Essay on Health Services Provision

Service Provision

Table of Contents
INTRODUCTION ..........................................................................................................................1
ESSAY ............................................................................................................................................2
CONCLUSION................................................................................................................................5
REFERENCES ...............................................................................................................................7

INTRODUCTION
Service provision refers to the way inputs, including drugs, equipments, staff and money
which are combined to allow the delivery of a health actions and series of interventions. In
addition, health service provision is the most familiar and visible products or services of the
health care system. The main focuses of services for people with dementia is on encouraging
their quality of life and independence. Therefore, Social services have a major role and
responsibility in providing services and support to people with dementia. Social service also
play vital role in promoting carers living of patient in the community, beside with supported
housing options, residential care and including sheltered housing, for those requiring more
intensive support and care (Brooker and Latham, 2015). Occupational health is identify as a
specialist branch of medicine that emphasis on the mental and physical wellbeing of people.
Main aim and purpose of the occupational health is to prevent injury and illness by monitoring
the health.
Health and occupational needs: In order to maintaining employment and reducing challenges or
issue about dementia which is face by people. A range of legislation and acts impacts people
living with dementia. There are some legislation , policies which are determined as under:
The Mental Capacity Act 2005 explain the legal position of those giving service or
support to people who may lack the capability in order to take few decisions or actions for
themselves. It describe key principles or rules which must be followed (Legislation and
Regulation, 2018). These includes: Presumption of capacity, Helping people to make their own
decisions, The freedom of individuals to make unwise decisions, Following the least restrictive
or limiting option. The legislations gives a test in order to assess someone's capability to make a
specific decision.
The Equality Act 2010 act describe disability as a mental or physical impairment that
has a ‘long-term’ and ‘substantial’ negative impact on an individual's ability to do normal daily
activities (Dawson and et. al., 2015). For individual in the primal stages of dementia, there is an
evidence that employee have a right to make up one's mind when it get to have a ‘longterm’ and
‘substantial’ negative outcome and, thus, when they become ‘injured’ by virtue of, their
dementia.
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ESSAY
Occupational therapy is refer as a use of intervention and assessment to maintain, recover
or record the meaningful occupations or activities of people, communities or groups. It is an
allied health profession developed by occupational therapists and its Assistants. Occupational
therapists often work with large number of person with mental health problems, impairments,
disabilities, injuries, or dementia. There are some widely applied frameworks and models
underpinning Occupational Therapy Practice (Gibson and et. al., 2015). When managing a
people it can be essential to use a model as a road map for discussing treatment plans and
assessment.
The Canadian Model of Occupational Performance places the people at the middle of the
model, essentially addressing their spirituality or constancy as it leads their closing of activities
within provided environments. Under this model, Occupational Therapy practice addresses the
interaction between environment, occupation and person, where line of work is generally
represented as a leisure, self-care activity or productivity.
The Kawa model attempts to describe occupational therapy’s entire strategies, purpose
for interpreting a customer's condition and explain the application and rationale of occupational
therapy within the customer's particular cultural and social context.
The Person-Environment Occupation model has three main elements that explain what
individual do in their daily lives, what encourages them and how their individual qualities
combine with the conditions in which work are interpreted to influence occupational
performance in successful manner (Gibson and et. al., 2016).
Dementia results from impaired knowledge, due to harm to the brain. The dementia cases
majority is belongs to (60% to 80%) which are are categorized as Alzheimer’s disease. The
signs of such disease mainly covers, but are not enough to, minimised short-term memory,
decreased perceptual skills, reduced problem-solving ability, issue wit language and
communication, and changes in personality. The onset of dementia is bit-by-bit, and the course
of such disease spans some or more years. In Alzheimer’s illness, the people progresses via some
phase that approximately coincide with backward levels of developmental, with those in the last
stages state entirely dependent on others.
