A8- Person centred care Flashcards
What is person centred care?
The action of looking at what makes each pupil unique and then doing everything you can to put their needs first, as it is built on the idea of tailoring care to the individual.
How does the NMC code support person centred care?
The NMC code says that all healthcare professionals have a responsibility to ensure the rights of an individual are upheld and that their best interest is at the centre of decision making.
How can person centred care be practiced within a healthcare environment?
• Making time for people to understand what is important to them.
• Thinking of wider needs such as social, spiritual, health wellbeing and psychological aspects.
• Communication may need adapting.
How can you better your care?
Always reflect on and learn from your interactions with people. This encourages the patient to have trust and confidence in you.
What are the 6c’s?
These are values for patient facing staff and clinical staff to uphold, in order to deliver adequate care.
• Care
• Compassion
• Competence
• Courage
• Communication
• Commitment
Explain what is meant by care in the 6c’s?
Looking after the health of an individual or a community.
Explain what is meant by compassion in the 6c’s?
You must provide care with empathy and respect while maintaining dignity. In order to do this you utilise your intelligent kindness.
Explain what is meant by competence in the 6c’s?
Having the ability to understand needs and holding clinical and technical knowledge in order to deliver effective care a treatment.
Explain what is meant by courage in the 6c’s?
Having courage enables you to be able to do the right thing by speaking up on your concerns, sharing an innovative vision and embrace new ways of working. This is having personal strength.
Explain what is meant by communication in the 6c’s?
This is central to a successful care relationship and teamwork. In addition to this is promotes person centred care as you must listen to an individual to abide by “no decision without me”.
Explain what is meant by commitment in the 6c’s?
You must be committed to your patients and populations to improve care and patient experience.
What is a boundary?
Rules and limits an individual creates to identify reasonable and safe ways for other to behave towards them.
What is patient focus?
Placing the needs of a patient at the centre of care decisions.
What is self disclosure?
Information about yourself that should not be discussed with patients.
What is a dual relationship?
This is holding more than one type of relationship with a patient, the additional one being different to a patient to professional dynamic.
What does it mean to work within your competence?
Having an understanding of your role, capabilities and personal limitations.
Why is important to have boundary’s with a patient?
You and the patient may become entwined causing them to view you as friend.
This may cause the patient a level of confusion or you may disclose information to a patient who is considerably dangerous. So creating boundary’s protects both you and the patient. It also allows you to build a good care relationship, communicate effectively and promotes trust and respect.
What is maslaws hierarchy of needs?
This is a theory that states humans are most likely to fulfil their needs in a hierarchal order.
1- Physiological needs (air, water, food, shelter, sleep, clothing and reproduction).
2- Safety needs (personal security, employment, resources, health and property).
3- Love & belonging (friendship, intimacy, family and a sense of connection).
4- Esteem (respect, self-esteem, status, recognition, strength and freedom)
5- Self actualisation (desire to become the most that one can be)
What is the mental capacity act 2005?
This act protects and empowers those lacking mental capacity, as they may be unable to make decisions regarding their care. This act applies to those 16 or over lacking capacity. It involves decisions on day to day activities and on care and treatment.
This does not apply to unlawful killing, family relationships or voting on behalf of someone lacking capacity.
What is mental capacity?
The ability to learn, retain and recite information. This is a major consent issue.
Because of this there must be a record of best interest decisions made for the patient lacking capacity, incase your decisions are challenge so you have an objective record.
What are the 5 principles of the mental capacity act 2005?
• Assume someone has capacity unless proven otherwise.
• Don’t treat someone as unable to make decisions for themself, unless all practicable steps have to been taken to help them.
• Don’t treat someone as incapable of making decisions just because what they decide seems unwise.
• Always do things in the patients best interest.
• Consider whether something can be achieved in a less restrictive way, can this be done later?
What are the additional 8 principles to uphold in the mental capacity act 2005?
• Choice and control
• Strength based approach
• Transparency
• Holistic
• Personal involvement
• Proportionality
• Fluctuating needs
• Accountability
What does the mental capacity act 2005 say about advocacy?
You are entitled to an IMCA ‘Independent Mental Capacity Advocate’ if you are 16 or over, lacking mental capacity without someone close to you who can advocate for you, or the local authority are reviewing or planning to revive your accommodation.
IMCA’s are appointed by the local authority and can act and make decisions on behalf of the person lacking capacity.
What is holistic care?
An approach to wellness that addresses a patients physical, mental, emotional, social, lifestyle, family and environmental components affecting their health.
What is autonomous practice?
This enables all professionals to provide input of organisational decisions, patient care and enables them to act in accordance with their knowledge so they can make solo decisions.
What is person centred care planning?
Planning care while focusing on the patients strengths, needs and preferences.
What is advanced care planning?
Developing a care plan for ‘far in the future’ to ensure their wishes are respected to reduce the risk of neglect, abuse and a bad patient experience.
What is the Personalisations Agenda 2012?
It places the responsibility upon care professionals to put the individual first when planning, developing and providing care to tailor to their needs and desires.
What is integrated working?
Multiple organisations working together to improve the overall health of a patient, quality of their care and resource allocation.
What is ADRT?
‘Advanced decisions to refuse treatment’
This could be a refusal to receive CPR and more. This can be changed at any time but a doctor can give a patient a DNAR ‘Do Not Attempt To Resuscitate’ even if the patient dosnt agree to one, but the patient can ask for a second opinion to review the decision.
This safeguards staff from legal action.
What is the Liberty Protection Safeguards 2009?
This piece of legislation comes under the ‘Mental Capacity Act 2005’, as it safeguards those with no mental capacity. This act protects those 16 or over, who are deemed as needing to be deprived of their liberty to enable care and treatment.
This use to be called ‘DOLS’ the deprivation of liberty, which is a procedure prescribed by law, when necessary to deprive a patient of their liberty when they lack mental capacity. This is put in place to safeguard them from their own actions. You can come out of this framework.
What is liberty?
The state of being free and having the right to choice.
What are the 5 steps taken to authorise an LPS?
• The responsible body must have complied with their duty to appoint an IMCA.
• The individual lacking capacity or other have been consulted as far as practicable about their wishes.
• The 3 assessments and appropriate determinations have been made.
• The pre-authorisation review has been done.
• The responsible body is satisfied that an authorisation should be made.
What are the 8 principles of the LPS?
• Proportionate
• Fluctuating needs
• Strength based approach
• Choice and control
• Transparency
• Maximise personal involvement
• Holistic
• Appropriate
When should an LPS authorisation request be put in?
If after a mental capacity assessment the following are still true:
• Frequent use of medication/sedation to control behaviour.
• Frequent use of restraint to control behaviour.
• Person, family or friends object verbally or physically to restrictions or restraint.
• They’re confined to a particular part of the establishment.
• Their placement is potentially unstable.
• Possible risk of challenge to restraint or restriction proposed to court of protection, ombudsman, letter of complaint or solicitors letter.
• Already subject to LPS authorisation that is about to expire.
This is in addition to the two acid test questions.
What are the two acid test questions?
• Is the person free to leave?
• Is the person subject to continuous supervision and control?
What safeguarding support is available under the LPS?
• Must be appointed a relevant representative as a soon as possible.
• Can request authorisation to be reviewed at any time to see if you still meet the criteria/ if anything can change.
• Can challenge ur LPS is court.
• If you have an unpaid representative you’re entitled to support from an IMCA.
• Your home/hospital must explain your rights to appeal and give you support in doing so.