The SHARP Team, (Social Inclusion, Hope and Recovery Project) is a community base team in North London that caters for both in-patient and those in the community. Their intervention is based on: clients’ choice, integrated psychological, social inclusion support and healthy Living programs, including attending the gym, woman’s fitness and football. As a student of health and social care studies you have been asked as part of the placement requirement to give a presentation on the concept of health, illness and wellbeing in a team of nurses, Psychologist, recovered Service users, Police officers, Religious representatives and a Carer’s social support group. Amongst the guest, was a 55 year old gentleman from Jamaica diagnosed with a form of mental illness with (challenging behaviour needs) well known to the local police. He gave a testimony of how his life changed around by attending the centre. He also suffers from type 2 Diabetes, Noncompliance with his medication, had a poor relationship with his GP, poor exercise regime and poor eating habit. “Since I started attending the centre, he says “my health changed completely. My eating habit has changed. I have developed self confidence. My blood pressure is stabilised and I now enjoy going to the gym, exercising regularly. My relationship with my GP and the community has improved and my blood sugar level is within normal limits. I now sleep adequately without any medication and befriended people who I hang out with so I’m healthy and I thank my God that my Pastor, who laid hands on my head each time I go to church”.
1.1 Mr Benjamin testified of his blood sugar level being under control, his relationship with the community is civil. He complied with his medication and his spiritual needs are met. How would you analyse the care given to Mr Benjamin in terms of the holistic concept of health, disability, illness and behaviour.
1.2 As a student of health and social care present at the meeting, you ask for feedback to your colleagues about your experience. Assess how people’s perception of mental illness and other specific needs have changed over time.
1.3 The SHARP team has been providing care based on a holistic approach. Analyse the impact legislation, social policy, society and culture have had on the way that these services are made available for individuals like Mr Benjamin with special needs? .
Mrs Sarah, a 45 year old Polish woman has just been transferred from the A&E into a Respite nursing home waiting funding for placement. She is having communication difficulties. She is partially deaf and is registered blind. She seems to be happy when someone visits that speak Polish. The staffs of the nursing home have started facing difficulties of how to engage Mrs Sarah who cannot speak English fluently.
2.1 Analyse the care needs of Mrs Sarah as someone with specific needs?.
2.3 Explain what would be the current systems for supporting Mrs Sarah at the Respite Nursing Home.
2.3 Evaluate the services available in a chosen locality for individuals with specific needs that would benefit service users like Mrs Sarah.
3.1 Explain the approaches and interventions available to support individuals with specific needs such as Mrs Sarah, who may be suffering from dual diagnoses of being blind and deaf.
3.2 Evaluate the effectiveness of intervention strategies for an Mrs Sarah as a service user with specific need.
3.3 There has been emerging developments in the UK in supporting individuals like Mrs Sarah. Discuss how these would potentially impact the care given to people with specific needs?.
Mr. Patrick has been in Alicia Nursing Home for the past five years diagnosed with mild Dementia and is loved by everyone who visits the home. He used to be the “model patient” of the home and engages with every activity. He used to be chatty and helps with domestic chores. Suddenly he started becoming aggressive towards staff and other service users. Mr Patrick was observed by staff to become very lethargic, excluded himself from every form of activity within the home. Most times he will sneak from his own room into another resident’s room, scolding them to leave his room or he would drag them off his bed or will call the police. He will rigorously question the staff and refused to comply with any form of treatment. Some staff in Alicia Nursing Home started calling him names and labelling him as being “rude, insolent and a violent man”. During a case conference to review his care plan, there was the proposal of transferring him to another nursing home specialising in challenging behaviour.
Mr Patrick was referred to his GP who later came to examine him. After a period of assessment, he was diagnosed with an acute Chest and urine infection. He was treated with Anti-biotic therapy (pharmacological intervention). Mr Patrick got better and turned to his old ways of doing things.
To gain a pass grade the following criteria as shown below need to be completed
4.1 Explain the different concepts of challenging behaviour and situations whereby it can be misdiagnosed like in the case of Mr Patrick in the above scenario.
4.2 Describe the potential impact of challenging behaviour to the individual and to health and social care organisations like Alicia Nursing Home.
4.3 Analyse strategies for working with challenging behaviours associated with specific needs in relation to the service user who suddenly changed from being a “model patient” to a patient whose behaviour was seen as “challenging”.
Learning outcomes on successful completion of this unit a learner will:
Assessment criteria for pass The learner can:
LO1 Understand perceptions of health, disability, illness and behaviour
analyse concepts of health, disability, illness and behaviour in relation to users of health and social care services assess how perceptions of specific needs have changed overtime analyse the impact of legislation, social policy, society and culture in the ways that services are made available for individuals with specific needs
LO 2 Understand how health and social care services and systems support individuals with specific needs
analyse the care needs of individuals with specific needs
explain current systems for supporting individuals with specific needs
evaluate the services available in a chosen locality for individuals with specific needs
LO 3 Understand approaches and intervention strategies that support individuals with specific needs
explain the approaches and interventions available to support individuals with specific needs
evaluate the effectiveness of intervention strategies for an individual with specific need(s)
discuss the potential impact of emerging developments on support for individuals with specific needs
LO 4 Understand strategies for coping with challenging
behaviours associated with specific needs.
explain different concepts of challenging behaviour
describe the potential impact of challenging behaviour on health and social careorganisations
analyse strategies for working with challenging behaviours associated with specific needs