Person- centred approach Flashcards
What is person- centred approach?
It is a balance between what is important to and what is important for a person. It enhances voice, choice and control. It also clarifies roles and responsibilities.
Principles of a person- centred approach and how it support an individual
Independence and rights- to live the way you want, to be employed, to form meaningful relationships.
Coproduction, choice and control- to be treated as an equal partner in decision about their life/ care, to have more of what is important to them.
Inclusive and competent communities- to be able to participate in community activates, to feel they belong.
Historic overview
- Institutional history of public services
- Disability rights movement and links to person centred approach
What is the disability rights movement and links to person centred approach?
1940s/1950s- Leonard Chesire, RNIB and the spastics society established homes for people with disabilities.
1990s- introduction of first direct payments and a growing influence of the peoples first movement.
2000s- saw the closure of the last remaining institutions, signalling the end of segregated institutional living.
Challenges to adopting a person- centred approach
- Resistance to change
- Institutional history of public services
- Institutional promoting a medical model of disability.
- Lack of staff training
- Communication barriers
- Respecting choice when alternatives may promote better health or wellbeing
- Focusing on deficits rather than capabilities.
- Lack of clarity over roles and responsibilities.
Methods for overcoming challenges
- Values- based recruitment
- Staff training
- Regular review of support provided
- Recognising when provision is not person- centred and taking action to rectify
- Modelling behaviour
Analyse- Resistance to change
It is an emotional reaction and is based on the thought of losing someone or something, for example a service user might not want to lose the support network they have. Professionals do not want to feel the loss of power as they are no longer in control.
Analyse- Institutional history of public services
Professionals know best and individuals would accept what the doctor/ nurse was saying without question. There was restricted choice and there could have been a misdiagnosis.
Analyse- Institutional promoting a medical model of disability.
Institutions promoting a medical model of disability: the medical model of health sees disability as a problem and therefore the person is limited and cannot function in society. The NHS focuses on curing or fixing the individual so they can deal with disabilities.
Analyse- Lack of staff training
For this to be successful staff need to be trained, they need a new, different set of skills so they can successfully implement the newer strategies.
Analyse- Communication barrier
They might not understand the language, unable t communicate, share information, frustration if wants and needs are unknown.
Analyse- Respecting choice when alternatives may promote better health or wellbeing
Professionals can find it difficult to accept an individuals choice especially if it affects their health. Women getting screening and someone not wanting treatment for carer.
Analyse- Focusing on deficits rather than capabilities
Focus on what they cannot do rather than what they can do.
Analyse- Lack of clarity over roles and responsibilities
Things that need to be done should be shared with the individual family and professionals.
Analyse- Values based recruitment
Values based recruitment is an approach which attracts and recruits students trainees and employers on the basis that their individual values and behaviours align with the values of the NHS Constitution.
Analyse- Staff training
Staff training can reduce stress, which can reduce staff turnover. Staff must have confidence to provide person centred care through the skills and knowledge gained through education and training.
Analyse- Regular review of the support provided
It is essential to review support that is being provided. The reviews are as essential as the care/ support. Reviews should be conducted in a person- centred way. When the review will happen should also be included in the support plan, however, should the individual, the family or the professional feels its necessary, the review can be brought forward to review.
Analyse- Recognising when provision is not person- centred and taking action to rectify
This could happen if the professional does not regularly check with the service user that they are aware of what is happening, or it could be a person taking a passive role in their care. This needs to be identified and challenged.
Analyse- Modelling behaviour
Showing good practise and highlighting when practise is good. This means that others can observe and then model the behaviour too which highlights better practise. This is especially helpful for newly employed or newly qualified staff as it allows th m em to build both skills and confidence.
