BUS4003 Case Study: Analyzing Service User Needs for Ola Adeyemi

This case study focuses on meeting the needs of service users, specifically addressing the case of Ola Adeyemi, a 30-year-old individual with Down syndrome living with his parents. The study formulates a care plan that addresses Ola's communication and daily living challenges, considering the aging parents' capacity to provide support. It incorporates evidence-based practice models and the Patient Centred Medical Home model to ensure comprehensive and coordinated care. The analysis also highlights the importance of communication, empathy, and collaboration within a multidisciplinary team. The care plan includes interventions such as speech therapy, social group referrals, and family support, aiming to enhance Ola's independence and overall well-being, while also addressing the emotional and practical needs of his parents.

Meeting the needs of service
users
1

Table of Contents
INTRODUCTION...........................................................................................................................3
Question 1........................................................................................................................................3
Care Plan:....................................................................................................................................3
Models and frameworks:.............................................................................................................5
Areas of good practice for social workers and multidisciplinary team:......................................8
Question 2......................................................................................................................................10
Reflection...................................................................................................................................10
CONCLUSION.............................................................................................................................11
REFERNCES:...............................................................................................................................12
2

INTRODUCTION
Meeting the needs of service users such as patients by social workers is important
because it enables the users to recognize and develop their own abilities, skills and strengths. In
medical care centres, to ensure the quality of service to the service users of a patient is highly
important because it needs huge resources (Daly and Lewis, 2018).
In the given case study, Ola Adeyemi is Down syndrome patient who lives with parents.
His parents are struggling to support him as they have been supporting Ola throughout their
lives. In the report, a care plan will be formulated to meet the needs of case study. Appropriate
theories will be applied to justify skills and good areas of practice will also be mentioned.
Question 1
Care Plan:
A care plan refers to the document which helps the users of service such as nurses and
other staff members to organize aspects of a patient care in the appropriate manner. A care pan
makes it easy for the nurses to take care of the patients. It outlines the assessed health and social
care needs and also provide the methods to support it. It can also be served as a record of care, if
needed (Dromey and Hochlaf, 2018).
Purpose of a care plan is to present the information related to patient which describes the
support and services which will be given to the patient.
Assessment Diagnosis Goals and
outcomes
Interventions Rationale Evaluation
Ola Adeyemi
is 30 years old
patient
diagnosed
with Down
Syndrome. He
lives with
parents. He
attended
school after
the age of 18
years. Ola
cannot cook
nor dress up
Lack of social
communicatio
n and
interaction due
to mental and
physical
limitations.
Both the
parents have
less
knowledge
about Down
syndrome
care.
Ola will be
able to
communicate
properly his
needs.
Both the
parents will
have proper
knowledge
about the
down
syndrome.
Ola will be
able to
For enhancing
communicatio
n, pictures will
be used to
demonstrate
and
communicatio
n will be done
slowly.
Involving
Ola's parents
in the care and
explaining all
the processes
Slow
interactions
and the use of
images while
communicatio
n will provide
some time to
Ola to process
the interaction
and
understand
what is being
said to him.
Involving
Ola is able to
communicate
and interact
with people
even with the
strangers. He
is able to dress
up and
perform all the
daily activities
such as
cooking. Ola
can use public
transport and
3

by himself.
Ola cannot do
any daily
activities on
his own.
His parents
have looked
after him their
whole life.
Now they both
are old and are
unable to take
care of him.
He cannot use
public
transport, and
he has not
done any job
till now.
Imbalanced
nutrition less
than his body
requirements
which relates
to difficulty in
feeding due to
high palate
and tongue far.
Delayed
growth and
development.
Impaired
verbal
communicatio
n related to
impaired
expressive
skills was
identified.
Family is
unable to cope
with down
syndrome of
Ola and which
is
compromising
his needs.
perform
routine
activities such
as dressing up
himself.
Another
outcome will
be enhanced
confidence of
Ola which will
reduce the
fears and will
allow him to
use public
transport.
and
procedures
which are
related to Ola's
treatment.
Both the
parents will be
allowed to
express their
concerns and
feeling or to
ask any
questions. The
parents will be
referred to
support
groups.
A speech
therapist will
be referred.
family in the
treatments
reduces the
anxiety and
fear of
unknown from
the Patient.
Ola has very
less social
interactions its
is very
important to
involve his
parents.
Ref feral to
social groups
is made
because both
the parents can
have
emotional
support from
these groups
which will
help them in
reducing fear
and anxiety.
Speech
therapist will
be able to
customise the
details and
design a plan
specific to the
needs of Ola.
can also take
care of him as
well.
Importance of a care plan:
Preparing a care plan for Ola is important as a care plan will provide guidance and clarity
to the service users. It will also provide justification for time used throughout the patient
assessment. The plan can also be served as an evidence or record, if needed under any
circumstances. A care plan formulation is also essential as it will be in accordance with the needs
and requirements of Ola and his parents (Budhathoki and et.al, 2017). It will ensure that Ola is
getting right and adequate level of care and support as per his and his parent's preferences.
4

