PERSON CENTRED PLANNING
WHAT IS IT?
Person centred planning is putting people (your clients)
first. They should be at the centre of decision making about their care.
Plans made about their care should be appropriate to
their needs and reviewed regularly to ensure their needs continue to be met and
plans change in line with their needs and wishes.
Statutory reviews- a person’s care should be
reviewed regularly with all professionals involved in a client’s care. The
client should be encouraged to be present. They should also be encouraged to contribute
their views. This may require help from an advocate or Key worker.
Organisational reviews- Reviews of a client’s care
should take place with staff and the client in their place of care
weekly-monthly as required. Care plans and risk assessments should be updated
regularly to reflect any changes. A key worker or trusted member of staff
should be there to support the client and advocate for them if necessary.
Day to Day decision making- Recognising that
client’s lives are subject to change at any given moment and that their needs
may change too. Ensure professionals/managers are prepared to alter plans for
care according to a client’s needs, on an ad hoc basis as required.
Care plans and risk assessments- Planning
care in a structured way to ensure the client’s current needs are met, future
plans/goals are made and details written of how future plans/goals will be
reached. Client’s should read and sign their own care plans and objections
noted and considered.
Decision making- Deciding, with the client and others,
current needs and future goals which are appropriate and realistic.
Planning- with the client and others to structure future
and current plans and goals.
Implementing- Ensuring that yours and others
practice adheres to the care plans and risk assessments in place. Finding ways
of helping client’s reach their goals.
Evaluating- Reviewing regularly, the effectiveness
of care and making adjustments accordingly.
N.B This is a circular model because after evaluating you go
back to Assessing and begin the process again.
SOFT SKILLS FOR PERSON CENTRED PLANNING
Soft skills are the skills you use in communication and
relationship with the client. These are:
Listening- Being able to listen actively. Active
listening is demonstrated through use of open body language and repeating the
client’s words back to them to check your understanding of what they mean (Paraphrasing).
Listening and Active listening is NOT offering
solutions or giving your own opinions. It is asking questions and paraphrasing
to enable a client to think about their needs and to come to an appropriate
decision.
N.B This is hard as it carries a
requirement to put our own opinions, judgements and values to one side in order
to hear what the client is telling you and to empower them to reach decisions
they are happy with and that are in their best interests.
Observing- There are 2 types of observation. Non-
participating where the client
being observed is unaware. I.e. you may be keeping an eye on a client for signs
of distress. Participating,
where the client is aware you are watching them. I.e. If you have a client on 1-1
support because of risk they know you are aware and watching them. They are
probably observing you too just in case you take your eye off the ball.
Understanding and expressing emotions/feelings-
Instead of saying “I know how you feel” (Trust me you don’t, even with all the
empathy in the world, you don’t and it will annoy the client), say “That must
feel awful….sad”, or “I feel really sad hearing that. Do you feel sad too?”
N.B- You will need to find your
own ways of asking these things so it doesn’t sound automated or false. The
point is you are acknowledging their feelings and hearing what they are saying.
This is difficult to sit with but necessary. You cannot make it better so don’t
try to.
Supporting- Using the skills above offering either
practical
support i.e. help filling in a
form, getting dressed etc., or Emotional support by
listening, observing and helping client’s to express and understand their
feelings and emotions.
I hope you have found this information useful and that it will
help in your studies.
Next time: Manual
handling
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