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Health Services Management : Assignment

   

Added on  2021-06-15

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HEALTH SERVICES MANAGEMENTPain Management at Mercy Community ResidentialAged Care Services

1HEALTH SERVICES MANAGEMENTBahar Lal

2HEALTH SERVICES MANAGEMENTAcknowledgementI would like to convey my special gratitude to my supervisor Helen Spyt as well as ourlecturer Sheree Lloyd who gave me this golden opportunity to do this wonderful project onPain Management at Mercy Community Residential Aged Care Services, which helped me indoing a lot of Research and enabling me to develop Health Services Management andLeadership skills. Furthermore, I would also like to thank Tracy Thompson (DiversionalTherapist) and Mr. Paramjit (Registered Male Nurse) who supported me and helped methroughout duration of my WIL. Nonetheless, I would like to also thank my parents whobrought me up and made sure that I get whatever I want and supported throughout to pursuemy master’s degree.

3HEALTH SERVICES MANAGEMENTEXECUTIVE SUMMARYThe purpose of this report is to document current Pain Management Process at MercyCommunity Residential Aged Care Services. This project aimed to follow the pre-determinedproject plan by conducting literature review as well as a systematic practical field-basedresearch. Research was based on a primary data collection where the data collected wasconducted in a real time environment. To analyse the data and find out the result that wouldhelp to achieve the research objectives the quantitative data analysis method is used. Patientswho suffer from dementia and other associated problems have been also included in thisexecution of the project. It has been found that appropriate education and training of the staffsof the mercy community services and implementation of appropriate protocols and policiesare the key strategies to improve the health care services of the hospital that can ensure thebest quality of treatment towards the implementation of the pain management framework foraged people especially who are suffering from dementia.Table of Conten

4HEALTH SERVICES MANAGEMENTIntroduction:...............................................................................................................................4Background............................................................................................................................4Case for change......................................................................................................................4Analysis of Objectives...............................................................................................................5Literature review........................................................................................................................6Project methodologies................................................................................................................7Project plan.............................................................................................................................7Stakeholder identification......................................................................................................8Communication plan............................................................................................................10Timeline:..............................................................................................................................11Risk management.................................................................................................................12Deliverables..............................................................................................................................14Evaluation................................................................................................................................15Data analysis............................................................................................................................16Key Findings and Conclusion..................................................................................................24Recommendations....................................................................................................................25Reference:................................................................................................................................28Appendices:..............................................................................................................................30

5HEALTH SERVICES MANAGEMENTIntroduction: Currently in an Aged Care Residential Services, specifically in the Mercy CommunityResidential Aged Care Service, it was necessary to conduct a quality evaluation survey forresidents living with pain. This project focused on identifying the barriers to effective painmanagement for the residents of Mercy Community Residential Aged Care Services.Residents suffering from Dementia and other Cognitive Impairment diseases have also beenincluded in the execution of this project. This report documents the current Pain ManagementProcess at Mercy Community Residential Aged Care Services from the resident’sprospective. This project aimed to follow the predetermined project plan by conductingliterature review as well as a practical field-based research.Background About 196 residents with various diseases including dementia, Osteoarthritis, cancer,chronic kidney diseases are living in this Residential Care facility. Pain management refers tothe process of managing the pain with diagnosis, treatment and medical care. Painmanagement is a major part of a palliative approach to dementia care. Therefore, tounderstand the pain management, the current health condition of dementia and the sufferedpopulation must be also considered (Corbett et al., 2016). However, the pain managementprocess is also associated with other issues such as cardiac decease, chronic broncoinfections, arthritics and others. In case of dementia, the identification of pain and theamplitude of suffering from pain are difficult. Therefore, its crucial to follow an effectivePain Management approach including assessment of pain by means of non-verbalapproaches. Residents suffering from dementia have limited verbal capability, so they shouldbe assessed by their expressions.

6HEALTH SERVICES MANAGEMENTCase for changeMercy Community Residential Aged Care Services, Nudgee is a well-knownResidential Aged Care Organisation for aged people who are suffering from various chronicdiseases and mental disorders. Strategic implementation of pain management for theseresidents should be the chief concern. Every organisation is equipped with differentassessment tools to be used for Pain Management. This project was important to evaluate thecurrent Pain Management process. This project enabled organisation to know theeffectiveness of the current Pain Management process being used at Mercy CommunityResidential Aged Care Services to evaluate the effectiveness of current process.The implementation of effective pain management framework is crucial especially forthe dementia patients and others who have cognitive disabilities. Identification of regularpractice and the associated barriers, as well as potential improvement, must be found toensure the adequate treatment in case of any painful condition among residents. Identificationof most appropriate solutions for this operational anomaly and the process of theirimplementation are equally important. Analysis of ObjectivesThrough the various proposed methods and tools, the current pain managementprocess at Mercy Community Residential Aged Care Services has been identified. Alongwith how the existing pain management plan is implemented for dementia and othercognitive impaired residents. This identification and analytic process has been done withsupport from the existing project supervisor, residents, doctors, psychologist, nursing staffand other stakeholders of the organisation. From participation to data collection and dataprotection procedure, staff helped to conduct the research. The officially enforced current

7HEALTH SERVICES MANAGEMENTpain management framework has been clearly disclosed by the staff that helped to gather thetheoretical discrepancy. Project methodologies Project planThis project is based on a realistic environmental regulated by every day assessmentpractice of the staff at Mercy Community Residential Aged Care Services regarding the painmanagement approach. Therefore, to select an appropriate methodology that can beconfigured under the realism philosophy. In this philosophy, the appropriate and specificmethod selection is required which would be relevant to the research field. Through projectmanagement methodology approach, this project has found out the effectiveness of currentPain Management approach at MCRACS and the potential recommendations to improve it.However, the research was based on primary data collection where the data collection wasconducted in a real time environment. The research tool of this project was an individualsurvey from residents on a stipulated sample size. Staff were also considered by asking themto fill out the google survey form to know the current Pain Management approach being usedat MCRACS. The data collection was conducted on 20 residents who are suffering fromchronic painful diseases. The sample size was limited to 10% of the total residents count. Toanalyse the data and find out the result that would help to achieve the research objectives, theproject management methodology was used. Through this method, this project has analysedthe survey report numerically. Moreover, systemic literature review was conducted using the Griffith UniversityLibrary. Key search terms used were “PAIN MANAGEMENT”, “RESIDENTIAL AGED

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