An electric wheelchair in an urban environment with an individual with complex needs

Complex Needs: What are these?

By Articles

The term complex needs has become an important term, referring to a mix of physical, mental, social, or environmental challenges affecting a person’s well-being. While lacking a universal definition, these needs are crucial to understand for developing effective care support systems. This article explores the various aspects of complex needs, highlighting the importance of a holistic and empathetic approach in addressing them.

Defining Complex Needs

Complex needs refer to the combination of multiple and linked challenges some individuals experience simultaneously. People with complex needs often have requirements that span their physical health, mental health, wellbeing, education, and employment. Individuals who fall under this umbrella often require a higher level of support and intervention.

Understanding the Complexity

It is important to recognise the various factors that contribute to an individual’s requirements and their complex needs. People with complex needs often face a combination of physical, psychological, and social difficulties that can include:

  1. Physical health conditions: Individuals may have chronic illnesses, disabilities, or complex medical conditions that require ongoing medical treatments and interventions. These conditions can significantly affect their daily functioning and quality of life.
  2. Mental health issues: Mental health problems such as anxiety, depression, bipolar disorder, or personality disorders can contribute to the complexity of an individual’s needs. These issues require appropriate diagnosis, management, and support from mental health professionals.
  3. Learning disabilities: Learning disabilities can affect an individual’s ability to acquire and apply knowledge, leading to challenges in education, employment, and daily living. Specialised support and interventions are necessary to address these needs effectively.
  4. Trauma and adverse life experiences: Individuals who have experienced trauma or adverse life events may have complex psychological needs. These experiences can include abuse, neglect, violence, loss, or significant disruptions in their lives.
  5. Substance abuse and addiction: Substance abuse and addiction can present complex needs that require specialised interventions. Treating the addiction while addressing any underlying mental health issues is essential for successful recovery.

The Importance of Addressing Complex Needs

Ensuring a person receives the appropriate support and resources is necessary to improve their well-being and functioning. Our highly trained and specialist care team work to understand a person’s needs and provide the best possible care for the individual.

By working to provide a comprehensive and integrated package of care, those with complex needs experience positive outcomes including:

  • Improved physical and mental health
  • Enhance social connections
  • An increased quality of life
  • Better education outcomes
  • Greater employment opportunities

How the Empowering U team work to support individuals with Complex Needs

Complex needs require a comprehensive, adaptable, and person-centred approach to address the challenges presented. Empowering U has a team of highly trained and multi-disciplined care managers, support staff, registered nurses, and nursing associates. This team provides the important know-how to design a client-specific package of long-term holistic care.

Working in line with NICE guideline (NG216), some key strategies and approaches that we employ to provide effective support include:

  1. Person-centred planning: Focuses on the person’s goals, aspirations, and strengths while involving them in decision-making processes. It empowers individuals to take an active role in managing their complex needs and promotes autonomy and self-determination.
  2. Care team collaboration: Collaboration between different care team members, such as registered nurses, mental health specialists, and physiotherapists is crucial to ensure coordinated and holistic care. Sharing information and their expertise allows for a more comprehensive understanding of needs, enabling tailored and effective support.
  3. Early intervention and prevention: Identifying and addressing early on can prevent further deterioration and improve outcomes. Early intervention and preventive measures can support individuals who may be at risk of aggravating their needs further.
  4. Continuous evaluation and improvement: Regular monitoring and evaluation of support interventions are essential to identify gaps and areas for improvement. This enables our care team to adapt and refine their approaches to meet the evolving needs of individuals.

Complex needs require a comprehensive and person-centred approach to address the challenges faced by individuals with complex needs. By fostering an attitude of collaboration, person-centred care, and collaborative support, our complex care team effectively supports and empowers each other to improve the well-being and quality of life of the individual with complex needs.

Embracing Adulthood: From Child to Adult Care Services

By News

Transitioning from child to adult care is a complex journey full of emotions and challenges. When young individuals face this next step, it can often feel like navigating uncharted waters without a guiding compass for the individual and those who support them.

Empowering U supports the transition into adult care services by providing expert guidance and the strong support network of our care team through our transition service.

Understanding the Transition Period 

The transition from childhood to adulthood within the context of care services is a critical stage where the individual’s needs, aspirations and support structures undergo substantial change.  

During this period, the emergence of independence and self-determination takes centre stage, requiring sensitive and skilful navigation to embed these principles into everyday life, while ensuring that the continuity of care is uncompromised and bespoke to the client’s needs and aligned with the family’s requirements. 

Empowering U seamlessly aids young adults and their loved ones in navigating the transition from child to adult care services by crafting individualised transition plans that places the clients’ unique requirements at the centre. Our approach not only ensures compliance with necessary statutory requirements but also goes beyond, fostering a journey infused with confidence and empowerment; as our name suggests, we Empower U. 

