BTEC HNC/D: Care Planning Processes in Healthcare Practice Report

This comprehensive report delves into care planning processes within the healthcare industry, emphasizing its importance across generations. It covers legislative and regulatory frameworks such as the Children Act 1989, Adoption Act 1999, and Care Standards Act 2000, highlighting their roles in safeguarding vulnerable individuals. The report also examines different models of assessment, including the Beveridge, Bismarck, National Health Insurance, and Out-of-Pocket models, and their implementation in healthcare systems. Furthermore, it explores theoretical perspectives like functionalism, conflict perspective, and symbolic interactionism, illustrating their impact on healthcare practices. A case study and care plan are included to demonstrate practical application, alongside a reflective essay discussing the challenges and ethical considerations in care planning. The report concludes by emphasizing the necessity of holistic and patient-centered care planning to improve patient health and foster collaboration among healthcare professionals. Desklib provides additional resources, including past papers and solved assignments, for further study.

CARE PLANNING

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
TASK 1............................................................................................................................................3
Legislative and regulatory frameworks.......................................................................................3
Different models of assessment and their implementation in healthcare....................................4
Theoretical perspectives in Healthcare Practice..........................................................................5
TASK 2............................................................................................................................................6
Case Study and Care Plan............................................................................................................6
TASK 3............................................................................................................................................8
Reflection.....................................................................................................................................8
CONCLUSION..............................................................................................................................13

INTRODUCTION
Healthcare industry is regarded to be one of the finest aspect that will deal with a lot more
atrocities that are derived to be one of the challenging factors in day to day existence. In this
regard care planning is regarded to be one of the prominent aspect and which will have to be
carry forwarded with respect to all kinds of generations. Irrespective of what a person is handling
it is always necessary that care planning will have to be taken for in order to improve the patient
health and also co-ordinate with the power of collaboration that will result in bringing about a
good health amidst of individuals (Gilissen and et.al, 2018). Improving the senses and also
effectively helping the one that in need of care will also portray upon different aspects which are
regarded to be the first priority like that of correcting habitual actions which are necessary to be
incorporated. The entire report will focus upon how far the care planning strategies will have to
be taken care and the kind of components that were included in it.
TASK 1
Legislative and regulatory frameworks
There are certain legislative framework and statutory guidance that is being incorporated in
Healthcare industry to bring about the onset of their policies. In this regard certain professionals
will have to get avoided by the legislation as well as their framework such that the
responsibilities as well as the duties that are to be incorporated upon a time to time basis can
therefore be gratified. For this the professionals will first have to identify the choices and also the
need of people such that the processing of regulations can be associated with this. There are
certain guidance at will have to go with legislation and this is also regarded to be one of the
effective communication among the professionals and can be a beneficial guide in treating
people. Care setting is regarded to be one of the finest entity that will start from children to old
age (Gilissen, 2017). When dealing with children it is entirely a different personification where
the government for the healthcare sector will have to focus upon user-friendly options like that of
adoption system and also they will have to be an action plan to go with this in a right manner.
When it comes to under people it is a provision of different components that will Foster care.
The different legislative Framework that will fall in this regard are as follows:
Children act 1989: this act among the legislative framework is considered to be one of the
prominent one where the local authorities that are included will have to formulate the duties
which are necessary to serve children. This service is entirely based on providing them with the
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required provision which is in return of fostering care. This particular act will focus upon
bringing all the issues like that of child abuse and those that are roaming around the streets
without proper care.
Adoption Act 1999: adoption is one of the finest care prospect that will have to be portrayed at a
different circumstances. This adoption is not just for those that are around children but also the
adoption category will fall under elderly people. Adoption is nothing but taking them into charge
and looking after them by providing all the provisions that are necessary for their life. This
provision will also go with improving mental health of people and they feel cherished for the rest
of their life. This act will reflect upon the choices of providing adoptions in the country that will
also foster care. The act will guide people in order to move ahead with the provisions of Hague
convention.
Care standards act 2000: in this particular at the NMS for adoption is said to be issued and the
regulations are said to be taken care about with process of adoption. The agencies that are
moving ahead with this particular policy are said to be under this act and also get provisional
information from the authorities (Sævareid and et.al, 2019). The NMS for fostering services is
said to be one of the major aspect that will go along with these regulations such that the care
factor within people will have to be understood and gratified.
