Models of Assessment for Elderly

Compare two models of assessment, planning, and coordination practice for working with disabled, older people, or a specific group of people.

You need to select two models of assessment, planning, and coordination, and ensure that there is sufficient detail in both of your selections to cover all of the required components (assessment, planning, and coordination)

Specific groups of people may include but is not limited to:

• Children and young people with high and complex needs ( uses CYCS definition )
• People with autism spectrum disorders ( ASD )
• People with cognitive impairments
• People with dementias
• People with dual diagnosis of disability and mental health needs
• People with multiple impairments
• Or you may wish to select an alternative group of people

The models may include may include but not limited to:

• Strength-based models
• Social role valorization
• Rights
• Entitlements
• Needs assessment and service coordination
• Case management
• Care coordination

NEEDS ASSESSMENT SERVICE COORDINATION

This is an assessment program which provides comprehensive health needs assessment services and coordination for disabled people, people with mental health issues and old age people. They facilitate and identify support needs of an individual, provide support and services coordination individual needs and taking into the account of the family/whanau or carers.

STRENGTHS:

• The main focus of the needs assessment is to identify the essential help needed by an individual person ensuring that health services utilizing its appropriate resources to improve the health of an individual in its most efficient way.
• This is the most useful process in classifying what specific needs is appropriate for an individual (people with dementia, children with high complex needs and people with mental issues) because the service coordinator provides detailed discussion and agreement to the individual and people involved in the treatment.
• Most relevant/specific to the community because it serves and help an individual to become independent as possible.

WEAKNESSES:

• This approach is with time restrictions because the needs assessment may only take up one to two hours depending on the arrangement.
• The assessment does not warranty that the provision of all services may be rendered based on the individuals need because the commitment and resources can influence supporting needs.
• This service covers only for those who are eligible under this provision.

ASSESSMENT:

Needs Assessment Services and Coordination is developed by the Ministry of Health or District Health Board that provide provision of services for disabled people, people with mental health problems and older people who needs support according to their age. Generally they are essential to provide three services for an individual or specific group of people:

• They assist needs assessment
• Provide service planning and co-ordination
• Provide resource distribution within identified budget.

PLANNING:

• Meet the purpose of the Ministry of Health needs assessment services and coordination standards, specification of services and MOH definite standards.
• Client involvement according to mental capacity.
• Involvement of family/whanau or carer.
• Based on individual appropriate behavior.

COORDINATION SERVICES:

• Generally, services offered are personal care, household management, carer support, respite care, residential care and day care services.
• People aging 65 years of age and above and who are dependent in function and needs assistance with activities of daily living such as:
• People currently discharged from hospital which require short term support
• Individual under the care of Mental Health Services
• People with long term chronic condition
• People who needs palliative care and support.

COMPARISON:

PERSPECTIVE:

Needs Assessment Services and Coordinator is a designated responsibility that aid proper needs assessment, allocate service coordination and budget governance for people aging 65 and above, and also those people who meet the standards for disability services. This scheme comprises approval process for right of entry to residential care.

SUMMARY OF THE EXPECTED OUTCOME:

This approach works with people who have identified with support needs such as people with disability, ageing people with high needs and people with mental health issues. NASC provide people support and use resources efficiently. The evaluator conducts comprehensive assessment to an individual including with the family. Thus the primary purpose of the Needs Assessment Service Coordination is to discover what type of need, support or services an individual is eligible in order for them to become independent as possible.

CARE COORDINATION

Care coordination indicates coordinating and supporting the person’s care and keeping it certain that there is team leader for the needs of that person. Care Coordination for Older People goals is to maintain the health and promote independence of older people residing in the community. Also this emphasizes the support for the old people to live in their residence. This work commence in collaboration with the Aged Adults Services, GP application, Acute DHB, Home and Community Support Services, Aged residential Care Providers.

STRENGTHS:

• This approach covers intensive, timely assessments and reassessments with a minimum every 6 months or even as necessary.
• Decision making is coordinated across all settings of care and support
• Care Coordinator with extensive experience is working with aged people with disabilities.
• This approach is usually member centered care and support team including the family, GP, and caregivers.

WEAKNESSES:

• This approach needs ongoing research for its effectiveness of care.
• Qualification of the member should be well trained, expert and skilled.
• Clinicians and specialists rarely exchange information and in non standard way thus an adverse outcome in patient cares.

ASSESSMENT:

Care Coordination

• Conducts inclusive primary assessment and re-assessment of an individual age group which identify member goals, needs, carer and services directing to the development of an individual plan of care.
• Coordination of decision making is required in all settings of care, support and services comprising of behavioral health, work, and social activities.
• Coordination team works toward meeting the unique needs of an individual or each member
• Coordinating right to use to community-based health support services for aged people living in New Zealand neither short or long term care.

PLANNING:

• Adopt this care strategy that will present well-coordinated, person-oriented and focused on family services towards all settings.
• Family, friends and other caregivers should be supported and given opportunities to obtain the needed skills, knowledge and ideas to maintain the appropriate care for older adults.
• This model provides quality care for older adults focusing the whole person requiring an interdisciplinary group with proficiency in senility and gerontology.
• Provide therapeutic relationship with an individual, family, carer, GP and other people involve in interdisciplinary team.

COORDINATION:

• Care Coordination focused on individuals with certain health issues, hospitalization condition and functional restrictions.
• Structured approach in dealing with individual with high support needs specifically older people.
• Consolidation of direct care workers into coordination of care initiates partnership among care providers, clients and the family/whanau.
• Team-based, interdisciplinary sustain open interactions, an individual feels that they are most supported and value of care develops.

COMPARISON:

PERSPECTIVE:

Quality of life of older people and older adults focuses on the holistic view of an individual, the family, friends and other members of the care team, commencing group expertise in caring an elderly and gerontology emphasizing people who are fragile or have multiple health issues. Care coordination for older people optimizes function and quality of life for all individual keeping them to maintain their independence and dignity.

SUMMARY OF EXPECTED OUTCOME:

Care Coordination is an intended organization of patient care activities involving two or more participants. This model aids the proper delivery of health care services of an individual needs, support and services. Moreover, older people living in their homes contacted community-based health support services expresses gratification with their level of support. Quality of life of older adult and older people covered with this approach improved.

REFERENCES:

Lakes District Health Board Needs Assessment Service Coordination by Sue Wilkie (22/05/2014) Retrieved July 31, 2014 from: http://www.lakesdhb.govt.nz/Article.aspx?ID=7609

NASCA Needs Assessment Service Coordination ( 2014 ) no dates no author Retrieved: August 01, 2014 from: http://www.nznasca.co.nz/services/

Ministry of Social Development Care Coordination Center for Older People Retrieved Ministry of Social Development (August 02,2014) from: https://www.msd.govt.nz/what-we-can-do/seniorcitizens/positive-ageing/goals/index.html

Elder Workforce Alliance Care Coordination and Older Adults Brief by Eldercare Workforce Alliance (EWA) and National Coalition on Care Coordination Retrieved August 02, 2014 from: http://www.eldercareworkforce.org/research/issue-briefs/research:care-coordination-brief/