Unit 17 Understand Specific Needs Assignment
As mentioned earlier, there are a number of specific special needs each of the patient with some specific illness requires. Some of these illnesses are chronic diseases, disability etc. The healthcare and social service providers ensure that all the specific needs of these patients are satisfied. All of these specific needs are included under the procedure of special care provided to the patients in the smooth operation procedure followed by the service providers.Mr. Luke Dobson needs some of such special care as mentioned below.
- The culture of the healthcare and social service has to be changed to define the service to have the objective of enhancing the patient’s life
- Learning and understanding needs to be fulfilled by specially designed training courses and modules
- All of the healthcare and social service has to be implemented based on efficient and effective design and framework
- Speech and behavioural therapies
- Medication regimes with strict adherence
- Public and social manner and etiquette trainings
- Capability and efficiency enhancement modules
- Friends and acquaintance building communication exercises
- All the communication techniques used in the healthcare service should be improved
- All the services should be divided efficiently among proper teams
- The patient should have a good and positive experience(DiMattteo& Martin, 2002)
As mentioned earlier, a number of patients require a number of specific care which can be defined as special care. All of these special care is provided to these patients through the efficient and effective implementation of proper frameworks and smooth operation procedures. There are a number of legislations which ensure that the smooth operation procedures is followed by the healthcare professionals while providing such special care. Some of the healthcare and social services provides are including a number of reward programs in their services. These rewards and recognition programs are focused on both the patients and the people providing the services.
There are a number of roles which are responsible for the effective and efficient delivery of the special care to such patients. Some of these roles are the family of the patient, friends of the patient, doctors, government and last but not the least the patient himself or herself.
Ecosystem as a big picture:
The various roles are described in this section.
- The consultants are basically the doctors with expertise in a particular field in healthcare (Curtis, 2012).
- They are responsible for identifying the diseases and the cause from the symptoms according to their speciality.
- They are also responsible for documenting the diagnosis tests done in their field of expertise.
- They are responsible for treating patients within their field of expertise. So they have to more focused on identifying and treating the disease.
- They are also responsible for providing the patients with the special care according to their requirement.
- Unlike the consultants, the doctors treat patients for the generic diseases.
- They serve as the first point of contact or first point of service for the patients.
- They are responsible for identifying and analysing the symptoms present in the patient’s body.
- They are responsible for prescribing the generic medications and referring to the consultants according to the severity of the condition of the patient.
- They provide the doctors and consultants with all types of supports from their end.
- They ensure the cooperation of the patients.
- They ensure the successful completion of all the tests.
- All the family members and friends of the patient are responsible for cooperating with the service providers and encouraging the patient.
- The family members should also help the supporting staff with the special needs required by the patients.
- The implementation of the effective and efficient frameworks and procedures to ensure successful completion of all the activities in the healthcare services.
Facilities available for Mr. Luke Dobson at Service home –
- Dedicated full time nurse and other support staff
- Full trained and NVQ level 3 qualified support staff
- Various specific care mentioned above being taken care of
- Proper medication and timely adherence regime
- Various training, learning modules and exercises being implemented
- Socially acceptable and compliant behaviour being imparted
- Capability enhancement
- Making patient content and happy
Facilities available for Mr. Luke Dobson at the general ward of the Hospital –
- Multidisciplinary team of doctors, nurses, support staff and physiotherapists
- Allowance of his service home support staff to visit and assist in therapy
- Multipronged approach for disease prognosis
- Visits by specialist and trained nurses and other staffs from community services
There are a number of techniques which are used to ensure the successful delivery of the special needs required by some specific patients.
- The generic doctors and the consultants i.e. the specialised doctors should provide palliative care to the patients who require certain special needs.
- The patients or the healthcare service providers who need some special care should be helped by the support staff and the doctors for a number of physical activities.
- Difficulty to communicate with other people is the biggest of the challenges faced by patients like Mr. Luke Dobson, communication exercises and modules for increasing his efficiency has to be implemented
- Speech therapies and expression exercises help them with ability to speak up and express their feelings and desires in a proper and effective manner
- Inclusion of family and other specialist therapists for increased involvement and adherence by patient by making him feel comfortable
- The involvement of the family members and friends to ensure the constant engagement of the patients in various exercises and physical activities.
Some of the prior requirements are
- Proper implementation and usage of the communication techniques used to interact with the patients.
