person centred approach Flashcards
define person centred approach
- seeing the person as an individual
- focusing on their personal needs , wants , goals and aspirations
define the 6 key concepts of person centred approach
1)knowing the person as an individual
2)respect and dignity
3)respecting the individuals values and preferences
4)empowerment
5)choice and autonomy
6)empathy and compassion
explain the impact of knowing the person as an individual - PCA
Taking time to find out about the person beyond that illness/disability
Thinking about what is important to an individual, i.e. their goals and aspirations, their family, relationships, likes and dislikes
This can help facilitate individual routines
explain the impact of empowerment– PCA
More aware of their own strengths and abilities, they will feel more confident and take more control of their life
learning new skills that will enable them to become more independent and work more positively and with professionals and others to achieve their goals
what are the 3 key principles of person- centred care ?
1) independence and rights
2) co-production, choice and control
3) inclusive and competent communities
explain independence and rights
- the right to live the way they want to live (home adaptations, choice of residence etc)
- the right to be employed ( equality act 2010 ensures individuals with disabilities cannot be discriminated against )
- the right to form meaningful relationships- spend more time in the community - more chance of them meeting new people and making friends
give an example of respecting the individuals values and preferences- PCA
respecting a jewish service users religious practice and beliefs. e.g. they may not want to arrange a non emergency medical procedure on the Sabbath day as they believe it’s the day of rest
explain choice and autonomy - PCA
- each initial should be supported to make choices about their care and support
- they should be given info in a way they understand so they can make informed choices
- when working with unfocused who cannot express their wants in words you must find other ways of communicating
how can you provide dignified care - PCA
(4)
- have an open and positive attitude
- take time to do things their way
- don’t make assumptions about how they want to be treated
- be aware of how personal care can affect their dignity
what does treating someone in a dignified way mean
treating them with respect, valuing their individuality, ethical and moral beliefs.
how can empathy and compassion be shown to service users
- practice good manners
- show personal interest
- acknowledge their feelings
don’t treat them like objects, burdens, numbers
explain co- production, choice and control - principle of PCA
- treat service user as an equal partner in decision making about their care
- be able to make decisions about their care / life
- to have what’s important to them
explain inclusive and competent communities - principle of PCA
individuals should have the opportunity to participate in community activities, to volunteer in their community and feel like they belong
what helps service users feel included in the community
- feeling valued as a neighbour, friend, employee etc
- have friends, social contacts
- can use community resources such as liabries, leisure centres
what are the 7 challenges to adopting a PCA
1) resistance to change
of care
2) institutes history of public service
3) institutions promoting a medical model
4) lack of staff training
5) communication barriers
6) repeating choice when alternatives may promote health and wellbeing
7) focusing on deficits rather than capabilities
how is resistance to change a challenge to
person centred care
- service user may not want to lose the safety net of having someone making all the decision for them.
-professionals may feel loss of power
how is institutional history of public service a challenge to person centred care
-in the past professionals made decisions as they “ knew best” and service users accepted what they said
- the history of care has been that way for a long time and it will take time to change
how is institutions promoting a medical model of care a challenge to person centred care
- it sees people limited by their condition and can’t participate in society
- sees disability as a problem that belong to the individual
- NHS focuses on fixing the individual through medication/ surgery.
how is lack of staff training a challenge to Person centred care
- person centred care is relatively new
- to be successful, all staff should be trained
- it’s a brand new set of skills to be taught and used
how are communication barriers a challenge to Person centred care
barriers can lead to resentment, frustration, misunderstanding and demoralisation for both professionals and individuals as info is not clear or understood to a high standard
how is respecting choice when alternatives may promote health and wellbeing a challenge to Person centred care
- sometimes professionals struggle to accept an individuals choice especially if it affects their health
for example - refusal of medication because they don’t like the side effects of it
how is lack of clarity over roles and responsibilities a challenge to Person centred care
in the PCA everyone is equal so roles and responsibilities are shared between the individual, family, carers and friends.
example - resident in care home is not given breakfast cos the care worker arriving on shift thought she’d already received it
what are the 5 ways to overcome challenges of a Person centred care
1)value based recruitment
2) staff training
3) regular review of support provided
4) recognising when provision is not person centred and taking action to rectify it
5) modelling behaviour
how does value based recruitment help to overcome challenges of Person centred care
gives the employer insight into someone’s values - helps to see if they align with social care values
how does staff training help to overcome challenges of person centred care
- reduced job stress and staff turnover
- gives staff the knowledge and skills to feel confident in delivering Person centred care
how does staff training help to overcome challenges of person centred care
- reduced job stress and staff turnover
- gives staff the knowledge and skills to feel confident in delivering Person centred care
how does regular review of support provided help to overcome challenges of person centred care
to review if anything in the service users support plan needs changed
friends and family are at this review
how does recognising when provision is no person centred and taking action to rectify it help to overcome challenges of person centred care
- ensures the individual is in control and is aware of what is happening
- recognises when the individual is being passive and not helping create their care
how does modelling behaviour help to overcome challenges of person centred care
- observing others who do person centred care well
- helps us to learn and copy their behaviour
- good starting point for professionals who need guidance or need to gain confidence
