Reflective Approaches in Person Centred Care: A Detailed Analysis

This report provides a comprehensive analysis of reflective approaches in person-centred care (PCC). It begins with a definition of PCC, highlighting its advantages and contrasting the social and medical models. The report then explores the adaptation of PCC approaches for program implementation, using a case study of a 22-year-old with learning and autistic spectrum disorders to illustrate its effectiveness. Challenges in applying PCC in workplace settings are discussed, along with an evaluation of its effectiveness. The report also examines relevant legislations, including The Health and Social Care Act 2008 and the Mental Capacity Act 2005, and their implications for PCC. A reflective account of workplace settings is provided, along with short, medium, and long-term plans for improving PCC practices. The report concludes with an action plan for personal and professional development, emphasizing the importance of reflective learning in enhancing patient care and well-being.

Reflective approaches in person centred
care

1
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
Table of Contents
Introduction................................................................................................................................4
LO (1).........................................................................................................................................4
Definition and concept of PCC (Person Centred Care).............................................................4
Advantages of PCC (Person Centred Care)...........................................................................4
P (1)........................................................................................................................................5
Comparison of Social model and medical model of PCC (Person centred care)...................5
P (2)........................................................................................................................................5
Adaptation of PCC approach for implementing a program...................................................5
P (2)........................................................................................................................................6
Challenges in applying PCC in own workplace settings.......................................................6
D (1).......................................................................................................................................7
Evaluation of PCC at own workplace settings and its effectiveness.....................................7
LO (2).....................................................................................................................................7
Different legislations related to Person Centred Care............................................................7
The Health and Social Care Act 2008................................................................................7
Care and support statuary guidance...................................................................................8
Mental Capacity Act 2005.................................................................................................8
P (3)........................................................................................................................................8

2
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
Aspects of different legislation..............................................................................................8
P (4)........................................................................................................................................8
Suitable solutions of implementations of legislations in PCC...............................................8
M (2).......................................................................................................................................9
Challenges in interpreting different legislation in own workplace settings...........................9
D (2).......................................................................................................................................9
Protection system at workplace settings in meeting legislative requirements.......................9
LO (3)...................................................................................................................................10
P (5)......................................................................................................................................10
Reflective account for two workplace settings....................................................................10
M (3).....................................................................................................................................10
Effectiveness in managing the own workload.....................................................................10
D (3).....................................................................................................................................10
Evaluation of own and others practices with high quality care...........................................10
LO (4)...................................................................................................................................11
P (6)......................................................................................................................................11
Short, medium and long term plan in improving the PCC...................................................11
Short term plan.................................................................................................................11
Medium term plan............................................................................................................11

3
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
Long term plan.................................................................................................................12
P (7)......................................................................................................................................12
Analysis of the plan..............................................................................................................13
M (4).....................................................................................................................................13
Implementation of own short term plan...............................................................................13
M (5).....................................................................................................................................14
Monitoring the plan and suggestions...................................................................................14
D (4).....................................................................................................................................15
Reflective action plan for personal and professional development.....................................15
Conclusion................................................................................................................................16
References................................................................................................................................17

4
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
Introduction
In this assignment an analysis has been done on various approaches and practices of person
centred care. The case study of John is analysed and explained to know the effectiveness and
challenges faced by PCC.
A brief discussion is done about the role and nature of PCC’s in order to make the patient
physically and mentally fit. Different legislations are also described to know the difficulties
in the implementation of PCC. A reflective account is made to understand about the role of
PCC in the case study. Comparison between the social model and medical model of PCC has
been done. Short, long and medium term plan has been made to improve the implementation
of work place practices of the health care professionals of PCC.
Focus will be given over the reflective learning experience which should be apply by the
professionals in their daily working practices for improving their performance in terms of
providing the best solution for the patients. In the end suggestions and conclusion will be
made. The focus is provided over the importance of person centred care with respect to the
case study.
LO (1)
Definition and concept of PCC (Person Centred Care)
Patient care centre is defined as a practice of taking care for patients and their family
members. This type of care is extremely linked with the preferences and need of the patient
related to his physical and mental health. These centres provide all types of clinical services
and support to the client which is required for the well-being of the patient. This approach is
strictly focussed on the individual need of the patient whether it is related to medical need or
it could be related to social needs (London, 2020).
In PCC, the person is treated with a lot of respect with fulfilling his medical need and
physical comfort with hygiene maintenance. These centres ensure about the daily activities of
the person with all daily living needs. PCC are better to treat the patients rather than hospitals
because these are focused on customers need and their satisfaction (London, 2020).
Advantages of PCC (Person Centred Care)

