Complexities in Care

A case study detailing a current episode of care management and coordination of a service user who has complex needs and multidisciplinary team involvement from a holistic perspective.

Managing complexities in care delivery is fast becoming a key instrument in providing good quality care. This assignment will critically outline the theory of managing care focusing on case management and what is meant by complexities of care, followed by a brief overview of the service user and their environment. Central to this entire discipline will be a case study detailing the management and coordination of care on the service user in a special needs school, addressing the changes that took place when managing her care. It is my experience of working with this service user whilst on placement that has driven this research. This case study seeks to examine the changing nature of the service users’ care needed after recovering in Alder Hey hospital, and returning back to school after months of intense therapy on a paediatric ward.   The key problem with this explanation in regards to change was team dynamics in the workplace and the skills needed to carry out any complex interventions. To protect the individuals identity l have not included her name and seeked permission from the family and the school nurse to write this assignment as per the NMC confidentiality clause (NMC, Nursing and Midwifery Council 2013).

This study will start by critically outlining the theory of case management and what is meant by the term complexities of care in health and social care delivery. Complexities of care include a discussion on the Integration of services within multidisciplinary teams in the National Health Service in comparison to the Kaiser Permanente model used in the United States.   Recent developments in managing complexities in care, have led to a renewed interest in the ability to control outside factors in case management, such as the investigations into resources, and...