HEALTH AND SOCIAL CARE SERVICES AND VALUES GOOD

HEALTH AND SOCIAL CARE SERVICES AND VALUES GOOD PROGRESS: TO INVESTIGATE THE ISSUES AND NEEDS OF YOUR PATIENT. OUTSTANDING PROGRESS: TO INVESTIGATE A VARIETY OF ISSUES AND NEEDS OF YOUR PATIENTS IN DETAIL.

DO NOW… Case study 1: Verna and Sam Williams Task: Verna Williams is forty-eight years old and lives with her husband Sam, and their two cats. They live on the second floor of a block of flats. The lift is often broken. This means that access to the street is downhave two flights of stairs. The block of flats isaon a new study. estate half a mile from the nearest bus stop. Verna has a medical condition You been provided with case which affects her mobility. Verna uses a walking stick to get around most of the time, but some days she needs to use a wheelchair. Verna also has asthma which has Each case study contains two patients: recently got much worse. She has type two diabetes. She takes medication and has a diet plan to cope with the diabetes. Sam Williams is fifty-two years old He has recently left his job at a local supermarket because he had an argument with the manager. Sam and Verna are now living on a reduced income. Sam has a hearing impairment for which he uses a hearing aid. Sam also has a learning disability and a speech impairment. This means that he has ü and Verna and Sam difficulty communicating with people he becomes frustrated when asked to repeat what he has said. Case study 2: Myra Mc. Dermottü and. Myra Elizabeth Mc. Dermott and Elizabeth Myra Mc. Dermott is forty-two years old and lives with her daughter Elizabeth in a rural village. The village has very few services. People have to travel into the nearest üMyra Amiya and Rajivwhich means that her skin is itchy and flakes regularly. She needs to use creams provided by the G. P, and town for healthcare and shopping. has a skin condition cannot sleep when her skin becomes really uncomfortable. Myra also has gum disease and is now experiencing bleeding when she brushes her teeth. Myra is afraid that she will need to have all of her teeth removed if she goes to the dentist and so has not made an appointment. Elizabeth Mc. Dermott is twelve years old and attends the academy which is within distancethe from home. Please read their case study andwalking complete Elizabeth is autistic and has behavioural difficulties. The head teacher at the academy has told Myra that Elizabeth is becoming too difficult for the staff to manage. She following: has said that the school will be discussing what to do with the Local Authority. This could mean that Elizabeth is transferred to a school for children with additional needs. This means that Elizabeth would 1. need. Highlight to travel by school to her new school. Sheyou will have to leave her friends and travel, with other children she doesn’t know, to anybus information that think the new school which is five miles away. Elizabeth’s family needs advice. patients will help with. Case study 3: Amiya and Rajiv Dutta 2. Write down their life stages. Amiya Dutta is eighty-four years old and lives, with her husband Rajiv, in the centre of a large city. Amiya has dementia and needs ‘round the clock care’ as she is vulnerable. Amiya likes to go shopping but tends to wander away from her husband become lost. She has twice been brought home by the local police, very upset 3. Write down three key words from their PIES and confused. Amiya has now become incontinent which means that she has no control over her bladder and needs to have her clothes changed several times a day. for example, puberty, self Amiya also wakes up in the night and development, wanders around the house. image, relationships… Rajiv Dutta is eighty two years old and has severe headaches, which mean that he sometimes cannot keep to his daily routine because of the pain. Rajiv also has high blood pressure and needs medication. Because Rajiv has to provide personal care for Amiya, he finds it difficult to visit the G. P. for a prescription. He does not always take his medication regularly.

