Interprofessional Collaboration and Person-Centred Practice

The provided assignment is focused on interprofessional collaboration and person-centred practice. It involves reading online forums by carers, researching local support services, and conducting meetings with local staff and vicar. The document also includes discussions with tutors and colleagues about progress, data accumulation, and dementia support group participation. Additionally, it covers obesity-related research and person-centred care principles for health professionals.

Community Engagement Project Portfolio

TABLE OF CONTENTS
PORTFOLIO PART 1: SCRAPBOOK FOR EVIDENCE.............................................................3
1. Patient profile...........................................................................................................................4
2. Community Profile of Basildon in Essex, United Kingdom....................................................4
3. Health Challenge......................................................................................................................8
4. Record of person-Centred Narrative......................................................................................10
REFERENCES..............................................................................................................................11
PORTFOLIO PART 2: SUMMARY REPORT STRUCTURE....................................................13
Introduction ...............................................................................................................................14
Main body..................................................................................................................................14
Conclusion and Recommendation ............................................................................................18
REFERENCES..............................................................................................................................18
Online.....................................................................................................................................19
PORTFOLIO PART 3: APPENDICES.........................................................................................21
Log of Activities........................................................................................................................21
Log discussion with tutor...........................................................................................................22
Log of discussion with interprofessional colleagues.................................................................22

PORTFOLIO PART 1: SCRAPBOOK FOR EVIDENCE

1. Patient profile
When I was placed in local community, I cared for 38-year-old Woman Noah with BMI of 48.2
kg/m2 and body fat content 50.2 %. Also, she was challenged with mobility because she was born
with cerebral palsy and there, she requires crutches or wheel chain to move around. Since many
years she was struggling with different treatment to reduce obesity but completely failed
controlling it. After clinical examination health care professionals asked for using natural dietary
supplement with customized educational program which is known as Body in the Brain. The
programme was to boost her mental status because was distress mentally and used to get
distracted easily. Apart from her medical condition I focused on understanding living habits of
Noah for which I interacted with her 15-year-old daughter Mariah. With the discussion I
discovered that Noah is alcoholic and struggling through sleeping disorder after the death of her
husband. She is anxious to surroundings and therefore forgets things easily. To overcome grief,
she consumes 2 glasses of Red wine and smokes 5 Cigarettes per day every evening. Also, she
has a habit of eating fried food items regardless of the diet chart suggested by Dietician. Red
wine is the major source of resveratrol which carries side-effects that leads to increased
concentration of alcohol and calories which promote weight gain.
In accordance with her condition I gained advise from my mentor who has worked with patients
suffering from obesity. Mentor helped me in managing her diet composition and motivation to
lose weight by organisation behavioural program (Robertson and et.al., 2014). This helped me in
assisting her with depression and overweight. Moreover, my mentor briefed me about different
patient’s situation where mental distress leads to obesity. Hence, as per the discussion I analysed
that it is important for me to first focus on anxiety and depression of Noah because it is a
situation which can lead to Dementia and is also the major cause of increasing weight.
2. Community Profile of Basildon in Essex, United Kingdom
Basildon is a largest town in England region of Basildon with total population of 180,500 and
Brentwood is 75,600 in county Essex, England. It is the region which is facing major financial
challenge and the area is struggling to attaining financial balance. As per the condition there is a
need of transforming health care system of Borough to provide people with aligned health care
resource and services.

Figure 1: Care homes across Basildon
(Source: BASILDON, 2018)
Demographics
As per total population of 180,500, there are 44 GP practices in overall BBCCG region. There are
total 51% of females and 49 % of males in area. Total male population comprise of 55,880 and
females are 59, 389.
As per age group 0 to 17 population comprise total number of 28,168 individuals, 18-64 are
69,959. As per age distribution there are 16,922 in to 9 years. 13, 915 in 10 to 19 years, 15,204 in
20 to 29 years, 16,746 in 30 to 39 years and so on (Black and et.al., 2015).
As per Ethnic group there are total 97,142 whites, 3,445 Asian, 4,119 Black, 82 Arab, 2,071
mixed and 264 are of different ethnic groups.
Country of origin

Figure 2: Country of birth
(Source: BASILDON, 2018)
As per graph it can be clearly said that 98,109 individuals are from United Kingdom whereas 766
are from republic of Ireland, 1,837 from EU and other and 6,411 are from other country.
Religion
Figure 3: Religion
(Source: BASILDON, 2018)
Health status
The pronounced level of premature mortality with cancer is 134 per 100,000 where circulatory
diseases it is 60 per 100,000. Increasing obesity in region is the major point of concern as it can
lead to various life-threatening concerns that is Type II Diabetes, high blood pressure, etc.
Further, it is estimated that 10 of local residents of Basildon in Essex and working as unpaid
health service providers. In Basildon there is greater percentage of adults that is 32 % who have
been classified in overweight population or obese.

