...Describe the factors that help or hinder person-centred care and interprofessional working in relation to a chosen incident. (Word Count 2,993) In this essay a consultation observed during a Primary Care placement will be described, with the aim of defining person centred care in relation to it. To protect confidentiality and in accordance with the Nursing and Midwifery Council’s code of conduct (NMC, 2008), the names of persons or places are not referred to. The roles and responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to whether the event provided a person centred approach. The observed consultation (Appendix 1) took place in an elderly care clinic held in a hospital outpatient department. Outpatients Clinics are provided by the local NHS Primary Care trust on a regular basis as part of ongoing care for clients. A consultant, a nurse, the client and her carer were present. The client had an appointment to review her ongoing treatment of Parkinson’s disease. A publication to support the National Framework for older people (Department of Health, 2001) regarding the implementation of medicines endorses the monitoring of treatment to ensure the medication remains appropriate and to raise awareness of any adverse effects. The lady was in her eighties, frail and hard of hearing. A carer accompanied her from...
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...Using ‘Person Centred’ Communication Skills and Models to Help Clients Admitted for the First Time to a Mental Health Hospital Introduction Communication is one way of exchanging information and feelings from one person to another (Bach and Grant 2009). It is transmitted through verbal and non-verbal behaviour. Communication is an essential and fundamental aspect of nursing care (Timmins 2011). It is a major and important part of daily nursing practice in the nurse-client relationship (Sheldon et al. 2006). Communication in nursing is unique and it is different from communication between healthcare providers because nurses are at the start of the healthcare service as they spend more time with the client than other healthcare professionals (McCabe and Timmins 2006). Therefore, nurses have to pay more attention to improving their communication skills for better client care. In order to establish a positive relationship with the client, it is necessary to communicate effectively and subsequently improve the quality of nursing care (McCabe and Timmins 2006). Effective communication is key to a therapeutic relationship with the client. It is defined as a ''purposeful form of communication used in the helping relationship'' (Ruesch 1961 cited in Arnold and Boggs 2007, p18). It is developed by the nurse for the purpose of assessing, planning, implementing and evaluating client care (Arnold and Boggs 2007). The establishment of a nurse-client relationship was a key element...
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...1.1 – Person-centred care is a way of thinking and doing things. It means putting the individual and their families at the centre of decisions and seeing them as experts, working alongside professionals to get the best outcome. Person-centred practise is all about having a focus upon individual’s needs. Every individual has different needs, wishes, choices, likes and dislikes. We must treat everyone fairly and respect their dignity and privacy at all times. We cannot stereo-type or tarnish everyone with the same brush even if they have the same religion, disability or alike in any other way. Despite what they may have in common, every single person is an individual and should be treated like one. 1.2 – All approaches to person-centred practice work well and personally I don’t think there is a particular ‘best approach’. When used correctly, every approach will have the same benefits and outcomes. Also different approaches would work better in some work placements than others the same as work better with some individual’s than others. Below I have compared just a few different types of approaches: Essential Lifestyle Planning. (ELP). This plan looks at: - what people like and admire about the individual - what is most important to the individual - the communication - how to provide the support - identification of successful methods - how to solve problems and/or overcome any barriers ELP is a good for a day to day basis. It’s a good way to start to get...
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...Approach to Care through Effective Person-Centred Care Planning. The NHS places a strong emphasis on delivering person-centred care to patients. Patient-centred planning was adopted as national government policy in 2001 via the “Valuing People” paper and more recently as part of the “Valuing People Now” document (DOH,2009). Person-centred planning is now promoted as a key method in delivering the personalisation objectives of the Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define a “person”. A...
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...with their Person Centred Planning (PCP) approach to client care? ➢ What is the attitude of RehabCare to the concept of empowerment, and how does it fit into the implementation of the PCP process in RehabCare, Carlow? ➢ To what extent does PCP at RehabCare contribute to the underlying goal of greater social inclusion? CONTENTS TITLE PAGE……………………………………… P 1 CONTENTS PAGE………………………………... P2 ACKNOWLEDGEMENTS……………………….. P3 INTRODUCTION………………………………….. P4 LITERATURE REVIEW………………………….. P5 METHODOLOGY…………………………………. P11 FINDINGS………………………………………….. P13 ANALYSIS…………………………………………. P16 CONCLUSION…………………………………….. P18 BIBLIOGRAPHY………………………………….. P20 APPENDIX (Interview Transcript)……………….. P22 THE END……………………………………………. ACKNOWLEDGEMENTS I would like to take this opportunity to thank the management at RehabCare in Carlow, for being so helpful and informative. I would also like to thank the lecturer of this course, Ruth Casey, for all of her input and advice. Introduction Hereafter, I will discuss my participation in this endeavour in the third person, as the “researcher”. The researcher’s choice was to conduct a study of RehabCare in Carlow; and through the process of investigation in this organisation, an attempt was made to answer one main question, and two related sub-questions. Main Question: • How successful is RehabCare in Carlow with their Person Centred Planning (PCP) approach to client care? Two...