Different models of assessment and their implementation in healthcare
The International Healthcare is assessed by different models that will bring about the basic
goals that are to be taken care about in a health care system. This will help them to keep a track
of all there cat systems and that can also portrayed on variations of general patterns. In this
regard the different models are as follows:
The Beveridge Model: this model was discovered by William Beveridge who is also a social
reformer that designed Britain's National Health Service. This model will highlight the fact that
health care system is provided by different financial assistance services that are granted by
government and its agencies. This will include like that of tax payments and different public
forces that will fall in regard. There are certain hospitals as well as health care factors that are
being owned by government (Aasmul, 2018). The doctors as well as the employees that are
working in the healthcare industry are regarded to be the government property and therefore the
cost of treatment will therefore be entirely taken care about by government.
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The Bismarck model: this model was discovered by Prussian Chancellor Otto Von Bismarck.
This model is almost familiar to that of American Healthcare industry where an insurance system
is brought forth in the Healthcare system. This insurance is also known to be the sickness fund.
This is a finance that is generated by the payroll deduction of employees and employer. This
model enters the fact that there will not be a kind of profit that is made by the model but still
there are certain entities that will support everybody irrespective of page background they are.
Many doctors will operate their sectors on a private basis and therefore this will be one of the
best regulation that is given by government in order to move ahead with the cost control
mechanism.
The National Health insurance model: this model is a combination of both beverage and
Bismarck model. The model will be portraying the use of private sectors where the payment
entirely comes from the government insurance. These universal plans that tend to be the simple
mechanism and also regarded to be cheap when it comes to the style of profit insurance. This is
mostly beneficial for those that are single payers and also all the negotiations regarding prices of
pharmaceuticals can therefore be transparent.
Out of pocket model: this model brings about the fact that many nations are poor and are also this
organised. The mass medical care will have to be portrayed in all possible means and therefore
the model will highlight the fact that care is an important criteria that will have to be effectively
gratified. This can be done by providing the components of regular mechanism such that all the
implications of care can be modified and be provided (Harrison Dening and et.al, 2019). There
are certain systems and separate classes of people and everybody will have to be addressed in the
right manner and on an equal basis is what is being depicted by this model.
Theoretical perspectives in Healthcare Practice
The theoretical perspectives will bring about an approach that will have to decide actions
of Healthcare as well as the kind of treatment that will have to be given two different
perspectives. In this regard the following theories will depict how the processes will have to be
fostered.
Functionalism: a functional perspective is necessary in order to move ahead with the kind of
knowledge that is required to treat people with sickness. This is a specific role that will have to
be carry forwarded by Health Care professionals and will also include certain rights and
responsibilities. Based on the condition of an individual about how far they are required to be
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provided with personal care for the Healthcare it will have to be fulfilled by the responsible
Healthcare professional. The entire responsibility of sick person is completely tackled by the
health care professional and appropriate measures will have to be decided upon in order to treat it
over a long run. This also brings about a relationship between the professional as well as an
individual that will help them to focus more upon fostering their needs (Lam and et.al, 2018).
Conflict perspective: this perspective will revolve around the conflicts that are identified in the
Healthcare industry. The different theories will portray need of care as well as the profit lead
mechanism by not changing the essence of commodity. There will be certain disparities that
occur and there are also inequalities in Healthcare industry which will lead to conflicts. People
might sometimes show negotiations in offering proper Healthcare to those that are in need by
showing the standards of inequality. This is also a challenging factor because the responsibility
of Healthcare professional is to provide extensive care and that will have to be gratified
irrespective of which caste, creed and religion they are from. Conflicts usually occur in bringing
about its inequalities and the Healthcare system will have to show only expose its means and
transparency will have to be maintained in offering standard to people.
Symbolic interactionism: the Healthcare sector will have to go hand in hand with the illness of an
individual because they both are socially constructed. To treat any issue it will first have to be
understood by the Healthcare professionals and only then the required medication as well as the
treatment can be offered. This can be done on a proper interaction that will have to be provided
between the Healthcare professional as well as the person that approached the sector. This is also
one of the entity that will bring about the subjective nature of diagnosis. There are many benefits
that are associated with the kind of behaviour that is portrayed by different Healthcare
professionals in order to treat illness. All these bunch of practices will have to be reflected upon
the choices of an individual in order to move ahead with the kind of interaction.
TASK 2
Case Study and Care Plan
Service users are considered as the people who are affected by the services of the
professionals. These play the most important role in the healthcare settings because they have
used or will use the services of the hospitals. Service users are also known as carers in healthcare
settings who must be able to access the healthcare of high quality which can help in identifying
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and meeting the needs. The prospective as well as new service users need to be carefully
assessed for ensuring the meeting of the needs related to healthcare. In this, the healthcare
providers and the social care staff needs to work closely for ensuring that the people experience
integrated care and also are able to meet their needs adequately (Sævareid and et.al., 2019). This
can also be evaluated that the healthcare needs of the service users must be fully assessed and
reviewed regularly. All the interventions must be agreed with the service users or the
representatives or the families in the plan of care of service user.