Models and frameworks:
Following models or frameworks can be applied in the given situation:
Evidence based practice models (EBP)
Evidence based practice refers to the procedure in which the practitioners combine their
own experiences, ethics and patient references with the well-researched interventions for
delivering their services and promoting effective care decision-making. These models are
improved constantly to provide the best outcomes (Frank, Xu, and Penuel, 2018).
The evidence based models were also applied in various sectors of medicine such as nursing and
dentistry.
Following are some models under evidence based practice:
Trans-disciplinary model: In this model, most of the issues and problems are resolved on the
basis of references to other areas of expertise and disciplines. It also emphasis on the fact that the
decisions are based on a wider span. The primary aim of this model is to show that evidence
based decision-making is based upon a wide range of sources and not only on the basis of
academic research. It provides more operational and experiential factors of expertise.
5
Illustration 1: Evidence based practice models
Source: What is Evidence-Based Practice?, 2021

Lowa model of Evidence based practice: This model was developed by the nursing and
researches in the Lowa university. The process of Lowa based model is as follows:
1. Identifying issues and opportunities.
2. Stating proposals and questions
3. If the topic is not priority, then do not proceed with the topic.
4. If the problem or issue is considered as a priority then form a team for the same.
5. Conduct systematic research and analyse the collected information with the body of
published evidence such as literature.
6. If the research is identified as enough to act then design the plan, if not then conduct
research on gathered evidence.
7. Consider alternatives and design appropriate test and action structure.
8. Embed the designed tests and action into practice (James, 2017).9. Determine results.
Parents as teacher model: This model is performance model which is accompanied by social
solutions softwares.
Stages of care: This model is applied through various stages and is planned to evaluate a client's
willingness to change.
Problems with evidence based practice models:
There are various barriers faced by practitioners while using evidence based model.
Some problems are explained as follows: Time constraints: It takes a considerable amount of time to research and then applying
the same with experiences and literature. It becomes time-consuming (National
Academies of Sciences, Engineering, and Medicine, 2019). Access to resources: It is the primary barrier in EBP which means some practices needs
to have access to certain articles and websites. Some cases may be more complicate and
require more resources.
 Lack of support and knowledge: One of the major problem with this model is that
practitioner might nor have adequate knowledge about the frameworks.
Patient Centred Medical Home model
It is a care delivery model, where the treatment of a patient is coordinated through
primary care physician for ensuring necessary care to a patient whenever they need. The primary
6

aim of this model is to facilitate coordination between the patients and their support workers
such a physicians and even their families too (Peart and et.al., 2018). Care in this model is
facilitated through information technology, health information exchange, registries and various
other ways to ensure patients are getting appropriate care when they need it.
It provides high quality, affordable, accessible and safe patient centred care through
promoting healthy and strong relationships with patients and also providing time to coordinate
care across all the sectors of healthcare. The core functions under this model include following
functions: Comprehensive care: This function states that services should meet with the large
majority of each patient's mental and physical health needs. These needs can include
acute care, chronic care and prevention and wellness provided by the team (Chukwudozie
and et.al., 2018). Patient centred care: This function means that care systems and plans must be
concentrated on the unique preferences and needs of patients which support patients self
care needs. Coordinated care: This function ensures that all the elements of health care systems are
coordinated and connected with the patient's social and medical resources. Quality and safe services: This function involves collecting and responding to the data of
a patient with a commitment to quality management complying with safeguarding.
 Accessibility of services: This function ensures that the patients have superb access to
care which meets the requirements and needs of consumer such as telephones.
This model emphasis consistently upon quality improvements, population health management
and patient satisfaction with services provided.
Problems with Patient Centred Medical Home model:
A Patient Centred Medical Home model concentrates upon the quality improvement and
providing quality and safe services (Wildman and et.al., 2019). However, service provides and
staff faces various challenges in delivering care. The challenges or issues faced by service users
are following: Difficulty in balancing performance requirements: In the care centres there is short staff
which means many workers are part-time providers on the allocated teams. It creates
7

