Qualification - BTEC Higher National Diploma (HND) in Healthcare
Unit Name - Health and Social Care
Unit Number - Unit 3
Assignment Title - Supporting the Individual Journey through Integrated Health and Social Care
Learning Outcome 1: Examine the health, care and support services available to an individual requiring multidisciplinary care.
Learning Outcome 2: Assess an individual's capacity to identify their own needs.
Learning Outcome 3: Describe the impact of own relationship with the individual and multidisciplinary teams involved in the delivery of the care pathway.
Learning Outcome 4: Demonstrate the need for person-centred communication in implementing person-centred plans.
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Activity 1: Case Scenario
You are a health and social care practitioner working in a care home situated in Redbridge borough of London. Most of your service users or clients are elderly persons suffering from multiple pathologies (such as osteoarthritis, cardiac disease, Alzheimer's disease, hypertension, diabetes mellitus, stroke, etc.). To work efficiently with such service users, specific healthcare and support services, individual's capacity to identify her/his needs, good leadership and teamwork, and effective communication are required. Your line manager needs to investigate how these requirements (meeting client's needs, good leadership and teamwork, and effective communication) are fulfilled at your workplace. Therefore, depending upon your work experience and your observation at your workplace as a health and social care practitioner (service provider), you are required to answer the following points:
Introduction/background
Integrated health and social care is about meeting the needs of the patients and in this process, there would be collaborative working of agencies in order to improvise health and care aspects for population. Referring to this, the study would highlight case scenario of Redbridge where elderly patients are there suffering from different chronic conditions like diabetes mellitus, cardiac disease, stroke and related others. It would be discussed about the outcome of collaborative working with multidisciplinary team to promote holistic person-centred care.
EXAMINE THE HEALTH, CARE AND SUPPORT SERVICES AVAILABLE TO AN INDIVIDUAL REQUIRING MULTIDISCIPLINARY CARE.
Solution:
Being a health and social care provider within Redbridge Borough in London, dealing with elderly patients suffering from conditions like diabetes mellitus, it is important to focus on care delivery for them. It has been discussed about providing multidisciplinary care to the elderly patients by utilising under mentioned resources:
• Financial
Initially, it is important to identify the potential requirements of the patients and through "good leadership, communication and teamwork", their needs would be met. Redbridge can take help from different financial resources like private health insurance or government health insurance like "Medicaid, Medicare, TRICARE or Children's Health Insurance Program". The concerned healthcare institute is required to focus upon "prescribed medicines required, supplies and devices like insulin and pumps, nutrition counselling, medical office visits and related other aspects" (Yakaryilmaz and Öztürk, 2017).
• Human resources
It is important for the human resource department of the concerned healthcare organisation to pay attention towards the infrastructure of the healthcare setting to ensure proper availability of quality care for the diabetic patients. Most importantly, it helps to adhere to the National guidelines required to be followed along with healthcare standards like adopting comprehensive and therapeutic approaches to handle diabetic patients. Strategies might get different in case of diabetes type I and II. Thus, the HR department ensures adherence to such treatment protocols for better care delivery (Eknithiset et al., 2017).
• Equipment
The nurses, GPs and physiotherapists of Redbridge are required to focus upon using advanced treatment equipment to treat diabetic patients. Like, Dexcom G6 is considered as a standalone CGM and integrating insulin dosing systems. Furthermore, the combination of Control IQ-technology and X2 insulin pump would contribute towards regulating the insulin level of the patient with little effort (Borhaninejad et al., 2017).
• Technological aids
Redbridge is required to be technologically advanced in order to deliver such advanced treatment to the patients. Diabetes technology can be implemented where different hardware, devices and software are used to manage blood glucose levels of patients, handling diabetes related complications. The technology furthermore is divided into two different categories, insulin is administered by pen, pump, syringe or glucose monitor. Also, there are certain hybrid devices as well which helps to monitor glucose and deliver insulin (Isik et al., 2017).
