Meeting Service User Needs: Social Work Report on Ms. A's Care

This report examines the care needs of Ms. A, a service user facing challenges related to mental health, housing, and medication adherence. The social worker's role in assessing these needs is explored, including the creation of achievable goals and the application of a multidisciplinary approach ...Read More

Meeting the Needs of Service
Users

Table of Contents
INTRODUCTION...........................................................................................................................1
Assessing Ms. A's care needs by creating beneficial and achievable goals................................1
Exploring own skills in the evaluation of care needs:-...............................................................2
The models of health and social care..........................................................................................3
Reflection....................................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................9

INTRODUCTION
Meeting the Needs of Service Users is very essential for a social worker in order to meet
their emotional, social and practical needs. This helps in ensuring that they are able to maintain a
high quality of life. In order to care for them, social worker need to have suitable skills and
personal attributes. It also requires careful individual assessment and planning in order to meet
the needs of the person. The major responsibility of the allocated social worker is to monitor the
health and safety of Ms. A. Report will Assess Ms. A's care needs by creating beneficial and
achievable goals. For the same Multi-disciplinary approach will be applied and further it
explores the own skills in the evaluation of care needs with the help of appropriate theories.
Report will also include the models of health and social care that social worker decide to choose
in order to have quick recovery of Ms. A. Further report will include Framework for care
planning and reflexive report of own practices of social workers that will evaluate the role in
implementation of the care to meet Ms. A's needs.
Question 1
Assessing Ms. A's care needs by creating beneficial and achievable goals
The major responsibility of the allocated social worker is to monitor the health and safety
of Ms. A. Though it is extremely challenging for the social worker due constant fluctuation in
Ms A's mental state and its was directly her physical health as well as change in behaviour was
seen. There is a requirement of specialist input from the community mental health team in order
to receive long term therapeutic intervention. Although it was made clear to the social worker
that in order to receive support from CMHT, Ms. A have to willingly approach their service.
Despite this the social worker put efforts in order to encourage Ms. A to have support from
CMHT, but she refused as was having fear to be sectioned under the Mental Health Act 1983.
As the social worker met Ms. A, she represented a stable and good insight into her health
needs and was assessing as if she is having the capability to make her own decisions. She was
demonstrating independent living skills in order to assure the social worker that she is having
independent living skills in order to manage her own needs. There was many problems because
of which she was mentally ill that included frustration related to housing application because of
which rapid decline in her mental health was seen. This case for complex enough for the social
worker as Ms. A was facing homelessness and was also facing regular hospital admission due to
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her non-compliance with medication regime. Not only this she threats to harm herself and
suicidal ideation.
In order to improve the health of Ms. A, Social worker prepared a plan that ensures the
better health of Ms. A. This care plan was developed by the social worker in order to increase the
better facility for Ms A and to ensure all the respective criteria of the plan are actually
implementable. First of all the social worker motivated Ms. A to believe on her and share the
things without any hesitation. Social assistant observe and provides day long services to Ms. A
and have proper communication with her. Social worker gathered different information related to
health of Ms. A and also was able to fix all the problems by having responsive nature towards
Ms. A. Social worker put efforts in order to maintain the effective relation with the patient so
that she feel free to share the problems that she is facing over the years.
Application of Multi-disciplinary approach:-
For the same Social worker applied multi-Disciplinary approach in order to remain
involved and ensure that Ms A is at secured place of shelter and also to manager her care needs.
Social worker was getting regular guidelines from the manager and they have meetings in order
to explore multi-disciplinary approach in order to manage Ms A's care and support needs. They
also involve her family, members of health professional, the housing department and
occupational therapy(Tieman and et.al., 2017). This approach helped social worker in identifying
the problems that she is facing and to have guidelines that are supportive to solve those problems
in effective manner.
