Person centred practice are ways of commissioning ,providing and organising services rooted in listening to what people want, to help them live in their communities they choose .
Where there is person centred practice :persons perspective is listened to and honoured :individuals have a role in planning the supports they receive and the staff that are hired :Regularly look at people lives to see what is working and not working :Employees know their role and responsibilities in supporting people :Staff are matched with people based on skill and common interest Person centred practice is important because when you get to know the patient well,you can provide care that is more specific to their needs and therefore provide better care.
Persons are more likely to engage in treatment decisions, They feel supported to make behavioural changes and feel empowered to self manage. Person centred practice can make a positive difference to health outcomes and patient satisfaction and can improve healthcare workers sense of professional worth.
There is almost no evidence of the effectiveness of person centred planning compared to other approaches. In practice individual planning only reaches a minority of service users .There are problems in resourcing the level of individual planning. Where individual plans are created ,they are often a paper exercise.
There are evidence that individual plans are not well connected to the real lives of people using services. The failure of individual planning is not primarily due to lack of understanding or the kind of planning approach used ,but a by-product of the need for public and private sector to control their budgets.
Another feature evident in person centred practice is implementation gap-the failure to carry through plans into practice
Person centred practice has been increasingly fashionable in intellectual care services. But it has assumed particular importance since its adoption as a primary vehicle for change in 2001 white paper valuing people. White paper identifies person-centred planning as central to delivering the governments four key principles(rights,independence,choice and inclusion) and a high priority for management attention and resources.
Department of health in 2001 used person centred planning as a tool for achieving change. Guidance issued subsequently (Department of health ,2001a) is intended to create a large scale programme of training and implementation. By April 2002 learning disability partnership boards to agree a local frame work. By 2003 ‘specific priorities’ for people still living in long stay hospitals and young people moving from children’s to adult services. By 2004 ‘significant progress’ for people using large day centres, people living in family home with carers aged over 70 and people living on NHS residential campuses.
There is now no serious Alternative to the principle that services should be tailored to individual needs, circumstances and wants. In 1960s,in Britain and north America ,custodial care ,depersonalisation block treatment and rigidity of routine were the norm. Individualisation of service organisation has been accompanied by the development of assessment and planning tool.
In order to provide care we have to seek consent from the service user.
If the service user is not capable of giving consent then their legal representative could give consent. There are different ways to get consent from service users.
Written ,verbal ,body language. When we established their consent we could make their care plan with their help and other relevant people like Doctors, previous carers ,family members etc.Individuals got the right to withdraw a consent if they wish so.
Consent forms can be used for services users to sign or their legal representative to sign on their behalf.
Person centred planning is a process for continual listening and learning, focusing on what is important to some one now and in the future and acting upon this in alliance with their family and friends and others.
It is vital that we think about how the person can be central throughout the process, from gathering information about there life ,preparing for meetings, monitoring actions and ongoing learning, to reflection and further action .There is a danger that efforts to develop person centred planning simply focus on having better meetings. Any planning without implementation leaves people feeling frustrated and cynical, which is often worse than planning at all.
Quality of life is described often with both objective and subjective dimensions. Majority of elderly people evaluate their quality of life positively on the basis of social contacts ,dependency, health ,material circumstances and social comparisons .two major factors to be considered with regard to quality of life are depression and dementia.
Active participation is person centred as it treats the person as an individual, its about recognising an individuals right to participate in the activities and relationship of everyday life as independently as possible. The individual is an active partner in there own care or support rather than a passive recipient. This definition accentuates two key principles underpinning car e:The rights of the individual and independence or autonomy of the individual. Physical benefits including greater activity levels. Increased independence and autonomy in what people do.
Increased opportunities for social contact and interpersonal relationship. Encouraging involvement and self awareness. Individuals become more involved in the community and more aware of opportunities and what they can hope for themselves.