Applying Person-Centred Practice: Social and Medical Model Comparison

This report provides a comparison of the social and medical models as they apply to person-centred practice within healthcare settings, particularly focusing on domiciliary care. It highlights the core differences between these models, emphasizing how the medical model prioritizes what is physically 'wrong' with the patient, potentially diminishing the patient's autonomy, while the social model focuses on the patient's feelings, needs, and desires, empowering them in their care. The report uses the example of wheelchair accessibility to illustrate the application of a person-centred approach. The report further discusses the challenges faced in applying person-centred care, especially in managing patients with conditions like Alzheimer's, and how these challenges can be overcome. It also discusses the stages of Rogerian therapy and how it can be applied to patient care. Personal experiences of a domiciliary care worker are shared, including both positive and negative experiences, to illustrate the practical implications of these models. The report concludes with a reflection on the importance of adapting care to individual patient needs and the continuous improvement of healthcare practices.

Comparison on how social and medical models apply to person centred practice.
Other difference between medical and social models are disability. For example, as
according to medical model person own control is lost on their lives. Because in medical
terms the more important is what is “wrong” in the human body not considered what
they actually want (Bennett and et.al., 2019). In social models they more focus on the
person feelings and insight needs what actually they want. For example, for wheelchair
users building specially added ramp on the entrance to make them comfortable to get
into the building. This will help to make the better control on their needs and wants else
to just give them only medicines.
Process of adopting person centered approach when
planning the delivery of care
Person centred approach uses a non-authoritative approach that allows
client to take more of a lead in discussion so that in the process they well
discover their own solutions. The main purpose of this approach is
facilitate, listening the client experience without going in other directions.
As according to Rogerian approach of person centred in which they want
to explains or says to read the person's unconscious mind as they know
what hurts and on which direction they need to move. The process of
person centred approach consists 7 stages which is briefly given below:
Stage 1: First process of approach defines that at initial level
people will not get comfortable to speak about their feelings. So at the
initial stage patient or client does not freely come up for the counselling.
Stage 2: In this stage there is a slightly less rigidity with a
small movement towards the responsibility. In this stage care taker take
responsibility to handle the case or not. So in this phase care taker must
have try to build a comfortable zone with client and allowing the Clint to
find their own way forward.
Stage 3: This process of therapy when client wants to forget their past but they can't. This
is a quite common stage when entering into a case with client. The person is beginning to
consider accepting the client needs and majorly get the high approach and targets.
Stage 4: In this phase of therapy or approach client start share feeling and their
issues. In other words, at this step client start taking initiative in the process of therapeutic
relationship. It better helps to make or sustained the high effectively manage process and
make the things more clearly defined. At this process counsellor must have known that to
take care the needs and wants of the client and make them comfortable to manage the
things.
Stage 5: In this phase client taken ownership of their situation by their own
which is the good sign of recovery (Kim and Park, 2017). So it means the aim of the
therapy is start towards success. This is the productive stage of person centred approach
where the person gets confident to make their own decision-making abilities.
Stage 6: In this phase of therapy process client may not to continue the session
if they want. In other words, in this phase they fully accept the pain and understand what
they now actually want to do with the life.
Stage 7: This is the last process of therapy where the client fully ready to take
challenges of life.
Challenges have faced by me when applying person
centred care.
Being as a Domiciliary care worker I have
been facing many issues and barriers while conducting a
care of my patient. Care giving with illness is challenging
as sometimes it is difficult for the people as well. During
handling a patient of Alzheimer's I have faced several
difficulties like emotionally coming to terms with disease
progression towards end of life. sometime I feel
discomfort to managing the person care I afraid of the
uncertain things happened anytime. Because sometimes,
things are uncontrollable situations which creates risky
circumstances and makes the things unevenly
implemented. Another issue that I have faced during the
journey of person centred is responding towards those
unusual symptoms which is not related to the current
Evaluate different dilemmas experienced in own work place affect consistency in
approach.
Patient centred experience is different with different people. Every person
different from other so as their issues as well. I have faced both good or bad experience
throughout my journey. Recently I deal with the case where the old lady suffering from
Alzheimer’s. During the care of her I have experienced both informal and formal
experience that makes the process or things more clear towards the making the best
performing task and approach. The basic purpose of care taker is to control the activities
and take care of the patient who suffering from specific disability. In other words, care
of people who are unable to take care of themselves and compassion towards people
who are vulnerable has been a basic tenet of medicine. However, during the providing
services to them I have gained more knowledge a day by day and think more about how
can I give more effective care to them through which they work effectively and recover
in fast manner.
By the help of improving patient experience my own experienced also
increased in the great manner. Besides, it also helped me to learn new
information and concept to develop the patient background and effective
working performance (Moore and et.al., 2017). In terms of personal
growth, I feel good to providing the effective care to old lady. I also feel
good at the time when I talked to her in very polite manner. It makes me
happy and improved my own confidence level in terms of protecting the
patient in more efficient manner.
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Bennett, M. and et.al., 2019. Resident perceptions of opportunity for
communication and contribution to care planning in residential aged
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Boersma, P. and et.al., 2015. The art of successful implementation of psychosocial
interventions in residential dementia care: a systematic review of the
literature based on the RE-AIM framework. International
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Kelly, R., Brown, D., McCance, T. and Boomer, C., 2019. The experience of
person‐centred practice in a 100% single‐room environment in acute care
The medical model asserts that disability is
primarily the result of an individual’s
impairments. In this model, disability is seen as a
shortcoming, linked to the individual, that
requires correction or accommodation. In order to
participate in school, employment, and other
social institutions, an individual must seek
assistance.