A8: Providing Person-centred Care Flashcards

1
Q

Give the purpose of the Mental Capacity Act 2005

A

Protects rights and safeguards and supports individuals over the ag of 16+ who may lack capacity to make choices about their own treatment and care.

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2
Q

What is the amendment 2019 for the MCA act 2005?

A

Individuals who have dementia, learning disabilities or a brain injury are protected under by this act.

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3
Q

What does LPS aim to do?

A

Aims to improve and simplify process of accessing mental capacity.

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4
Q

Give the key principles of the care act 2014

A

Accountability

Empowerment - individuals should be
supported to make their own decisions based on the best possible information.
Protection - Service users who are in greatest need of support and protection

Prevention - better to take action before harm occurs

Partnership - working with a range of professionals

Proportionality - actions should be proportionate to the risk, being overprotective can disadvantage service users to make their own decisions.

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5
Q

Give the role of the CQC

A

Regulator of HASC in England
Carries out inspections on hospitals, GP surgeries and care homes
- Publishes views on quality issues in HASC services
Ensures HASC services provides people with safe, effective and compassionate high quality care.

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6
Q

Give the role of Health and Safety Executive (HSE)

A

Inspects health and care workplaces following health and safety incidents of a non-clinical nature

Improves NHS in the workplace

Ensures Health and safety laws are adhered to in the workplace.

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7
Q

Give the role of the General Dental Council

A

UK wide statutory regulator
Provides information on how to raise concerns
Protects individuals safety from unqualified professionals
Registers qualified professionals
Maintains public confidence in services

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8
Q

Give the role of Nursing and Midwifery council

A

Registers professionals
Ensures professionals have the knowledge and skills to deliver consistent and quality care that keeps people safe
Professional regulator of nurses and midwives in the UK and nursing associates

Registration has to be revalidated every three years and 35 hours of CPD and 5 written reflective accounts.

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9
Q

What are some typical care needs?

A

Personal growth that enables full potential

Independence that enables empowerment

Nutrition + hydration essential for good health and wellbeing

Personal care - hygiene and cleanliness

General health and wellbeing

Self-esteem.

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10
Q

What are the stages of human development across the lifespan?

A

Infancy 0-2 years
Childhood 3-8 years
Adolescence 9-18 years
Early adulthood 19-45 years
Middle adulthood 45-65 years
Later adulthood 65+

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11
Q

What is the ICO?

A

Information Commissioners Office (ICO)
Independent body
Carries out audits and advisory visits across health organizations in relation to data.

Role upholds and promotes rights in the public interest, encouraging transparency and data privacy for individuals.

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12
Q

What is OFSTED?

A

Inspects and regulates social care services that care for children

These organizations must register with the CQC

OFSTED are responsible for children’s homes under the children standard act 2000 who regulate where activities take place.

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13
Q

What is the HCPC?

A

Healthcare professionals council

Regulates 15 health-related professionals e.g. OT, PT, paramedics, radiographers, dieticians

Sets standards for professionals education training and practice.

Registers professionals who meet required standards.

Can take action if professionals do not meet standards.

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14
Q

Give the NHS core values

A

Commitment to quality care
Compassion
Everyone counts
Working together for patients
Improving lives
Respect and dignity

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15
Q

Who was the NHS core values developed by?

A

Patients, staff and public.

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16
Q

How can we support people with bereavement?

A

Providing a safe and comfortable environment and suitable resources

Provide emotional support

Understand families may have an emotional reaction

Duty of candor

Sign posting appropriate services
Acknowledgement of cultural/religious rituals

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17
Q

State the 6CS.

A

Care
Courage
Compassion
Communication
Competence
Commitment

18
Q

Give the importance of practicing and promoting the 6CS.

A

Dealing with conflicts
Ensures partnership working
Providing choices and gaining consent which offers empowerment.
Ensuring honesty
Ensuring privacy and honest
Escalating concerns
Respecting individuals
Following duty of care

19
Q

Give the concepts of safeguarding.

A

Protects peoples health and wellbeing
Enabling people to live free from harm, abuse, and neglect and protecting their human rights.

20
Q

State the importance of managing relationship and boundaries

A

Helps prevent potential abuse
Must work within their own competence
Avoids misinterpretations of roles
Protect those providing and receiving care

21
Q

How can professionals work within their boundaries?

A

Maintaining professional conversation
Adhering to regulatory bodies standards of professionalism.

22
Q

Give some examples of verbal communication.

A

Interviewing someone
Conversations
Phone calls
Asking questions
Recorded messages.

23
Q

Give some examples of non-verbal communication.

