Person centred values must influence all aspects of health and social care. The individual is at the centre of the care and are involved in every aspect of it. This ensures that their support, activities, care plans and support plans are tailored to the individual and meet their needs in a way that is appropriate to them. There are person-centred values which must be used to underpin the above. These are respect, partnership, individuality, rights, choice, privacy, independence and dignity. In following the values, people are then empowered to live their lives and achieve their potential.
A care plan details a persons needs and wishes, what is being done to meet them and who is involved in doing so. If a care plan is person-centred it reflects their individuality and will contain their own views and wishes, inform you about what they think is important and how they feel about their circumstances and tell; you how they want to live their life. By knowing this, it means you can support them to live how they want and achieve their dreams, recognising their choices and ideas.
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There are factors which influence the capacity of an individual to give consent. Having the capacity means having the physical or mental ability to do something, and consent means having the ability to give informed permission for something to happen. It also implies the individual understands what their decision means. The ability to give consent comes from being able to understand complex and abstract ideas or concepts without the need for evidence. You have to be able to weigh up the pros and cons and make a decision.
Therefore you need to be able to understand the risks and benefits of a situation, be able to freely express your thoughts, ask questions and have the time to process the situation. Personal values and beliefs, the level of education and a person’s communication skills impact on their ability to make a decision. As does, having their thoughts and opiuons respected, treated with dignity and knowing theywont be judged for the decisions they do make.
If consent can not be readily established you need to adapt your approach to the individual. For example if a person needs time to process information and go over it time and time again, then you do that till they are ready. Some people are unable to consent due to their learning disability or medical condition. In this case, the individual will have a representative will act in their best interests. Any decisions already given consent too would be found in their care plan. Family members are a great point of contact.
Active participation is about working in a way which respects the individual’s right to participate in life as independently as possible. They are seen as active participant or partner. To apply active participation to an individuals needs you would make sure you are aware of their likes, dislikes, wishes and also their abilities. You would then use this knowledge to come up with a plan that best suits the individual. This ensures a happy outcome for everyone. It is person-centred and put the individual in control and living an independent life where possible.
Sometimes an individual needs support to challenge or question a decision about them which is made by others. You can do this by supporting the individual to decide what they want to do and how they will do it, ensuring they understand the decision that has been made and help them think through why they want to challenge the decision. You can identify who else you might be able to get involved to help out and consider if an advocate would be necessary. Arranging a meeting to address their concerns can also be done.
Identity, self-image and self-esteem are all linked. Self-image is all about how we see ourselves, and our opinions of our won worth. Self-esteem is all about being confident in who we are and out sense of value. Identity is knowing who you are, what makes you unique, your personality and characteristics. If you don’t know who you are as an individual then you are more likely to struggle with a low sense of value which creates a negative self-image and low self-esteem. This can manifest in individuals behaviour, ability to make simple decisions, express themselves and make choices.
Wellbeing is a feeling that you are feeling well and doing well. There are many factors that influence this. The practical aspects of life factors are income, employment, quality of living environment, physical and mental health and access to services and amenities. There are also factors in relation to personal and social relationships which are support networks, loving and intimate relationships and relationships with the wider community. Values and attitudes also contribute to wellbeing.
These are an individual’s sense of purpose and value, their hopes, dreams and fears, their satisfaction with life, what they think and feel about themselves and any moral or spiritual codes of behaviour. How people are treated by society and their life experiences play a part in how they see themselves and therefore affect their sense of wellbeing.
Risk taking and risk assessments relate to rights and responsibilities. The exercise of individual rights goes side by side with the individual taking responsibility for the outcomes of their decision. Therefore, you need to be sure that the individuals have the capacity to make an informed decision and fully understand any potential consequences. Risk assessments need to be regularly reviewed as peoples needs and abilities change, especially if their health deteriorates as they may be expected to do more than they can manage. Also, if an activity was agreed to develop skills and confidence, by not reviewing the risk assessment, your are undermining everything they have achieved and they won’t be able to continue to progress.