Supporting the Individual Journey through Integrated Health and Social Care

This document explores the concept of integrated health and social care and its impact on individuals. It discusses local resources and provisions that support integrated working, as well as unmet healthcare needs in the local area. The document also explains the differences among health and social care providers and interagency care provisions. It provides an introduction to an anonymised individual with relevant health history and diagnosis of dementia. The document further discusses person-centred care plans and the support provided to the individual in identifying their healthcare needs. It also includes a critical analysis of the individual's role in supporting person-centred care and the use of care assessments in the integrated care pathway. Additionally, the document explores competent leadership in promoting interprofessional working and the application of safe and effective communication strategies. It concludes with an analytical reflection on roles and responsibilities in information sharing and the facilitation of individual empowerment.

Supporting the Individual
Journey through Integrated
Health and Social Care

Table of Contents
Introduction......................................................................................................................................2
Task 1...............................................................................................................................................2
1.1 Outline local resources as well as provisions which aids within integrated care working.2
2) Illustrate local unmet related with healthcare provision within local area.........................3
3) Explicate difference among health as well as social care providers and interagency care
provisions...............................................................................................................................4
Task 2...............................................................................................................................................5
2.1 An introduction of your chosen anonymised individual with some relevant health history
and diagnosis..........................................................................................................................5
2.2 It should include a different person-centred care plans stating how you provided support to
the individual in identifying their different health care need.................................................6
2.3 A critical analysis of your individual role in supporting person-centred care, explaining
and evaluating your own involvement in the different care assessments used across the
integrated care pathway which includes the development and review of the care plan.........7
Task 3...............................................................................................................................................7
3.1 How competent, autonomous and appropriate leadership is being provided in remit role
for promoting effectual interprofessional working within multidisciplinary team................7
3.2 Apply as well as demonstrate safe effectual practices through usage of adequate
communication strategies.......................................................................................................8
Task 4...............................................................................................................................................9
4.1 Furnish analytical reflection in context of roles and responsibilities within information
sharing....................................................................................................................................9
4.2 Analyse and evaluate role, growth and development within facilitation and empowerment
of individuals while communication altering needs.............................................................10
Conclusion.....................................................................................................................................11
REFERENCES..............................................................................................................................12
1

Introduction
Integrated health care is defined as rendering health care services for patients through
which their probable requirements and needs can be accomplished in an adequate manner. The
major aim of these services is to furnish relevant as well as precise care to their patients. This is
an effectual approach that furnishes higher levels of interaction along with collaboration between
medical professionals for ensuring health and wellness of individuals (Berneri, 2019). This is
regarded as inter-professional health care that have distinctive strategies for sharing required data
among teams. It comprises of adequate inclusive plan of actions for treating facilitation for
fulfilment of social, biological and psychological needs of individual. Healthcare professional’s
team comprises of various specialised practitioners like physicians, psychologies, nurses
surgeons and various others.
To understand this concept, Hungerford Care Home is considered which renders nursing
care in which emphasis is laid more on care for people who suffers from health issues related
with dementia. They provide their customers with onsite facilities along with services that
involve aromatherapy, chiropody and hair dressing along with this there are multi-sensory room.
This report will furnish insight into local resources along with provisions that are liable for
supporting integrated working. Furthermore, local unmet and crucial differences among social &
health care providers will be illustrated. In addition to this, anonymised individuals will be
considered that will support identification of person-centred plans and emphasis will be laid on
evaluation of distinct case assessments. Moreover, witness statement will be provided which will
illustrate leadership aspects and at last analytical reflection will be furnished.
