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Unit 3 Meeting the Needs of Service Users Level 4 Regent College

8 Pages 2108 Words 408 Downloads


The people involved in social and health care education and practice; care planning has an impact on most of their lives. Professional standards determine and outline the expectations which are placed on them. The knowledge and skills framework (KSF) for health and The National occupational standards for social work are the main approaches to care and health. There is reference to capability in order to organise and plan care such as the KSF means that individual should be able to perform various activities at different levels as described below -

  • Level 1 – Undertaking of care activities for meeting individual's well-being needs and health.
  • Level 2 – Undertaking care activities for meeting well-being needs and health of individuals with a greater degree of dependency.
  • Level 3 – Evaluate, plan and deliver care in order to meet well-being and needs of people.
  • Level 4 – Evaluate, deliver and plan care to meet complex social and health care needs of people.

In the present report will include development of a care plan by identifying needs of an individual with regards to the case given. An effective framework or approach will be applied in order to develop the care plan. Furthermore, elements that the care plan will consist of will be described along with their relation with relevant theories of care and care planning(Kemp and, 2016).

A. Development Of Care Planing Framework

After going through the case of Niamh, it is important to identify and understand other information that will be required to help her towards their recovery. This includes layout and structure of the care plan which is determined as below. In order to explore the basic care plan, it is important to ask certain essential questions to Niamh which are as follows -

  1. How do we know that we clearly identified and addressed all the needs of Niamh?
  2. Who else may be show involvement in Niamh's care?
  3. With whom should the care plan be discussed?
  4. How it can be identified that the care plan has been effective?

In order to develop care planning skills, the questions above led an awareness that more findings will be required(Millado and, 2017). This is the area where specific theory or practice may help in identifying evidence based information. In order to develop a care plan for Niamh, Holistic approach to personalised care planning can be used. There are four elements or parts of holistic approach which are described as below:

  1. Psychological – Sensory information, behaviour and mood, emotions, thoughts, language and memory.
  2. Spiritual – Moral development, values and individual beliefs
  3. Biological – Nutrition and fluid intake, rest exercises and various systems of the body such as hormonal, skin, breathing, nervous, etc(Imran and, 2016).
  4. Social – Relationship with friends and family, occupation, culture, education, lifestyle, etc.

According to the case given these above mentioned elements can be illustrated as -

Psychological – Niamh's Behaviour had become chaotic she had attempted suicide. She also had serious depression.

Spiritual – Niamh was not in touch with her parents and she was emotionally attached with both men and women.

Biological – Nimah was harming herself and also abusing alcohol

Social -She was not so much social with her family members but was emotionally attached to both men and women. She also got mentally and physically harassed by them.


The Holistic approach of care planning is most suitable for Niamh as she had gone through all the phases covered in this particular approach or framework. She needs care with regards to all areas such as Physiological, Biological, Spiritual and Social. She needs to develop all the elements in order to get out of the mental illness and gain a good health and well-being.

B. Components of Care Plan

An effective care plan give a direction on the kind or type of care an individual, family or community will require. The major focus of a care plan is to alleviate evident based, holistic and standardized care. A basic care plan includes four activities or elements as described below -

  1. Assessment – The first step or part of care plan will consist a complete assessment of Niamh's medical and diagnostic reports. It is needed to identify relevant information of the client or patient so that their needs related to care can be determined. It is essential step that helps in developing an effective care plan, The assessment of Niamh will relate various areas such as -
  • Cultural
  • Psychological
  • Sexual
  • Emotional
  • Physical
  • sexual
  • Economic
  • Age related and other information

These areas are covered in Holistic approach of care plan which can health in developing a most appropriate care plan for Niamh after getting discharge from hospital. In order to identify major needs of Niamh with regards to her care it is important to analyze essential information related to her such as she attempted suicide, she sleeps outside and abuse alcohol etc.

