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Essay Unit 14 - Physiological Disorders and their Care
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P5- Health and social care professionals must ensure that all the needs of a service user aremet. They can do this by creating a care plan for them. A care plan is a document that
specifies the support that an individual needs to improve their health. Care plans are unique
for everyone. A care plan is important as it has everything about the persons condition, the
type of support they need and what the goals to be reached are. (Berg, 2022) It is necessary
that health and social care workers consider a person's physical, intellectual, emotional, and
social needs. When they look at a person's whole needs, they are more likely to heal faster
since all areas of need are dealt with. It is important to respect the beliefs and wishes of a
service user when working with them. Cycle of planning is important as it gives objectives
for the service user to achieve and how they can do this. The benefits of cycle planning are
that you have a clear plan to follow. There are 5 stages to cycle planning. The first step is
analysing the situation. During this step you identify what is working well and what isn’t,
they also use techniques such as risk analysis where the assess situation and try and help
lower the risks. The second step is defining goals and objectives, when doing this it is
important that they are SMART. This stands for specific, measurable, achievable, relevant
and time. It is important to have goals, so you have something to work for. The third step is
developing and action plan, this has all the information a service user may need. Step 4 is
implementing the plan this is putting the plan and checklists into a person’s everyday life.
Step 5 is evaluating the results; this is reflecting if everything was achieved and if it was not
what could have been done to achieve it. (Indeed, 2022)
Sheila is 68-year-old women who has had a major stroke caused by a blood clot in the brain.
Sheila does not work as she is retired. When Sheila had a stroke, she lived with her husband
who found her foaming at the mouth. Her husband has since died from cancer. She has 2
children who all older. Sheila had a bad lifestyle before her stroke she used to drink
excessively and had a poor diet. Since the stroke she has been receiving help from carers in
her home who come 4 times a day. Her social worker thinks its best that she lives in a care
home so she can have assistance all the time since she cannot walk unaided or provide for
herself properly. Her daughter and niece take her out every week so she can socialise away
from the home to have a bit of normality. Sheila still drinks after stroke which is not
recommend as it reacts with her tablets. Sheila also vapes.
Primary care- this is the first point of contact in the healthcare system. when Sheila first had
her stroke her primary care would have been the ambulance who first attended to her at her
home. Now that she is out of hospital her primary care would be her GP, if she has any
concerns.
Secondary care- this is the second point of contact. Sheila would have been taken to the
hospital as her second point of contact to have tests done to find out the reason she was
foaming at the mouth. Sheila would still need to go to the hospital to get reviews and tests
done to try and prevent her having a stroke again.
Tertiary care- this this is specialised treatment from specific medical professionals. Sheila
may see a neurosurgeon after they found a blood clot in her brain, the neurosurgeon would
have removed this. Sheila would now see a rehabilitation specialist so that she is able to
build her strength back up.
, Sheila had muscular weakness as a result of her stroke. This affects both Sheila's arms and
legs, preventing her from walking without a frame and limiting her ability to move objects
for long periods of time. Since Sheila has muscle weakness, she is not able to dress and clean
herself independently, she must have formal carers for this for her. Physiotherapy can be
used to help Sheila rebuild strength by using stretching exercises. Sheila has fatigue because
she is unable to move and has lost fitness, meaning that her cardiovascular system has
declined. To improve Sheila’s fatigue, she goes on walks with her daughter once a week for
15 minutes with her daughter with the assistance of her frame.
Sheila’s stroke has caused an intellectual impact on her. Her condition has caused her to
have memory issues. Sometimes Sheila can forget faces and information that she has been
given. To help with this professionals could write down information for Shelia so if she
forgets it then she has it written down. It is important that Sheila is informed about her
condition, treatment and care plan so if she has any concerns or question, they can be
answered. Sheila’s speech has been impacted because of her stroke, it has caused it to
become slurred and slow. For this Sheila will have a speech and language therapist to help
try and improve her speech
A stroke is a traumatic experience and luckily for Sheila she had the determination to
recover from it. A stroke effects people in many ways and one of these can be behaviour, the
stroke has caused Sheila to act like a young child as she cannot control her emotions. Sheila
can get very emotional over the simplest of things and can get very angry if she doesn't get
her own way. To help with this she may see a professional like a counselor as they can give
her different ways to help with stress. Since Sheila’s husband died, she is also dealing with
grief the counselor would be beneficial as it gives her a safe place to talk and express her
emotions.
Sheila used to be very social before she had the stroke, she always used to be at the pub or
out for a party with her family. Since the stroke Sheila only goes out once a week with her
informal carer, the rest of the time she stays at home and has carers come in to look after
her. This has led Sheila to feel socially isolated a lot of the time since her family have jobs
and their own families to tend to. This is why it would be beneficial to but Sheila in a care
home because she will have other residents around her and can participate in activities like
bingo.
P6- All the treatment that Sheila received was under the NHS, she had many healthcare
professionals that made up her multi-disciplinary team. Having a multi-disciplinary team
allows all her care needs to be treated (person centered care), this will allow Sheila recover
faster as all her needs are being met. The aim of Sheila’s treatment is to allow her to
overcome the barriers she may face now that she has suffered a stroke.
When Sheila first came into hospital, they did a CT scan. They found out she had a ischaemic
stroke. This means that she had a blood clot which stopped the flow of blood and oxygen to
the brain. They first gave Sheila Thrombolysis which is a clot buster, this dissolves blood clots
and allow blood to flow through the brain again, unluckily for Sheila this did not work.
Sheila’s stroke was very severe stroke, and she had to have surgery in order to remove a
blood clot and stop the bleed in the brain. The surgical procedure is called a craniotomy.
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