Analysis of Meeting Needs of Service Users: Healthcare Report

This report presents a detailed analysis of a case study involving Ms. A, a service user with multiple health challenges, including an unstable personality disorder, visual impairment, diabetes, and retinal failure. The report explores the creation of beneficial and achievable goals to address Ms. A's care needs, emphasizing the importance of environmental improvisation, perception improvement, and social/healthcare assistance. It outlines specific systems, structures, and theoretical frameworks, such as the ecological and health belief theories, to support these goals. The report also discusses essential practices for healthcare professionals, including monitoring, community engagement, and transparent communication, while reflecting on current practices and the role of healthcare workers in delivering appropriate care. The report also highlights the importance of integrating social and medical assistance to improve the service user's health and social condition.

MEETING NEEDS
OF SERVICE USERS

Table of Contents
INTRODUCTION...........................................................................................................................1
QUESTION 1...................................................................................................................................1
Goals, Structures and Theories...................................................................................................1
QUESTION 2...................................................................................................................................8
Reflection....................................................................................................................................8
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
Service users within healthcare refer to all the individuals that are entitled to acquire the
medical and social assistance to ensure enhancement in their condition. In addition to this, it is
important for a social worker to ensure a detailed analysis of health and social needs of
individuals, requiring some medical attention (Kelly, 2015). The report below is based on case
study of Ms. A, who suffers from an unstable and emotional personality disorder, along with
visual impairment, diabetes and retinal failure. The report covers a detailed discussion upon care
needs of Ms. A, along with creation of beneficial as well as achievable goals. Furthermore, this
assignment includes several reasons as well as theories to support structures and systems
implemented to achieve goals, alongside areas of good practice that must be delivered whilst
providing appropriate care. The report also covers reflection of current practice and evaluation of
role of healthcare workers in implementation of care to meet needs of Ms. A.
QUESTION 1
Goals, Structures and Theories
Ms. A is suffering from severe mental health issues due to past traumas as well as current
conditions triggered by lack of acquisition of desired housing. Moreover, this has led to further
decline in her mental condition, seeing her aggressive and anti-social behaviour as described
within the case study. Thus, it is required for social worker, as well as rest of multi-disciplinary
team to appropriately craft several goals and formulate appropriate systems and structures in
order to cure the health conditions of Ms. A, and lead her towards a healthier and normal life
(Snyder, Mathers and Crooks, 2016).
Thus, there are several goals, along with necessary systems and structures, as well as
essential theories to support and improve health condition of Ms. A. Some of these goals are
discussed below:
Goal 1: Environmental Improvisation:
Environment surrounding a person is an appropriate conductor of both enhancement as
well as decline in health and social conditions. One of the major needs of Ms. A, in order to
improvise her condition, is that she needs surroundings where she could find adequate and
necessary environment that stabilises her health condition. Thus, the very first goal to cure Ms.
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A's condition is to provide her with positive internal and external environment. Moreover, for
this aspect, I explored that my interpersonal skills was essential in fulfilling this need of Ms. A.
System and Structure:
To ensure that this goal is appropriately and effectively addressed, it is essential to
determine system and structure with which this goal would be established. Thus, the same is
being evaluated as under: Social Reform: The very first step in order to ensure improvisation in environment
surrounding Ms. A, is that her effective involvement in social interactions. As reflected
within the case study, Ms. A showcases anti-social behaviour and has indulged in verbal
and physical altercations with others. Thus, a stepwise inclusion of Ms. A, within social
circles would help the individual in acquiring social support (Cantor and Thorpe, 2018). Educational Reforms: As per the case, Ms. A, is unaware of rules, regulations and
structures which are necessary for a citizen to abide by to go in alignment with law. Thus,
educational programmes would be conducted for the individual so that she could learn
necessary aspects related to ethical and appropriate behaviour, which would induce
positive behaviour. Community Involvement: In order to provide her support, Ms. A would be enrolled in
community supportive groups that would help her empathise with others and improve her
condition. Local and State Environment Improvisations: One of the major aspects which has led to
a decline in mental health condition of Ms. A, is lack of legislative and administrative
support regarding her housing application. Thus, to achieve the goal, she would be
required to get administrative support in context with prioritising her application due to
her degrading health.