difficulty to balance the performance requirements for same day access and continuity in
implementation of care. Issues unique to women veterans: Women veterans may need special policies,
management actions and practices. They need higher prevalence for their psychosocial
needs. Short staffing may cause a barrier to fulfil this need (Flores-Aguilar and et.al,
2020).
 Sharing of staff: When there is short staff in health care centres or models, they
implement additional sharing of primary care support staff with the other specialist
providers of service. This can become a barrier in providing special services to various
patients.
Areas of good practice for social workers and multidisciplinary team:
As a social worker have the responsibility to communicate with other staff members
about the conditions of a patient (Kam, 2020). A social worker and the rest of the ream should
deliver the following areas of good practice: Communication: Verbal and non-verbal communication skills both are vital for a social
worker in their area of work. It is very necessary to know the skill of clear
communication with a range of people. Social workers have the obligation to advice their
clients and patients. For this obligation, they need to be able to communicate effectively.
Effective communication also includes appropriate communication with clients without
any discrimination on the basis of age, gender, cultures or backgrounds. Communication
also enhances the feeling of trust between the social workers and the clients, which can
be very helpful at the time of diagnosing and assessment of diseases or illness. Effective
communication also enables the social workers to interact clearly and provide
information to other staff members (Surr and et.al, 2017). It can reduce errors in the
treatment and other support processes. Communication can also assist in safeguarding the
patients. For addressing the problems and issues of clients, communication s necessary so
that legitimates can be defended inside the care centres for providing assurance of the
patients and staff and all the other people involved. Empathy: Empathy is the feeling of understanding other person's feeling and
understanding as experiencing the same feeling. As a social worker, it is very necessary
8

to put one self in someone else's shoes and try to feel what they are feeling. It is
necessary to understand that perceptions, world-views and experiences of every
individual and unique which can help the social workers to build strong relationships
with the clients (Moudatso and et.al, 2020). This can help the social workers to assess the
needs of client on the basis of client's perception and experience. Empathy increases the
trust of clients over social workers as they will feel like their feeling and situations are
being understood and respected by the service providers. Active listening: Active listening is the skill of understanding and interpreting the
communication clearly. A social worker have to be an effective listener too as he has to
communicate with clients regularly. They need to understand clearly what is being said to
them and to understand the needs of clients. Listening carefully, with concentration and
asking the right questions when necessary is a necessary area of good practices. Active
listening enable the social workers to access the knowledge and information more
effectively and efficiently (Reeves and et.al., 2017). Patience: A social worker faces many incidents and circumstances which might annoy
them at work. So it becomes necessary for them to have patience and continue their work
at that time to make progress. Patience can empower a social worker to understand the
situations and feeling of a client and also help them to avoid making any hasty decisions.
Having patience can also reduce the errors and poor outcomes caused by quick decisions. Professional commitment: Social work needs lifelong and continuous learning. For this
learning, a social worker must possess the quality of professional commitment, so that
they can learn contentiously and develop their professional competencies throughout
their career (Hussein and et.al, 2019). This commitment is also necessary as it fulfils the
mission of social workers which is to increase human well-being of humans and fulfilling
the needs of all the people in need. They should provide a particular attention to
empowering and fulfilling the needs of people who are opposed, live in poverty or are
vulnerable.
 Critical thinking: A social worker needs to be a critical thinker. Critical thinking is the
ability of an individual which makes them to analyze the information without any
biasness and errors. Social workers need to be able to think critically so that they can
raise objections and evaluate each case they are handling through collecting information
9

