If we can determine the issue in any complex or sensitive situation, then we can always seek advice from GP, specialists
nurse or health professionals, family members and friends. We can also take
best interests decision if individuals are unable to take best decision
themselves. Two complex situations are being described here in below:
v An
individual in my service provision is suffering from Schizophrenia, likes to go out himself as part of his
rights and choice. By not letting him go out, makes him aggressive towards
staffs, furniture and other residents. I had to evaluate the situation and took
into account his status of mental health, rights, choices, safety and others
safety. I then consulted with his GP and called for best interest meeting with
social service, family members, manager and GP. I proposed for him to go out just
in the garden with a carer whenever he wants. Family members have advised us to contact them if things get worse. His GP prescribed him relaxation
medication as and when needed basis. We all have been agreed to this. I have
updated his care plan and put an action plan to check his whereabouts every 15
minutes and also advised to leave garden door unlocked, so that he can exercise
his freedom of movement.
v An
individual in my service provision is suffering from dementia, has communication difficulties. I have been aware that she only
drinks but does not eat anything. She is on normal diet and has no known allergy
or restriction. Evaluating the situation, I went through her care plan (such as
biography, nutritional needs, wishes and preferences) but could not establish
any reason for being not interested on our food. I have contacted local
dietician and nurses but we all have been failed on this occasion. Then I have
contacted her daughter about this issue and she said they believe in Judaism
and her mom will not eat anything unless it is Kosher. I have informed the
kitchen manager and they have arranged Kosher meal for her. I have updated her
care plan and put an action plan for all staff to follow - that her meal must
have been labelled as Kosher when serving. I have also requested kitchen
manager to make a customised menu for her.
