DUDLEY COLLEGE LEVEL 5 COURSE WORK UNDERSTAND THE THEORY AND PRINCIPLES THAT UNDERPIN PERSON CENTRED PRACTICE Explain Person Centred Practice Person Centred Practice is an approach that puts the client at the centre of their care and their care is structured around their individual needs

DUDLEY COLLEGE LEVEL 5 COURSE WORK UNDERSTAND THE THEORY AND PRINCIPLES THAT UNDERPIN PERSON CENTRED PRACTICE Explain Person Centred Practice Person Centred Practice is an approach that puts the client at the centre of their care and their care is structured around their individual needs. It involves them in making decisions about things that affect them (Health Foundation 2012). It helps the patient to know what is happening around them and be able to make decision about their needs and things that affect them. It makes it possible for professional care and support workers to detect what is important and what is crucial to the person they are supporting and when this happens they will be able to provide more specific care to the needs of the patient, and the patient in return are engaged in their own treatment decisions and they feel supported. Person Centred Practice plays a major role in the care sector it involves the service user fully in planning, developing and assessing everything about their care needs. In simple words we can also describe it as involving the service users and their families in the heart of the decisions and both can influence the care plan to suit the individual needs. Person centred practice also put value to the dignity of the service user, makes the individual more independent. A level of respect, privacy and rights is being earned by the service user. Health foundation 2012 Health government (2002), person centred approaches, HYPERLINK http//www.health.vic.gov.au/older/too/kit/02/(2014) www.health.vic.gov.au/older/too/kit/02/(2014) 1.2 Critically Review Approaches to Person Centred Practice When talking about person centred practice the main person is the patient. Always explain what is going on with the patients, why you are doing what u do or what will happen when you do, these are questions that the service users will what to know and they should be answered. It is mandatory to make the service users feel included at all times. (Hassan, 2009). These are the following but not limited to those mentioned below. Always help the service user do as much for themselves i.e given them independence to help themselves and not always rely on the care worker. The patient comes first, in person centred practice, in that case patient have choices The patient must be treated as an individual in all scenarios. Some care workers make mistakes of shouting on their patients and also treating them like a child including using power to control them this might cause the patient to go more into depression because at their recent state, they are already vulnerable. The patient must be treated with dignity and respect, this will open them up to achieve independence as much as possible Ensure that the patient rights and privacy are maintained at all times The patients and their families will have control over all aspects of their life, from beginning to the end and it also involves making everyday decisions of what happens to them. 1.3 Analyze the effect of legislation and policy on person centred practice Most government continues to provide policies to enable patients to be promoted with the choice of what they want their care to be, by promoting legislations. Legislations and policies such as Mental capacity Act 2007 Equality Act Human Rights Act 1998 Are few legislation and policies act that enforces that service users make their choices in their needs, health care and everyday life. This legislation and policies also ensure that these service users are treated with dignity and fairly at all times during the care. In some extreme cases, if the mental health of the service user is very severe and could lead to the service user causing harm to themself, then others are allowed to make decisions for them in these cases. In 2007 the mental act was implemented to protect cases like this mentioned above. At the same time any decisions made for them must be to the best of their interest and also in a positive way. Person centred planning is implemented in some scenario by professionals in order to keep the well being and safety of the service users. But even though sometimes as mentioned above the decisions may be made for service users that lack the capacity at that point to make some important decisions, it should also never assume that they are unable to make any decisions because of the mental or physical state they are in at the time. Department of Health (2009) is working on opening and given more opportunity for providers and introduces competition into care services. We have seen in the local south end area of the United Kingdom that there has been a collaboration in the local health surgeries which now include speech and therapy, minor operations, Audiology, blood tests, diabetes checks etc. this enables the patients to be able to go to their local surgeries instead of wasting time at the local hospital. (Department of health (2009). 1.4 Explain how Person Centred Practice informs the way in which consent is established with individuals Person centred practice can inform how consent is established. All staff that work for S.T.A.R.T are given training in how to obtain consent from individual patients and the different ways that we can obtain consent. Person centred practice may include that the individual needs an advocateor social worker to act on their behalf. They must be allowed this choice. This will enable the patient to be treated with the values and beliefs they wish. If the patient has difficulty in unit 501.if the patient is hard of hearing, sign language may be used. If the patient speaks English as a English as a second language, an interpreter may be used. This is all arranged around the patients person centred practice and must be included in their every day care. If they are not capable of giving consent, then they must have a mental capacity assessment and their care must be centred around their best interests. They are given an informed choice. 