Analyzing Person-Centered Care Principles in Health and Social Care

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This essay provides an overview of person-centered care principles within health and social care practices, emphasizing its role in enhancing patient well-being and promoting positive health outcomes. It discusses the theoretical underpinnings of person-centered care, tracing its origins to Carl Rogers' humanistic psychotherapy and highlighting the significance of unconditional positive regard in fostering self-esteem and self-confidence. The essay also examines the ethical perspectives associated with this care approach, particularly Amatrya Sen's capabilities approach, which focuses on human flourishing. While acknowledging the benefits of person-centered care, such as improved patient health and increased self-determination, the essay also addresses its limitations, including potential challenges in intervention agreement and the risk of compassion fatigue. Furthermore, the essay explores the application of person-centered care in managing mental disorders like dementia, emphasizing the importance of individualized support and decision-making. The essay concludes by underscoring the effectiveness of person-centered care as an intervention that enables individuals to improve their health, achieve positive outcomes, and focus on their overall well-being.
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Principles of Health and
Social Care Practice
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4
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INTRODUCTION
The considered principles of support within health care sectors are able to facilitate the
health practitioners to attain understanding the treatment interventions of individual patients, and
also how to maintain their privacy. It also ensure that individual' rights are being protected and
informed the clinical decision of service seekers. (Apelian and et. al., 2018) Being person centred
care along with patient is all about aiming the care on the individual's overall health. It means to
value individual's preferences, needs, demands and values guide clinical decisions as well as
prodding care which should be respectful and also responsive to them. Studies determined that it
is a universal commitment of every health care organisation that their approach of care which is
being provided to individual should person centred. (Person-centred care: meaning and practice,
2018) This essay has been developed to understand the values, theories and policies which are
being underpinning within health and social care practice i.e. person centred care and also the
essay promotes the understanding the mechanisms which are existing to enhance good practice
of health practitioners.
MAIN BODY
As per the studies, the concept of person centred care id described as treating individuals
along with dignity and respect as well as involving them in all clinical decisions in respect to
their individualiser's health. This is considered effective care which is associated with person-
centred approach. (Foley Steel and Adams, 2020) In this process of care, an individual has
determined to put at centre by the help of treating an individual along with respect, compassion,
empathy as well as individual's dignity. This care also involve effective communication with
patients and coordinating them in regards with their care between appointments and variety
healthcare services over the time. For example: in making referral from health practitioners to
particular specialist. The person centred care facilitates in sharing the care between health are
organisation and community heath services.(Person-centred care: meaning and practice, 2018)
In addition to this, person-centred care also focus on the required demands and needs of
patients and in determining the desired positive outcomes in their health. The new advancements
within this care, majorly focus on the patients who are suffering from mental distress such as
Alzheimer, Dementia and others. It helps them to obtain effective and efficient decision in
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regards with their healthy. (Goulding and et. al., 2018) It promotes ample of ways which can
facilitate them to prevent illness as well as managing their health factors individually.
According to the studies, the person centred is not just about the treating or handling
patients, rather than it is about the heath care services and governments create and also support
policies in order to put services users at the centre of care. In order to provide centred care to
patients, it is essential for health care practitioner to determined choices and care preferences of
patients. In which, the preferences of patients should be respected in overall treatment procedure.
(Person-centred care: meaning and practice, 2018) It is a ethical duty of health care
practitioners to provide understanding of treatment options and should respect the decision of
individuals.
As per the studies, the theory of person centred care is originated in humanistic
psychotherapy. The Carl Rogers in 1951 has suggested to develop a view of ourselves which is
based in the childhood particularly, the interactions along with important to others. (Nursing
theories 1: person-centred care, 2021) He suggested to think that an individual should be loved,
respected, valued, feel worthy and maintain should be maintain, which technically I,pact in the
heath factors of an individual. Furthermore, Rogers renamed it as unconditional positive regard
in respect to the patients. This positive regards promotes lack of congruence. It has been defined
by the studies congruence is a conditions which have ability to prevent personal growth, if an
individual look on other as ideal, they would like to be same (Person-centred care: meaning and
practice, 2018).