- Effective implementation of the complaints and escalation services.
- Effective implementation of various guidelines to be followed in the healthcare service activities.
- Proper implementation of the training frameworks
- Proper maintenance of the workplace for the healthcare service professionals.
- Proper implementation of the standard operating procedures in the healthcare services facilities.
Some of the advantages that the patients experience are
- Effective motivation for the daily activities
- Efficient communication and interaction with the healthcare service professionals
- Better understanding of the standard operating procedures followed in the standard operating procedures.
Effectiveness of the various intervention techniques being involved could have been gauged by the following symptoms or outcomes –
- Change in Mr. Luke’s behaviour and emotional outcomes
- Happiness and content attitude developed
- Enhancement of capabilities and learning abilities
- Making friends and acquaintances
- Proper medication regime being adhered
- Peaceful and cohabitation for last ten years in the service home
- Coordinating and facilitating with support staff at the service home (Marinker, 1998)
There has been a series of developments and emerging technologies which have come to rescue and help for the support of servicing the specific needs of patients like Mr. Luke Dobson. Some of the benefits of the emerging developments are stated as –
- The more effective and efficient implementation of the standard operating procedures along with the specific treatments has increase the quality of the overall service
- The patients can be treated at any place according to their convenience now.
- remote testing and diagnosis with treatment is possible now
- treatment times are reduced
- Clinicians are now being enabled to treat more patients more effectively (Wanless, 2002).
There are a number of types of disabilities from which a number of patients are suffering. The recent developments in medicine and technology is making the healthcare professionals to treat the people with any kind of disability in a more efficient and effective way (Leonard, 2000). The advancement in the sector of medicines and technologies is heavily dependent on the attitude of the society along with the cultural background of the society. In recent times, the number of children treated for disability by the usage of the advanced medicines and technologies has increased a lot (Woolf, 2007). The people going through the condition of disability are effectively treated because of the advancements in the technologies and the medicines.
Generally there is low awareness regarding the advanced medicines and technologies available in the healthcare sector in the society. Along with the awareness another issues persists in the sector of healthcare, which is the cost of the advanced technologies and medicines. Most of the ordinary patients are unable to avail any of these technologies or medicines for their disability. Some of the technologies such as speech therapy and assistive technology are currently allowing a number of patients who are physically disabled to perform regularly without any issues (Walker, 2003).
The advancements in the healthcare sector can be defined as technological advancements in all the modules (Fleisher, 1998). This again can be defined as the advancements in the medicines prepared for a number of diseases, the delivery procedure of the drugs, the advancements of the equipment and the advancements of the method of the treatment done for the patients requiring special care. All of these developments allows the healthcare professionals to treat the patients who need special care in a better and more effective way. This again increases the chances of quick recovery of the patient and the overall result of the treatment (Lundberg & Alexanderson, 2007).
Some of the main areas of technological advancements and emerging developments for catering to support of servicing specific needs are as follows –
- The procedure of surgery involving the usage of robotics
- Advancements in the molecular genetics concept
- Development in surgery processes which are done in minimum access and in a super specialised way
- Developments in the concept of biotechnology
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The term “challenging behaviour” defines the behaviour which is very intense. Such a behaviour for a long duration and frequency damages the security of the healthcare service workplace along with the physical safety of all personal and professional along with the patient(Emerson, 1995). Such a behaviour causes the patient to be restricted from a number of facilities.
Challenging behaviour of an individual can be because of various following aspects, such as –
- Mental retardation
- Learning disabilities
- Emotional turmoil
- Permanent Physical Disabilities
- Neurotic and Psychotropic abnormalities
- Neurotic and Psychotropic medication regimes
- Emotional discontent and lack of verbal communication
- Inability and frustration
Some of the aims of challenging behaviour showing patients –
- Gaining the attention of others
Some of the traits or symptoms of challenging behaviours –
- Unexplainable and sudden rage and aggression
- Risks to properties and technological equipment
- Non-compliance to the general guidelines
- Injuring self by a number of irregular behaviours and activities (Starfield, 1998)
- Non-adherence to medication regimes and not responding to treatments by avoiding dosages etc.
