Meeting the Needs of Service Users: A Case Study of Ola Adeyemi

This report includes a case study of person named Ola Adeyemi, thirty-year-old man who is suffering from Down syndrome which is a genetic disorder. It discusses the role of a social care worker to build the care plan for Ola Adeyemi based on his aim to become independent and accomplish development in his life.

Meeting the Needs of
Service Users.

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
ASSESSMENT:.....................................................................................................................2
IMPLEMENTATION:...........................................................................................................4
EVALUATION:.....................................................................................................................5
REFLECTION:.......................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES ...............................................................................................................................8
APPENDIX....................................................................................................................................10

INTRODUCTION
Meeting needs is an essential concept which comes under the Care Act and that purposely
moves away from the term “providing services or resources”. As it recognises that the
requirements can be met in various forms and that what may meet the requirements of one
individual may not meet the requirements of another individual in the same condition. In health
and social care, the social worker plays a specialized role that is to aid the patients as well as
their families to cope with their illness or diseases and disabilities. The main objective to have a
social worker in health and social care is to prevent and decrease the various negative social as
well as psychosocial conclusion of the illness. It also aims to empower and instruct ill people to
utilize their resources. This report includes a case study of person named Ola Adeyemi, thirty-
year-old man who is suffering from Down syndrome which is a genetic disorder. A disorder
“Down syndrome” is caused by trisomy of 21 number chromosomes instead of having the usual
two copies it includes the three copies of chromosome number 21. here in the given case study,
includes the role of a social care worker to build the care plan for Ola Adeyemi. This particular
care plan is based on the accomplishment of Ola's aim to become independent and accomplish
development in his life (Akemoglu, Muharib and Meadan, 2020).
MAIN BODY
In the given case study of Ola Adeyemi, it has been identified that Ola Adeyemi is
suffering from a disorder called Down Syndrome and living with his parents in Wembley. As
Ola Adeyemi is dependent on his parents for some of his daily activities such as dressing. Ola
never performs social activities such as cooking food, using public transport and job although he
just attended school until the age of 18. Due to his condition, his parents are suffering from
several issues such as mental wellness complications, physical conditions. It is because when a
person is born with this particular disability, that person has to go with lifelong intellectual
disability as well as the delayed in his developmental process. As it is a genetic chromosomal
disorder and causing disabilities that including learning in a person. In some cases, this disorder
also involves the enhanced risk of facing several mental health problems such as behavioural
fluctuations, anxiety, depression and many more. It can also lead to heart-related problems with
time in an individual such as memory loss, dementia and to cope with such problems. They need
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support of other people to perform their daily activities and then become dependent on others for
their particular activities (Akoglu and Dankl, 2021).
To access Ola Adeyemi's care plan, a social care provider can make a care plan with the
help of the APIE model framework so that the care provider can easily provide basic needs
which will help to improve and make him independent. The APIE framework can help the social
care provider to deliver high-quality care to the patient. This framework can take a practical
approach and an attempt to tackle such difficulties which are generally connected with the
patient. It is considered that this framework is generally an effective scheme to empower
wellness to evaluate clinical performance.
APIE MODEL
While applying this, framework, there is a need to evaluate the needs which should
depend on the qualitative and quantitative data. There should be an observation of data which
should be quantitative like the physiological status of the patient there should also need to routine
check-ups like getting body temperature, heart rate, blood pressure. There is also a need to
identify the need of the patient which should depend on concern, expectation or data for the
further fulfilment of needs. This model provides the information where it stands for assessing the
problem, planning a response, implementing a plan and evaluating response. This model is
specially used in nursing care practices. Through this model, there is a discussion about Ola's
needs that are going to be discussed further (Bhandoria and et. al., 2021).
ASSESSMENT:
This is the element that helps to identify the problem which should be focused on the
solution and can provide a solution to me. Through assessing medical history, it can help to
evaluate Ola's healthcare needs that should be fulfilled for health improvement. In this step, there
is a need to gather data that should be taken and evaluated through a different procedure like
collecting information that includes weight, height, pulse, temperature and blood pressure. There
is also a need to identify qualitative data which includes social background, mental state, family
status and other factors. There are various ways to collect data like face-to-face interaction,
interview techniques, measurements, observations, on basis of medical history and others. In this,
there is a need to ensure from the patient side that evaluation or interpretation is correct. In this,
it has been identified that there is a need to improve their communication skills which should be
effective and can help Ola to communicate and share his view effectively. Through identifying
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strengths, preferences, aspiration and personal goals assessment help to identify the care needs
and its level which can be provided through an individual for better health improvement. There is
a need to provide education and learning for self-concern and self-care. This can be effective and
can help to get a better evaluation with health improvement. In assessment, there is a need to
evaluate Ola's needs based on strengths, aspiration, preference and personal goals. There is a
need for assessment that can be effective to identify Ola's personal needs for better health
improvement. It is also essential to provide learning about using public transportation along with
a healthy diet. Social worker should also enable Ola to get employement which can be effective
and allow get learning about society and others (Damen, Vos and Lallemand, 2021).