Figure 4: Trends and pattern in Child obesity in Essex
(Source: Obesity Issues in Essex, 2016)
Overall Emotional Wellbeing in Essex
Figure 5: Emotional Wellbeing in Essex
(Source: Emotional Wellbeing and Mental Health Needs Assessment on Children and Young

people across Southend, Essex and Thurrock, 2016)
Figure 6: Primary mental health issues in people of Essex
(Source: Emotional Wellbeing and Mental Health Needs Assessment on Children and Young
people across Southend, Essex and Thurrock, 2016)
Physical activity
Lack of physical activity is the major concern of obesity and therefore it is younger adults in
society are encouraged to participate in sports and recreational activities (Heymsfield, and
Wadden, 2017). The below graphs present insight over involvement of population of Basildon in
Essex in physical activity.

Figure 7: Physical activity in adults
(Source: People in Essex enjoy good health and wellbeing, 2018)
Figure 8: Physical activity
(Source: People in Essex enjoy good health and wellbeing, 2018)
Figure 9: Adult participation in active and Sports recreation
(Source: People in Essex enjoy good health and wellbeing, 2018)

3. Health Challenge
I have chosen Obesity because after meeting Noah and her daughter I have understood that,
Noah's lifestyle has preference in relation with Obesity. Noah used to drink and smoke 5
cigarettes regularly and used also used to eat fried food which leads to unhealthy lifestyle. Noah
was not getting involved in any physical activity which lead to high risk of obesity and which
eventually leads to higher and increased chance of chronic disease. This largely impacted the
physical and mental health of the Noah which led to depression. Noah is completely reliant on
her daughter to get her dietary and fried products. It has been analysed and effectively evaluated
that Noah didn't focus on her increased risk of obesity and poorly managed diet due to lack of
knowledge of Noah's daughter upon whom she is reliant. The health issues related to Obesity and
mental health will be further explored in the assignment.
Figure 10: Health Profile 2017
(Source: Health Profile 2017, 2017)

According to Health Profile 2017 ( 2017) report This chart closely aligns the time and
period of data effectively predicting the statistics of the cause of death among individuals as per
100.000 population. These statistics compare the graph with Basildon community and rest of the
United Kingdom to analyse the cause of death of individuals in United Kingdom. It has been
analysed from 2017 statistics that, the death from the cause of men has been highest. The death
rates in people below 75 has been shown in the statistics. The death rates have been highest in the
year between 2010 to 2015 which lead to early deaths of men. The early deaths of women is
lower as compared to the statistics of men. Lower number of women are in relation to the risk. It
has been analysed from the above statistics that, early deaths from heart stroke has been highest
in England which is at the highest point in the year 2003. Further it has been examined from the
above-mentioned statistics is that, the death stroke from cancer id low in 2014 where around 150
people are dying due to cancer. The consumption of smoking is high in UK and increase in the
risk of obesity and diabetes leads to increase in risk among patients.
Djalalinia, S and et.al, (2015) sought to analyse that, obesity leads to depression and adversely
impact the mental health of individual.
4. Record of person-Centred Narrative
Mariah 15-year-old with mother 38-year-old suffering from obesity
From the start I was concerned about the increasing heath concerns and lack of care providers in
region. The first time when I was concerned about my mother was the time when she started
having glasses of Wine every Evening. The loss of husband was the panic situation for her when
she started living alone and consuming wine and started asking for junk and fried food items.
This grief of my father dragged her to depression because of which she was unable to cope with
increase in weight regardless of medication. I was worried but ignorant to her increasing weight
because of her vulnerable behaviour till I realised that she is gaining weight continuously and
now her BMI was 48.2 kg/m2 and body fat content 50.2 %. Further, one day I noticed that she is
forgetting everything and have become anxious and aggressive to surroundings which was
threatening situation for me as I was unable about symptoms of mental distress which can lead to
weight gain and obesity.
Also, there was one situation when I felt that there is something wrong when she started smoking
and having fried food daily. The urge for fired edibles was increasing which I realised when she
asked me to buy freeze food items. Hence, I can say that managing care for the patient suffering

from obesity or gaining weight continuously is tiring and because the people lack understanding
over eating habits.

