Unit 19 Reflective Approaches in Implementing Person Centred Practice

This report analyzes the aspects of different legislation in provision of person-centred care, evaluates solutions to problems in implementing regulations, and assesses challenges faced by healthcare professionals. It also critically evaluates the effectiveness of meeting legislative requirements in safeguarding and protection.

Unit 19 Reflective
Approaches in
Implementing Person
Centred Practice

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Table of Contents
INTRODUCTION.................................................................................................................3
How aspects of different legislation are reflected in provision of person-centred care....3
Analysis of appropriate solutions to different problems which occur when
implementing specific regulations, legislation and policies when providing person
centred care.......................................................................................................................4
Assess the challenges faced by health care professionals and others in interpreting
different legislation in relation to planning and provision of person centred care...........5
Critically evaluate the effectiveness of meeting the legislative requirements, in context
to theme , safeguarding and protection.............................................................................6
PART 3..................................................................................................................................6
Reflective Log book .........................................................................................................6
SWOT Analysis: ............................................................................................................10
Personal Development Plan ..........................................................................................11
CONCLUSION....................................................................................................................16
REFERENCES ...................................................................................................................17
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INTRODUCTION
Health care practices and specialization involves the various care and management
activities, which has to done on the basis of legislation and regulation guidelines in order
to provide effective care and maintain safety in health care setting (angland, and
Gunningberg,2017). This important to implement the health and safety legislation in order
to protect the people in health care including person who receive care and person who
provide care. In this report different aspects of legislation is going to be analyse and
evaluate in context to the person care practices in domiciliary care setting. Different
legislation, problems of implementing legislation, importance and solution to the problem
is going to be evaluate.
How aspects of different legislation are reflected in provision of person-centred care
There different rules and regulations which has to be implemented by the
professional in their care plan and practices guidelines. This helps the professional to
produce or accomplish the effective person-centred care by the reflection of safety and
improvement. Some legislations are illustrated below along with the example of there
reflection on care practices.
Health and Social Care Act 2008- This is the legislation which make the
provision with the support of care quality commission, in order to enhance the
professional regulation and create a new integrated regulator. This focus on the assurance
of safe and quality care for patient. This legislation reflects the safety and quality of care
through holistic care practices. With supportive and positive care environment (Caspar,
and et. al., 2020).
Home Care act 2016 – This law is developed to protect the the home care
consumers. Which sate the requirements and regulation for home care organisation, such
as they have to be licensed and creates a public online registry from home care,
background have to be checked. This promotes the protection of adult disable individuals.
domiciliary care have to be loyal and their background have to be checked before they
selected for the holistic home care of patient (Harris, M., 2021).
National Service Framework for Older People (NSFOP)- This is the most
important health care framework developed to promote, fair, high quality intrigant health
and social care services for older peoples in England. This focus on the professional
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practice regulation according to which professional have to facilitate promote health by
supporting independence of patient. There should be specialized staff for in person centre
care, such as for the stroke, falls and mental illness. Culture and behaviour of the care
taker should be effective in services so that adult can be treated with respect, dignity and
fairness (Kennedy, 2017).
Analysis of appropriate solutions to different problems which occur when implementing
specific regulations, legislation and policies when providing person centred care
There are the various principles of person centred care practices which is illustrated by the
legislation and regulations, caretaker have to value respect and engage service consumers
with their care practices rather than just doing normal job role. Important factors of value
which has to be considered by the caretaker at person centre care practices. Suggest the
privacy, independence, individuality, dignity, choice, privacy respect and partnership.
Emotion and lack of motivation- As a domiciliary care taker their care practices
is not just about a job, it is related to many more other things, on the basis of legislation
Caretaker gave to perform various task and activity, which sometime is very stressful or
frustrating . In context to the management of stress and frustration, caretaker have to be
motivated all the time with empathy and strength (Mainey, and et. al., 2020).
Physician-Hospital Issues- sometime while centre care practices is is provided to
patient with the implementation of legislation and regulation, this become important for
caretaker to take care of patient safety the and quality of care within the hospitals by the
physicians. Such as patient safeguarding and protection is important. Which is most of
time not possible due to the in appropriate facilities of hospital and bad physician
behaviour. Caretaker can manage this problem by developing the appropriate knowledge
of legislation to which taken control the inappropriate activities of hospitals and physicians
in context to the person care and safeguarding.