Exploring own skills in the evaluation of care needs
There are needs of different skills in order to evaluate the care needs by the social
worker. These skills are required to deal with the situations that Ms A is facing and these skills
are helpful in reducing the safety issues and to increase the retention rate of Ms A(Wilson,
Woollands, and Barrett, 2018). Some of these skills are as follows:-
 Active listening skills:- Social worker is required to have active listening skills that is to
give time to Ms A, in order to explore her thoughts and feelings so that active measures
can be taken to overcome the issues she is facing(Kratochwil, 2017). For the same Social
worker used Constructivism theory that have focus on the differentiability the way Ms. A
make sense of different things and for the same social worker used person-centred
messages that is easily understood by Ms. A.
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 Conflict management:- Many conflicts arise that social worker have to manage in order
to overcome the issues that the patient is feeling. In order to overcome these issues social
worker used Dual-Concern Model that helped in concerning for self and also Ms. A. Here
different conflict like avoiding, compromising and problem solving are taken into
consideration so that Ms. A can overcome and be away from such conflicts(Ball,
Thompson and Stupple, 2017).
 Dealing with challenging behaviour:- Many a time Miss A's behaviour is unexpected,
for the same social worker have to deal with calm and patience. In order to overcome the
same, social worker have to be aware about the body language and tone of Ms A. For the
same social worker used Organisational behaviour management theory that analyses the
reasons of such behaviour of Ms. A and then applying the intervention strategy to
improve what Ms. A is doing. The relevance of OBM in improving health care is obvious
and it provides practical approach to social worker that is helpful in addressing all
possible components of imperfect heath care behaviour of Ms. A(Burrell and Morgan,
2017).
 Empathy:- For better care of Ms A, it is essential for the social worker to empathize with
patients and the difficult situations they are facing. For the same social worker used
Stimulation theory of empathy that helps in making the sense of the behaviour of others
by activating mental processes(Kanske, Böckler and Singer, 2015). This includes
intentional behaviour as well as the expression of emotions that Ms. A is having.
 Stress management:- It is required to be calm and manage the stress level that patient is
facing. For the same social worker must have stress management skills in order to deal in
such situations. For managing the stress level of Ms. A, Social worker used Transactional
theory of stress and coping, according to which stress is a product of transaction between
person and her complex environment. With the help of this model, social worker
identified the level of stress Ms. A is facing so that proper recommendations can be set to
over come those so that is easy for her manage the stress level(Biggs, Brough and
Drummond, 2017).
The models of health and social care
 Biomedical Model:- The Biomedical model of health focuses on biological factors and
excludes the environmental, psychological and social influences. According to this
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model, health constitutes the freedom from disease, pain or any sort of defect. The major
focus of this model is physical or biological aspects of disease and illness. There are two
major aspects of the biomedical approach are Diagnosis and Intervention(Fertonani And
et.al., 2015). Diagnosis includes identification of disease or illness by social worker that
Ms. A is facing and intervention is action that is taken to improve the health of Ms. A.
The basic advantage of this model for social worker was that it helped out in improving
the life style of Ms. A and successful returning of Ms. A's good health.
Figure:- 1
 Social model:- This model examines the factors that contributes to heath of a person such
as social, cultural, political and environment as it helps to increase the understanding of
the relationship between stressors, coping and health. It usually addresses the broader
influence on health. This model helped out social worker in addressing the broader
determinants of health and to reduce social inequalities that Ms. A is facing as she was
not able to receive housing on an immediate basis and that was resulting in personality
disorder and social circumstances. Social worker did not use Empower model here as this
model emphasis on individual ability to have control on own health, but Ms. A was not
able to handle the same individually(Thomas and Milligan, 2018). So it was an effective
decision for social worker to go with social model as its helped the social worker to cope
with health condition of Ms. A.
 Holistic:- According to this model the focus of social worker is the whole person and
how she interacts with her environment, rather than just focusing on illness or any
specific part of the body. This approach helped Ms A by brining change in the lifestyle so
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Illustration 1: Biomedical model

that there is wholeness in recovery and not just temporarily relief. There is significant
improvement in the overall well being of the Ms. A and it lasts for long time. Here social
worker use Holistic model insist of Bio-psychosocial model as this model is an
interdisciplinary model that looks at interconnection between biology, psychology and
socio-environmental factors. This model increase the stigma that is attached to the
disorder, instead of reducing it. So social worker used Holistic approach over it in order
to focus on Ms A, as a whole person(Liu and et.al., 2018).
