Healthcare Report: Supporting Individuals with Specific Needs Analysis

This report explores the support systems and challenges associated with caring for individuals with specific needs, particularly those suffering from dementia. It examines local provisions, such as person-centered care approaches implemented in nursing homes, and the role of social services in providing support. The report highlights challenges affecting the level of care, including poor coordination, communication issues, and financial constraints, as well as strategies for managing challenging behaviors in healthcare settings. It also emphasizes the importance of government policies and legislations like the Health & Social Care Act 2012 and the Care Act 2014, which influence care delivery. The report emphasizes the need for proper training, risk management, and promoting the rights of individuals to make their own choices within care plans to ensure better health outcomes and quality of life.

Support the individuals with
specific needs

Table of Contents
Report 2............................................................................................................................................1
TASK 3............................................................................................................................................1
P5 Local provision for individuals having specific needs...........................................................1
Report 3............................................................................................................................................4
TASK 4............................................................................................................................................4
P6 Challenges that affect the level of care received by individuals............................................4
P7 Strategies for managing the challenging behaviours in own workplace setting....................4
REFERENCES................................................................................................................................7

Report 2
TASK 3
P5 Local provision for individuals having specific needs
To support individuals having specific needs like people who are suffering from dementia,
a number of local provisions are available. Since, dementia patients are mostly faced problems
like loss of memory, sudden changes in behaviour, loss of ability to make proper interactions etc.
therefore, it causes a high burden for them, including their families too (Tatangelo and et. al.,
2018). In addition to functional and cognitive deterioration, such problems lead to develop
psychological and behavioural complications, more dependency on support of others, etc. In this
regard, to improve their health status and promoting their well-being, approaches that taken by
local agencies and communities. It includes person centred care approach, which focus mostly on
personal well-being, positive relationship and active daily lives. Through direct and indirect
interventions, domains of life quality of such individuals who require special care, are
implemented within care setting planning (Wright and O’Connor, 2018). Social services play a
major role in giving support and services to dementia people and their care providers living in
the community. Along with supporting a number of housing options, such as sheltered housing,
residential care, nursing homes and more, to those who need more intensive care as well as
support.
Individuals with dementia and carers of them generally get access the mainstream services
as well as special mental health services, via a referral through primary care team or general
practitioner (Robinson, Moore and Hooley, 2018). There is no common pathway however, to get
access the services, therefore, sometime access can be a delayed. For this purpose, making
greater coordination and integrated health and social services with provision of care management
services, are regarded as one of the important steps, for delivering and giving support to people
with dementia. Furthermore, involving the service users and care providers also consider as main
provision taken central to improvement of quality within health and social care (Heintz and et.
al., 2020). This approach is mainly advocated in UK by Everybody’s Business – The Department
of Health or Care Services Improvement Partnership, 2005. It was launched on 14 November
2005 in England, for improving health and social care practice, especially for identifying and
meeting specific needs of individuals. It mainly works for older age population and their mental
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health conditions, by providing guidance to local authorities like nursing home and hospitals
about way to improve quality of life of them. It also focuses on how to meet complex needs of
people with dementia in a co-ordinated way, by integrating a person-centred approach as well as
promoting age equality in healthcare setting plans. This department is also committed to
leadership in terms of making a positive difference within lives of individuals having special
needs and disabilities, including their families and caretakers via giving support in planning,
investing and protecting the future they are envisioned. Along with this, guidelines provided by
this department emphasis on ‘Foundations for development of a comprehensive old age mental
health services, where before providing care and specific treatment, it is essential for authorities
to involve perspective of service users and their carer within care-setting plans.
In most of the nursing homes, person centred care approaches are mainly implemented to
support people with dementia. Here, interventions life self-help, cognitive behavioural therapy,
empowerment and more are integrated for supporting people, to sustain a problem free or normal
life like others (Clare and et. al., 2019). Self-help provision helps an individual with dementia to
learn how to do routine work, without support of others, by enhancing their memory power via
practising yoga, regular exercise and so on. Similarly, empowerment helps in developing
cognitive capabilities of individual to take important decisions for well-being.
