As part of my Community Mental Health placement working with Older Adults (CMHOA) I attended a Complex Case Review (CCR). I will briefly describe the presenting scenario of the case, however, due to the presenting complexities and the constraints of a word count limit, I have decided that this reflective essay will focus on the role and actions of the Multi Disciplinary Team (MDT) including the advantages and disadvantages, my own contributions, learning experiences and evaluation, rather than the many dilemmas that this case raises. I had not attended a CCR before and was curious as to the structure of the meeting and who would attend. As Community Psychiatric Nurses (CPNs) work autonomously within the community, I thought it would be Poor leadership with a lack of direction and unclear goals were cited by Darby et al (1999) further supported by Anning et al. (2006) who identified that structural, ideological, procedural, and inter professional dilemmas were prevalent in MDTs. With resources being squeezed, increased caseload pressure, time limitations on professionals, there is an economic cost associated with MDT meetings. With continuing austerity measures and Business Intelligence (BI) audits implemented across the NHS, there may come a time when the value that CCRs provide is It was very beneficial to observe this holistic approach, including the increased visits to provide assurances to the care home staff, as this maximises the best possible outcome for the person with dementia. References https://www.alzheimers.org.uk/ Accessed 14.10.2016 Alzheimer’s Society (2007) Home from Home: A Report Highlighting Opportunities for Improving Standards of Dementia Care in Care Homes. Alzheimer’s Society, London. Anning, A., Cottrell, D., Frost, N., Green, J., & Robinson, M. (2006). Developing multi-professional teamwork for integrated children's services. Maidenhead: Open University. Bernadette, D., & Marshall, J. (2009). Leadership in multi-agency work. The team around the child: multi-agency working in the early years (4th ed., pp. 105-119). Staffordshire: Trentham Books Limited. Brooker, D. (2007) Person-Centred Dementia Care: Making Services Better. London: Jessica Kingley Publishers. Convery, A. (1988). A teachers response to 'reflection-in-action'. Cambridge Journal of Education , 28 (2),
...tion with the outside world and loss of their life style. Communities need to be educated on dementia so that as to include and create activities they can join in. The residential homes decision makers need to monitor the cares’ behaviour as they and address issues within their working environment to improve and keep everything up to standard. The government need to implement and review their policies to make ensure quality care in residential homes. According to United Kingdom Health and Social Care (UKHCA), (2012) and The National Institute for Health and Care Excellence (NICE), have been working on introducing new guidance which will help dementia patient to get more funding to live in their own homes and avoid living in residential home which is a positive move as people will still enjoy the comfort of their homes and receive excellent care.
successful communication (Sargeant et al, 2008; London Deanery, 2012). The collaboration and degree of communication within an MDT directly influences the level of care given to patients (Ru...
Anne Hoolahan, Janelle Brodaty, Daniel O’Connor 2013 ‘Care planning practices for behavioral and psychological symptoms of dementia in residential aged care’ Vol.44. pp 156-169.
Community psychiatric nursing entails collaboration and coordination making nurse eminently suitable to participating in community service. The greatest advancement in community psychiatric nursing is home care which is an array of health related services to clients and families in their place of residence, which includes residential care facilities, group homes, and private homes. Home health is one aspect of community health nursing, not an alternative to institutional care. (Stanhope & Lancaster, 2008). Services given by psychiatric home care are medical care, social work, family building pharmacy services, and various services such physical, recreational, speech, etc. Valuable principle play a key role in is type of care setting such as
The practice of using inter-professional teams in delivering care is not a new concept but current health policy requires professionals work within a multidisciplinary team Department of Health (2001) and entrenched in the Nursing and Midwifery Council (2008) Code. The principle focus of this essay is to discuss the importance of inter-professional collaboration in delivering effective health care and what challenges and constraints exist. The integration of a case study will give an insight into inter-professional collaboration in practice.
...be seen gave the author a clear vision on how child protection has developed. Looking at the death of children and discussing them also gave some answers on how children services have developed over time over the years. In the evaluation the author discussed Tthe benefits and challenges offered by inter-agency and inter-professional partnership work have also been considered and it has emerged . By weighing the pros and cons of the author finds out that there is limited evidence on the outcomes for children and families. Even though a number of outcomes were discussed by Atkinson et al., their review provides evidence on the outcomes from professionals’ view point. Therefore, their review is not representative. Perhaps more study based on the outcomes or children and families will provide us a better understanding of on how effective inter-agency working really is.
Walker, J. S., & Schutte, K. (2005). Quality and individualization in wraparound team planning. Journal of Child and Family Studies, 14(2), 251-267. doi:10.1007/s10826-005-5052-6
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
Dementia patients must have the right to participate in all decisions concerning their care. Every person in this world has the same equal rights, no matter the situation. Doctors, caregivers, nurses, and even family members brush off the request of the person suffering from dementia each and every day. Most people call this carelessness while others call it freedom and in all reality, it is far from freedom. Luckily, there are many people who fight for the freedom everyone deserves. The majority of "Health professionals are usually keen to keep people with dementia at the center of decisions. Independent advocacy can support this by giving the extra time and skills needed to help people have a voice without the tensions of any other role"
. This calls for the need of dementia care to accommodate these patients. The main aim of dementia care is to maintain the personhood in the face of advancing impairment of cognition (Hunter, 2009). This is primarily to help in addressing the plight that people with dementia are facing. Different practitioners or caregivers provide dementia patient care. There are those practitioners who prefer to provide this care at home and those who prefer to provide it in institutions. Each of the cares has its implications on dementia patient.
Toseland, R & Rivas, R 2012, An Introduction to group work practice, 7th edn, Allyn & Bacon, Massachusetts.
However, the aim of this essay is to analyse a case study relating to a 79 years old lady with dementia. It will discuss meanings of mental health and mental illness. It will also entail an analysis of dementia experience at a key stage in a life. Moreover, it will explore the value of differing support and merits of professional help.
Engleberg, Isa N. and Dianna R. Wynn. Working in Groups. 6th ed. Boston: Pearson, 2012. Print.
Introduction This assignment critically discusses dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementia are elaborated with descriptions of dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discuss actions nurses should take while evaluating patients and treating them.
Caring for dementia involves a lot of patience and understanding. It should be dealt with audacity and flawlessness to ensure the vulnerable adults’ well-being. Aiding at home or care home required carers to be at their best, physically and emotionally. The responsibility can be distressing but it is rewarding as well since helping dementia adults in their day to day activities is a significant matter for them. However, carers need a pause as over duty can result to substandard nursing. The big question is: who take care for the carers of people with dementia?