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Promote person-centred approaches in health and social care

One Day Programme

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Domestic Arrangements

- Toilets

- Fire Alarms

- Fire Exits

- Mobile Phones

- Refreshments

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Definitions:

Observation:

An inference or a judgment that is acquired from or based on observing.

Analyse:

To examine in detail in order to discover meaning, essential features, etc.

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‘What do you see?’

This film is based on a poem titled “What Do You See?” found by nurses going through the possessions of an old lady who had died in the Geriatric Ward of Ashludie Hospital near Dundee, England.

It follows a day in the life of an elderly stroke victim, who makes a silent but heartfelt plea for her caregivers to notice her.

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‘What do you see?’

Based on the Amanda Warring film clip:

1. What did you see?

2. How did you feel?

3. How do you think she feels?

4. What could you do to ensure that this practice is avoided in your workplace?

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Definitions:

Dignity:

A state or quality or manner worthy of esteem or respect; and (by extension) self-respect.

Dignity in Care:

The kind of care, in any setting, which supports and promotes, and does not undermine, a person’s self -respect regardless of any difference.

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Compassion:

A feeling of distress and pity for the suffering or misfortune of another, often including the desire to alleviate it.

Well-being:

The condition of being contented, healthy, or successful; welfare.

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The Dignity in Care Campaign

Launched in November 2006, led by the National Dignity Council the campaign aims to put dignity and respect at the heart of UK care services.

Its core values are about having dignity in our hearts, minds and actions, changing the culture of care services and placing a greater emphasis on improving the quality of care and the experience of citizens using services.

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Person Centred Care - VIPS

The VIPS Framework was first outlined in Professor Dawn Brookers book, Person-Centred Dementia Care.

This has now become a nationally recognised framework for Dementia Care and has become the very definition of person centered care.

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Professor Dawn Brooker explains the four key elements of person centred care that comprise the VIPS model:

V = Valuing people and those who care for them

I = Treating people as Individuals

P = Looking at the world from the Perspective of the person

S = A positive Social environment in which the person can experience relative well being

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Person Centred Services

(Adapted from Braye and Preston-Shoot, Empowering practice in social care, OUP 1995)

Human rights are

upheld

People’sstrengths arerecognised

Access to informationand advice is

given

There is involvement

in decision-making

Staff are honest

and reliable

Staff are trustworthy

and supportive

Negotiation andfairness about

decisions

People treated with respect

and dignity

Difference and diversity

celebrated

Person-centred services

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What is Risk Management

‘Risk is often thought of in terms of danger, loss, threat, damage or injury, although in addition to potentially negative characteristics, risk taking can have positive benefits for individuals and their communities.

Risk management does not mean trying to eliminate risk. It means managing risks to maximise people’s choice and control over their services.’

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Positive Risk Taking

‘Positive risk taking is a process which starts with the identification of potential benefit or harm. The desired outcome is to encourage and support people in positive risk taking to achieve personal change or growth.’

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Assessing Risks?

Adapted from Hughes J (2006)

Wider context

Wishes of

individual

Duration

Frequency

Legalframework Impact

Intent

Consent

Mental

capacity

Vulnerability

How serious? Risk to theperson and

others

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Person-centred Risk Assessment

• Who is the person?

• Where are we now?

• Where do we want to be?

• What have we tried and learned already?

• What shall we do next?

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Definitions:

Consent:

Informed agreement to an action or decision; the process of establishing consent will vary according to an individual’s assessed capacity to consent.

Mental Capacity:

The ability of a person to make decisions for himself / herself.

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The basic principles underpinning the Mental Capacity Act 2005

1. Every adult has the right to make his or her own decisions and must be assumed to have capacity to do so unless it is proved otherwise;

2. The right for individuals to be supported to make their own decisions: people must be given all appropriate help before anyone concludes that they cannot make their own decisions;

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3. That individuals must retain the right to make what might be seen as eccentric or unwise decisions;

4. Anything done for or on behalf of people without capacity must be in their best interests; and

5. Anything done for or on behalf of people without capacity should be the least restrictive of their basic rights and freedoms.

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Active Participation

A way of working that recognises an individual’s right to participate in the activities and relationships of everyday life as independently as possible; the individual is regarded as an active partner in their own care or support, rather than a passive recipient.

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Definitions:

Well-being:

The condition of being contented, healthy, or successful; welfare.

ill-being:

A state of lacking happiness, health or contentment.

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Identity:

The distinguishing character or personality of an individual.

Self-image:

How we see ourselves as individuals

Self-esteem:

A realistic respect for or favourable impression of oneself; self-respect.

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Influences on ‘Well being’

Overall well-being is far more than being free from ill health. One of the common theories upon which Tom Kitwood, the late Alzheimer’s researcher built his research protocols was the assumption that all human beings have six fundamental psychological needs, and only when these needs are met will an individual be likely to feel contented and happy with their life.

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Core Psychological Needs

(Kitwood 1997: 81)

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‘Well being’ and ‘ill being’ indicators

These are ways of measuring and monitoring a person’s sense of worth, contentment, self-esteem, confidence and hope.

When a person’s needs are being met, they will feel positive about themselves and the environment they live in. If the person’s needs are not being met their well-being declines.

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www.skillsforcare.org.uk

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