Meeting Service User Needs: A Care Plan for Katy Tyler's Case

This report focuses on a care plan designed for Katy Tyler, a service user facing learning disabilities, mobility challenges, and complex health needs. The introduction provides an overview of Katy's case, highlighting her difficulties with communication, social interaction, and daily activities. Task 1 explores relevant theories, specifically the Social Model of Health and Social Care, and its five principles, which include reducing social inequality, empowering the individual, ensuring easy access to healthcare, considering broader determinants, and fostering the best possible support. Task 2 details the implementation of the care plan using the APIE framework (Assessment, Planning, Implementation, and Evaluation). The report provides a detailed nursing care plan, focusing on addressing Katy's specific needs. The plan includes interventions and evaluations. The conclusion summarizes the key findings and outcomes of the care plan implementation. The report is a valuable resource for students seeking to understand care planning in healthcare settings. You can find similar examples and solutions on Desklib.

Meeting The Need Of Service
Users

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
1.1: Relevant theories to support structure and system used for user....................................1
1.2: What type of care plan would be effective for user and justification..............................3
TASK 2............................................................................................................................................6
2.1: Analyse and describe how you could carry out work in implementation of care plan.. .6
TASK 3............................................................................................................................................8
3.1: Evaluate what has and what hasn't worked while implementation.................................8
CONCLUSION................................................................................................................................9
REFERENCS.................................................................................................................................10

INTRODUCTION
Service user is the one who regularly takes health and social care services so that smooth
functioning of life would be attain (Schnase and et. al., 2017) Beside this, care plan refers to step
by step activities which service user must implement in their life so that disability would be
reduced to a certain level. Whole report is related to Katy Tyler who has been suffering from
learning disabilities and usage of wheelchair. Overview of the case study would be given with
the role and responsibilities of care taker with the explanation of it. Besides this, care plan would
be developed for the patients. At last, reason behind failure or success of the care plan of services
user would be elaborated.
TASK 1
1.1: Relevant theories to support structure and system used for user
Overview
Whole case study is about Katy Tyler who lives in Dorset and has been facing various
obstacles in her life like learning disabilities, complex heath issues, usage of wheelchair to walk,
food is provided with the help of gastric PEG feeding tube, finds difficulty in expressing their
feeling etc. She has attended a day centre but Katy was facing hard time to spend at that place as
no one is able to understand what she is saying and misinterpreted as an epileptic seizure due to
which she prefers to sleep around the corner of the day centre. Katy has no social life as she
could not perform even a single activity without taking help of others which makes her frustrated
sometimes and family member or careers also.
It must be essential for individual as well as care taker to plan accordingly as chances of
getting side effects of making care plan is high due to sensitive health of the service user. To
make concise and effective care day plan, Social model of health and social care must be use
which is mentioned below with functional examples of it,
Social Model
It is a framework which assists in improving the health and well being of a person by
directing the actions towards determinants of the health (Bee and et. al., 2015). It spells out that
health of an individual is directly linked with the interpersonal relationship, social and other
factors of the person. It has a deepen effect on the health and mental position of a person without
knowing them. So in other words, it can be said that health is dependent on the interrelationship
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between body, mind and society where individual is living. There are five principles of social
health and social care model which should be considered by caretaker at the time of care plan is
explain below with functional examples,
Reduce social inequality: It refers to intensity of which individual or patient is social to other
people in the same society. It includes various determinants like discrimination on the basis of
gender, caste, religion, bullying etc (Batalden and et. al., 2016). For instance, if any individual
has stammering disabilities then bullying by the friends might leads to person into depression
which leads to negative health. In other example, if any person has been boycotted by the society
then it will have a unfavourable impact in the life of an individual as chances of getting High BP,
rage of revenge etc. So care taker must try to identify problem which have been faced by the
patients before writing it as eradicating it will leads to free from disability.
 Empower individual: Individual health will surely deteriorates if they feel that they are
dependent to other person and would not have will to take positive decision. So in this
case, care taken should try to identify various things which patients wants to do but could
not do become of their disability and then motivate them to do on their own. It will
motivate patients confidence which might enhance their conditions to a certain level
(Rourke and et. al., 2004).
