BTEC Level 3 National Diploma in Health and social care
Unit 14: Learning Aim D
Healthcare professionals must be able to assess the care needs of a service user within the
healthcare system. According to SCIE (accessed on 13/12/24) says that “Careful individual
assessment and planning, in partnership with the resident and their family, carers and other
supporters, is the starting point for meeting their needs. Being person-centred means
meticulous and continuing attention to detail.” Healthcare professionals must consider varied
factors or events that apply to a service user according to a specific situation. For example, a
health care professional must be willing to provide a Quran for service users with islamic
beliefs because it can help them to improve their wellbeing. Care can be delivered by using
three different pathways which are primary, secondary and tertiary care that can be delivered
to create a treatment plan as it can aid to cure future complications. Moreover, a healthcare
professional needs to be able to identify a service user’s primary, secondary, tertiary and
holistic needs using collaborative care and support planning. They are the process that
involves discovering what matters to the person. For example, identifying the best treatment,
care and support can lead to the service user having an improved health. If the healthcare
professional supports their goals then that would mean that the service user would be more
likely to achieve them. This will require looking for the possible treatments for the symptoms
of a service user’s physiological orders and pick the best one based on if they are
compatible with the service user’s treatment plan. For example, having a multidisciplinary
team or having collaborative care ensures that all strategies, practices, and needs are met
holistically. According to Simply Psychology (accessed on 13/12/24) says that According to
Maslow (1943, 1954), “human needs were arranged in a hierarchy, with physiological
(survival) needs at the bottom, and the more creative and intellectually oriented
‘self-actualization’ needs at the top.” Maslow argued that survival needs must be satisfied
before the individual can satisfy the higher needs. The higher up the hierarchy, the more
difficult it is to satisfy the needs associated with that stage, because of the interpersonal and
environmental barriers that inevitably frustrate us.Higher needs become increasingly
psychological and long-term rather than physiological and short-term, as in the lower
survival-related needs.” The hierarchy of needs is made out of: physiological needs, safety
needs, love and belongingness needs, esteem needs, and self-actualisation needs. To
further include the hierarchy of needs they are ranked based on self-fulfillment needs,
psychological needs, and basic needs.
Potential care methods and strategies
Primary care is the main type of care pathways that patients or service users use the most
than secondary and tertiary care services. There are a wide range of individuals who would
use this care pathway: service users with chronic conditions such as type 2 diabetes,
families would who sends their children to check up any illnesses such as COVID-19 by
taking vaccinations, elder patients who may have big health complications issues, service
users with mental health problem, individuals looking to receive preventative care, young
adults who may seek to cure mild illnesses. According to the NHS England (accessed on
13/11/24) says that “Primary care includes general practice, community pharmacy, dental,
and optometry (eye health) services”. In my case study, he would be referred to a primary
care service such as a hospital by a GP if he has sudden severe medical issues relating to
his asthma.
,[Insert name]
BTEC Level 3 National Diploma in Health and social care
Secondary care is when a patient or a service user needs further treatment if primary care
services are unable to treat minor or major injuries and complications. There are a wide
range of individuals who would use this care pathway: patients with complex conditions,
referrals from primary care such as a doctor or a nurse, emergency cases if a patient
requires a serious procedure such as surgery, mental health services and rehabilitation
services. Secondary care services include medical specialists and specialist care such as
cardiologists.
Tertiary care involves when a patient is in the hospital in medical terms being hospitalised
which requires wide knowledge of expertise and using advanced equipment to treat
extremely difficult conditions from service users. Moreover, for some patients would be their
third point of contact as they are unable to get treatment from primary and secondary care.
There are a wide range of individuals who would use this type of care pathway: patients with
severe diseases, patients with conditions such as high pregnancies and patients who need
to be hospitalised because they have high risk of symptoms that cannot be simply reduced.
For example, a patient who has lung failure would need an organ transplant which is a
surgery intervention so that they can breathe better and survive. Also, a person who smokes
may benefit from having an organ transplant to reduce the risk of unhealthy lungs.
Person centred care planning refers to prioritising a service user’s needs, opinions, and
feelings when planning their care and support. This enables every service user to be heard,
highlights what is important for them, and feel respected how they want to live their lives.
This approach focuses on teamwork between the caregiver and the person receiving care. It
encourages working together to make decisions and involves the person actively in
managing their own care.
Specialists involved in a care pathways for service users with asthma: GP, practice nurse
and asthma nurse, pharmacist, school nurse, respiratory specialist (hospital consultant),
respiratory physiologist, respiratory physiotherapist, paediatric asthma nurses (child asthma
nurses), clinical psychologist, dietitian, and advisors at NHS ‘stop smoking services’. These
specialists would help my service user with asthma to manage asthma in an effective way in
general. Greatly, this can help control symptoms and improve the daily lives of people with
asthma such as my case study.
I will be replacing my case study’s name from Elie to ‘Service user 1’ for confidentiality
reasons because healthcare providers must be able to comply with laws set out by the
government such as the Data Protection Act 2018. This law ensures that a service user can
request their data at any given time and authorities must be able to handle and collect
personal information in a professional manner. However, as a consequence of collecting
data for unethical reasons, authorities could face legal consequences such as financial
penalties. Not to mention, this is done to avoid unauthorised access from using Service user
1 ’s personal information for the wrong reasons. For example, kidnapping or harming him
which can put him at a risk of serious injuries or even death.
, [Insert name]
BTEC Level 3 National Diploma in Health and social care
Case study (Elie)
Service user 1 is a 23 year old male who was diagnosed with asthma at the age of 5. This is
because he was constantly coughing during the night which means he is unable to sleep
well. His other signs and symptoms are shortness of breath when exercising due to
increased mucus production in the airways, and pain in his chest due to chest tightness. He
is single, he is living with his mother, two brothers and one sister. Both of his parents
divorced due to frequent conflict and arguments about their commitment issues within the
relationship.
Currently, he is a professional football player playing for Al-Nassr FC. He earns £500,000
every year including tournaments and world cups. In his free time, he coaches children who
want to make it to the professional football league when they get older, saudi pro league
(SPL). Outside of football, he likes to fundraise charities to support children with cancer, ride
his bike with his brother three times a week and he goes to church with his friends every
saturday as he wants to grow his faith with God.
Over the past 3 months, his symptoms have been getting worse and it is affecting his
stamina when he is running or doing high-intensity moves, due to this his coach has asked
him to sub off and sit on the bench more regularly so his symptoms don't worsen. Service
user 1 has gone to the GP for a health check up, recommended by his mother. His GP has
advised him to use a reliever inhaler, other medications such as LTRAs and tablets. Service
user 1 is worried that he may have to take a break from football because he might not be
able to have enough money to invest in his other projects. He has now become depressed
and has lost a connection with God because of the circumstances that are appearing in his
life.
Assessing the care needs of Elie
Needs Care needs Outcomes to be achieved
Physical Constant coughing during He must be careful that he
the night which means he is doesn’t consume any
unable to sleep well. dangerous substances that
Shortness of breath when can affect his lungs such as
exercising due to excess tobacco and illegal drugs
mucus clogs in the airways. like weed. He needs an
Pain in his chest due to inhaler to be able to stabilise
chest tightness. Healthcare his symptoms. He also
professionals must be able needs to change his lifestyle
to assist him by giving him a little bit such as heating
treatment so that his asthma more healthy fruits such as
symptoms do not worsen. kiwi (contains vitamin d - this
is important because it
regulates the function of
cells such as lymphocytes
which means that it reduces
inflammation in the lungs),
apple, carrots, pumpkin and
so on.