Person Centred Approaches Essay

Bi

Write a reflective account detailing an example of how you have, or could have, used a person centred approach in a sensitive or complex situation.The account must contain a description of how person centred values were or could be put into practice in the situation. Suggested word count: 350 – 500 words Whilst working a shift in a residential home, I became acquainted with an elderly lady in her eighties. She had been a widow for many years and had no children.

She was a very quiet, private person, who didn’t like showing her feelings, being made a fuss off or being hugged. She had lived in the home for about five years. The only visitor that Mrs B had was an elderly man, a friend of her husband. He would come and visit every Monday and have afternoon tea with her. They would reminisce and Mrs B looked forward to his visits. One Monday the elderly gentleman did not arrive and Mrs B thought it was unusual. The following day we had a message that the elderly man had been found dead at home. I was asked to tell Mrs B.

I chose to walk in the garden as I know it was a place that Mrs B enjoyed being. So I took afternoon tea out into the summer house and asked if she would like a walk in the garden. We looked and chatted about the flowers as we walked to the summer house. We had afternoon tea listening to the birds and relaxing. I explained gently and in simple terms that we had had a phone call and unfortunately her friend had died. Mrs B said she was shocked but at least he had not suffered. We spoke briefly of how kind he had been to her and how much she would miss him. We chatted briefly and I asked Mrs B if she wanted time to herself. She said she did so I took her to her room. I asked if she needed anything and she said no she would be fine. I held her hand briefly, said I was sorry to hear her news and would pop back later.

Later in the shift I went to see if she was coming down for supper. She declined so I took her supper to her room. I asked if she wanted some company but she declined.

As I was on two days off the next day I sent her a little card to say I was thinking of her which she thanked me for when I returned on shift.

Bii Explain how finding out about an individual’s history, preferences, wishes and needs is an important part of creating a good care or support plan (HSC 036 2.1) By finding about a person’s preferences, life history and wishes then the care plan can be written to reflect this and the best care can be given. By knowing their life history may explain why they do things in certain ways. It also encourages discussion and leads to building relationships. They may like things done in a certain way to remind them of loved ones who are no longer here.

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Biii Explain why it is important to review care or support plans with an individual, and to monitor their changing needs or preferences. (HSC 036 2.3) It is important to review care and support plans as people’s needs change. By including the person, their family then everyone knows what is happening and the family can help to monitor mood swings and behaviour. The individual and the family can express their views and preferences and any relevant risk assessments may be done with everyone involved. By monitoring the individual, a decision can be made as to whether the changes are effective and if the best care is being given to encourage independence and promote dignity.

Biv Explain how useful care or support plans are in supporting person centred values in practice. Care and support plans are useful as it shows the best way to support a person. By following it then a person will feel relaxed and cared for. It will promote independence and dignity and make the person feel included. By following a plan all carers will do things the same way and care is continual.

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Person Centred Approaches Essay

Understand the application of person centred approaches in health and social care.

Person centred values must influence all aspects of health and social care, to maintain their individual rights, to give them choice, promote their independence and to keep their dignity and respect.

When we are planning a care plan it should reflect the needs and wishes of the client keeping and maintaining their independence and maintain their rights and choices remembering that their needs and wishes change from time to time. Never make assumptions about a person, find out their likes and dislikes. Each person is entitled to make their own choice to have their say and a right to respect and dignity.

Outcome 3

Be able to establish consent when providing care or support

3.1 Analyse factors that influence the capacity of an individual to express consent

Our mental capacity is the ability to think and reason, to be able to understand how our choices affect what can happen. There fore a person who has had a stroke can not always understand the simplest of questions, someone who has dementia or has mental health problems may not be make the right choices for themselves. Evan someone who has poor communication skills with English not being their first language can lead to misunderstanding.

3.3 Explain what steps to take if consent cannot be readily established

If consent cannot be gained you need to inform your line manager and record

that consent could be achieved in their notes. Your line manager can consult with other professionals to help. In some circumstances people are assessed as being unable to give consent. The Mental Capacity Act 2005 outlines the circumstances in which another person can make decisions on behalf to the person who lacks capacity. In many circumstances it is useful to ask family members about the person’s preferences and wishes

Outcome 4

Be able to implement and promote active participation

1.1 Describe different ways of applying active participation to meet individual needs Active participation is a way of working with a person that recognises the person’s rights to participate in activities of everyday life as independently as possible it focuses on their wishes and abilities designed to maintain their impendence making them an active partner in their care or support. By working this way we are involving the person in all aspects of their care and needs meeting their wishes and giving them choice e.g. what clothes would they like to wear, would they like a shower or a wash, what would they like for their lunch. The person then feels more valued and involved with their care it also helps to build the persons confidence.

