Unit 6 LO2

  • Created by: abbiedye
  • Created on: 12-12-19 10:32

What is a person-centred approach?

- to see the person as an individual

- focusing on needs, wishes, goals and aspirations

- individual becomes central to the process

- support must be designed in partnership with individual, family and carers

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What are the key concepts of a person-centred appr

  • knowing the person as an individual
  • empowerment and power
  • respecting the individual's values and preferences
  • choice and autonomy
  • respect and dignity
  • empathy and compassion
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How can a person-centred approach create a balance

- entitled to take risks if they want to

- need to see risk taking as positive rather than negative

- risk taking can have positive benefits for an individual

- risks are part of everyday life

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How can a person-centred approach enhance voice, c

- balance has to be achieved between protection and choice and control

- wishes of the individual andy duty of care must be balanced too

- may be compromise on behalf of individual, family, carer or professional

- allow an individual to make own decisions that carers may disagree with

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How does a person-centred approach clarify roles a

- role of the carer to provide support to enable them to live the life they want

- professionals no longer in charge of making decisions about a person's life

- duty of individual to make wishes clear

- need to respect preferences and share power and responsibility

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What are the principles of a person-centred approa

  • independence and rights
  • co-production, choice and control
  • inclusive and competent communities
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What is independence and rights?

- to live the way they want to

- to be employed

- to form meaningful relationships

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What is co-production, choice and control?

- be treated as an equal partner in decision making about their care

- be able to make decisions about their life/care

- have more of what is important to them

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What are inclusive and competent communities?

- should have opportunities to participate and volunteer in the community

- feel they belong

- feel valued as a neighbour, friend, employee, volunteer

- have friends, social contacts, reasons to go out, hobbies

- can use community resources (sports clubs, interest groups)

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What is the policy landscape?

- the Acts confirm the government's commitment to personalisation

- personal budgets featured earlier in the Health and Social Care Act 2001

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How does the role of a person-centred approach ach

- individual involved in own treatment is more likely to continue

- more knowledgeable when involved in decision-making

- less anxious as aware of risks and benefits

- able to ask questions to clarify concerns

- feel valued and respected

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What is the insitutional history of public service

- 19th century - disabled people put in institutions

- 1940s+50s - residential homes established instead

- 1990s - introduction of direct payments and People First movement

- 200s - closure of remaining institutions

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What is the Disability Rights Movement and what ar

- originated from disabled people who wanted independent living, participation, choice, control, empowerment

- 1995 - Disability Discrimination Act

- 1996 onwards - introduction of direct payments

  • Community Care and Direct Payments Act 1996
  • Health and Social Care Act 2001
  • Valuing People White Paper 2001
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What are the challenges to adopting a person-centr

  • resistance to change
  • institutional history of public services
  • institutions promoting a medical model of health
  • lack of staff training
  • communication barriers
  • respecting choice when alternatives may promote better health or wellbeing
  • focusing on deficits rather than capacities
  • lack of clarity over roles and responsibilities
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How is resistance to change a challenge?

- an emotional reaction based on fear of loss

- individuals may not want to lose safety net of others making decisions

- professionals feel loss of power as no longer in control

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How is the institutional history of public service

- common for individuals to accept professionals' decisions as they 'know best'

- culture will not change overnight

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How do institutions promoting a medical model of h

- medical model = disability is a problem belonging to the individual

- limited to condition and cannot participate

- NHS focus on curing or fixing individual

- can deal with disabilities using medical advances

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How is a lack of staff training a challenge?

- person-centred care is a relatively new concept

- staff shouldbe re-trained for it to be successful

- need a different set of skills

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How are communication barriers a challenge?

- good communication is the basis of a person-centred approach

- helps to establish trusting relationships

- barriers lead to resentment, frustrations and misunderstanding

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How is respecting choice when alternatives may pro

- can be diificult for professionals to accept an individual's choice

- their choice could potentially affect their health

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How is focusing on deficits rather than capacities

- professionals used to asses individuals on what they could not do

- then set goals to overcome the deficits

- rather than focusing on the individual's strengths

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How is a lack of clarity over roles and responsibi

- in a person-centred approach, everyone is an equal partner

- roles and responsbilities should be shared between the individual, the family and professionals

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What are the 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 this
  • modelling behaviour
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How does values-based recruitment overcome challen

- values have a major impact on the quality of care

- employers to recruit staff with social care values

- asking questions to enable cadidates to give examples of behaviours

- focus on how and why candidates made choices and reasons for their behaviour

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How does staff training overcome challenges?

- can reduce job stress and reduce staff turnover

- adding job satisfaction

- must have confidence for delivering person-centred care through skills and knowledge gained in training

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How can a regular review of support provided overc

- essential as they are as important as the support/care plan

- conducted in a person-centred way when the individual, family and professioanl feel it necessary

- should be included in the support plan

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How can recognising when provision is not person-c

- could happen if the professional fails to ensure that the individual is in control

- this is easily rectified by the professional

- if the individual takes a passive role

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How does modelling behaviour overcome challenges?

- observing good practice and then imitating or copying it

- a good starting point for professionals who need to gain confidence

- able to watch and then follow the example they have observed

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