Kelsey McLeod
Unit 12
Supporting Individuals with Additional Needs
Assignment 1
By Kelsey McLeod
1
, Kelsey McLeod
P1: Explain diagnostic procedures to determine additional needs for one child and one
adult with different additional needs.
M1: Assess the requirements of one child and one adult with different additional needs.
In this section I will be discussing, the diagnostic procedures to be able to determine
additional needs for Rebecca and Ben. I will also be assessing the requirements for their
additional needs, such as support.
Child case study- Rebecca Brown
Rebecca Brown, an eight-year-old girl, will be the subject of my first case study. She is
physically disabled and uses a wheelchair because of an accident three years ago that
resulted in her having a fractured spine, forcing her to be paralysed from her cervical
spine down. The significant impact injuries she experienced on her neck/spine in the
collision was the cause of this outcome. This resulted in a fracture of her cervical spine
and injury to the vertebrae in her neck/spine, which could have caused bone fragments to
compress and injure her spinal cord. Rebecca now has a profound physical impairment
because of the paralysis, called paraplegia below her cervical spine, which affects all
parts of her life. Rebecca's disability, on the other hand, could have been considered
severe if she had a little more independence.
According to the case study, Rebecca became physically impaired when she was only 5
years old, implying that the diagnosis occurred because of an incident and a shift in
circumstances. She would have received assistance immediately following the accident.
One of the professionals that would look after Rebecca following the accident would be
paramedics. Because paramedics would have treated Rebecca shortly after the accident,
her odds of survival would have improved, as the period between the damage and any
treatment can be significant in determining the severity of the condition. To care for
service users in an emergency and transfer them to the best professionals and settings for
their condition, paramedics have the appropriate professional backgrounds. All
paramedics possess a paramedic science qualification, which they would have earned
after completing an apprenticeship with an ambulance service trust or attending college.
When paramedics arrive, they will do an examination on Rebecca. They would have her
lying flat on her back with her head straight and in line with her spine, a technique known
2
, Kelsey McLeod
as manual immobilisation. The ambulance team will next do an assessment, which will
include looking for any injuries, spinal discomfort, weakness, or 'pins and needles' in the
patient's hand or feet, as well as how alert they are and if confused. Nice guidelines state
that the ambulance crew should completely immobilize the spine after the assessment
indicates that the patient has suffered a spine injury, or if the examination is impossible
due to concurrent injuries, there is a safer method of immobilising the spine while the
patient is being transported to a hospital. Typically, it entails putting them on a special
stretcher, strapping them with a collar, and using tape and head blocks to keep their heads
immobile. However, it is better to use a scoop stretcher with blanket rolls or a vacuum
mattress for those who are under the age of 16. NICE (National Institute for Care
Excellence) guidelines also state that for under 16’s the paramedics must involve the
parents if appropriate. So, to make things smoother for the injured child, the ambulance
service staff may ask the parents or caregivers of the child to assist in immobilising their
spine. They might be instructed to keep the child's head motionless or to communicate
with them to divert their attention from what is going on.
NICE pathways now suggest that the best setting for Rebecca is a major trauma centre.
The Birmingham Children's Hospital, Bristol Royal Hospital for Children, Royal
Manchester Children's Hospital, and Sheffield Children's Hospital are the five MTC
children's hospitals in the UK (United Kingdom). Additionally, the UK has several MTC
hospitals for adults and kids, including Addenbrooke's Hospital, John Radcliffe Hospital,
King's College Hospital, Leeds General Infirmary, Queen's Medical Center, and many
others. This implies that Rebecca needs to be relocated as soon as possible, which is
essential for spinal injuries. During the journey to the hospital, the paramedics are
required to support them, which entails providing intravenous morphine through an
injection or IV drip. For the professionals at the MTC to be prepared, the paramedics
must pre-alert the hospital while on their route to the MTC with details on Rebecca's age,
sex, time of the injury, any suspected injuries, signs and symptoms, and any treatment
given on the scene or during the trip.
Once the ambulance arrived at the hospital the patient would be handed over to the A&E
staff. According to national guidelines, patients who arrive at an emergency department
via ambulance must be given to A&E staff for care within 15 minutes. the senior nurses
or trauma team leader would have already been familiar with the pre-hospital
documentation, which would be placed in Rebecca’s hospital notes.
