Person Centred Thinking Essay

In P6 of my work I am going to explain the role of supportive relationships to reduce the risk of abuse and neglect.

Involvement of individuals planning their support: We have to make sure the service users comes first. This means they get to be involved if they think their needs to be improvements within the care home and what support they want. For example, a service user may want more activities to be able to socialise with other adults.

In the case of Patrick Green, a personalised plan may be a routine he can do every day in order to keep his lifestyle the same as it was before he was diagnosed. This could include gym time to exercise which would be beneficial as he would be kept active. Giving him the independence will also be beneficial as he will feel in control of his care. A personalised plan for Alice however may be a rota in which cutting down drinking are looked at, for example multiple drinks per night are gradually cut down resulting in one per day and eventually to none per day. This will give Alice motivation to become alcohol free and it is also a low cost way to help her beat alcoholism. She will also be in control of the plan which may make it easier for her to follow it without feeling pressured. A personalized plan for Maria could be that carers come in a few times a week to give her a break from caring for her mother, as well as arrangements for her mother to go to activity groups through the week could be made to ensure she has some time to herself. All of these plans have the best interests of the service user at heart. If personalized plans are not created, some clients may be left with some of their needs unseen. This wouldn't be good as it could have serious long term effects for some people if they are not receiving the care they need. For example, if Maria wasn't given a personalised

3.4 Describe how challenges in implementing person centred thinking, planning and reviews might be overcome?

The case worker along with the client, payee, guardian, or other responsible parties collectedly create the service plan. The case worker present the ideal, but it is the client’s job to complete all paperwork, applications, or request outside services. Sometimes creating that balance of self –determination and vulnerable is often times a challenge, because the values and belief of a client can be totally different from a social worker. Even though case workers feel strongly about a situation it is the clients right to do as their please. For example, I and Level 5 caseworker were doing visit one day. One of her clients on her case load is a 60 year old, bed bound, diabetic person. This client does have provider staff, but they only come in 4 hours a day (2 in the morning and 2 in the afternoon). The provider leaves at about 7pm, so this client is in her bed until the next morning when staff arrives at 10 or 11. This client has spent 12 hours in her bed, with possibly soil linens. The client does not want to be placed in a nursing home, does not want more provider hours, and does not want move with family. It is not much the case worker can do, because the client has capacity and it is her right to live like

The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.

Person Centered Planning is a number of unequivocal techniques that give a framework for individuals who utilize social care services

Person-centred nursing is widely practised in clinical areas today, the original concept was developed from the work of psychologists such as Carl Rogers and Tom Kitwood. Rogers (1957.1961) considered empathy and unconditional positive regard to be core features of any therapeutic relationship in counselling. He developed the concept of person-centred therapy in counselling. Stein-Parbury (2009) writes about the use of interpersonal skills in nursing and places a focus on Roger’s model of person-centred therapy. She states that person-centred nursing models have been influenced by the work of Rogers. Stein-Parbury (2009) reports that, according to Rogers (1961); positive nurse-patient relationships promote a caring environment in which the patient can grow and develop.

It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development.’

Once a patient and nurse agree on the diagnosis, a plan of action can be developed. If multiple diagnoses need to be addressed, the Head nurse will prioritize each assessment and devote attention to severe symptoms and high factors. Each problem is assigned a clear measurable goal for the expected beneficial outcome. For this phase, nurses generally refer to the evidence based nursing outcome classification, which is asset of standardized terms and measurements for tracking patients’ wellness. The nursing intervention classification may also be used as a resource for planning.

Patient centered care is an approach of forming a therapeutic relationship between care providers, older people and families, mainly focusing on the values and respect (lenus). Care of which is respectful to an individual’s needs, values, social circumstances, lifestyles and family situations by putting them at the centre of care is a priority. This is a way of thinking and doing things in a way of using health and social services as partners. Meeting the needs of the older person include personalising the care of preference, taking account the physical comfort and safety of the individual and Making sure patient has access to appropriate care when they need it. Involvement of families is important as the centre of decisions, whilst working along side professionals for the best outcome. Health care practitioners most see things from the older person’s perspectives by showing compassion when delivering care to the patient along side emotional support

A person-centred approach to nursing focuses on the individuals needs, wants, goals and desires so that they become central to the care and nursing process (OpenLearn, 2015). According to The Department of Health (State of Victoria, Australia), person-centred care is a philosophical approach to care, ensuring that service systems are developed in partnership with older people and/or their carers (Health.vic.gov.au, 2015). PCC is treating patients as they want to be treated and about working together with older adults on things they enjoy doing and things that are important to them without restraint of routines (Kearns, 2013).

Theoretical orientation is the concept of providing practitioners with theory based framework .The purpose of the theory is to help guide the social work professional in a setting while intervening with individuals, families and treatment. Theoretical Orientation also help the social worker to work with the clients to set their goals and ackwlodge certain techniques you may use while using a specific theory. In this reflection paper I will deliberate on developing a Theoretical orientation, Exploring your theoretical orientation, Integrating your theoretical at your field placement, and Task group techniques.

Person-centred care is about focusing on the needs of the person as a whole and not the service, it means treating people with dignity, respect, compassion, and care is personalised these are the four main principles to person-centred care. Tom Kitwood (1997) cited in (The Open University, 2017) supports the approach of seeing and treating people as individuals, he calls this ‘person-centred care’. This approach looks at the physical, social and psychological needs of the individual. Person-centred care encourages people to have more involvement in making decisions about their care so they get the support and service they need. There are three main types of long-term care settings such as residential care homes which offer different degrees of personal care, Nursing homes offer care which requires the skills of qualified nursing staff and long-stay hospitals which offer a more specialised medical care. (The Open University, 2017).

3.3% of patients have a written care plan of whom 71% had helped to put it together. 67% reported they utilise their care plan day to day to manage their own health Unfortunately it is not evident from the findings what percentage of patients who had contributed to their care plan use it day to day compared to those that had not contributed. These findings which have been relatively consistent in recent years suggest the existence of other barriers to person centred care.