Jonathan

This case study is an example of specialist knowledge and intervention by Nicola Hyslop, Cumbria.

Jonathan is 66 years old and was diagnosed with Primary Progressive MS in 2007. He lives alone and privately funds all of his care provision.

• As Jonathan lives in a rural area, care facilities are limited. He therefore has to privately fund all his social and informal care. However this is no longer a financially viable option.
• He is dependent on someone providing all aspects of health and social care in order to remain at home.
• He has bladder issues, swelling to the joints and limbs, and has been reliant on a wheelchair since 2013.

• The AMSC has made an urgent referral to the Adult Social Care team for a financial assessment and general assessment of needs. They also completed an assessment to ascertain Jonathan's ongoing care needs.
• A referral was made to the Occupational Therapist team to assess the home environment.
• Provided training and advice for carers on bowel management, medication and diet .
• Involved a physio to provide carers training in relevant stretches and positioning.
• Established strong patient relationship and regular contact.

• Implemented a joined up care approach through close working with health care professionals and adult social care services.
• Avoidance of unnecessary hospital admissions.
• More frequent reviews for Jonathan.
• Safeguarding and advocacy to ensure Jonathan can remain in his own home.