Challenges in Moving to Adult Care 

Transitioning involves complex emotional and practical adjustments, often creating uncertainty and anxiety as familiar support networks shift. Such changes require careful planning and flexibility to ensure a seamless continuity of care. Every individual deserves a transition tailored to their unique life narrative and aspirations. 

Every individual deserves a transition tailored to their unique goals and aspirations. A clear transition strategy is essential in supporting the individual and their family. This means predicting potential hurdles (like eligibility for different services) and aligning with the new care paradigms that focus on the client’s requirements and unique goals.

Empowering U’s Transitional Support Framework 

Empowering U’s approach adopts a tailored framework, designed with the individual’s unique needs in mind. It looks to alleviate the stress that often goes with care service transitions by providing a consistent, person-centred care plan. Through preparation, collaboration and ongoing support, Empowering U ensures that young clients and their families navigate the shift to adult services with confidence and assurance. 

Our specialist team facilitates a continuum of care that adapts to the individual. The focus is on enabling and empowering, ensuring all necessary resources are in place to foster a successful and fulfilling transition to adult life. 

Personalised Pathway Planning 

Empowering U prioritises pathway planning, essential in achieving a seamless transition from child to adult care services. 

  • Individualised Assessment: A comprehensive evaluation of requirements, preferences, and goals. 
  • Collaborative Goal Setting: Working with the individual, their family, and existing care framework to set up realistic and achievable goals. 
  • Resource Coordination: Identifying and organising the necessary support networks and services. 
  • Continuity of Care: Ensuring consistent support throughout the transition phase. 
  • Monitoring and Adjusting: Regularly reviewing the care plan to adapt to changing needs. 

This strategy ensures that each young person receives a personalised and adaptable care blueprint. Adaptable pathway planning is key to successful transitions, accommodating changing needs and circumstances.

Continuity of Care Strategies 

Within the realm of transitional care, Empowering U upholds an environment of consistency in the delivery of services. This approach reduces the stress a client and their family face during a stressful point in their life. 

Strategies are crafted to ensure that the handover to adult services mirrors the familiarity and understanding established during the childcare arrangement. This involves maintaining key relationships, preserving consistency in care protocols, and ensuring the young person actively has a say in the transition process. This strategic approach sustains a supportive environment, which is critical for individuals navigating this period of change. 

A robust framework within Empowering U provides crucial staff training on transition-specific challenges and solutions. By investing in our team’s development, we ensure that quality care and support is continuously provided during this pivotal time. The consistent application of best practices ensures that care remains person-centred, responsive, and meets the evolving needs of the individual. 

Empowering U deploys meticulous oversight and regular reassessments to ensure that care remains appropriate and supportive as individuals mature into adulthood. Through continuous dialogue with clients and their families and the support of our multidisciplinary teams’ framework, we ensure that adaptations to care plans are well-informed. This dynamic approach guarantees that services stay aligned with the goals outlined in the care plan. 

Developing Independence with Empowering U 

Empowering U recognises the importance of fostering individual choice as young individuals transition from child to adult care services. By championing person-centred strategies, we provide a scaffold that encourages service users to take ownership of their lives and care needs. Through bespoke support plans, we ensure each path to independence is as unique as the person it is designed for, reflecting their distinct preferences, ambitions, and capabilities. 

This transition is not a handover but a guided journey towards greater independence, whilst ensuring safety and wellbeing remain a priority. We strike a balance between fostering independence and providing continued support, empowering clients, and their families to seamlessly navigate adult care services with confidence. 

Skill Building for Self-Management 

Developing self-management skills is central to fostering independence. Empowering U offers person-centred support to master these important abilities, ensuring individuals can manage their own care and lead fulfilling lives. 

Our focus extends to practical tasks, including managing finances, understanding health care needs, and navigating social environments. Clients gain confidence by learning to handle regimes necessary for their wellbeing, including medication management, appointment scheduling, and lifestyle choices. 

We ensure that the journey towards self-management does not compromise the safety and dignity of the individual. Empowering U assists the learning process, providing resources and support to aid in essential life skills. 

Encouraging Decision-Making 

Our specialist team supports individuals in carefully considering options and responsibly anticipating outcomes, supporting the gradual transition towards complex decision-making that involves evaluating risks (financial, health-related, or social) and benefits. 

With the unwavering support and guidance from our expert team, our aim is to nurture a shift toward empowered independence. We firmly believe that by fostering these decision-making skills, individuals can confidently navigate life’s challenges with the assurance of support and make well-informed choices.

Collaborative Networks and Advocacy 

At Empowering U, collaboration forms the bedrock of a seamless transition process, where our team supports healthcare professionals, family members, and existing childcare framework to ensure continuity of care. This collective advocacy ensures that the client’s needs and preferences are central to the conversation. 

