Patient’s case study presentation, assessment and planning

Patient’s case study presentation, assessment and planning

Introduction

Background – Why you think this patient's case is important Patient’s case is important as through identifying the background of the patient including medical records, past medication, family environment and social factors of the patients, the health and social care professionals can acknowledge the actual condition of the patients and the history of the patient which is necessary for providing better treatment (Glasby, 2017; Dickinson, and O'Flynn, 2016). Patient’s case analysis is hereby beneficial for diagnosing the patients with care and support as well as provided them better acre and appropriate treatment after acknowledging the health needs as well as preferences of the individuals (Nelson, and Staggers, 2016). In order to provide better care and treatment, it is essential for the health and social care professionals to understand the requirements of the patients so that the patients can feel valued in the nursing home (Ranard et al., 2016). Moreover, maximising the values of the patients and improving wellbeing of the individual through meeting the requirements and preferences of the patients can also be possible through patient’s case analysis where the past information, interest of the patients and habit of the individuals are useful to treat the patient with quality treatment and care (Moss, 2017). In addition to this, the case analysis of the patients is also helpful for the care professionals and health practitioners to maximise the expectations of the patients and help them to overcome their health issues and disabilities, which in turn provides a scope to the patients to improve their standard of living and they start living normal lives like others (Surr et al., 2017).

Case presentation – The main clinical features and assessment findings, pertaining to the patient and their pathology including relevant social, and family history throughout the different stages of the patient’s presenting condition

The patient’s case presentation is necessary for understanding the patient’s lifestyle, behaviour and health issues for which the patient is admitted and through this presentation, it is also easy for the doctors and nurses to diagnose the patient with proper treatment and care (Moreira, 2015). The patient is suffering from high consumption of alcohol which becomes a serious issue as the patient tries to attempt self-harm, as well as use abusive language to his family members. It needs to be diagnosed properly through identifying the patient’s past records as well as acknowledging the condition and history of the patients through misunderstanding the medication at past, family background, social values and behaviour of the patients.

Treatment and/or management – Detailing the actual treatment and/or management strategies employed at the present stage of their condition and outline those appropriate for the different stages of the patient’s presenting condition (Up to 500 words)

The above patient’s case is important to develop proper care so that the patient can be treated well, and he can overcome the health issues and the problem of high alcohol consumption successfully. In this regard, the treatment of Motivation Enhancement Therapy (MET) and the management strategy of enhancing communication are effective to treat the patient carefully and give him support to overcome his problems and addiction to drink alcohol.

Motivation Enhancement Therapy (MET):

Motivation Enhancement Therapy (MET) is a good treatment or the patients who are suffering from high volume of alcohol consumption and through this method, it is possible for the health care professionals to motivate the patients and get back them to a normal life (Black et al., 2016). Through this technique, it is easy to understand the problem of the patient and motivate him to not to drink alcohol at a large volume, rather help him to consume less. It is a patient integrated care model, where the patient is empowered here and the health carers try to enhance patient motivation, encourage them to reduce drinking alcohol and resolve their problems and improve expectations to get better life and maximise their wellbeing (Glasby, 2017; Dickinson, and O'Flynn, 2016). Through counselling, communication and cooperation, the patient can express his feelings and reason for anxiety and depression in his life and the careers also try to motivate him to establish his job position by trying and cracking interviews, reduce stress, increase financial assistance, behave politely with others, engage with social activities and provide better treatment to his father who is suffered from cancer. these motivational planning and patient centric treatment will be beneficial for him to get normal life.

Enhancing communication:

Open communication and discussion with the patient are effective for building string relationship between the health care professional and the patient where the patient can also feel valued and feel free to communicate with the staff at the hospitals or nursing homes (Naslund et al., 2016). Trust and loyalty can be built through open communication and in this regard, the health and social carers try to interact with the patient with respect and positive attitude. Respecting the patient’s needs and cooperating with the individual is helpful to develop patient centric care and empower the patient positively in the care plan for resolving the issue of high volume of alcohol consumption, anxiety and self-harm (Betancourt, Green, and Carrillo, 2016). In this process, the nurses try to interact with the patients and acknowledge the problems in his personal life, the reason for depression and anxiety in his life. Through open communication, respect, managing trust, active listening to the patient, showing empathy, building proper rapport are effective to interact with him positively and develop friendly relationship, so that the patient can rely on the health care professional for accepting the treatment and support provided by the health and social carers. Body language, positive attitude while interacting and cooperation from the nurses are also essential in enhancing communication, through which the nurses and the doctors can understand the reason of his anxiety and depression for which the patient becomes alcoholic. Through communication, the health carers can acknowledge the actual cause of his anxiety and depression and interact with him for identifying solutions and cooperating for living a normal life after resolving the personal issue in his life (Glasby, 2017; Dickinson, and O'Flynn, 2016).