Rogers underpins that each and every individual should learn throughout their lives and
also determined to be capable of attaining personal growth by the help of unconditional positive
regard that should rely on the individual's trust, genuine and also open relationship.(Rantalaand
et. al., 2018) Therefore, the studies also state that the process of self actualisation are determined
to enable to achieve self-esteem and self-confidence and also making them to have exposure of
new feelings as well as new life experiences. This type of care also help individuals to focus on
the individual's life as a intervention rather than a goal and valuing strong relationship with
others (Nursing theories 1: person-centred care, 2021).
The person-centred care has been considered to be responsive and also respectful
approach in order to provide care within consideration person's demands, preferences and also
principles. This care can provide empowerment with the assistance of decision making process
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on individual's treatment plans. Studies of McWhinney and Stewart, who thoroughly explored
person-centred care impacts and outcomes within health care system. (Person-Centered Care
From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A
Scoping Review, 2020)
It has been determined that it overview the individual's at the centre within medical care
as well as individualism's learning and their research on the health outcomes. The person-centred
care has been given to higher ethical level by providing it the basing with the respect of their
philosophy on Amatrya Sen's capabilities approach. (Person-to-person Care From a Relational
Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review,
2020) The person centred approach tend to find in roots which is lying in Aristotle's Principles,
that is the principle that majorly determined for the human flourishing, and where the quality is
not termed as act, but it is considered as habit and healthcare providers are known to improvise
their emotional intelligence so as they are also able to provide and mange care of other needs and
also demands of individuals.(Rushton and Edvardsson, 2018)
As the normal care that has been provided to individual determined as providing care to
individuals as per their need and demands, while in the person centred care the care that has
been provided to individuals sees as care which is given to partner in care. It has been
determined that in order to provide such carer to individual, it is the ethical responsibility of
health practitioners to listen the individual from which he or she can understand the choices,
preferences and desired outcome of a patient. It has been considered the ethics retaliation along
with this approach that can termed as mutual respect, engagement, embodied knowledge,
environment as well as uncertainty as well. As the ethics which are also being underpins due to
this care intervention that is clinical decision making that is also prove to be involved in this
acre practice. (Person-to-person Care From a Relational Ethics Perspective for the Delivery of
High Quality and Safe Healthcare: A Scoping Review, 2020)
The main benefits of person centred that can be promoted by person-centred care is
improved health and well being of patients. As it allow termed to achieve respect and dignity
from health service providers. They also attain quality of care and freedom of choices on
selection of their treatment plans. Individuals are tends to gain the self-determination, self-
confidence and self-esteem and as well as improved quality of life. (Paradoxes of person-centred
care: A discussion paper, 2020) It also promotes improvement in choices, clinical decision
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making, can be able to minimise general fatigue & anxieties, facilitates in improving functional
performance and self-efficacy of patients. It has also observed by the evidence based studies, it
can also promote the improvement within individual's life satisfaction and also better functional
performance. (Sandvik and McCormack, 2018) There are limited limitation which studies have
found in health practices. As per the limited evidence base study, the limitations which can be
stated of person-centred care therapy that can be lack the agreement intervention and sometimes
it s also found to be risk of compassion fatigue. Some studies also observed that person-centred
care van increase personal as well as financial cost. (Paradoxes of person-centred care: A
discussion paper, 2020)
As the cases of Dementia has been found to be gradually increasing and becoming as a
health issue globally. The quality of care involves the considered practices which are
underpinned by the Person-centred care but the studies have also observed that there can be
multiple challenges which can be observed by putting this practice. Models of the disability is
involving the to models, such as the individual and social. On the basis of the individual model,
disability view as either person failure or tragedy to be normal. In other had social model of the
disability indicate that, disability is can be caused by negative impact and outcomes of society.
(Stokes, 2017) Person centred care is the type of care under which patient each and every type
of needs are managed or fulfilled by the health care staff along with the medical needs, to help
the patient for achievement of their personal goals.
Under the person canter care plan there is the huge participation of patient, they can make
their choice of interventions and seek the help for their personal needs too. In dementia, it has
been found that individuals who are suffering from the mental illness such as Dementia, they are
termed to unable to consider their treatment and the effective decision in respect to their
improvement of health, in this case the person-to-person approach works as determining their
decisions. It can be helpfully in determining the structured care plan for patients tat can help in
addressing each issue of an individual as well. It has been observed that person-centred care
facilitate individuals to improve their health outcomes and can also meant to fulfil the
requirements of patients. (Stonehouse, 2021) As the dementia patients requires a companion
who can able tom provide support to patients and motivate them to recover from their
complexities. The study also observed that an individual might attain additional compassion,
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empathy and also termed to feel wanted and loved as well, they obtain learning of living
independently.