The safety and effectiveness must be balanced by risk assessments with the service users for
making right choices and also considering the capacity for making choices and taking informed
risks. The case study which can be used as an example for service user in the workplace will help
in discussing the needs and the outcomes required. This case study highlights the elderly person
who met with an accident and he was no one from his family to come to hospital or take care of
him at that time. But the service user needs were critical because of the age as well as the
condition after the accident. This can also be examined that he was in a need of access to
healthcare services and professionals. The patient could not live in the hospital for many days so
he must be able to access the home care services and support and at the same time must not face
many difficulties in accessing the healthcare services (Aasmul, Husebo and Flo, 2018). The
home care staff and the care home needs to be engaged in providing such support. This can be
done by accompanying the service user for attending their GP, taking the appointment to hospital
outpatients and also the other healthcare appointments. The service users needs to be registered
with the GP practices who can look after the health and also helps in providing the primary point
of access to the healthcare services including the specialist consultants and the hospitals (Hickey
and Williams, 2021). At the age of the patient, it is must to consider the physical as well as
mental needs of the patient because this mental stability can help in improving the situation more
quickly as well as more effective outcomes can be obtained.
Appropriate policies need to be implemented which can help in encouraging the patient
choice as well as registering with the different practices. If the patient becomes dissatisfied with
any practice, then he must be able to switch to other practices. The social care providers
including the care homes as well as domiciliary care services helps in establishing the
relationships with the local GPs as well as specialist medical care and advice. Various resources
need to be included such as dentistry, chiropody, pharmaceutical expertise, community nursing
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and therapeutic services (Gilissen and et.al., 2017). The primary relationship of the GP must be
established with each individual service user and this must also be set within the framework of
patient confidentiality. If the partnership with the provider is goof then this can help in providing
quality service care.
In the person centred care plan, every need of the patient needs to be considered and
addressed. This can be evaluated from the case study that the elderly person does not have
support from family so the healthcare provider needs to provide emotional support as well as
physical support to the patient. The various types of elements of care must be delivered including
the wound care treatment, catheter care, medication care and continence care. The desired
outcomes include the mental as well as physical stability of the person. The patient must be
provided with such an environment which can help in improving the outcomes (Brazil and et.al.,
2018). The family members must also be involved while providing the interventions because
though the healthcare providers can provide the best person centred care to the patient but the
family support helps in healing the physical as well as mental wounds. The service users must
also help in retaining the relationships as well as growing their interests. The special dietary
requirements must also be considered so that the person remains fit and healthy instead of
becoming obese. Proper medications need to be given according to the physical wounds as well
as mental support which can help in improving the outcomes. The spiritual needs of the person
must also be considered while implementing the interventions.
TASK 3
Reflection
Person centred care (PCC) is defined as the approach to empower individuals so that
instead of being only passive recipient of health care service they can take charge and
responsibility at their own (Ballard and et.al.,2018). The care planning process consists of
agreement and implementation of action plan for accomplishing specific health care goals and
needs of individuals. As health care professional I am very well aware with the care planning
process but it is very complex task to assess the needs of an individual and to fulfil them. I used
to encounter different types of service users who belong to different culture and have different
psychological and physical needs. Thus for formulating holistic are planning it is important for
me to accurately identify their needs and to manage and plan appropriate health care
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interventions. While preparing care plan I used to face several challenges. The effective care
requires to consider the opinion and preferences of the service user as well (Wallström and
Ekman, 2018). Thus for this purpose I used to make good professional relations with the patients
and so that they can also actively participate in the care related decisions. An individual has
better understanding of their needs. Thus as health care professional when I work in
collaboration with the patients then it becomes quite easy for me to deliver better health care
outcomes. It also gives patients right to protect their autonomy and dignity. In my opinion the
care planning process not only has impact on patient but can also affect the other family
members and in some cases to a large community as well.
At once I was preparing care plan for an elderly who was admitted in hospital after
meeting an accident. While interacting with her I came to know that she feels very lonely at
home as her other family members does not gave time to her. Considering her situation, I used to
communicate with her daily for few minutes. It gave her immense happiness and it was also
reflected in quick recovery. I also informed her family members that they must meet or talk her
on weekends at least so that she does not feel lonely. The idea was appreciated by her family
members as well. They even agreed to be present at the time of physiotherapy sessions so that it
can give courage to the woman. Learning from this incident and about the emotional needs of
patient her family members were able to make efforts. However, this could have not been
possible if I had not adopted person centred approach.