Task 1
1.1 Outline local resources as well as provisions which aids within integrated care working.
There are distinct kinds of resources along with provisions with reference to Health and social
care industry. It is crucial for institutes to develop services according to their requirements as
well as services that will assist them within delivering enhanced services with reference to their
betterment (Burdett and Fenge, 2018). This denotes that various healthcare services will be
delivered through which overall health can be improvised. There are distinct programmes that
are being devised for creation of awareness among people related with need and requirements
along with significance for health and wellbeing. Through the assistance of sessions along with
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programmes and collaboration among voluntary firms that will render individuals with effectual
services. The major concept associated with support working and integrated care is dependent
on collective functionalities of institutes for development and creation of services in such a
manner that they are effective and reliable (Cheers, 2019). With reference to dementia disease,
requirements of individuals are quite distinct that have to be accomplished by Hungerford Care
Home. With reference to London Borough of Barnet, there are various local resources along with
provisions that supports integrated care working; some of them are illustrated beneath:
 Care Support Team: This implies that cooperative team are crucial that mainly works
within coordinated and effectual way that will render them with assistance through which
good treatment can be rendered to individuals who have Dementia. Along with this,
relevant treatment as well as needs of diseased individuals by which affirmative
outcomes can be attained. Thus, it is crucial that multidisciplinary care will make it
probable for management to render treatment and good care for individuals who are in
need of services.
 System leadership: The major emphasis of such kind of programmes along with seminars
effectual alterations will be carried out on management and leadership services with
passage of time. The cause behind this is that mindset as well as perception of people is
dynamic within nature (Ebrahimi and Chapman, 2018). In addition to this, requirements
and needs of each people will vary from one other that creates significant influence on
services that are being made by firm.
The major reason for implementation of integrated health and social care services in firm is
disparity that has to be improvised as well as address development of people. There are distinct
firms that render variety of health & social care services for minimisation of issues. Hungerford
Care Home render services to individuals those have Dementia for improvisation of overall well
being.
2) Illustrate local unmet related with healthcare provision within local area
The needs of local area people posses high needs with respect to services that have to be
accomplished in an adequate manner. This leads to creation of influence on people for local area
as they will not have independency with reference to decision making. Mostly, older people are
dependent on others for their daily activities (Field and Brown, 2019). This leads to creation
wide range influence on physical and mental health. Dementia people have difficulties within
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rendering their day to day activities. The older people have relevant choices and needs that
comprises of free and independent living. With reference to provision of local area, they cannot
furnish adequate care and services with reference to older people. The employees are not liable
for managing health situations of dementia people that are required for accomplishment
requirements of individuals within local area (Fraser, 2019). They also render extra care services
from local housing provision and in addition to this, sometimes services are being offered at
homes for dementia.
There are distinct unmet requirements which are being furnished through healthcare
provision to individuals who deal with dementia. The unmet requirements comprises of adequate
service people who possesses higher consideration related with services. In Barnet Borough,
there exists wide range of health care centres that renders treatment to Dementia disease. There
are various clinical commissioning groups that render free health care services to their
individuals. Apart from this, unmet requirements are involved within planning along with
support for long term situations for leading comfy life. In addition to this, unavailability for
general practitioner for acting adequately to ensure well-being of patients that have Dementia
disease (Kousgaard, Scheele and Vrangbæk, 2019). These needs must be accomplished for
fulfilment of improvised livelihood for individuals.
3) Explicate difference among health as well as social care providers and interagency care
provisions.
The healthcare providers render various services to individuals without any kind of
discrimination in context of beliefs and culture. This might lead to creation of pessimistic
influence on services of people where each patient have different perceptions related with health
and care. This often leads to problems between professional as they cannot furnish adequate
services as well as care to probable people. Health care professionals need to abide to various
laws along with legislations through which services can be delivered in a precise manner. The
health care provisions comprises of various roles and do not work collaboratively this often leads
to inconvenience among people as they are not able to address the services.
Integrated care provisions renders adequate needs along with services with reference to
requirements as well as needs of their patients (Lewer and et. al., 2018). Within this provision,
distinct kind of professions are involved that aids within delivering their roles as well as share
data with one other in precise manner with their patients. From this, sample of provisions can be
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developed as well as higher quality services where respect is being given. Along with this, they
are inspired for self care and for this they are motivated through which they can carry out their
day to day activities by themselves. Furthermore, confidentiality of data will also be maintained
by healthcare professionals when services are being delivered to individuals (Martin and Manley,
2018). This leads to creation of an effectual approach for living services between dementia
patients. The aim behind this is to secure patients from any kind of harm that be caused due to
information leakage.