Framework for care planning
There are different frameworks that are helping in understanding the heath issues of a
person and helps in sharing the personal values and life goals of the ill person. Social worker
used the following frameworks to understand the heath issues of Ms A:-
 SOAP Framework:- It is a Subjective, objective, assessment and plan, according to which
documentation is employed by the social worker to write out notes in a patient's chart
with a common formats. It is integral part of practice and include scheduling of
appointment with Ms A, check-in of Ms A, rescheduling and medical billing. This
framework helped the social worker to analyse Ms A's progress so that proper measures
can be taken to improve the same(Allen, 2019). The used framework was more useful as
compared with DAPE that is data, assessment, planning and evaluation and DAP
framework as SOAP framework it gives standard format for organising Ms. A
information and its become easy for the social worker to identify the problems that she is
facing. It helped out to maintain records by collecting the pieces of information related to
health issues she is facing and to formulate the plan of care for her.
 OREM:- This framework is used in rehabilitation and primary care settings, where Ms. A
is encouraged by the social worker to be as independent as possible. The major
assumption of this framework is that Ms. A have to be self reliant and responsible for her
care and knowledge of potential heath problem is needed for promoting self care
behaviours. This framework was chosen by the social worker over ASPIRE and PIRP
framework as it is brings out good components of Ms A with respect to self care demands
and there are different ways to Ms A and that are very effective and efficient in
overcoming Ms A's self care deficits. Social worker assists Ms. A in self care to achieve
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identified health related results(Demoro And et.al., 2018). For the same social worker
collected different evidence that results in achieving the better health result of Ms. A.
 Roper and Tierney 12 Activities of daily living:- According to this framework of care
planning, care based on the activities of daily living is done by the social worker and is
used throughout the patient's care. It is basically used by the social worker in order to
assess the change in life of Ms A due to illness and mental disorder she is facing. The
main goal of this intervention is to promote maximum independence for the patient that
support independence in areas that may be difficult for Ms A to address alone. This
framework also emphasise on the point that Ms A needs must be met by the social worker
as practicably as possible by supporting her and providing direct care(Williams, 2017).
Question 2
Reflection
Description- the incident started with I helping a 35-year-old woman who is currently living
in a residential placement that is a mental health who is suffering from visual impairment,
diabetes, renal failure, emotionally unstable personality disorder and many other diseases. In
April 2015, she was allocated to me for conducting its need assessment in order to assess that
whether she is eligible for service under Care Act 2015 or not.
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Feelings- with the analysis of the situation of Ms A I felt that she is in a very poor
condition. But when I met her, she was presented in a stable manner and she demonstrated a
good insight into her health needs. With my analysis I felt that she was having the mental
capacity to make her own best interest decision for her and also demonstrated to have
independent living skills
Evaluation- with the analysis of the lady I evaluated that with help of application of multi-
disciplinary approach and as a result of this I was involved with Ms A and this ensured that Ms
A is at a secured place and is also able to manage her needs. Further with the evaluation I learnt
that I also require some skills to deal with the patient in proper way. These skills are like active
listening skills, conflict management, stress management and many other skills.
Analysis- with the analysis of the given situation I learnt that application of some models
relating to health and social care helped me in analysing the situation in more proper way. I
learnt that application of biomedical model helped me in analysing the biological factors of the
lady that what disease she was suffering from. With this model I learnt that there are two aspesct
in biomedical approach that is diagnosis and intervention.
Conclusion- till the end of the whole analysis of the situation of Ms A it was concluded that
she was suffering from many diseases like visual impairment, diabetes, renal failure, emotionally
unstable personality disorder and many other diseases. But with help of different models like
biomedical model of health and social care it was concluded that diagnosis of the lady included
the identification of the illness suffered by lady and intervention includes the action which I can
take to improve the situation of the lady.
