Reflection Log on Long-term Effects of Cerebral Palsy on Individuals' Well-being

This reflection log evaluates the long-term effects of cerebral palsy on individuals' well-being and offers insights into care provision, multi-disciplinary teams, and care strategies. It discusses personalized care planning and support and the role of volunteers in care homes. The log also highlights the importance of integrated working and the use of therapeutic activities for promoting self-care and emotional support. Course code and college/university are not mentioned.

On unit 21 on reflection log

CONTENTS
INTRODUCTION......................................................................................................................1
LO – 1........................................................................................................................................1
P1:...........................................................................................................................................1
P2:...........................................................................................................................................1
M1:.........................................................................................................................................2
D1:..........................................................................................................................................2
LO – 2........................................................................................................................................2
P3............................................................................................................................................2
P4............................................................................................................................................3
M2...........................................................................................................................................3
M3...........................................................................................................................................4
D2...........................................................................................................................................4
LO – 3........................................................................................................................................4
P5............................................................................................................................................4
P6............................................................................................................................................5
M4...........................................................................................................................................5
LO – 4........................................................................................................................................5
P7............................................................................................................................................5
P8............................................................................................................................................6
M5...........................................................................................................................................6
D3...........................................................................................................................................7
CONCLUSION..........................................................................................................................7
REFERENCES...........................................................................................................................8

INTRODUCTION
The present report includes the reflection log as a volunteer working in Cedars Care
home UK. The report will be going to evaluate the long-term effects of the health condition
of cerebral Palsy relevant to own area of practice on the well-being of the individuals. The
report will focus on the investigating the types of care provision needed for meeting the
requirements of the individual and will offer a period of care to the individual suffering
from Cerebral Palsy. Further, it will also throw light on the role of multi-disciplinary team
and will review the care strategies utilized in own settings.
LO – 1
P1:
Speaking in relation with the Cedars Care home, most of the individuals being
supported by the services have a diagnosis of Cerebral Palsy. It is being referred as the
health condition which involves group of disorders that influences the movement of muscles
along with coordination. In some of the cases, cerebral palsy also impacts the power of
sense, hear and see. Further, the terms cerebral signifies having to do with the brain and the
palsy signifies weakness or issues in the movement of body (Cerebral Palsy, 2021). It is
defined as one of the most common causes of motor disabilities in childhood. As per the
Centres for Disease Control and Prevention (CDC), out of every 1000 children 1 to 4
children are being affected by this disorder all across the globe. In the long term, individuals
being suffering from this illness might have problems related to vision, communication and
hearing. The life expectancy of the people with cerebral palsy also varies as per the
difference in the degree of injury of each person (What are the long-term effects Cerebral
Palsy? 2021).
P2:
Different types of care provision being required for meeting the requirements of the
individuals with the long-term health conditions related to Cerebral palsy and these are as
follows:
 Statutory – These provisions are being financed by the government and government
bodies, for example, NHS. Normally, the health care in such provision is free of
cost.
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 Private – These are small as compared to the statuary provision and are being
government by independent body. They can be partially financed by the government
and they run their operations for profit motive (Walker and Logan, 2019).
 Voluntary – They are not for profit provisions and is being operates based on the
grants being offered to them such as donation and chartable funding.
 Independent – They are self-directed provision where an individual manages the
whole operations. However, grants and funds are also being offered by the
government in case they fall in the eligibility criteria on the basis of the evaluated
requirements.
M1:
As per the NHS (2016), personalized care and support planning is being referred as
the process in which the individual who is suffering from long term health conditions is an
equal and active partner. Furthermore, the whole procedure is being recoded as a
personalized care plan nevertheless, the process is effective if it is carried out successfully
and adequately. Studies have depicted that seeking help from the personalized care plan,
limited resources being available can be used effectively (Stafford and et.al, 2018).
Additionally, people who are suffering from cerebral palsy are more likely to get suitable
and effective care. It also empowers the individuals to take higher degree of accountabilities
for effective management of their own conditions.