Task 2
2.1 An introduction of your chosen anonymised individual with some relevant health history and
diagnosis
Mrs P is with an age of 75 years facing episodes of memory loss as her son complaints
about her inability to forget familiar ways from garden to their home. Mrs. P also has disturbed
thought process. She faces difficulty to recognise familiar faces of neighbours and cannot
remember names of them. Meanwhile, she gets admitted in emergency department when she has
lost in the ways of garden to home and a neighbour make her reach home. The physician
diagnose the condition of dementia which needs extra care support to her along with respective
treatment for making her completely wellbeing (Mitchell, Happer and Eggo, 2019). Mrs P has
medical history of high blood pressure and hallucinations which occurs due to trauma of her
husband’s death at the age of 80 years 2 months ago. She recovers from trauma within 40 days
and become stable to follow daily routine.
Dementia is not considered as single mental health problem but is known as a group of
disease which can be specifically occurred among people. It includes various kinds of mental
health problems including Alzheimer’s disease, Huntington’s disease, and vascular dementia and
so on. In context of given case scenario of Mrs P, she has condition of Alzheimer’s disease
which is required to be focused in order to formulate effective care plan with appropriate care
interventions for making patient disease free. There are number of symptoms that can be shown
by patient of dementia such as problems with short term memory, keeping track of a purse or
wallet, paying bills, planning & preparing meals, remembering appointments and travelling out
of the neighbourhood. Meanwhile, it is well known that symptoms of dementia may vary in
patients (Oakley, 2018).
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Considering the condition of Alzheimer’s in given case of Mrs P, it has been analysed
that diagnosing methods includes several activities to identify actual cause behind the problem. It
includes carrying physical & neurological examine the several aspects of human body including
reflexes, muscle tone & strength, capability to get up from a chair & walk across the room, sense
of sight & hearing, coordination and balance. Meanwhile, it consist the criterion of conducting
lab tests including blood test which is suitable to analyse the actual cause of memory loos and
confusion (Robertshaw and Cross, 2019). However, it consist the utilisation of mental status and
neuropsychological testing by conducting extensive set of tests which helps to analysing
beginning point for tracking progression of symptoms in the future. It is necessary to conduct
procedure of brain imaging with the help of using CT Scan and MRI that facilitate to gain proper
information about brain abnormalities due to which problem of Alzheimer’s occurs for Mrs P. it
can be performed by use of fluorodeocyglucose (FDG) PET, Amyloid PET imaging and Tau pet
imaging for evaluating actual cause of dementia which provide support to establish more
effective as well as efficient care plan for wellness of selected patient.
2.2 It should include a different person-centred care plans stating how you provided support to
the individual in identifying their different health care need
Person centred plan can be described as planning of nursing interventions by keeping
individual at the centre of care plan and they actively participate in decision making of their
treatment. It is necessary for care professionals to focus on use of person centred care which
improve comfort level of patient and gain their effective cooperation (Young and Snowden,
2019). However, it has been analysed that medical practitioner are required to provide
information about treatment procedures to patient and their family members to involve them in
treatment process and take their approval before carrying out respective clinical practices.
According the given case study of Mrs P, it has been identified that patient is not bale to
recognise many things then care professionals should involve family members of them in
formulation of effective care plan. It is necessary for them to maintain dignity and respect of
individual and their family along with performing with mutual understanding with (Berneri,
2019). However, the cooperation of family members with medical practitioners is suitable for
gaining improved patient outcomes.
Care plan for Mrs P – Nursing interventions
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 It is required assess overcoming ability and level of confusion to behave with patient
accordingly to avoid relevant complications.
 It is necessary to use radio television and newspapers to involve patient and make them
understand about real life and fantasies.
 It includes the maintenance of daily routine of hunger rest, thirst etc. to make patient feel
easy and comfortable (Burdett and Fenge, 2018).
 It involves allowing patient to sit near windows and provide books along with using
pictures or reminders notes to assist patient for improving their memory.
 Call patient by name, arrange for community support and distract patient from dangerous
behaviour for promoting their safety.
 Cognition enhancing medication should be provided for improving mental functions,
lowers blood pressure and balance mood of client
2.3 A critical analysis of your individual role in supporting person-centred care, explaining and
evaluating your own involvement in the different care assessments used across the
integrated care pathway which includes the development and review of the care plan.
