Outcome Practice

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

IDENTIFYING NEEDS: Research principles are being use to identify the needs of all individuals by health and social care workers who are responsible in care planning. A manager in a care home observe an individual resident may point out

It is important to identify individual’s specific and unique needs so that they can receive the best care possible. Taking a person centred approach is vital, treating a service user as an individual person and acknowledge that

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.

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.

An outcome-focused review is part of the self-directed support process. It is a way of carrying out reviews that puts the main focus on the results being achieved for the person and his or her family. The purpose of an outcome-focused review is to:

Outcome based practice refers to the actual impacts, effects and or end results of services / interventions on an individual’s life. Its effectiveness is not measured by numbers/figures or financial strategies it is measured by the positive outcome that is achieved. It isn’t about what is required to be done but what is actually achieved as the result that matters.

Staff are required to make an entry in to an individuals care plan once in twelve hours. This entry is in the daily life and review and will contain details regarding medication administration, dietary and fluid intake, elimination, mobility, mood, behaviour exhibited and any changes or deteriation of the individual. There is also a requirement to record visits from doctors, nurses and other health proffessionals.

The first stage of the process is assessment. Roper et al (2001) refer to this process as ‘assessing’ indicating an ongoing activity; this encourages nurses to recognise the on-going nature of this initial phase. The assessing stage includes gathering information about a patient, reviewing this information, identifying actual and potential problems and prioritising (Roper et al 2001). Roper et al (2001) explain the importance for assessing, as early as possible in the patient’s stay. Extensive, in-depth information may not be gathered on an initial assessment, however any information obtained contributes towards individualised care (Roper et al 2001). Ambrose and Wittig (1998) explain that the initial assessment becomes a foundation for ongoing assessing and holistic care. Barrett, Wilson and Woollands (2009) concord with Roper et al and Wittig in that assessing is an ongoing process and elaborate on this explaining that assessment should not be confused with admission. They state “an admission tends to be a one-off process when you first meet the patient, whereas assessment carries on throughout your relationship with the patient” (pg22). Assessment enables the nurse and patient to identify actual and potential problems. Although, some problems can be directly related to biological needs, holistic needs must be considered, i.e. psychological state and cultural/social standing

1.1 Explain the importance of a holistic approach to assessment and planning of care or support.

Service improvement is arguably one of the most important challenges facing the National Health Service (NHS) today, as both patients and service users search for a ‘good quality’ service, and expect services to be both efficient and effectual. All staff within the health service need to be educated and competent in their roles, in order to be able to offer a service that is beneficial to the patients that make use of it.

Evidenced-based practice (EBP) is now considered to be best practice but, although great strides have been made in applying the research in practice, there is still progress to be made. EBP is central to delivering the highest quality healthcare and ensuring the best outcomes for patients. However, EBP guiding the practice in healthcare systems is not the norm in many healthcare systems across the United States (Melnyk & Fineout-Overholt, 2011). The most overwhelming evidence for using EBP in practice is that is provides better outcomes in patients and provides a higher quality of care. Therefore, patients are more satisfied, healthcare costs are reduced and there is a reduction in differences in delivery of care according to geographic area (Melnyk & Fineout-Overholt, 2011).

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.

I understand that making a structured and client centred plan for the consultation based on a wide range of the result of pervious comprehensive assessments that is an vital skill before having the consultation with a patient. This is the key thing that I will be more hardworking to improve on, by trying to find more case studies for

The family nursing assessment guide is valuable in tailoring appropriate interventions that respond to the client’s complex needs. This ensures all factors concerning health, relationships and other personal issues are acknowledged and are able to offer possible solutions that may include support and services from external resources. The assessment will also provide an overview of the level of function and responsibility of each family members including