REFERENCES
Books and Journals
Black, J.A. and et.al., 2015. Child obesity cut-offs as derived from parental perceptions: cross-
sectional questionnaire. Br J Gen Pract. 65(633). pp.e234-e239.
Chaparro, M.P. and et.al., 2017. The unhealthy food environment does not modify the
association between obesity and participation in the Supplemental Nutrition Assistance
Program (SNAP) in Los Angeles County. BMC public health. 17(1). p.81.
Hamer, M., Batty, G.D. and Kivimäki, M., 2016. Obesity, metabolic health, and history of
cytomegalovirus infection in the general population. The Journal of Clinical
Endocrinology & Metabolism. 101(4). pp.1680-1685.
Djalalinia, S and et.al., 2015. Health impacts of obesity. Pakistan journal of medical
sciences.31(1). p.239.
Robertson, J. and et.al., 2014. Obesity and health behaviours of British adults with self-reported
intellectual impairments: cross sectional survey. BMC Public Health. 14(1). p.219.
Online
BASILDON. 2018. [Online]. Available through: < https://www.citypopulation.de/php/uk-
england-eastofengland.php?cityid=E35001284>.
Obesity Issues in Essex. 2016. [Online]. Available through:
<https://cmis.essexcc.gov.uk/essexcmis5/Document.ashx?
czJKcaeAi5tUFL1DTL2UE4zNRBcoShgo=WdLdmF5imK8uW27aeSEqRO1UzTUbJTg
Bu/7U%2BdG95uh/1zP8qIWTRw%3D%3D&rUzwRPf%2BZ3zd4E7Ikn8Lyw%3D
%3D=pwRE6AGJFLDNlh225F5QMaQWCtPHwdhUfCZ/LUQzgA2uL5jNRG4jdQ%3D
%3D&mCTIbCubSFfXsDGW9IXnlg%3D%3D=jUgQCaU3L68%3D&kCx1AnS9/
pWZQ40DXFvdEw%3D%3D=CDgevvDxQKI%3D&uJovDxwdjMPoYv%2BAJvYtyA
%3D%3D=ctNJFf55vVA%3D&FgPlIEJYlotS%2BYGoBi5olA%3D
%3D=NHdURQburHA%3D&d9Qjj0ag1Pd993jsyOJqFvmyB7X0CSQK=Gc0rC33vLgc
%3D&WGewmoAfeNR9xqBux0r1Q8Za60lavYmz=ctNJFf55vVA
%3D&WGewmoAfeNQ16B2MHuCpMRKZMwaG1PaO=ctNJFf55vVA%3D>.

People in Essex enjoy good health and wellbeing. 2018. [Online]. Available through:
<https://www.essex.gov.uk/Your-Council/Strategies-Policies/Documents/
Enjoy_good_health_wellbeing.pdf>.
HHealth Profile 2017. 2017. [ONLINE]. Available through:
https://www.uttlesford.gov.uk/media/8342/Essex-Local-Authority-Health-Profile-2017/
pdf/Essex_2017.pdf
Emotional Wellbeing and Mental Health Needs Assessment on Children and Young people
across Southend, Essex and Thurrock. 2016. [ONLINE]. Available through:<
https://search3.openobjects.com/mediamanager/southend/asch/files/jsna_set_emotional_
wellbeing_and_mh_children_and_yp_sept_16.pdf>.