When individuals enter into care service they used to lose their independence to some
extent and thus it put dignity of individuals at risk (Sjögren and et.al., 2017). As a professional I
always ensure that I treat my patients with dignity and respect. While communicating with the
patient I also follow various legislations and care standards. For instance, in order to maintain the
privacy and confidentiality standards I never violates the privacy concern of my patients. If
someone is not comfortable with me then I try best at my level so that they can make themselves
comfortable with my presence and can continue with the treatment. For example, in order to
deliver good care, plan I also used to consider the personal circumstances and values of
individuals. Like at once I met an individual who had physical disability. He used to be very
aggressive and lonely because he used to believe that his family members do not respect him as
he is dependent on them for mobility. However, when he shared his grief with me then I
suggested him that he can access care home services or residential care service provider so that
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he does not have to worry about being dependent upon family members. It gave him as well as
his family member a great relief because it not only satisfied his physical care needs but
emotional as well.
As a health care professional I also adhere to the several legislations. Like it is my
responsibility to treat each individual with equality without any discrimination. According to
equality act all individuals must be given same treatment without any bias and discrimination
(Wolf and et.al.,2017). Along with respect I also give equal value to cultural and religious beliefs
of others so that people do not feel offended. It is also one of the important part of person centred
care because if I will not consider the personal values of people then it will not be possible for
me to prepare a complete holistic plan which can meet their physical, psychological, social as
well as emotional health care needs.
I believe that health and regulation act are crucial for improving the service quality,
encouraging collaborative working and for assessment of risk factors so that care planning can be
improved to great extent by minimising the associated risk factors. While providing person
centric groups I also used to indulge in team and collaborative working. The skills such as
leadership and team working helped me greatly to improve the health outcomes of individuals. I
also got opportunity to work with different individuals. There is great different in the ethics,
values and perception of people and thus while planning care approaches I have to consider all
these aspects for achieving care goals. For instance, at once when I prepared a specific diet for a
50-year-old diabetic patient and asked her to quit smoking and tobacco then she refused it
completely citing it as their common identity in her cultural group. Along with the medication I
have to also work in collaboration with the psychologists and social workers who made her
understand that for sustaining healthy and safe life it is necessary that she must quit her practices.
Thus making her convinced for agreeing upon the suggested interventions without disrespecting
her cultural values and long term beliefs was a challenging aspect. I would not have been able to
accomplish that without suitable guidance from my leaders and collaborative working with other
practitioners.
Likewise, any other organisation in health care also team working and collaboration plays
significant role. However, I think as health care deals with the life and safety of individual’s
team work and leadership becomes more vital. As a professional and carer I used to adopt
different style and approach of leadership depending upon care needs and circumstances. After
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developing several care plans I have learned that with person centric approach a single
intervention and planning is not suitable for every individual. It varies from one person to other.
The care planning approaches have impact upon patients and their associates as well as on care
planner. When I used to prepare care plan I consider several aspects such as the nursing priority
and diagnosis which needs immediate attention, resources, preference of patients, their
psychological state as well as their cultural and diversity preferences.
One important thing which I learned from my experience is that implementation of care
plan is equally difficult as the planning process. In my transition period when I first observed a
person from different culture and gender then I became nervous by thinking that my personal
opinions are very diverse and I may not provide suitable care. Thus, in that situation lack of
confidence also made me fearful about demonstrating my leadership skill. However professional
guidance from my mentors make me understand with time that while providing care I must not
allow diversity factor as barrier to provide PCC. However, I must also not become too personal
or emotional with patient which can make individual nervous or uncomfortable. Delivery of
good quality care plan also demand for selection of appropriate leadership style (Håkansson
Eklund and et.al., 2019). There are situations when individuals are not ready to accept the
suggested interventions. Their decline can even result in threat for their life. In such critical
conditions I used to adopt various measures such as collaboration, firmness as well as
psychological support to the service user.
It cannot be denied that with increasing burden of health care PCC approach is need of
the situation. However as professional I also used to face multiple barriers in delivery of this
approach. Like many time I become too emotionally attach with the patients especially those
who receive PCC at the end of their life. In such situations I have to make myself tough so that I
can adhere to the recommended standards of care for health professionals. Preparing care plans
can also impose challenge on family members as well as patient (Santana and et.al., 2018). Many
times care plan challenges the long term belief of individuals and their family belief. For
implementing such plans, I used to also communicate and convince the individuals their carers
so that they can also show their agreement in adopting care plan. For improved health outcomes
it is responsibility of professionals to ensure that the care plan interventions are properly
understood and accepted by individuals and they must not be forcefully imposed.
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