Learning and Management: Delivering Person-Centred Care Report

This report provides a comprehensive analysis of learning and management strategies in delivering person-centred care, focusing on a case study involving Keisha, a patient with Down syndrome and type 1 diabetes. It addresses the challenges of managing her weight and sugar intake, emphasizing the importance of safeguarding vulnerable adults and providing a safe environment free from abuse and neglect. The report highlights the need for effective communication strategies, regular exercise, and a healthy diet to improve Keisha's health outcomes. It also discusses the Mental Capacity Act and Liberty Protection Safeguards, ensuring Keisha's autonomy and respect for her decisions. Furthermore, it explores holistic management approaches, including self-care plans and yoga, to enhance her quality of life and promote a positive attitude towards treatment. The report concludes by emphasizing the significance of person-centred care in optimizing health outcomes and empowering Keisha to actively participate in her care plan.

Learning and management
the delivery of person centred
care

Table of Content.
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Discussion....................................................................................................................................1
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
The compact representation of the case study primarily includes Keisha, who is a
Down syndrome and type 1diabetes patient. Leadership management is the tool that must
be used by Keisha's mother and nurse during the care setting to provide them a quality of
care while enhancing the development of patient abilities in safety way. The problem
patient is facing in the episode is an enhancement in weight which is being occurred due
to indulging eating and enhanced sugar intake by Keisha. This report will cover a holistic
plan and person-centered care for Keisha while providing her safety pathway to reduce
their condition. A social module is a strategy used to enhance effective communication
between patients and health care providers.
MAIN BODY
Discussion
As per the view of Jeremy (2016), Safeguarding adults is primarily about
protecting the right of vulnerable adults to provide them safe environment which his free
from any abuse or neglect. It is primarily the care provided by health care provider t
enhance the individuals development in consecutive productive pathway However, it has
been perceived that individuals with developmental disabilities are in higher risk of
forthcoming episode of violence which result is comprehend as result of discrimination
or abuse which might be physical, emotional, structural, sexual or psychological in
nature. It is essential to safeguarding individual irrespective of age, gender, religion or
ethnicity they belong to has right to live freely. However, care act relate out huge
responsibilities to the health care provider to provide the primary care to vulnerable
adults. As violence reflects negative outcome on their physical and mental health
disruption along with loss of dignity which is reflected through alteration in behaviour
and growth destitute. Through this approach prime focus is being taken into adult health
where their adequate counselling is being taken to ensure the magnitude of danger carried
out while make them aware about their rights.
As per the view of Alex (2007), Down-syndrome is characterised as most
common intellectual disability in UK. The individuals generate risk primarily towards
thyroid function, weight and dementia. However due to developmental disability, they

are at higher risk of development of mental health issues also due to Keisha is at risk of
expressing violence or harassment. 1 in every 4 individuals with disability experience the
violence which might also echoic through their own parents as result of frustration and
exceptional anger on them. Care setting provider must provide Keisha with effective
communication strategies to enhance their challenging attitudes. Patient is need to
regularly incorporate the exercise as enhancement in excess weight in patient can lead to
development of thyroid episode. Clinical issues that Keisha mother is more concern
about is their rate up weight. Due to Keisha repeated episodes of the outing with her
friend there is enhance in chance of sugar intake which is enhancing complication in
hyperglycaemia enhance magnitude. Keisha due to her enhanced interaction with Kemal
flexure their chocolate and sugary food consumption as it might fluctuate sugar level in
bloodstream. It is enhancing mother concern about Keisha health as when not controlled
on time it might lead to development of obesity state in Keisha which will trigger the
diabetes on worsen side.
In context to sally (2007), patient health condition is also linked with obesity,
heart defects or immune disorder. But major concern over here is Keisha fluctuation in
meals which will hinder her weight primarily. Weight flexure will enhance the associated
complication which includes narrowed blood vessels, progression towards high blood
pressure or heart disease and further to stoke development. Intake of enhanced sugar
might also trigger nerve damage over time with other organ damage to. Keisha mother is
highly concern about these complication about their health as down syndrome infected
individual with episode of hypoglycaemic are being high risk of devolution of eye, feet,
kidney or blood vessels disability over the instance when not be maintained carefully at
time. Mother is primarily concern about Keisha enhanced hangout with Kemal which
increase the change of being pregnant or progression of STD (Borchers, Uibo and
Gershwin, 2010).
As per the view of the Hayley (2020), the mental capacity act is being symbolise
for providing safeguarding approach to one who may lack capacity to have effective
communication. Due to deprive communication ability they might resource the poor
learning setting which might trigger their physical health. This action degrade their
morale and self acceptance quality and creates barrier to social life. Individuals with the

