will take time for the care home manager to get to know each individuals.Care home managers will also form relationship with the families of the patients as they need to provide information, advice and also give support to the families. By providing support such as giving information, for example, if the care home is the best option for the patient or how the patient is doing. Care home managers will also form relationship with volunteers that comes to visit the care home as normally volunteers contact the care home managers either by calling, emailing or by going to the care home. The care home manager will mainly have formal relationship with many people working in the care home and outside as they have the leadership role in the care home. This relationship is defined by rules, regulations and policies as they have the role of supporting teams of professional through supervision and mentoring. However, outside of work, the care home managers and the staff might have informal relationship that can be formed out of a friendship.The role of the Deputy Manager is to support the Care Home Manager and also deal with the day to day running of the home incase the home manager is absent. However, alongside the hike manager the deputy manager also holds the same responsibility of the running of the service and to also meet the CQC requirements. They also have to make sure that the patients are receiving highest standards of professional care, helping to increase their independence. Deputy managers will also be in charge of tracking biking and finances and therefore they might sometimes cut down cost from certain areas of the care home and save that money for other important areas. They will also have to maintain working relationships with the external health care professionals, families of the patients, visitors such as volunteers and also staff. Deputy manager will have a formal relationship with the Care Home manager as they need to assist dealing with the everyday running of the home. They might also have a one-to-one situations as they could talk about things that are needed to be done to make improvements for the care home.The role of activity coordinator in the care home is to organise social activities for the patients either inside the care home or outside such as a trip to the beach. They should talk to the patients and ask them about the types of activities they like doing and also supporting and encouraging them to take part. They can also book external guest to provide entertainment such as the help of the volunteers to play bingo. The patients might get bored staying in the care home therefore with the varied activities, they’ll feel more active and so will form a positive relationship.The activity coordinator will also form formal relationship with the patients however in a group situation as the activity coordinator might take the patients out in the public every week. The main role of the nurse if to perform clinical and health care tasks to the patients as nurses are qualified. At the basic level nurses make sure that patients maintains their levels of personal hygiene such as having clean beds. However, more advanced responsibilities include checking their vital signs, giving out medication and drawing blood. Nurses also tend to be around the patients and other professional a lot and therefore will form relationship with them. The main relationship with the healthcare assistance will be with the patient as it is their job to care and support their patients.The role of healthcare assistance in the care home is to provide high standards of care to the patients, however under the supervision of nursing staff. Some of the key responsibilities that they hold are that they have to take care of everyday needs of the patients such as dressing, bathing, toileting etc. They also have to observe and record the patient’s conditions which includes their weight, temperature, food and liquid intakes/outputs. They will also have to perform simple tests of urine and also record this data. Healthcare assistance will also need to prepare the area where the patients will be having their meals and also clearing it up when they are finished eating.The healthcare assistance will also have relationship with the senior member of the staff such as the manager or the deputy manager as they might give out tasks to do such as taking care of new patients. The healthcare assistance will also have to regularly attend training sessions and staff meetings and therefore will interact with the senior members of staff. The role of a chef is to prepare, cook and serve meals to the patients. They need to prepare healthy and balanced meals for the patient while also being aware of the patient’s religious and cultural backgrounds as that will affect their dietary requirements. The chef should also monitor the kitchen stocks and order supplies and also ensure that high standards of hygiene is maintained.The main responsibilities of a kitchen assistant is to carry out cleaning duties in the kitchen area according to the work schedule, to ensure that the areas are well presented and maintained in a good condition. They also ensure that all the food has been handled in the safest way possible. However, they also prepare the food in the kitchen so that the chef can cook to the highest standards of hygiene. Kitchen assistant also report on the essential supplies in the kitchen are about to run out so that they can order it before it completely runs out. As the kitchen assistant role is mainly in the kitchen, the main relationship will be with the chef.The role of a housekeeper is to ensure that the environment for the patient is safe, tidy and clean so that they can feel comfortable. They also ensure that the cleaning products are used effectively, while following the instructions of health and safety procedures. Within the care home, the housekeeper will have relationship with other staff such as the care assistance.The role of a care assistant in a care home is to care and provide support for the patients according to their care plans, and also showing warmth to promote independence to enhance the lives of the individuals in the care. Care assistants also provide personal care to ensure that the patients maintains a high level of hygiene. They need to also record observations down accurately about the patient and to inform the Senior Nurse that is on duty of any changes. The main responsibilities of the care assistant involves them interacting with the patient and therefore will form a positive relationship with them. The main type of relationship that will occur between the carer and the patient is a formal relationship as it is usually structured and usually forms out of an organisation’s overall agreed aims. Formal relationship is defined by the rules, regulations and policies and therefore there will be feelings of respect and empathy. If the patient has severe dementia, then it is very easy to form a closer bond however, there should always be professionalism in their work.