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Meeting the Needs of an Individual in Social Care

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Meeting the Needs of an Individual in Social Care

Introduction

For this assignment I have been asked to explore the care needs of an
individual in a care setting, explain methods of assessment and choose
one that will suit the individual in that particular care setting. I
will describe my role in his/her care and how am going to provide the
best possible care informed by the care value base.

I have chosen a nursing home as my care setting. I have based my
assignment on my own case study whereby I will be considering an
individuals physical, intellectual, emotional and social need (PIES).

In order to work effectively and provide the best care for my client,
am going to work to the following guidelines:

Cycle Diagram

I will be observing the methods of assessment based on the client’s
needs and see that facilities can be used to meet his needs. I will
identify the factors that can influence care delivery and continuously
monitor the effectiveness of the care given.

CASE STUDY

Mr G is a 68 year old, clinically overweight Muslim man, who lives
with his wife M. He has been living in England for 45 years, he is
originally from Pakistan. The couple had been married for 32 years and
have only one daughter-Anne who lives abroad with her husband and
child.

For the last three years of his retirement, Mr G has been suffering
from chronic arthritis. This has mainly affected his fingers causing
him great distress in day to day activities. He has had to rely
heavily on his wife for simple things such as brushing teeth, hair,
and bathing.

Five months ago, Mr G was hospitalised with symptoms of chronic
fatigue, difficulty in starting and then stopping urination.
Initially, Mr G thought it was merely old age but after extensive
medical examinations, it was revealed that Mr G had a tumour in his
prostate. Further tests showed the tumour to be malignant, i.e.
cancerous. Mr G was duly diagnosed with Prostate cancer. This
diagnosis has left him feeling rather hopeless with considerable
psychological and emotional trauma, especially after being told there
was no preventive or reversible cause of action. He was assured that
there were modern drugs that could control it very adequately;
therefore the outlook for the future was not desperate.

Mr G also seems to be having difficulty with his eye sight,
experiencing pain and blurring of his vision. A visit to the GP
revealed that he was suffering from acute glaucoma. Unfortunately,
during one of Mr G’s regular walks he experienced severe tight pains
that began across the upper part of the front of his chest and spread
to his jaw and down his left arm. This pain lasted for only a few
minutes, however it seems to recur whenever he goes for his walks. His
GP arranged for him to have checks in the local hospital. During those
checks it was discovered he had fatty deposits in the walls of the
arteries, which harden, making the arteries rigid. The deposits had
enlarged into plaques which lead to the narrowing of his arteries.

In a recent trip to see their daughter-Anne- Mr and Mrs G were
involved in what proved to be a fatal accident; Mrs G sadly lost her
life. Mr G severed his right leg badly and had to have it amputated,
causing him to be inevitably less mobile.

Let it also be noted that Mrs G, had been the ‘foundation’ of Mr G, in
the sense that she had cared for him since they got married
(physically and emotionally.) She also contributed financially to the
up keep of the house. This incapacitation meant Mr G was therefore
admitted to a nursing care home, where there would be carers to care
for him.

Before the accident Mr. G was very much involved with his local debate
club and also kept up with the daily affairs in the newspapers with
the help of his wife. As a result of the death of his wife, Mr G had
lost his confidence and seems to suffer from a low self-esteem. This
has led to him not being able to form intimate/trusting relationship,
and has rather made him more lonely and miserable.

Mr G is also suffering from depression and he has also lost interest
in his surrounding and has turned to food for consolation. He is
clearly suffering from some form of isolation, mostly due to his only
daughter Anne, living so far away and not visiting for unknown
reasons.

Assessment

Having got the background of the client, the types of services
available to him were outlined for him. In outlining the choices
available to him, it was imperative that the three principles of the
value base were adhered to:

1. FOSTER THE EQUALITY AND DIVERSITY OF PEOPLE;

2. FOSTER PEOPLE’S RIGHTS AND RESPONSIBILTIES; AND

3. MAINTAIN THE CONFIDENTIALITY OF INFORMATION.

The client is made aware that any decision on care/treatment that
would be provided for him will solely be his decision. The role of the
assessor is to merely give all the best possible scenarios or care
available to the client. This basic form of care is outlined in the
National Health Service and Community Act 1990, which gives people the
right to have their needs assessed.

Taking into account the financial restraints on services that can be
made available to the client, one has to be careful as not to
compromise the care values of the client. Take for instance the case
of Mr G, who is unable to afford an electronic wheelchair. It is all
too easy to simply ignore his needs for an individual service care
plan and simply provide him a with a ‘general’ care plan. It is
imperative that a suitable alternative is sought to compensate for
this financial drawback.

Money is clearly one factor which can and does affect the development
of care plans for individuals but should NOT affect the implementation
of care values. However immorality of care workers can mean that a
well to do client can perhaps offer some financial reward to secure
constant and better care. Better care in the sense that they will
monopolise facilities and
resources.

