Assessment 2 (Case study)
Family members:
Joy – Health Professional workers involves; OT = to complete a variety of assessments (cognitive, functional, activities of daily living, aids and adaptation and risk assessment) in order to gather relevant information needed to design a treatment plan best suited to Joy’s needs. To ensure relevant equipment/s and devices that aids Joy to accomplish with her daily activities (e.g. rollator frame) and functional mobility to increase independence, to work closely with the MDT such as doctor and nurses etc. to update for any signs of deterioration on her condition, to actively part in the care planning. GP = to prescribed medication e.g. anti-angiogenic drugs for MDG, to conduct further assessment in order to make a referral to the specialist – Ophthalmology as potentially Joy needed a laser eye surgery. Incontinence/Community Nurse = to assess her incontinence needs such as the use of incontinence pad. Adult SW = monitor her welfare and to raise any safeguarding concern e.g. self-neglect, supporting in assessing Joy’s mental capacity and to note for any deterioration, helping in arranging Advance Decision (Living Will) for her treatment.
Legislation Frameworks may apply:
Care Act 2014 – Sets out local authorities’ duty to make an assessment to an adult over the age of 18, who needs care and support and their eligibility for public funded care and support (Social Care Institute for Excellence, 2016). Joy falls on this category, as an adult and a health and social care service user, who has a complex health conditions that needs care and support.
Mental Capacity Act 2005 – Joy might need an Advance Decision (Living Will) to plan her medical treatment in the future.
Frank – Health Professional workers involves; GP = to assess, diagnose, facilitate treatment and supporting or advising Frank’s and his family to manage covid symptoms, conduct health promotion in addressing Frank’s weight. Dietician = referred by the GP/Nurse = to helps Frank dietary intervention to address overweight. Advice on to live healthy lifestyle e.g. meal plan includes more fruits and vegetables on diets, reduced salt intake and high saturated fat.
Nurse = monitor Frank’s Early Warning Signs of deterioration whilst on hospital admission, care for his treatment. Pharmacist/Chemist = advice on medications.
(LO2) – Legislation Frameworks may apply:
Mental Capacity Act (2007) – Provides Statutory framework for decision making concerning adults lacking mental capacity. In order for consent to be valid in law a patient must be capable of making that treatment decision. Adult patients are presumed to have capacity to consent or refuse consent to a particular treatment. However, this refusal can be rebutted (Mc Hale, 2013). In Frank’s condition, his capacity might be fluctuating at the that time when he refused consent to go to the hospital for treatment due to temporary incompetence as indicated by confusion or pain that leads Frank to collapse from covid_19 symptoms.
Care Act 2014 – either Frank Belinda is entitlement for the care assessment under this act as either of them have looked after Joy – an adult who has a care and support need and has living them.
Additionally, either Frank and Belinda is entitled for a carer’s allowance for looking after their disabled child along with the PIP – Personal’s Independence Payments (disabled benefits for Alfred).
Equality Act 2010 crossover with Human Rights Act 1998 and European Convention on Human Rights Act – This to demonstrate and draw on Frank receiving treatment as he should be giving fair medical treatment in under this act. Frank has a black ethnicity and minority back-ground, he possibly has overlooked treatment or has been discriminate from white doctors or medical professional in the hospital didn’t prioritise his care. It should demonstrate the non- discriminatory practice and interprofessional working to their patient treating their fairly in regards of their ethnic backgrounds etc.
Ethical:
It was a life saving decision has made from the ambulance staff to Frank’s wishes to refused treatment and refused to be brought to hospital. Discuss Franks autonomy with this and other related healthcare ethics guidelines such as: beneficence, non-maleficence and justice in clinicians/medical professional’s decision making in Frank’s condition and draws how it is impacted Frank overall.
Local and National Policy:
Public health policy for covid_19 in the UK (national) or guidelines can be seen in NICE guidelines website.
Local Policy – on addressing or supporting Frank’s journey with diabetes e.g. wellbeing strategy for diabetes available locally, as Frank’s family live or reside in the Lincolnshire area. See website below and see how this could help to Frank’s condition and to his family.
(LO3) – Evidence interprofessional working together as a whole to give patient’s input for his/her care plan in achieving best outcome. Draw and demonstrate its benefits of Multi-Disciplinary practice (On Frank’s healthcare/medical professionals working with him and his family.
(LO4) – Professional development goals for NURSES:
Identify their duty of care of the nurses, and professional development in working effectively with other professionals. Reference in Nurse and Midwifery Council – (NMC) Code a regulatory body – stated that
Belinda – Health Professional involves; Physiotherapist = Provide education and advice in technique to restore function affected her joints, hips and knees due to osteoarthritis. Also helps her managing pain and improves her overall health. Doctor/GP = To assess, diagnose and facilitate treatment and prescribed medications for her osteoarthritis.
Legislation Framework may apply:
Under Care Act 2014 – Belinda is eligible for a carer’s assessment as she looks after her mother (Joy) who is frail and ill elderly who has care and support needs this falls on the category. Carer’s assessment is an opportunity to see the effect of caring has on carer’s life. (Carer’s UK, 2014).
Alfred – Children/Family SW = support Alfred and his family through difficult time they are facing on the covid_19 crisis this may include financial hardships due to loss of income from isolation, advising to access financial resources available to them. Helping Alfred to help improve outcomes in his daily life; referrals made to OT = to help acquired suitable equipment such as wheelchair to help him mobilise and gain some sort of independence along with his daily life activities. Speech and Language therapist = to help him tackle difficulties in communicating due to neurological problem of CP. Physiotherapist = Advice on manual and handling with Alfred by not breaking (Frank and Belinda’s back). Learn to do to Alfred’s muscle stiffness or uncontrolled muscle movements. GP = making referrals to Orthopaedic specialist or Neurologist, some children who experience tight tendons and muscles, hip dislocation and have mobility impairments may benefit from treatments from an orthopaedic surgeon or neurologist
Legislation Framework may apply:
Children and Families Act 2014 –
Equality Act 2010 –
Children Act 1983