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Table of Contents INTRODUCTION...........................................................................................................................1 MAIN BODY..................................................................................................................................1 Work profile within organisation and needs of service user.......................................................1 Nature of involvement.................................................................................................................4 Overview of role in supporting service user within person centred assessment.........................5 CONCLUSION................................................................................................................................7 REFERENCES................................................................................................................................8
INTRODUCTION Health care services are basic and psychological needs of every individual. The role of a health professional is to provide high quality care services to people. Also, he or she is responsible for identifying needs and providing care services. In health care there are different types of roles that exist. So, the responsibility varies according to roles. However, professional have to deal with challenging situations. The report will highlight role of health care assistant in hospital. It will also describe about needs of service user and nature of health care assistant within care home (Stanhope and Lancaster, 2015). At last report will discuss the role of health care assistant in supporting service user. Groveland Park is a residential care home located in UK. It provides various types of health care services to old age people. Also, it provides accommodation facilities and personal careservicesaswellforpatientsufferingfromdementia,physicaldisability,sensory impairments, etc. The care home is governed and regulated by NHS. MAIN BODY Work profile within organisation and needs of service user Work profile This sector is related to offering care services to people in order to improve their social lifestyle. So, I selected this sector as I want to enhance healthy lifestyle of people. I have been working as health care assistant since 3 years. I am satisfied with this job as it is giving opportunity to improve health of people. I am from past 1.5 year in Groveland park care home. Here, I have gained much knowledge and skills. I am able to work with different people of age, gender, caste, etc. who are suffering from various types of diseases. So, I am able to serve them by providing them care services. As a health care assistant I am serving society and gaining values of people. It is making me a better human being. I am possessing variety of skills and knowledge, but my passion was to improve healthy living of society (Kim and Park, 2017). I feel privileged that I am working for welfare of society. Moreover, I am a problem solver and I like to help people. So, this provided me a platform to work in health care sector. There are many other things as well such as following principles of respecting others, valuing them, etc. It motivated me to become a health care assistant. My work is mainly to support nurse so that proper and effective health care 1
services are delivered by them. I like to communicate with people and help them. As I am excellent in communicating with others. Thus, I interacted with people. I also like to solve people problems. Hence, I started my career in health care so that I can treat patients effectively. Role profile As a health care assistant I have to deal with different types of patient. But mainly I deal with people suffering from dementia and who are physically disabled. So, I have to identify needs of every patient suffering from various needs. A health care assistant plays a crucial role in care home. I worked as a health care assistant in Groveland Park where my role is to monitor machines and record reading. Also, I have to look after patient condition and analyze them (Hopman and et.al., 2016). I took temperature readings, pulse, weight, etc. Moreover, I communicated with nurse as well and assisted them to do things. Besides this, I performed several clinical duties such as maintaining hygiene, food quality, etc. Sometimes, I conducted risk assessment and develop care plan. Moreover, I conducted training sessions on how to deal with patient condition and took feedback of nurses. The main role is to understand patient conditions and record readings. It enabled me to provide treatment accordingly. As dementia patient needs regular monitoring so I visit them daily and analyse their mental health. Alongside it, I support physical disable people by analysing their reports and physical health. I work closely with nurse and regularly monitor dementia patient health. By this I develop report and meet with doctors and brief situation of patient. On some days I also give basic care services to patient like giving medicines, changing clothes, etc. In addition to it, I also supported nurses in taking blood samples and trained them. I communicated with doctors and supervisors. So, on basis of this I am developing care plan and implemented it. By this I developed relationship with patient relatives so that I can identify their needs. I also acted as supervisor and manage work.I not only overlook the personal matters of patients but also try to analyze and review their recovery planning procedures. It is also giving me perspectives to understand the entire treatment plan prescribed by doctors. I also develop daily schedule of patient on basis of their needs. Then, I explain it to nurse and monitor whether they are following schedule or not. Needs of service user 2
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Most of the service users in Groveland care home are elder patients. Along with the healthy elder people who have age related health issues care home also have people suffering from serious illness and physical immobilities. Thus, the most of the issues faced by my service users are associated with the mobility and physical care needs. For providing them suitable care I follow various person centred approaches. For enhancing my observational and knowledge skills I follow proper schedules so that I can communicate with each of my patients in care home. Through my experience I have also observed that people who are living in these residential homes also suffer from critical psychological impacts. For instance the people with physical immobility often feel hesitated to share their difficulties and to regularly seek help from me or other health professionals. Thus, it is required that service users must be feeling comfortable so that they can easily describe their needs. While providing services and assistance to them I