Issues of managing paints needs- From study of person centred care rules and
regulations provided by the health care legislation system, it is clear that patient it should
be supported with values and respect. Such as then needs half to be fulfil, along with the
consideration of care practices with them for selecting the best one according to patient
suggestion and preference. But sometime this will become difficult to manage patient need
and preference booth medical care practices due to which caretaker have to engage that
person indecision and influence them to choose medical care practices by explaining them
importance of treatment (Rahman, 2017).
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Family understanding issues- This is it person centred care guidelines that
engagement of the family with person centred care plan is important, under which family
have to be informed for every care practices and activity needed to be done on the basis of
legal guidelines. But sometime family refused to support and not understand the
importance of support and regulatory guidelines for personal care. caretaker have to
produce some important skills which can help at and influence family members for
effective support and contribution in person centred care plan (Anker‐Hansen, and et. al.,
2018).
Assess the challenges faced by health care professionals and others in interpreting
different legislation in relation to planning and provision of person centred care
Important to analyse and interpreted the important legislative system and regulations
which should be implemented and used during the provision of person centred care plan.
But there are various challenges which faced by the professionals and others violently
protecting the the legislative systems of person centred care, some of issues and challenges
are illustrated below.
Lack of consistency when identifying work related legislation- new care
practitioner and professionals face huge challenges in terms of lack of consistency, within
online and offline
information of person centred care legislation. Professional phase huge problems in
differentiation of relevant and irrelevant information related to the legislation and
regulations. It take lots of time to identify aur evaluate the relevant sets of legislation due
to the inappropriate consistency of online data. Professionals have to conduct various free
search in context to to develop the evidence based regulations and guidelines for person
centred care plan (Wigert, and et. al., 2019).
Difficulty in analysis and improvement of the holistic care practices regulation
and guidelines- sometime due to the lack of specific information and guidelines
professional face problem in the analysis and evaluation of improvement and essential
guidelines which should be implemented in person centred care plan. It take lots of time
for extraction of relevant information which can be effective for centre care planning.
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Implementation of legislative guidelines in person centred care plan is very essential. but it
causes lots of challenges due to the, higher need of cultural management, behavioural
management, motivation and training for the effective implementation of guideline in
context with care practices. Because it takes time to adjust the participants of person
centred care plan, with this specific culture of plant and behaviour need.
Critically evaluate the effectiveness of meeting the legislative requirements, in context to
theme , safeguarding and protection
Implementation of legislation within the person centred care plan and appropriate
knowledge of care taker regarding legislation of healthcare, help them to effectively
manage person care within the hospital or in any other care place (Chapman,2020). such as
Effective care with the proper consideration of patient needs and Evidenced
based practices Some of the effective benefits of legislative requirement accomplishment
is given below.
Safe adult care- caretaker and practitioner’s will get aware of healthcare
legislation due to which they manage their practices and activities effectively, which help
them to provide effective and protective care.
Free of the harassment and misbehaviour- awareness of the health care
legislation help the health care taker, to prevent and resist any misbehaviour or any
harassment type of activities from the side of healthcare provider and user.
Equal treatment- This legislation help or support equal treatment and support of
health care professionals in context to the person centred care approach, under which care
taker and professionals how to equally manage and support service users (Glas, 2019).
PART 3
Reflective Log book
Student name
Qualification BTEC Level 5 HND in Healthcare Practice
Unit number and title
List the assessment criteria for which
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the activity provides evidence
Scenario1: Give a brief description of the patient or service
user or individual in need that you have provided
personcentered care to
Recently have provided the person centred care
services to the 71 year old man, who is living in
United Kingdom London with he is two daughters,
who are having very busy schedule due to the
designing profession. His daughters selected the
centre care approach for their dad due to the higher
need of holistic care in context to the type 2
diabetes. Patient was facing huge problem in his
daily life activities due to the bad impact of
diabetes. I have been appointed for his centre care
practices as a domiciliary care taker. Recently he
was facing huge pain in in his limbs and not able to
move appropriately.
