Presentation on theme: "Unit 3: Individual Needs in Health and Social Care"— Presentation transcript:
1Unit 3: Individual Needs in Health and Social Care 3. Be able to plan to meet the health and wellbeing needs of an individualAssessment 3BTEC Level 2 First Health and Social Care – Unit 3: Individual Needs in Health and Social Care
2My life: Plan for health If you had to improve one thing about your health, what would it be?How would you plan to make these changes?
33. Be able to plan to meet the health and wellbeing needs of an individual This section you will take part in:Planning to meet the health and wellbeing needs of an individualProducing a health planTopics discussed in this section:Everyday and health needsAssessing the needsPlanning
4Key termsAssessment– the on-going process of gathering, analysing and reflecting on evidence to make an informed decisionConfidential –information that should be kept secret. It has been entrusted only to the person to whom it has been communicated
5Everyday and health needs When producing a health plan think of:PIES (including spiritual)Consider health factors such as:DiabetesAsthmaEmphysema, etc.
6Case study: Marie, Jonny and Colette Marie-58 yrs oldJonny- 19 yrs oldColette-25 yrs oldOver the last few months she has noticed that she has put on weight. She used to weigh 53 kg but she now weighs 65 kg and feels very uncomfortable. Marie is certain that she needs to lose weight.Marie’s son. He drinks too much and he knows it. On Fri & Sat, he goes with friends, comes home late and feels bad on Sun & Mon. He’s tried ecstasy a few times; great while it lasts, and easy to get hold of, but he’s worried he might get used to taking it. He is pretty sure now that he needs to drink less and keep away from ecstasy.She has asthma and needs to have regular medication including an inhaler. She sometimes forgets to take it with her and recently was hospitalised after a severe asthma attack while she was out with friends. Colette knows that she must remember her medication.53 kg= pounds = 8.3 stone; 65 kg = = 10.2 stoneThese three individuals want to take control of their health; and they need a plan to do it. If you look at their age – what is their current life stage?
7Choose one of these individuals MarieJonnyColetteThink about all the PIESS needs that would be met if they carried out their plans towards better healthDon’t forget, this is not just about physical healthClass discussion; discuss each person with the class – alternatively; divide the class into three groups, assign one of the individuals to each group and have the group create a mind-map showing how each area of PIESS needs would be met by improving their own health and wellbeingSPIE
8Assessment of general health and wellbeing Working with individuals to meet their health and wellbeing needsIn order to plan to improve an individual’s health, you need to assess what they think their needs are, so you can work together on the plan.
9Assess their needs & work together Ask simple questions about:Their backgroundLifestyleWhy do they want to make changesAsk about:Age – how old are they (life stage)Preferences (for example, what kinds of exercise do they like, do they prefer morning or evening for a walk, etc.)Remember: you are working in a position of trustInvolve the individual from the very beginning of the assessment; this empowers the individual in their own health plan!
10ConfidentialityService providers have lots of confidential information about service usersThis must be safe guarded and kept secureData Protection Act 1998 protects people’s rights to confidentiality no matter how it may be storedYou must be careful not to breach any rules of confidentialityConfidentiality is very serious and must be respected at all times
11Confidentiality is important in health and social care Consequence will be…Service user might be…Loss of trustLower self-esteemInsecurityDiscriminationLess likely to say how he or she really feels or share a problemLikely to feel unvalued and as though they don’t matterFeeling their property and personal safety is threatenedTreated differently by othersThe risk of breaking confidentiality and the damage it causes the individualIf confidentiality and trust is broken; the consequences can be difficult to repair
12Confidentiality: there are times…. It can be appropriate to breach confidentiality:If service users are at riskTo themselvesTo othersIf they have broken or about to break the lawThere may be times when it might be necessary to pass information on to an appropriate colleague or authorityIf in doubt, always check with your manager/tutor
13AssessmentWhy are age and preferences important when you start to carry out an assessment?Why is confidentiality important when you are collecting information from or about an individual?Key words: Empowerment, person-centred approach, holistic
14Assessing the needsHow to assess a person’s needs so that a plan can be drawn up to meet these needs
15My life: How are you?If you wanted to find out how healthy you are, what facts would you need to find out from your doctor?If you wanted to find out about the health of a large sample of people, how would you do this?
16Physical and physiological measurements Physical: to do with the body. This includes measures such as height and weightPhysiological: to do with the normal functions of the body. This means measures such as blood pressure, pulse or cholesterol levelsRate: a measure of something compared with something else, such as litres per second or beats per minuteDiagnose: to identify a medical condition
17Aspects of health that can be measured Measurable aspects of healthPeak flowBlood glucoseHeight/weightBlood pressureHip/waist ratioCholesterol levelsLiver functionResting pulse and recovery pulse rates after exerciseTemperature
18Body Mass Index (BMI)A measure of the amount of fat in your body in relations to your heightBMI formula:People with BMIs between 19 – 22 appear to live the longest. BMI values are different for males and females.
