Person-Centered Care: A Reflective Report (ABRQF753HSC19JS)

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UNIT 19: REFLECTIVE APPROACHES IN
IMPLEMENTING PERSON-CENTERED
PRACTICE
NAME:
DATE OF SUBMISSION:
CODE NUMBER: ABRQF753HSC19JS
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Table of Contents
Introduction...................................................................................................................................4
LO 1................................................................................................................................................ 5
P1 Explain the rationale for a holistic approach stating the importance approach compared to
a medical model of care.............................................................................................................5
P2. Discuss the process of adopting a person-centered approach to the chosen practice area 7
M1. Review challenges when applying person-centered care including solutions for
managing those challenges........................................................................................................8
D1. Evaluate how dilemmas experienced in the workplace setting affect a consistent
approach to effective person-centered practice ( identify 3 dilemmas)....................................9
LO2............................................................................................................................................... 10
P3. Discuss how aspects of the legislation are reflected in the provision of person-centered
care-......................................................................................................................................... 10
P4. Suggest appropriate solutions to different problems that may occur in implementing
specific regulations and policies in a health and care setting..................................................11
M2. Assess the challenges in interpreting different legislation in relation to the planning
and provision of person-centered care in own workplace setting...........................................13
D2. Critically evaluate the effectiveness of health /safety and safeguarding or protection
systems to the chosen practice in meeting legislative requirements......................................14
LO3............................................................................................................................................... 16
P5 produce a comparative reflective account of own provision of periods of person-centered
care in different workplace settings.........................................................................................16
M3 interrogate own effectiveness in managing own workload as part of a team providing
person-centered care for different individuals........................................................................18
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D3 critically evaluate own and others’ practice in enabling a consistent approach to high-
quality care in different health and care settings.....................................................................19
LO4............................................................................................................................................... 20
P6 construct a short medium and long-term plan to improve own practice and skills in
providing person-centered care.............................................................................................. 20
P7 analyze the practicality of own plans in relation to contributing to the collective
effectiveness of own workplace team.....................................................................................22
M4 implement own short-term plan during a period of workplace experience......................23
M5 monitor own implementation of the plan throughout, making suggestions for further
improvement........................................................................................................................... 24
D4 produce a critically reflective action plan for further personal and professional
development based on own reflective learning.......................................................................25
Conclusion................................................................................................................................... 27
References................................................................................................................................... 28
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Introduction
The person-centered approach was developed by a psychologist named Dr. Carl Rogers in 1940.
According to him, this approach has moved away from the idea that the therapist and theory
towards the actualization and tendency of human beings to the fulfillment of the personal
potentials. This can relate to the person and their relationships with the other person
(Zamanzadeh et al., 2015). This may direct on the experience which is socially liable and are
relative to being trusted and curious about the world. This approach can help in developing the
striving relationship based on the genuine concept of acceptance and empathic towards
understanding.
The workplace settings that are recorded are private home care and hospital for providing the
reflective account to the work. Laws, regulations and ethical practices can meet with the
constitution through which the access to the healthcare services can meet with the treatment
and rehabilitation and counseling of the work (Åhlfeldt et al., 2016). In relation to this, the
health or social settings can focus on planning and implementation of the individual requiring
support with the current regulatory and policies framework.
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LO 1
P1 Explain the rationale for a holistic approach stating the importance
approach compared to a medical model of care
A holistic approach can considerably mean that the complete person, psychology and socially
viable range of the management and prevention of the disease aspire the patients’ health. The
prevention and treatment of the disease can meet with the diagnoses of the doctors (Åhlfeldt
et al., 2016). The holistic approach of nursing can meet with the integrated approach to self-
care into their lives. This can perioperatively meet with problems such as surgical trauma,
anesthetic complications, and others. Holistic care is a comprehensive model of care. It depicts
the factors and viewpoints of the nurses and extending the methods of caring.
The medical model of care direct on the dominance of health care professionals. The medical
model of care can meet with the hierarchical and team-based approach. The patient has little
with no choice in treatment or care (McCormack, 2017). The model of care in the private home
care and hospital direct on the health systems and providing the organization benefits
regarding delivery systems, decision support, and clinical information systems along with the
self-management support. This can help in producing interactions between informed and
activated patients along with proactive practices teams. In the hospital, this holistic care can be
adapted by keeping in point the range of the services and supporting evidence into practice.