P2
It is important to meet the unmet needs of diabetic patients through innovation especially from a pharmacological standpoint. Considering global perspective, diabetes type II is increasing worldwide and in order to provide successful treatment to the patients, there must be constant provisions of new drugs. There are twelve different antidiabetic drugs which are currently available and new drugs are under clinical supervision. For example, the nurses and other healthcare supporters are required to be focused towards providing DPP4 once in a week or oral insulin (Kim et al., 2018). Within Redbridge, the nurses and GPs are also required to be highly focused towards implementing the above mentioned resources like advanced equipment can be used to provide a better treatment to diabetic patients. Like unmet needs of the patients can be managed or initiated through insulin therapy in their routine of clinical practice.
As per International Diabetes Federation (IDF) clinical practice, it is recommended that in order to handle diabetes type II (diabetes mellitus), insulin therapy can be followed at the secondary levels. Before implementing the mentioned therapy, it is important for the healthcare workers to adopt the mentioned theory as per the age of the patients. Referring to the scenario of Redbridge, the patients are elderly and thus the mentioned theory can be considered as an appropriate option to meet their unmet needs. Additionally, Insulin and Concomitant Antidiabetic Therapy can be considered as another theory which can be implemented to support the diabetic patients (Kalyani et al., 2017). It depends upon the presence, type and number of defined unmet needs. Along with a multidisciplinary care approach, it is important for GPs and nurses to be highly focused towards developing human resources, equipment and technology aids to deliver updated services to the patients which would contribute towards recovering from their condition.
M1
Within a healthcare institution like Redbridge, there are healthcare providers like GPs, nurses and physiotherapy and social care providers like health and social care practitioners. Both the category of car providers contributes differently to deliver services for diabetic patients. Considering the perspective of healthcare providers, they have a complementary role to perform in diabetes care whilst they also focus upon "patient education, building trust relationships and providing emotional support to the patients". There is also observed a minimum multi-professional collaboration and nurses, GPs and other medical secretaries have adopted inclusive practices and taken advantage of sharing care responsibilities and focus upon learning with and from one another. In general practice, the contribution of healthcare providers is highly appreciated as they support improved patient experience through their skills and knowledge with enhanced work life experience. Work transformation and skill-mix there is increased care efficacy and efficiency (Sørensen et al., 2020).
On the other hand, social care providers like health and social care providers are increasingly important for a patient; this is because they provide the patients with sophisticated nursing management care during the course of their illness. Often they can take care of the patients at home after they get discharged from hospital as they support the patients with their daily activities. Health and social care providers can be considered as the professionals who have a complete overview of the medical regime of the patients and are responsible to maintain coordination of care. In this course of activities, health and social care providers are assisted with support service providers. Thus, it can be stated that they are responsible for "delivering information regarding blood glucose monitoring, insulin, meals and snacks, hyperglycemia, hypoglycemia and exercises". Working with local authorities with social care responsibilities also plays a pivotal role; this includes GP practice, NHS Trust, NHS Foundation Trust, Care Trust and other agencies. They often develop care plans which help them to serve the patients according to their needs. Within Redbridge, the health and social care providers often develop a "Diabetes Health Care Plan" which is an education plan to understand the medical needs of the patients. Different interagency care provisions are also adopted which includes prevention of diabetes type II through the Diabetes Prevention Program (DPP) and acquire positive clinical trial results to support awareness campaigns. Additionally, surveillance efforts are provided to control and support effective practices to improve managed care for diabetic patients and provide them integrated care (NIDDK et al., 2021).
D1
The most significant aspect is to embrace a proper lifestyle for diabetic patients and ensure that the nurses take care of their medications. In addition to this, it is important to motivate the diabetic patients and make them do exercise on a regular basis and an exercised body would help them to increase motivation for performing their scheduled activities. Within Redbridge, it has been observed that the nurses take the patients out in the evening for a stroll which would enable them to mix with other people and develop socialising skills as well. Within Redbridge, the nurses and general practitioners are adhered towards implementing the mentioned resources for the better of their patients. Moreover, they are also inclined towards supporting the elderly patients by the mentioned ways and different multidisciplinary approaches. Furthermore, different components can be used for caring for the diabetic patients and this can be done by developing therapeutic relationships with the patients (Gómez-Huelgas et al., 2018). Within the mentioned healthcare setting, Redbridge, there are other elderly patients as well who are suffering from conditions like cardiac attack, Alzheimer's disease, hypertension, stroke, osteoarthritis and diabetes mellitus. Thus, diabetic patients are required to be handled with greater efficiency, open communication and good leadership. Along with these mentioned aspects, resources like financial, human resource, equipment and technology aids are required to be implemented to acquire better outcomes and help the patients to recover from their condition.