These networks play a crucial role in advocating for the specific needs of each individual, tailoring a path that addresses the complexities of transitioning from child to adult care services. Openness within these networks is key to navigating systems and championing the rights and aspirations of clients. 

Pressure Ulcers: Highlighting the Painful Problem

By News

What is a Pressure Ulcer? 

 Pressure ulcers are painful areas of damage to the skin and underlying tissue.  They often occur in areas where bones are close to the skin’s surface, such as the heels, hips, elbows, and coccyx.   

What are the causes? 

Pressure ulcers can happen to anyone; individuals have a higher chance of developing a pressure ulcer if: 

  • There is limited mobility and there is a difficulty in changing position regularly 
  • An individual is bedridden 
  • An individual uses a wheelchair for extended periods 
  • Have been seriously ill in intensive care or have recently had surgery 

What are the symptoms? 

Symptoms vary between individuals and the severity of the ulcer. However, the main symptoms are: 

  • Skin discolouration – the area may appear red or bluish in individuals with lighter skin tones and purple in individuals with brown or black skin tones 
  • Skin texture – the skin surrounding the ulcer may feel warm, spongy or hard 
  • Pain and itchiness – the individual experience pain and/ or itchiness surrounding the pressure ulcer 

Methods to ease symptoms 

The method of treating an ulcer depends on its severity. Some simple methods to relieve the pressure and stop new ones forming are: 

  • Helping an individual to change position and move regularly 
  • Sterile cleaning and dressings to protect the ulcer and help it heal 
  • Antibiotics if the ulcer has become infected 

Empowering U Case Managers: Introducing Jacque and Helen

By News

We have expanded our case management team; introducing Jacque and Helen, our new Empowering U Case Managers. With a joint 52+ years under their belts in the nursing sector, we are excited to use their valuable experience to provide support and guidance towards the care of our clients.

Introducing Jacque’

Based in Bristol, Jacque is an RGN and former Registered Manager with more than 28 years’ clinical experience in a variety of specialties. Her most recent position involved managing all aspects of the delivery of highly specialised, outcome based, person centred care to the highest standard and supporting her team of colleagues and peers to do the same, within a Complex Care Service, for both adults and paediatrics.

Jacque is experienced in delivering clinical support, direction, advice and education within both the private sector and the NHS. Jacque has developed and delivered educational workshops, in-house training and one-to-one support. She regularly delivers presentations on a variety of topics and in a wide variety of settings to all levels of seniority in healthcare. Jacque’ has extensive experience and a proven track record in the setting up and management of client services for monitoring, managing and caring for clients with complex needs in their own homes or community and acute setting, including Spinal Cord Injury, Cerebral Palsy, NMD, Acquired Brain Injury among others.

She was instrumental in building relationships, developing business opportunities, and ensuring positive outcomes, facilitating and delivering quality driven complex care in accordance with CQC requirements and in the provision of customer focused solutions. Jacque is a highly skilled respiratory nurse and has led workshops on oxygen therapy, cardiac and ventilatory monitoring, ventilation and sleep disordered breathing. Jacque has an outstanding reputation within the Motor Neurone Disease Association when it comes to teaching all aspects of respiratory nursing.

Jacque’s Skills

  • Spinal Cord Injury
  • Brain Injury inc Cerebral Palsy
  • NMD
  • Mental Health
  • Adult and Paediatric Nursing
  • Clinical Assessments
  • Respiratory Nursing

Introducing Helen

Based in Hull, Helen, with her wealth of 24 years of experience as a Lead District Nurse, has served in community settings, where she dedicated her skills to supporting individuals with multi trauma, neurological, orthopaedic and pain management conditions. Her commitment and practical approach have not only enhanced the quality of care she provides but also made a significant difference in the lives of those she serves. Helen’s extensive expertise and empathetic nature collectively drive her focus towards the well-being of her patients. Helen’s dynamic professional journey, spanning six years as a rehabilitation case manager, includes her invaluable contribution as an expert witness.

Formulating case management plans with a person-centred approach and a keen understanding of different injuries, Helen adopts a biopsychosocial approach to healthcare. This holistic method enables her to identify and address any potential barriers at the earliest opportunity with a goal of enhancing the individual’s journey towards recuperation. One significant aspect of Helen’s experience lies in the realm of vocational rehabilitation.

She has effectively collaborated with clients and their employers to facilitate a smooth and gradual return to work after an injury, hence contributing positively to their recovery path. Furthermore, Helen’s experience extends to collaboration with multidisciplinary teams, social services, healthcare providers, Solicitors, and Insurers. This exposure has added depth to her understanding of the diverse aspects of case management, ultimately leading to the enrichment of her professional competence.

Helen’s Skills

  • Complex Multi Trauma
  • Acquired Brain Injury
  • Vocational Rehabilitation
  • Polytrauma
  • Complex Orthopaedic
  • Psychological Trauma
  • Complex Musculoskeletal