Unit 4222-319 Facilitate person centred assessment, planning, implementation and review (HSC 2020)
Outcome 1
As a support worker, it is imperative that we look at all aspects of health and social care with a holistic approach when planning and provision is concerned. Holistic means looking at a situation as a whole and not just part of it.
We need to establish that we look at how all aspects of a PWS life will affect their care needs and it is important that we as support workers look beyond what is visible to them when we meet them for the first time.
When I first met our PWS, he was lying on his beanbag laughing and smiling at me, but I had to look at the key principles and the person centred planning surrounding his
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Outcome 2
Most authorities have a supported self-assessment process, which may vary depending on location and the individual authority. Although the processes may be different the principles of the PWS are the same.
Self-assessment usually comes in the form of a questionnaire that identifies the PWS needs through a series of questions about their capabilities and limitations. In xx case, he requires full support with eating, drinking, moving and handling, decision-making, being safe and all other aspects of daily living. Once this has been completed, then it will be shared with the team, social worker, manager, advocate and other important people in xx life.
Once the process has been agreed, it is quite straightforward. The results are then used to identify the resources available that will be able to fund and support xx and his care plan.
A resource allocation system (RAS) is used by most social service authorities. It matches the results of the self-assessment to allocate the amount of money required for the PWS needs.
Looking at the outcomes, which are the result of the support plan, these include inputs, outputs and outcomes. In simplified terms, these items look like:
INPUT: xx has twenty-four hours of 2:1 and 1:1 support per day.
So what?
OUTPUT: xx can have two sessions of 2:1 support with hydrotherapy per week.
So what?
OUTCOME: xx is meeting his health
The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.
Unit: 654 Manage disciplinary processes in health and social care or children and young people's settings.
2. Working according to the agreed ways means following the organisation’s policy and procedures in relation to pressure areas. It also means following the individual care plans and respecting the instructions in place. For example making sure a resident is turned every two hours, applying Cavilon cream on areas; fill in turning charts, prompt fluid intake. Under the duty of care a care assistant must always be aware of and raise concerns regarding possible pressure areas. Always record information in care plans accurately and in confidentiality.
“All the cells take in and use nutrients and other substances from their surroundings. Cells of the intestine and the kidney are specialized to carry out absorption. Cells of the kidney tubules reabsorb fluids and synthesize proteins. Intestinal epithelial cells reabsorb fluids and synthesize protein enzymes” (McCance & Huether, pg. 2).
The outcome-focused review process is designed to be used for people who already have a personal budget. However, it can work effectively for people who have not yet completed the self-directed support process, for example people who have an existing direct payment and those with a traditional care package.
Assessment tools are used in the care planning process to build up a holistic picture of an individual’s needs. When all the details have been recorded an assessment can be made and suitable care and support can be identified. A few of the assessment tools are information from the individual such as diaries, observations, medical histories and checklists.
In this assignment I will be choosing and describing a service user for my case study and I’m going to explain how some factors such as medical disorders, life style and many more may have influenced their dietary intake. Due to the data protection I will not be using their real name.
* Nursing care providers are not covered by this legislation and must make their own arrangements for the disposal of unwanted medicine through a licensed waste management company.
1.2 Explain circumstances when it is necessary to seek specialist expertise in relation to recruitment and selection.
Assessment of a patient is a big process of decision making, it is about the collection of information which will contribute to an overall judgement of a person and the illness they may have. Lloyd (2010) states that assessment is one of the first steps which is needed to be done in the nursing process, it is a building block for a relationship and an ongoing process which lets health professionals gather the correct information to help them understand the problems and needs that the patient is going through. Most of the nursing assessment which are in use today will all have very similar aims. The difference is that how the assessment’s are carried out is where the differences come from.
Continual Self-Development is the approach where an individual takes prime responsibility and ownership for their own learning and development. This approach requires motivation and commitment in order to exploit learning opportunities and minimise the impact of weakness. A continuing self-development should be undertaken in partnership with the organisation and self-development should enhance the role held within the organisation. There are many benefits to be derived from continual self-development: improve performance and self-confidence; identify and develop specific skills and qualities; increase learning capacity; help achieve potential.
Within the team I work, the main intervention that is used is a screening tool. The tool encourages both the professional and the service user to develop a therapeutic relationship by encouraging two-way communication. It is a need - led assessment where not only the service user and professional is involved, but also enables family, carer and outside agency input. The initial data collected using this tool identifies who will be involved in the process and assists in looking at the statutory needs of the service user. We are then able to look at previous social issues, including accommodation and finances which may highlight potential issues now or in the future.
The needs assessment relates to an individual’s care and personal needs, the assessment centres on the activity for daily living and the
This process looks at both subjective and objective data. Any patient not meeting the assessment criteria would be signposted to a more appropriate service. Following the Winterbourne view report the least restrictive option would be chosen.(DH, 2012) These frameworks look at whether the service best meets the individuals needs. This is a shared decision process between two or more Health professionals. (NHS England, 2015.Homes not Hospitals)
After his heart surgery and initial assessment, Nicholas received support from the visiting nurses, meals on wheels and a home visitor. Following a conversation with her siblings, Katherine requested a reassessment, this time from the Aged Care Assessment Team (ACAT). This resulted in a visit from an occupational therapist and social worker to assess Nicholas’ condition. This is classified as a formal referral from an outside organisation.