Ecological Theory:
The reasons for which the above steps are formulated is that environment, both internal
and external, has a lot of influence on mental health of an individual (Thompson, 2016). To
support the same, ecological theory is being put into practice, which describes the factors that
could induce positive or negative behaviour within an individual. This theory is discussed below: Intrapersonal Factors: The very first factor which influences behaviour and mental
health state within a person is their beliefs, attitudes and knowledge. Thus, ensuring that
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positive notions are taught and promoted within individuals like Ms. A, could induce a
positive mindset in their attitudes. Interpersonal Factors: It undertakes factors like social interactions, which influence
mindset of individuals heavily. Thus, inclusion of Ms. A within social groups and her
acquisition of social support would help her in sharing her experiences and getting
enough support which improves her situation and mental health. Institutional Factors: Within this factor, several rules, policies, structures and regulations
are included which could promote healthier behaviour (Poremski and et. al., 2016).
Therefore, involvement of Ms. A in educational programmes to gain knowledge of
necessary legislations to be complied with would assist her in developing a code of
conduct to reduce her anti-social behaviours. Community Factors: Social norms, within this factor, act as a driver and influencer of
behaviour in a person. Contributing and considerate norms enhance feeling of
independence, responsibility as well as accountability within an individual towards their
peers and society. Thus, supportive groups would rectify Ms. A's mindset towards society
and would enable her to empathise with others and improve her personality. Public Policy Factors: Public policies regarding health, early interventions, etc. could
enhance healthy and appropriate behaviours. Hence, alongside housing, associating Ms.
A within multi-disciplinary care would cure her physical and mental condition and
promote her good and ethical behaviour.
Essentials of Good Practice:
As a social worker, it is my duty to provide essential support and motivation, which Ms.
A requires to recover from her declining mental health issues (Choi, Blumberg and Williams,
2016). There are several essentials of good practice which must be performed by me and other
professionals to accomplish the goals. These essentials are discussed below:
 Monitoring Ms. A's routine behaviour and reporting the same rightfully to medical
professionals.
 Indulging in getting her housing application issue resolved, to cure her stress.
 Involving in community engagement programmes and creating an appropriate care
network.
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Goal 2: Perception Improvement:
The case seems to reflect that Ms. A does not have the required frame of mind as well as
perception regarding her degrading physical and mental health. To ensure betterment in the
same, this goal is directed towards inducing change in perception within her mindset in context
with her degrading health so that she could appropriately understand what could be the
consequences of her hostile behaviour. I explored that my persuasive skills are required for
changing perception of Ms. A towards her health.
System and Structure: Communication of Risk: The major aspect in developing essential perception of an
individual in context with their illness is that it is necessary to communicate the risks
associated with their health condition. It is important for Ms. A to acknowledge several
harmful impacts of her visual problems as well as personality disorder, for her to assess
the risk associated with her illnesses (Carey, 2016). Providing Knowledge about Consequences: Behaviour of an individual has several
consequences, both positive as well as negative. Provision of knowledge regarding
consequences associated with non-compliance of her medical regime and harassing
individuals within multidisciplinary care would induce severity within Ms. A in relation
to the outcomes which her actions could prevail. Promoting Good Health Practices: The structure then requires to promote appropriate
health practices, which includes proper counselling sessions with Ms. A, providing her
necessary knowledge about methods and procedures which could help in promoting her
good health. Cues and Actions: To achieve the goal, therapy is one of the main aspects which would
help in developing positive perception in mind of Ms. A, in relation to actions which are
necessary for her to take and medical assistance she requires so that she enhances her
state of physical and mental health.
Health Belief Theory:
This theory is utilised to appropriately and effectively guiding patients in context to
health promotion and disease prevention practices. This theory delivers strong reasoning in
context with following the steps above as communication is one of the main and necessary
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concept associated with inducing changes in perception (Munikanan and et. al., 2017).
Application of this theory is discussed below: Perceived Susceptibility: This refers to perception of an individual related to risk.
