Understand and implement a person centred approach to the care and support of individuals with dementia. (DEM 204) Outcome 1 Understand the importance of a person centred approach to Dementia care and support. 1. Describe what is meant by a person centred approach. This is about ensuring that the person is the main focus of our attention and not the dementia.
4.1 Explain the difference between a reality orientation approach to interactions and a validation approach. Reality orientation places an individual in the present day, and reminds them of the time, day, place and situation. This should be repeated throughout any interaction so they are reminded continually. Validation focuses on how an individual feels and how we can validate those thoughts and feelings. It is a way of communicating with a dementia sufferer without having to brutally answer any negative questions.
For this reason, this document does not contain recipes, but rather tools to allow each individual, team and organisation to take the journey improve in the areas that are important to them. By the end of reading this document, you will have identified unique needs to work on, and designed unique action plans – just as when you are working with patients and clients you will assess their unique needs and deliver unique treatment plans. Why is person centred practice important? It makes sense that… …when you get to know the patient or client well, you can provide care more specific to their needs and therefore better care. …by promoting and facilitating greater patient and client responsibility, patients and clients are more likely to engage in treatment decisions, feel supported to make behavioural changes
Unit 4222-305 Promote person centred approaches in health and social care (HSC 036) Outcome 1 1.Person - centred is about providing care and support that is centred or focused on the individual and their needs. We are all individual and just because two people might have the same medical condition, for eg.Dementia, it does not mean that they require the same care and support. As a care worker I need to understand what the values are. There are eight person centred values: individuality rights choice independency dignity respect partneship equal opportunities I need to listen to S/U, they know themselves best, even if disagree, the care plan is theirs unless the capasity to understand is diminished and then advice
For example the Deprivation of Liberty safeguards (DOLS) was introduced by the Mental Capacity Act as a last resort when it is in the best interests of the person and all practical and reasonable steps have been taken to avoid depriving somebody of their liberty. These safeguards provide a means for a representative of the person with dementia to challenge a decision or choice that has been made and is not in their best interests. 2.3 It is important not to assume that an individual with dementia cannot make their own decisions because people with dementia lose capacity over time and the rate at which a person's condition deteriorates varies from individual to individual. With earlier diagnosis and new treatments, people are retaining capacity for longer. Individuals should be supported in making their own decisions about their care and day to day life for as long as possible and support is available for people with dementia to plan ahead because it enables them to have a say in their future care and
When a dilemma arises, my responsibility is to support individuals or their families to make informed choices. Even if I disagree with their decision, I can only give advice but can not force them. If an individual is willing to do something that involves some risk, I have to support people to make informed choices. Totally avoiding risks would limit individual’s choices and opportunities and it can lead to dependency and depression. I have to act in the person’s best interest but instead of encouraging them to avoid risks I have to support them and enable them to taking part in activities.
Letting them make their own choices but as safely as possible. 2.3 Explain why it is important not to assume that an individual with dementia cannot make their own decisions Can a person with dementia still make their own choices? Why is it important to encourage them to make their own
In vulnerable adult protection cases only, access to IMCAs is not restricted to people who have no one else to support or represent them. Therefore, if the eligibility conditions (below) are met, the local authority and the NHS will consider whether an IMCA should be instructed, even though the person who lacks capacity has got family and friends. The role of the Independent Mental Capacity Advocate (IMCA) is to work with and support people who lack capacity, and represent their views to those who are working to determine their best
DEMENTIA CARE MAPPING • Delivering PERSON centred care not focusing on their dementia but on them as a person. • It is a way of improving care by “looking through their eyes” “putting yourself in their shoes”. • It encompasses the whole person, their past life and their own uniqueness. • A person centred approach focuses on the fact that they need more support for their “personhood” to remain intact, rather than a task orientated regime which requires less support. • It is a way of meeting more than physical needs.
1.1 Describe what is meant by a person-centred approach Person-centred approach is a package of care negotiated with and delivered to the individual requiring support; it takes account of the needs and wishes of that individual. Person-centred approach focuses on the person rather than the illness or abilities they may have lost, for example rather than seeing dementia as the focus is important to see and focus on the person. Therefore, instead of treating the person as a collection of symptoms and behaviours to be controlled, person centred care considers the whole person. The person-centred approach enables care to be delivered to individuals with dementia in ways that respect those individuals values, needs and preferences and which offers them real choice. In terms of developing a successful person-centred approach to care, a working knowledge of Carl Rogers’s growth promoting core skills is essential, which are empathy, honesty, unconditional positive regard which means accepting the individuals without any prejudice and developing rapport which provides the basis for person-centred approach.