5
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
 For faster recovery of the patient, PCC are very good options because it focuses on
personal need of the clients.
 PCC proves highly beneficial for treating critical patient because these centres ensure
about fulfilling all the daily requirements of the patients with dignity and respect.
 PCC provide all medical and clinical facilities to the patient for improving his health
(London, 2020).
P (1)
Comparison of Social model and medical model of PCC (Person centred care)
Social model of Person centred care is emphasis over the care is needed by the person related
to need and requirements of the person. This model stated that person needs a complete care
with respect and dignity with the required medical treatment. Whereas the medical model of
PCC is only focussed over diagnose the medical disease and providing the best appropriate
treatment to the person. Although both of the models works on improving the health of a
person but the social model of PCC is also focused on improving the mental health of a
person while handling his physical health (K Sugiura, 2020).
The social model of person centred care is not only limited up-to providing facilities and care
to the patients but it is related to focus on the person as an individual and considering his
personal desires, family situation, financial decisions and life-style on the centre and then
make the action plan to handle and solve all the problems of the person for ensuring his well-
being (K Sugiura, 2020).
The medical model of person centred care is focuses only over providing treatments
suggested by the health care professionals with appropriate diagnoses and testing facilities.
This model also takes care about the health of a person but it does not consider the social
factors which are associated to the daily life of the person. For the complete well-being of a
person social care is also important (K Sugiura, 2020).
P (2)
Adaptation of PCC approach for implementing a program
As discussed with this case, John who is a boy of 22 years and is suffering from learning
disorder and Autistic spectrum disorder traits. His behaviour is very challenging. He was in a
hospital for a long time but his behaviour and problems could not be improved. A person

6
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
centred care develops an action plan for him by deciding his daily schedule. This plan is
made to improve the aggravate behaviour of the John. This case represents the effective
treatment given by person centred care to make the persons physically fit and provide the
customers a compassionate care. That is why it is well- known that PCC are the best centres
which ensure about the physical comfort and safety of the person by focussing on his
happiness and preferences (nursing, 2020).
PCC implement its plan with the help of its professionals which guide and care the person
with respect to time. The NHS and government of UK are also emphasising the effective
implementation of the person centred care. The implementation strategies of PCC involved
the action plan which consists of daily schedule related to those activities which are
beneficial for the person. For example in this case study John has been suggested to play
video games and go for ousting with his colleagues for his happiness. Walking and physical
exercise in a public park is suggested by the health care professionals for improving his
physical health (nursing, 2020).
The individual health care plan supports the person in a very supportive manner by improving
his physical and mental health. That is why person centred care is very helpful in dealing
with those clients who needs extra attention and a lot of care. Adaptation of PCC approach is
extremely useful for the people of the country; this is the main reason because of that the
government of the country also promoting the person centred care for the well-fare of the
people of the country (health.org.Uk, 2020).
P (2)
Challenges in applying PCC in own workplace settings
I found that assessing the real needs of persons is the most challenging work inside the
organisation. I also realised that managing the budget for delivering best services to the
clients is also very challenging. Sometimes, the budget which is allocated for giving the
treatment to the clients is very low and the services demanded by the patients and his family
members are very high (Wolf, 2012). Managing the budget and providing customer
satisfaction is very challenging task in applying PCC approach in own workplace settings
(Lucy Moore, 2017).
I found that dealing with the people having mental issues are also challenging in terms of
following the laws and ethical regulations. Making the decisions on behalf of mental patient