 Easy access to health care: Every individual has the rights to attain access to health care
in respect of their place, creed, religion, class etc. For instance, person who counts in low
class people should also get access to healthcare as compare to the rich community. So
care taker role is to find out the methods and ways which could help the patients to get
back to in normal while considering the budget of client.
 Broader determinants: It includes factors like social factor, environmental factor,
gender, norms and culture of an individual etc. For instance, those people who regularly
baked their food with their help of wooden has high chances of getting lung cancer as
they have already intake high amount of lethal substance in their body (10 Foods That
Are Tied Directly to Cancer, 2019). Care taker work is to find out the history of the
patients so that reason behind the disability would be find out and then care plan is made
accordingly.
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1.2: What type of care plan would be effective for user and justification
Care plan states the activities which a patients’ needs to comply with if they want to
enhance their personal health (Johnson and et. al., 2015). Main purpose of care plan is stated
below,
 To promote highest quality of health and social care services by using evidence base
learning. Apart from this, care plan also provide holistic care to the patients as whole
human being is considered while making it like physiological conditions, social issues,
strengths and weakness of individual etc.
 To record and analyse the impact of care plan to the health of the patients with the aim of
reducing the negative effect of disability on an individual.
 To provide continues mental and psychological support so that anxiety or frustration
would be removed which ends up at enhancing well being of patients (5 Steps to Writing
a Nursing Care Plan, 2019).
Various points which needs to be considered while making care plan is given below,
Nursing
diagnosis
Importance of
diagnosis
Outcome Intervention Evaluation
Katy has
difficulty in
expressing
their views on
anything due
to hesitation.
Besides this,
she has
difficulty in
speaking due
to slow
transfer of
stimuli.
It must be
important to
stop this as it
would then
make the body
more slow
while receiving
signals from the
brain which
could be fatal in
future.
It assist her
to make
conversation
with her
known and
people at
day centre
so that she
does not
need to
sleep around
the corner at
day centre.
It could be
removed
through reading
comprehension
loud as it would
make the nerve
active again. It
will leads to
better fluency
while speaking.
Fluency depends on the
individual words per
minute speaking
capabilities. So at the
interval of one month,
speed and fluency of Katy
will be check and analyse.
Main target is to makes
Katy interpersonal skills
back to normal so that
they can again start their
social life like going to
movies with her friends
and family.
It is hard for Loosing It would Memory is Frequency of Katy
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Katy to
remember
anything as she
is losing her
capabilities of
learning due to
which she
cannot
remember
anything or
anyone
sometimes.
memory for a
longer period of
time is painful
for the patients
as they get
through various
difficulties like
hallucinations,
drowsiness,
compulsive
behaviours etc.
So due to this
reason it should
reduced to a
certain level so
that Katy can
live a life like a
normal person.
help her to
remember
things
which she
could not in
the past.
Moreover,
directly linked
with the
individual brain
so the aim of
this is to make
the brain
stronger again
so that Katy can
remember
things which
she cannot in
the past. Mental
exercises like
the entire
mathematics
problem will be
solved in the
mind so that she
can remember
things for a
shorter period
of time.
Cooking classes
would be shown
to Katy and then
she have to
make the food
accordingly.
She might have
problem in the
beginning but it
forgetting things would
be note down by me so
that it can be analysed by
making graph.
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turns out to be
in the Katy side
in future.
Katy remains
frustrated very
times as those
who did not
know her does
not
understanding
what she is
saying due to
which her
social life has
ended
partially.
Frustration
keeps the
motivation
which ends up
at making
person
depressed
which is
unhealthy for
human being.
She could
also take
any part
time job or
visit day
centre so
that her
mother
would again
able to work
as a teacher.
Care taker will
take her out on
a daily basis so
that she won’t
be shocked at
the time of
going out after a
longer period of
time.
Her behaviours towards
other will be the way of
finding out the well being
of Katy.
Katy is
immobile in
nature as she
uses wheel
chair to roam
around the
house.
Regular uses of
wheelchair will
make person
muscle week
due to which
she could not be
able to walk
properly in the
future.
It will make
her life
more
socially
connected
as then it
would
possible for
Katy to
meet their
friends and
family at
movie or
shopping.
Leg exercise
should be done
by Katy three
times a day as it
will make the
legs stronger
and healthier.