INTRODUCING THE CASE STUDIES… Case study 1: Verna and Sam Williams Getting to know your patients: Discussion… What issues have you highlighted that your patients may need help with? OR issues that may be a problem to them getting help? Verna Williams is forty-eight years old and lives with her husband Sam, and their two cats. They live on the second floor of a block of flats. The lift is often broken. This means that access to the street is down two flights of stairs. The block of flats is on a new estate half a mile from the nearest bus stop. Verna has a medical condition which affects her mobility. Verna uses a walking stick to get around most of the time, but some days she needs to use a wheelchair. Verna also has asthma which has recently got much worse. She has type two diabetes. She takes medication and has a diet plan to cope with the diabetes. Verna and Sam Myra and Elizabeth Amiya and Rajiv Sam Williams is fifty-two years old He has recently left his job at a local supermarket because he had an argument with the manager. Sam and Verna are now living on a reduced income. Sam has a hearing impairment for which he uses a hearing aid. Sam also has a learning disability and a speech impairment. This means that he has difficulty communicating with people and he becomes frustrated when asked to repeat what he has said. • Caring for pets • Living in a rural village. • Lives in a major city Case study 2: Myra Mc. Dermott and Elizabeth Mc. Dermott (cats) • Being able to travel to other towns and cities. (London). Myra years with herconditions daughter Elizabeth in a rural village. are The village very few services. People have to travel into the nearest • Mc. Dermott Living inis forty-two a block ofold and • lives. Skin (symptoms itchyhasand • Dementia. town for healthcare and shopping. Myra has a skin condition which means that her skin is itchy and flakes regularly. She needs to use creams provided by the G. P, and flats. flaky skin). • Being incontinent. cannot sleep when her skin becomes really uncomfortable. Myra also has gum disease and is now experiencing bleeding when she brushes her teeth. Myra is afraid that she need to 2 have all of her teeth removed goes to thesleeping. dentist and so has not made an appointment. • will. Type diabetes. • if she Difficulty • Bought home by Elizabeth Mc. Dermott is twelve years old and academy which is within walking distance from home. • Using a diet plan. • attends Gumthedisease. police – The Herbert Elizabeth is autistic and has behavioural difficulties. The head academy has told Myra that Elizabeth is becoming too difficult for the staff to manage. She • Asthma. • Having a teacher fear atofthethe dentist. Protocol (West has said that the school will be discussing what to do with the Local Authority. This could mean that Elizabeth is transferred to a school for children with additional needs. • Reduced income. • Autism. Midlands). This means that Elizabeth would need to travel by school bus to her new school. She will have to leave her friends and travel, with other children she doesn’t know, to the school whichimpairment. is five miles away. Elizabeth’s family needs advice. • new. Hearing • Behavioural difficulties. • Severe headaches. Case 3: Amiyadifficulty. and Rajiv Dutta • study Learning • Special school. • High blood pressure. Amiya Dutta is eighty-four years old and lives, her husband Rajiv, in the a largethe city. Amiya dementia and • needs ‘round the clock care’ as she is • Speech impediment. • with Needs to travel to centre and offrom newhas school. Being a personal EXT: vulnerable. Amiya likes to go shopping but tends to wander away from her husband become lost. She has twice been brought home by the local police, very upset • Making new friends. carer. and confused. Amiya has now become incontinent which means that she has no control over her bladder and needs to have her clothes changed several times a day. Are there any other Amiya also wakes up in the night and wanders the house. • around Where can you get advice from on autism, points/issues that you have Rajiv Dutta is eighty two years old and has severe headaches, which mean that he sometimes cannot keep his daily routine because of the pain. Rajiv also has high challenging behaviour and starting a tonew found? blood pressure and needs medication. Because Rajiv has to provide personal care for Amiya, he finds it difficult to visit the G. P. for a prescription. He does not always school. take his medication regularly.

INTRODUCING THE CASE STUDIES… Case study 1: Verna and Sam Williams Task: In order for you to successfully help your patient, you will need to complete some background research on them using the points below and any other points that you found that are of importance (EXT). Verna Williams is forty-eight years old and lives with her husband Sam, and their two cats. They live on the second floor of a block of flats. The lift is often broken. This means that access to the street is down two flights of stairs. The block of flats is on a new estate half a mile from the nearest bus stop. Verna has a medical condition which affects her mobility. Verna uses a walking stick to get around most of the time, but some days she needs to use a wheelchair. Verna also has asthma which has recently got much worse. She has type two diabetes. She takes medication and has a diet plan to cope with the diabetes. Sam Williams is fifty-two years old He has recently left his job at a local supermarket because he had an argument with the manager. Sam and Verna are now living on a reduced income. Sam has a hearing impairment for which he uses a hearing aid. Sam also has a learning disability and a speech impairment. This means that he has difficulty communicating with people and he becomes frustrated when asked to repeat what he has said. Verna and Sam Myra and Elizabeth Amiya and Rajiv • Caring for pets (cats) • Living in a rural village. • Lives in a major city • Living inisaforty-two blockyears of old and • lives. Being able to travel other cities. (London). Myra Mc. Dermott with her daughter Elizabeth in ato rural village. towns The villageand has very few services. People have to travel into the nearest town flats. for healthcare and shopping. Myra has • a skin condition which means that her skin is itchy and flakes regularly. She needs to use creams provided by the G. P, and Skin conditions (symptoms are itchy and • Dementia. cannot sleep when her skin becomes really uncomfortable. Myra also has gum disease and is now experiencing bleeding when she brushes her teeth. Myra is afraid that • will Type diabetes. • Being incontinent. she need to 2 have all of her teeth removed if flaky she goesskin). to the dentist and so has not made an appointment. • Using a diet plan. years old and • attends Difficulty sleeping. • Bought home by police Elizabeth Mc. Dermott is twelve the academy which is within walking distance from home. • Asthma. • Gum – difficult The for Herbert Elizabeth is autistic and has behavioural difficulties. The disease. head teacher at the academy has told Myra that Elizabeth is becoming too the staff to Protocol manage. She has that the school will be discussing what to do with thea. Local This could mean that Elizabeth is transferred to a school for children with additional needs. • said Reduced income. • Having fear. Authority. of the dentist. (West Midlands). This means that Elizabeth would need to travel by school bus to her new school. She will have to leave her friends and travel, with other children she doesn’t know, to • new Hearing impairment. • Autism. • Severe headaches. the school which is five miles away. Elizabeth’s family needs advice. • Learning difficulty. • Behavioural difficulties. • High blood pressure. Case study 3: Amiya and Rajiv Dutta • Speech impediment. • with Special school. • Being aclock personal carer. Amiya Dutta is eighty-four years old and lives, her husband Rajiv, in the centre of a large city. Amiya has dementia and needs ‘round the care’ as she is vulnerable. Amiya likes to go shopping but tends to wander to away from herto husband become She has twice been brought home by the local police, very upset • Needs travel andand from thelost. new school. and confused. Amiya has now become incontinent which means that she has no control over her bladder and needs to have her clothes changed several times a day. • around Making new friends. Amiya also wakes up in the night and wanders the house. Where can you get from onkeep autism, Rajiv Dutta is eighty two years old and has • severe headaches, which mean thatadvice he sometimes cannot to his daily routine because of the pain. Rajiv also has high blood pressure and needs medication. Becausechallenging Rajiv has to providebehaviour personal care forand Amiya, he finds it difficult to visit the G. P. for a prescription. He does not always starting a new Case study 2: Myra Mc. Dermott and Elizabeth Mc. Dermott take his medication regularly.