D1:
According to the NHS England (2016), it has been depicted that seeking help from
the personalized care as well as support planning, limited health care resources being
available can be utilized effectively and appropriately. Even it is included in the NHS
mandate that people are authorized to male alteration in their own health and care and make
eloquent adoptions particularly individuals who have long term health conditions related to
cerebral palsy and being getting end of life care (National Voices, 2019). Thus, it can be
said that all this can better be attained through personalized care and support planning. Even
there are established requirements related to the person-centred care and support planning
for each and every one being evaluated with the requirement and greater degree of
incorporation throughout the health and social care in the Care Act 2014 and Care Quality
Commission Fundamental Standards 2015.
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LO – 2
P3
In the Cedars Care home, I was working as a voluntary for offering health and care
to the individuals who have long term health conditions. I worked with the multi-
disciplinary teams and different approaches were being used by us for evaluating the
requirements of the people with cerebral palsy. I generally performed assessments through
observing the individuals and asking them questions related to their issues and feelings. I
also used approved recording system for recording the issues narrated by the individuals
with long term health conditions and presented in the meeting for the purpose of producing
personalized care plans for the people in their care (Kasteridis and et.al, 2015). We worked
in the team and made sure that each and every plan of the individual has enabled and
coordinated a variety of community services right from the preventive to urgent care.
P4
In relation with offering care to the individuals with health conditions related to
cerebral palsy, we worked as a team in the Cedars Care home. We have followed the
ASPIRE process in which the role of each and every group member have been segregated
based on this process. the acronym ASPIRE stands for assessing, planning, implementing,
reviewing and evaluating (The ASPIRE process, 2021). In this process, I performed the role
of assessor in regards with the care of a specific individuals with cerebral palsy. In this role,
I along with my team members analysed the basic issues being faced by the individual with
this long-term health conditions and have set priorities for them. I also decided in regards
with the people that needs to be involves in this process and have completed the assessment
forms as well. In addition to this, we worked together as a part of an integrated team through
effective communication, clarity of roles and accountabilities and establishing clear
objectives and goals for the team.
M2
As a volunteer as well as student I am very committed to the principles and practices
pertaining to the person-centred values. Each and every time I practiced by roles and
accountabilities towards the individual health care, I made sure that I maintain dignity,
respect, empowerment along with individuality in my work. This signifies that irrespective
of the differences amid them, I rendered supportive services and care to them. Furthermore,
I also ensured that each and every individual must be empowered and supported as per their
requirement and demands. In addition to this, I am also committed to make sure that nobody
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shall be differentiated and there must not be undue promotion of their rights and duties at all
times. For example, at the time of implementing restrictions for them such as moving or
standing without permission, I took consent of the individuals prior implementing them and
offered them information in regards with different restrictions for allowing them to have an
informed choice (Hart and Horton, 2017).
M3
At the Cedars Care home, when any new member arrives in the workplace settings
most of time, I ensure that I remain person centric in order to support them to settle down in
their new role. This is due to the fact that it is crucial that I should reflect empathy towards
each and every service user and to become a good role model by remaining cooperative
along with enlightening wherever conceivable. Other than this, it is also significant to aware
the new member about the policies and procedures of the care home as well as for
challenging the discriminating view if it takes place (Mendenhall, 2017). In the situation of
the new member observes good care as well as support being given to the service users than
in the near future, the same time of care will be offered by the new member in the work
setting.
D2
Throughout my course of studies along with the professional experience I have
learnt different policies along with procedures concerning to effective person-centred and
cooperative working. Nevertheless, I have come across with assortment of barriers while
operating and functioning in workplace setting, for example, pressure related to time,
dilemmas, non-availability of staffing resources and limitation towards my own role. In
spite of these barriers, I have also learnt different approaches for mu future practices. I have
learned and reflected on the ways each and every member of the care team plays a crucial
role in making sure the realization of the best possible result for the individual and the
manners in which the expert professional is needed for understanding and assessing the
complex requirement of the individuals (Greenaway, 2013). Nevertheless, with my support
as well as intervention, a tangible enhancement can be seen, I was somewhere or the other
was limited with my role as volunteer in the care home. This signifies that I did have some
limitations at the time of performing some accountabilities which were far away from my
sphere of activity.