Occupational therapy practitioners, via their domain curricula, skilfulness in activity
analysis, and perform with aged people in different settings, approach insanity as a situation that
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impacts occupational performance. Practitioners can work and perform with family members,
obsessed others, and even those in the primal phase of the illness to marks the functional
implications of insanity. Occupational therapists measure individual with dementia to find out
their impairments, performance and strengths areas needing intervention. Although remediation
of psychological feature performance is improbable, the individual may present enhanced
function via adaptation or compensation. Practitioners of Occupational therapy also support
service gives with coping with this challenging, and yet frequently rewarding role.
A scoping exercise was executed to review a series of techniques that dementia services
follow to collate commend or feedback on their facility and analysis that present feedback tools
are frequently not user friendly for individual with dementia (Iliffe and et. al., 2016). Beside
this, service provider created questionnaire and ask questions to the patients which is mainly
based on the outcomes. It represented in the i-statements but each fit is generally tailored to
various kinds of dementia services including, care homes, community groups, hospital wards,
navigator services or dementia advisor. Service provider also tested the consequent tools in all 4
dementia service kinds and transformed wording in effect to feedback. There are some
perspective on using the tool:
On the entire people with dementia disease welcomed the possibility to provide their
opinion on their service experience. Managers of the service at the facility which take part in the
testing and design project felt that the techniques was essential, not too burdensome and given
valuable data which was not yet gathered. There was more help from commissioners, who
advised us that such kind of tool would be helpful to fill the space in evidence about the services
efficacy. Thus is it is a essential and important tool for the service provider to measure service
for people with dementia.
The tool has a different number of strengths, considering being easy and quick to follow,
state inclusive of various kinds and phases of dementia and emphasising on perceptions and
emotions of people (Kogan, Wilber and Mosqueda, 2016). The techniques has its boundary, in
specific it doesn’t evaluate improvement over time period and a little unit of people with
dementia disease will not have capability to realize and reply the questions. On the other hand, a
pragmatic approach was applied to create and test the technique but it would good from a study
to formalize more extensively.
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This technique does not compare data on all results. There are different number of
additional outputs and measures that would be valuable for gathering via information systems
and secondary processes. The data given by this tool or technique can be united with other
service particular data such as activity information. Through testing and developing some
techniques for exploring whether some kinds of services or facilities are meeting the results that
matter different number of person with dementia, they have analysis these techniques to be
dementia friendly. Thus it will help in fill a gap in data for providers and commissioners.
Above all these outcomes help the individual, profession and service to achieve better outcomes.
A few specific instance illustrate potential occupational therapy engagement to encourage
optimal functioning for individual with dementia disease, their household, and service providers.
These illustration are somewhat simplified, because during real intervention occupational
therapists accomplished individualized in-depth measure and action examine to find out the
exemplary demands of some pertinent activity (Robinson, Tang and Taylor, 2015). They also
follow critical thinking in order to ensure the individual has the most auxiliary environment to
increase functioning, while encouraging the person’s abilities and strengths.
Dementia is an illness that impacts the brain and finally causes an individual to lose the
capability to perform their daily self care. Entire areas of regular living are impacted over the
Dementia. Over time, an individual with such type of disease loses the capability to learn
innovative and unique information, make quick decisions, and design the future. Accurate
communication with many other person people is not easy. People with dementia disease finally
lose the power to perform day-to-day tasks and to acknowledge the global around them. There
are few ways in order to deal with situation in a proper and n effective manner:
In the beginning of the dementia, the people may be cognizant of few modification in
memory and depend more on others for keeper. As dementia worsens, an individual may become
misplaced easily and be not able to drive or handle economics (Schaller and et. al., 2015). In
advanced dementia, an individual will lose their capability to eat, bathe, dress, drink or use the
toilet without help. Finally, someone who is anxious of dementia disease may not be capable to
swallow risk-free, talk, or turn of bed and will be wholly helpless with daily activity. End-to-end,
individuals with dementia may become agitated, wander, sad, or resist aid. Such type of
behaviours are a way of communication that mean the person’s emotional status and reactions to
care.
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Person forgets what season it is when selecting clothing: Support the service provider and
set up limited clothing choice to fit the time period, which assist to avoid conflict and
misunderstanding while helping patients choice and self-efficacy.
