Communicating for Person Centred Care Flashcards
Person Centred care
- Talking with the person
- Planning with the person
- Focus on strengths, skills and abilities
- Things are done that way because they work for the person
- Family and community members seen as partners
Service/system centred care
Talking about the person
* Planning for the person
* Focused on labels/diagnosis, deficits
* Things are done that way because they work for the staff or service
* Family and community members seen as peripheral
Communicating for Person Centred care
- The Biomedical Model enables us to provide evidence-based care to reach the best treatment outcomes
- The Biopsychosocial Model adds to this by taking a holistic approach to care for the best outcomes for all
The Biomedical Model
FIND IT + FIX IT = HEALTH
The Biopsychosocial approach
BIOLOGICAL»_space; HEALTH –> SOCIAL CONTEXT
–> PSYCHOLOGICAL
The 4 E’s of communication
Engage
* Empathise
* Educate
* Enlist
Engaging
Build rapport
* Warm greeting, use names - establish first name or other preference)
* Use eye contact and appropriate body language
Active Listening
* Give the person time to tell their story (uninterrupted)
* Use open ended questions (tell me about… how would you describe…)
Empathising
Empathy is understanding the other person’s situation and
feelings (sympathy is pity – from your perspective)
* Consider the person’s thoughts, feelings, values and beliefs
* Acknowledge these feeling:
* Verbally - “I understand you must be feeling…”
* Nonverbally – nodding, eye contact, facial expressions
Educating
- Assess the person’s knowledge and understanding (health literacy)
- Provide information that is relevant and appropriate
- Do not just tell, share and negotiate what is possible, appropriate and achievable
- Allow and ask questions
Enlisting
Enable and encourage the participation of the person
AND family/carers in:
* Decision making
* Management and care plans
* Giving feedback
Empower the person/family/carers to take an active
role in their health and the management of illness.
Cultural sensitivity is:
Being aware of the ways that the culture of people/patients/family/carers/community may differ from your own culture.
Ensuring that to meet their needs you must demonstrate a willingness to recognise and respect the differences.
Taking steps to accommodate and meet the cultural needs of others through interpersonal interactions and service provision at an organisational level.
Stereotyping and cultural sensitivity
Cultural sensitivity requires an ATTITUDE that your culture is not the only one and not the best one, and you must be open to other cultures.
* Stereotyping is making assumptions that a person from another culture will think and behave in a particular way.
* It is vital to balance an understanding of how other cultures may operate with an openness to the person and people you are working with.
Factors to be considered
1.Social Factors
2.Cultural Factors
3.Personal Factors
Social Factors in Indigenous society
All of these statements are possibilities, not absolutes.
ATSI people:
* May live in rural and remote areas or metropolitan areas
* May live in larger extended family groups
* May have low SES
* May have lower levels of education and health literacy
* May fear and distrust Government based organisations and personnel
* May have English as a second language
Cultural Factors in Indigenous cultures
Aboriginal and Torres Strait Islander people may have
different communication norms:
* Conversations may be discursive (prolonged narratives or “yarning”)
* Direct questions and expectations of direct answers may be considered rude
* May agree with health professional rather than disclose they disagree or don’t understand