interact with them and prefer to take their feedback to assure that I am going in right way to provide them care. For understanding the need of people it is essential that I must try to build good relations with the service users so that they do not feel hesitate in discussing their concerns with me. Another critical aspect which is required for quality services is that as health assistance I must consider several ethical concerns. For instance while providing services to the dementia patients it is possible that they may not give full cooperation to me or may behave in harsh tone. Thus, in such situation I am required to be patient and calm so that I do not feel hectic and stressed with such response from the patient. In such situation it is required that as a health assistant must also understand the behavioural and psychological aspect of the patients so that the care plan for the patients can be improved. Along with the medical assistant dementia patients also require additional safety and psychological treatment(Bodenheimer and Bauer, 2016). For instance the engagement in social activities and interaction with other people can make care home living comfortable and safe. Thus, residents also require that the staff members of care home treat them with dignity and their privacy is respected. This issue and requirement can also affect the service provided by health assistances. For example while providing services to many patients in care home, patients demands the assistance from the same gender so that they can comfortably take their assistance. In such cases the other health professionals assist them. 3
However, the health care requirements also depends upon the individual's perspective and need. For instance many dementia patients does not prefer to share their life or family details with me while other are quite comfortable in sharing their life. Thus, as professional I deal very unbiased in and try to ensure that in care home all individuals are comfortable and they do not face any discrimination or disrespectful behaviour. The care needs of dementia patients may vary significantly from person to person. Thus, residential care homes must assure that the service providing health care professionals are trained enough to understand the sensitive nature and pharmaceutical needs of the old dementia patients. Another critical feature of care home is that since care home consists of number of patients thus resources are shared among each user(Stanhope and Lancaster, 2015). Hence, it is the responsibility of the service provider and health assistant that all service users have access to all resources. The older people also required various health equipment which aids in mobility and hearing. Thus, health care professionals must identify the needs of their patients so that resource availability can be assured and health outcomes of the dementia and physically disabled people can be identified. Nature of involvement As a health care assistance, I am supposed to be very cooperative and supportive in my role. My involvement in the care home is not only limited to assist residents but is also extended to develop a residential setting in which all people can live happily with satisfactory care assistance. The overall health care assistance cannot be delivered without multidisciplinary approach. I also keep record and track of patient’s biological parameters. Thus, for this purpose I havetocommunicatewithotherseniorhealthcareprofessionalsandmembersof multidisciplinary teams. I work in shifts so I also have to interact with other health assistants so that I can have updated information and records. The effective communication with elder people and other health professionals makes my services effective. For instance the interaction with the nutritionist guides me to prepare the menu for the elder people as per their medical condition(Cooke and Bartram, 2015). The healthcare assistants are required to work with compassion and warmth so that they can understand the needs of elderly and dementia people. However, as healthcare assistant I always assure that along with the equal treatment and respect I understand my ethical boundaries so that my involvement is acceptable and qualitative. 4
For instance I always inform care home patients about the specific care interventions and allow them to take decision at their own. This approach leads to better care quality. A typical observation of the physical symptoms and the behaviour of my patients is also needed for effective execution of my profession. For example to prevent cross infection I perform various inspection tests and link them with my professional knowledge. The extent up to which my involvement depends vary from patient to patient. For instance the old people with physical disability needs my complete support in all areas such as in maintaining hygiene, or in performing their regular functions like taking them to toilet, brushing or walking(DeMarco and Healey-Walsh, 2019). However, with dementia patients such type of physical assistance is reduced and I have to pay more emphasis on behaviour and actions of the people. It includes monitoring to assure that residents of Groveland care home are not feeling depressed or anxious or does not make any attempt to harm themselves. InordertoinvolveinsuchindepthcareplanningIalsorequiredthatIhave communication and team work skills. These skills assist me in interacting with patients as well as to work with multidisciplinary teams. Since the lab testing and analysis of health variables of the patient require team work and collaboration with other health professionals the development of above described skills is vital for improving my overall service delivery. The involvement of health professionals must not neglect the dignity and respect of the patient. Overview of role in supporting service user within person centred assessment As healthcare assistant I have been providing services to vulnerable patients so that they can live their life independently and assistance can be provided to them for their day to day activities. It is essential part of my job role to understand the needs and interest of the residential patients(Salmond and Echevarria, 2017). For the patients who have difficulty in performing routine tasks such as dressing, feeding and assisting in mobility. The personal care needs such as cleaning and washing are also performed by me so that hygiene of the care home residents can be maintained. There are many people in care home who have difficulty in mobility and thus for facilitating their free movement I also support and oversee their transition within care home. It is my responsibility that every comfort is provided to the patients. Thus, I also assist and monitor that linens are replaced every day in the care home. In the care home there are many old patients who need assistance in taking shower. The elder patients in the care home who are suffering from chronic diseases also use several medical equipments. 5