developmental disability undergo high episode of violence which alter their behaviour
into self-harm condition due to enhanced mental and psychological pressure episode.
Primarily girls are more prone to emotional, structural and sexual violence at home,
school or public places which his need to be controlled by facilitating focus on their
emotional need and feelings while ensuring that they are being treated in fare manner.
The adequate environment need to be created to provide them platform to enhance their
choices equally while building the trustful relationship with them to interpret their
concern in more profound manner.
As per the veiw of leonar (2020), under the care act the care provided to patient
must be in supportive manner while providing immense respect to their decisions
prominent and non-judgmental manner. The care provided to them must include their
choice and concern in effective manner. Mental capacity act is the framework configured
to endow the care and support to one who incorporate mental health or mental disability
who deprive decision making intellectual. It regulates that while safeguarding these adult
from vulnerability, it is need to make sure that their they are allowed to taken
accountability of their own live according to their choice and that are need to be equally
respected by others. When subordinated with mental capacity framework it has been
examine that care decision are only provided after taking their consent. The assistance
to the patient is only provided after analysing patient needs in accurate manner while
respecting their choice and when they are not able to take decisions on their own, then
guidance is being provided. It also ensure that they are being close to trusted care
supporter who might taken decision for them according to patient preferences. Liberty
protection safeguarding was framework implemented in England to provide autonomy of
care treatment who imposed medical disability. Here the wide range of setting is being
provided to ensure their protection and care in home and hospital setting for patient. The
act relates that every individual has right to take their own decisions in effective manner
(Burn, 2010).
As per the view of Richard (2019), individual with development disability and
having the episode of hyperglycaemia are at high risk. Primarily the one who possess it
from birth are more vulnerable to health issues and human rights humiliation which is
been symbolise through violence, barriers or discrimination they face. However the

disease is associated with substantial medical-psychological disturbance which lead to
loss of self-esteem and confidence in them. To have a control on her health, Keisha need
to have healthy diet and proper management plan to improve their health in optimistic
manner. They are need to be provided with adequate support and guidance to maintain
their glucose targets. Red flag for Keisha case is her deprive learning capacity or bring
down motor reaction which affects her social behaviour. Primarily the red flag for the
diabetes are unconsciousness, alteration in vision capacity, heavy breathing with the
feeling of drowsy and many more (Dierssen, 2012).
As per the case study, Keisha mother was primarily concern about their enhance
hunger as there is accelerated sugar consumption by Keisha due to frequent cafe visit
which might trigger the weight gain. When they are not being controlled on time by
Keisha it might trigger their cognitive function or escalate the pressure on heart and other
organs. It might also generate numbness of hands and feet. Mother is highly concern with
expedited fear due to rapid episodes of hyperglycaemic which result in fatigue that lead
to hospital happening of Keisha. It has also trigger mother due to suspect of Keisha being
pregnant or acquire sexually transmitted disease. Mother need to incorporate effective
communication with Keisha as to regulate the importance of control intake of food which
will support Keisha in regulating their insulin magnitude. Healthy eating pattern while
implementing portion effective diet will enhance her growth and development in
accelerated form. However, Keisha has chronic illness which required a accurate medical
care to reduce the episode of enhanced hyperglycaemic episodes. Keisha need to
modulate healthy weight while having a regular monitoring of the blood sugar level.
Need to incorporate medicine direction as regulated by healthcare provider to ensure their
health protection in healthy manner. Keisha need to actively look on negative
consequences of her action to modulate it in effective manner to reduce the cause
forthcoming complications.
As per the view of Yupin (2021), holistic management is characterised as the care
where the patient needs and demands are being respected in accelerated manner. Here the
approaches are used to improve patient mind, behaviour and emotions to enhance their
quality of living. It is used to regulate the blood glucose level in diabetic patient. The
treatment is provided in ground level where overall health condition is being analysed