Outcome 5

Be able to support the individuals’ right to make choices

5.4 Describe how to support an individual to question or challenge decisions concerning them that are made by others

People have a right to challenge a decision that has been made about them. First make sure that the person fully understands what has been decided and by whom and what will happen making sure they fully understand what affect it will have on them. If the person doses not agree with this decision I would advise them on what steps to take to complain.

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Outcome 6

Be able to promote individuals well-being

6.1 Explain the links between identity, self image and self esteem

Self image is the way we look at ourselves – Fat, thin, smart, untidy Self-esteem is about having confidence in ourselves

Identity, self-image, self-esteem are all closely linked good self-esteem means a positive out look on life with good self imagine and good confidence in ourselves, having goals which are realistic to obtain. Someone who has low self-esteem will struggle with their sense of identity. Our identity, self-esteem and self-image are influenced by family up bring our friends, life experiences and feed back we get from others. Someone who was abused as a child will grow up with very little self-image can lead to behaviour pattern which leads to self destruct. Having a good level of education, a job involved in a relationship increases someone’s self value.

6.2 Analyse factors that contribute to the well being of individuals

A lack of self-worth will lower motivation and reduce the person’s ability to full fill their potential. Always praise the person no matter how small their achievement is as this will improve their confidence and promote their self-worth. Approach everything with a positive aptitude, encourage them, listen to them be non judgemental show understanding and consideration this will boost the persons well being.

Outcome 7

Understand the role of the risk assessment in enabling a person centred approach

Risk assessments are used for various reasons. They can be used to assess the risk of the environment, risk of the action, risk to the client or member so staff, risk of a new piece of equipment, risk of dangers to others.

Risks are a part of daily living for everyone it is part of the job to minimise the risk to the client and to ourselves, this is why risk assements are carried out and revised regularly. Clients change they go down hill therefore the risks are constantly changing they become greater to the client and the carer so more actions need to be t to take implemented to protect the client and the carer.

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Person Centred Approaches Essay

A care plan is about the individual and their preferences, needs and wishes, it should give others clear information on these aspects in order for them to give accurate care of which the individual has consented to. Finding out about an individual’s history, preferences, wishes and needs is an important part of creating a good care plan because it enables the care plan to be completed accurately and will reflect the individual. If you were to not find out this information you would not be able to provide the best service for the individual; for instance an individual that used to be very active and enjoyed a lot of outdoor sports until suffering a stroke, may find it very difficult and frustrating to find their movement restricted as a result of the stroke, this could lead to difficult behaviour or aggression, knowing the reasons behind this sort of behaviour makes it easier for people to understand.

Finding out individuals’ preferences enables staff to ensure that the service provided would be appropriate to the individual, they may have certain dietary needs that their religion requires, or be vegetarian; they may have certain beliefs about who should give personal care; there are many reasons so it is always best to find out. By not acknowledging and finding about what the individual prefers they may not feel respected or feel they have a say in things, this could lower their self-esteem.

Biii)

It is important to review care plans with an individual because circumstances change and it is important to check that the care package is doing the job it was intended to do since it was originally set up, or from the last review, if not it could continue for a long period of time regardless of whether it is meeting the needs of the individual. It will also give those involved a chance to ask the individual if they feel it is meeting their needs and what, if anything, they feel could improve things for them. It will give the individual the opportunity to express their opinion about how they feel it is going, along with any concerns they may have. Their preferences may have changed and it is an ideal time to alert staff to such changes; those involved may also make suggestions about what they feel could benefit the individual however the individual would have to give consent to any changes.

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It is important for staff to monitor the individuals’ needs and preference along the way, their health needs i.e. health, abilities, mobility, diet and personal hygiene, what they need or want may change or aspects of the environment may need to change to aid the individuals growing needs for example, the individuals mobility may deteriorate and they may need the use of a walking stick or hand rails, if this went un-noticed the individual may become withdrawn and feel they cannot achieve day to day tasks, they may become scared to do things and become dependent on others doing it for them, this could lower their self-esteem and knock their confidence.

Biv)

A care plan is useful in supporting person centred values because if done correctly, and with the input of the individual, the care plan is what support the individual has agreed to thus respecting their wishes of what is to happen to them. It states their choices and what they prefer which promote individuality, it also shows the ability of the individual so that care workers know the individuals level of independence and what needs to be worked on to achieve the individuals goals. Providing care in a way the individual has agreed to, which is reflected in the care plan, means you are upholding the individuals’ wishes and rights and working in partnership with the individual to achieve their goals.