Provide evidence of how you have provided person
centered care taking into consideration the key
principles of personcentered care. 1. Affording people
dignity, compassion and respect. 2. Offering
coordinated care, support or treatment. 3. Offering
personalised care, support or treatment.
In context to providing effective person centred
care to first individual I have been first go through
with planning of centre care plan, in which I have
engaged patient and he is family members in order
to to develop effective care plan, according to
person preference and comfort. Is partnership is the
principle of person centred care plan due to which I
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have engaged whole family along with the
individual to support and participate in this care
plan for effective control of the individual
condition. I have maintain dignity and respect by
giving the the use time and respect to the individual
and his family for making their decision in context
to every care practices. Then I offer the best
coordinated care or Hollister care, by concerning
the individual condition whit physician and other
heath care processionals, who has provided me
home care treatment guidelines such as medications
and diet plan. I have provided all essential support
and treatment according to that individual
requirements, such as I regularly take him into the
hospital for regular coordinated medical treatment,
by engaging him and influencing him for that. In
home care setting I have engaged him in his diet
planning and influence to take healthy diet. In order
to to make him emotionally strong and improve his
condition with social support, I have been
performed multiple personal care practices for him,
with respect in appropriate treatment. Such as I was
helping him to eat his food, where is accessories
like footwear's and to play some relaxing games
with some participants in order to remove his
mental stress.
Description of activity and how have
provided person centred care for
Individual 1
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As in first case person was facing problem in limbs moment due to which, I have to
provided him Person Centered Dining service, by taking care of his needs and preference. Diet plan for
person was developed by the suggestion of health care professional and person engagement, by
understanding his food choice and by influencing for healthy diet. With in a week I take him in to the
hospital for regular monitoring of medical conditions. Daly is use to provide professionally proscribed
medication to the person. For emotional support and mental health improvement some social and gaming
activities was facilitated to him with the help of their family and friends. I use to support him in some
physical exercises in the basis of doctors prescription to improve, his limbs moments. I use to support him
in Daly personal life activities such in wearing of footwear, walking, eating and all. I was supporting
him to sharer his felling so that I can use that for improvement of care plan.
Scenario 2: Give a brief description of the patient or service user or individual in need that you have provided
personcentered care to.
I had provided person centred care to the 70 year old man, who's family members came to the care
organisation with the requirement of person centre care service, they illustrated the person medical
history and current problems. Such as the dementia who presented with agitation. Some other medical
condition was illustrated as medical history, coronary artery disease, hyperlipidaemia. According to his
family he is facing that memory problem from three years, and now he is facing some physical and
mental deficits in daily life activities, in financial handling, driving, cooking and shopping. As
domiciliary care taker I have to provide person centre care service to him, which I have done effectively
with in the aid of my personal and professional skills.
Provide evidence of how you have provided person centered care taking into consideration the key principles of
personcentered care. 1. Affording people dignity, compassion and respect. 2. Offering coordinated care, support or
treatment. 3. Offering personalised care, support or treatment.
Mostly patients lose their independence when they are under the care process, but in person centre care
approach, their independence is can be supported by showing respect, compassion and dignity. Such as in
this case I have understand his wishes and needs, then provided the effective care by supporting and
fulfilling his needs. In context to the second principle of person centre care approach, I have been
conducted various group discussion with other care providers, such as the physicians, nurses and all. I
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have provided coordinate care and treatments with in the help of health and social care workers. During
every hospital and social care practices, I use to inform other care provider about person interest, strength
and weakness in order to provide effective care. Third principle is representing importance to the
individuality of each patient, according to which I have provided he specific care to him by removing the
practices which not set with his needs and requirement. By giving personalised care I managed to
motivate and improve his conditions.