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...Understand person-centred approaches for care and support Person-centred values individuality; rights; choice; privacy; independence; dignity; respect; partnership; autocracy Person-centred approaches person-centred planning (PCP), particularly in relation to vulnerable individuals, e.g. individuals with learning disabilities, physical disabilities, mental health issues; person-centred thinking skills; total communication; essential lifestyle planning and person-centred reviews; Carl Rogers’ theoretical background to person-centred therapy; the four key principles of rights, independence, choice and inclusion; reflecting the unique circumstances of individuals; embedding person-centred values; the importance of individuality; appreciation of individual rights; enabling individuals to make decisions and choices; the importance of privacy; empowering individuals to maintain independence and dignity; treating individuals with respect; respecting persons’ diversity, culture and values; awareness of risk-taking in person centred approaches, enabling individuals to make informed decisions and understand the consequences e.g. the harmful effects of smoking, the benefits of taking prescribed medication, the advantages of immunisation Care and support documenting where day-to-day requirements and preferences for care and...
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...why person centred values must influence all aspects of health and social care work. Person centred values influence all aspects of health and social care work, for the reason that by law requirements in regards to the Human Rights Act 1998, Health and Social Care Act 2012, along with Codes of Practice for Social Care Workers, health and social care should be based on person centred values. In the interest of individuals who are receiving care, it enables them to be treated with respect and dignity, involving their own needs beliefs and identities, as well as to be supported to remain independent as much as possible. Person centred values also involve individuals to be supported to access their rights, as well as providing anti-discrimination practices together with promoting equal opportunities for individuals, and presenting choices and safety. Ultimately, it is all about diverse people who are involved in health and social care work, so therefore, the values that influences care must be person centred. 1.2 Evaluate the use of care plans in applying person centred values. For information regarding individuals such as patients/service users, a care plan otherwise known as a support plan is used as a vital source of document. Individuals who generally have a long-term condition require a care plan as it is an agreement involving themselves and their health care professionals. The document enables the health of an individual to be managed daily, involving what care they...
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...Supporting individuals with Dementia Legislations which govern work with of individuals with Dementia Enduring Power of Attorney Act An enduring power of attorney is a legal agreement that enables a person to appoint a trusted person – or people – to make financial and/ or property decisions on their behalf. It is an agreement made by choice that can be executed by anyone over the age of 18, who has full legal capacity. ‘Full legal capacity’ means that the person must be able to understand the nature and effect of the document they are completing and the nature and extent of their estate. An enduring power of attorney cannot be made by another person on behalf of a donor whose capacity might be in doubt due to mental illness, acquired brain injury, cognitive impairment or Dementia. It can be operational while the person still has capacity but may be physically unable to attend to financial matters. The benefit of the ‘enduring power of attorney’ is that unlike an ordinary power of attorney; it will continue to operate even if the donor loses full legal capacity. However, it does not permit an attorney to make personal and lifestyle decisions, including decisions about treatment. The authority of the attorney is limited to decisions about the donor’s property and financial affairs. To cancel (revoke) the ‘enduring’ power of attorney the donor must have full legal capacity. The revocation must be made in writing. If the donor has lost capacity, an application must be made...
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...Forging relationships We all can probably recount our personal experiences of receiving some form of nursing care. This might have been as a patient in hospital, in a community or doctor’s clinic or in some other kind of health service provision. The personal relationships we formed with the nurses responsible for our care will have been important to us. For all patients, and their families, the relationships forged with nurses and other carers are central to the quality of their healthcare experience. The quality of these relationships is singled out in patient satisfaction surveys as being of particular importance. To engage successfully with their patients, nurses need to listen carefully, and to get to know their patients as people. Getting to know the person behind the patient is the raison d'être of person-centred nursing care. So what is person-centred nursing? A person-centred approach to nursing focuses on the individual’s personal needs, wants, desires and goals so that they become central to the care and nursing process. This can mean putting the person’s needs, as they define them, above those identified as priorities by healthcare professionals. In the words of Bob Price, a nurse academic writing for the Nursing Standard in 2006, ‘the term person-centred care is used…to indicate a strong interest in the patient’s own experience of health, illness, injury or need. It infers that the nurse works with the person’s definition of the situation, as well as that...
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...legislation and policy on person centred practice Service users have clearly stated a preference to the social model approach to care and the government has responded by introducing various policies and legislations to support person-centred practice. The involvement of individuals, and where appropriate their carers and families, in assessment of their needs and aspirations and their options for meeting them has been a core principle of social care policy for at least the last 20 years, as reflected in the following documents; Valuing People (Department of Health, 2001) The above was the first Government white paper on learning disabilities in England for 30 years. It made direct payments available to more people with learning disability and was first paper where we officially come across the term ‘person centred planning’ . It stresses the important role that the Person Centred Planning can play in helping people with learning difficulties take charge of their own lives. The Guidance (Department of Health, 2002) stressed that the Person Centred Planning is not a professional activity done to people; instead people themselves and their friends and family, families or others must lead it. However, professional services still have enormous role to play in responding in a more person centred way to people with learning...
