Understand person centred approaches in adult care settings.
1.1Describe person centred approaches?
Person centred care is a way of providing care that is centred around the person themselves and not just there health and care needs. No two people are the same so when it comes to what a individual would like to do it is unique to them.
1.2 Explain how and why person-centred values should influence all aspects of social care work?
Person-centred values ensure a comprehensive understanding of individual needs and the development of appropriate individual care plans for all in the service. Every care plan is unique to the individual and all these values are important to build up the care plan which has been put in place for that individual. The values are valuing individuality and working in partnership with the service user on their own care plans. Treating people with respect and dignity, promoting independence, respecting privacy and supporting them to make their own choices and to support individuals rights.
6.2 Analyse factors that contribute to a well being of an individual?
Well being may include aspects that are spiritual,emotional,cultural,religious,
social or political. Many factors combined together contribute to affect a individuals health and well being and their communities. Social,emotional,cultural and political may effect a persons well being. Where we live may effect the persons well being and having a good access to plenty of networks of transport and people in the community.
6.1 Explain the links between identity self image and self esteem?
Our personal identity is the way we see ourselves and is closely related to our self image. The important thing to realise is that our personal identity is close to how other people see us. Our personal identity is unique to us and this is what shapes our world we live in and what we do as a person. Self esteem is what we think of ourselves and what gives the motivation to reach our goals.
6.4 Describe ways to contribute to an environment that promotes well being?
Supporting service users to independence by promoting there well being, we do this by updating there care plans on a yearly basis and to create new activities for them to get involved in. Checking new resources and making changes to old resources and to monitor any changes to care plans and health action plans so they are current and able to promote the service users well being. The most important person in the process is the service user at all times.
6.3 Explain the importance of supporting an individual in a way that promotes their sense of identity,self image and self -esteem?
My role is to encourage individuals and those close to them to play a active part in every aspect of their care. The aim of a person centred approach is to ensure that the individual is an equal partner when assessing,identifying and delivering professional care for that individual. The approach involves the provision of full information on all aspects of the individual’s needs and available services, and requires to treat every service user with dignity and respect at all times. A proactive care setting will follow the principles of person centred care. Person centred care is about seeing the service user as an individual, rather than focusing on their illness or disability.
2.2 Describe ways to put person centred values into practice in a complex or sensitive situation?
Having a person centred plan in place is about a process of life planning with individuals, using the principles of inclusion and using a social model and not a medical model. Person centred planning has five key features:
1.The service user is at the centre of the planning process.
2.Their family and friends are partners in planning.
3.The plan shows what is important to the service user now and for the future,and what support they need.
4.The plan helps the service user to be part of the community and for the community to welcome them and have a better understanding of their needs.
5.The plan puts into action what the service user wants for their life and it does not remain static-the plan remains ‘live’.
If I am faced with a complex or more sensitive situation then person centred values can be even more crucial and effective. The plan can be reviewed and updated by the service user and the key worker.
2.1Explain how finding out the history, preferences, wishes and needs of an individual contributes to their care plan?
There is no single approach that can be applied to working with a service user in a person centred way, and no approach that exclusively covers all of the processes that may be needed in developing a person centred plan. It is important to find out the service users history, preferences, wishes and needs. These shape who the person is, they affect the way the service user should be supported and they may explain reactions to certain types of situations or support. Other team members may have seen new skills and abilities in the service user that the key worker or manager may have not seen and these are vital to support the service user to independence.
2.4 Explain the importance of monitoring an individual’s changing needs or preferences?
Every service users needs and preferences change regularly so keeping care plans and the service users records up to date is vital for the individual and the service as a whole. This ensures we are following safe practices and that service users are involved in every aspect of their care.
2.3 Evaluate the use of care plans in applying person-centred values?
we use care plans as a primary source of information for every individual service user and every plan is different. The plan is made up by the service user and other people involved in their care and are unique to them and only them.
3.1 Analyse factors that influence the capacity of an individual to express consent?
Valid consent must be given by a competent person who may be a person lawfully appointed on behalf of the person and must be given voluntarily. If the service user has dementia or a memory loss problem they will not be able to have the capacity to consent. Language or communication barriers could make it hard to consent.
3.2 Explain how to establish consent for an activity or action?
Seeking consent is part of a respectful relationship and should usually be seen as a process,not a one off event. When you are seeking permission for treatment or care in any form you should give the service user time to process and understand the information given to them for the consent process to go to the next step. It is good practice to get written consent on more complex care needs.
3.3 Explain what steps to take if consent cannot be readily established?
Make sure you report any refusal ,and it will be important to repeat any information to ensure that you are understood. If a person is not capable of giving or refusing consent, it is still possible for you lawfully to provide treatment and care, unless such care has validly been refused in advance. But all treatment or care must be in the person’s ‘best interests’.