accurately while having the proper counselling sessions with patient to interpret their
choices and beliefs. Primarily the self care natural plan for the Keisha includes providing
them fibre based diet to regulate her own insulin penetration level which can stabilize
through incorporating whole grains, beans, legumes, mineral rich vegetables and fruits in
their diet. When incorporating the herbal medicine in diabetes care there is reduce in
chance of occurrence of liver problem, diegetic disorders and many more associated
complications. It helps for wight management as they have lower energy density which
support in improvement of postprandial fullness. It may also includes integration of the
alpha lipoic acid when consulted with physician with the range of 600 to 1200 mg of
supplement per day to reduce the forthcoming complication of nerve or kidney damage in
patient. In context to Joko, when 45 days yoga is incorporate with therapy more
productive result are been provided. It is the approach used where patient mind, body and
spirit are being integrated in healing process to enhance their positive attitude for the
treatment. It primarily includes to create environment according to patient belief and
willingness to ensure their health progress. It is being performed to optimistically impact
quality of life of Keisha while ensuring healthy lifestyle modulation which includes
practising yoga and providing them essential health education timely to Keisha protect
them with their rights.
As per the view of Jennifer (2016), advancement in treatment has recount to
enhanced individual health outcomes. Person-centred care is approach used by care
setting to ensure treatment plan for patient while incorporating their decision and beliefs
equally. Keisha is need to incorporate healthy dietary choices with aim to enhance the
health outcomes of patient as insulin level is optimise. However, Keisha is also inherit
with development disability, so counselling sessions need to be provided for enhance
patient active communication ability. This approach will also enhance Keisha active
listening cognition which will support her in sharing of evolute thoughts without having
fear of being judged or violated by anyone in care setting. Patient is advice to perform
own glucose level analysis with support of her mother to ensure accurate result of sugar
level units which will benefit in treatment as chance of potential errors in care will
reduce. Keisha is need to be educated with usage of blood test tool operation to improve
her quality of life. Patient is also need to provide with regular training sessions to

enhance their awareness for actions need to be taken. Patient and her care provide is need
to be guided with body reaction when blood sugar level begin or drop down to enhance
the awareness for alarming signs which might include sweatiness, confusion, weakness
and many more. One evidence based approach that must be used by the patient are
regulating their dietary changes and enhanced physical activity. Patient need to avoid
saturated fats including sugar and caffeine in meal while incorporating whole grain and
vegetables in their diet to promote healthy functioning in body. Patient centred-care is
need to be incorporated to enhance their understanding between patient and provider in
effective manner.
As per the view of amiri (2020), diabetes is represent as high glucose episode in
blood. It is been reported that UK is of the country with highest incidence rate of type !
Diabetes. It is been found that there are around 15 t0 26 patient with type 1 diabetes in
every 10000. Multidisciplinary treatment team consist of paediatrician, nurse, diabetic
educator and many more to provide complex diabetic care to patient. The diabetic nurse
specialist will ensure results of blood glucose monitoring are being database accurately
while evaluating the adherence that might be caused due to providing dietary. To analyse
Keisha's orthostatic changes they will take an assessment of blood pressure while sitting
and standing while assessing the visual activity of a patient. Regular analysis of lipid
profile, and serum creatine level is being guided to the patient mother by a nurse. A
dietician will incorporate with the patient's mother to provide an intense plan according
to the patient's choice to facilitate the patient interest in consuming healthy meals while
respecting the patient's cultural and ethnic preferences. Patient diet history is thoroughly
reviewed by them. Around 400,000 people are currently living with type 1 diabetes in
the UK. A multidisciplinary team will ensure that patients is being free from violence and
discrimination in the care setting to protect their mental and social well-being. They will
also ensure that patients are provided with quality care according to their needs while
enriching their self-esteem. The social care provider will guide the patient on the risk of
development of the sexually transmitted disease while providing the instance and role of
contraceptives as they play role in boosting patient emotional support.
Insulin management is the therapy used to regulate insulin levels in diabetic
cases to prevent associated complications that forthcoming when there is an alteration in