Currently, Ms. A has a drastically ignorant perspective towards her health conditions and
the risk at which she is at (Dahlqvist_Jönsson and et. Al ., 2015). Perceived Severity: It is associated with feelings and seriousness within a person which is
related to leaving a disease untreated. As mentioned above, Ms. A does not take her
medical treatments properly. Thus, communication of consequences within this stage is
necessary for Ms. A, so that she could get familiar regarding her actions and possible
outcomes of her inappropriate behaviour. Perceived Benefits: It means perception of the individual regarding several actions
available to them to ensure reduction in the threats associated with their illnesses. To
develop a positive mindset regarding treatment and effective social practices, promotion
of good practices through counselling within this stage is necessary. Perceived Barriers: This stage includes feelings of patients towards obstacles and
barriers present while adopting health action. Counselling provided to Ms. A would
enhance her knowledge about all the necessary actions that is essential for her, along with
procedures that would be further adopted to provide her quality treatment. This would be
contributing towards positivity in mindset of Ms. A, regarding the required actions. Cue: It is inclusive of stimulus which actually involves change procedure within
perception. It aligns with the structure above effectively as therapy would enable care
professionals to ensure that a positive mindset is being developed by Ms. A, in regards
with modifying her behaviour and actions towards the treatment as well as social settings
surrounding her (Challis and et. al., 2018). Self Efficacy: The last stage is related to confidence within a person to perform a
necessary behaviour. Thus, therapy sessions are required to be subjected and performed
in ways which enlighten the spirit within Ms. A, to take her own decisions and indulge
into positive social behaviour as well as adopt effective medical practice.
Essentials of Good Practice:
To attain this goal, the essentials of good practices are mentioned below:
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 Transparency is one of the key essential practice which must be maintained by social
worker as well as multi-disciplinary care workers.
 Information that is being communicated is required to be authentic, relevant and
supported by professional conduct, which would help in inducing positive perception.
 During therapy, beliefs and attitudes must be taken into account by therapist, in order to
provide the right guidance and develop perception in a better and effective manner(Evans
and Kearney, 2017).
Goal 3: Social and Healthcare Assistance:
A major need which could be identified by the case above is that a serious social as well
as medical assistance is required to be provided to Ms. A, which ensures curing her health and
social condition. My exploration in achieving this goal led me in realising that good practical and
problem solving skills could help me achieve this goal in a better manner.
System and Structure: Medical Treatment: This aspect within the structure is inclusive of provision of both
social as well as medical assistance to Ms. A, to fulfil her needs and attain the goal
appropriately. This includes effective treatment for her visual impairment and diabetes.
Moreover, in context with social assistance, regular counselling and psychiatric therapies
would assist Ms. A in dealing with her emotionally unstable personality disorder. Community Programmes and Healthcare Seminars: It includes Ms. A's active
participation within several community programmes and gatherings, along with certain
healthcare seminars, that would be contributing both in her cognitive and medical
development .(Goodwin and et. al., 2016). Monitoring Sessions and Feedbacks: It is highly essential that once positive signs become
evident within behaviour and medical condition of Ms. A and assurance is required in
maintenance and consistency in her behaviour and better physical improvement, then her
feedback is rightfully acquired, along with general monitoring. This could be done
through several monitoring sessions with social worker, therapists and care professionals
which would help in assessing the current health condition and psychological
development within Ms. A.