Uses of crutches
are mandatory
as it will make
her legs
movable in
nature.
It would be evaluated by
measuring and
monitoring the way Katy
walks or how much time
she could walk alone.
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TASK 2
2.1: Analyse and describe how you could carry out work in implementation of care plan
APIE framework i.e., assessment, planning, implementation and evaluation is very effective
in nature as it spills out the activities which needs to be practiced by patients according to its
priority (Richardson, Percy and Hughes, 2015). Main aim of using this framework is to plan the
activities according to patients’ capabilities so that she would be able to perform their task with
maximum potential. How a care taken could implement this framework while caring Katy is
given below,
 In the assessment stage, identification of the problem and reason behind it is identified by
the carer so that next step would be done accordingly. Every activity of Katy is recorded
and then analyse by the expert so that real problem would be find out. For instance, if she
is not recognising their friends then care taker work is to find out how often it occurs and
why it happened.
 In planning stage, care plan will be developed on the basis of assessment stage while
considering Katy’s strengths and weakness. For instance, if she is good in calculating
math problems then activity would be conducted in which entire calculation will be done
without writing it.
 Implementation stage is various crucial as plan is made through predicting the
environment in the future. For instance, if Katy is not able to walk with the help of
crutches then role of the care taker is to find out other ways through which she can walk
or make her legs stronger.
 In evaluation phase, all her activities would be recorded time to time and then analyse it
in the last so that final result be find out. If any of the activities decided for her failed then
again new care plan will be made.
Empowerment model of health and social care
Health Empowerment refers to provide more power and authority to a person to control
over health and social needs according to their disabilities (Pinkerton and McCrea, 2018). It has
two aspects on which care taker and Katy should think about which is mentioned below,
More authority
It is those elements which individual prefers to have more power like selection of
equipments used by the patients (Jones and et. al., 2009). For instance, if Katy is not comfortable
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with using crutches while walking then practionor and care taker should replace it and try to find
out new equipments which would satisfy the unmet needs and demands of Katy. Other factor is
psychological needs of individual, for instance if Katy prefers to eat specific type of food then
taker must allow her to do so as if they does not then Katy would become frustrated which might
affect her health in a negative way. Last but the most important factor is social need of the
patients must be fulfil all the time (Parker, Corden and Heaton, 2011). For instance, if Katy does
not like to interact with her care taker then her family should remove them and try to contact
with agency to have taker in the house.
Less authority
There are some areas which patient does not prefer to have control with like social issues.
For instance, it’s the decision of the taker and family to find out the best way of travelling her to
day care or hospitals.
Roles and responsibilities perform by the care taker is explained below,
Main work of the care taker is to make the time table of the patients according to the
prescription given by the doctor as each and every medication is compulsory to provide on time.
Apart from this, exercise table chart is also essential for patients like Katy as it will help her to be
healthy and fit (Wallcraft and et. al., 2011).
 It would be important to have to be flexible and strong as care taker is supposed to help
patients to perform their exercise. For instance, if Katy wants to go out for errand then
it’s the duty of taker to prepare her and take her out so that Katy won’t get frustrated.
 It is important to identify various equipments in the kitchen which is harmful for the
person who is suffering from any kind of disability. For instance, the gas pipe should be
close at the time of not using it if Katy forgets to pull it off then it can damage her health
in a negative way. Apart from this, things which is used by her on a daily basis like
toothbrush, water, foods etc should be placed in reach of her as if care taker is not at
home then it would be hard for her to get it as she could not stand by her own. So
responsibility of care taker is to set the home according to the patients.
 The most essential role played by the taker is companionship to the needy person. They
provide basic facilities like monitoring health and activities of the patients so that it
would be noted down for the care plan. For instance, if Katy needs to take their drugs for
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epilepsy at specific time then taker should provide at that time as it is important to give
medicine timely.
TASK 3
3.1: Evaluate what has and what hasn't worked while implementation
My work is to fulfil all the needs and demands of the patient so that she can live her life
smoothly but there are some circumstances which has make the care plan wrong which are
mentioned below,
 Main role of crutches is to provide support to the disable person so that they can walk on
their own. So I thought that it would be better to give Katy give equipment so that she left
the wheel chair as it making her weak. But i failed because she could not able to hold her
weight on the crutches.