As number of factors present that influence development of local provision and support like
Social & Economic Environment, Health Behaviour, Clinical Care and more. But apart from
these, one of the most more concerned factor that highly impacts on same, includes changes in
government policies in terms of rules and regulations (Brett and et. al., 2018). The coalition
government between 2010 to 2015 policies, have highlighted potential for greater general
practices involvement within public health. It includes Health & Social Care Act 2012, which
makes changes to NHS structure and public health oversight, which is mainly designed for
strengthening local public health. The extent to which it supports and increases general practices
involvement that combines implications of policies made by NHS for public health within
England. From 2013 to till now, a number of organisations have been established to improve
health care services (Mayrhofer and et. al., 2020). It includes National Treatment Agency in
terms of drug treatment monitoring for substance misuse; Strategic health authorities, Health
Protection Agencies, Local Authorities, PCTs – to commission programs for delivering health
service outcomes and more. All these organisations follow policies which are governed under
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Health & Social Care Act 2012. In this regard, key strategic changes have been made, such as
strategic health authorities, Ring-fenced budgets, CCGs for commissioning community and
secondary based health care etc.
Therefore, considering these facts, for implementing person centred care and other
approaches to support dementia patients, it is essential for service provides to follows rules and
regulations governed by these authorities (Stevenson and Taylor, 2019). The Health Foundation
and other local communities to improve care services, four main principles are needed to be
implemented in person centred care approaches. It includes affordability of people dignity,
respect and compassion; providing coordinated care and support; personalised care; and support
people to recognise and develop strengths as well as abilities of them to live independent life.
Along with this, other main acts that need to be concerned while making policies for addressing
needs of people with dementia, includes Care Act 2014, Care Quality Commission 2008 and
more (Hopwood and et. al., 2018). It helps service providers in ensuring that people treated with
dignity and their personalised needs must meet. Approaches and programmes must be based on a
single system-wide assessment of the needs of entire communities with special needs. This
would help in giving people with greater choice as well as control of treatment and support
services with encouragement to live normal life.
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Report 3
TASK 4
P6 Challenges that affect the level of care received by individuals
For meeting and promoting the needs of people with special care like dementia, a number
of challenges might arise in front of service providers. It includes poor accommodations of
people’s needs, lack of coordination and continuity of care, miscommunications between service
providers and patients or their families, delay in adoption of information technology etc.
(Hopwood and et. al., 2018). These issues are resulting in excess costs that highly affects quality
of health and care services, including well-being outcomes. If there is a lack of communications
and coordination between caregivers and people with dementia, then it would create difficulties
in meeting needs of patients. Another main issue, that might come while implementing person
centred care services for well-being of people with dementia, includes risks when such people
allowed to do routine work then they may harm themselves (Stevenson and Taylor, 2019).
Personal centred care approach refers to a multidimensional concept, which is central to
individual needs and respect their dignity, for improving quality outcomes. It aims to shift focus
of healthcare providers away from their interests to concerning more about personal needs of
patients and their families. But to implement this in nursing practice, a proper training is required
for service providers, otherwise it is not possible for them to handle complex situations like
mood swings of people with dementia, their aggressive behaviour etc. But for this purpose, more
investment is required to implement social care approaches and organise training as well. So,
lack of financial resources also arise problems for health and social care centres, in meeting
needs of people who requires special care. Along with this, following legislations of health care
acts while implementing healthcare plan in settings, also arises issues, in front of service
providers or local authorities. In addition to this, dealing with patients’ behaviour and sudden
changes in attitudes creates problems, in providing better quality of care services to them and
meet their specific needs.
P7 Strategies for managing the challenging behaviours in own workplace setting
In order to deal with challenging behaviours, which arise while providing care services to
people with dementia, it is essential for healthcare providers to develop a number of strategies. It
includes improving communications first, that refers to most essential part in workplace setting
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(Mayrhofer and et. al., 2020). Service providers are required to make proper interaction with
people having dementia and their carers, to influence them about type of services and support
they will get, for improving well-being. Making proper communications with such people also
help in determining specific needs that they wish to fulfil, for living a normal and better life.
Similarly, as changes in government policies highly affect the care plans being made for
promoting health benefits, therefore, timely assessment needs to be prepared for analysing how
approaches like person-centred care will help in better dealt with the same (Brett and et. al.,
2018). Along with this, for dealing with aggressive behaviour of people with specific needs, a
proper training needs to be provided to care takers. This would make them able to not only deal
with people’s sudden behaviour changes, but also work on calming and controlling the same.
