Reflective Approach in Implementing Person Centred Practice

This document discusses the reflective approach in implementing person-centred practice, comparing the medical and social models of health, and the challenges and dilemmas faced in care homes. It also explores the key elements of a person-centred approach and the importance of good communication and diversity. The document concludes with a discussion on ethical issues in care homes.

Unit 19: Reflective Approach in
Implementing Person Centred Practice

Table of Contents
INTRODUCTION...........................................................................................................................1
P1 Comparing how medical and social models apply to person-centred practice.......................1
P2 Adopting person-centred approach while planning and executing programme.....................2
M1................................................................................................................................................3
D1.................................................................................................................................................4
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................6

INTRODUCTION
Person- centred care is the way of thinking and performing things through which the
person uses best health and social services through proper planning, developing and monitoring
by ensuring all needs are met. In the same way, current report also provide a deep understanding
about principles of person-centred care. Study will describe how medical and social models
apply to person-centred practice and how the care practice adopt while implementing a program.
Further, it describe different challenges in Care home and then evaluate dilemmas experience in
care home which affect consistency in approach.
P1 Comparing how medical and social models apply to person-centred practice
Bio-medical approach: The model mainly focus on biological factors and it excludes
psychological, environmental and social influence. Therefore, it is known as a leading way for
professionals in which they did not consider diagnosis because it may be leads to negotiation
between a doctor and patients. Through this, doctors find out the main reason behind particular
disease. McCormack, (2017) critic that the model did not provide solution of every disease and
does not always promote good health and well-being as well. Moreover, this approach is costly
and that is why, not all individuals can afford the medical technologies and resources.
Socio model: This model assist to recognize whether the health is influenced by wide
range of external factors such that political, economic, social, interpersonal factor. Further, the
model of health also looks at how the society and an environment affect an individual health. For
instance, poor housing and poverty may leads to creates respiratory problems and cause ill-
health. Further, the model also aim is to encourage society by providing better facilities and
develop programs to tackle poverty. However, it is to be critically analysed by Stokes, (2017)
that the model only determine the causes related to society such that it is not suitable for all the
disease, that is why, it is not a perfect model for health and medical.
Comparison of both models:
The biomedical model of health looks at the individual physical functioning and also
present bad health when a person is suffering from any disease and as a result, it cause injury or
infection which further do not consider social and psychological factor. On contrary, the social
model completely consider how society and environment affect an individual health and this
consider social class, poverty, poor housing as well as diet. Even biomedical concentrates
specific person while social model do not (Difference between bio-medical and social model of
1

health, 2018). Further, biomedical model is used by health professionals and doctors while social
model is used by wide range of people and it gives preference to prevention rather than
diagnosis.
Traditional model and complementary model:
Traditional model is also different from bio-medical because it includes total patient care
and primary nursing. Even doctors are enough trained to provide proper care and by considering
various social and economic forces that drive a choice of model. On the other side,
complementary health care of approach is used in place of orthodox medical acre in which a
person has to consult with doctors and it is a alternative therapies which takes holistic approach
in which doctor consider all aspect of physical and emotional well-being rather than treating
symptoms only (Freeth, 2017).
Thus it shows that every model have their own importance and relevant to address every
issue of a person centres approach. Such that social model did not consider any social difference
among individual though culture is a social determinant of health. On the other side, traditional
and biomedical approach is also focus primarily on disease progression and treatment. This
models did not consider any cultural complexities while designing and providing treatment to
their patient. Such that doctors and different health care providers do not consider any ethnicity
difference such that by using these model, they even treat many indigenous people as well
(Ewing and et.al., 2015). In the same way, Care-home is also do not make any difference
between age, sexuality and ethnicity difference and provide proper care to all kind of people who
are actually needed.
P2 Adopting person-centred approach while planning and executing programme
In order to implementing and executing person-centred approach, there are different key
elements which need to be consider such as:
 Duty of care: It means that it is the legal responsibility of a person to avoid the
behaviour which may foreseen to cause harm to others. Therefore, nurses and health care
providers must take care of their patients. Thus, while executing any program related to
health care, ensure that they are responsible for providing better care (Lynch, 2015).
2