PLANNING:
This is the second stage which is necessary to provide better and effective care planning.
In this, a patient needs to be taken into account which includes lifestyle, economics, values along
personal preferences which influence individual goals. There is a need to record patient response
to any planning of care that is provided to Ola's and allows to identify needs. After interpretation
of assessment, there is a need to make some plan which should be effective for the client and
needs to discuss with the client for their preferences. This should also be accountable and should
be evidence-based to provide care and treatment. It has been evaluated that there is a need for
person-centred care that can be effective for Ola and can fulfil his needs. In this, there is a need
to take participation within an individual which is related with patient choice and their consent
regarding intervention. There is a need for the person-centred care plan and social model of
disability which can help to provide better outcomes. There is a need to plan for a goal that
includes improvement in speech or motor skills. It is also need to enhance and improve Ola's
awareness about self-care (How and et. al., 2019).
Speech therapy- There is a need to plan for speech therapy which is effective and can
allow getting better and effective understand that can influence an individual to improve their
ability to think effectively instead of expressing. There is a need to provide care and support to
better improvement in speech. This is effective in improving the language programme and can
allow express himself in a better way. Social care worker need to take care that this therapy
should work effectively and can allow getting better improvement in the language and speech.
Care provider should also ensure that there should not be any type of harm to the individual
during improving their speech (Jessel and et. al., 2020).
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Providing education and learning- It is the one that is more effective for Ola. This can
help to make him learn about the taking own care. This can also allow Ola to work effectively
and can get include in society. This is effective and helps individuals to make better relations
with others in society. This can have more impact on individual and through providing education
and learning, it can help Ola to focus on his diet and better health by own self. Many types of
education that are highly effective and can provide better assistance to Ola to improve his
knowledge and learning. This can also help to get better and effective skills to perform various
tasks like getting travel own self in public transport and others (Kaczorowska and et. al., 2019).
IMPLEMENTATION:
This is next step in the whole process that is effective and crucial for health improvement
after the planning step. There is a need to implement the plan with better effect. This can have a
high impact on the process of planning. In this, social worker need to implement it effectively
which is associated with the care plan. Social worker can implement a plan and make in practices
that can allow them to take care of every step of implementing the plan with changes in the
health of Ola. To implement such plans social worker needs to develop a therapeutic relationship
with the patient so that the patient can effectively communicate with the care provider
concerning his requirements and also the choice of care. The therapeutic relationship is purely
based on trust and respect. In this step the care provider should also provide patient-centred care
as this approach can enable Ola to manage his health as well as the quality of life, thereby
enhancing his physical and social health and gratification with care. This approach includes some
components such as social worker can treat their patients with respect and dignity. In this,
patients often lose their independence and the patient-centred care approach allows the patients
to keep their dignity by honouring their wishes (As in the case of Ola). It also provides
personalised aid and support as this care enables the patients to retain their freedom and also
make patients fulfil their personal needs. In this implementation step, the social model disability
approach is also important for Ola and the social worker should provide him as it helps him to
identify the obstacles which make his life more difficult. By removing these obstacles, creates
equality and also offers Ola to become more independent, control his life. A new strategy has
been developed by the government for the learning disabilities of the patients. The social worker
should implement such strategies which are about valuing people to enhance patient care. This
strategy has its basic principle which is right, freedom, their choices and inclusion. This approach
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can be used in the case of Ola Adeyemi by the social care provider. As this can help Ola to
improve his well being and skills (Rigney and et. al., 2018).
EVALUATION:
Evaluation is the final step of the APIE framework and the care plan. The evaluation
process is based on three types such as goal-based, process-based and at last result based. The
main purpose of this step is to understand and find out the potency of the social care provider as
it eliminates the care planning which is not required and is extra. During this step or phase, the
social care provider will find out how to measure the success of the goals and interventions of the
patient care. Their measures include the patient's condition which can be improved, stabilised
and worsened. It is quite necessary to set a determinable goal so that a social worker can easily
classify the patient's care plan. In addition to this, the social care worker also needs several skills
which can help to improve the patient outcome such as Empathy, problem-solving skills,
motivation, communication skills, self-awareness. Social care provider should understand patient
need and feelings and the situations which the patient is facing (Opoku and et. al., 2019).