blood sugar level occur. Insulin levels are being managed after having regular audits of
insulin levels timely by the patient. They are being also controlled by the patient by
healthily regulating their diet while adapting to active lifestyle changes (Savage and et.
al., 2011).
Sexually transmitted diseases are an infection that is transferred from one
person to another due to sexual contact which can be either through the vaginal or oral
pathway. They can also be transferred through skin-to-skin contacts like herpes and HPV.
However, the patient is an adult age where hangouts are being cognition so the social
care provider must need to educate Keisha on the protection method that needs to be
taken her (Platt and et. al., 2011).
Obesity is a complex disease that is being developed due to the enhanced
consumption of sugary food by individuals. It occurs when individuals consume higher
calories than what they can burn out which enhances their body mass index. Since Keisha
has enhanced her craving for sugar and refined carbohydrates due to hangouts which
enhances her risk for the development of obesity (Agha, and Agha, 2017)
Easting disorder is symbolized as a psychological disorder that his being
characterized as abnormal or disturbed eating of an individual. It is developed when
individuals possess alteration in their eating behaviour which is being influenced
prominently through diet culture or trauma. Its development might occur when the
patient reduces or stop the dosage of insulin level to control her weight (Pépin and King,
2013).
As per the view of Jibran (2015),Blood sugar level can be prenominally manage
by patient while having regular monitoring of glucose level through glucometer. They
need to be provided with regular guidance for enhacing their awarness. Through this tool
magnitude of sugar in blood stream in being evaluated in small sample usually which his
taken through finger. Patient must be guided to take sugar level test 4 times a days
including just after waking up, during bedtime, before taking meal and after a meal.
As per the view of ketan (2020), when patient with hyperglycaemia is identified ,
intravenous infusion insulin is need to be prescribed to maintain level of glucose. When
incorporated effective diet then standard oral antidiabetic agents are need to be
incorporated. Patient is need to incorporate regular exercise for safe and effective

treatment. Other than it patient must incorporate insulin pumps which can quickly
accelerate insulin delivery when blood sugar level are being drooping which prevent the
development of hypoglycaemic episodes. Other than that patient must be guided to
include fast-acting carbohydrates to be taken when sugar level dips down while guiding
patient for identification symptoms for it.
As per the case study, diabetic special nurse referral is been provide for the
patient as to provide patient evidence-based care for their health condition. Nurse guide
the patient in accurate way to take medicines effectively to improve their health condition
while regulating their development ineffective manner. They provide plan according to
patient beliefs and demands as to incorporated enhanced cooperation fo patient in their
own treatment. They actively analyse patient actions as to regulate the immedicable care.
As per the view of John (2021), Screening is the tool utilize by the health care
provider to regularly analyse adulteration cause in Keisha indication. It is been seen that
more than 85% of children who develop Type-1 diabetes don't have nay family history
for it. It is used to detect underlined cause of the health issues patient are facing as pre-
identification support reduce the need of hospitalisation. It primarily includes Body mass
index, Skin checks, cholesterol level, eye exams and many more. These are being
performed in hospital to detect the cause of fatigue Keisha incorporates.
As per the case study, Keisha issue with mother is being solved while enhancing
their effective communication while spending more quality time together in productive
manner. Mother must actively listen to Keisha concern while respecting her views
equally as to regulate open-minded conversation between them. Mother must need to
respect her decision of spending time with Kemal as it might boost her confidence and
improve her mental health in productive manner as they both posses same sickness. They
need to spend more time to understand each other (Roberts and et. al.,2010).
Care plan in hospital
Assessment Diagnosis Intervention Evaluation
Fatigue might occur
due to lack of energy
or exhaustion.
Its prime cause can be
identified while having
blood test.
Need to encourage
effective sleeping
while incorporating
effective diet plan with
While regularly taking
body regimes.

essential nutrients.
Hyperglycaemia
episode
Through fasting
plasma glucose, A1C
test or glucometer.
Insulin dose are being
taken after taking
regular audits.
4 times a day.
CONCLUSION
From the above report, case study of Keisha is being concluded where she posses
down-syndrome with hyper episode of hyperglycaemia which his resulted due to
enhanced intake of sugary and caffeine. The report recount the evidence-based care for
the patient during her hospitalisation episode.

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Agha, M. and Agha, R., 2017. The rising prevalence of obesity: part A: impact on public
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