The recommendations that can be recommended in order to improve the person centred
care are improving communication skills of health practitioners. (Teeling, Dewing and Baldie,
2020) There should be establishment of effective therapeutic relationship with patients, as it can
helps in identifying the needs and demands of individuals. Also, the attaining feedback should be
there for attaining the quality of services which are being provided to individuals. The person-
centred care also help in determining the concerns as well as priorities of individuals. Person-to-
person Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe
Healthcare: A Scoping Review, 2020)
CONCLUSION
Overall it has been concluded that there several healthcare principles which are
determined to provide best care to service users. The person centred care are considered to be
effective intervention for individuals that can help to them focus on their life and can facilitate
them to improve their health as well as makes them able to achieve positive outcomes. It has
been introduced by the Carl Rogers who suggest to view individual in different perspective. The
person-centred care is associated with positive regard which helps in preventing congruence in
an individual. Through this care intervention, an individual are considered to achieve self-esteem
and self-confidence in them. The ethical perspective underlying within this care intervention
Amatrya Sen's capabilities approach, that highly focus on the human overall nourishment
process. The main benefits which can be determined of this type of care intervention that an
individual can be able to achieve improved health and a positive outcome in their health factor.
Whereas, there are concise limitations that has been found that which is lack of agreement
intervention. With the context, in the mental disorder i.e. Dementia, it has been considered that it
can help in the improvement of individual and also help in their clinical decision making. The
recommendations that can be suggested that effective communication skills and aslo effective
therapeutic relationship with patients.
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REFERENCES
Books and Journals
Apelian, N., Vergnes, J.N., Hovey, R. and Bedos, C., 2018. What is preventing dentists from
providing person-centred care?. The International Journal of Whole Person Care, 5(1).
Foley, H., Steel, A. and Adams, J., 2020. Person-centred care in complementary medicine for
individuals with chronic conditions in Australia. European Journal of Public
Health, 30(Supplement_5), pp.ckaa166-484.
Goulding, A., Allerby, K., Ali, L., Gremyr, A. and Waern, M., 2018. Study protocol design and
evaluation of a hospital-based multi-professional educational intervention: Person-Centred
Psychosis Care (PCPC). BMC psychiatry, 18(1), pp.1-8.
Rantala, A., Forsberg, A. and Ekwall, A., 2018. Person‐centred climate and psychometrical
exploration of person‐centredness and among patients not conveyed by the Ambulance Care
Service. Scandinavian journal of caring sciences, 32(2), pp.852-860.
Rushton, C. and Edvardsson, D., 2018. Reconciling conceptualizations of relationships and
person‐centred care for older people with cognitive impairment in acute care
settings. Nursing Philosophy, 19(2), p.e12169.
Sandvik, B.M. and McCormack, B., 2018. Being person-centred in qualitative interviews:
reflections on a process.
Stokes, G., 2017. Challenging behaviour in dementia: a person-centred approach. Routledge.
Stonehouse, D., 2021. The importance of person-centred care and how to achieve it. British
Journal of Healthcare Assistants, 15(7), pp.334-339.
Teeling, S.P., Dewing, J. and Baldie, D., 2020. A discussion of the synergy and divergence
between Lean Six Sigma and person-centred improvement sciences. International Journal of
Research in Nursing.
Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and
Safe Healthcare: A Scoping Review, 2020 [Online] Available Through:
<https://www.frontiersin.org/articles/10.3389/fpubh.2020.00044/full>
Person-centred care: meaning and practice, 2018 [Online] Available Through:
<https://www.ncbi.nlm.nih.gov/books/NBK508103/>
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Nursing theories 1: person-centred care, 2021 [Online] Available Through:
<https://www.nursingtimes.net/roles/nurse-educators/nursing-theories-1-person-centred-care-
23-10-2017/>
Paradoxes of person-centred care: A discussion paper, 2020 [Online] Available Through:
<https://onlinelibrary.wiley.com/doi/full/10.1002/nop2.520>
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