PORTFOLIO PART 2: SUMMARY REPORT STRUCTURE

Introduction
Obesity is a medical condition which refers to excess body fat that has been accumulated to
that extent that it comprises negative impact on person's health. Dementia and depression are the
two mental issues that leads to obesity among the individuals. Obesity is a common trend in
today's generation as due to various unhealthy diets, consumption of unhealthy foods and lack of
physical activities by the people. This report will highlight the health assessment needs of the
people from Basildon community and include various components and the effects of obesity, its
preventive measures and importance.
Main body
Understanding the different effects of obesity to the people
Depression can affect one's mental ability to focus on his daily routine and can affect the
eating habits of individuals as well resulting into the rise of obesity factor in them. Obesity can
cause a lot of damage to an individual's body. People with severe obesity are more likely to have
other diseases and plenty of effects. Different effects of obesity are divided into Physiological,
psychological and social effects as given below-
Physiological effects Diabetes- Obesity is the major cause type 2 diabetes which can nearly double the risk of
death for an individual. Diabetes can further lead to stroke, blindness, kidney disease,
high blood pressure impotence etc. which are more dangerous to the health of an
individual Hypertension- Obesity causes high blood pressure as well as lead to hypertension. This
can further lead to risk of other diseases such as cognitive heart failure and kidney disease
(Broad and et.al., 2015).
 Others- Obesity can further lead to the cause of many health-related issues such as
respiratory disorders, heart diseases, cancer, joint damage and many more which causes
severe consequences to the life of an individual.
As due to shortage in health determinants such as lack of health services in Basildon, Essex there
is a rise in obesity at higher rate for the affected people.
Psychological effects- Depression and stress also leads to mental and psychological effects to the
individuals resulting into the Obesity which further leads to many other psychological disorders.
Stress has created the rise in the amount of depression for the individuals which has made them

fall in obesity and restricted them from performing any physical activities as well as stopping
them to follow their daily routine work. People of Basildon, Essex are facing the problem of
depression and stress due to improper employment and working conditions that further results in
obesity factor in them (Brownell and Walsh, 2017).
Social effects- Obesity is spreading rapidly in Basildon, Essex leading to many social effects
such as children being affected by the obesity are bullied the most at their schools and colleges.
Also, the overweight of youth has initiated them to be away from society and act of shame in
their minds. These effects are affecting the mental health of the people and making the more
depressed (Yoshida and et.al., 2018).
Changing needs of patients over the lifespan
In order to deal with the problem of obesity and its prevention the following needs should be
initiated by the people of Basildon, Essex. These changes will act as life course approach to the
patients as well all the individuals of this community (Schauer and et.al., 2015).
In accordance with the increasing health concern of people in Basildon, Essex it is important to
change living habits of population which comprise following needs:
 It is important for the population of region to actively participate in physical activity as it
boosts metabolism of body and helps in achieving proper energy balance which prevents
obesity. As per statistics of the region the individual lacks participation in sports and
recreational activity and this can be encouraged by organising sports events and health
and fitness session in area.
 It is important to spread awareness regarding healthy eating habits because reduced fat
can help in preventing risk of life-threatening diseases which are cause due to overweight
that is Type 2 Diabetes, high blood pressure, etc. The health care workers can focus on
education population of Basildon in Essex about High-Protein Diets and Low-Glycaemic
Index.
The main reason behind initiating these needs is to target the disadvantaged community and the
people of Basildon, Essex which includes-
 Obesity affected patients and people to improve their health conditions from the disease.
 Children of the community as to prevent them from the consequences of obesity.
 Youth of the community to prevent them from facing various social and psychological

effects related to obesity (Berwick, 2016).
Thus, these changes and measures related to physical fitness will help and contribute to the
amount of reduction in inequalities related to the obesity for the people of Basildon, Essex.
Importance of health needs
The main importance of the health needs assessment is to develop strategies in order to
identify the health issues and address the health needs of the community. This analysis also
spread the awareness among the people regarding the severe health issues caused by different
activities in their daily routine and also make them aware about the several health diseases they
have. Health need assessment is important for the overall awareness of the health factor of a
particular community (Bray and et.al., 2016).
Development of public health promotion strategies-
In order to create the health awareness among the people in a particular community, the
following promotional strategies needs to be initiated-
 Organizing health camps in schools and various educational areas to spread the
awareness of health among the youth and children.
 Different conferences related to the healthy routine should be organise to make people
aware for their health.
 Free-body check-up camps should be imitated so that people shall be aware for their own
health issues and problems (Heymsfield and Wadden, 2017).
Public health role for nursing in supporting people in community setting
Basildon community focus on improvising the health of the people which leads to higher
results and outcomes of the patients which leads to increase in healthy lifestyle of the individuals
in the community (Lowe, 2017).
The health community aims at implementing various strategies in order to shape the
environment and contribute to various health communities to overcome obesity and improving
mental health in order to generate higher results and outcomes. They must engage in various
health policy in relation with Obesity to increase the awareness among the individuals and also
helps them in effective treatment for better results and outcome of the individual (GBD 2015
Obesity Collaborators, 2017). To effectively maintain the health of the public, health care

