Multi-agency team in adult care

Irvine is an 82 -year-old man who has lived with Parkinson’s disease for 15 years. He and his wife, Sheila, live in a very sheltered housing (VSH) complex with carers on-site 24 hours per day. This has helped manage Irvine’s complex medication regime. Sheila is Irvine’s power of attorney, though she has not been active in this role because Irvine has continued to have capacity. Irvine’s speech is not always clear. Over the past three years, Irvine has required increasing support from the staff with personal hygiene and mobilisation. The staff at the very sheltered housing  called the health centre to ask someone to come see Irvine. The team say that Irvine does struggle with his balance, but he has been falling more frequently over the last few weeks. They report that he has gone “off his feet”, seems more sleepy than normal and isn’t drinking much. This has meant that the staff are having difficulty in assisting Irvine with his medications. Upon examination by the advanced nurse practitioner, it is concluded that Irvine does not appear to have an infection and his neurological observations are satisfactory. They are concerned that Irvine appears dehydrated though. Previously, Irvine had hallucinations when his medication was titrated up. Irvine has had poor experiences in the hospital before and said he wouldn’t want to go back in. It is agreed that Irvine needs nursing care at this point. There is a care home locally that has availability in one of their intermediate respite beds in two days. You are coordinating Irvine’s nursing care as part of the community team supporting the very sheltered housing  team and will manage Irvine’s transition to the care home.

Essay Briefing Discuss the safe application of prescribing knowledge to the scenario (LO2). Please also explain the roles and responsibilities of the multiagency team when working collaboratively in assessing, treating, intervening and caring for the adult in the different settings of the scenario (LO5).