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...Unit Title: Promote person centred approaches in health and social care Unit sector reference: HSC 036 Level: 3 Credit value: 6 Guided learning hours: 41 Unit accreditation number: Y/601/8145 Unit purpose and aim This unit is aimed at those working in a wide range of settings. It provides the learner with the knowledge and skills required to implement and promote person centred approaches. Learning Outcomes The learner will: Assessment Criteria The learner can: 1 1.1 Explain how and why person centred values must influence all aspects of health and social care work 1.2 Evaluate the use of care plans in applying person centred values Understand the application of person centred approaches in health and social care Exemplification Person centred values include: Individuality Rights Choice Privacy Independence Dignity Respect Partnership A care plan may be known by other names eg support plan, individual plan. It is the document where day to day requirements and preferences for care and support are detailed 2 Be able to work in a person centred way © OCR 2010 2.1 Work with an individual and others to find out the individual’s history, preferences, wishes and needs 2.2 Demonstrate ways to put person centred values into practice in a complex or sensitive situation 2.3 Adapt actions and approaches in response to an individual’s changing needs or preferences ...
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...Implement Person Centred Approaches in Health and Social Care 1.1 Understand person centered approaches for care and support Person centred values is a theory developed by Carl Rogers that trusted the innate tendency (known as the actualising tendency) of human beings to find fulfilment of their personal potentials. An important part of this theory is that in a particular psychological environment, the fulfilment of personal potentials includes sociability, the need to be with other human beings and a desire to know and be known by other people. It also includes being open to experience, being trusting and trustworthy, being curious about the world and being creative and compassionate. It is important to work in a way that embeds person centred values so that a person feels free from threat, both physically and psychologically. This environment could be achieved when being in a relationship with a person who was deeply understanding (empathic), accepting (having unconditional positive regard) and genuine (congruent). Risk taking can be part of a person centred approach as we would choose to use positive and informed risk taking which would involve building a positive view of the individual, and seeking to learn what a persons gifts and skills are and what people admire about them. In person centred thinking we also explore the consequences of not taking the risk so that these may be balanced against the consequences of taking the risk. Using an individuals care plan contributes...
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...Understand person centred approaches in adult social care setting 1.1Person centred values are based on individuality, Rights, Choice, Privacy, Independence, Dignity, Respect and Partnership. It is important to work in a way that embeds person centred values for the Following reasons: to meet the needs of the individual; to provide the best possible quality care service; to ensure a good quality of life of the individual; To treat the individual as you would want to be treated. 2.1In order to find out the find out the history, preferences, wishes and needs of the individual I would need sources of information, this could include asking the individual, their family and friends or carers, other professionals such as GP, social worker; or by reading documents . In order to take into account the history, preferences, wishes and needs of an individual when planning care and support, I would need to follow the principles of person-centred care. This approach aims to see the person as an individual, rather than focusing on their illness or on abilities they may have. Person-centred care takes into account each individual's unique qualities, abilities, interests, preferences and needs. Person-centred care also means treating the individual with dignity and respect. A care plan is a written document that details the day to day requirements and preferences for care and support for the individual. Working with a person in a centred way is...
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...Understanding person-centred approaches In adult care settings Task B Bi Write a reflective account derailing an example of how you have or could have, used a person centred approach in a sensitive or complex situation A new lady arrived at the home where I work with her family and was shown to her room, I asked the lady’s name and she informed me that it was Pat. Pat and her family remained in her room and was brought a tray of tea and biscuits. Pat and her family chatted with the other members of staff and some of the other residents. It was approaching lunchtime and the family was still with her, as Pat did not wish for them to leave just yet, they stayed for lunch with Pat and where still chatting when I returned to see how Pat had settled in, the family where very happy but Pat had started to become agitated that her family where about to leave, the family where trying really hard to comfort Pat saying they would be back the next day to see her. Pat started to follow them out the door to go with them, looking back at it now I could have been more person centred by talking to Pat to try and distract her taking her for a cup of tea and chatting to her to keep her mind of her family leaving. By talking to Pat I could have gained her trust and made her feel welcomed and safe, rather than letting her fret over not seeing her family again. 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...
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...Unit 4222-305 Promote person centred approaches in health and social care Outcome 1 Understand the application of person centred approaches in health and social care Person centred values must influence all aspects of health and social care. The individual is at the centre of the care and are involved in every aspect of it. This ensures that their support, activities, care plans and support plans are tailored to the individual and meet their needs in a way that is appropriate to them. There are person-centred values which must be used to underpin the above. These are respect, partnership, individuality, rights, choice, privacy, independence and dignity. In following the values, people are then empowered to live their lives and achieve their potential. A care plan details a persons needs and wishes, what is being done to meet them and who is involved in doing so. If a care plan is person-centred it reflects their individuality and will contain their own views and wishes, inform you about what they think is important and how they feel about their circumstances and tell; you how they want to live their life. By knowing this, it means you can support them to live how they want and achieve their dreams, recognising their choices and ideas. Outcome 2 Be able to work in a person-centred way Identity, self-image and self-esteem are all linked. Self-image is all about how we see ourselves, and our opinions of our won worth. Self-esteem is all about being...
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