Outcome Practice

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

should check the care plan in order to know they are providing the correct care and support and following the individuals wishes. If any problems are recognised then the care plan can be updated to reflect these changes.

IDENTIFYING NEEDS: Research principles are being use to identify the needs of all individuals by health and social care workers who are responsible in care planning. A manager in a care home observe an individual resident may point out

There are always key elements to assessments and reviews, including the family and friends. Everyone has a responsibility to support individuals and bearing in mind ‘need to know’ information. The aim being able to achieve the highest goal to maintain effective open channels for everyone.

Staff are required to make an entry in to an individuals care plan once in twelve hours. This entry is in the daily life and review and will contain details regarding medication administration, dietary and fluid intake, elimination, mobility, mood, behaviour exhibited and any changes or deteriation of the individual. There is also a requirement to record visits from doctors, nurses and other health proffessionals.

It is important to identify individual’s specific and unique needs so that they can receive the best care possible. Taking a person centred approach is vital, treating a service user as an individual person and acknowledge that

Self-assessment usually comes in the form of a questionnaire that identifies the PWS needs through a series of questions about their capabilities and limitations. In xx case, he requires full support with eating, drinking, moving and handling, decision-making, being safe and all other aspects of daily living. Once this has been completed, then it will be shared with the team, social worker, manager, advocate and other important people in xx life.

An outcome-focused review is part of the self-directed support process. It is a way of carrying out reviews that puts the main focus on the results being achieved for the person and his or her family. The purpose of an outcome-focused review is to:

Assessment tools are used in the care planning process to build up a holistic picture of an individual’s needs. When all the details have been recorded an assessment can be made and suitable care and support can be identified. A few of the assessment tools are information from the individual such as diaries, observations, medical histories and checklists.

Outcome based practice refers to the actual impacts, effects and or end results of services / interventions on an individual’s life. Its effectiveness is not measured by numbers/figures or financial strategies it is measured by the positive outcome that is achieved. It isn’t about what is required to be done but what is actually achieved as the result that matters.

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

Evidenced-based practice (EBP) is now considered to be best practice but, although great strides have been made in applying the research in practice, there is still progress to be made. EBP is central to delivering the highest quality healthcare and ensuring the best outcomes for patients. However, EBP guiding the practice in healthcare systems is not the norm in many healthcare systems across the United States (Melnyk & Fineout-Overholt, 2011). The most overwhelming evidence for using EBP in practice is that is provides better outcomes in patients and provides a higher quality of care. Therefore, patients are more satisfied, healthcare costs are reduced and there is a reduction in differences in delivery of care according to geographic area (Melnyk & Fineout-Overholt, 2011).

This process looks at both subjective and objective data. Any patient not meeting the assessment criteria would be signposted to a more appropriate service. Following the Winterbourne view report the least restrictive option would be chosen.(DH, 2012) These frameworks look at whether the service best meets the individuals needs. This is a shared decision process between two or more Health professionals. (NHS England, 2015.Homes not Hospitals)

The family nursing assessment guide is valuable in tailoring appropriate interventions that respond to the client’s complex needs. This ensures all factors concerning health, relationships and other personal issues are acknowledged and are able to offer possible solutions that may include support and services from external resources. The assessment will also provide an overview of the level of function and responsibility of each family members including

I understand that making a structured and client centred plan for the consultation based on a wide range of the result of pervious comprehensive assessments that is an vital skill before having the consultation with a patient. This is the key thing that I will be more hardworking to improve on, by trying to find more case studies for