An individual actively participate in decision making of their treatment by making care
providers aware of their needs and desires regarding care facilities. They ask for their concerns
and doubts regarding any kind of diagnosing procedure and treatment activities to respective
physician (Cheers, 2019). In addition to this, personal centred care has number of principles such
as affording dignity of an individual, compassion & respect, offering coordinated care, Support
& treatment and offering personalised case, support & treatment. It is necessary for care
professionals to consider these factors which provide support to establish appropriate care plan
for deliver better quality of medical services for welfare of patient. In context of given case, Mrs
P was not able to involve in care plan but their family members can get involved in the same.
They can enquire about their concerns to ensure safety of their loved one and their wellness
regarding particular clinical process.
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Task 3
3.1 How competent, autonomous and appropriate leadership is being provided in remit role for
promoting effectual interprofessional working within multidisciplinary team.
With reference to health and social care industry role of leader is critical for attaining
objectives and goals. The rationale behind this is that through its assistance effectual leadership
skills along with knowledge associated with tasks can be accomplished in effectual manner. In
case any kind of problems occur in working environment, then leader is liable for rendering
enhanced solution in peculiar time frame through which affirmative outcome can be attained
(Ebrahimi and Chapman, 2018). The role of leader is to improvise working within firm so that
enhanced services can be delivered to people. An instance can be taken with respect to this that,
if there are any alterations within technology then they can be utilised by professionals for
having enhanced solution for betterment of their patients. It will assist professionals within
delivering improvised services to employees.
This can be attained when leader will furnish relevant training as well as development
sessions for their employees on regular basis by which higher quality services can be delivered.
With reference to Hungerford Care Home, employees of firm are highly skills as well as are
open to any kind of alterations within working environment through which affirmative results
can ensured in terms of quality services to Dementia patients. In addition to this, it is crucial to
render health care providers to render adequate emotional support as it leads to have critical
impact on their overall health (Field and Brown, 2019).
3.2 Apply as well as demonstrate safe effectual practices through usage of adequate
communication strategies.
This has been identified that there exist ample obligations for sharing information as well as data
within multidisciplinary groups. With reference to human services, each data is relevant as well
as needs high quality treatment for their patients. For an instance if patients are going through
critical conditions with Dementia diseases then communication are a way through which
problem of an individual can be sorted up to some extent. Community work is defined a space
for medical services that are unique and possess distinct structures (Fraser, 2019). In addition to
this, there has to be effectual cooperation between team members as it will enable them to
develop quality services through which livelihood as well as well being of people can be
enhanced. In addition to this, leaders or managers within such organisation are liable for keeping
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records of patients along with problems are disease faced by them. These have to maintained on
continuous manner and along with this, confidentiality must be ensured. All such kind of data
has to be shared by making use adequate means between multidisciplinary team through which
effectual solution can be attained. With reference to this quality services can be formulated
through which well being people can be amplified (Kousgaard, Scheele and Vrangbæk, 2019).
The information has to be shared among team members as it will lead to have relevant
performance through which there will be adequate influence on health of their patients. It is
crucial to develop a favourable mutual understanding among one other for treating them in an
enhanced manner. Each team needs to share critical information of patient with their team as it
will lead to development of significant solution and have precise outcomes by elimination of
complications associated with case of particular patient.
Task 4
4.1 Furnish analytical reflection in context of roles and responsibilities within information
sharing.
Communication is regarded as way in which messages as well as information can be
delivered form one group of people to others through usage of precise symbols and signs. It is
regarded as essential factor within firm for building up relationships, management of team within
health care services and listening to problems encountered by their patients (Lewer and et. al.,
2018). Without these practices valid interpretations along with precise outcomes cannot be
attained. There are distinct methods related with communication that are liable for furnishing
support to people depending upon their requirements, they are mentioned beneath:
Verbal communication: This kind of interaction is utilised for conveying data with
assistance to sign language as well as speaking. It is only utilised while phone calls, conferences
and phone calls. The effectiveness of transferring information is high when it is transmitted
verbally. This method will be utilised within having communication with Ms. P for
acknowledging their past along with present life traumas that will assist them to improvise
quality of life of an individual (Martin and Manley, 2018).