19BMIs for adults Adult Significance Less than 18.5 Underweight Healthy weightOverweight30+Obese
20Peak flowMeasure of the maximum rate (the expiratory flow rate) in litres per minute, at which air is expelled from the lungs when breathed out as hard as possibleBlowing into it, lips sealed firmly round the mouthpiece, causes a pointer to move to a certain point; peak flow can then be read off the scale. Do this three times and take the highest readingMost common reasons for recording peak flow:Monitor asthma for medication effectivenessDiagnose lung problems by comparing the actual reading to expected score chart based on age and gender
21Peak flow chart of expected scores Expected normal scores of peak flow based on:AgeGenderGood health
22Blood pressureBlood pressure: the pressure exerted by your blood against the walls of the arteriesMeasured in millimetres of mercury as two numbersVaries from person to personNormal blood pressure at rest: 140/90Top number: systolic pressure – maximum pressure in the arteries as the heart pumps blood outBottom number: diastolic pressure – the minimum blood pressure as the heart relaxes between beatsBlood provides all the organs in the body with the materials needed to stay healthy.
23High blood pressure is called hypertension Can lead to stroke Heart diseaseLow blood pressure is called hypotensionCan lead to dizzinessCan indicate a more serious problem such as Parkinson’s diseaseLow blood pressure is often normal for a particular person; in fact it can even lead to a prolonged life.
24Pulse rate Pulse rate measures how strongly the heart is beating Force of the heart pumping blood around the arteries causes a pulsing sensationMeasured as beats per minuteAt rest a healthy pulse in a young adult is around 70 beats per minute
25What is meant by assessing needs? Name three ways of collecting information to put together a person’s personal historyExplain how to actually measure three different measures of health
26The best laid plansThis topic looks at ways to put together a health planKey term: Targets – short and longer term challenges to help you meet your goal
27My life: A good plan?Think of something you have done that needed planning, such as going on a holiday with a friend, doing a project at school or revising for exams. How did you set about drawing up a plan?What made your plan work well?What made your plan work less well?
28Planning: SMART targets Specific –target must be clearly stated, such as lose one kilo in weight in one week or take a 30 minute walk twice a week-it is clear and cannot be misunderstood or used as an excuseMeasurable – it is too vague to say “eat more fruit”: an amount must be stated, so you can prove that you have met the targetAchievable –be possible to achieve the target; otherwise you might give up. Asking someone to give up smoking in a week or walk 3 miles each day for four days, may not be achievableRealistic – must be able to do it. It is unrealistic to expect someone who is older and not very fit to run for 30 min a dayTime-related – there should be a deadline for reaching the target so progress can be assessedWhen you are drawing up a plan to improve health and wellbeing, it is important to include targets, not only to motivate the person following the plan but also so progress made can be monitored. It is important that the plans includes short-term targets – this helps to work towards a longer term goal/target. By breaking down the path to your final goal into smaller steps (short-term targets) the task seems less daunting and there is no excuse not to start straight away.
29Action plan Start by stating the problem to be tackled Indicate what needs to be done to meet each target and by whomSuggest alternatives; if things don’t workOutline any resources needed to meet targetsBudget for the planImplement the planMonitor targetsThe plan needs to be implemented or carried out. Targets need to be monitored. This could be by you, the person following the plan; for example, you could write down everything you eat and drink each day to look at any mistakes you are making with your diet. Alternatively, it could be monitored by a health practitioner or a support group.
30Monitor and review Set SMART targets that can be monitored regularly Amend plan if necessary to meet longer-term targets and goalsReview targets (may need to start over again)Choose different targets to improve chances of successPlanning Cycle – the process of setting targets, reviewing them after a certain time, amending the plan with new targets, is called the planning cycle
31A simple plan: The Planning Cycle Set a SMART target and monitor regularlyGOALReview the TargetAmend the Target
32The Planning Cycle Summary Mission or Target SMART targets A more detailed cycle
33Summary of the features of a plan A statement outlining the health or wellbeing needs of the individual, based on an assessment of present health status through the use of physical measures of health and wellbeingMay include a summary of factors leading to these needs and the expected benefitsSMART targets (short and long term)Strategies to meet targets with alternatives to overcome any obstaclesRegular monitoring and reviewing progress of targetsStrategies to maintain improvement in health and wellbeing
34Features of a plan for health and wellbeing Regular monitoring & reviewingIndividual personSMART targetsLong-termSMART targetsShort-termStrategies to meet targetsIncluding alternativesStatement of individual’s health and wellbeing needsAssessment of present health statusSummary of factors and expected benefitsStrategies to maintain improvement to health and wellbeingUse of physical measuresOutline the health & wellbeing needs of the individual based on an assessment
35Sample Care plan for Ilsa Vinegars DateNeedAimActionEvaluation22/04Ilsa has hearing loss and has new hearing aids. She needs to be able to communicate with those around her.Ilsa to manage her own hearing aid including insertion, cleaning and checking batteriesJasmin to show Ilsa how to put her hearing aids in effectively and keep them clean and check the battery.By 26/06 Ilsa will be managing her hearing aid and will be able to take part in conversations, listen to the radio and watch television.This care plan shows how Ilsa’s hearing can be improved by management of her new hearing aid
36Meeting Individual Needs Models of support TheoriesNormalisationEmpowermentNetworkingThe Care Planning CycleHealth CareSocial ServicesActivities of daily livingAssessment of NeedsInvolvement of service users & carersResources availableAdvocacyEnablement is defined as ‘health and social care staff supporting people through promoting self help and health improvement and by encouraging them to be as independent as possible.’PIESS – taking into account each aspect: physical, intellectual, emotional, spiritual and socialHolistic and person-centred approach to individual needs