Understanding specific needs in Health & Social Care
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Published: Tue, 11 Apr 2017
Understanding the specific needs in Health & Social Care
Without any doubt, health is the most important factor for a living being. A person’s life is depended on the well-being of health, not to mention all the regular activities are centered towards this. But with the increasing difficulties in regular living is making this very health deteriorating each day. It is very important for mass people to understand the basic of health dynamics. With the changes in the natural spectrum, huge changes have also taken place in human needs regarding needs of health and social care services. Not only the pattern has changed overtime, but also the perception towards these is transformed drastically.
1.1 The core concept- health & changes in perception regarding health and social care services
The fundamental pattern of health and social care is changed due to revolution in the need regarding this. There are various macro factors contributing to this, alongside the micro ones. In various countries, there are mammoth changes in the demographic pattern and the health literacy which has changed the whole landscape of health and social care services. To understand the perception of changing health and social care services it is very important to understand the underlying concepts like normality, disability, illness etc.
Normality which is also known as normalcy depicts the behavior which is consistent with an individual’s most common behavior in terms of health factors. It is very vast term to describe and it in many cases it changes with the context. When it comes down to the definition of health, this normality is a very significant concept. A healthy state generally stands for normal and sound process of all the functions that drives a human being. Clinically normality represents the consistency between the bodily and psychological functions. The reverse is generally known as abnormality.
Disability means partial or total forfeiture of a person’s bodily function which could be motor functionality, walking etc. As mentioned earlier this loss could be partial or complete and this could even be from birth. A person might have one disability or he could have multiple disabilities which could be ostensible for instance loss of a limb or it could also be in hidden form for example epilepsy or post-polio syndrome. Some types of disabilities are multiple-sclerosis, spina bifida etc.
There was time when there was a norm in the society which permitted the stigma and discrimination. People tend to avoid and stigmatize the person with illness, disabilities and it kept going on for a long period of time. The ultimate result of this was that it made the whole situation way more difficult for the affected person and consequentially, it becomes really hard for them to recover from the illness. The problem of mental illness is a common phenomenon for example at some point of life out of every four people generally experiences mental health problem. Still approximately one in every ten children faces various mental health problems. With the changes in the condition health and social care services have changed drastically. On the positive side, the stigmatization and discrimination have been reduced significantly due to continuous awareness in mass level.
1.2 impact of social policy, legislation and culture on availability of services
In the sector of health and social care, social policy along with legislation and culture play a great role when it comes to availability of necessary service for each a group of individuals having specific needs. If the social policy does not support the support the specific needs and patronize it in favorable way then it will become impossible to lead life in a favorable way. The legislation, in this case, is very important both on individual and mass level. For example, right now it is secretary of state’s responsibility to promote comprehensive health service all over UK which will lead to significant improvement in physical as well as mental health of the individual; in addition to this, the service will aid in not only the prevention but also the diagnosis of mental and physical issues. The outcome of the health and social care services will be measured based on the effective, quality and the experience of the concerned persons.
In this regard, only legislation and policy will not suffice in the long run. To make this kind of practice sustainable and craft the system in such flexible way so that the changes can be made whenever it is necessary. To attain this objective, the services required for the individuals with specific needs have to turned into a culture which people will adhere to follow, not for just the sake of legislation that has to be followed in formal manner.
2.1 the mechanism of supporting individual with specific needs
To attain this objective, the services required for the individuals with specific needs have to turned into a culture which people will adhere to follow, not for just the sake of legislation that has to be followed in formal manner. There are been number of cases of where health and social care do not work in harmony when it is about the meeting the specific needs of the individuals. Every year total number of people in UK requiring both health and social care is on an increasing trend. Just for example, total percentage of individuals crossing eighty five will double in the next twenty years which will arouse the complex need
of health care as well as social care. By complex need of health care we refer to multiple health problem at the same time which need to be backed up by the social care services. So far the most glaring issue is that, these two are not collaborating as per expected level. And this is turning into a big problem for the service takers. For example, a person after staying a while in hospital requiring final treatment is trying to know how many days he might have stay after treatment. Over the period of time, being in hospital became a gruesome experience for him; but this mental issue is mostly overlooked. This is just a representation of common scenario taking place most often. In many cases, one important parts either health care or social care is missing. When health and service care is joined up and given properly to the people, that has the highest probability of meeting individual need. This concept should be put into model and later on, it will work as a guiding principal for the health care and social care service providers.
2.2 evaluaiton of currently available system & services
Generally it is perceived that, when two services- health care and social care are collaborated it must be very beneficial for the people who are taking this service as well as for the service providers. But yet this notion is to be supported by number of facts.
there is an study done by Brown L, Tucker C by to evaluate the efficacy of the currently available system of health care and social care to meet the specific needs of the individuals. This study more of less represents the current scenario of available systems. The study was conducted among a group of aged persons who were given both health care and social care. In the initial stage the result was very much aspiring. The health care and social care needs were assessed successfully and in a timely manner. This was like a one stop approach for two big aspects catering the individual needs. The whole process of communication of the issue, understanding the aspect and the exchange of required information was drastically improved but it comes down to implementation this seemed not to work properly. Even though the individual need assessed properly, the problem started in the implementation level. The implementation of the service was not satisfactory because of the duly implementation as well as the follow up process. Innovation in the phase of implementation can play a great role as well as the change in implementation process also. Even though two entities giving health and social care services have the same goal they have different organizational structure, ideology and working process. During the implementation phase, it becomes very difficult to accommodate both services in subsequent point of time. So far in nationwide analysis, the same problem is been observed. Even though the general perception is that, the outcome has to be good naturally the fact is quite the opposite. In many cases the efficacy of current model is questioned thoroughly. To make these two services more appropriate and effective for the individual needs it is very important to do the organizational and legal fixes rather than just focusing first hand coordination portion.