3
Unit 12
Supporting Individuals with Additional Needs
Assignment 1
By Kelsey McLeod
1
, Kelsey McLeod
P1: Explain diagnostic procedures to determine additional needs for one child and one
adult with different additional needs.
M1: Assess the requirements of one child and one adult with different additional needs.
In this section I will be discussing, the diagnostic procedures to be able to determine
additional needs for Rebecca and Ben. I will also be assessing the requirements for their
additional needs, such as support.
Child case study- Rebecca Brown
Rebecca Brown, an eight-year-old girl, will be the subject of my first case study. She is
physically disabled and uses a wheelchair because of an accident three years ago that
resulted in her having a fractured spine, forcing her to be paralysed from her cervical
spine down. The significant impact injuries she experienced on her neck/spine in the
collision was the cause of this outcome. This resulted in a fracture of her cervical spine
and injury to the vertebrae in her neck/spine, which could have caused bone fragments to
compress and injure her spinal cord. Rebecca now has a profound physical impairment
because of the paralysis, called paraplegia below her cervical spine, which affects all
parts of her life. Rebecca's disability, on the other hand, could have been considered
severe if she had a little more independence.
According to the case study, Rebecca became physically impaired when she was only 5
years old, implying that the diagnosis occurred because of an incident and a shift in
circumstances. She would have received assistance immediately following the accident.
One of the professionals that would look after Rebecca following the accident would be
paramedics. Because paramedics would have treated Rebecca shortly after the accident,
her odds of survival would have improved, as the period between the damage and any
treatment can be significant in determining the severity of the condition. To care for
service users in an emergency and transfer them to the best professionals and settings for
their condition, paramedics have the appropriate professional backgrounds. All
paramedics possess a paramedic science qualification, which they would have earned
after completing an apprenticeship with an ambulance service trust or attending college.
When paramedics arrive, they will do an examination on Rebecca. They would have her
lying flat on her back with her head straight and in line with her spine, a technique known
2
, Kelsey McLeod
as manual immobilisation. The ambulance team will next do an assessment, which will
include looking for any injuries, spinal discomfort, weakness, or 'pins and needles' in the
patient's hand or feet, as well as how alert they are and if confused. Nice guidelines state
that the ambulance crew should completely immobilize the spine after the assessment
indicates that the patient has suffered a spine injury, or if the examination is impossible
due to concurrent injuries, there is a safer method of immobilising the spine while the
patient is being transported to a hospital. Typically, it entails putting them on a special
stretcher, strapping them with a collar, and using tape and head blocks to keep their heads
immobile. However, it is better to use a scoop stretcher with blanket rolls or a vacuum
mattress for those who are under the age of 16. NICE (National Institute for Care
Excellence) guidelines also state that for under 16’s the paramedics must involve the
parents if appropriate. So, to make things smoother for the injured child, the ambulance
service staff may ask the parents or caregivers of the child to assist in immobilising their
spine. They might be instructed to keep the child's head motionless or to communicate
with them to divert their attention from what is going on.
NICE pathways now suggest that the best setting for Rebecca is a major trauma centre.
The Birmingham Children's Hospital, Bristol Royal Hospital for Children, Royal
Manchester Children's Hospital, and Sheffield Children's Hospital are the five MTC
children's hospitals in the UK (United Kingdom). Additionally, the UK has several MTC
hospitals for adults and kids, including Addenbrooke's Hospital, John Radcliffe Hospital,
King's College Hospital, Leeds General Infirmary, Queen's Medical Center, and many
others. This implies that Rebecca needs to be relocated as soon as possible, which is
essential for spinal injuries. During the journey to the hospital, the paramedics are
required to support them, which entails providing intravenous morphine through an
injection or IV drip. For the professionals at the MTC to be prepared, the paramedics
must pre-alert the hospital while on their route to the MTC with details on Rebecca's age,
sex, time of the injury, any suspected injuries, signs and symptoms, and any treatment
given on the scene or during the trip.
Once the ambulance arrived at the hospital the patient would be handed over to the A&E
staff. According to national guidelines, patients who arrive at an emergency department
via ambulance must be given to A&E staff for care within 15 minutes. the senior nurses
or trauma team leader would have already been familiar with the pre-hospital
documentation, which would be placed in Rebecca’s hospital notes.
3