by observation, research and interviews. It enables the social workers to identify the best
resource and treatments and taking the best decisions in the favour of a client. It also
enables the social workers to raise questions about any unfair practices and errors if
observed (Real and et.al, 2018).
Question 2
Reflection
Gibbs model of reflection can be applied to reflect on the given situation.
In the given case, Ola Adeyemi is a Down syndrome patient whose age is 30 years. He has lived
with his parents throughout his life and his parents have performed all kinds of daily living
activities for him. He cannot cook, nor he is able to use public transport. H had never done a job,
and he cannot even dress up himself on his own. Both of the parents are now old and weak, so
they cannot take care of Ola.
As a social and care worker, I felt very empathetic to Ola and his parents. I understood
the situation of parents and their feelings towards their child. Although the parents had the least
knowledge about Down syndrome, but they did take good care of Ola. As I planned and
formulated the care needs in care plan, I realized the complications and real situation of Ola.
When I was creating care plan, I was empathetic but critical as well too. I tried creating a care
plan which was best for him but by considering the preferences of Ola and his parents as well.
During my learning I learned that how important is to be empathic and critical at the same time
when you are working as a social and care worker.
During the process of devising and delivering care I learned that it is very important to
gain trust of a patient to perform the services. Ola's parents were very supportive throughout the
process which was a very good experience. I also learned that safeguarding of a patient is very
important. I did not face any kind of difficulties in my procedure. I learned that Ola was facing
difficulty to communicate with everyone. So it had to make my carte plans in accordance with it.
In my analysis of the care plan and while delivering my services, I realized the main area of
concern was Ola's inability to communicate and perform routine activities. He was fully
depended upon his parents, which was the primary area to focus on.
The conclusion for the situation is that Patients with down syndrome are very fragile and needs
empathetic people to deal with them. I was relived that his parents were supporting throughout
the care plan.
10

I have understood that that being a social worker need constant learning and critical
thinking while being empathic with the social workers. During my procedure of delivering and
devising care plan, I have gathered that a social worker needs to be empathetic, have patience
and also be an active listener if he wants to be a better worker. These qualities are essential for
anyone who wants to pursue their careers in social care. I have learned that, in future if I have to
deal with any patient such as Ola I need to be more empathic and open communicator. I will try
to be a good listener so that I can deliver the best service to the users of service.
CONCLUSION
From the above discussion, it can be concluded that meeting the needs of service users is
difficult task which needs various skills such as patience. This area of practice is applicable to a
range of disciplines. From the given case study a care plan consisting of assessment of situation,
diagnosis, interventions and evaluation & rationale was formulated which represented various
needs and outcomes of the given situation. Various models of care and discipline such a
evidence based models and patient centred medical home model were also discussed which
provided the structures through which care is delivered to patients. There are certain areas of god
practice such a communication, critical thinking and patience were considered. Lastly, in the
reflection part, reflection was provided through using the Gibbs model. It represented the
devising and care delivery in the case of Mr Ola Adeyemi. It also described the role of social
workers in the provided case and other cases too.
11

REFERNCES:
Books and journals:
Budhathoki, S.S. and et.al, 2017. Factors influencing medical students' motivation to practise in
rural areas in low-income and middle-income countries: a systematic review. BMJ open.
7(2). p.e013501.
Chukwudozie, I.B. and et.al., 2018. Facilitating primary care provider use in a patient-centered
medical home intervention study for chronic hemodialysis patients. Translational
behavioral medicine. 8(3). pp.341-350.
Daly, M. and Lewis, J., 2018. Introduction: conceptualising social care in the context of welfare
state restructuring. In Gender, social care and welfare state restructuring in Europe (pp.
1-24). Routledge.
Dromey, J. and Hochlaf, D., 2018. Fair care: A workforce strategy for social care. Institute for
Public Policy Research.
Flores-Aguilar, L. and et.al, 2020. Evolution of neuroinflammation across the lifespan of
individuals with Down syndrome. Brain. 143(12). pp.3653-3671.
Frank, K.A., Xu, R. and Penuel, W.R., 2018. Implementation of evidence‐based practice in
human service organizations: Implications from agent‐based models. Journal of Policy
Analysis and Management. 37(4). pp.867-895.
Hussein, R. and et.al, 2019. Clinical supervision and ward orientation predict new graduate
nurses’ intention to work in critical care: Findings from a prospective observational
study. Australian Critical Care. 32(5). pp.397-402.
James, S., 2017. Implementing evidence-based practice in residential care: How far have we
come?. Residential Treatment for Children & Youth. 34(2). pp.155-175.
Kam, P.K., 2020. ‘Social work is not just a job’: The qualities of social workers from the
perspective of service users. Journal of Social Work. 20(6). pp.775-796.
12