A

Braille
Gestures
Makaton
Facial expressions
Body language

24
Q

What is the importance of using holistic approaches?

A

Complying with autonomous practice
Encouraging engagement with professionals
Ensure that care is provided is in individual best interest.
Holistic approach looks at and different needs of a patient.

25
Q

Give some holistic approach methods.

A

Person-centered planning (PCP): placing the person at the centre of their care.
Person-centered care
Advanced life planning: e.g. end of life care.

26
Q

What is the purpose of personalization Agenda 2012?

A

Puts the individual first in the process of planning, developing and providing care.

Creating tailored support to the individual needs and desires when treating those with long-term illnesses and conditions.

27
Q

What is the role of the people and communities board?

A

It promotes person-centered care.

28
Q

Give the 6 principles produced by the people’s communities board.

A
  1. Care and support are person-centered
  2. Services are created in partnership with citizens and communities.
  3. Focus is on equality and narrowing inequalities.
  4. Carers are identified, supported and involved.
  5. Voluntary, community social enterprise and housing sectors are involved in key partners and enablers
  6. Volunteering and social action are recognized as key enablers.
29
Q

How can we overcome barriers to communication?

A
  • Actively listening to the individual about their communication needs.
  • Active involvement
  • Choice of communication aids
  • Access to a range of support options
  • Access to information that is understandable.
30
Q

What are some barriers to communication?

A
  • Noisy environment
  • Sensory disorders (speech and sight)
  • Tension or conflict
  • MH condition
  • Positioning (proximity)
  • Language barriers
  • Time pressures
31
Q

What are the five statutory principles of the MCA 2005?

A
  1. Presumption of capacity
  2. Support individuals to make their own decisions.
  3. Recognise that unwise decisions does not mean lack of capacity.
  4. Decisions must be taken within best interests
  5. Consider weather a decision can be made in a way that is less restrictive of an individual’s freedom.
32
Q

What is the role of Liberty Protection Safeguards?

A

To ensure that individuals are only deprived of their liberty in extreme situations.

33
Q

When does the LPS apply?

A

When a person lacks capacity to consent to care arrangements.
Person has a mental disorder
Arrangements are necessary to prevent harm
Arrangements must be proportionate to the likelihood.

34
Q

What are some things that must be taken into considerations when providing person-centered care?

A
  • Serious illnesses e.g. cancer.
  • Neurological conditions e.g. dementia
  • Physical disabilities (wheelchair user)
35
Q

What aspects of daily life can be impacted by a long-term condition?

A

Washing and dressing
Shopping
Finances
Self-neglect
Mobility
Speech
Social

36
Q

Give some considerations when considering a mental or physical condition.

A

Financial circumstances
Mental capacity
Ongoing treatments
Individual rights and wishes
Access to additional services
Overall wellbeing
Discharge planning
Follow PCP
Co-morbidity and impact
Access to community provision
Assessment of need
Carers assessment.

37
Q

How can mental disorders influence a person’s needs?

A

Increased support requirements
Physical support requirements e.g. care support worker
Communication support requirements
Reduced ability to self-care
Increased monitoring requirements
Behavioural support.

38
Q

What is the positive impact of individuals taking care of their own health and wellbeing?

A

Improving self-esteem and independence
Improved partnership working
Improved efficiency of staff time

39
Q

How can independence and self care be promoted and what is the impact?

A

Individuals to be supported to identify their strengths
Individuals to have involvement, choice and control over self-care
Individuals should have access to support networks, appropriate
Support in risk management and risk taking.

40
Q

How can mental disorders influence a person’s needs?

A
  • Behavioural factors e.g. violence or aggression
  • Comprehension factors e.g. anxiety around care, lack of understanding of the care being provided
  • Awareness of possible abuse.
  • Perceived stigma attached to conditions and disabilities.
  • Dissociative disorders
  • Impaired rationality around the condition
  • Refused of treatment.
41
Q

What is the role of professionals during the active dying phase?

A

Involving individuals and families
Advocating patients rights and wishes
Provide support to individual and family and what is expected during this time.
Addressing questions and concerns
- Taking time to listen
- Understanding the stages of grief, providing emotional support.
- Recognizing when someone may be entering the last few hours of their life.
Safeguarding the individual
Involvement of the MDT.

42
Q

Give some terms that are used in relation to death and bereavement.

A

EOL: Care provided to those who are in the last years/months of their lives.

Palliative care: relieves suffering through an approach that improves quality of life.

Grief: response to loss and intense sorrow.

Hospice: provides care for those who are dying

Acute or gradual deterioration in an individual’s health often due to terminal illness.

Bereavement: sense of loss when someone passes away.