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Person Centred Approaches Essay

Implement person centred approaches in health and social care

1.1 Define person-centred values.

1.2 Explain why it is important to work in away that embeds person centred values.

The underlying purpose of “Person-centred values” is to ensure that the individual needing care is placed at the very centre of the decision making process about their life, the services and support they want and need.

Therefore, under this strict system, the person is always placed at the very centre of the planning of the care programme required, in that he or she will always be consulted and that his or her views will always come first. Therefore the plan is tailor-made to that particular person, and it should include all aspects of care, from the Social and Health Services, from that individual’s family and from the voluntary sector.

This is the current policy and it applies to those people with learning disabilities, mental health problems, and physical disabilities, to older people who need support, and to young people making their transition to adulthood.

To place the person at the centre certain values must be upheld: Individuality (everyone’s differences must be recognised and respected), Choice (for individuals to be able to make own choices and be in control of own life), Privacy (information and activities must be kept confidential), Independence (empowering individuals to do activities for themselves) and dignity (be treated in a respectful way).

It is vital for the social care worker to work using these precise methods to establish the needs and wishes of the individual. This will also mean that individuals will feel empowered and in control of their lives, be more confident about making decisions, will feel valued and respected.

1.3 Explain why risk taking can be part of a person centred approach.

The person centred approach to risk includes making an assessment with the people involved in the plan such as the individual, their relatives and other professionals. Risk taking is part of a person-centred approach as this empowers individuals to have choices about what they want to do in their lives as well as to be part of their community. Not allowing individuals to take risks can have a negative impact on an individual’s life to not live it as they wish.

1.4 Explain how using an individuals care plan contributes to working in a person centred way.

To be person-centred the person must always be at the centre of their care plan. This means that individuals must always to be consulted and their views must always come first. Therefore, no two care plans are alike because each individual is different from another. Each individual should be involved at every stage of their care plan; from deciding who to involve, how to meet the individual’s needs, the support required and how to feedback on how the care plan is working.

3.1 Explain the importance of establishing consent when providing care and support. 3.3 Explain what steps to take if consent cannot be readily established.

It is always very important to establish the consent of the individual when providing any care or support programme or procedure. This is essential so as to include that individual with any decision-making, in order to ensure that they do not feel left out, ignored; in this way they can understand and agree to that element of their care or support.

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I would discuss the problem, that consent cannot be established, with the supervisor or manager of the home, and, if necessary, the individual’s doctor and advocate. I would also make a record of this, which I would sign and date.

4.1 Describe how active participation benefits an individual. 4.2 Identify possible barriers to active participation.

Active participation benefits the individual because that person is always made to feel that he or she is continually important, and that things are done for their benefit, with their consent. This ensures a positive approach for the individual that makes them an active part of how they choose to live and puts them first as the focus.

Barriers can take several forms – the emotions, the disabilities, and the attitudes of the individual concerned, any or all of which can deter active participation by that individual in any activity or action. Similarly barriers exist if social care workers’ attitudes and approaches do not value active participation, strict routines and lack of training on using the active participation approach can also be barriers.

5.3 Explain why a workers personal views should not influence an individuals choices.

The care worker’s personal views may well simply rule things out for the individual being cared for, because the worker might take a subjective position rather than looking to find creative solutions for that individual. Such a stance could prevent the individual from making informed choices about their care. Therefore, personal views should never influence the choices of any individual as this also goes against their rights and can make an individual feel pressurised to agree.

5.4 Describe how to support an individual to question or challenge decisions concerning them that are made by others.

When others make decisions for the individual, the care worker should talk to the individual to ask that person whether he or she understands what has been decided for them. Once the individual understands those decisions, he or she should be encouraged to state whether they agree with them. If not, then that individual should be enabled to question and challenge them either themselves, through the social care worker or an advocate.

6.1 Explain how individual identity and self esteem are linked with well being. 6.2 Describe attitudes and approaches that are likely too promote an individuals well being.

Maintaining an individual’s identity is done by always recognising that person as a human being, not a number – identity is who the person is. Ensuring that the individual IS important and that their views and concerns are always dealt with in a positive and caring manner will always ensure that person is valued and has a high self-esteem. All this will contribute to their sense of well being.

By always ensuring that the individual is treated in a professional, kind, caring and courteous way, their sense of well-being is always assured. Care workers can also make sure that they use a number of different approaches – empowering approaches that enable the individual to take control, a positive approach that encourages the individual to feel good, working in a trusting and professional way enables a good relationship to build between the care worker and individual and promoting a sense of well being.

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