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Activity 2 ASSESS AN INDIVIDUAL'S CAPACITY TO IDENTIFY THEIR OWN NEEDS TO PROMOTE HOLISTIC PERSON-CENTRED CARE.
Solution:
Treating diabetic patients with person-centred care is highly effective and providing sheer focus upon its elements contributes towards better treatment of the patients. The elements are: "treating patients with dignity, compassion and respect, providing coordinated care and support and offering personalised care, support and treatment". With a wide range of treatment options for diabetic patients, many patients with diabetes are unable to meet their evidence-based goals and continue to encounter different complications. This creates a discrepancy between optimal control and actual control which are the attributes of different variables like patients and clinicians. In central to all of these, patient-centred care can be successfully implemented while treating diabetic patients (Desai et al., 2018). This consists of being consistent to self-care behaviour like "attention towards diet, exercise, preventive care measures and self-monitored blood glucose". Diabetes exemplifies a direct relationship between clinical interventions and behaviour of the patients. The standard of patient-centred care includes sheer emphasis upon self-management education which is provided to the patients through inter-professional teams. Implementing Mental Capacity Act 2005 would be effective for protecting and restoring power for vulnerable people who lack capacity in making decisions for their own due to their mental illness. Alongside, Care Act 2014 is effective and useful for users and their service providers as well. This involves "identification of needs, assessing eligibility and care planning" as the major stages of the act effective for supporting vulnerable individuals.
It is important to ensure appropriate implementation of the components of patient-centred care as this is also beneficial for identifying the needs of the patients. This would also help the healthcare professionals to pay attention towards patient-specific factors which furthermore would influence outcomes of clinical practice. Additionally, shared decision making within clinical settings requires application and synthesis of contemporary evidence related to the therapies for the patients with diabetes. Keeping into focus the determinants of patient-centred care, it is important to value the perspectives of the patients regarding medicines and promoting shared responsibility. Patient's autonomy and participation is of higher importance and patient-centred approach helps to create power dynamics which would keep the providers in control. In adverse situations, nurses and healthcare professionals who adopt patient-centred care are also required to adhere to a paternalistic approach where implementation of a therapy is important along with a monitoring plan (Changizi and Kaveh, 2017).
P4
Being a health and social care practitioner within Redbridge care home, it is important for me to implement the patient-centred approach to provide appropriate care to diabetic patients. This would also help me to analyse the needs of the clients as a person-centred approach supports participation and autonomy of the patients. Proper communication would take place in the care pathway for the patient. Using the patient-centred approach, I was able to support self-efficacy and patient activation through which I was able to help the diabetic patient in regaining his confidence and his ability to support "goal-directed behaviour". Self-management education has consistently been recommended to manage diabetic patients and to support this tailored approach is adopted as an assessment for patient activation. I have furthermore realised that there are certain psychological influences on mental and physical health of the patients. In these cases, it is important to adopt a biopsychological perspective for the patients to recognise the requirement of primary care (Duarte et al., 2018).
I can put forth my personal experience from the care home where I work; it is about an elderly patient of about 55-57 years of age. I was in charge of taking his care at night. Medication of that particular patient was very important due to some severity in his case. This made me very conscious in handling his medication. For this, I developed a care assessment plan to take proper care of his medicines. Alongside, I have also observed that the patient was elderly and wanted to share his opinion with someone. I understood this and ensured that the patient shared his issues and opinions with me. After he communicated with me, I observed behavioural changes within him. Also, I have witnessed that he communicated in a very good manner with other patients as well while he was taken for evening walk. This can be considered as an advantage of implementing a patient-centred approach for the betterment of the patient.
