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Critique of the person centred approach
Critique of the person centred approach
1.2 Critically review approaches to person-centred practice
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This essay is an exploration of my own perceptions about person-centred and relationship-centred care directives from the positive and the negative perceptions of effectiveness felt from all stakeholders. Reflecting on my original thoughts relating to providing a person-centred care directive has not changed, it has only become firmer, especially with the addition of relationship-centred care. Person-centredness is the underpinning I received in my training as a counsellor, with one of my elective units being family and relationships. Therefore the inclusion of relationship-centred care seems logical as people do not live in isolation, as discussed by (Windle & Bennett, 2012) people do not travel through their life alone they interact with others and build learning relationships, and it is these relationships that can become the care relationship, especially if it is the person’s child or partner. When thinking about being person-centred and the core skills involved which additionally apply to relationship-centred care, it is unconditional positive regard holding the person in respect, empathy and congruence or authenticity. As (Fox , 2007) proposes the skills are used, whilst listening without judgement to the story and holding the person safely in their experience of their emotion. It is additionally suggested by (Corey, 2009, pp. 164-196) that person-centred theories in counselling are supported by very existential theories that deal with the here and now of people’s experience. In addition with the core skills such as valuing the relationship between the client and the counsellor or care provider, with respect, congruence, non-judgement, empathy, and a belief that the person themselves is the one with the answers. Furthermore... ... middle of paper ... ...heir Families. [Online] Available at: http://books.google.com.au/books?id=-O35R3mMC24C&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q=family%20systems&f=false [Accessed 1 Jamuary 2014]. McCarthy, B., 2011. Hearing the Person with Dementia: Person-centred Approaches to Communication for Families and Caregivers. [Online] Available at: http://reader.eblib.com.au.ezproxy.utas.edu.au/%28S%28lszbifokvp0vjp1svd2rsxg5%29%29/Reader.aspx?p=677702&o=170&u=%2b%2b88gKP6Kq4%3d&t=1388371293&h=EAD01AAB6B78AF0EE70433B8CB57930AB83957BA&s=10925402&ut=554&pg=1&r=img&c=-1&pat=n# [Accessed 30 December 2013]. Windle, G. & Bennett, K., 2012. Caring Relationships: How to promote resilience in challenging times. In: I. o. M. a. S. C. Research, ed. The Social Ecology of Resilience: A handbook of Theory and Practice. Bangor : Springer Science and Business Media, pp. 219-220.
Y.H.et al. (2012) told that Person centred care models start with education and training of
A care relationship is special and requires skill, trust and understanding. This essay will elaborate how the quality of that relationship affects the quality of the care given and the experiences felt in receiving care. These different relationships will depend on the type of care given, who the care is given by and what sort of previous existing relationship there was to begin with. For a good care relationship to work it needs to follow the 5 K101 principles of care practice which are 'support people in maximising their potential','support people in having a voice and being heard','respect people's beliefs and preferences','support people's rights to appropriate services' and 'respect people's privacy and right to confidentiality'.(K101,Unit 4,p.183). If all of these needs are met a far exceptional quality of relationship between the carer and care receiver will be achieved.
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
Person centred practice is used to support individuals by doing things that people see when using health and social care services as equal. Person centred skills that are enforced to support individuals are used for several reasons, for example lives of individual’s that are supported are improving and are developing. This means by letting their family at the centre of their decisions and working alongside them to their best
Two potential barriers to the Patient-Family Centered Care model are time and patient/family expectations. Nursing is a demanding job that is known for it's fast paced and often hectic environment. While caring for several patients at a time, it might be difficult to make time to discuss and involve patients and their family in all aspects of their care. This could lead to the patient/family feeling left out or even lead to fear about why information if being kept from them. To address this barrier I will set aside time to spend with each of my patients solely dedicated to discussion about the care they are receiving as well as provide an opportunity to voice questions and concerns.
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
One of the five key principles of care practice is to ‘Support people in having a voice and being heard,’ (K101, Unit 4, p.183). The key principles are linked to the National Occupational Standards for ‘Health and Social Care’. They are a means of establishing and maintaining good care practice. Relationships based on trust and respect should be developed between care receivers and care givers, thus promoting confidence whilst discussing personal matters without fear of reprisal and discrimination.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to be able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care. The Health Foundation describes patient centred care as being a type of health system where patients take control of their own care.
The purpose of this paper is to provide an overview of Jean Watson’s Theory of Caring. This theory can be taken into account as one of the most philosophically complicated of existing nursing theories. The Theory of Human Caring, which has also been referred to as the Theory of Transpersonal Caring, is a middle – range explanatory theory. (Fawcett, 2000) The central point of which is on the human component of caring and actual encounter between the client and the caregiver.
A positive care environment promotes person centred care, this means that service users are given individual care that is tailored in a way that allows them to live their lives fully. A positive care environment has four strands; these are therapeutic, organisational, physical and community. (Miller, J, 2015) (Gibb and Miller, 2007)
Person-Centred Counselling established its origins in the late 1940 during a conference when Carl Rogers gave a talk entitled ‘New Concepts in Psychotherapy’. The summarisation of the talk resulted in the theory that the client in a counselling relationship should be at the center of the relationship and lead the counselling process. The Client, in effect became the expert on their life and/or problems. The fundamental belief is that an individual is capable of change, growth and fulfillment (self-concept). Person-Centred counselling looks at ‘the here and now’ and how to make changes that affect the future. Person-Centred Counselling generated a system known as the ‘Core Conditions Model’ which emphasized three key components: Empathy, Congruence and Acceptance.
When a client comes in for help they are coming in as individuals that have a multifaceted perspective that includes psychological, biological, cultural, social, financial, educational, vocational, and spiritual components (Woodside & McClam, 2015). All these components encompass life experiences that they have been through with family, friends, their health, school, work, their legal status, residency, their safety and security, their finances, their well- being, and their accomplishments (Woodside & McClam, 2015). The perspective are integrated with the individual which form the whole person (Woodside & McClam, 2015). The term the whole person is important in human services because when a client comes in they are not coming in with just a single problem and as human service professionals we have to look at the issue and address it as a whole instead of a single issue (Woodside & McClam, 2015). There may be underlying issues that do not come up ...
Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.
My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered in care is more of an expert in what’s best for them than I am. As shocking as this fact was to me, it’s been liberating to let go of having to know everything about a patient that I just met. As a result of my experience with my therapy patients, person-centered care has now become the foundation of my practice.
Commission for Social Care Inspection (2005) Making Every Child Matter, Commission for Social Care Inspection