Action plan- in the end for improving the condition of the lady I used two different
frameworks that is SOAP and OREM. Under SOAP framework that is Subjective, Objective,
Assessment and Plan I made notes of the condition of patient in form of chart and includes
scheduling of all the activities of Ms A. On the other hand, OREM is a framework which is used
as rehabilitation and primary care setting where I encouraged her to become self-reliant and
responsible for her own care and improving her own knowledge.
CONCLUSION
With the help of the study of the above report it is interpreted that meeting the needs of the
service user is the major requirement of a social worker. It is very important for a social worker
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to meet the needs of the service user because of the reason that a social worker needs to work for
the benefit of the service user. Therefore, it is of utmost importance that the social worker needs
to have good skills to help the service user to achieve and overcome the problem with which the
service user is going through. The report started when the social worker started assessing the
needs of the patient and to monitor the health and safety requirement of the patient.
With this the social worker analysed that Ms A is directly affected with physical health
and because of this there are changes in the behaviour of her. For this the worker applied the
theory of Multi- Disciplinary approach. This approach was applied in order to get involved with
the patient. Also, it was analysed that to deal with a patient the social worker needs to possess
some skills. These skills are like active listening skills, dealing with challenging behaviour, stress
management and many other different skills. Also, the social worker for dealing with the patient
had used different models of health and social care such as biomedical model, holistic model,
social model and many other different types of model. Further the social worker used different
framework for care planning like SOAP, OREM framework and many other different type of
framework.
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REFERENCES
Books and Journals
Allen, D., 2019. Care trajectory management: A conceptual framework for formalizing emergent
organisation in nursing practice. Journal of nursing management. 27(1). pp.4-9.
Ball, L.J., Thompson, V.A. and Stupple, E.J., 2017. Conflict and dual process theory: The case
of belief bias. In Dual Process Theory 2.0 (pp. 100-120). Routledge.
Biggs, A., Brough, P. and Drummond, S., 2017. Lazarus and Folkman’s psychological stress and
coping theory. The handbook of stress and health. pp.349-364.
Burrell, G. and Morgan, G., 2017. Sociological paradigms and organisational analysis:
Elements of the sociology of corporate life. Routledge.
Demoro, C.C.D.S. And et.al., 2018. Applicability of Orem: training of caregiver of infant with
Robin Sequence. Revista brasileira de enfermagem. 71. pp.1469-1473.
Fertonani, H.P. And et.al., 2015. The health care model: concepts and challenges for primary
health care in Brazil. Ciencia & saude coletiva. 20(6). p.1869.
Kanske, P., Böckler, A. and Singer, T., 2015. Models, mechanisms and moderators dissociating
empathy and theory of mind. In Social Behavior from Rodents to Humans (pp. 193-206).
Springer, Cham.
Kratochwil, F., 2017. Constructivism. In Oxford Research Encyclopedia of Politics.
Liu, B. and et.al., 2018. A cross-level holistic model of public service motivation. International
Public Management Journal. 21(5). pp.703-728.
Thomas, C. and Milligan, C., 2018. Dementia, disability rights and disablism: understanding the
social position of people living with dementia. Disability & Society. 33(1). pp.115-131.
Tieman, J. and et.al., 2017. Integration, coordination and multidisciplinary approaches in
primary care: a systematic investigation of the literature.
Williams, B.C., 2017. The Roper-Logan-Tierney model of nursing. Nursing2019 Critical Care.
12(1). pp.17-20.
Wilson, B., Woollands, A. and Barrett, D., 2018. Care Planning: A guide for nurses. Routledge.
Online
Biomedical Model. 2019. [Online]. Available. Through<https://www.google.com/search?
q=biomedical+model&source=lnms&sa=X&ved=0ahUKEwi7s4qDxInlAhWSdn0KHQKj
A0wQ_AUIDSgA&biw=1712&bih=845&dpr=0.9>
OREM framework. 2019. [Online]. Available. Through<https://www.google.com/search?
q=orem+framework&source=lnms&tbm=isch&sa=X&ved=0ahUKEwj2mqCT4InlAhVbV
H0KHZ2lClkQ_AUIEigB&biw=1712&bih=900#imgrc=_Quz-ouX-tk-vM:>
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