Explain how person centred practise can result in positive changes for an individual.
Person centred practise (PCP) places the individual at the centre of the care they receive and this can lead to a lot of positive changes. Before the use of PCP, treatment of an individual was based on their condition (medical model). Decisions are continually made for the individual as they are only defined as being independent once they overcome their disabilities. Taking away a person’s choices long-term may lead to ill effects such as withdrawal, depression, lack of motivation, lack of progression, delusions of over dependency, challenging behaviours, lack of opportunities and community access and institutionalisation.
Using the a social model of treatment means that individuals are defined as being independent as long as they are given the tools and help they need to do so. Empowering an individual to make decisions about their life and helping to honour those decisions means that an individual’s world has been opened up. This can lead to individuals having increased access to the real community giving them valuable and real experiences and helping to form relationships. Using the medical model means that individuals would have been held back from community access because they would be assessed as lacking independence. This may lead to individuals being ‘institutionalised’ through lack of experiences. Planning activities based on a medical model may mean individuals are guided into activities which are ‘good for’ their condition and probably involving other people with similar disabilities. However activities and therapies are far more successful if they are based on an individual’s actual interests and more likely to be spent with a wider range of people, nurturing more varied experiences and relationships.
The more that people with disabilities are given the opportunity to be part of their community the more that society’s assumptions, ignorance, prejudices and discriminations will be broken down. Individuals with learning disabilities for instance are increasingly becoming regarded as part of society rather than people who are locked away somewhere. In time individuals will experience more equal opportunities as people and places change to meet their needs. An individual’s community will undergo familiarisation towards their disabilities leading to a lack of prejudice. Services providing care using PCP will change to meet individual’s needs rather than restricting individuals by forcing them to fit into the mould of the service.
Empowering an individual to make decisions about their life means that they will experience more consistency in the provision of care. Care givers no longer work in a moralistic manner making decisions on what they think is best for an individual. This can lead to constant dispute in a care delivery team which in turn will mean a lack of consistency to the individual receiving care. Using PCP in line with the mental capacity act means that a care team need only look back to the individual for guidance on how to meet their needs. Individuals are also less likely to be held back through over cautions risk assessments and healthy promotion. For example a risk assessment may be drawn up to make an individual’s desire to go rock climbing as safe as possible rather than stopping an individual go rock climbing because it is unsafe.
Trying to promote choice means that creative approaches are sought where communication issues are presently. The individual will experience a heightened relationships and sense of self-worth as their communications with the world are improving. Improved communication may mean the individual will not have to resort to extreme behaviours in an attempt to make their needs known and mental health may improve due to a decrease in perceived isolation. The involvement of friend and family in planning care further strengthens an individual’s relationships.
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