7
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
is very difficult because every human has rights to be informed about his treatment.
Moreover, taking care of the human rights of the patients and maintaining his dignity is also
very challenging for me because I was very new to the person centred care (Wolf, 2012).
D (1)
Evaluation of PCC at own workplace settings and its effectiveness
At my own workplace settings, I evaluated the person centred care approach and found it is
proved to be very effective in improving the physical and mental health of most of the clients.
Sometimes, I found it is very difficult to handle the patient of mental illness because the
execution of action plan which is formed after assessing the actual position of the patient is
very difficult (Gondek D, 2017).
The effectiveness of the activities related to workplace settings is related with the
improvement in the behaviour of the person. Once the person becomes habitual in interactive
with other in a normal way then he will be able to start improvement in his learning
behaviour and starts to behave like a normal person. The modifications in the behaviour and
health of the person can clearly notice (Donabedian, 2005).
If the approach of PCC is effective, there is a huge chance to improve the behaviour of the
person by reducing his stress level and make him physically and psychologically healthy.
Practicing the suggested activities is very important while receiving the medical treatment.
These planned activities impact over the brain of the person and make him renovated and
rejuvenated. If a person is able to behave normally at his workplace, no doubt he will be able
to behave sincerely in his daily life. Implementation of person centred care is very much
advocated and suggested by the various health organisations for a very proper development
and improvement of the behaviour of the patients (UK, 2014).
LO (2)
Different legislations related to Person Centred Care
The Health and Social Care Act 2008
This act stated that the care and treatment of service users must be appropriate and should
meet their needs. This act focuses over getting all necessary facilities, care and treatment by
the patient for his fitness. The care plan should reflect the preferences of the person and

8
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
ensure about meeting the basic needs and treatment of the client by taking care of his physical
and mental health. It also emphasis on reasonable adjustments to becomes the service users
enable about receiving proper care and treatment (UK, 2014).
Care and support statuary guidance
It covers the Care Act 2014, which describes about the promotions and wellbeing of the PCC
which are working for treating the clients with special focus on their individual needs. It
focuses on the complete wellbeing of a person including his personal dignity, physical,
mental and emotional well-being. It emphasis on the participation of the patient at work
place, education sector, training centres and other arts related fields (UK, 2014).
Mental Capacity Act 2005
The mental capacity act 2005 is made by the parliament of UK which is applicable to
England and Wales. The major objective of this Act is to provide a legal framework for
making the decision on behalf of those persons who are not capable in making their own
decision. This act is ensuring about the safety and security of the patient while maintaining
his personal dignity. The act is also emphasis over encouraging the patients in taking the
decisions (NHS, 2020).
P (3)
Aspects of different legislation
As discussed with the case, John needs the services of person centred care to improve his
physical and mental health. According to the Health and Social Care Act 2008, the care plan
which is suggested by the health care professionals, should be exactly according to the
requirements of the client. John hesitates to interact with other persons that are why the care
plan should promote him to talk with others while taking care of his health (UK, 2014).
Care and support statuary guidance of UK stated that PCC should work according to the need
of the clients while maintaining his dignity. John also required a perfect care plan which
helps him in improving his behaviour. The mental capacity act 2005 stated that patients like
John, need the treatment with sufficient safety and security (UK, 2014).
P (4)
Suitable solutions of implementations of legislations in PCC