Description of activity and how have provided person centered care for
Individual 2
In context to the medical conditions dementia the most important thing is to maintain the dignity and
focus on person rather then task and issues. So I have developed care plan by framing his needs and
requirements. I coordinate with mental health professional and planed for medial treatment and support,
through which we decided to provide, behaviour therapy and occupational therapy. For home care
practices I was providing him regular education and information, I use to manage the positive
environment in home. In context to decreasing depression, I worked with his family and him as a partner
and provided the pleasant events. For betterment of mental health. In order to improve this recognize
ability I use to motivate him for participation in meaningful activities. Whole care plan was accomplished
with in the support and participation of individual and his family in care process.
Produce a comparative reflective account on own provision of periods of person-
centered care (taking into account scenario 1 & 2)
In both scenario my provision was specific and evidence based practices with in the
implementation of person centre care principles, such as the dignity, empathy, respect,
individuality, choice, quality and independence, partnership, privacy. I was good at the
management and accomplishment of some principles but I faced huge problem in
patient choice and partnership management, because his choice was very different from
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health care practicalities due to which that was difficult to support his choice and get
his contribution in his own health care practices. But a managed all those thing with my
best efforts and influencing, communication and problem solving skills, but I need to
improve some skills for better future person-centere care practices.
SWOT Analysis:
Use this form to assess your current skills, abilities and knowledge on how you
develop your own personal and professional skills in person centred care and
effective working practice in teams in a health and social care setting
Strengths
For effective performance person centred
care practices there are the need of
multiple skills. Such as communication
skill, self confidence, and enthusiasm,
problem solving skill, influencing skills,
tolerance and motivation skills. I am good
at the communication and problem solving
skills, due to which I can easily
conveyance indivisible for taking right
treatment. And some person centred care
practices I have used both of these skills
which helped me to manage every
complicated situation of decision making,
by the aid of problem solving skills.
Weaknesses
I am very weak in self confidence,
tolerance and motivation skill, due to
which I have faced multiple issues within
the centre care practices. Due to the lack
of tolerance and self motivation, faced
issues in management of individual and
problem in appropriate treatment
practices. Confusing behaviour and
decision of individuals frustrated and I get
confused that what to do. Lack of self
confidence sometime, resist me to live in
that person centred care environment.
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Opportunities
Different training and skill development
programs of healthcare provision, is the
best opportunity for me to develop my
confidence tolerance and motivation skills.
I can for the more increase or improve my
existing skills with the aid of these
professional care taker trainings and
programs. I love to take care of older
people which is my strength and I can use
it as a opportunity which influence me to
improve my skills.
Threats
The major factors which can be work as a
threat for my skills development and
improvement, is an appropriate knowledge
of legislation, in appropriate facilities.
Sometime some family members of
individual not get angry with the care plan,
which can be a biggest threat for my skill
development as I can learn and develop
various things with the help of that person
centred care practices.
Personal Development Plan
Goals Personal / Professional
Development Plan
ACTIVITY (Use SMART
targets)
Current Skills and
Competencies used in
personal and professional
plan
Indicate how you have
monitored your progress,
underpinning learning and
development theory. Add time
scales to show how you intend
to check your progress
throughout the course of your
plan.
Evaluate the effectiveness
of your personal
development plan
Short term
I had targeted to develop
my knowledge about the
person centred care
principles, with in 3
months. That time I wanted
to get deep knowledge of
person centred care
principle and how to
implement or manage that
I have monitored my I
progress by analysing
improvement in my
knowledge related to their
principles. I did various
training and assignments
where I use my developing
knowledge and evaluate my
progress by those training
results. I performed in various
seminar and conference where
I presented my knowledge, 10
Example: training,
purpose, benefits,
limitations associated
with plan
I joined multiple training
of health care legislation
and regulations
understanding, purpose
of training was
improvement and
development of care
taker legislative
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water to analyse its
effectiveness and
improvement.
knowledges and
guidelines. That helped
me to explore various
legislative systems and
models related to the
person-centred care. The
only limitation of that
plan was, higher time
and learning
requirement, because it
can not be improved by
or develop by
inappropriate attention
and learning.