INTRODUCING THE CASE STUDIES… Case study 1: Verna and Sam Williams Task: You will be given a blanket template of the two patients that you have been provided. Your Sam Williams is fifty-two years old He has recently left his job at a local supermarket because he had an argument with the manager. Sam and Verna are now living on includes prompt atemplate reduced income. Sam has a hearing impairment for which he uses a hearing aid. Sam also has a learning disability and a speech impairment. This means that he has difficulty communicating with people and he becomes frustrated when asked to repeat what he has said. questions to start your research… Verna Williams is forty-eight years old and lives with her husband Sam, and their two cats. They live on the second floor of a block of flats. The lift is often broken. This means that access to the street is down two flights of stairs. The block of flats is on a new estate half a mile from the nearest bus stop. Verna has a medical condition which affects her mobility. Verna uses a walking stick to get around most of the time, but some days she needs to use a wheelchair. Verna also has asthma which has recently got much worse. She has type two diabetes. She takes medication and has a diet plan to cope with the diabetes. Case study 2: Myra Mc. Dermott and Elizabeth Mc. Dermott Verna and Sam Myra Mc. Dermott is forty-two years old and lives with her daughter Elizabeth in a rural village. The village has very few services. People have to travel into the nearest town for healthcare and shopping. Myra has a skin condition which means that her skin is itchy and flakes regularly. She needs to use creams provided by the G. P, and cannot sleep when her skin becomes really uncomfortable. Myra also has gum disease and is now experiencing bleeding when she brushes her teeth. Myra is afraid that she will need to have all of her teeth removed if she goes to the dentist and so has not made an appointment. • Caring for pets (cats) • Living in a block of flats. • Type 2 diabetes. Elizabeth Mc. Dermott is twelve years old and attends the academy which is within walking distance from home. • Using a diet plan. Elizabeth is autistic and has behavioural difficulties. The head teacher at the academy has told Myra that Elizabeth is becoming too difficult for the staff to manage. She has that the school will be discussing what to do with the Local Authority. This could mean that Elizabeth is transferred to a school for children with additional needs. • said Asthma. This means that Elizabeth would need to travel by school bus to her new school. She will have to leave her friends and travel, with other children she doesn’t know, to • new Reduced the school whichincome. is five miles away. Elizabeth’s family needs advice. • Hearing impairment. Case study 3: Amiya and Rajiv Dutta • Learning difficulty. Amiya Dutta is eighty-four years old and lives, with her husband Rajiv, in the centre of a large city. Amiya has dementia and needs ‘round the clock care’ as she is vulnerable. Amiya likes to go shopping but tends to wander away from her husband become lost. She has twice been brought home by the local police, very upset • Speech impediment. and confused. Amiya has now become incontinent which means that she has no control over her bladder and needs to have her clothes changed several times a day. Amiya also wakes up in the night and wanders around the house. Rajiv Dutta is eighty two years old and has severe headaches, which mean that he sometimes cannot keep to his daily routine because of the pain. Rajiv also has high blood pressure and needs medication. Because Rajiv has to provide personal care for Amiya, he finds it difficult to visit the G. P. for a prescription. He does not always take his medication regularly.