M2
As identified earlier, it is important to treat patients with value and dignity, coordinated support and personalised care. Along with all these, it is important to support the patients to recognise their abilities and strengths which would help them to lead an independent life. Diabetic patients especially the elderly people require support in their decision making process and assistance in taking different actions. Fulfilling this principle is of sheer importance to make the patients feel great and consider that they have control of their life and are less independent upon healthcare services. However, there must be a balance like nurses or healthcare supporters must not force the patients to take actions or make decisions, instead they are just required to provide support without too much involvement (Shao et al., 2017). There are several benefits of implementing patient-centred as they provide intense support to uphold patient's autonomy.
From my personal experience, I have realised that patient-centred care contributes in a positive manner for an individual's pathway. It makes them feel more comfortable and confident, meeting emotional, practical and social needs, improves independence and supports direct communication between the patient and the care provider. Herein, I can relate my experience of communicating with the elderly patient who was able to feel social connection with me after sharing his personal views. It also motivates the patients to adopt positive health behaviour and in diabetes the most important thing is maintaining a healthy diet and performing exercises on a regular basis. The mentioned approach is considered to be "cost and time effective", as it ensures that the patients have received right medication which is very important and engages into right services as well (Wang et al., 2017). I have developed a care plan assessment where I have written all my daily activities to be performed along with the time taken for the same; this helps me to stay organised in case of my duty.
D2
In majority cases of diabetes, a proper and healthy diet, regular exercises, insulin pumps, tablets and medications are considered to be common care assessment ways for diabetic patients. However, there are other ways through which diabetic patients can be treated. Among different treatments, Metformin on a general basis is considered to be an effective way of treating diabetes in the initial stage, this is safe and cost effective to use. This also contributes towards reducing the risk of cardiovascular events and it shows beneficial effects. In addition to this, there are different technologies which are used to treat the condition like applications through which nurses and health and social care providers like me would be able to "track blood sugar levels, monitor diet, log exercise and provide peer support community". There are continuity glucose monitors, CGMs like Dexcom and Medtronic which help to improve patients' condition. Other devices and tech involve "medication pens, insulin pumps and fitness trackers" to acquire reliable health-related information of the patients. For example, the medication pens are effective for delivering the medicines accurately and conveniently. Insulin pumps are inserted within the skin and insulin would be passed to the body all 24 hours a day. Fitness trackers are the wearable with minicomputers which track the movement of the body in an entire day, this helps to keep a record of exercises performed by them and monitor their heart rate and how well the patient sleeps (Hoeksema et al., 2017).
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DESCRIBE THE IMPACT OF OWN RELATIONSHIP WITH THE INDIVIDUAL AND MULTIDISCIPLINARY TEAMS INVOLVED IN THE DELIVERY OF THE CARE PATHWAY.
Solution:
To answer this task, you should provide a detailed analysis of own personal growth and development in supporting an individual to access the quality integrated care they require to meet their needs, within parameters of own practice. You are also required to provide competent and autonomous (self-directed) leadership in information sharing within a multidisciplinary team in own setting (e.g. your workplace) towards meeting different individuals' care needs by describing the responsibilities of information sharing between multidisciplinary teams. You should also be providing appropriate leadership within the remit of own role (in your job) in a health, care or support service to promote effective interprofessional (e.g. partnership) and multidisciplinary team working.
While working in the role of health and social care practitioner, it is highly significant for me to be competent and autonomous in my approach. As observed by Lee et al., (2017), good leadership helps to treat diabetic patients with greater care. Different leadership skills like planning, organising, communication, commitment, engagement, delegation and flexibility helps to coach, manage and set goals to care for the patients and based upon the same, feedback is provided for the team members and also encourages professional development for the team by motivating them. Effective leadership helps to emphasise upon continuous safety of the patients and deliver them high quality care and also promote continuous development. This contributes towards enhancing knowledge, skills and abilities of the staff to improve the quality of the care they deliver to the elderly patients. Thus, within healthcare setting, it is important to adhere to different leadership skills like "motivating people, building teams, upholding trust, conflict management, coaching, goal setting and leading change".
