HEALTH AND SOCIAL CARE MANEGEMENT

Understanding Specific Needs in Health and Social Care

Case Study

The SHARP Team, (Social Inclusion, Hope and Recovery Project) is a community base team in North London that caters for both in-patient and those in the community. Their intervention is based on: clients' choice, integrated psychological, social inclusion support and healthy Living programmes including attending the gym, woman's fitness and football. As a student of health and social care studies you have been asked as part of the placement requirement to give a presentation on the concept of health, illness and wellbeing to a team of nurses, Psychologist, recovered Service users, Police officers, Religious representatives and a Carer's social support group. Amongst the guest, was a 55 year old gentle man from Jamaica diagnosed with a form of mental illness with (challenging behaviour needs) well known to the local police. He gave a testimony of how his life changed around by attending the centre. He also suffers from type 2 Diabetes, Non compliance with his medication, had poor relationship with his GP, poor exercise regime and poor eating habit. "Since I started attending the centre, he says "my health changed completely. My eating habit has changed. I have developed self confidence. My blood pressure is stabilised and I now enjoy going to the gym, exercising regularly. My relationship with my GP and the community has improved and my blood sugar level is within normal limits. I now sleep adequately without any medication and befriended people who I hang out with so I'm healthy and I thank my God that my Pastor, who lay hands on my head each time I go to church".

TASKS

Task 1.1 Mr Jack testified of his blood sugar level being under control, his relationship with the community is civil. He complied with his medication and his spiritual needs are met. How would you analyse the care given to Mr Jack in terms of the holistic concept of health, disability, illness and behaviour. (A.C 1.1)

ANSWER SHOULD INCLUDE: Concepts: normality, images, models, definitions, language and terminology

Task 1.2 As a student of health and social care present at the meeting, you are asked to feedback to your colleagues about your experience. Assess how people's perception of mental illness and other specific needs have changed over time. (A.C 1.2)

ANSWER SHOULD INCLUDE: Perceptions: labels, stigma, discrimination, oppression, rights

Task 1.3 The SHARP team has been providing care based on a holistic approach. Analyse the impact legislation, social policy, society and culture has had on the way that these services are made available for individuals like Mr Jack with special needs? (A.C 1.3)

ANSWER SHOULD INCLUDE: Attitudes over time: historical perspectives, social and political developments, medical and technological advances

Legislation and social policy: reflects changes in attitude, modifies attitudes and practices, inclusion, policies, community care initiatives; recent and emerging change; relevant acts eg Human Rights Act 1998, Carers (Equal Opportunities) Act 2004, Disability Discrimination Act 2005, The Mental Health Act 2007, The Health and Social Care Act 2008, The Children Act 2004: Every Child Matters; relevant policies eg Putting People First 2007, Our Health, Our Care, Our Say 2006

Task 2

Mrs Murky, a 45 year old Polish woman has just been transferred from the A&E into a Respite nursing home waiting funding for placement. She is having communication difficulties. She is partially deaf and is registered blind. She seems to be happy when someone visits that speak Polish. The staffs of the nursing home have started facing difficulties of how to engage Mrs Murky who cannot speak English fluently.
2.1 Analyse the care needs of Mrs Murky as someone with specific needs? (A.C 2.1)

ANSWER SHOULD INCLUDE: Care needs: physical, social, emotional, language, intellectual, sexual, spiritual

2.2 Explain what would be the current systems for supporting Mrs Murky at the Respite Nursing Home.

ANSWER SHOULD INCLUDE: Organisations and systems: statutory, not-for-profit, voluntary; self-help, formal, informal care

2.3 Evaluate the services available in a chosen locality for individuals with specific needs that would benefit service user like Mrs Murky. (A.C 2.3)

ANSWER SHOULD INCLUDE: Services: health, social care; day, residential; education, recreation, transport; access eg geographical, physical, financiaL

To gain a merit grade and a Distinction grade the following criteria as shown below must be met:

M1: Discuss the skills of a health and social care practitioner in caring for an individual with communication deficit to enhance the care given.

D1: Analyse the other professionals within the multidisciplinary team that you would invite to a case conference organised for a patient like Mrs Murky.

Task 3.1 with reference to the case study;

Explain the approaches and interventions available to support individuals with specific need such as Mrs Murky who may be suffering from dual diagnoses of being blind and deaf. (A.C 3.1)

ANSWER SHOULD INCLUDE: Approaches and interventions: self-help, direct action, partnerships, evidence-based practice, advocacy, guardianship, autonomy and empowerment, risk management; medical, technological, therapeutic products, lifestyle choices and therapies

3.2 Evaluate the effectiveness of intervention strategies for an Mrs Murky as a service user with specific need(s) (A.C 3.2)

ANSWER SHOULD INCLUDE: Potential tensions: rights versus protection of self and others; alleviation of needs versus remedial therapy; risk versus autonomy and independence; choices and preferences; service dilemmas and policies eg cost benefit analyses, priorities

3.3 There has been emerging developments in the UK in supporting individuals like Mrs Murky. Discuss how these would potentially impact the care given to people with specific needs? (A.C 3.3)

ANSWER SHOULD INCLUDE: Emerging developments: medical and technological advances, changes to legislation and policy, local, national and international perspectives

Task 4 case scenario

Mr. John has been in mattock nursing home for the past six years diagnosed with mild Dementia and is loved by everyone who visits the home. He used to be the "model patient" of the home and engages with every activity. He used to be chatty and helps with domestic chores. Suddenly he started becoming aggressive towards staff and other service users. Mr John was observed by staff to become very lethargic, excluded himself from every form of activity within the home. Most times he will sneak from his own room into another resident's room scolding them to leave his room or he would drag them off his bed or will call the police. He will rigorously question the staff and refused to comply with any form of treatment. Some staff started calling him names and labelling him as being "rude, insolent and a violent man". During a case conference to review his care plan there was the proposal of transferring him to another nursing home specialising in challenging behaviour. Mr John was referred to his GP who later came to examine him. After a period of assessment, he was diagnosed with an acute Chest and urine infection. He was treated with Anti-biotic therapy (pharmacological intervention). Mr John got better and turned to his old ways of doing things.

To gain a pass grade the following criteria as shown below need to be completed

4.1 Explain the different concepts of challenging behaviour and situations whereby it can be misdiagnosed like in the case of Mr John in the above scenario. (A.C 4.1)

ANSWER SHOULD INCLUDE: Challenging behaviours: learning disabilities, physical disabilities, ill health (physical and mental), physical impairment, acquired brain injury, drugs and alcohol

4.2 Describe the potential impact of challenging behaviour to the individual and to health and social care organisations like Mattock Nursing Home. (A.C 4.2)

ANSWER SHOULD INCLUDE: Methods of working: communication, setting clear boundaries/targets, time out, rewards and sanctions, medication

4.3 Analyse strategies for working with challenging behaviours associated with specific needs in relation to the service user who suddenly changed from being a "model patient" to a patient whose behaviour was seen as "challenging". (A.C 4.3)

ANSWER SHOULD INCLUDE: Organisational implications: legal framework, professional standards, codes of practice, policies and procedures

M2: Conduct a Literature review on the subject of "Managing Challenging behaviour" in health and social care.

D2: Discuss how this module have changed your views on caring for people with Challenging behaviour needs compared to how people within your own culture perceive it.