Mid term
I set my goal for the
development of all essential
skills which is essential or
required to follow in person
centred care principles
In context to the monitoring
of my personal or professional
skills development. Bye
evaluating my progress with
the help of personal skill
monitoring guidance and
training. I used to apply my
In context to the plan of
my personal an
professional skill
development. Training
that I have been taken,
was presentation
training, group task
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implementation process for
the effective care practice
accomplishment, Term
Goals (6 months). I am
good to improve and
develop my skills within
this 6 month. Suggest the
problem solving skills,
communication skills,
influencing skills,
tolerance, motivation and
confidence.
developing skills with new
project in task, result of which
help me to evaluate my skills
development progress.
accomplishment
training, patient
management training,
centre care training.
purpose of plan was
skills development,
through continuous
learning, mistakes and
experience. Limitation
of plan was related to
learning and
understanding issues,
along with some barriers
of the training. But I
overcome from all those
limitation with the help
of my own learning and
problem managing
passion.
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Long term Goals (1 year
and above)
I have been planed for the
development of my
personal and professional
person centred care
practices skills and
knowledge, through which
I can effectively manage
practices and get success in
my work. I set my objective
to become best caretaker
and person centred care
practices. I wanted to
become best in person
centred care planning and
success, with in one year.
As a trainee I was having
huge opportunity to monitor
my person-centred care
knowledge and practices
improvement. Because there I
was getting huge opportunity
to provide person centred care.
So by working with care plan I
monitor progress in in person
centre care field.
In context to plan of
becoming best person
centre care taker, in the
setting of domiciliary
care. I have been go
through with various
specialized training such
as the Person-Centered
Dining training, Person-
Directed Care Planning
training, Culture
Building training, home
care training etc.
purpose of this plan is to
develop the knowledge
of evidence based
practices, through which
I can provide appropriate
care to the individuals,
who needs centre care.
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CONCLUSION
From the above study it has been concluded that health care is biggest filed under
which different group of the specific care practices is managed, such as the holistic care
service ( person centred care). For the effective care practices, care plan has to be legal
and sustainable, because it reflects the loyalty, evidences, guidelines and safeguarding of
the patient from health care issues and inappropriate treatment of professional and society.
During the implementation of legislation and regulation in providing person centred care,
professional face various issues and problems such as the Employment & Labour Issues,
Physician-Hospital Issues, Issues of managing paints needs, Family understanding issues.
Which can be solve by the effective management skills and motivation. Professional face
various problems during the interpretation of legislation in context to the planing of
holistic care. Such as Lack of consistency, Difficulty in analysis and so on. Organisation
can meet the legislation and perform effectively in context to the care and safeguarding of
patient by Equal treatment, Evidenced based practices etc.
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REFERENCES
Books and Journals
Harris, M., 2021. Understanding Person-Centred Care for Nursing Associates. SAGE.
Anker‐Hansen, C., and et. al., 2018. The third person in the room: The needs of care
partners of older people in home care services—A systematic review from a
person‐centred perspective. Journal of clinical nursing, 27(7-8), pp.e1309-e1326.
Wigert, H., and et. al., 2019. A Person-Centred Approach When Encountering Students
With Recurrent Pain: School Nurses’ Experiences. The Journal of School Nursing,
p.1059840519864158.
Chapman, A., 2020. Person-centred care in Northern Ireland: learning from the
experiences of adult social care users. Journal of Integrated Care.
Glas, G., 2019. Person-Centred Care in Psychiatry: Self-Relational, Contextual and
Normative Perspectives. Routledge.
Rahman, S., 2017. Enhancing Health and Wellbeing in Dementia: A Person-centred
Integrated Care Approach. Jessica Kingsley Publishers.
Mainey, L., and et. al., 2020. The role of nurses and midwives in the provision of abortion
care: A scoping review. Journal of clinical nursing, 29(9-10), pp.1513-1526.
Kennedy, C.J., 2017. What is person-centred care and can it be achieved in emergency
departments?. Emergency Nurse, 25(2).
Caspar, S., and et. al., 2020. Stakeholder engagement in practice change: enabling person-
centred mealtime experiences in residential care homes. Canadian Journal on
Aging/La Revue Canadienne Du Vieillissement, pp.1-15.
Jangland, E. and Gunningberg, L., 2017. Improving patient participation in a challenging
context: a 2‐year evaluation study of an implementation project. Journal of nursing
management, 25(4), pp.266-275.
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