In response to my workplace, Redbridge, I believe that among different types of leadership style, transformational leadership style is considered to be the most suited style to manage elderly patients. This style is also advantageous in gaining staff satisfaction, supports better patient outcome and improved organisation outcomes as well. Most important attribute of this style of communication which is also a pivotal aspect while caring for the elderly patients. I have been able to serve the elderly patient in a better way by working in team along with other practitioners. I believe empowerment to be the most significant attribute which would contribute towards better condition of the patients and the infrastructure within which they are kept. I implement the mentioned aspect while working in partnership with nurses, GPs and physiotherapists. This helps to acquire best patient outcomes with the help of multidisciplinary team working approach (Viner et al., 2017).
P6
Multidisciplinary teams are the mechanism inclined towards organising and coordinating health and care services to meet the needs of the patients even when they have complex needs. The teams bring in together their skills and abilities of different professionals where they would "assess, plan and manage" to deliver care services to the patients. It is important for healthcare organisations or care homes like Redbridge that if they are involved in multidisciplinary teams, it is important to ensure that information related to patients are handled with great care. The availability of information from the end of the healthcare organisations can be made easier to avail through their websites and privacy notices. This would explain that it is important to maintain confidentiality of the information which is being shared. In order to get into more details of the information, one can ask the health care professionals to explain the information to them. There are set of different guidelines for IG professionals, healthcare workers and patient and service users (Pamungkas et al., 2017).
For example, guidance for healthcare workers, the health and care professionals are responsible for "duty of care" for their patients. This involves sharing information to support their patients and care delivery for them. While working with multidisciplinary team it is important to focus upon "individual care" and in such case, sharing of information is done only if it is relevant and important for the patient and its positive outcome. It is often important to seek advice from senior staff in case of severity. For IG professionals, it is important to make them aware of the information they acquire as health and care information, multidisciplinary team provides them with privacy notice. This makes the health and care professionals aware that their information are used in such a way that it is only for the sake of the patients (Cannon et al., 2018). It is important for health and social care practitioners to work in collaboration with multidisciplinary teams to understand the requirements of information sharing in a better way.
M3
It is important to focus upon professionalise healthcare management and produce high competent managers and leaders who would identify complex needs of the patients based upon critical areas including "transparency and accountability, service improvement, education standards, integrity, commitment to share leading practices and equality". Leadership also helps to support patient-centred care approach to acquire better patient outcome because it supports "team-building, shared mission, vision of stakeholders in meeting organisational goals". Thus, it can be stated that role of a leader is fundamental (Zhang et al., 2017). As mentioned earlier, transformational leadership is considered to be the best style as due to its attribute of enthusiasm and charismatic, it is effective for acquiring successful outcomes. Collaboration is considered to be the most significant aspect which is required to be considered within the workplace, as it involves communicating information among the co-workers and partnership organisation. These collaborative communication strategies enhance healthcare management to support shared knowledge and experiences which deliberately reduces the level of complexities.
Adopting collaborative communication strategies is effective for enhancing healthcare management services; this also influences communication with the stakeholders by sharing knowledge and experiences and also lessens complexities. This can be implemented within different levels of responsibility engaged with leadership process. Different situations demand different strategies to be implemented and possible modifications would be done to address the changing demands. Along with transformation leadership style, I believe that collaborative healthcare leaderships is equally important as it helps to synergise the environment of a healthcare setting and encourage multiple team members to work in a coordinated manner. This promotes deciphering complex needs of the patients and facilitates interdependency and integration among different stakeholders. There are other aspects required to be considered while dealing with elderly diabetic patients, involving "shared leadership, conflict management, distributed leadership and ethical leadership" (Islam, 2021). All these collectively help to manage sharing of information within internal apprehension of the home care, Redbridge.
