Unit 5 Health And Social Care Case Study

This practice analysis will critically evaluate the work undertaken with Mrs S who was 89, suffered from hypertension, age related frailties and dementia, which had caused her to wander out of her house on two occasions. She experienced a fall and was admitted into hospital. While in hospital she received a formal diagnosis of dementia and was prone to short term memory problems. Following discharge from hospital, she received Reablement for a short period, Mrs S was deemed unsuitable as she did not engage with the service and declined all support geared at maximising her safety and independence at home. Mrs S lived alone and she has a daughter who lived fifty miles away from her and was not able to offer much support due to distance and maintain
The mental health assessment of Mrs S was undertaken by a doctor approved under section12 of the Mental Health Act 1982 and she had completed the standard training for deprivation of liberty mental health assessors with three years’ experience. The mental health assessor met with Mrs S and observed her at the care home and advised that Mrs S was suffering with a mental disorder, that is, dementia. The doctor also advised that after observing the Mrs S in the care home and the level of supervision and support required from staff such as reassurance when she gets agitated to resettle, the current placement promoted good psychological
The assessment is completed by the BIA to identify if a deprivation of liberty is taking place and if so, is it in the person’s best interests. The BIA also identifies whether they are needed to keep the person safe from harm including whether there are any less restrictive options and if they are more appropriate. The BIA followed the principles of MCA regarding undertaking a best interest. To say the deprivation would have been in Mrs S’s best interests is in fact an understatement. Mrs S had short-term memory and she has lost the ability to look after herself, lacked awareness of hazards, was at high risk of falls, injury, self-neglect, malnutrition and prone to wandering. Her health was at risk without appropriate intervention. Mrs S displayed very limited insight around her limitations and the risks her vulnerability presented. Her greatest risk would have been an untimely death. During the assessment the BIA had to ensure that a least restrictive option would have been considered for Mrs S. A BIA role is to ensure that not only are the restrictions in Mrs S’s best interests to protect her from harm, but also a proportionate response to the likelihood and seriousness of the harm and that there was no less restrictive alternative. The BIA also consulted with the Mrs S’s daughter, social worker, care home staff and mental health assessor in line with section 4(7) of the Act and