Discussion – Using contemporary evidence available, justify why the particular assessment and treatment and/or management strategies were selected in the acute and chronic (or persistent) stage of the patient’s condition. You will also reflect upon the success of the chosen assessment and treatment strategies employed with your chosen patient case study

In order to treat a patient with appropriate treatment and quality care, it is necessary for the health and social care professionals to make effective patient assessment as well as develop appropriate treatment or management strategy for treating the patient with care and proper support so that the individual can overcome the trauma or health issues (Nelson, and Staggers, 2016). Hereby, both the patient assessment and the management process of treating the patient are effective for the health care service providers to provide the best possible treatment and care to the patients. In this patient’s case, the assessment of the patient includes family, social, personal and medical assessment through which the care providers can acknowledge the actual needs and preferences of the patients. The family assessment is effective for understanding the family background, culture as well as communication at the home of the patient as these factors affects the lifestyle and mental condition of the patient (Glasby, 2017; Dickinson, and O'Flynn, 2016). In this patient’s case, the patient is suffering from high consumption of alcohol, self-harm, abuse towards the family members, social isolation and anxiety, stress and depression for which he is not able to lead a normal life like others (Ranard et al., 2016). In this case, the family background of the patient needs to be acknowledged so that it is easy to treat him with care and building strong friendly relationship with him where he can rely on the service providers and build rust and loyalty to communicate.

The social and medical assessment of the patient are also necessary in this case to understand the social life of the patient and previous medication records of the individual which are necessary to be identified for treating the patient. Through social assessment, it is possible to understand the educational and job description of the patient as well as social isolation, any abuse in the society, and for this patient’s case, this social information is necessary to be collected through assessment planning of the patient. On the other hand, the medical assessment provides an opportunity to acknowledge the health issues, allergy reaction or other medicine related queries which will be helpful for the health care providers to treat the patient with care and appropriate support (Glasby, 2017; Dickinson, and O'Flynn, 2016). The past medical records, treatment for high consumption of alcohol as well as any allergy reaction for any drug consumption can be acknowledged through the medical assessment of the patient and hereby it is required for the health and social care professionals for diagnosing the patient carefully, so that in future proper treatment and care can be provided to the patient. in this present patient’s case, the assessment planning is important for building strong relationship with the patient and enhance trust and loyalty, so that the patient can feel free to share his emotions, which in turn helps the service providers to understand the reason for his stress, anxiety and depression (Nelson, and Staggers, 2016). Moreover, for quality care and appropriate treatment, the assessment planning of the patient is also necessary for acknowledging the actual health needs as well as the preferences of the patient, which helps to the service workers and social carers to maximise the standard of living and enhance the wellbeing of the patient by providing quality care and appropriate treatment according to the requirements of the patient. In addition to these, the treatment and management strategy are also effective for treating the patient with care and support through which the patient can overcome his problems and health issues and live a normal life like others. The treatment of Motivation Enhancement Therapy (MET) is one of the effective ways to treat the patient in this stage where the patient is going through depression, anxiety and stress due to father’s illness, lack of job satisfaction and poor finance which deteriorate the quality of life of the patient. In this regard, the Motivation Enhancement Therapy (MET) approach of treatment provides a scope to the health care professional to treat the patient and motivate him to contribute in the society and work positively, so that he can improve financing in near future. continuous motivation and providing different solutions in his life are helpful to treat him and reduce anxiety and stress in his life. The carers try to interact with him constantly to encourage him to conduct daily activities and reduce the consumption of alcohol. On the other hand, the Motivation Enhancement Therapy (MET) treatment is also beneficial for enhance motivation and change the behaviour of him as well as maintain suitable lifestyle with increasing his wellbeing. This will provide him a scope to lead a normal life and contribute in the social activities and this further helps to mitigate the issue of social isolation and stress. Changing behaviour of abusive language, self-harm and anxiety to their family members can also be posisbel through the Motivation Enhancement Therapy (MET) and hereby, it is beneficial to apply this treatment and help him and provide him proper support to get back to a normal life (Betancourt, Green, and Carrillo, 2016). Additionally, communication is one of the effective ways to manage the patient with care and help him to reduce anger and stress in his life (Nelson, and Staggers, 2016). Through interacting with the patient, it is easy to acknowledge his needs and preferences as well as positive communication also provides an opportunity to the staff members doctors and nurses to identify the reason for his depression, anger and stress as well as abusive language and self-harm. Hereby, positive communication is helpful for building trust and loyalty as well as develop strong bonding with the patient where the individual can be feeling free to discuss over his issues and personal problems in his life for which he consumes alcohol. In addition to these, communication is effective to share information as well as empower the patient in the care plan where the patient can choose the treatment and express his feelings and thoughts regarding specific treatment. This management strategy of enhancing communication with the patient is hereby beneficial to provide the best posisbel care and efficient services to the individual for helping him to get back to the normal life (Betancourt, Green, and Carrillo, 2016).