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LO – 3
P5
The integration as well as combining the roles of each and every staff and multi-
disciplinary team in the care home is very much essential for the purpose of delivering
effective services to the individuals with long term health conditions related to cerebral
palsy. Devoid of integration of different level of health system the overall performance and
functioning of the care home will be hampered. The needed services to the patient will not
be delivered and the potential for cost effectiveness will certainly reduce. As individual
utilizing the services have a variety of multifaceted necessities and thus, it is required that
professionals from each of the specialization must work together successfully to share their
expertise with a view to ripe out finest result for the individual devoid of any repetition of
activities such as medical professional, therapists, care nurses, educators, dieticians, speech
therapists and so forth.
P6
As far as my role is concerned in the Cedar Care home, I worked there as a volunteer
for performing different activities and duties which were common for all the other members
of the team. All these have essentially helped in rendering best care to the individuals. Some
of the roles I played are as follows:
 Resolving the conflicts if occurred through adopting professional ways
 Sharing of data on the basis of need to know
 Mutual respect and maintaining professionalism at the care centre
 Planning and reviewing the procedure as and when needed
 Comprehending as well as escalating the role and accountabilities of each and every
professional (Cross and et.al, 2020)
 Adhering with the policies and regulations and executing the decided manners of
working
M4
Multi-disciplinary team plays a very important role in accomplishing the
requirement of individuals in varied health care settings. Considering the example, one
individual who is suffering from cerebral palsy in a private provision will required
collaboration of different teams such as speech therapy, dietician, care nurses and medical
professionals for allowing their body to move and speak properly. If this team is not
available then they will face difficulty in moving around, hearing and even in speaking.
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Similarly, an individual who is suffering from dementia in a statutory will need a
neurologist, psychotherapists, occupational therapists and so forth. Thus, overall, it can be
said that any form of healthcare setting integrated working is being required for making
improvement in the services in regards with quality, satisfaction of the use, efficiency and
accessibility.
LO – 4
P7
For the purpose of supporting the individuals with the long-term health conditions
related to cerebral palsy, there are different strategies being utilized in my own setting.
Firstly, in order to maintain the holistic health along with the well-being of the people
having cerebral palsy who can not move from one place to another, we generally use
therapeutic activities. In this we use singing, armchair exercises as well as reminiscence for
making them feel good. Secondly, we also give emotional support to the individuals by
communicating and listening to their issues and problems calmly (Bretos-Azcona, Sánchez-
Iriso and Cabasés Hita, 2020). thirdly, we also promote self-care by showing them
demonstration of the ways they can carry out their routine activities. Further, there is an
activity coordinator at the care centre which helps in reviewing whether the strategies are
being used appropriately as per the demand of the individuals or not.
P8
At the time of working with my superiors at the care centre I have realized that one
of the most independent and capable residents being suffering from cerebral palsy was
sitting alone and was seen quite depressed. The self-care of that resident was decreased
significantly from the past two to three days and most of this time was spent in his room
alone. In that scenario, I interacted with my senior manager about this issue and decided to
have a word with him to identify the problem and find out strategies to have more social
engagement. Taking the individual to see matches was the best social engagement activity
being decided by us. At that point of time, a referral was being made for a volunteer being
needed who can support this man on a weekly basis Further, the initial referral was being
made with the discussion with the social worker who had admittance to the volunteer group.
M5
One specific intervention of one area of planning was being elaborated in the above
section. We have planned matching exercise for the individual who was feeling depressed
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and alone for improving his social engagement. For this purpose, we have sources one
volunteer for building a relationship with the individual so that he can feel connected. Once,
the rapport was created between them, the volunteer took the man to attend the matches of
football on every Wednesday and Sunday afternoon. In addition to this, we also motivated
him to took active part in the social activities being conducted at the care home (Chudasama
and et.al., 2020). Over a period of time, it has been appeared that the individual was much
more engaged and confident and it can be attributed that this intervention was beneficial for
the individual.
