Cpa Disadvantages

This presentation is going to talk about person- centred care, confidentiality, respecting privacy and dignity and protecting from risks and harm. The common core principles are important to every Health and Social Care setting as they provide a basis for a general understanding of promoting good mental health and recognising signs of poor mental health among everyone receiving care and support. The aim of care home are to meet the identified needs of individuals who live in that home. An older person might need to live in that care home for years. It is important for staff to be aware of responsibilities in delivering care to support the individuals who live at that home. These common principles of health will help develop the workforce that respond confidently to the individuals and supporting the life they are leading.

Looking into health and social care settings such as drop-in centres, a certain duty of care must always be maintained. Drop-in centres provide support for young adults with mental ill health meaning the service users in this setting are vulnerable causing them to be at a higher risk of being exploited, intimidated and treated unfairly. This is displayed in the case study with zara where it is shown that her social worker treats her unfairly and not in her best interest when alternative accomodation is requested by zara and immediately denied to attempt to search for other possibilities stating she is not vulnerable enough, also showing how she is being

Bonney and Stickley (2008) note the theme of power is often raised by service users. If, as predicted by the DOH in 2003, services are to become increasingly individual focused, the system needs to place power with service users. There is increasing amounts of service user literature that places an emphasis on individuals defining their own journey of recovery (Unit 21, pg 66) rather than having it imposed on them by workers. Peter Beresford (Audio 4) notes that currently there are inequalities in mental health services with limited service user power but considerable professional power. Bonney and Stickley mention Martyn (2002, cited in Bonney and Stickley 2008) who proposes professionals should be present by service user invitation only. A less radical aim is that of a gradual transfer of responsibility in power from services to individuals during recovery. It is important such involvement confers genuine power to individuals, rather than being tokenistic (Jacobson 2004, cited in Bonney and Stickley 2008).

In order to exercise your duty of care, staff must ensure that any decisions and choices people make are based on understanding the consequences and potential risks of what they want to do. Care worker role is not to prevent people from doing what they want, but making sure that they know the possible results. This can result in some very finely balanced decisions, especially where there are concerns about someone’s capacity to understand the possible risks and consequences from their actions. The question of capacity to make decisions is highly complex and staff must consider it carefully. It is very easy to make the assumption that because someone has dementia, a learning disability or a long-term mental health problem, for example, they lack the capacity to make decisions about important issues affecting their own life.

The NSW Mental Health Act 2007 lays down the foundation in the proper provision and facilitation of care and treatment to persons with mental health disorders and promote their recovery while protecting the rights of these persons. One of the provisions of the Act uplifting this objective is in the involvement of family and nominated carers of patients. As defined by the Act, designated carers may represent from the person’s guardians; the parent

In this report I will be investigating how care services meet the needs of individuals by firstly analysing the needs of an individual using care services. Then I will go on to explain the roles of the care planning process in identifying needs, and explain the features of a positive care practise. After explaining that, I will analysis positive care environments and evaluate how they meet needs before finally explaining the role of legislation in promoting a positive care environment.

This assignment will define and analyse the need for a chosen service improvement within the pathway of mental health, as well as evaluating the suggested service. Demonstrating how this service can inform and benefit integrated practice, discussing the ways in which the agency’s statutory obligations and responsibilities impact on both individual and group decision making. The chosen service improvement for this assignment is the introduction of a mental health nurse into primary care services, for example, a GP Surgery. Focusing on service users with mental health issues in the community and therefore in the care of the local Primary Care Trust (PCT).

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.

Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

| * Established the independent mental capacity advocates service * Makes it clear who can make decisions for other individuals in different situations, and how they must go about doing so. * Applies whether the decision is about living changing events or every day matters – relevant to adults of any age, regardless of when they lost capacity

Of course there will be important conflicts of interest between service users and their carers which will need to be faced up to at an individual level. But services should not be provided by exploiting the personal commitment and dedication of carers. Families who care for individuals whose behaviour presents challenges are subject to considerable and continual stress, both physical and psychological. Although staffs is not permanently on duty as family carers can be, they are still subject to the same stresses when supporting people whose behaviour challenges. This is true even in settings which aim to do no more than contain people. Similar concerns apply to staff as to carers. The higher aspirations often found in progressive services impose extra strain on staff and here too it is important to balance the demands of working constructively with people who can be very difficult, day in and day out, with the needs of individual staff for emotional and practical respite and ongoing support. Demographic changes and rising expectations will

It is important to review care and support plans as people’s needs change. By including the person, their family then everyone knows what is happening and the family can help to monitor mood swings and behaviour. The individual and the family can express their views and preferences and any relevant risk assessments may be done with everyone involved. By monitoring the individual, a decision can be made as to whether the changes are effective and if the best care is being given to encourage independence and promote dignity.

The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.

The Department of Healthy formed a National Service Frame for Older People (2001) which was established to look at the problems for the elderly people so they get the best quality of care. This helps to minimise age discrimination in elderly people and it promotes independence and provides person centred care. The framework has four underlying principles which are; respecting the individual, intermediate care, providing evidence based specialist care and promoting an active healthy life. There is also National Care Standards which aims to improve the quality of life of the patients by the level of care and support provided. The frameworks and legislations help to guide Alice’s care.