9
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
For effective implementations of the various activities of PCC, usually the problems arise in
taking the crucial decisions on behalf of the patient in emergency positions. However, if the
staff members are following the basic work ethics, then it is very easy to implement the
legislations inside the person centred care (UK, 2014).
M (2)
Challenges in interpreting different legislation in own workplace settings
At my own workplace settings, I found that treating the client with maintaining his rights of
privacy and dignity is very much important and challenging. Following the various laws and
acts related to the treatment of the clients is mandatory and that is why a lot of attention is
needed while applying the PCC approach (Bob Devenny, 2020).
All PCC has to follow certain rules and regulations related to law while taking any decision
on behalf of the client and have to be very careful about the human rights of the patient. In
this scenario, John is showing very aggressive and abnormal behaviour, in this case the
professionals of PCC has to be careful about giving him the treatment and maintaining his
personal rights (NHS, 2020).
D (2)
Protection system at workplace settings in meeting legislative requirements
The members at the workplace has to be careful about delivering all the essential services,
treatment and facilities to the clients while following the Acts, rules and regulations related to
Law for the safety and security of the person. The professionals who are dealing with PCC
are responsible for maintaining protection of the clients by following all legislative
requirements of the patients (nursing, 2020).
The health and social care Act 2008 stated that a person is entitled to receive all the basic
services while maintaining the human rights of the person. As discussed with the case, John
is receiving the treatment from a PCC for his problems related to learning disability and
Autistic spectrum disorder. The health care professionals of PCC have to follow the
legislative policies for maintaining the dignity and human rights of John while providing him
the treatment. John is receiving action plan with the help of PCC for improving his problems
related to his abnormal behaviour and critical mental position (NHS, 2020).

10
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
LO (3)
P (5)
Reflective account for two workplace settings
Team building
Building a team and work with the team members for achieving the common goals of the
team and organisation is an integral part of the workplace settings. When I worked with the
team members, I found it very easy to provide better treatments to the patients for improving
their physical and mental health. I realised that team work is very essential for providing
better person centred care.
Communication
While working with a team, I found that effective communication is the key source for
providing better person centred care services. Better communication practices are required to
assess the real problems and requirements of the patient. I found that for becoming a good
healthcare practitioner, better communication skills are required.
M (3)
Effectiveness in managing the own workload
I found that it is quite difficult to manage the workload while working with PCC. I need to
work hard on improving my communication skills. Actually, I am an introvert person and it is
very challenging for me to interact with patients and team members. I also realised that I need
to enhance my knowledge in terms of understanding the psychological issues of the persons. I
should gather a deep knowledge about the mental health problems of humans and their
solutions. But I was very concern that how I would be able improves my pitfalls and then I
realised that I should make some strategies in order to overcome from my problems.
D (3)
Evaluation of own and others practices with high quality care

11
REFLECTIVE APPROACHES IN PERSON CENTRED CARE
I need to work very hard on improving my communication skills. I realised that for
improving the communication skills I need to also improve my listening habits. I felt that
dealing with the clients is very slow and steady process and that is why a lot of patience id
required for assessing the problems of the patient.
The other staff members are lacking behind in the knowledge of the treatment of
psychological disorder. They should make a proper strategy to enhance their knowledge for
improving mental and physical health of the clients.
No doubt the person centred care is providing a very good solution to those persons who are
struggling even in handling their daily life activities. With the help of my hard work and
constant efforts, the condition of the patient has improved a lot (health.org.Uk, 2020).
I felt very good and enthusiastic when I saw that John is starting to behave like a normal
person. In spite of having the learning disability, John is able to work like a normal person
and is able to deal with all the daily activities of his life (Walker, 2019)
LO (4)
P (6)
Short, medium and long term plan in improving the PCC
Short term plan
I will interact with the family members of the patients of mental problems and interact with
them so that I can enhance my communication skills as well as my knowledge about
problems of the clients. I will observe the behaviour of the patient for around three days on
continuous bases.
I will try to gather the maximum knowledge about the disease from which the patient is
suffering and I will try to consult with physicians and psychiatrists about the techniques to
make the patient healthy. In my short term plan, I especially provide focus on analysing the
minute changes in the behaviour of the patient by observing his habit on continuous bases (J
Richer, 2017).
Medium term plan