practitioners and health communities must focus on developing various activities and programs to
create awareness among the public. Obesity is related with chronic disease and it may negatively
affect the health of the individual (Conklin, Morris and Nolte, 201). Basildon community focus
on making people aware about the cause and effect of obesity on the personal health of an
individual. Nurses and health care play a critical role in reducing the cause of obesity and take
effective action to reduce the cause of obesity in individual (Sallnow and et.al.,2016). Nurses and
health practitioners must focus on implementing effective strategies and tools reduce the cause of
increased obesity in the individual and also analyse measure to improve mental health. Patient
must focus on controlling their food habits and must follow diet charts which are recommended
by the health care practitioners. Nurses act as a model to develop the plans by effectively
prioritizing the care and focus on key area to control obesity (Furukawa and et.al., 2017). Nurses
must set various strategies and guidelines to evaluate the cause of obesity in individual by
effectively developing standards to reduce the obesity.
Approaches used by health care by communities in relation with public health needs.
Person-centred care connects with patients and its family member to take effective
decision for effective results and outcomes of the patients (Person-centred care: principles for
health professionals, 2019). The person-centred care focuses on the needs of the individual to
make informed decision effectively and identify the diverse needs of the patients in order to make
informed decision for effective results of the patient. Person-centred care also helps in imprioving
the mental health of the individual by effectively developing and monitoring plan which leads to
effective results and outcome for patients (Corrigall and et.al., 2018). Nurses and health care
practitioners play critical role in reducing the obesity of the patients by effectively taking
measure to reduce the cause of obesity. Person centred care approach leads to empowerment and
helps in encouraging people to take necessary actions in relation to reduce the weight by getting
involved in physical activity (McCormack and McCance, 2016). Another approach used by the
practitioners are working with group communities who helps in building motivation to take
effective measure to reduce obesity and leads to health life standards (Brooker and Latham,
2015).
Working with group communities helps in creating awareness among patients or
individuals in order to reduce obesity and take effective actions to make people move towards
healthy lifestyle standards. Community involvement helps in reducing obesity and helps

individual in leading to healthy lifestyle. Working with group communities also helps in
improvising the mental health of individual be effectively influencing them to improve their
health life. The individual focus on eating health and reduce smoking and get involved in
physical activity (Obesity: Causes, Consequences and Patient-Centred Therapeutic Approaches,
2014).
Basildon community focus on choosing patient centred approach to reduce obesity and
create more empowerment among people to focus on their diet and must avoid eating junk foods,
the nurse and health care practitioners. They focus on making people involve to participate in
physical activity to reduce obesity and helps in maintaining healthy lifestyle which leads to
improved mental health of patient.
Conclusion and Recommendation
From the above report it is observed regarding the health concerns of Basildon community
people as well all the effects of obesity on the people. From this observation it can be
recommended that the community of Basildon should eventually follow the needs being
mentioned in the report and also inculcate themselves more in physical and sports activities
which will benefit them in maintaining their healthy standards and better physical fitness. It can
be also recommended that the people should be more involve in the health-related activities such
as regular check-ups, initiating a proper diet plan so that they develop a systematic process and
be aware of their personal health. The report concludes by including the public health role for
nursing for supporting people in community setting.

