The Impact Of Assessment On Care Planning And The Subsequent Healthcare Delivery Based On Its Outcomes

It is the task of the multi agency/disciplinary team to focus on protecting the general welfare of adults with learning disabilities. These teams are generally statutory and non statutory and are composed of different professionals and specialists who support the criminal justice service, (for the courts this might be the Youth offending Team or Court liaison and Diversion Team and in prison it is the healthcare department). These specialists are predominantly community learning disability nurses, psychiatrists, clinical psychologists, social workers, care managers, speech and language

Gurney et al (2006) and Nocon (2006) both acknowledge that children with learning disabilities have a greater need for the health services compared to the general population and this high level of need extends into adulthood. A recent Confidential inquiry into premature deaths of patients with LD has found that the average age of death of people with LD (sixty-five years for males and 63 years for females) as being significantly less than the United Kingdom population of seventy-eight years for men and eighty-three for women (Heslop et al

I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

I am inspired to embark on this path because I want to gain an in depth understanding within the Learning Disability and Mental Health field for example professional aspects of care, biological basis for health and well being, identifying knowledge for nursing practice, origins and expressions of Mental Health and wellbeing, I want to be able to carry out the tasks of providing care and support for people with mental in capabilities, knowing that I am doing so with the full comprehension and grasp of what each patient needs.

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

During an initial assessment an individual’s ability and communication methods are established. This is done when an individual arrives into care. Everyone involved in the care of this service user is made aware of their needs and preferences regarding communication and any changes are recognised during reviews and shared with the team to ensure the individual’s needs are met.

There are many forms I use to assess an individual’s needs. The first bit of the information comes from Derby City Council, which is called a outcome based support assessment. This is what they use to identify someone’s needs and how much care they require. The information on this document is great for Derby City to use, but I also need to do my own and adapt it so it’s easier for a care worker to understand as they are the ones who will be doing the care. It’s important that I read this document before going out to do my own care plan as it gives me a bit of back

This essay will reflect upon an incident that occurred whilst in placement at a Unit for Clients with behaviour and learning needs, and associated autistic difficulties. Clients are both sexes and range in age from four to eighteen. It will be undertaken, defining person centred care in relation to the incident, it will demonstrate awareness to roles and responsibilities of professionals in meeting the needs of the client and it will demonstrate the importance of inter-professional collaboration and discuss the issues that facilitate or act as barriers in this partnership.

In light of this, the assignment aims to discuss and explore a service improvement proposal that will improve ‘patient-facing’ outcomes for people with dual diagnosis of a mental illness (MI) and a learning disability (LD). The improvement proposal in question, is specifically, a workshop that is aimed at educating and improving the knowledge and confidence of nurses who come into contact with patients who have a LD, and who may also be experiencing a MI, that may be overlooked or be going unnoticed.

For this case study I will evaluate the care consideration for my patient with autism and how their additional needs were met in the X-ray department in order to accommodate the patient. We will consider the care of the service user and the adaptations in order to meet the needs of the patient. Throughout this examination we will look at legislations, policies and National Service Framework (NSF) that will shape the examination in order to provide care during the exam and aftercare of the patient. Following the Data Protection Act 1998 and NHS Code of practice 2003 (NHS England, 2014), it is our

Our healthcare system needs major restructuring. Major improvements needs to begin with "all health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States", (Crossing the ……, 2001).

The objective of this study is to examine the vulnerable population of those with Autism and to examine the characteristics and attributes that make this group vulnerable. This work will identify the risk factors that contribute to potential health threats and describe how the community health nurse would assess for these potential and actual health problems. A list of formal and informal resources will be included. Finally, this work will examine how the effectiveness of nursing interventions may be evaluated.

First, while I have had some exposure to inpatient populations in the context of an assisted living or dementia unit environment, I would like to obtain additional experience in neuropsychological assessments in inpatient settings that include individuals with a variety of conditions that impact cognitive and daily functioning. I am also enthusiastic to develop strong consultation skills which emphasize communication and education to medical providers and other health care team members. Secondly, I am particularly interested in developing solid skills in the provision of psychotherapy and behavioral health interventions in neurological rehabilitation, as I believe that this is an important part of my growing professional identity. Throughout my doctoral training, I have developed a deep curiosity for the application of neuropsychological knowledge to intervention, including the development of rehabilitation plans, psychoeducation and cognitive rehabilitation. My scientist-practitioner training has allowed me to integrate clinical work and research, which has informed the work that I have been doing when providing cognitive rehabilitation to adults, as well as when conducting my dissertation project.

The purpose of this assignment is to analyse how biological, psychological, and social factors can increase an individual’s psychological vulnerability. Analysis of the nursing process will reflect the importance of evidence-based practice. Furthermore, the role of the learning disability nurse will be highlighted, considering legislation, policy, and professional regulations, in relation to the psychological needs of people with a learning disability and the complexities involved. The bio-psycho-social model (Engel, 1980; 1977), suggests that interlinking biological, psychological, and social factors are influential to the health and well-being of individuals. This model will be applied to identify the needs of an individual from a case study.