 To enhance her capabilities of memory, my plan of mathematical calculation idea and
cooking classes succeeded as it is one of our interest of field due to which she has been
able to concentrate on it.
Gibs reflective style
Gib's reflective cycle was given by Graham Gibbs in the year 1988. The model was
developed for the purpose of giving appropriate structure to the learning of individual which
have been gained by them throughout their experience. This model is based on various stages
which successful give appropriate path to individual to express their learning effectively which
every next step. With reference to the present case scenario all of these stages of Gibbs reflective
model have been stated as below:
Description: The present assignment is completely based on a case study of a girl names as
Katty. A 24 year old girl who has been suffering from various problems like learning disability,
use wheelchair, epilepsy etc. Due to this she could not be able to socialise with their friends and
family due to which she become frustrated. Here, my role was to identify certain solution for
Katty which would be beneficial for Katty.
Feelings: At the starting stage of this project I was very nervous as its difficult for me
understand whole scenario and find out feasible solutions for them.
Evaluation: At this, it can be said that I placed my 100 percent efforts to identify best
suitable solutions for Katty's health condition.
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Conclusion: From overall evaluation, it has been analysed by that my overall learning
experience was good as I have successfully identified that Katty can overcome her maximum of
problems by keeping written records of regular based activities. Apart from this,
Action: Mathematical problem is provided to her whom she needs to do without using of
pen and paper. It makes her memory strong and sharp so that learning disability would be
reduced to a certain level.
To resolve this, there are many ways through which i can resolve her problem like uses
crutches and exercise to make her leg strong so that she would able to walk on crutches. Motto of
the whole social care is to make her independent so that Katy would live their life on her own
terms.
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CONCLUSION
From the above report it can be concluded that health of an individual is directly lined
with the outside factors which they are facing on a regular basis. They should try to avoid any
unhealthy activities which might harm their body as it leads to disability in the future. Proper day
planning is important for patients as it makes the routine smoothly for them which ends up at
enhancing motivation and self dependency. Carer, hospitals and care taker should try to identify
the reason behind disability of an individual as then only suitable methods and approach will be
made for them so that they can live their life on their own.
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REFERENCS
Books and Journals
Schnase and et. al., 2017. MERRA analytic services: Meeting the big data challenges of climate
science through cloud-enabled climate analytics-as-a-service. Computers, Environment and
Urban Systems. 61. pp.198-211.
Bee and et. al., 2015. Systematic synthesis of barriers and facilitators to service user-led care
planning. The British Journal of Psychiatry. 207(2). pp.104-114.
Batalden and et. al., 2016. Coproduction of healthcare service. BMJ Qual Saf. 25(7). pp.509-517.
Johnson and et. al., 2015. For many patients who use large amounts of health care services, the
need is intense yet temporary. Health Affairs. 34(8). pp.1312-1319.
Richardson, C., Percy, M. and Hughes, J., 2015. Nursing therapeutics: teaching student nurses
care, compassion and empathy. Nurse Education Today. 35(5). pp.e1-e5.
Pinkerton, J. and McCrea, R., 2018. Meeting the Challenge?: Young People Leaving Care in
Northern Ireland. Routledge.
Jones and et. al., 2009. Illness careers and continuity of care in mental health services: a
qualitative study of service users and carers. Social science & medicine. 69(4). pp.632-639.
Wallcraft and et. al., 2011. Partnerships for better mental health worldwide: WPA
recommendations on best practices in working with service users and family carers. World
psychiatry. 10(3). pp.229-236.
Parker, G., Corden, A. and Heaton, J., 2011. Experiences of and influences on continuity of care
for service users and carers: synthesis of evidence from a research programme. Health &
Social Care in the Community. 19(6). pp.576-601.
Rourke and et. al., 2004. Satisfaction with living arrangements of older adults with intellectual
disability: service users’ and carers’ views. Journal of Learning Disabilities. 8(1). pp.12-29.
Online
5 Steps to Writing a Nursing Care Plan. 2019. [Online]. Available Through:
<https://www.nrsng.com/writing-nursing-care-plan/>
10 Foods That Are Tied Directly to Cancer. 2019. [Online]. Available Through:
<https://www.rd.com/health/healthy-eating/foods-tied-directly-to-cancer/>
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