Person gets disoriented and wanders: It is a role of care provider to set up the
environment to increase daily activity, considering mobility within safe confines and well as use
technology to insure safety.
Dementia also impacts family caregivers. 70% people with dementia live in the
community, and family caregivers are largely
liable for supporting them to remain at home. Family health professional must be alert 24 hours a
day to make sure that an individual with dementia disease is safe and healthy. Their duties
include: housekeeping; managing medications; shopping; managing finances; supporting with
daily activities, such as bathing, dressing, eating and drinking. There are some opportunities for
innovative practices for the service provider to address above mentioned challenges in an
effective and systematic manner (Smythe and et. al., 2015).
Health care should adopt digital technology which will help in treating all disease of
patients easily and systematically. They should improve professional and public awareness and
knowingness of dementia. To develop better facility and services to the dementia patients and
ask some questions about its feeling and perception. Following a person centred approach and
giving the Dementia Adviser with a better level of autonomy means that the Consultant requires
to be well corroborated. Regular supervision see that any thought of future improvement are
intelligibly determined and planned. Day-to-day reflection on the effect of evolution is also
required (Westwood and et. al., 2015).
CONCLUSION
From the above mentioned information, it can be concluded that dementia is a broad part
of brain diseases. This diseases highly effect on an individual ability to remember and think
something. It highly impact on individual and its whole life. In order to treat such problem,
service provider play vital and effective role by using different models, policies, legislation and
many other. All these are highly support the people to overcome face such issue and try to
overcome this in an effective and proper manner. Beside this philosophical and theoretical
perspectives of occupational therapy also help the people who are facing such type of disease. In
order to measure services related to dementia, care worker use feedback tool which will further
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help them to easily identify needs and requirement of patients related to disease. Better
experience about the care services essential for the health and social care to improve their
performance and productivity at workplace.
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REFERENCES
Books and Journals
Brooker, D. and Latham, I., 2015. Person-centred dementia care: Making services better with
the VIPS framework. Jessica Kingsley Publishers.
Dawson, A. and et. al., 2015. Evidence of what works to support and sustain care at home for
people with dementia: a literature review with a systematic approach. BMC geriatrics.
15(1) p.59.
Gibson, G., Dickinson, C., Brittain, K. and Robinson, L., 2015. The everyday use of assistive
technology by people with dementia and their family carers: a qualitative study. BMC
geriatrics. 15(1). p.89.
Gibson, G. and et. al., 2016. The provision of assistive technology products and services for
people with dementia in the United Kingdom. Dementia. 15(4). pp.681-701.
Iliffe, S. and et. al., 2016. Provision of NHS generalist and specialist services to care homes in
England: review of surveys. Primary health care research & development. 17(2).
pp.122-137.
Kogan, A. C., Wilber, K. and Mosqueda, L., 2016. Person‐centered care for older adults with
chronic conditions and functional impairment: A systematic literature review. Journal of
the American Geriatrics Society. 64(1). pp.e1-e7.
Robinson, L., Tang, E. and Taylor, J. P., 2015. Dementia: timely diagnosis and early
intervention. Bmj. 350. p.h3029.
Schaller, S. and et. al., 2015. Tailored e-Health services for the dementia care setting: a pilot
study of ‘eHealthMonitor’. BMC medical informatics and decision making. 15(1) p.58.
Smythe, A., Bentham, P., Jenkins, C. and Oyebode, J. R., 2015. The experiences of staff in a
specialist mental health service in relation to development of skills for the provision of
person centred care for people with dementia. Dementia. 14(2). pp.184-198.
Westwood, S. and et. al., 2015. Good practice in health and social care provision for LGBT older
people in the UK. Lesbian, Gay, Bisexual and Trans Health Inequalities: International
Perspectives in Social Work. Policy Press, Bristol, pp.145-158.
Online
Legislation and Regulation. 2018. [Online]. Available through:
<https://www.housinglin.org.uk/AboutHousingLIN//>.
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