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HSC3020.6] Be able to facilitate a review of care plans and their implementation
[HSC3020.1] Understand the principles of person centred assessment and care planning
Assessment Criteria 1.1 Explain the importance of a holistic approach to assessment and planning of care or support The holistic approach is paramount in driving forward the way service users are assessed and implementing the planning for a robust care and support package.
Firstly we need to look at what the holistic approach is.
The word holistic derives from ‘Holism’ which translated means to look at the whole person. So the holistic approach rather than focusing on a specific problem area, e.g. (angina) would take into account all
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The individual always has the first choice and decision relating to their plan of care and can be adapted by care staff to provide the quality of care the individual has the right to receive. After the care plan is written and completed but before it is implemented fully the individual has the right to read and accept their plan of care as the way they wish to be cared for. Any changes are to be made as quickly and as soon as possible in order for the care to accurate . The individual can at any time change their mind and re evaluate each need as much as they like.
Family can make these decisions if the individual is not capeable as long as they have the best interest of the individual in mind and relevant professionals have been informed and they have permission to do so.
2.4 How do you ensure that assessment takes account of the individual's strengths and aspirations as well as needs Gaining history and information around the individual forms the care plan. Liasing with colleagues and family and friends to collect information. Looking at photographs to form a picture of the type of person they are. Discussions with the individual and/or family will provide a more accurate picture of the individuals strengths and aspirations.
[HSC3020.3] Be able to contribute to the planning of care or support
Assessment Criteria 3.3 How do you contribute to agreement on how component parts of
The next stage is to implement the care package, ensuring all the care staffs involved are made aware of the individuals’ needs and preferences. After 6 weeks we would then review the care package, making any adjustments if required, and following that the care package would be reviewed again in 12 months. If for any reason there was a change to the individuals needs or situation then a review would be carried out at an earlier date in order to address the change.
should check the care plan in order to know they are providing the correct care and support and following the individuals wishes. If any problems are recognised then the care plan can be updated to reflect these changes.
This involves considering the ability of service providers to continually listen to, learn about, and facilitate opportunities with, the people they are supporting. It is important to note that the individual with care and support needs, their participation is considered beyond the individual planning meeting. (which may be an important part of the decision making process). Rather, active participation throughout the entire individual planning process is discussed. There are four common themes in person-centred planning assessments. These are:
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
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 level of care a person needs or the type of care they require varies from person-to-person. All assessments should be done with a person-centred
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.
If an individual keeps a diary, this can be used to see what their likes and dislikes are, what activities they may like to do and it can also be used to see what care they are already receiving such as day centres or meals on wheels. Observations are done to see what the individual is able to do themselves and what things they may struggle with, it helps see what the person’s behaviour patterns are such as when they like to go to bed or wake up. Medical histories are looked into to see if carers should be aware of any conditions the person has, carers may also do some medical checks such as checking the persons height, weight, temperature, pulse and blood sugar these will be monitored regularly to see if the persons condition is getting better or worse. Checklists can be used as an assessment tool to ensure every one of the person specific needs is being met, these checklists may be reviewed by a social worker or the manager of the organisation.
1. Explain how finding out the history, preferences, wishes, and needs of an individual contributes to their care plan.
It is important to get to know the individual to ensure the individuals needs are met and to put together a person centred plan. It is important to involve the individual when writing care plans and development plans to enable them to establish their needs and enables the individual to express their wishes and preferences and to make them aware that they have choices.
By finding about a person’s preferences, life history and wishes then the care plan can be written to reflect this and the best care can be given. By knowing their life history may explain why they do things in certain ways. It also encourages discussion and leads to building relationships. They may like things done in a certain way to remind them of loved ones who are no longer here.
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.
Appropriate care organised to help those goals to be achieved by the individuals with support from the professionals are set.
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
To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals’ ability to come to his or her own decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self-fulfilment and to as much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his Timetable, how could it have been effective?, he was unhappy and