Interprofessional

1) Which professionals might be involved in Imran and Nadia's care and what would their roles be' 2) Why might an interprofessional approach be important in managing Imran and Nadia's care' 3) What Government policy and legislation might be relevant in an interprofessional approach in health and social care' interprofessional approach would enable us to provide holistic, person centred approach by understanding each others roles and responsibilities and focussing on the key concepts and components for assessing, intervening and managing care. there are various professionals involved, there is a possibility of conflict between individuals perceptions. Inter-professional working will help in understanding individual perceptions and breaking down stereotypes. it can improve the confidence of professionals and therefore may benefit Imran as he may receive the best possible support from a variety of services with the same goal in mind in relation to this case scenario the service delivery will depend on how effectively these professionals work. Different professionals will bring in different skills and knowledge to respond to the familiy's diverse needs. This makes it very vital for all professionals to work collaboratively. Irvine et al. (2002) in the journal of Interprofessional Care say that professionals have a moral obligation to work interprofessionally in order to serve the best interests of the service users NHS and Community Care Act 1990.  However, on further analyse, I realised the description had not shown any evidence towards the grandmother, for me to implement this legislation section to her situation. I then, came to the realization that my thinking had steamed from the ‘visual imagery’ displayed by the description to the family, this lead me to analyse why I had thought such a way to a visual image. I realised that my thinking could have been oppressive and discriminatory, as I had made assumption toward Mary from a picture which I can only conclude, portrayed to me a lady of older generation. However, I had no evidence to base this belief. As we can not tell just by looking at an individual identity such as age, and even if we could that does not mean they were in need of certain service because of this. Therefore, if I had believed she might of needed assistance due to age this is oppressive but something I am fortunate to have identified as I do not believe that old equals ill, frail or in need of care. Thompson (2006), describes “care needs to be taken to ensure that ageist assumptions are not influencing the assessment work being undertaken” Personally, I believe this ideology had come from been overly active to want to participate within the group that I had started to apply aspect that were not necessary at this point. I believe, it also highlights the importance of that effective practice in working with children and there families really depends on a inter-professional  approach.  All these professionals work jointly and collaborate in safeguarding children in need and their families by sharing information, assessing others professionals point of view and making constructive criticism where believe needed,    assessing situation, intervening appropriately and reviewing outcomes Imran's teacher- facilitate Imran's learning and adapt the curriculum to suit his and the other children in the class' diverse needs * Teaching assisstant'- To provide individual support to Imran; working on his strengths and aiding any weaknesses as the teacher is likely not to have enough time to do this alongside the other children in the class * Speech and language therapist- To carry out a case history, assess Imran's speech and language development; formally or informally to determine whether he requires any assisstance in this area * Social worker - Support Imran and his mother with services available to them. Be an advocate on the behalf on Imran and Nadia  * Learning disability nurse- may not be involved at this stage unless it is felt to be a requirement but may be referred to in future if there are any changes in their circumstances or needs * Music therapist'- as Imran likes music this may be a way for Imran to express himself; possibly having an improvement on his behaviour * An Audiologist – to assess the childs’ hearing abilities, if it is found that Imran cannot hear correctly then this will have an effect on his ability to hear speech sounds correctly, he may also not hear what is being said to him at all and he may vent his frustrations by self harming. * A Dietician - Richardson (2003) web link - http://www.fabresearch.org/view_item.aspx'item_id=456 suggests that changing a person’s dietary requirements may/ may not be an effective treatment for people with Autism. There is further research being carried out (at present) in this area as to whether fatty acid imbalances have an important contribution to certain behavioural and learning difficulties. Hence a dietician maybe required to create a specialist diet plan for Imran. * Imran may also be sensitive to certain textures of foods which can be quite common with the autistic child as suggested by Martins, Young and Robson (2008). * Parental experiences in changing their autistic childs diet are all very positive and can be found on the National Autistic Societys website using this link http://www.autism.org.uk/nas/jsp/polopoly.jsp'd=1385&a=3731 . * A Consultant Psychiatrist- It is noted that Imran was referred to a Consultant Psychiatrist who then referred Imran on to the Community Learning Disability Team, a specialist Community Learning Disability nurse was put in place to work with Imran on his challenging behaviours. * The Music Therapist – interested me, I found some research by Kim, Wigram and Gold (2009) that highlighted that ‘music therapy’ was more effective than normal ‘play therapy’. Music therapy promotes social, emotional and motivational development for the autistic child and may be very useful for Imran. * Occupational Therapist – May be used for Sensory Integration Therapy as they are normally the ones who are specially trained in this area. The sensory Integration Therapy helps focus on the child’s hypersensitivity or under-sensitivity to light, noise and or touch for example.