Identifying Health Needs The OK Health Check Model

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Identifying Health Needs The OK Health Check
Model

• David R. Matthews
• Independent Nurse Consultant

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Important landmarks in UK

• 1995 Meehan, Barr Gordon
• 1998 Signposts for success
• 2001 Valuing People
• Health Facilitation
• Health Action Planning

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The OK Health Check design was dictated by
specific factors

• The particular characteristics of the client
  group
• The prevailing pattern of community care
• A checklist approach

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The OK Health Check The prime objectives

• To identify potential and actual health care
  needs
• To help identify unhelpful practices in the care
  setting
• To help identify staff training needs
• To contribute to the care audit process
• To promote the specialist nurse (ID)

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Three Phases of Health

• Well and with no health problems
• Ill and having health problems
• Not unwell, but having health problems

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The OK Health Check Structure

• 123 questions
• Yes, No or Dont know.
• Additional comments
• 18 domains of health

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The OK Health Check in Practice

• Direct carers record their observations
• Assessment findings discussed with HF
• Assessment data analysed by HF to identify actual
  and potential health needs
• Care Plans developed with strategies to meet
  identified needs

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Learning Disability - some myths

• Learning disability is a social and educational
  problem, not a health problem
• People with learning disability have the same
  needs as everybody else
• The GP and PHCT are responsible for monitoring
  and managing the health of the community
• The GP is the first point of contact for health
  needs

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The OK Health CheckBasic principles

• Those who live and work with clients on a
  day-to-day basis are the people best placed to
  recognise and identify health needs and changes
  in health.
• Those who provide the direct care for people with
  Intellectual Disability are the first point of
  contact to meet health care needs.

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The OK Health CheckBasic Principles

• Personal health must be seen within the context
  of the clients whole life.
• Health awareness and health promotion are prime
  roles of all direct carers.
• Simple health assessment is a key function and
  responsibility of direct carers.
• Generic providers can probably only provide a
  generic service.

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The OK Health Check Model

• Health Facilitation is a highly skilled
  professional role.
• Health Action Planning is keystone of good health
  care.
• Direct carers are the major influence on the
  health of people with Intellectual Disability.

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Identifying Health Needs The OK Health Check
Model

• David Matthews
• Independent Nurse Consultant
• Thank you.