The facilities and resources are themselves other factors that can
influence the delivery of care. Environmental factors such as the
availability of facilities in the ‘home’ and the local community will
have a direct effect on the quality of care. To an extent The
Registered Homes Act 1984 ensures that the two essential factors
influencing the delivery of individual service plans-environment and
resources-are adequate.

For instance, in this nursing home, there is a 24 hour transportation
service available to the clientele in the home. There are more than
enough nurses, carers and a doctor on call during the night (In case
of any emergency). Apart from the carers who are well trained, there
is also a visiting doctor who comes to the home once every week to
visit the clients. There is also a therapist and a social worker who
helps and advises the clients when needed. The ambience of the place
we live greatly influences our emotions. Spacious, attractive and
comfortable homes, will feel much better than an unattractive, crowded
or poorly equipped home. There is no ideal as to how a home/room is
furnished or facilitated. For example a wheelchair user such as Mr G
will find high sinks difficult to use, a hinged door difficult to
manoeuvre and will need a sliding door. Whereas a client with a bad
spine will find it difficult to bend down to a low sink and sliding
doors may not be quite suitable for someone with memory impairment.
Rooms may need to be adjusted to meet the needs of specific
individuals thus fostering diversity.

As a result of Mr G’s disability-right leg having been amputated-he
would be provided with a choice of wheelchairs. Cheaper alternatives
such as a walking frame or walking stick will be of no use to him. A
motorised wheelchair will be the recommended choice due to his
arthritic fingers.

Due to his mobility being restricted, he is going to need help with
his bathing and general movements. He will therefore be provided with
moving and lifting equipment such as a hoist, a lifting handle, a
transfer board, a table and a bath lift.

Mr G’s heart condition would have to be monitored, in order to prevent
it from getting any worse. This would be done through frequent
exercise and a proper healthy balanced diet. (i.e. less fat and low
cholesterol food).

He also needs a regular visit to the optician because of his bad eye
sight, and would be assisted in his reading by a carer. This would
ensure that he keeps up to date with current affairs. As a result of
less interaction with other people, Mr G lost his self-confidence, in
order for him to regain his self- confidence; he must attend social
gatherings such as, discos, parties, bingo, etc. These types of
gatherings will allow him to meet and interact with people in a group
and also on a one to one basis. Along with this he will have regular
sessions with the in-house therapist.

In not restricting the activities Mr G can undertake, but rather
making sure that all services are accessible by him we would be
adhering to the Disability Discrimination Act 1995. This act is
designed to prevent discrimination against people with disabilities.
It ensures that disabled people are not treated less favourably than
non-disabled people.

My Role

As a care assistant provided by the private Health and social care
firm “Angie’s Care for the infirm (ACI), I would be assisting Mr G
with day to day social care and meeting his daily comforts. I will
make sure that all the recommendations agreed to by Mr G, his
specialist doctors; GP and therapist in the care plan are adhered to.

The care plan for Mr G is outlined in the care plan sheet as shown.

As a care assistant at the home, Mr G is one of my main clients and I
work on a shift basis with other care assistants to ensure that the
care plan for Mr G is adhered to.

Skills and qualities of care assistance are to be able to work with
people from different backgrounds in terms of different age group,
culture religion and gender.

The plan ensures that some form of regularity is maintained with Mr
G’s routine, no matter who the care worker is. This in turn will make
the monitoring and evaluating of Mr G’s wellbeing very efficient.

A typical day for me starts with me arriving at the care home at about
seven in the morning. The first hour will be spent reviewing the
previous night/days notes on Mr G to see if there are any special
points of notice. At about eight, I will run a bath for Mr G and rouse
him out of bed. I will help him with bathing, shaving and brushing his
teeth. I will let him do as much as he can for himself to promote
independence and maintain mobility.

At about nine thirty, Mr G will be taking into the dinner room where
he will breakfast with other clients. He enjoys this very much because
he likes company at meal times. Mr G’s diet is quite specific, due to
his narrowing arteries and him being slightly over weight. He has been
advised not to eat food cooked in fat, not to eat sugar but if he
feels the urge for something sweet to try eating a few grapes, raisins
or dates. His diet needs to include reasonable amounts of wholemeal
bread (two to four slices a day), potatoes, fruits and vegetables.

Mr G is on a lot of medications and it is all too easy to forget when
to take some of them. He needs to take medications for his narrowed
arteries, his prostate cancer, his arthritic fingers and his glaucoma.
Some of these medications might react with each other therefore it is
very important that the doctor’s instructions on how and when to take
them are followed carefully.

At some point during the day Mr G, will be taken to see the therapist.
There will also be arrangement for social invents such as binge so he
will be able to join in with other client in the home to help him
improve his social abilities. He will need to speak to his only
daughter at least twice a week.