Trans-theoretical Theory:
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This theory undertakes appropriate and effective approach towards explaining readiness
within an individual to change behaviour in accordance with bringing changes in their behaviour
as well as their physical condition. This is quite a relevant theory which supports the structure
adopted to achieve the goal. The reason for choosing the structure is regarding development of
an appropriate plan of action which involved approaches that would ensure development within
Ms. A's cognitive, social and physical conditions. This theory in support with the structure and
system above is discussed below: Pre-contemplation: Within this stage of the theory, the intention within individual to
change is completely missing. Moreover, they are quite unaware about the issues which
are being caused by their behaviour. As reflected within the case, due to being
traumatised as well as declining cognitive state, it is a high possibility that Ms. A is not
aware of what ruckus her actions have been causing on people as well as her own health. Contemplation: Within this step, intentions begin to develop within individuals in context
with receiving medical and social assistance. To reach to this stage, it is essential for
social workers and medical professionals to adopt multi-disciplinary care approach and
provide effective treatment for her physical and mental issues. Preparation: This stage showcases an active role of individuals who are willing to accept
and implement changes in their lives and their small attempts in context with bringing
change. Thus, with help of medical professionals and social workers, Ms. A could
appropriately work towards ensuring improvements within her cognitive and physical
state. Action: Change in the behaviour of individual could appropriately be witnessed in this
stage. In context with accomplishment of goal, effective treatment and assistance could
actually ensure engagement of Ms. A in community activities, and thus, it reflects the
importance of this step within the structure (Harris and White, 2018). Maintenance: In this stage, sustainability is ensured within the positive behaviour. People
tend to maintain the positive change within this stage. Thus, medical seminars along with
community programmes would help in guiding Ms. A towards a positive and recovering
mindset. Termination: The last step of this theory is inclusive of no desire to return to unhealthy
and ineffective behaviour which were degrading their health and social status before.
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This stage could appropriately be achieved through acquisition of feedbacks, along with
necessary and effective monitoring sessions by counsellors, social workers and therapists.
Essentials of Good Practice:
Within this stage, it is very necessary to ensure that good practices are adopted as well as
communicated within the whole care plan within the structure in order to achieve the goal in an
effective manner. Thus, some of the key essential practices are discussed below:
 Medical care staff is required to provide treatment as per the industrial guidelines and in
adherence to Health and Social Care Act, 2012 (Campbell, 2015).
 Regular feedbacks and therapies must be ensured by both social worker as well as
therapists and other multi-disciplinary care staff in order to ensure consistency in
improvement within Ms. A's condition.
QUESTION 2
Reflection
In order to appropriately and effectively reflect and evaluate the practice as a social
worker to implement care to meet needs of Ms. A, Gibbs Reflective Cycle is being used which
is a detailed model in context with discussing each step of reflecting an experience appropriately.
The same is discussed below: Description: Ms. A is a patient who was suffering from multiple health related problems
in relation to her visual impairment, diabetes as well as emotionally unstable personality
disorder. Therefore, it was required to appropriately provide her with social and medical
treatment necessary to improvise her condition. Feelings: At the beginning, my meeting and short experience with Ms. A was quite
effective and positive, as she showcased a mature behaviour and was under her mental
capacity in context with taking her own decision. However, after her housing application
got delayed, I felt that there was quite an immediate need to provide her both medical and
social support. Evaluation: and Analysis: Her needs were assessed as well as to attain the same, several
goals were set as well as effectively implemented to ensure improvement in social and
health condition of Ms. A. My role within the same was related to provide Ms. A, with
appropriate care network, alongside overseeing that appropriate social and medical
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support is being provided to the lady. The good aspects within the same that I was quite
effective in indulging in multi-disciplinary practices, along with setting up essential goals
that would have fulfilled the needs of Ms. A. However, during implementation, I
somewhat lagged behind in monitoring the growth of the lady's cognitive growth and
hence, due to the same, the whole plan could have been jeopardised. However, with
assistance of other care professionals, I was able to acquire appropriate feedbacks, as well
as essentially monitor her progress regarding her condition. Conclusion: Throughout this practice, I realised that patients suffering from personality
disorders and other physical issues require appropriate and effective support and
treatment in context with enhancing their conditions and modifying the same towards
positivity.
 Action Plan: I realised that though my interpretive, planning and communication skills
are quite effective, I fail to evaluate the progress effectively. Thus, to achieve
effectiveness within the same, I would be undertaking training sessions to improve my
abilities and to ensure effectiveness within the same.
CONCLUSION
Thus, it is concluded from the report above, that it is essential to assess and meet needs of
service users within health and social care sector. Different systems and structures must be
adopted and implemented in order to assess the needs and improvise health conditions of
patients. In addition to this, it is highly necessary that the same is supported and backed up
through effective and strong reasoning as well as certain theories. Lastly, Gibbs reflective cycle
is required to be appropriately implemented in context with ensuring effective reflection on
practice, as well as evaluation of role in implementation of care to meet needs of patients.
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REFERENCES
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