Understanding and implementation of outcome based practice within my work setting. Outcome based practice is to deliver a service which is measured by the outcomes of the support delivered. From the initial stages of referral it is made clear what outcomes are expected to be achieved or worked towards. An individual’s care co-ordinator will draw up a pen picture representing the individual and disclosing details of the support that they require and a summary of their character, within this pen picture, required outcomes will be stated and it’s down to us to detail how we can meet these outcomes within our practice.A required outcome may state: “A long term period of stability and improved functioning in a safe environment leading to increased confidence in ability to attend to personal needs and strategies to manage symptoms” Using the above required outcome example I know that it is imperative to form a package of care that provides the individual with an environment that does not challenge their confidence too much, i would read into this that this individual is quite sensitive to factors within their life so therefore a sensitive approach will be needed in supporting the individual to achieve the required outcomes.It is highlighted that this individual requires particular attention towards aiding attendance of personal needs therefore a detailed care plan should be put in place to address these needs. A required outcome for this individual is for them to be able to develop strategies to manage their symptoms therefore this should be documented within their care plan and the individual must be included to the full extent of their mental capacity.If the condition in which the individual suffers from is Schizophrenia for example, strategies may include coaching an individual to acknowledge when they may be in need of their PRN medication, this will aid the individual in coping with their symptoms and therefore accomplish an outcome which is a positive factor within the individual’s life.
By using outcome based practice we are able to deliver a more efficient service which addresses the needs of the individual to gain a positive result, this process involves gaining specific knowledge of the key needs of the individual and mplementing a service efficiently that meets the needs of the individual whilst also making the best out of allocated time and funds.Outcome based practice is efficient where it matters most, an individual’s package of care should not consist of a ‘baby- sitting’ routine but include the individual and pin point exactly what they should realistically achieve whist in receipt of this package, therefore the individual’s needs are truly being met and positive changes will take place. It should be noted that outcomes can be changed at any time and should be reviewed periodically or as regular as any changes take place.Promoting social, emotional, cultural, spiritual and intellectual well being (02. 1, 02. 3) ‘well-being is a positive and sustainable condition that allows individuals, groups or nations to thrive and flourish. Well-being.
requires an integrated approach, one that embraces mind, body, society, and the environment. Understanding how individuals and communities can be helped to thrive and flourish could be of great benefit to our citizens, our educators and our leaders ‘ Felicity Huppert, Nick Baylis & Barry Keverne. , 2005 I believe the above quote gives an accurate definition of psychological wellbeing.Wellbeing is a condition linked to the feeling of freedom, freedom to make choices, freedom to be an individual. As the above quote indicates, many factors contribute towards the feeling of wellbeing which is why it is important that we try to focus on all the physical, psychological, internal and external factors.
By allowing any given contributor towards well- being to deteriorate we are paving the way for deterioration of one’s personal well- being state. Systems and processes used in care planning have a impact of an individual’s well- being.It is of upmost importance that the systems and processes used are in favour of the promotion of well- being.
Many professional parties involved in the care of an individual have many different systems and many different processes so to avoid confusion I will focus on some applicable to our organisation. The initial care needs assessment has a huge impact on the individual’s well- being as first contact with a service which will be playing a huge part in the delivery of your care can be quite daunting. It is important to make the individual feel valued, empowered and in control of their own care package.A good care needs assessment will reflect the individual’s wants, dreams, aspiration’s and how they want their life to be, it will highlight their true needs as well as their strengths. The review process should have the same result as the above and should ensure that changes are monitored, progress mapped and new goals and targets are set, it is imperative that the care plan gives a true and current reflection of the individual in order for them to receive the correct support. Lead practice that promotes individuals’ health and choices and control over the outcomes they want to achieve (O3. , O3. 4, O4.