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Thus, it is also essential that medical facilities are sterilised daily so that infection risk are avoided and safety can be assured within Groveland care home. To promote the safety of the carehomeresidentsIessentiallyperformthesterilisationfunctions(Kogan,Wilberand Mosqueda, 2016). Since the health care of residents is my responsibility I also regulate and perform the functions which encourages their safety. The people suffering from dementia are required to take medications timely so that their health outcomes can be improved and controlled. Thus, if any of the elderly patients in care home is recommended any kind of diagnosis or the medical inspection in labs then it falls under my responsibility(Lines, Lepore and Wiener, 2015). I work as intermediator for the lab processing. It is my duty to assure that all recommended lab tests are performed and their results are communicated to the other medical professionals. Care home residents spent their most of the time with me thus if any of the adverse changes occurs in the patient then I keep record of such changes and notify those changes to expertise health care team. For this purpose I have regular interconnection with the multidisciplinary team. Along with the nutritionist the team also consist of palliative care service providers, social workers and therapist. To assure that all service users are given effective care necessary information related to patient are essentially exchange with each other(Coyne, Holmström and Söderbäck, 2018). In Groveland residence there are people who are not able to feed themselves or to change bed sides at their own. Their old age and physical disability is one of the key factor which make it hard to perform the routine activities. Thus, I also provide assistance to such patient in feeding or moving their body so that their nutritional and physical care needs can be identified. Every day, I also check the respiratory rate, blood pressure, pulse and heart rate so that the health status of the patient can be identified and if there are any kinds of health risk then they can be identified on time and can be prevented. For instance few of my patients who are in the age group 75-85 years are suffering from pressure ulcer. Due to weakness and age factor it is almost impossible for them to make movements periodically. In case of pressure ulcer it becomes very essential for the patients to continuously change their position so that wounds can be prevented and treated(Kim and Park, 2017). For such patients I provide assistance in making movements so that wounds and infection risk can be overcome. This aspect of monitoring elderly members for avoiding their vulnerability towards 6
specific risk is also one of the critical part of my job role. While making my daily assessment I also provide assistance to patients in taking medications so that medication errors can be neglected and old people can take their medicines on time. Dementia people often forgets to take their medications or can event take medications multiple time. In providing person centred care to elderly and dementia patients as healthcare assistant I have to assure that medications errors are not commenced within Groveland. In the monitoring and recording the health status of the patient I also check different attributes such as patient's feet, skin, blood samples and other health outcomes(Barbosa and et.al., 2015). This function helps me to assess the impact of various medicines or the nutritional intake on individuals so that if there is need to incorporate any changes or improvement then the same can be implemented. For the quality services it is also required that care home residents are provided health education. The people are required to educate people that how they can enhance the quality of servicesandwhathelptheycanseekfromtheserviceproviders(Sahlen,Bomanand Brännström, 2016). Being a health assistant I inform each of the residents that how they can call staff members in emergency situations or in case if they need immediate care. The health education program conducted by me is valuable and significant as it leads to equal participation of patients in the care. CONCLUSION It can be concluded from above study that health care services are basic need of an individual. There are several responsibilities of health care assistant. It differs from the role of nurse. I learned many new things as assistant. I gained knowledge about how care plan is developed, risk assessment is done, etc. Also, I learned about formal and informal way of communication. Besides this, I analyzed different patient behaviour and their needs. As an health care assistant I realised that communication skill is very important as it supports in identifying needs and providing services accordingly. 7
REFERENCES Books and Journals Barbosa, A. and et.al., 2015. Effects of person-centered care approaches to dementia care on staff:asystematicreview.AmericanJournalofAlzheimer'sDisease&Other Dementias.30(8). pp.713-722. Bodenheimer, T. and Bauer, L., 2016. Rethinking the primary care workforce—an expanded role for nurses.New England Journal of Medicine.375(11). pp.1015-1017. Cooke, F.L. and Bartram, T., 2015. Guest editors’ introduction: human resource management in health care and elderly care: current challenges and toward a research agenda.Human Resource Management.54(5). pp.711-735. Coyne, I., Holmström, I. and Söderbäck, M., 2018. Centeredness in Healthcare: A Concept SynthesisofFamily-centeredCare,Person-centeredCareandChild-centered Care.Journal of pediatric nursing.42. pp.45-56. DeMarco, R. and Healey-Walsh, J., 2019.Community & Public Health Nursing: Evidence for Practice. Lippincott Williams & Wilkins. Hopman, P., and et.al., 2016. Effectiveness of comprehensive care programs for patients with multiplechronicconditionsorfrailty:asystematicliteraturereview.Health Policy.120(7). pp.818-832. Kim, S.K. and Park, M., 2017. Effectiveness of person-centered care on people with dementia: a systematic review and meta-analysis.Clinical Interventions in Aging.12. p.381. 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. Lines, L.M., Lepore, M. and Wiener, J.M., 2015. Patient-centered, person-centered, and person- directed care: they are not the same.Medical care.53(7). pp.561-563. Sahlen, K.G., Boman, K. and Brännström, M., 2016. A cost-effectiveness study of person- centered integrated heart failure and palliative home care: based on a randomized controlled trial.Palliative medicine.30(3). pp.296-302. Salmond, S.W. and Echevarria, M., 2017. Healthcare transformation and changing roles for nursing.Orthopedic nursing.36(1). p.12. Stanhope, M. and Lancaster, J., 2015.Public health nursing-e-book: Population-centered health care in the community. Elsevier Health Sciences. 8