D3
Even though as a volunteer at the care home my role was quite restricted still, I tried
my level best to offer support and care to the individuals suffering from cerebral palsy
throughout the time I used to stay there. We have organized different sessions for the
individual service user such as arm chair exercise, singing as well as reminiscence and my
support was quite effective in all these interventions. I used to coordinate and work with
huge team of internal along with external professionals. Through it is not easy to quantify
the success of all these interventions, it has been observed by me that my inputs and
opinions was quite effective in upholding amicable association and social engagement with
the individuals. Additionally, last month the local commissioning officer visited the care
home and stated that the activity sessions were quite enhanced and the quality of services is
also improved at the home.
CONCLUSION
The above report has clearly determined the long-term health condition of the
individuals being suffering from the health condition Cerebral Palsy and supported the
needs of individuals in health care setting. The role of multi-disciplinary team has been
reviewed effectively and usefulness of different strategies used for meeting out the
requirements of the individual with Cerebral Palsy have been studied effectively.
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REFERENCES
Books and journals
Bretos-Azcona, P.E., Sánchez-Iriso, E. and Cabasés Hita, J.M., 2020. Tailoring integrated
care services for high-risk patients with multiple chronic conditions: a risk
stratification approach using cluster analysis. BMC Health Serv. Res. 20, p.806.
Chudasama, Y.V., Khunti, K., Gillies, C.L., Dhalwani, N.N., Davies, M.J., Yates and
Zaccardi, F., 2020. Healthy lifestyle and life expectancy in people with
multimorbidity in the UK Biobank: A longitudinal cohort study. PLOS Med. 17,
e1003332.
Cross, A.J., Elliott, R.A., Petrie, K., Kuruvilla, L. and George, J., 2020. Interventions for
improving medication‐taking ability and adherence in older adults prescribed
multiple medications. Cochrane Database Syst. Rev.
Greenaway, D., 2013. Shape of Traing: Securing the future of excellent patient care. Shape
of Training.
Hart, L. and Horton, R., 2017. Syndemics: committing to a healthier future. The Lancet,
389, pp.888–889.
Kasteridis, P., Street, A., Dolman, M., Gallier, L., Hudson, K., Martin, J. and Wyer, I., 2015.
Who would most benefit from improved integrated care? Implementing an analytical
strategy in South Somerset. Int. J. Integr. Care, 15.
Mendenhall, E., 2017. Syndemics: a new path for global health research. The Lancet, 389,
pp.889–891.
National Voices. 2019. Multiple Long-Term Conditions: Exploring the priorities of people
of working age. Workshop report for NIHR.
Stafford, M., Steventon, A., Thorlby, R., Fisher, R., Turton, C. and Deeny, S., 2018.
Understanding the health care needs of people with multiple health conditions.
Health Foundation.
Walker, E. and Logan, S., 2019. What do young people with multiple long-term conditions
and carers of children with complex care needs regard as important areas of
research? NIHR: Policy Research Unit Children and Families and NIHR Applied
Health Collaboration South West Peninsula.
Online references
Cerebral Palsy. 2021. [Online]. Available through:
<https://www.healthline.com/health/cerebral-palsy>. [Accessed on 16thApril 2022].
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NHR England. 2016. [Online]. Available through: <https://www.england.nhs.uk/>.
[Accessed on 16thApril 2022].
The ASPIRE process. 2021. [Online]. Available through:
<https://edukatescotland.wordpress.com/the-aspire-process/>. [Accessed on 16thApril
2022].
What are the long-term effects Cerebral Palsy? 2021. [Online]. Available through:
<https://www.damoreinjurylaw.com/effects-of-cerebral-palsy>. [Accessed on
16thApril 2022].
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