2.2 Agree with an individual and others the intended outcomes of the assessment

This guide will help you answer 2.2 Agree with an individual and others the intended outcomes of the assessment.

In the role of a lead practitioner in adult care, reaching a mutual agreement on the intended outcomes of an assessment is essential. This process is key to ensuring that care plans are tailored to meet individual needs effectively. This unit requires you to engage and collaborate with the individual being assessed and other important stakeholders. Let’s explore how to approach this task and the important elements involved.

What Does It Mean to “Agree”?

Defining the Agreement

To “agree” means to come to a common understanding. It involves discussion, negotiation, and compromise. As a lead practitioner, you need to facilitate agreement with the individual and others involved in their care. This includes family members, other caregivers, and possibly health professionals. The emphasis here is on collaboration rather than imposing decisions.

The Need for Agreement

Achieving agreement ensures that the outcomes are person-centred and relevant. It reinforces trust and transparency in the care relationship. When individuals feel involved, they are more likely to engage positively with their care plans.

Who Are “The Individual and Others”?

The Individual

Primarily, the individual is the person receiving care. They are the central focus of the assessment. Their preferences, values, and wishes should be at the heart of any agreed outcomes. Respect their autonomy by encouraging them to express their desires and concerns.

Others Involved

• Family Members: They often have insights into the individual’s history and preferences.
• Care Providers: Staff members who interact daily with the individual and understand practical considerations.
• Health Professionals: Doctors, nurses, or therapists who can contribute clinical insights.
• Advocates: When individuals cannot represent themselves, advocates ensure their needs and wishes are respected.

Involving these people ensures a holistic view of the individual’s situation and needs.

Steps to Agree on Assessment Outcomes

1. Prepare Thoroughly

Understand the individual’s current situation. Review previous assessments, care plans, and any medical history. Be prepared to discuss specific needs and preferences in detail.

2. Organise a Collaborative Meeting

Set up a meeting involving the individual and key stakeholders. Ensure the setting is comfortable and accessible. This encourages open dialogue.

3. Facilitate Effective Communication

• Listen Actively: Encourage all parties to share their views. Nod and use affirming words.
• Clarify and Question: Address any ambiguities. Use open-ended questions to look deeper.
• Summarise Key Points: Recap what has been discussed to ensure clarity and consensus.

4. Discuss Potential Outcomes

Explore possible outcomes that address the individual’s needs. Discuss the feasibility, benefits, and any potential drawbacks of each option.

• Short-Term Goals: Immediate needs and quick wins.
• Long-Term Goals: Strategies for sustainable care and improvement over time.

5. Reach a Consensus

After discussing, aim to reach a consensus. This might involve some negotiation and compromise. Ensure everyone is comfortable with the decisions.

6. Document the Agreed Outcomes

Record the agreed outcomes clearly. Include specific objectives, who is responsible for each action, and the expected timeline.

Addressing Challenges

Overcoming Disagreements

Disagreements are common. Resolve them by referring back to the individual’s preferences and the key principles of person-centred care. Mediation might be necessary if disagreements persist.

Communication Barriers

Use plain language and avoid jargon. Provide materials in accessible formats if needed (e.g., large print). For non-verbal individuals, consider alternative communication methods like picture boards or gestures.

Individual’s Lack of Capacity

When individuals lack capacity, the Mental Capacity Act 2005 provides guidance. Ensure decision-making is in their best interests, involving next of kin, advocates, or legal representatives.

Monitoring and Reviewing Agreed Outcomes

Regular Reviews

Schedule regular reviews of the care plan. Circumstances and needs can change, requiring adaptations.

Feedback Mechanisms

Encourage feedback from all stakeholders. Use this to evaluate the effectiveness of the agreed outcomes and make improvements.

Ethical Considerations

Autonomy and Consent

Respect the individual’s right to make their own decisions wherever possible. Obtain informed consent for the assessment process and any interventions.

Equality and Diversity

Consider cultural, religious, and personal backgrounds. Ensure the agreed outcomes respect and integrate these aspects.

Confidentiality

Share information on a need-to-know basis. Protect the individual’s privacy during discussions and documentation.

Final Thoughts

Agreeing on the intended outcomes of an assessment is an important step in providing effective and person-centred care. It requires careful preparation, skilled communication, and a collaborative approach. By focusing on the individual’s needs and maintaining an open dialogue with all stakeholders, you can help create a care plan that truly supports the individual’s well-being. Remember to document and review plans regularly to ensure they remain relevant and effective.