Person-centred care Essay
1.1Describe person centred approaches.
The term ‘person-centred care’ does exactly what it says – it essentially places the person at the heart of everything that the care worker and the care setting do. The individual’s needs and emotions are the focal point, and any difficulties are resolved in the interest of the person with dementia (rather than attempting to change the behaviour of the individual). It places the person at the centre of all – thinking, discussions, processes and procedures. The person- centred approach also sees the interactions between the person and different elements within their support systems as being of paramount importance, and therefore places emphasis on supporting the system that supports the person i.e. the family and friends, and other professionals. Person centred approach seeks to view the person with dementia as a whole and considers how the person is influenced by factors beyond the physical changes in their brain.
1.2 Explain why person-centred values must influence all aspects of social care work
Person-centered values must influence all aspects of health and social care work. The Human Rights Act 1998 makes it a law that health and social care should be based on person-centered values.
1.3 Explain how person-centred values should influence all aspects of social care work
If person-centered values become guidelines for health and social care practices. It will definitely help to provide anti-discriminatory practices and help to promote and support individual’s rights to equal opportunities, dignity, independence, choice and safety
2.1Explain how finding out the history, preferences, wishes and needs of an individual contributes to their care plan.
Finding out the history, preferences, wishes and needs of a customer, when writing their care plan, ensures:
Needs and wishes of the customers are met in their daily routine The Care worker has a factual reference point with which to encourage conversation with the customer Helps the Care worker to understand the customer and therefore have empathy which will result in a high level of care
2.2Describe ways to put person centred values into practice in a complex or sensitive situation.
I have a customer who is blind; he lives in the house with his wife. He has 4 children, when we started their care, 3 of his children did not speak to him. The one daughter and their grand daughter took care of shopping (online) amongst other things. His wife went into hospital and the children blame him (never explaining to the care provider how or why this was the case) As the care worker for the customer I naturally have the gentleman’s needs first and foremost. Whilst I was on one of my visits to the customer (this day was usually to receive the online shop and put away amongst other things), I rang my manager as the delivery had not come and time was running out before I went to my next customer.
I requested that they ring the family member and was informed that there would be no delivery as the customer had stated that he did not want any more deliveries. When I spoke with the customer he was not aware of this and asked me what he should do. I spoke with my office and asked if it was ok for me to do his shop as I knew what foods he liked, where he liked his shop to be done and also the fact that he trusted me to do this for him as I was his regular carer. The customer was happy for me to do this and I was able to calm him down talking about things that I knew were of interest to him.
2.3Evaluate the use of care plans in applying person centred values
I believe that care plans are essential in applying person centred values as when dealing with a customer you must have a thorough medical history so you can deal with their needs effectively and also deal with the medical services GP/Paramedics. A full history on the background of the customer is also important, knowing what work they have done, what are their hobbies and interests, family members that they may have and how they may help them in their lives, as it is a conversation point and shows that you are interested in the customer and their lives. Knowing your customer gives you an understanding and an empathy with them.
2.4Explain the importance of monitoring an individual’s changing needs or preferences.
It is very important to monitor and record a customers changing needs or preferences as it will help to make the customer more comfortable and happy that their requests are being heard and acted upon. It is also important because it will let other carers about any changes and if the customer is acting unusual or saying things that do not seem quiet right the this may be due to the fact that they have a UTI or be unwell in some way.
3.1Describe factors that influence the capacity of an individual to express consent
It is crucial for a care worker to be aware and take the matter carefully, because the capability to make decisions among individuals are different. It may look quiet simple o think that people with mental impairment, physical illness or people who have got language barriers, may have a lack of capabilities to express agreement. A care worker will understand how to work sensitively with customers individually and design goals to achieve a successful outcome. The mental capacity act states that every adult has the right to make their own decisions. It must be assumed that they have the capacity to do so, unless it has been proven otherwise. It also states people should be supported in making their own decisions.
3.2Explain how to establish consent for an activity or action.
Consent for an activity or action must done in writing and signed by the customer/family member or a person acting on the customers behalf.
3.3Explain what steps to take if consent cannot be readily established.
Consent (permission) must be given before care can be given to a person. To even touch a person when forbidden, can be considered assault. If there is nobody available when an intoxicated, unconscious or impaired customer requires care, then consent is “implied,” as there is nobody to give that consent. It is assumed that consent would be given by family or that person, if they were able to communicate that.
4.1Explain the principles of active participation
Active participation is a partnership between a customer and the care workers whom support them; it is designed around the customers, letting them choose to live their life as independently as possible
4.2Explain how the holistic needs of an individual can be addressed by active participation.
Holistic means whole so by a customer being involved in active participation it will treat the customer as a whole. Active participation is will enhance the customers life both mentally and physically. They will benefit by being stimulated by the interaction of others and the activity.
4.3Explain how to work with an individual and others to agree how active participation will be implemented.
