ï»¿Unit 517 â€“ This unit must be assessed in accordance with Skills for Care and Developmentâ€™s QCF Assessment Principles. Learning objectives 2 and 3 must be assessed in the work setting.
Introduction: The purpose of this unit is to assess the learnerâ€™s knowledge, understanding and skills required to work as a manager or senior practitioner in a wide range of settings. It covers the promotion and implementation of person-centred practice.
1. Understand the theory and principles that underpin person-centred practice.
1.1 Explain person-centred practice
Person-centred planning is an umbrella term referring to a variety of specific approaches to helping people who use social care ...view middle of the document...
To engage successfully with their service users, nurses and care staff need to listen carefully, and to get to know their residents and service users as people. Getting to know the person behind the resident is the most important reason of person-centred care.
A person-centred approach to care focuses on the individualâ€™s personal needs, wants, desires and goals so that they become central to the caring process. This can mean putting the personâ€™s needs, as they define them, above those identified as priorities by healthcare professionals. In the words of Bob Price, a nurse academic writing for theÂ Nursing StandardÂ in 2006, â€˜the term person-centred care is usedâ€¦to indicate a strong interest in the patientâ€™s own experience of health, illness, injury or need. It infers that the nurse works with the personâ€™s definition of the situation, as well as that presented through a medical or other diagnosisâ€™.
There are a number of different frameworks that have been developed by healthcare academics to help implement person-centred care. While these frameworks are all slightly different, they all share key components:
Knowing the service user/resident/service user/patient as an individual
Providing care that is meaningful
Respecting the individualâ€™s values, preferences and needs
Fostering trusting care giving relationships
Emphasising freedom of choice
Promoting physical and emotional comfort
Involving the personâ€™s family and friends, as appropriate.
This model of care contrasts with a more frequent approach in hospitals called â€˜patient-centredâ€™ nursing. This focuses on the person as a patient, emphasising medical diagnosis and the identification of nursing problems. Personal needs may be acknowledged but only in as much as they relate to overall medical and nursing needs. In practice, this means that medical and nursing care needs take priority over other personal and, perhaps undeclared, needs of the person receiving care because of the short term priority given to getting the patient healed as quick as possible.
In order to achieve care that is â€˜person-centredâ€™, care staff and nurses need to understand the biographies of their service users and their relatives. Paying attention to the life stories and experiences of the service user is the only way care staff will get to know their residents and their aspirations for the future. Achieving this can be challenging, as it requires time to listen and talk.
Moving forward, adopting truly person-centred care is a key objective for the caring profession. To achieve this nurses and carers need the right level of knowledge, skills and experience. Academics have argued that the move to an all graduate nursing profession is a step in the right direction, as this will better equip nurses to respond to the increasingly complex care situations in which they practice. While there have been recent examples of the way in which nursing care homes have...