5.1 Describe different approaches to support an individual to make informed choices?
There are several approaches we as support workers can offer and these are:
?Using advocates or support services in the local area.
?Discussions or meetings.
?Using friends and family that the service user wants to support them to make the informed choices.
?Providing the correct and up to date information for the service user.
5.2 Describe how to support an individual to question or challenge decisions concerning them that are made by others?
We are there to encourage questions and comments from the individual to other professionals. We should be prepared to listen and ask questions for clarification for ourselves and the service user. Get them to make it more easy for everyone to understand. Talk to the service user and make sure they understand what is happening and if they would like a second opinion then we should follow our company policies to either make a complaint or ask for another professional to have a second point of view. If the service user wants to make a complaint then we need to go through the company grievance procedure and inform your home manager or senior.
5.3 Explain the consequences of allowing the personal views of others to influence an individual’s choices?
There are several consequences that could arise when the personal views of others are involved in influencing an individual’s choices. These are abuse and stress which can have devastating effect on the service user voicing their own user, this can include lack of choices which can lead to the service users needs not being met.
4.1 Explain the principles of active participation?
Active participation involves finding ways of supporting individuals to do as much as they can for themselves so they remain independent and able to take control of their lives. This is known as ’empowerment’ and simply means that doing everything you can to enable the service user to make their own decisions. A little thought and consideration can ensure that people feel they are valued and respected as individuals.
4.2 Explain how the holistic needs of an individual can be addressed by active participation?
The holistic needs of an individual include their intellectual, emotional and social requirements. Assessment involves looking at the person as a whole and not in a piece by piece way. Active participation enables individuals to feel involved, to make choices and to feel empowered. This also supports the holistic needs of an individual, for example with their intellectual, emotional and social preferences and requirements.
4.3 Explain how to work with an individual and others to agree how active participation will be implemented?
These are some ways of implementing active participation which we can use:
?Using friends and family to encourage participation in activities or appointments.
?Peer group encouragement within the home or close group.
?Ensuring the activity is what the person has requested or close to what they asked for.
?Highlighting what they will get out of the activity and further activities.
?Providing information for them to choose from.
?Reporting any outcomes from the activity.
4.4 Explain how to promote the understanding and use of active participation?
Service users should be enabled to have control over their lives. How can I support them with this? Person -centred approaches are about the service user being at the centre of any care plan or activity which has been planned. Person -centred approaches quite simply give the service user a life and not a service. What is important to the individual? What support they will need? What are their goals for the future? It is vital to communicate between colleagues and other professionals. This ensures that everyone is working to the same principles and procedures.
7.2 Explain how risk taking and risk assessment relates to rights and responsibilities?
Positive risk taking is about service users taking control of their own lives by weighing up the potential benefits and harms of exercising one choice of action over another. Risk is part of everyday life and this includes for people with learning disabilities and they have a right to take risks too. Taking part in new experiences and having greater community involvement potentially involves service users to take risks which offer opportunities for development of independence,confidence and autonomy. The care home must be able to demonstrate that a risk assessing process is in place through risk assessments. This process has to complement the companies health and safety policy on risk assessments and management of these.
7.5 Explain the importance of using agreed risk assessment processes to support choice?
Every service user has individual risk assessments for every activity as everyone likes to do things their way to make it easy for them and these have instructions how to maybe for example lift or roll some one whilst they are in bed. These will be drawn up with help from the service user and key worker or manager. If changes are needed then the manager or senior support worker can amend or alter the risk assessment in place and the service user is to sign to say that it is their choice to have this altered.
7.1 Compare different uses of risk assessment in an adult care setting?
The first use of risk assessments is for everyday tasks around the care home and these tie in with the health and safety within the care home and these include hazards and potential to cause harm. These are reviewed and updated on a daily basis if needed. The next risk assessments are for group or individual activities and these are what are needed for every activity new or old activities. These risk assessments are person centred and include input from the service user and kept in their support plans and updated at least sixth monthly.
7.4 Explain why risk assessments need to be regularly revised?
The following list gives an overview of the types of occasions when a risk assessment needs to be completed:
1.When planning new activities.
2.When new work practices are put in place.
3.When planning to get new equipment or had purchased new equipment.
4.When individuals develop a special need or there is significant change in their existing needs.
4.1 Describe different ways of applying active participation to meet individual needs?
Enabling every service user to take part in everyday activities and relationships,no matter their ability. Not excluding them because you feel it would not be suitable for them or you feel they cannot take part, that it may take up too much of your time or it would be a hindrance to your working day.
Helping service users to achieve goals, not by doing the tasks to achieve these goals for them, but by guidance and assistance if needed by the service user this give the service user their independence.