D3
When I started my job at Redbridge as a health and social care practitioner, I lacked certain skills upon which I required to work. I had better communication and socialising skills, however, I lacked in accountability and analytical skills. I often faced difficulty to answer my senior thinking that I might get mistaken and this would be a negative impression on them. However, with the passage of time, I understood that it is important to adhere to the parameters to deliver quality care to the patients. Thus, I started to develop self-assessment plan where I included all the activities required to be conducted by me in order to enhance my skills and meet the loopholes. It has been observed that "empathy, work ethics, positive attitudes, flexibility, time management, communication skills, stress management" are related skills required to be possessed by health and social care practitioner like me to deliver quality care services to the patients (Borhaninejad et al., 2017).
For me, it is important to enhance my analytical and adaptability skills through which I would be able to understand and abid by the current regulations and new laws to treat patients effectively. Moreover, as mentioned initially, there are different technological advancements to treat diabetic patients with care. Along with this, it is important to deal with passion and empathy with the patients to support and encourage them to regain their confidence and feel that they are not dependent upon health and social care providers to provide them services. While working within the care home, Redbridge I have been able to work upon my weaknesses and have been able to meet the loopholes and observed my personal development. I have enhanced my technological and analytical skills and most importantly, I have learned from my past mistakes. Along with working in partnership and collaboration with the multidisciplinary team, I have been able to acquire in-depth knowledge regarding delivering effective and people-centred care to the patients.
DEMONSTRATE THE NEED FOR PERSON-CENTRED COMMUNICATION IN IMPLEMENTING PERSON-CENTRED PLANS.
To meet this task, evaluate own role and practice (your personal experience) in facilitating and empowering an individual (encouraging the service users) to communicate their changing care needs in health, care and support services. To evaluate effectively, you should also analyse own capacity (your capabilities, experience, and credentials) for positive and person-centred risk-taking when supporting an individual to maintain their own identity to meet their ongoing care needs. To support your evaluation and analysis, you should also demonstrate safe and clinically effective practice within own professional boundaries when communicating with different service users and staff in health, care or support services by applying appropriate communication strategies (e.g. communication methods may be used to cater specific needs of a service users) in identifying and responding to the needs of different service users in a health, care or support service. You should also describe different communication methods used to provide appropriate support to different individuals to meet and review their care needs.
There are different communication ways and strategies to follow while dealing with diabetic patients. It is important to use simple language and also keeping its meaning simple as patients seek a health care provider with expert knowledge and experience. Additionally, it is important to establish a strong social network with the patients like a friend or a family member. In communication, "volume, tone of voice, physical gestures and facial expressions" are the aspects which highly matters while dealing with patients. I have always provided more attention towards a better communication process with the patients. This is because as per my personal experience, being an active and patient listener highly helps to deal with elderly diabetic patients. among different communication methods like, verbal, non-verbal, written, using gestures, I prefer to use verbal communication as it helps to express feelings in a better way and each of the individual would understand the meaning appropriately as well. Through this, I have also empowered one of my diabetic patients, I take care of. Along with appropriate communication strategies, it is important to focus upon adopting certain care strategies as well. These strategies include "balanced diet, no smoking, regular exercises" as these would be effective for the patients to acquire a better mental and physical condition. Moreover, in dealing with diabetic patients, it is important to take care of 3Ps which are "polydipsia, polyuria and polyphagia", signifying thirst, urination and appetite respectively (Salinero-Fort et al., 2018). Thus, alongside, it is important for me and other nurses to take care of all the aspects regarding the safety and quality care delivery for the diabetic patients.
P8
It has been observed that communication skills of health and social care practitioner are highly important along with patient-centred care. It is important to analyse potential disadvantages of this approach as it is linked with patient satisfaction and effectiveness of communication. Often it has been observed that few patients feel frightened to talk about themselves or share their views, in such cases, it is important for the care givers to ensure that the patients are made comfortable and are helped in sharing their thoughts. I adopt communication strategy when I take the patient out for a walk in the evening, at that time when the patient is provided allowed to walk and mix with people; they tend to share their thoughts. I consider this time to be highly suitable to communicate with a patient. This also helps me to understand their needs including complex needs which are difficult to understand. I also believe in identifying risks related to communication as understanding potential loopholes will help me to be more patient-centred and serve him better. I would follow different communication theories like Aristotle model of communication which would help to me execute an effective communication process with my patients. I would adhere to the principles of communication which are "principle of attention, principle of feedback, principle of consistency, principle of timeliness, principle of adequacy". These principles collectively would help me to manage a better communication flow with the patient (Vrijhoef et al., 2017).