This would help in improving and enhancing quality of healthcare services, with chances to get
better health outcomes. Furthermore, proper risk management also need to prepare, before
implementing person-centred care approach within care-setting plans (Clare and et. al., 2019).
Risk-taking refers to a main aspect that all people have an active role in within daily lives and
when an individual is being cared for, then it does not reflect that right to make risky decisions of
them should be denied. Therefore, making risk management plan is essential for keeping their
dignity and preventing them from any type of harness, while integrating personal centred
approach within care setting plans. In addition to this, proper fund resources are also needed to
be identified and maintained, for integrating person centred care approach and providing training
to service providers, to overcome from challenges of inadequate finance.
As part of a person-centred approach, it is essential for all associated people to promote as
much as possible right of people with specific needs to make their own choices (Heintz and et.
al., 2020). It includes involvement of their participations in preparing treatment plans. As per
Human Rights Act, taking away such rights seems as unlawful and could be constitutes as abuse.
But it might arise problems in terms of risk of being involved those people in care plans, who
have lack of abilities in making decisions and cognitive thinking skills (Robinson, Moore and
Hooley, 2018). Along with this, as long as people with specific needs has the capacity to
understand all possible repercussions of actions, service providers cannot prevent them from
decision making to be promiscuous, even if the same directly against their own beliefs.
Therefore, in such conditions, making interaction and development of good relations is essential
for services providers with people with dementia and others who are suffering from mental
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health issues (Wright and O’Connor, 2018). Under this process, to facilitate appropriate risk
management, being a service provider, I have helped my seniors in identifying the way
involvement of people with dementia can be included. For this purpose, I have encouraged such
people and their families, by developing better coordination with them.
Thus, it has been evaluated from all over the discussion that person-centred care is one of
the most appropriate approach in health and social care sector. It refers to a way of thinking and
working on things that helps in assessing and meeting specific needs of people, for their well-
being. For planning, developing and monitoring care, involvement of people and their families as
well as keeping their rights, helps in promoting and getting better health outcomes (Tatangelo
and et. al., 2018). Today, in health and social care sector, such type of approaches is increasingly
adopting because it not only helps patients in receiving better quality care and services, but it
also aids in improving the healthcare settings as a whole.
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REFERENCES
Books and Journals
Hopwood, J. and et. al., 2018. Internet-based interventions aimed at supporting family caregivers
of people with dementia: systematic review. Journal of medical Internet research, 20(6),
p.e216.
Stevenson, M. and Taylor, B. J., 2019. Involving individuals with dementia as co-researchers in
analysis of findings from a qualitative study. Dementia, 18(2), pp.701-712.
Mayrhofer, A. M. and et. al., 2020. Young onset dementia: public involvement in co-designing
community-based support. Dementia, 19(4), pp.1051-1066.
Brett, L. and et. al., 2018. Exercise and dementia in nursing homes: Views of staff and family
carers. Journal of aging and physical activity, 26(1), pp.89-96.
Clare, L. and et. al., 2019. Individual goal‐oriented cognitive rehabilitation to improve everyday
functioning for people with early‐stage dementia: A multicentre randomised controlled
trial (the GREAT trial). International journal of geriatric psychiatry, 34(5), pp.709-721.
Heintz, H. and et. al., 2020. Emerging collaborative care models for dementia care in the primary
care setting: a narrative review. The American Journal of Geriatric Psychiatry, 28(3),
pp.320-330.
Tatangelo, G. and et. al., 2018. “I just don’t focus on my needs.” The unmet health needs of
partner and offspring caregivers of people with dementia: A qualitative
study. International Journal of Nursing Studies, 77, pp.8-14.
Robinson, D., Moore, N. and Hooley, T., 2018. Ensuring an independent future for young people
with special educational needs and disabilities (SEND): a critical examination of the
impact of education, health and care plans in England. British Journal of Guidance &
Counselling, 46(4), pp.479-491.
Wright, T. and O’Connor, S., 2018. Reviewing challenges and gaps in European and global
dementia policy. Journal of Public Mental Health.
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