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Essay Unit 17 - Caring for Individuals with Dementia: Learning Aim C (C1)
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Distinction Level: Unit 17 Caring for individuals with Dementia: Learning Aim C
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LEARNING AIM C: INVESTIGATE THE CONCEPT OF PERSON-CENTRED CARE FOR PEOPLEWHO HAVE DEMENTIA TO MAINTAIN QUALITY OF LIFE AND WELLBEING:
In this assignment I will investigate the concept of person-centred care for people who have
Dementia to maintain quality of life and wellbeing. Person-centred care is a method of thinking and
doing in which individuals who use health and social services are seen as equal participants in the
planning, development, and monitoring of care to ensure that it fulfils their needs (HIN, 2017).
Person-centred care helps to minimise the risk of negative, unfair or harmful treatment and neglect
to the recipients of health and social care services. The individual is put at the centre of the care and
is able to choose and control how they want their care and support to be delivered (Lee, 2021).
Some of the advantages of person-centred care include service user flexibility, which means that
individuals can make decisions and have influence into their own care (rather than having what the
‘system' feels is best enforced on them). Person-centred care also promotes independence. Greater
care equals better health and less dependency on health services, which might lead to fewer care
requirements in the long term, allowing service users to stay independent for longer (Duncan, 2016).
One of the disadvantages of person-centred care is that it can be unjust since carers are motivated
by emotions rather than rationales or fairness for the service user, and there is a continuous risk of
healthcare professionals becoming overwhelmed by obligations and participation with their service
user (Summer Meranius et al, 2020). A holistic approach refers to provide support that considers the
whole individual, not just their mental health needs. Also, the support should take into account their
physical, emotional, social and spiritual wellbeing (NSW, 2020). Mrs. Khadijah Ahmed is 68 years old
and has Alzheimer’s disease. According to her family she has worked as a teacher and has studied
nursing.
Principles of Person-centred care:
Care that recognises the uniqueness and individuality of people who have dementia is important
because everyone has different abilities and needs and the service use if the centre of the care
planning. Individuals with dementia must be recognised as unique people with their own individual
experiences of life, their own needs and feelings, and their own likes and dislikes. This will make
them feel dignified, valued and respected and it is important for service user with dementia to feel
that they still have an important part to play in life (Alzheimer’s Society, 2010).
According to NHS (2022), person-centred care is putting the individuals who utilise services at the
centre of their care. It is provided when health and social care professionals collaborate with
individuals to adapt services to what is important to them. Person-centered care should take into
account people's cultural and spiritual beliefs, interests, and rights; allow individuals to make
informed decisions about their care; and give a sympathetic presence and holistic care (ACN, 2019).
This is important because it ensures that the service user receives the required attention from
professionals. For example, if Khadijah is a practising Sikh who values her religious traditions and
goes to the Gurdwara (temple) with her boys once a week, it is essential that her treatment is
centred on her religious beliefs and practises and that professionals.
The 6Cs are a set of principles that all health and social care workers should comply in order to
guarantee that everyone is working toward the same common goal. The 6Cs of care, compassion,
courage, communication, commitment, and competence are a central aspect of NHS England chief
nursing officer Jane Cummings' Compassion in Practice, which was launched in December 2012
(Stephenson, 2014). The purpose of the 6Cs was to ensure the service user are looked after with
care and compassion, by professionals who are competent, communicate well, have the courage to
make changes that improve care and can deliver the best and commit to delivering this all day, every
day (Medacs, 2022). For example, providing care to Khadijah and listening to her wishes, respecting
her beliefs, treating her with dignity, and acting in her best interests would demonstrate care in
, practise, as would staff communicating with Khadijah after her husband died and demonstrating
compassion and understanding about her mood swings and difficulties coping with her loss.
The nursing process is a method of delivering a high standard of nursing care , which involves
assessing needs, planning and implementing care delivered has been effective and reassessing needs
(Aldworth et al, 2016). According to Curry (2021):
The stages of the nursing process include assessment, diagnosis, outcomes/planning,
implementation and evaluation. The assessment phase in order to be able to offer a potential
diagnosis, to Khadijah all external factors must be assessed. This includes listening to Khadijah and
understanding her concerns and hopes for treatment must be the first step in the nursing process.
By doing so, the professional can increase chances of reaching a diagnosis, developing a treatment
plan that meets Khadijah needs, and increases the overall quality of care given. The next phase is
diagnosis health care professional must consider all external factors of Khadijah ( such as
environmental, socioeconomic, and physiological) when developing a diagnosis, which can be
challenging at times. Once Khadijah has reached a diagnosis, care panning is the next essential step
in the nursing process also known as outcome/planning. When considering a holistic care approach,
it is necessary to factor in the already-determined external factors of Khadijah and their concerns
when setting attainable health goals. For example, her religious practices and her husband's passing.
The Implementation phases involves both direct and indirect person-centred care, whether that is
administering medication, educating Khadijah and her family, or continuously checking her vitals
(such as the heart, lungs, and brain). This point in the nursing process should actively follow the care
plan that was developed in the previous step and should actively work toward accomplishing the
Khadijah health goals. Lastly, the evaluation phase should be a direct assessment and if the
implemented care plan was effective and if the intended outcomes were reached. However, if the
goals were not met, the professionals and Khadijah should re-evaluate and adjust the care plan to
suit her needs, preferences and choices. It is important that professionals follow the stages of the
nursing process for Khadijah because it helps them knows exactly what to do to care for Khadijah
and what comes next. The nursing process also allows professionals to keep better track of Khadijah
care in terms of record-keeping and to get the preferred outcome for Khadijah.
Dignity, Privacy and Respect:
Dignity:
Dignity is a person's right to be valued and respected for their own sake, and to be treated ethically
(Human dignity impact factor, 2021).
Privacy:
Privacy refers to the right to be left alone, or freedom from interference and intrusion, while
information privacy is the right to have some control over how personal information is used and
collected (Herold and Hertzog, 2015).
Respect:
Respect is defined as the feeling that someone show when they accept that different customs or
cultures are different from their own and behave towards them in a way that would not cause
offence (Cambridge Dictionary, 2022)
Care Plan:
A care plan is a document that describes the service user's evaluated health and social care
requirements as well as how they will be supported. It defines who will offer them care, what kind of
care they require, and how the assistance will be provided. The care plan also acts as a record of the
care that has been delivered (Berg, 2020).
Care plans guide the personalised care of the service user. A care plan is derived from each service
user's unique list of diagnoses and should be prepared in accordance with the individual's personal
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