M4
Professional boundaries can be considered as the framework for healthy relationship between patients and the healthcare service providers. It is important to understand that there are certain emotional and physical limits which are required to protect the vulnerabilities of the patient. Key elements required to be considered in patient-staff relationship are "trust, compassion, mutual respect and empathy". These are used to maintain and serve lines of communication and support the patients to interact openly within a professional atmosphere. It is important to adhere to Code of Ethics for nurses are like, "acting in a professional manner is also required recognition and maintenance of boundaries which are established to limit a proper relationship". There is a sheer requirement of familiarity in between the patient and service providers even in communication process. I had good communication skills; however, my skills are more enhanced by undertaking and following the mentioned principals of communication and its importance with the professional boundaries. It is important to pay focus towards understanding specific needs of the patients, within the communication process, it is also important to acquire feedback from the patients as this would help nurses and health and social care practitioners like me to understand their mistakes and loopholes if there any (Feng and Astell-Burt, 2017). Like, caring for diabetes patients include keeping their "blood pressure and cholesterol under control, scheduling regular physical and eye exams and most importantly keeping their diet under control".
M5
Keeping into focus the patient-centred risk taking, there are certain positive and negative aspects associated with the same. It is important for health and social care practitioners like me to understand its benefits and risks while supporting the patients to meet their ongoing needs. The benefits of patient-centred risk taking is that it helps nurses and healthcare supporters to build confidence of the patients, focus upon responsibilities, managing emotional constraints and learning from missed opportunities. Furthermore, this can be considered as an overall process which starts with the identification of benefits and harms towards the patients which helps them to maximise their choice and have control over their lives. For example, organising a free session for the patients every evening where they would be able to interact with other patients as well, this would help them to increase their socialising skills and explore themselves at their own pace (Gujral et al., 2020). On the other hand, it has been observed that while adopting the mentioned care approach, it is important to motivate the patients, communicate with them effectively, providing them advice if they expect. Communicating beyond professional boundaries might not be possible for the health and social care practitioner as this might be against the standards of professional communication. However, risk taking is also about acquiring more information regarding the patients; this includes knowing and understanding preferences and needs of the patients. After this, it would become easier to serve the patients depending upon their needs and requirements and also help them to recognise their own value.
D4
Relating to my job role within Redbridge care home I have observed that empowerment-based strategies are highly suitable for dealing with patients with diabetes. It is important to identify main 3 guiding principles which are "role, targets and flexibility", along with this, it is important to formulate personal self-management plan, conduct experiment and evaluate the plan. The main reason of adopting this strategy is to promote quality of life to the patients. In this, lifestyle and behavioural patterns both are taken care of. New model of thinking can be implemented which is effective for recognising whether the patients are in control and would be able to support self-management plan (Nazir et al., 2018).
Recommendations
"Empowerment and involvement" both are considered to be appropriately suitable to implement for the benefit of the patients and increases their involvement into their daily activities. After implementing the mentioned strategy, I have observed that involvement of the patients have increased and this has contributed towards health promotion. Patient empowerment signifies "patient-centred and collaborative approach" which can be considered as an intervention or strategy to develop a vision regarding making decisions for the benefit of the patients (Mogre et al., 2017).
Conclusion
In response to the above study, it can be concluded that it is important for health and social care practitioners to adopt empowerment based strategies which would help them to analyse complex needs of the patients and work upon it. It has been described about the benefits of involvement of multidisciplinary team in treating diabetic patients within the chosen healthcare setting Redbridge. Thus, appropriate recommendation has also been provided in order to analyse the appropriate method and strategy of handling patients with diabetes.