Through communication skill social care provider can communicate with Ola effectively to fulfil
his needs. It is quite important for care providers to understand the feeling of their patient. These
effective skills can develop a strong relationship among patients and care providers that can lead
to manage the medical conditions and improve their health behaviours.
The skills such as Problem-solving can help in proceeding solution to patients problem
which h involves the findings as well as how to deal with the problems that are arising with
patient care. It consists the knowledge or understanding about a situation, identifying the cause,
considering the situation and finally choosing the best possible outcome to cope with a particular
condition. Motivation plays an important role in patient care as it is necessary to motivate their
patients so that they can build their confidence and improve their well being. In the case of Ola
Adeyemi, this typing skill is important as it can help him to make his relationship more
comfortable, improve his behaviour and also make him independent. Self-awareness includes the
awareness about own so that an individual can manage his/her emotions, align owns behaviour
according to their values, make it understandable in front of others. People who are very self-
aware about their own can easily interpret their emotions, their actions, thought processes and so
on. In the case of Ola Adeyemi, a social worker can adapt this skill so that she can motivate him
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so that he can also easily interpret his feelings or emotions in front of the care provider (Sakhon
and Edgin, 2020).
Benefits or funding assistance:
The benefits or funding assistance in patient care provides several resources to increase
their well being. The social worker should provide enough information or knowledge to Ola
about the free services provided by the government for disabled patients. It is necessary for him
as he can get assistance at the right time so that he can improve his skills and can become
independent. This funding assistance can help him to save his money for other works or personal
works. By availing such benefits or assistance, his family are now able to manage his needs and
this funding can even help to save his parent's savings (Scalioni and et. al., 2018).
REFLECTION:
Reflection here includes by the above care plan assessment is that as a social care
provider, I empower myself to continuously enhance my work or the quality of care which I am
providing to the patient. Reflection here allows me to share information with others also to
increase or benefit their practices as well as mine. This can help me to perfect my practice so that
i can enhance my relationships with others. A brief explanation of the whole care plan is
described below with the help of the Gibbs model. It is one of the most famous cyclical models
of reflection containing several stages for describing my experience. The stages include:
Description: As a Social worker, I worked for a patient called Ola Adeyemi who is
suffering from Down Syndrome. I made a care plan such as assessment, planning, interventions
and evaluation so that I can effectively provide quality care to Ola. I did all the tasks which
includes providing the speech therapies, education and learnings, improving the communication
skills, developing the awareness about patient care which Ola needs for his independence and
improving his well being. In this, the only aim of my is to achieve all the goals which can lead to
the betterment of Ola's health. Here my role as a social worker is to effectively execute all these
interventions and planning that are related to the care plan like I have arranged a speech therapist
and physical therapists, technical assistance who can work freely for such disabled patients.
Feelings: During this process of a care plan, i feels that to succeeding the goals, it is very
essential to manage the work which is between me and patient. This management of work is
quite important for the patients and make them live independently as well as the quality of life.
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Here, I am feeling gratified that i can completely achieve all these aims by choosing the correct
care plan for Ola Adeyemi (Shields and et. al., 2018).
Evaluation: from the above care plan, i experiences the effectiveness of the APIE
framework which I implemented in Ola's case. Here i explains about valuing people plan, the
therapeutic relationships between my and patient and the social model of disability effectively so
that i can help Ola to accomplish all his goals which are required to improve his health.
Analysis: In the above case of Ola Adeyemi, these things make me to understand that
every person who is born disabled can have the potential or right to live their life more
independently. It also comes under consideration that such interventions or planning can help
disabled patients to enhance their well being (Sun and et. al., 2021).
Action plan: From the above care plan, my experience here is to observe patients need
and support him in various aspects such as emotional, social, physical and so on. I effectively
add these particular experiences or skills in my personal life also so that these things can improve
my health outcome also.
CONCLUSION
It is concluded from the above research that Down Syndrome is a genetic disorder caused
by the extra copy of chromosome number 21. Due to this syndrome, people have to suffer from
various developmental issues, mental health issues. As these people cannot able to live their life
independently. To make these people live their life more independently, the social care provider
made a care plan so that people can make improvements in their well being (As in the case of
Ola Adeyemi). For effective health outcomes, the social worker has developed a care plan by
using the APIE framework which generally includes the assessment, planning, intervention and
evaluation. From the above study, it is also concluded that the use of effective skills is quite
important to establish a stable relationship between patient and care provider. It is also concluded
by the social worker about the importance of skills such as communication, documentation and
so on by which she can achieve positive outcomes in the case of Ola Adeyemi.