4) Develop a plan to ensure your workforce has the necessary training to recognise individual health care needs and to support individuals to achieve outcomes * See ‘Training requirements to meet service user individual needs’ documentAs we do not have a specific document that pinpoints the specific training needed to meet the needs of an individual service user, I created the above document. The document has a simple format and focuses on three main questions: * What are the needs of the individual? * What training would staff need to meet these needs effectively? Are the allocated staff team sufficiently trained to meet these needs? I decided that just because staff have some level of basic training does not mean they are fully competent to support the needs of the individual, therefore, I have used a number system. By grading a staff member on each subject allows us to highlight where they need further training, level 1 shows that the staff are not competent and need further training whereas level 3 shows staff are more than competent to meet the needs of the individual.The document I have created will be reviewed and amended as often as any changes take place to the care team, if the individual’s needs change then this will be documented and further training introduced where necessary. Any specific support issues that require a great deal of expertise will be initially assessed by an appropriate professional, this may be one of the following: * Occupational Therapist * District Nurse * Clinical Psychiatrist * GP * Community Psychiatric Nurse Social Worker When expert advice is given regarding the support needs of the individual this will be documented within the care plan for support staff to read, a sign off sheet will be introduced to ensure all staff members have read the advice given. If any treatment requires specialist or trained staff, the existing staff team will be assessed performing the actions by the relevant professional, the staff member will be signed off as proof off competency.It is important that all specialist care is regularly assessed by the management or a sufficiently trained professional, this will make it possible to see any changing needs of an individual and of any further training staff may need. Manage effective working partnerships (O5.
1, O5. 3, O5. 4, O5. 5) The working relationships between carers, family members and significant others can play a huge part in the successful implementation of support into an individual’s life.
An individual’s family are a great resource for information and due to the familiarity usually like to have as much input into the support process.Friction is common between carers, family and significant others due to difference of opinions everyone has. A carer is a professional support provider and is monitored accordingly. Due to the many guidelines, policies and legislation in the care profession it is important that a carer does his/ her job by the book, focusing on the needs first and following the care plan closely. A family member or significant other views the needs of an individual differently, the line between need and want can often get blurred and expectations can occur.
It is important to realise that just because view differ does not necessarily mean that either party are wrong. Establishing a good working relationship between the carers and the individual’s family and friends can result in providing a very positive atmosphere for the individual. As all involved parties see the individual differently and recognise different needs having a good working relationship can aid communication between everybody, this provides a better user focused service. Only by working together can we focus on the outcomes of the individual and work towards them from every angle.Conflicts between all parties with involvement in an individual’s life are a common occurrence and can put unnecessary pressures on the individual. It is of great importance that any conflicts are addressed and hopefully resolved promptly. There are many ways of addressing a conflict in hope to resolve the situation, initially a discussion between the two people of whom are having the conflict would generally take place, this step will generally resolve most disputes as it encourages open communication and gets issues out in the open.
It is a common for one of the involved parties to not even realise they are in a conflict.If a conflict is of a nature that involves many people then the initial step would be for a group discussion, this will air out the views all round and hopefully provide some understanding within the group. If a conflict is proving hard to resolve then it may be necessary to mediate the process, this will generally consist of a member of management or a professional being present to try and bring both parties to agreement, this can be helpful as it introduces a third person to the mix who is unbiased and may see things more clearly, un-shrouded by a possible long running dispute.It may be necessary, in order to resolve a dispute, to introduce contractual agreements between conflicting parties. Upon signing a contract you agree that you are bound by its terms, once the contract is in place each party understands their roles more clearly and may not challenge others due to misunderstanding. Possibly the most effective way to resolve a dispute is to provide parties with the appropriate information to support decisions and to educate.Where possible the individual themselves should be empowered and supported to make their own decisions to how they wish their package to be run therefore, providing them with information to assist is a priority.
Due to the numerous legislation and regulation enforced in our country it is imperative that care staff do their jobs to the best of their ability and follow any guidelines set out by official authorities. The working relationships between carers and families etc can suffer due to the strict guidelines set out.Families and significant others tend to have a different approach to working with an individual, this may be too relaxed, leaving the individual’s needs neglected or too strict, leaving the individual disempowered. A good care worker will follow the guidelines set out to them based on legislation and regulation, this will focus on the needs of the individual and highlight the key support requirements. Due to the different approaches that each party uses whilst addressing the individual’s needs, this can cause difficult working relationships.
Fortunately with the implementation of some of the key legislation, such as the ‘Care Standards Act 2000’ there is now a standard set for all parties to follow, this alleviates some of the difficulties faced between carers and families. Using legislation such as the ‘Mental Capacity Act 2005’, we are able to seek the assistance of an independent mental capacity advocate (IMCA) to help identify the wishes of the individual, without influence from any other party.