- Attacking or aggression towards support staff
- Indecent behaviour including showing personal parts etc. towards fellow stakeholders
Some of the main impacts of challenging behaviouron health and social care organizations are as follows –
- Fear of physical aggression and attack on the support staff by the patients
- Lack of communication and verbal speech leading to frustration in support staff
- Frustration and irritation in nursing care due to work environment may lead to inefficient service delivery
- Non adherence of medical staff to medication and other routines
- Hindered training and coaching assistance being delivered
- Impatience may lead to high turnover in staff
- Retaliation feelings may crop in physic of the staff against any previous or past incident
- Unethical behaviour shown by support staff
Mr. Luke Dobson’s Case –
- In this case, despite of many hindrances to work and challenging environment of work, support staff behaviour of the health and social care homes was pretty helpful and appeasing
- Constant vigil and support provided to patients like Mr. Luke
- Assistance provided even in the far off hospital, when he was admitted for stroke reasons
- Multidisciplinary approach and assistance to therapy regimes even when Mr. Dobson was not in the service home and was admitted to the hospital
- Inclusion of family members in every health and care future plans for Mr. Luke Dobson
- Taking help from community services and including them for better treatment when he was admitted in the hospital
There are a number of strategies and techniques which are used by the healthcare professionals to handle the wide number of traits of challenging behaviours shown by the patients. Some of the patients requiring special needs like Mr. Luke Dobson generally show this kind of behaviour. One of the most important strategy to handle such behaviours is to identify and anticipate the early symptoms of such behaviours and preventing them before such challenging behaviour starts (Rosenstock, 1988). The most important prerequisite to handle challenging behaviour is to understand and analyse the core reason behind such behaviour of the patient.
Some of the various other straightforward strategies for working with people with challenging behaviours and patients like Mr. Luke Dobson ca be –
- The implementation of the active coping skills should be successful for all the members of the healthcare service provider.
- The guidelines to remove a patient with special needs from treatment when he or she is showing challenging behaviour should be clear. The clear guidelines helps the professionals to take efficient and effective decisions to decide about the perfect course of action.
- Temporary removal of a patient showing challenging behaviour from the treatment allows the healthcare professionals to change the experience and environment of the patient which in turn allows the change in the behaviour of the patient.
- The location after the removal from the treatment should satisfy and provide all the special needs required by the patient, which in turn leads to the elimination of challenging behaviour (Leonard, 2000).
- Extra rewards and recognition can be provided to the professionals with better performance in controlling the challenging behaviour of the patients along with the patients.
- Rewards provided to the patients motivates them to achieve greater goals and control their challenging behaviour. This motivation helps the healthcare professionals to manage the challenging behaviour of the patients.
- The penalties imposed on the patients for negative behaviour in a certain way allows the patients to be cautious not to exhibit any challenging behaviour
Persons with disabilities or patients with difficulties and illnesses require special care and have specific needs to be taken care of. With limitations to keep them at home, family members and relatives take specialized helps from health and social care services. Special service homes for patients with learning disabilities and hardships legalized and assisted by legislative frameworks. Challenging behaviour shown by these patients adhere to socially un-acceptable activities and actions. Special strategies are being deployed to mitigate these behaviours in patients with specific needs and also to safely ward off and administer treatment to them at service homes by the support staff. Multidisciplinary approach has been formulated and implemented in treating such patients. Social stigma and taboo with overall mind-set has changed over the period and acceptability towards such persons has been raised, with guarantee from governments and laws.
In Mr. Luke Dobson’s case, he was suffering from epilepsy and learning disorders and was happily living in a service home, but due to sudden illness and deterioration in his health, he was shifted to a hospital, where multidisciplinary treatment was administered. But, due to some miscommunication and indecisiveness, he lost his lives. To avoid such incidents in totality in future, medical technology advancements have come to help. With latest emerging technologies to assist medical fraternity, such incidents in future can be obverted.
Chevannes, M. 2002. Social construction of the managerialism of needs assessment by health and social care professionals.Health & social care in the community, 10(3), 168-178.
Curtis, L. 2012. Unit costs of health and social care 2012. Personal Social Services Research Unit.
DiMattteo& Martin, Health Psychology, 2002
Emerson, E. 1995 Challenging Behaviour.Analysis and Intervention in People with Learning Difficulties. Cambridge: Cambridge University Press.
Fleisher, L. A., Mantha, S., &Roizen, M. F. 1998. Medical technology assessment: an overview. Anaesthesia and Analgesia, 87(6), 1271-82.Order Now