3.1 understanding approaches & intervention strategies supporting individual specific needs
There can be a number of ways to support the individual need with health care and social care, but it is very important to come up with the best strategy and blend it effectively. Here the challenge is, each individual aspect for example health care can be appropriate in its own stance but when it comes to collaboration the approach will be different. Let us consider a common scenario- Autism where it is very important to use the perfect strategy to meet the individual specific need.
Since there is hardly any permanent cure for autism, the professional bodies use a number of approaches that aid the concern in different ways. The most challenging aspect in this case is, there are never two individuals with exact same case of autism where a approach might perfect work one person, whereas the same approach will fail with slightly different case.
before coming up with the exact approach it is highly important to gather all the relevant data pertaining to the autism for that specific individual. In addition to this, dealing with this is a long term approach, so while choosing the method one must be very careful and plan down the line what might take place. One standard startup intervention procedure is health and service based intervention. Apart from the health and service based intervention The starting intervention could be like behavioral and developmental intervention, motor and sensory intervention, counseling etc.
Health and service based intervention takes places in multiple phases and it needs to be planned beforehand. Standard Health and service based intervention is planned based on the focus to constantly uphold the well being of the individual with autism which will require a vast range of treatment and therapies as well as well a number of sociological approach. The common scenario is to use variety of approaches and methods which generally include professional therapists, speech, langue therapist along with psychological therapists. This panel of therapists will be working together to ensure the proper development of the concern. This combination of different therapies is used with behavioral, motor sensory, augmentative in addition to alternative intervention method. Among these, the standard procedure of health care includes standard operational procedures like medication, psychotherapy, physiotherapy, speech pathology aiming at the development of speech and language. On the other hand, service based interventions generally include aiding people in education, development of social skills, day to day basis development on social skills, accessing the needs and change in those and respond accordingly. This is just the beginning. The challenge with autism is the lack of awareness and when people do not admit to have the autism. It is a common barrier for autism. The autism is most cases is invisible because it just possess few signs; so it becomes really difficult what exact health and social care needs are required for he particular individual and how it can be tailored to maximize the benefits. Starting from the daily rituals to particular special activities, everything needs to be chalked out and it needs to done on a daily basis. This is one approach dealing with the individual with autism. Another approach could be, after assessing all the possibilities, figuring out two or three most potential route to deal with the scenario and start trying those out in a controlled setting for smaller time being. After getting the results, the best method will be carried forward. The disadvantage with this approach is that the change could have negative impact on the concern. That it is very important to access the health and social care needs thoroughly at first and then act on this. The social care support might be very extensive here, starting from the education it could end up in finding appropriate works. The employment service are designed in such a way that it suits individual abilities and needs and to make the approach successful the team of health and social care need to work closely with the family members, at least at the very first stage they need to collaborate with the concerned family to understand the early stage development scope and devise the plan accordingly.
3.2 need for development and support for individual with specific need
Specific development methods need to be applied for the individual with specific needs, more specifically showing different characteristics. Other than the social needs, the health and wellbeing need to be checked on a regular basis because at the end of the day, if he does not have the functioning body he won’t be able to do anything else. For this purpose, the health needs have to identified thoroughly and plan the acts based on that. There could be a number of activities which the person has to undergo and for convenience, these should be turned into a ritual format so that it becomes easier. Apart from these, health improvement needs to be monitored on a regular basis. Other than this it will not be possible to track the whether the approach is right or wrong. There should scope for adaptions and improvisations to make the process much better and updated.
4.1 Strategies for coping up with challenges, potential impact of challenges and strategies to cope up
While working in health and social care there are a number of scenarios posing specific challenges. Below are two of them-
With the increasing access to information, people are right now more knowledgeable in various subjects, even it could be to small extent but with the blessing of technology information is on the fingertips. But analyzing this information is totally different issue. In most cases being a part of health and social care I have seen that, the parents or relatives of the person taking services are intruding into the operational procedure without having sufficient knowledge on the subject. It is very much possible that it happens because of their extra cautiousness towards the wellbeing of their closed ones. Since we have deal with concern usually on a long term basis it becomes very difficult to experience this kind of intrusion. Another challenge is to tailor the service with the given agenda and financial constrain. In many cases, it becomes very difficult to meet specific need by tailoring it as per the agenda given. This is mainly because of the continuously changing demand and increasing public expectation. Since there are multiple entities involved in this procedure, it is very difficult to accommodate minor changes if that are done on a continuous basis.
The potential impact of the challenging behavior on the health and social acre is that the health and social care givers have to be pretty much through regarding their understanding of the all the necessities and act accordingly. Starting from the planning, collaboration and execution phase they have to be very much cautious and the same time flexible regarding the plan. All the works need to be functionally assessed all the time and regular evaluation has become mandatory for the efficacy of the work.
The core strategy to keep up with challenge is support from all the entities, be it the party taking the service or the one giving this. While dealing with the challenges clear target need to be set regarding the timeline, deliverables and all other specific activities. For working the with the challenging behaviors regarding specific needs it is very important to clearly communicate with the involved member, share the course of actions along with other specifications clearly. The rewards and sanctions will be set in such a way that it best suits and eases the operational procedure.
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