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.
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.