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REFERENCES
Books and Journals
Akemoglu, Y., Muharib, R. and Meadan, H., 2020. A systematic and quality review of parent-
implemented language and communication interventions conducted via
telepractice. Journal of Behavioral Education, 29(2), pp.282-316.
Akoglu, C. and Dankl, K., 2021. Co-creation for empathy and mutual learning: a framework for
design in health and social care. CoDesign, 17(3), pp.296-312.
Bhandoria, G. P and et. al., 2021. International Gynaecological Cancer Society (IGCS) 2020
Annual Global Meeting: Twitter activity analysis. International Journal of Gynecologic
Cancer, pp.ijgc-2021.
Damen, I., Vos, S. and Lallemand, C., 2021, August. The Hubs: Design Insights for Walking
Meeting Technology. In IFIP Conference on Human-Computer Interaction (pp. 610-
629). Springer, Cham.
How, B and et. al., 2019. ‘We would have missed out so much had we terminated’: What fathers
of a child with Down syndrome think about current non-invasive prenatal testing for
Down syndrome. Journal of Intellectual Disabilities, 23(3), pp.290-309.
Jessel, J and et. al., 2020. Does analysis brevity result in loss of control? A consecutive case
series of 26 single‐session interview‐informed synthesized contingency
analyses. Behavioral Interventions, 35(1), pp.145-155.
Kaczorowska, N and et. al., 2019. Down syndrome as a cause of abnormalities in the craniofacial
region: A systematic literature review. Advances in clinical and experimental medicine:
official organ Wroclaw Medical University, 28(11), pp.1587-1592.
McDermott, S and et. al., 2018. Using Medicaid data to characterize persons with intellectual and
developmental disabilities in five US states. American Journal on Intellectual and
Developmental Disabilities, 123(4), pp.371-381.
Opoku, M. P and et. al., 2019. Teaching students with Down syndrome in regular classrooms in
Ghana: views of secondary school mathematics teachers. International Journal of
Disability, Development and Education, 66(2), pp.218-232.
Rigney, G and et. al., 2018. A systematic review to explore the feasibility of a behavioural sleep
intervention for insomnia in children with neurodevelopmental disorders: A
transdiagnostic approach. Sleep medicine reviews, 41, pp.244-254.
Sakhon, S. and Edgin, J., 2020. Neurobiology of down syndrome. The Wiley Encyclopedia of
Health Psychology, pp.197-203.
Scalioni, F and et. al., 2018. Perception of parents/caregivers on the oral health of
children/adolescents with Down syndrome. Special Care in Dentistry, 38(6), pp.382-
390.
Shields, N and et. al., 2018. Do adults with Down syndrome do the same amount of physical
activity as adults without disability? A proof of principle study. Journal of Applied
Research in Intellectual Disabilities, 31(3), pp.459-465.
Sun, J and et. al., 2021. Digital twins in human understanding: A deep learning-based method to
recognize personality traits. International Journal of Computer Integrated
Manufacturing, 34(7-8), pp.860-873.
Tian, P and et. al., 2021, June. The clinical effect of psychosomatic interventions on empty nose
syndrome secondary to turbinate‐sparing techniques: a prospective self‐controlled study.
In International Forum of Allergy & Rhinology (Vol. 11, No. 6, pp. 984-992).
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Vorravanpreecha, N and et. al., 2018. Studying Down syndrome recognition probabilities in Thai
children with de‐identified computer‐aided facial analysis. American Journal of Medical
Genetics Part A, 176(9), pp.1935-1940.
Will, M. N and et. al., 2018. Evidenced-based interventions for children with autism spectrum
disorder. Current problems in pediatric and adolescent health care, 48(10), pp.234-249.
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APPENDIX
10

Ola Adeyemi centred plan of care.
Nursing
diagnosis
Assessment Interventions Implementation Evaluation Achievements
Chorionic
villus
sampling test
(CVS).
In this section,
it includes the
development
in the various
skills such as
physical
activities, self
care or self
awareness.
In this section,
it includes
several
interventions
such as the
therapies
including
speech and
physical. It
also includes
assistance to
technologies.
Providing
emotional or
physical
support.
In this section, it
includes the
therapeutic
relationships to
establish a
smooth
relationship
between patient
and care provider.
It includes skills
for patient
centred care,
motivation skills,
problem solving
skills to
implement in
patient care to
receive better
outcomes.
It includes
the
developme
nt in
various
activities of
the patient.
The patient
can take
their care
effectively
b y
applying
such
interventio
ns. Patient
able to use
the
transport.
Accomplis
hment in
getting
good
accommod
ation.
Improvement
in skills
including
speech and
motor.Enhance
the
understanding
and awareness
about self care
or self
awareness.
Enhanced
independence.
accomplish
good
accommodatio
n and job.
11