Some encouragement has been made for Mr G to be taking regular naps
because of his chronic fatigue. In view of his anxious mental state
being related to his prostate cancer, it will perhaps be necessary for
Mr G to attend a meeting specifically for Prostate cancer suffers.


Edi’s Social Services

CARE PLAN

Name: Mr G
Care
Manager:

Address:
Tel:

Tel:
GP:

Informal carer: (Daughter) Anne Tel:

Other contacts:

We agree to supply you with the following services:

Mobility: A wheel chair for both outdoor and indoor use, supplied by
the NHS Trust.

NHS Trust

Tel:

Nursing home care: Carers from Angie’s Care for the Infirm will attend
to your personal hygiene needs around the clock. Meals will be
provided and funded by the home.

Angie’s Care for the Infirm

Tel:

Adaptations: In view of your assessment, occupational therapists will
visit the home to make sure any necessary adaptations and alterations
are carried out to make it easier for you to move about.

Health needs: You will be assisted by a care assistant in the taking
of all your medications on a daily basis. A community nursing sister
will call once a week, Monday morning to check your medical condition
and medication until further notice.

Regular monthly hospital appointments will be arranged by the home to
thoroughly evaluate your condition.

Sister

Tel:

Social Needs

Social nights such as bingo nights and others will be arranged for you
on a regular basis. You will be encouraged to dine regularly with
other patients

Care Manager:

Tel:

Financial needs

A complete evaluation of you financial capabilities and entitlements
has been carried out and it has been agreed that the council/state
will fund near enough all of your care treatment. You will be advised
on any contribution required from you.

I agree to this care plan.
Signed Date:

Care Manager’s
Signature:
Date:

Copies to : Client, Angie’s Care for the Infirm, GP, Nursing Services


Monitoring

The health and social care firm “Angie’s Care for the Infirm” (ACI)
have independent auditors who come in to monitor the services being
provided. These audits allow care value base standards to be
maintained.

Mr G’s diet is paramount to his wellbeing. He has been identified as
being clinically overweight; therefore the choice of food needs to be
carefully monitored to ensure that the fat and cholesterol levels are
within the levels recommended by the nutritionist and doctor. Regular
checkups at the GP will ensure that any change to his heart condition
will be related to the nutritionist, who will in turn use this
information to change the diet of Mr G.

There are many routine observations that can be made and monitored
regularly to make sure Mr G receives the best possible care. Things
such as his posture, which will belie any sort of muscular pain or
bone disorder; his moods, which the carer needs to recognise and
anticipate; and general changes to his appearance can all be cause for
concern.

Qualitative measurement will also be undertaken and evaluated. His
weight which is a cause for concern will be monitored in kilograms.
Along with this his height will be measured as well in other to best
gauge the weight for height ratio. Blood pressures will be recorded
and used to monitor his heart condition. Cholesterol levels will be
monitored to judge the effectiveness of the diet.

Bearing in mind that Mr G is wheelchair bound, he is prone to
“pressure sores” and will therefore need to be monitored to ensure
that he is not immobile for too long a period.

All incidence or occurrence with Mr G will be noted and reported to
the care manager at the end of each day. A record of what Mr G eats
each day will be kept to ensure that he is sticking to his low fat
diet.

All his complaints will be noted and used to asses how the care being
provided can be improved.

With regards to his prostate cancer, regular monitoring by the local
hospital will be kept to ensure that the tumour does not grow/spread.

Conclusion

Looking back at the introduction, it is quite clear that the main
guidelines which I proposed to stick to, namely to;

ü Assess

ü Plan

ü Implement and

ü Monitor/evaluate

The assessment of Mr G was carried out thoroughly, highlighting all of
his problems and needs. This ensured that a very individual care plan
could be set up for Mr G, with consideration given to all the factors
and issues that could affect him.

In his assessment, I took into consideration all the legislations that
could affect his care plan. Monetary issues and his financial
capabilities were just some of the factors that could have affected
his care plan. A very professional attitude was maintained in the
assessment process, making sure the client felt at ‘home’.

Despite the thorough assessment of Mr G, the care plan outlined was
perhaps lacking in detail. Maybe a more detailed analysis of the care
being provided to and for him should have been outlined. Seeing as the
care plan has a direct effect on the role I assume, it is quite clear
that my role will only be as detailed as the care plan. On a more
positive note, the simplicity of the care plan should and will enable
any care assistant to provide care for Mr G in the absence of his
regular care assistant without much discomfort to Mr G.

The monitoring of Mr G constantly will ensure that, his care plan will
be evaluated regularly to make sure that he gets the best possible
care. It will also mean that his condition will be kept under control.

I believe that in my assessment, planning, implementation and
monitoring of Mr G, I have managed to meet all his needs, which is
what I set out to do.

How to Cite this Page

MLA Citation:
"Meeting the Needs of an Individual in Social Care." 123HelpMe.com. 20 Apr 2014
    <http://www.123HelpMe.com/view.asp?id=149578>.




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