The person with the PTSD problem at the hospital and the person with the deaf problem at the
private home care are treated with the different set of the practices. However, a model of care
helps them in leading to a similar output i.e. improving their conditions (Frow et al., 2016).
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Figure 1: Model of Care
Source: De Chesnay and Anderson, 2019
The patient with the formative development needs to be part of the centeredness movement.
This is likely to transform the patient-centered medical home to primary care. The agency of
the healthcare such as private home and hospitals can characterize their functioning to operate
the patients with the attributes such as comprehensive care, coordinated care, patients
centeredness, quality and safety and accessible services (Mason et al., 2015).
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P2. Discuss the process of adopting a person-centered approach to the chosen
practice area
The person-centered care approach can help in meeting the usual behavior of the patient
suffering from hearing loss. Person-Centered care provides the person with deaf at the center
of care planning (De Chesnay and Anderson, 2019). This can interchangeably meet with the
persons to have much in common. This can imply on the infirmity and illness along with
incapacity and incapability to the difficult terms. The private home care in the UK has found
that the patient with the deaf problem has met with normal care which is involving individuals
in their care decisions. The intervention to understand the patient requires the Tele-psychiatry
treatment which helps in understanding the face-to-face psychotherapy with the deaf.
The patients can be accessed to mental health. This can direct on the benefits that are still
evident within the mental health services. There are numerous socio-cultural considerations
through which the communication environment in the family, stress or bullying in locals may
take place (Guloksuz et al., 2017). Therefore, it is necessary to provide additional emotional
support while coping up with the styles of the parents. Mental illness can often overlook
culture. Therefore, the exception to higher rates of the somatization of impulse control disorder
can be maintained. The person-centered approach is necessary as it can control the activities
which are attributing to deafness. They are insomnia and substance use, violent crimes and
others comparing to the hearing populations (Carraccio et al., 2016).
The individual treatment plan set up to provide the Tele-psychiatry sessions for the patients
that enable their mental health to the normal state. The other therapies such as videophone
technology have outlined the mental health of the patients at a significant level (Carraccio et
al., 2016). The private home needs to focus on the person-centered care as this can fluently
help in serving the patients the permissible form of the treatment i.e. sign language and making
it easy to overcome this problem. Therefore, the person-centered approach is accountable.
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M1. Review challenges when applying person-centered care including
solutions for managing those challenges
There are certain challenges that are foreseen with the radical change in private home care
over the years. They put more emphasis on individualized care and require closer attention to
the needs and values of the people (Öhlén et al., 2017). The person-centered care phases
challenges regarding the following. They are:
 Home care professions not providing a collaborative or co-productive approach of
treatment
 The core problem is that the admission to the home care of the deaf older was causing
disruption in their normal routine
 The behavior of the individual patients has become brutal and affecting their cognitive
impairment
The possible solutions that are applied in order to manage the challenges are:
 Patients must be treated with afforded dignity and compassion and respect
 The patients should be provided proper treatment and care time to time and early
attention can help in communicating with the carers
 The patient and their family can provide better attention to the patient with the staff
through cognitive impairment
The interventions by the health professionals can help in sustaining personhood using the core
elements person-centered care (Carr and Biggs, 2018).
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D1. Evaluate how dilemmas experienced in the workplace setting affect a
consistent approach to effective person-centered practice ( identify 3
dilemmas)
The ethical dilemmas in the workplace can be more effectively dealt with the case of following
certain steps (Rasoal et al., 2018). However, the key ethical issues that are listed are:
 Inappropriate behavior or harassing nature affecting the person-centered practice
 Undertaking the credits of others works
 Conducting personal work while attending the patient
This can affect the person-centered practices in different ways. They are highly related to
human rights, health care and code of practices (Brownson et al., 2017). The consistency to
effective person-centered practice can help in overcoming the issues and prioritizing people
with their interest and needs to care and safety to their main concern. This can be overcome by
the following:
 By treating the people as another individual with kindness, respect, and compassion
 By making sure that the fundamentals of care can effectively be maintained
 Avoiding the credits for the works and make sure that the patients can get treatment
under proper assistance and care and without undue delay (Eldredge et al., 2016)
 Encouraging and empowering people to share in decisions about their treatment and
care
 By paying attention to promote well-being and preventing ill-health and meeting the
care needs of the people during stages of life.
