Case study Analysis one-revised1
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Nov 24, 2024
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Case study one Analysis Introduction This essay evaluates the story of a vulnerable older adult, Hagar, who is receiving supported living care in a public facility. As an elderly immigrant, Hagar faces other learning disabilities, bipolar disorder, and eating disorders, which makes her struggle to get quality services from the supported living centre and the support staff. As a result, she requires quality personalised care that meets her complex needs effectively. The essay also examines legislation that would be applied to Hagar’s case in providing personalised, supported living care services. In the case analysis, the 6C's of nursing (care, compassion, communication, courage, commitment, and competence) will be applied to determine the characteristics of personalised care she needs in supported living. Personalised care should be matched with Hagar’s unique supported living needs. Hagar faces challenges, has a learning disability, difficulties in communication and forming social networks, and an eating disorder that exposes her to choking risks and does not cope with available supported living services. Also, the staff supporting Hagar are struggling and cannot offer care services. As a result of these issues, Hagar is excluded from the current mainstream supported living services in the supported living facility for their overall well-being and health. In the UK healthcare provisions, personalised care assists caregivers in making decisions that allow them to plan and implement strategies for managing the diverse needs of their patients. As a disadvantaged individual seeking supported care and an immigrant from Turkish Cypriots, Hagar’s chronic illnesses make them have difficulty accessing quality care services that fit her needs. Personalised care aims to help individuals with compound needs and long-term illnesses by allowing collaboration and communication among care providers on the best patient
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intervention (Edward & Best, 2020). Thus, personalised care would enhance communications among teams in providing supported care which is central to understanding Hagar’s case and providing an opportunity to offer optimised services where everyone is confident and comfortable.
The Role of Legislation in Improving Personalised Care
The main objective of legal frameworks in healthcare is to protect individuals and the public using care services. The legal frameworks foster high-quality, compassionate care to all individuals, such as Hagar, an immigrant in the UK. Personalised care is protected by the Care Act 2014, which establishes the legal basis for care and support for people suffering from complex needs or long-term illnesses (Crib, 2017). However, the one-size-fits-all healthcare system cannot meet the growing complexity of individual needs and expectations (Berrett-
Koehler & Nash, 2019). As a result, associated legal basis such as the Health and Care Act 2022 seeks to introduce significant reforms for personalised care to improve health outcomes across the UK (Crib, 2017). This act recognises the unique and growth factors that shape individuals' well-being and health by integrating public health services, social care, and NHS at all local levels to address the increased health inequalities in the UK (Crib, 2017). Therefore, the act protects the supported caregivers and allows them to demonstrate compassion in their responsibilities. Besides, healthcare policies and legislation play the critical role of providing individuals such as Hagar with a high-quality care plan based on their unique needs while reducing inequalities in healthcare. Hence, immigrants like Hagar have an opportunity to get quality support care in the facility despite their challenges.
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The Structure and Integration of the Health and Care Sector
In the UK, the government has established an operational health structure by integrating the health sector, the wider public, and social services to advance inclusive, accessible, culturally-relevant, and empirically-informed environments and systems that enhance the quality of health for all. In the case of Hagar, her health outcomes in supported living should prove competent despite her complex needs. If care services are competent, they will meet her complex
needs through personalised care, and she would likely continue living a healthy life like other elderly patients in supported living. Nonetheless, it is clear that Hagar is predisposed to high risks of social isolation owing to her learning disability, bipolar disorder, minimal speech, and has never been taught sign language. Such risk means that even in her old age, it is complicated to engage in dynamic interactions with the existing health systems in the UK, including other people (Fox, 2018). Additionally, she shares other challenges facing elderly immigrants in the UK, such as longer waiting times, lack of awareness, and communication problems. An integrated health system emphasises health equity, root causes of health inequalities, community engagement, and local public practices that are distinctively positioned to improve equitable health across culturally diverse communities in the UK. The basis of this approach is to
ensure that the existing health system enhances age-friendly communities and age-friendly public health systems as a defining basis for personalised care services (Edward & Best, 2020). Population aging has increased the need for personalised care services and public health actions to enhance equitable, healthy living and aging (Clements, 2019). In order to realise optimal health for individuals, the health system should actively promote existing systems, policies, services, and environments (Berrett-Koehler & Nash, 2019). All these factors can promote personalised care and eliminate obstacles, and structural and systematic barriers, such as racism,
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poverty, migration status, gender discrimination, and other forms of oppression exacerbating health inequalities. Ethical Issues Faced by Healthcare Practitioners when providing care
The main ethical issue that is most likely to be faced by healthcare practitioners in the realm of personalised care services is the principle of confidentiality. This concept contends that patients can dictate their privacy and health terms to care providers (Fox, 2018). However, Hagar's care providers will most likely face the issue of communication with Hagar, who has limited speech and has not learned sign language. The inadequate speech presents a communication problem because she will need help communicating her unique needs to care providers and the people around her. Possibly, Hagar exemplifies the notion that the aging process is complex based on the complicated circumstances facing her life as an elderly immigrant in the UK. This case offers a unique opportunity to understand the disparities and specificities that elderly immigrants face during their aging experiences. Recommendations
Since UK healthcare policies support personalised care for all individuals in all healthcare settings, Hagar has opportunities to get quality supported living care in the facility despite the complexity of her needs. However, communication and collaboration among the support care providers are essential to increase their competency when supporting Hagar. Since Hagar is facing isolation from the supported livings scheme due to her bipolar disorder, learning disorder and limited speech, the support staff should demonstrate compassion and commitment when dealing with her issues and develop close relationships, which will also allow them to understand her and reduce the sickness levels when working with her. Despite her language
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disability, Hagar should involve in making a decision on which care support well fits her needs. Such an approach will promote her acceptance of the available support service while increasing the courage of the support staff in their work. Integrating her feeling into the supportive care services will make it possible to design and implement effective personalised care for Hagar.
Conclusion
Successful aging is determined by the low probability of illness, reduced health concerns and disability and improved quality of life. Cognitive and functional capacities are critical in maintaining successful communication and the aging process among the elderly. Social engagement is the most favourable aspect of successful aging because it encompasses strong involvement in occupational and relational processes such as domestic, social, and physical activities. However, Hagar lacks all these components due to bipolar disorder, communication difficulties and eating disorders making it difficult to access equitable, quality, supported care. Nonetheless, personalised care services supported by the available health legislation in the UK provide opportunities for care staff to boost their competence in providing care through collaboration and communication. With such competency, the support staff will have the courage, passion and commitment to work with Hagar providing her with services that would improve her quality of life and reduce stress on the support staff themselves.
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References
Barrett-Koehler, & Nash, J. (2019). '
I will not be erased’; our stories about growing up as people of colour.
London. Walker Books. Clements, L. (2019). Community care and the Law
. Legal Action Group. Crib, A. (2017). Healthcare in transition: Understanding Key Ideas and Tensions in Contemporary Health Policy.
Policy Press. Fox, A. (2018). A New Healthcare System: Escaping the invisible asylum
. Policy Press. Edward, D & Best, S. (2020). The Textbook of Health and Social Care
. SAGE.