Non verbal communication: This kind of method makes use of body language along
with facial expressions for transferring data to others. Such kind of techniques aids within
effectual understanding related with thoughts and feelings of person, therefore, non-verbal
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communication is used often while communication with Dementia patients through which
anxiousness and stress levels can be addressed.
Written communication: This kind of interaction illustrates ways for typing letter or
numbers and writing words through which evidence can be maintained with reference to data in
context of future references. This leads health professionals to possess adequate information
about patients and treat them accordingly when they visit the place next time (Mitchell, Happer
and Eggo, 2019). There is high probability that people who are facing certain health concerns
may not be able to express themselves. Thus, in such kind of cases it becomes important to have
a record of ways in which they are treated and what improvements have occurred in them.
Thereby, by making some drawings or writing some letters it will aid to render mental health
status as well as their needs.
4.2 Analyse and evaluate role, growth and development within facilitation and empowerment of
individuals while communication altering needs.
Dementia is a condition that creates a significant influence of functioning f brain as well as
makes brain cells to die at enhanced rate. Patients have difficulties within remembering certain
aspects and recall recent activities (Oakley, 2018). Interaction or communication is one of the
key for health care professionals of Hungerford Care Home for acknowledging service users
those have been diagnosed or identified with Dementia disease. Healthcare practitioners of
peculiar care home need to formulate strategies through which they can interact with their
patients in appropriate manner. Understanding, patience along with good listening skills is
essential while carrying out communication. The reason behind this is that if only one person is
speaking then the latter will not have interest in what is being spoken but when both share their
point then effective communication occurs. This has relevant impact on ways patients are being
treated within care home. Mrs P is facing this disease and is being provided services by
Hungerford care home for the disease named Dementia. Thus, care professionals of respective
care home needs to formulate relevant strategies for their services users while communicating
with them.
Strategies
Care professionals within Hungerford care home need to engage their service users
within having face to face or one on one conversation within quite space so that minimum
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distractions are being created. Along with this, care professionals need to be slow as well as
make short sentences so that person sitting in front of them is able to understand what is being
said to them. An instance can be taken into consideration, like health care professionals can have
interactive session for serving their patients by involving them within having socialisation. This
can be done by making sue of sort questions related with day to day activities that are being
carried out by them (Robertshaw and Cross, 2019). Care professionals within peculiar hospital
need to make use of complicated or arguing statements. In addition to this, when dementia
patient is speaking even it is out of context or out of question then they must not be interpreted as
it will lead professionals to understand them and there is a possibility that they might speak about
problems that are being faced by them. This will aid health professionals within having precise
treatment for helping them out.
For an example, it is crucial for health care professionals to maintain adequate eye
contact with their patients as an effectual strategy for communicating with them but this does not
imply that they will be stared. It will make them feel involved as well as valued. There has to be
a approachable strategies for dealing with Dementia patients. Care professionals must introduce
them rather than expecting that later will start speaking first. By making use of non-verbal
conversation such as effectual strategies for interacting with service users within Hungerford
Care Home amplified outcomes can be attained. This strategy must not be refraining from by
health care professionals as sooner or later this will lead to have precise results (Young and
Snowden, 2019). This involves listening to them without making any kind of interruptions and
cases any kind of interference. Listen actively is necessary with respect to what is being said by
them and respond carefully to them so that they are not offended by any of the statements that
are being made.
Conclusion
From the above it can be concluded that, integrated care refers to integrated approach that
is utilised at distinct levels of communication enables health professionals to deliver enhanced
services for well being of their patients. They are liable for accomplishment of requirements that
involves biological, social, psychological and emotional via psychologists, surgeons and
physicians. This also furnishes adequate outlines with reference to local resources and provisions
that are liable for supporting integrated working care in health care industry. This is crucial that
organisation needs to identify needs of their patients and accordingly render them with services
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so that they can have enhanced results. For this, firm can make use of system leadership. There
are different communication methods that are being utilised for having verbal as well as non-
verbal communication to have a medium through which convincing interaction can eb conducted
with patients. Along with this, all the important information must be shared among different
healthcare personnel who will make it easy for delivering their services by taking into
consideration state of peculiar patient.
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References
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