Multi Disciplinary Team
What is a multidisciplinary team? Multidisciplinary team consist of staff from several different professional backgrounds. Who have ability to focus on different areas of complex problems associated with Intellectual disabilities. These teams respond to clients who need the help of more than one professional position. Multidisciplinary teams are often discussed in the same context as joint working, interagency work, and partnership working.in medical care and community care and Social care. Legislation and policy by governments have contributed to the increased and development of multidisciplinary teams in different areas such as Mental Health, Medical Care, and other areas of society.
A multi-disciplinary approach involves drawing from multi discipliners to problem solves issues and rethinking outside the normal boundaries in seeking solutions or new understanding for complex situations. The multidisciplinary team is made up of professionals and carers some are skilled set professionals and others are trained in the skills of careering for the person with intellectual disabilities. Each working together to reach the same goal of providing support and help, enabling a person with intellectual disabilities to be able to reach a quality of life that leads to independent living
The aim of this assignment is to investigate the multi-disciplinary team and what their role is in caring for a person with an Intellectual disability. I will explore the role of the carers members and show an understanding of supports needs by a person with an intellectual disability. By encouraging and promoting positive attitudes towards people with intellectual disabilities will be explored. The intellectual disability I will be investigating will be Autism. As part of the assignment I will focus on care support for a person in a day care setting and the carers giving the care. A vision statement of Volunteers in supporting the person with intellectual disabilities shows what we need to aspire to
“Being supported to live a life on one’s own terms .Above all people have a deep rooted desire to belong ,to be in relationship ,to live with in the intimacy and security of their family and friends ,to be included in the greater life around them with all its attended possibilities for hope and fulfilment and to do so, to the greater extent possible ,on their own terms .The implications of this simple truth will determine our actions on behalf of all citizens with Intellectual disabilities
If we take this vison and ask a person with an intellectual disability what do they want. The probably say I would like to have a feeling of belonging to, have good relationships and the security of their family and friends making choices ,dignity ,and making a contributing to their community and feeling of self-worth .As part of this assignment I will carry out primary and secondary research which will involve an interview with a member of staff in a multi-disciplinary team, I will used information from the internet, journals and books .
During my placement in St Cronan’s I got a better understanding of how the work is carried out by a multidisciplinary team. How their work impact with a person with intellectual disability working in the environment of the day care services. The carers themselves encourage dignity, independence, choice, relationships, self-respect, develop strategies in reduce levels of challenge behaviour. They meet the holistic needs of the person, self-respect, work on low self-esteem. There are many words to describe what is meant as respects for a person with intellectual disability.
Irish constitution states all citizens shall be held equal before the law .Respect should be show to all people especially those who are in a care setting whether they have physical or intellectual disabilities .When people are treated with respect they have confidence in themselves and they grow in the confidence they are able to make decision and feel valued in society .It important to talk to the person first and not parents. Always tell the person about their care first as they are adults and should be treated as adults. If they can do things for themselves let them do it, don’t say I will do it for you. Often the person will be willing do what they are asked to do. You must take time to get to know the person and their abilities. It will take time for the person to get to know you.
Individuals with ID should have choice on how they wish to be cared for. The choice is not all individuals with ID would be in the position to make decisions Some may want to live independently get a job, integrate in the community, some may want to live in residential care setting or attend day care services and other want to continue to live at home. They should have the choice to make their own decision. Whatever decision they make it their choice to make gives them a feeling of control over their own lives.
It shouldn’t be unexpected for a person with ID to want to have a part or fulltime job to work in a supermarket or a café, they want to contribute to society. They have the same needs, dreams visions, emotions and feeling as everybody else. They want the same opportunities as everybody else. Having the opportunities to go to school, attend college, training, volunteering, activities in sports, writing, drama, own their own home. They should have the same chance as everybody else living a good life and having a job gives the individual a purpose in life and increase their confidence and self-worth
The individual with intellectual disabilities only have relationship with their parents and immediate family members and paid carer who look after them in the residential for day care centres Their circle of friends is small. Having a relationship with a person other than family is very important especially in the own age bracket gives them feel good factor, allows them to explore new emotions feelings opinions and builds their independence give then a wider circle for communication and building a network of support in making friends. In developing their interest in what friends do in hanging out. Building relationships is important part of people lives and is a way of interacting and a feeling of belonging in the community with other people.