 Leadership competencies: A person who treat and lead the program should posses good
leadership competencies which includes social intelligence, interpersonal skills, courage,
decision making abilities, political skills, conflict management etc.
 Good communication and Listening skills: A good communication will provide better
care to their patient and active listening should be there by following two way
communication so that it will not creates any barriers among doctor and patients.
 Actively respecting and promoting diversity: While implementing and executing
program, ensure that all the groups are respected and it must reflect an example of
promoting diversity such that no one of them are discriminated on the basis of caste,
gender and religion.
 Balancing the duty of care : It is important to consider this key aspect into consideration
because it helps to provide proper care to their patients so that they will easily provide
care (Irwin and Pullen, 2019). Moreover, there is a need to balancing the duty of care
which is the legal obligation that imposed on individual by complying with laws that may
harm others.
 Data protection: To provide proper care and executing program, make sure that its must
comply with Data protection act which consist of all GDPP rules which states that safely
handling the transfer of data, provide data breach notification, make sure that no personal
data should be shared to another third party.
 Environmental such as personal space: It is the barrier of communication in which
every individual wants personal space so that they may easily adjust to the working
environment and ensure that proper location, light, personal space is provided. So that it
will remove the communication barrier (Samoborec and et.al., 2019).
 Availability of resource to meet specific communication needs: It is another important
aspect that helps to remove barrier of communication. Such that if person is unable to
deaf and dumb, professionals may use resources like, Braille, hire specialist who may use
sign language in order to make patient understand. Further, make sure that professionals
must use alternative communication aid to make their patient comfortable.
M1
In Care-home, there are different challenges in implementing person-centred approach
such that:
3

 Risk and abuse is the biggest challenge that may affect the approach. Such that due to
lack of communication, most of professionals are not able to implement person-centred
approach.
 Reflective approach is another key challenges because if the professionals do not posses
the required skills and qualities then it affect the actual process in negative way
(Chinchilla, Sepúlveda and Madero, 2019).
 In Care-home, if professionals are not adaptable in nature then they did not creates
positive and working environment for others. As a result, it may creates conflict which
creates negative impact.
 In Care-home, make sure that proper confidentiality is maintained because it is also
consider a challenges that affect the overall premises. Such that when the data are leaked
or shared by third person, then it may leads to damage the brand image of working place.
D1
Ethical issue is the foremost dilemma in Care-home that affect the person-centred
approach such that sometimes, they provide wrong medication to their patients and as a result, it
affect their live in opposite way, also lead to dangerous issue as well. Therefore, this is consider
common dilemma which is held in most of the centres. Another dilemma is not complying with
health and safety law and as a result, the Care-home breach a law which also creates negative
impact upon the working area. Thus, these ethical dilemma affect the overall system in opposite
way and there is a need to cope up with such situation (Lynch, 2015). In addition to this, in
Care-home, professionals are in a position where they have to perform a duty of both carers and
care workers and as a result, they faces ethical problems. As they are involve in direct care, that
is why, they need workers and who provide them assistance to perform the work in better way.
CONCLUSION
By summing up above report, it has been concluded that there are different models of
health such that bio-medical, social and traditional approach and concluded that all have its
different aspect. Further, report concluded that by complying with data protection, good
communication, Balancing the duty of care, Actively respecting and promoting diversity also
help to adopt person-centred approach. Further, risk, abuse, conflict, reflective approach, being
adaptable are consider as a key challenges while implementing person-centred approach. Lastly,
4

it concluded some dilemmas experienced in Care-home which also affect consistency in
approach.
5

REFERENCES
Books and Journals
Chinchilla, A., Sepúlveda, C. J. and Madero, S., 2019. The facilitating dynamic of customer-
employee satisfaction: contributions from the person-centred approach to service
encounters. International Journal of Services and Operations Management. 32(3). pp.339-
361.
Ewing, G. and et.al., 2015. Developing a person-centred approach to carer assessment and
support. British journal of community nursing. 20(12). pp.580-584.
Freeth, R., 2017. Humanising psychiatry and mental health care: the challenge of the person-
centred approach. CRC Press.
Irwin, R. and Pullen, C., 2019. A person-centred approach to psychosexual therapy: theorizing
practice. Sexual and Relationship Therapy, pp.1-15.
Lynch, B., 2015. Partnering for performance in situational leadership: a person-centred
leadership approach. International Practice Development Journal, 5.
McCormack, B., 2017. Negotiating partnerships with older people: A person centred approach.
Routledge.
Samoborec, S. and et.al., 2019. System complexities affecting recovery after a minor transport-
related injury: the need for a person-centred approach. Journal of rehabilitation
medicine. 51(2). pp.120-126.
Stokes, G., 2017. Challenging behaviour in dementia: A person-centred approach. Routledge.
Online
Difference between bio-medical and social model of health. 2018. [online]. Available through:
<https://www.allassignmenthelp.co.uk/blog/what-is-biomedical-model-of-health/>.
6