REFERENCES
Books and Journals
Heymsfield, S.B. and Wadden, T.A., 2017. Mechanisms, pathophysiology, and management of
obesity. New England Journal of Medicine.376(3). pp.254-266.
Bray, G.A and et.al., 2016. Management of obesity. The Lancet. 387(10031). pp.1947-1956.
Corrigall, D and et.al., 2018. PTH-087 Improving hepatitis C detection and treatment via
community-based services.
Lowe, M., 2017. Anthony Carl (Tony) Kaeser FRCP, FRCPsych: Consultant in Old Age
Psychiatry, Basildon sector, Thameside Community Healthcare NHS Trust. BJPsych
bulletin.41(1). pp.58-58.
Broad, J.B and et.al., 2015. Likelihood of residential aged care use in later life: A simple
approach to estimation with international comparison. Australian and New Zealand
journal of public health.39(4). pp.374-379.
Berwick, D.M., 2016. Era 3 for medicine and health care. Jama. 315(13). pp.1329-1330.
Furukawa, S and et.al., 2017. Increased oxidative stress in obesity and its impact on metabolic
syndrome. The Journal of clinical investigation.114(12). pp.1752-1761.
GBD 2015 Obesity Collaborators, 2017. Health effects of overweight and obesity in 195
countries over 25 years. New England Journal of Medicine.377(1). pp.13-27.
Heymsfield, S.B. and Wadden, T.A., 2017. Mechanisms, pathophysiology, and management of
obesity. New England Journal of Medicine.376(3). pp.254-266.
Bray, G.A and et.al., 2016. Management of obesity. The Lancet, 387(10031), pp.1947-1956.
Corrigall, D and et.al., 2018. PTH-087 Improving hepatitis C detection and treatment via
community-based services.
Lowe, M., 2017. Anthony Carl (Tony) Kaeser FRCP, FRCPsych: Consultant in Old Age
Psychiatry, Basildon sector, Thameside Community Healthcare NHS Trust. BJPsych
bulletin.41(1). pp.58-58.

Sallnow, L and et.al.,2016. The impact of a new public health approach to end-of-life care: a
systematic review. Palliative medicine.30(3). pp.200-211.
Broad, J.B and et.al., 2015. Likelihood of residential aged care use in later life: A simple
approach to estimation with international comparison. Australian and New Zealand
journal of public health.39(4). pp.374-379.
Berwick, D.M., 2016. Era 3 for medicine and health care. Jama.315(13). pp.1329-1330.
Conklin, A., Morris, Z. and Nolte, E., 2015. What is the evidence base for public involvement in
health‐care policy? results of a systematic scoping review. Health Expectations.18(2).
pp.153-165.
Brooker, D. and Latham, I., 2015. Person-centred dementia care: Making services better with
the VIPS framework. Jessica Kingsley Publishers.
McCormack, B. and McCance, T. eds., 2016. Person-centred practice in nursing and health
care: theory and practice. John Wiley & Sons.
Brownell, K.D. and Walsh, B.T. eds., 2017. Eating disorders and obesity: A comprehensive
handbook. Guilford Publications.
Yoshida, Y and et.al., 2018. Social support modifies the negative effects of acculturation on
obesity and central obesity in Mexican men. Ethnicity & health, pp.1-12.
Schauer, D.P and et.al., 2015. Impact of bariatric surgery on life expectancy in severely obese
patients with diabetes: a decision analysis. Annals of surgery. 261(5). p.914.
Online
Person-centred care: principles for health professionals. 2019. [ONLINE]. Available
through:<https://www.nice.org.uk/guidance/cg43/chapter/Person-centred-care-principles-
for-health-professionals>
Obesity: Causes, Consequences and Patient-Centred Therapeutic Approaches. 2014. [ONLINE].
Available through:<https://healthmanagement.org/c/healthmanagement/issuearticle/
obesity-causes-consequences-and-patient-centred-therapeutic-approaches>

PORTFOLIO PART 3: APPENDICES
Log of Activities
Number
of
Activities
Date Activity
1 Telephone calls to manage interprofessional
contact
2 Reading of Online forums by Carers
3 Reading and research
4 Investigation of local narrative
5 Investigation of local support services
6 Interview of local care provider
7 Meeting with local vicar to have word regarding
local issues
8 Meeting with local staff of community

Log discussion with tutor
Number of
Activities
Date Activity Notes
1 Emailed Supervisor for
conducting meeting
Booked appointment
2 1ST meet with Supervisor Start of discussion
3 Emailing of ideas to
supervisor
Arrangement of
another meeting
4 2ND meet Discussion of progress
and accumulation f
data
Log of discussion with interprofessional colleagues
Number of
Activities
Date Activity
1 Telephonic discussion
2 Meeting with Assistant director of learning
disability residential care home.
3 Discussion with pharmacist of town
4 Participation with Dementia support group
5 Discussion with local service provider