There are diverse types of intellectual disabilities Some can have mild levels of intellectual Disabilities. they can continue to live at home and attend day services for training and learning new skills i.e. garden, cooking, crafts. Some people might have more serve Intellectual Disabilities and need more professional help while continue to live in a residential care setting
For clients with intellectual disabilities support can come in diverse ways like a residential home such as St Ann’s where their medical care needs would be met by staff nurses and a programme of doctors, occupational therapist ,physiotherapist, dieticians, dentist, optometrists. For client with less sever intellectual disabilities who have access and can live in community homes where they can do things for themselves. In the community houses the carers assistants instead of the staff nurses who are there to aid the clients in their home environment. The clients can make choice in what they want to eat and what clothes they want to wear. they can go on day trips, shopping used public transport go swimming, walks getting involved in activities this is called social living. If they choose and have the capability to living on their own, they be supported by social worker or they may have support from a day care centre they are attending during the week such as St Cronan’s in Roscrea. The Mags and her sister Mary and Jenny attend St Cronan’s day care centre for intellectual disabilities they live in their own home attended by Mary Ryan their carer .She calls to their home in the evenings and in the morning, she provide help in paying their bills ,organising appointments to the dentist , hairdresser, optometrists, doctor and the chiropodist and she help in providing transport plus providing help with shopping .
There is the provision of respite for clients who live at home with their parent. The respite can be with another family or in an institutional setting. Allowing the carer and the families a break, or a rest, a time to recharge, the client have a holiday and to engage with other people, change to their routine. People with ID who live independently will always need support for either social workers or from a day care setting.
I will investigate the role of a multi-disciplinary team in the overseeing the care of a child with Down Syndrome. When the child is born a multi-disciplinary team will be involved in giving the necessary skills to be able to attend school. The needs of the child will be assessed and the Health Nurse in the community will coordinate with the multi-disciplinary team. i e doctors, occupational therapist, speech therapists, physiotherapist, and the social worker in giving support and services to the child. Once the child reaches the age of five year the child will be assessed by a psychologists and medical doctor to decide on their mental and physical need and the level of care they need
To see if they have any underlined medical problems such as heart defect, hearing impairment, vison impairment. The physiological assessment will be done to evaluate the level of task and their ability to learn this will be important as it a deciding factor as to what school they will attend. The parent decides on what is the best choice for their child receiving the best education to live independently in the future. The child has the choice of attending main steam school or special classes in main steam school this depends on the needs of the child Depending on their disability if the have physical needs a SNA will be giving while attending school.
Front Line Staff are social carer employees who work directly with service user including help from volunteers, students, additional staff, According to the HSE the multi-disciplinary staff is the Doctor, Nurses, Social Workers, Psychologists Dietician, Occupational, Speech and Language Therapists, Dentists, Pharmacist.
While on work placement in St Cronan’s I saw at first-hand how important the front-line staff is to the service users in the day care centre in helping them to build skills and support in daily tasks of cooking, gardening, music, reading and computer courses. I spoke with Val and I asked him what was important to the service users. He told me the unit provide a place of care in addressing any issue they might have in hygiene ,looking after the weight and diets and simple thing like company most the service users live at home, their circle of friends might only be family members .Val and Sue are in charge of the Green unit and responsible for all the client in the unit. They must see that client get their medication and care needs. They must make sure that client get exercise and fresh air , while I was there most of the client went on their walk around the building three times after lunch, also take part in football games .They also have to keep up with changes to their medication
The role of the Dietician. Is responsible for the nutritional management of who are referred to them
It is a known fact that people with disabilities are at risk of nutritional problems each service user checked for the weight were given instruction to work on their exercise
The physiotherapist works to restore the movement and function when somebody is affected illiness for a siability
Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future.
It takes a holistic approach that involves the patient directly in their own care.
OF THE CONVERSATION
The Public Health Nurse complements all members of the multidisciplinary team including the family Doctor by offering additional counseling, co coordinating other team members providing feedback both to the parents and the multidisciplinary team
In the brief what is required of the Multidisciplinary team and supporting staff is made up of group of health professionals and support workers who work of a care plan in providing the services to the person The multidisciplinary team have import role as a team in meeting the objectives in providing a centered and effective care for the person. By supporting and providing the care and skills set in helping both the parents and the child with Down syndrome to achieve a quality of life and independence that is accredit to a normal child.
Without the professional help the child with Down syndrome would not be able to cope with the stresses of life. Within the multidisciplinary team it’s important that each member communicated with each other regarding the individual person well being The Team works
Now I want to demonstrate the