Firstly you must determine the best way to communicate with the customer you must then determine what activity would be of interest to the customer Contact the relevant professional and arrange a meeting to see how they may actively participate in the activity. A taster session may be given to confirm that the customer is happy to continue. Once the customer is happy with the activity then arrangements for the activity can be confirmed.
4.4Explain how to promote the understanding and use of active participation.
Discussion and encouragement with the customer
Providing useful information and choice.
Using friends and family to encourage
Using appropriate activity
Pier group encouragement
Highlight the benefits of the different activities
5.1Describe different approaches to support an individual to make informed choices.
How you support an individual to make informed choices depends predominantly on the customer’s abilities or inabilities. The main support you can give them is information so they can make an informed choice and once they have that information then they are able to make that decision. If a customer is unable to speak then you can give them visual options so they can show you what interest them and what they would like to do. You can also refer to the care plan for extra information on how to best support your customer with their choices. Some customers may have problems with the memory, therefore discussing their choices and writing them down so they have a reference point.
5.2Describe how to support an individual to question or challenge decisions concerning them that they are made by others.
I believe that giving customers the information they need is vital. You can support them by :-
Offering to attend any meeting they may have to offer moral support
Finding out the information which they may need.
Speaking on the customers behalf (if they are not able to speak)
Making written notes for customers so they have the information they need in front of them.
5.3Explain the consequences of allowing the personal views of others to
influence an individual’s choices
If you allow the personal views of others to influence a customers choice then you may find that:- The customer will not have an interest the choices being made May become insular and feel undervalued as their opinion was not taken into consideration. It may spoil the relationship between the customer and carer. Explain the links between identity, self image and self esteem
Just because someone is older/ill it does not mean that they cannot keep their own identity. When looking after a customer in their own home you are trying as a carer to help the person maintain as normal and unchanged life as possible. Helping them to remain as independent as possible.
6.1 Explain the links between identity, self image and self esteem
The links between identity, self image and self esteem I believe are as follows:- Identity is knowing who you are and what you what identifies you as THE person you are – with that comes self image which again identifies you as THE person who dresses the way you do, wears your hair the way you do etc, with keeping that same identiy and same self image it contributes how you feel about yourself and/or your self esteem. If you are able to keep all of the above in place for a customer then it will benefit them greatly in their day to day life and in any recovery.
6.2Explain factors that contribute to the well-being of an individual
Factors which contribute to the well-being of a customer may be as follows:-
Familiar Surroundings – living in their own homes and surrounded by their possession People contact – daily contact with people especially family members and friends Good Care Plans – an indepth care plan can give the care worker the knowledge on how to look after the customer to a high standard
6.3 Explain the importance of supporting an individual in a way that promotes their sense of identity, self image and self esteem
To enable a customer to live independently in their own home, giving them a sense of identity, self image and self esteem can I believe help in the physical recover of a customer. If they have dementia then it is vital that they keep the identity as familiarity is very important, to make them feel more at ease with what is a very confusing and sometimes upsetting time.
6.4Describe ways to contribute to an environment that promotes well-being
In order to contribute in a positive way, you must firstly know what makes the individual tick Surround the customer with familiar possessions, environment and family and friends. Give the customers the information that they need to feel confident. Enable them to feel confident to question things that make them feel safer
7.1 Compare different uses of risk assessment in adult social care settings
There are various uses for doing risk assessments in an adult social care setting
Accident Prevention: – carrying out work directions to ensure the safety of the customer and others Prevention of injury to individuals:- Ensuring the correct handling of customers so injury does not happen Prevention of injury to workers and other professional individuals: – Again ensuring the correct handling of customers so the care worker or other professionals are not going to put themselves at risk of injury. Description of procedures or steps:- Ensuring that everything in the written to an exacting standard so other care workers will know the correct steps to ensure the safety of the customer and the care worker. To meet Legal requirements – Rightly so there are rules/regulations and guidelines put into place to protect the customers, care workers and other professionals. These are again done, to protect all concerned.
7.2Explain how risk-taking assessments relate to rights and responsibilities.
There are guidelines to follow when doing a risk assessment which are put into place for reasons mainly relating to:-
Prevention of danger and harm
Clear guidance and instructions.
All these are once again for the benefit of customers/care workers and other professionals.
7.3Explain how risk-taking relate to rights and responsibilities.
We all need to take some risks in order to have as full a life as possible. Customers have the right to choose the risks they want to take but have the responsibility not to put others in danger. You have a responsibility to support their choices whilst keeping them as safe as possible.
7.4Explain why risk assessments need to be regularly revised
Risk Assessments need to be regularly revisited as circumstances change i.e. condition of the customer and that of their surroundings.
7.5 Explain the importance of using agreed risk assessment processes to support choice
Using agreed risk assessment processes to support choice are essential as this supports the safety and well being of the customer and that of the care worker and other professionals who come in contact with the customer and their property. It is essential to discuss the risk assessment with the customers as they are the people best placed to make a contribution.