Level 5 Unit 517 Questions Essay

Person centred thinking is a set of values, skills and tools by the individuals in the personalisation of services who need support or health care. Person Centred Planning is for the Individuals with learning disabilities, Person Centred Planning also means that the person is at the centre, family and friends are full partners, Person Centred Planning concentrates on what is important now and in their future and specifies the support they require to live there life in the way they wish. The Person Centred Approach is there to help the individuals live as independently as possible to have the right to choose to control the services that they need and to have access to both wider public, community services and employment and education. They are all there to help

There are four main approaches to person centred practice, “Pathway” planning, “Maps” planning, “Person centred portfolios” (otherwise known as “Essential Lifestyle Planning”) and “Personal Future Planning.” Discussion will prove that “ each shares characteristics that explicitly emphasise the personal empowerment of service users, in which the principal direction for support generates from those for whom planning is being carried out.”(Langley, 2001) However the use different formats means that each approach focuses on different aspects and my comparison will note strengths and weaknesses, and how they are designed for implementation in different scenarios of person centred practice and planning.

1 Explain what person-centred thinking is, and how it relates to person-centred reviews and person-centred planning - This is when you as a carer must find a balance between what is important from and for the person. Person-centred planning is when you have to reflect on their capabilities and what support they may require now and in the future so that they can play an active part in their community. So services should be delivered in a way the person chooses not them being slotted into gaps to suit others.

One of key concepts of person centred therapy is the belief that the client has the ability to become aware of their own problems and has the inherent means to resolve them. In this sense,

• Every individual, including individuals with dementia, has their unique life history, lifestyle, culture and preferences, including their likes, dislikes, hobbies and interests, which makes an individualised approach in care necessary.

Person-centred is about providing care and support that is centred or focused on the individual and their needs. We are all individuals and just because two people might have the same medical condition, for example, dementia, it doesn’t mean that they require the same care or support because they are two different people which means their needs will be different. You need to develop a clear understanding about the individuals that you are working with and their needs, culture, means of communication, likes and dislikes, family and other professional’s

Person-centred planning is used to support an individual based on their needs placing that individuals at the centre of a service/s. This is done to ensure that any individual using a service is always fully involved in decisions that may affect any or all aspects of their lives.

The policy of person-centred care has become a mainstay of efforts to reform health care in the UK. Government policy is now built around this core concept, a major aspect of which is enabling individuals to participate in decision-making about their care at every level. By concentrating on the individual’s wishes and aspirations and placing them at the centre of a ‘planning circle’ the care team can assist with goal setting to ensure their best interests are maintained and the individual’s preferences are considered.

When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into

In this assignment I will be discussing Adult Nursing and Mental Health Nursing and issues regarding consent. Consent is important within all fields of nursing as it is essential to conduct any medical procedures. The Nursing and Midwifery Council Code of Conduct (NMC,2008) states that all healthcare professionals must presume that all patients have the mental capacity to accept or deny medical treatments after being given all information which may be needed. However there may be some instances where consent cannot be obtained. An example of this is if the patient is in a medical emergency and may be unconscious or if the patient lacks the mental capacity to make a knowledgeable choice. In this situation treatment would be

achieve truly person-centred care we need to understand how the individual experiences his or her

Patient informed consent refers to the situation where the patient is fully informed on the consequences of their health care decision after which the patient gives the decision. For there to be informed consent, there are five elements that must be discussed. The first is the nature of the patient's decision then the applicable alternatives to the proposed intervention. Third are the risks, benefits and uncertainties associated with each of the alternatives. Fourth is the assessment of the patient's understanding and last is the acceptance of the intervention or an alternative by the patient. Before the patient's consent is considered to be valid, the patient's competency to make the decision must be addressed. The criteria for evaluating the patient's competency is clearly stated in section 3 of the 2005 Mental Capacity Act which states that provided the person is able to understand, retain and use information provided and to communicate their decision in any way such as talking or sign language, they are competent to make a decision. If a patient is treated against their refusal to consent, it amounts to the tort of battery or can also be considered the crime of assault. In addition to this, laws that touch on human rights reinforce the importance of the protection of the physical integrity of the individual in terms of their right to respect of their private life. Therefore, refusal of medical treatment is a human right.

Person-centred care was first introduced by a physiologist named Carl Rogers, in the 1960s. He believed that every patient should be treated with respect and dignity. According to his approach he uses his core principles to identify

Person centred therapists believe that people are driven by two distinct needs. The first is self-actualisation (the ability to be the best we can be), the second is the need to be loved and valued.

This assignment will cover the issues influencing nursing practice. Adult and child are the two fields of nursing which will be discussed and compared, whilst consent will be the main issue covered throughout, it is an important issue because every individual is different, by gaining consent the individual patient’s best interests will be put first. Consent is one of the most important issues that influences nursing practice as the Nursing and Midwifery Council (NMC) code discusses how it is important to gain consent before providing any care or treatment. Nurses should always follow the NMC guidelines to ensure they are practicing correctly and professionally, therefore this influences how they practice. Firstly the assignment will discuss the adult field of nursing, then leading on to the child field, in both areas it will explain influences of consent to nursing practice. Lastly it will have a comparison of the two fields.