1.5 Explain how person centred practice can result in positive changes in individuals life The aim is to give the patient as much control over lives as possible. It may only be small change that is o say we have recently had a patient with START that needed warfarin administered every evening . How ever he enjoyed a large glass of port every evening and wished to go to bed early. START contacted his doctor and asked if the warfarin could be given in the morning. The doctor agreed to this. This enabled the patient to carry on with his everyday life, enjoying his glass of port at night and START ensuring he had his medication correctly everyday. Person centred practice may be on a larger scale. That is a stroke patient maybe entitled to direct payment which would enable him to conduct his own management of care and enable him to have rehab assistants and care assistants when he chose to have them. This may enable them to go shopping or to the gym or to do day centers. The choice would be the patients. Be able to lead a person centred practice Support others to work with individuals to establish their history , preferences , wishes and needs- a team leader is responsible to work with rehab assistants and their patient to establish their personal history, all patient have their individual care plan which shows the patients medical history and care needs. The team leader monitors the rehab assistant to ensure they are abiding by the patients wishes and needs. Support others to work with individuals to review approaches to meet individuals needs and preferences. Support others to work with individuals to adapt approaches in response to individuals emerging needs or preferences- on way of reviewing approaches is by supervision. When I have supervision with the rehab assistant I ask them if there is any training that they feel they need to enable them to do their jobs properly and correctly. This improves their quality of work. Whilst carrying out their roles and it is an opportunity to see if there are alternative ways that can be tried in practice . Person centred practise (PCP) places the individual at the centre of the care they receive and this can lead to a lot of positive changes. Before the use of PCP, treatment of an individual was based on their condition (medical model). Decisions are continually made for the individual as they are only defined as being independent once they overcome their disabilities. Taking away a persons choices long-term may lead to ill effects such as withdrawal, depression, lack of motivation, lack of progression, delusions of over dependency, challenging behaviours, lack of opportunities and community access and institutionalisation.Using the a social model of treatment means that individuals are defined as being independent as long as they are given the tools and help they need to do so. Empowering an individual to make decisions about their life and helping to honour those decisions means that an individuals world has been opened up. This can lead to individuals having increased access to the real community giving them valuable and real experiences and helping to form relationships. Using the medical model means that individuals would have been held back from community access because they would be assessed as lacking independence. This may lead to individuals being institutionalised through lack of experiences. Planning activities based on a medical model may mean individuals are guided into activities which are good for their condition and probably involving other people with similar disabilities. However activities and therapies are far more successful if they are based on an individuals actual interests and more likely to be spent with a wider range of people, nurturing more varied experiences and relationships. Be able to lead the implementation of active participation of individuals The main essential part of lead person practice is to include the patient as an active participant in their every day care. If the patient is not included then it is not person centred practice. Working with start we have occupational therapist and physiotherapist who set therapy goals which are individual to each patient. They ask the patient what their goals are. This enables the patients to have a feeling of self worth and achievement when the goals are met. 3.1) Evaluate how active participation enhances the well being and quality of life of individuals. 3.2) Implement systems and processes that promote active participation As a senior rehab assistant with start one of my roles is to implement active participation with the patients and make sure that the necessary risk assessment are done before these practices are carried out. I regurlarly monitor the rahb assistant when they are carrying out their rehab goals with the patients to ensure that lead center practice is included and that they are giving the patients a choice in their every day care and mobility aims. Rehab assistants must not tell the patients that they need to do these goals , if they feel they do not want to do them , they must always give them a choice. If the goals that the patients asks for are too demanding for them , a compromise needs to be done to ensure that they carry out these goals safely. Systems and processes on individual patients include Their personal history A full assessment on their abilities , needs,, wishes and preferences on a regular basis Asking the patient what they want from the service and how they would like to be addressed Respecting every patients culture and other personal characteristics , wheather due to ethnicity , age , gender or other criteria Y, dXiJ(x(I_TS1EZBmU/xYy5g/GMGeD3Vqq8K)fw9
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