  1. Planning – It will be the next step of developing a care plan, planning step refers to making plans for providing the best care to the client in the areas as identified in assessment of his or her information from medical reports and other means. This step includes identification of various activities or operations and method to provide care to the client or patient. The planing is very essential step that helps in providing care in the best manner possible to clients or patients(Rajasekaran and, 2015).
  2. Implementation – This will be the next step in providing care to the client or patient, a purpose of as care plan is to provide guidance to all individuals who are involved in a care process for providing appropriate treatment which is going on. This helps in enabling effective treatment or getting desired results or outcomes during the patient's health in the health and social care organisation. The care plan implementation will include application of various activities and practices according to the areas identified in the assessment. These activities will be performed with regards to the plans created such as in the case of Niamh, she would be given psychological care in order to help her overcome depression and chaotic behaviour.
  3. Evaluation – This step will include monitoring of the plan developed, Rehash screenings must be attempted as per clinical requirement and at a recurrence dictated by the underlying and consequent screenings. Dates for screening ought to be archived in the care design. Changes in arranged wholesome care ought to likewise be incorporated. Care designs are routinely returned to amid a scene of in-tolerant remain. It enables a patient's advance to be observed against expected and time-estimated results. The degree to which mind breakthroughs are accomplished grants judgments to be rolled out about improvements in mind amid the patient's remain. Since healthful care is an aggregate checking duty of the multidisciplinary group, every individual from the group can add to starting and ongoing consideration choices. Every patient is conceded under a lead clinician's care, yet every day checking of care more often than not tumbles to a person with assigned obligation, and this part is typically attempted by a senior attendant. The outlining of standard and general perceptions enables care to modify as the patient reacts or does not react to treatment.



· Niamh suffers from depressed mood and thoughts

· Being occupied is a strength for Niamh in recovering his independence



· Help Niamh recover by identify coping skills/ mechanisms

· Help Niamh to find or return to work. (Mariani and, 2017)


· Support Niamh and employer by providing information with consent from Niamh

· Review medication and side effects

· Help Niamh develop a supportive network

· Staff to explore treatment options with Niamh

· Discuss risks

· Discuss strengths

· Help Niamh make contact with workplace


· Weekly until returns to work

· Weekly then monthly



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C. Reflection on role in formulating and implementing plan.

Developing and implementing a care plan for Niamh was a little complex and needed a very good knowledge of patients suffering form mental illness. In order to develop a care plan for her I took initiative for collecting information about Niamh as much as possible. While assessment I identified various important information about her such as she was admitted in the hospital due to some psychological illness or issues and was discharged under section 13 of the mental health act. I also identified that Niamh has also attempted suicide and harm herself due to severe depression assignment. She has developed chaotic behaviour and has been sleeping on the streets outside. From her medical report I analysed that she needs psychological care for overcoming depression. Niamh was working in a supermarket but lost it due to her chaotic behaviour. Further, I prepared various plans such as psychiatric meetings, physical activities and other care practices in order to help her recover or overcome her illness. These planning was very essential in developing a care plan so that it can support Niamh in overcoming mental illness and depression. I observed that she can easily cope up with her illness and can start her job back is given proper care according to the plans developed. The next step I performed was implementing care plan. I made sure that Niamh is getting proper care on time with proper structure and schedule. All the care takers were provided each and every detail regarding practices she needs to perform according to schedule, meal and nutrition as well as resting time was also planned effectively. The care plan was successfully implemented and my main role was to monitor all the activities are going according to the plan in an proper way. I also played a vital role in evaluating the outcome or result of care plan.


The above report concluded that an effective care plan can help and support an individual to get a good health and well-being. There are various approached and frameworks of developing a care plan, according to the case given one of the significant framework in applied to develop plan for care such as Holistic approach. Furthermore, the report also identified various components and parts included in developing a care plan.


  • Mariani, E., Chattat, R., Vernooij-Dassen, M., Koopmans, R. and Engels, Y., 2017. Care Plan Improvement in Nursing Homes: An Integrative Review.Journal of Alzheimer's Disease,55(4), pp.1621-1638.
  • Rajasekaran, K., Revenaugh, P., Benninger, M., Burkey, B. and Sindwani, R., 2015. Development of a quality care plan to reduce otolaryngologic readmissions: early lessons from the Cleveland Clinic.Otolaryngology--Head and Neck Surgery,153(4), pp.629-635.
  • Kemp, D.J., 2016. Care plan redesign: improving service user experience of the Care Programme Approach.Mental Health Nursing,36(1), pp.18-19.
  • Millado, K., Tick, M., Awan, S., Burstein, D., Mitchell, J., Bochert, J., Paul, C. and Barbour, A., 2017. Improving plan of care communication between primary resident teams and nursing staff.
  • Imran, F.S., Andrews, C., Doerner, K., Heatherington, B., Hodes, S., Pictor, N.M., Reda-Cheplowtiz, C., Santelli, J.S. and Jamshed, S., 2016. Survey of cancer survivors' understanding of their cancer care and follow-up plan.
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