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LO2
P3. Discuss how aspects of the legislation are reflected in the provision of
person-centered care-
The person-centered care has reflected that the intention of the regulations such as Health and
social care Act 2008 makes sure that the services have proper or treatment that is specifically
meet with them (Simpson et al., 2017). The regulation helps in providing certain actions that
meet with the needs and preferences. The providers must work in partnership with the person
in order to meet with a reasonable adjustment. The person with the deafness can provide
support to help them understand and make the decisions that care and treatment options to
include the extent of the options for themselves. The providers can meet with accountability
and consent if the review of the care and treatment needs to attain. The legal authority has
certain responsibility through which the private home cares need to work within the
requirements of the mental capacity act 2005. It may direct on the duty to consult with others
such as families, carers and advocates where appropriate (Wahl and Walton, 2016).
The health insurance and portability and accountability act of 1996 and Americans with
Disabilities Act of 1990 have provided overwhelming codes to treat the patients with problems.
The problems that faced by the private home care professionals working with the deaf people
have set out the codes which cover the law such as confidentiality or overlapping the
relationship within the community (Perrin, 2017). The person-centered approach has reflected
on different legislations through which the intellectual and emotional support to the patient
can be provided by the private home care professionals. The perception of health professionals
can meet with individual differences in practice. The self-reflection can help in stimulating
oneself to promote the professionals under the supervision of the legislation (Perrin, 2017).
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P4. Suggest appropriate solutions to different problems that may occur in
implementing specific regulations and policies in a health and care setting
The appropriate solution that can be provided to the problem that occurs in implementing the
specific regulations in the private home care directs on the lack of the necessary support
services. There are certain people with disabilities and are overly dependent on family
members (Reason, 2016). Therefore, it is necessary to prevent both the person with the
disability and managing economically active and socially viable unmet needs for support. The
services that do not yet core competent with disability policies are foreseen. The possible
solutions that can be promoted are:
Promoting physical and mental health and emotional wellbeing
The dignity of care and safe practice has undertaken a number of the legislative measures
through which the health and safety at work act 1974 can present the support to the workplace
health and presenting the interface with the European regulations. This can hold the
enforcement powers that can result in unlimited fines (Greene, 2017). Therefore, the wellbeing
of the patients as well employers health and safety is considered to be important and must be
practice by implementing Manual handling operations regulations 1992, Reporting of Injuries,
Disease and Dangerous Occurrences Regulations 1995 (Guloksuz et al., 2017).
Health, safety, and safeguarding throughout the lifespan
The local authorities, private home cares, and other governance arrangement are responsible
for safeguarding the patient with the hearing loss. This can be overcome by promoting the
welfare for all the children, young and adults in the region (Åhlfeldt et al., 2016). Therefore, the
people growing up in certain circumstances are consistent with the provision of safety and
effective care. Therefore, taking action that enables the patients to become independent as the
best outcomes. The health and safety policy proceeds by the OSHA to the patients and
compliance applicable can help in preventing the individual safety and approaching to the
illness and injury prevention programs (IIPP). The Care Act 2014 and Mental capacity act 2015
can help to provide aid to the workplace incidents at private home care (Åhlfeldt et al., 2016).
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Professional values, attitudes, and behavior of care professionals
Health care personnel can offer the range of the services to the patients which can meet with
the lifestyle needs and basic culture which can form the professional curriculum. The process of
caring for a deaf patient can encompass on the involvement that is beyond the sympathy or
benevolence. This can help the professional bodies to set the values as the standard of behavior
to treat the patient at the care home (Frow et al., 2016). This can help in setting a direction to
the daily conduct of the patient as well as professionals. The person with a disability has the
right to know that their issues are curable or not. Therefore, the dynamics define that the
holistic approach to patient care has helped in implementing the legislation regarding the Duty
of Care Act to meet with the core values of the profession and altruism and autonomy and
social justice to the work (Zamanzadeh et al., 2015).
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