Reflective learning points – 2 bullet points detailing what you have learnt from the assessment of a patient with this condition and 2 bullet points detailing what you have learnt from the treatment and/or management of a patient with this condition

Patient assessment is beneficial for me to improve understanding about the patient’s case and from the assessment, I have learnt that, the condition of the patient depends on the family background and the social value of the individual which have significant impacts on the patient where he is consuming high level of alcohol and suffering from stress, anxiety and depression.

Family background:

The team members in the health care institutions aim to gather data and relevant information about the family background of the patient, so that it is possible to understand the culture, values at home and family structure of the individual as in this present case, these have crucial role. I came to know that, there is lack of bonding and cooperation among the family members which raises loneliness in the patient, and it leads to stress, anxiety and depression where the father of the patient is suffering from cancer, he is not valued in the family due to poor financial assistance and lack of stable job position. Hereby, family background is necessary for the carers to treat the patients after diagnosing him and identifying the key reasons behind high consumption of alcohol, stress and depression.

Social value:

I came to know that, social value is also another factor, which also needs to be considered in order to treat the pati8net and in this present case, social exclusion, isolation in the society as well as emotional abuse due to lack of financial assistance and absence of stable job position, the patient is suffering from stress and anxiety and it leads him to depression for which he consumes high level of alcohol. Hereby, social factors also play a crucial role behind the condition of the patient and I came to know that in the patient’s assessment, both the family background and social factors are necessary for acknowledging the behaviour of the patient, the present condition and the reasons for his depression and alcohol consumption.

From the treatment and management strategic planning, I also have learnt that, patient centred care is required as well as communication is necessary for treating the patient with proper treatment and quality care.

Patient centred care:

I have learnt from the treatment that, it is necessary for the carers to empower the patient so that the individual can express his feelings and thoughts in front to the social carers and health professional. Through patient centric care, it is possible to develop a cooperating working practice with proper cooperation with the patient. I also come to know that, it is necessary in the health and social care to develop patient centric care in order to maximise wellbeing of the patient by providing them proper care and treatment according to the patient’s preferences and health needs.

Enhancing communication:

Enhancing communication is necessary in the health and social care to treat the patient with care and quality support. I came to know that, through communication, it is also possible to interact with the patient and build strong bond so that the patient can rely on the nurses and express their feelings. From the present case, I also came to understand that, through communication, it is easy to understand the problem faced by him in his life as well as it is also posisbel to improve trust and loyalty. In addition to this, I came to know that, enhancing communication is important for improving cooperation and develop working in partnership practice for treating the patient carefully. I also came to know that, manging the patient is necessary where direct face to face interaction helps the patient to express his thoughts and feelings and discuss about his personal preferences and needs.

Reference List

• Betancourt, J.R., Green, A.R. and Carrillo, J.E., 2016. Cross-cultural care and communication. UpToDate, Waltham, MA: Wolters Kluwer [online].
• Black, N., Burke, L., Forrest, C.B., Sieberer, U.R., Ahmed, S., Valderas, J.M., Bartlett, S.J. and Alonso, J., 2016. Patient-reported outcomes: pathways to better health, better services, and better societies. Quality of life research, 25(5), pp.1103-1112.
• Dickinson, H. and O'Flynn, J., 2016. Evaluating Outcomes in Health and Social Care 2e. London: Policy Press.
• Glasby, J., 2017. Understanding health and social care. London: Policy Press.
• Moreira, T., 2015. Understanding the role of patient organizations in health technology assessment. Health Expectations, 18(6), pp.3349-3357.
• Moss, B., 2017. Communication skills in health and social care. London: Sage.
• Naslund, J.A., Aschbrenner, K.A., Marsch, L.A. and Bartels, S.J., 2016. The future of mental health care: peer-to-peer support and social media. Epidemiology and psychiatric sciences, 25(2), pp.113-122.
• Nelson, R. and Staggers, N., 2016. Health Informatics-E-Book: An Interprofessional Approach. London: Elsevier Health Sciences.
• Ranard, B.L., Werner, R.M., Antanavicius, T., Schwartz, H.A., Smith, R.J., Meisel, Z.F., Asch, D.A., Ungar, L.H. and Merchant, R.M., 2016. Yelp reviews of hospital care can supplement and inform traditional surveys of the patient experience of care. Health Affairs, 35(4), pp.697-705.
• Surr, C.A., Gates, C., Irving, D., Oyebode, J., Smith, S.J., Parveen, S., Drury, M. and Dennison, A., 2017. Effective dementia education and training for the health and social care workforce: a systematic review of the literature. Review of educational research, 87(5), pp.966-1002.