4. What should the carer do about the disclosure? Who should she tell about it, why and what could be the likely outcome?
4 Compare and contrast two safeguarding policies.
Principles of person centred care
The report is prepared to provide a description of principles of person health care and comparing and contrasting the disclosure policies. Person centred care is a way of doing things that makes people use health and social services as equal partners in developing, planning and monitoring care so that it meets their need. The demand for health services is increasing in United Kingdom with the limited resources available. It has been found that the quality of care provided is considerably impacted by the person centred care. With the help of person centred care, people are involved in evaluating and planning services by focusing on their individual needs (Cameron et al., 2014).
Person centred care refers to many different activities and principles which is still evolving and emerging. A framework has been identified by health foundation that outlines the principles of person centred care. The principles of person centred care are listed below and they are as follows:
- Affording compassion, dignity and respect to people- Patients should be involved in decision making by recognizing their preferences and unique values. They should be treated with respect, dignity and sensitivity to their autonomy and cultural values.
- Offering people with coordinated support, care and treatment-In the face of illness during the focused group, the feelings of vulnerable and powerless are expressed by patients. Such feelings can be alleviated in the absence of proper coordination. Such feelings of vulnerability can be reduced by coordinating front line patient care, coordinating clinical care and coordinating support and ancillary services.
- Offering people with support, personalized care and treatment-Patients should have access to personal care by focusing on ambulatory care by addressing the areas such as transportation availability, access to hospitals and clinic, ease in scheduling the appointments and accessing to specialty services.
- Developing the abilities and strength of people and supporting them to recognize it so that they live a fulfilling and independent life- Patients should be encouraged to take active participation in their care plan by empowering them and making a seismic shift of their thoughts.
- Implementation of holistic approach for assessing the need of people and providing them care- Employment of holistic approach should come with transition and continuity that intends to care for patient even after they get discharge.
All these principles should be incorporated into the interventions and specific care that is received by person. The combinations of all these principles will be incorporated within the health care experience (Brett et al., 2014).
In the healthcare encounters, communication is a basic cornerstone and competence that helps patient in expressing concern and symptoms as well as their expectation and hopes for care treatment. One of the factors that are considered integral to the person cantered care is effective communication. The process of enhancement of the communication can be done with the help of a simple smile towards the patients and gestures meaning to meet the needs of the patients. Maintaining proper eye contact with the patients is helpful in creating trust and bonding with the patients as well. It helps in ensuring the attention of healthcare service provider by being sensitive to the needs of patients. The feeling of empathy can be created by talking to patients considering their requirement and making them feel at the clinical place. Their need to communicate should be amended in a way that generates comfort and guarantees safe medical treatment and healthier life.
It is the responsibility of service care provider to make the treatment, care and support of person to be alert of indicators, signs and possibility of abuse. Concerns might arise due to the disclosure as they arise due to the accumulation of signs and indicators. The disclosure is designed in a way that it helps in protecting a person for raising concerns outside the workplace (Gradinger et al., 2015). Any concerns regarding safeguard that arises resulting from disclosure should be reported within the working day. The disclosures are made to the people and the receiver of care taker service and while making disclosures, the service care provider should assure about the clinical services that they would provide to patients. Patients seek transparent communication about their treatment and so service provider should establish a personal touch while communicating so that they are provided with feeling of second home.
Communication skills improvement
The disclosure policies of person cantered care helps in promoting safety and person cantered care and providing assistance to the needs and health care of individual patients. Such disclosures would help care providers in discussing about the patient, carer and families. In case a person is making a disclosure, it becomes essential to primarily listen to the queries and the information that is being shared. After the disclosure is made, it is essential to understand the query that has been disclosed and thereafter provides proper explanation and assure that the issue of significance and proper care will be taken care of in order to settle the issue. In case there is a fault in the end of the care centre, it need not be highlighted but assurance needs to be given so that such issues may not appear in the future. Disclosure policies play a very important role in providing quality care to patient by ensuring the availability of efficient services (Webber et al., 2015).
The comparison between two safeguarding policies and the approaches of safeguarding are coordinate and proportionate as they have an understanding of the role. Safeguarding policies helps in prevention of the actual experience of neglect or abuse and the risk associated with it concerning organization and people working together. Such policies create a balance between right to make informed choice and right to safe.
The description of well-being as per the Care act, 2014 is done relating to mental, physical and emotional well-being of people (Makai et al., 2014). The safeguarding policies for adults as cited in the care act that helps in preventing neglect and abuse of old people. It should be ensured by the providers of social care and health services that they would be able to keep people safe by having values, people, relationship and system in place. Mencap is a national charity that provides people with disabilities with an extensive range of services. In order to get the safeguarding rights, a great deal of responsibility is placed on people having potential vulnerabilities. The similarities are inclusive of preventing abuse and neglecting and the difference among the policies include one policy looks to take care of old people, while the other takes care of disabled people of all ages.
Safeguarding equality of people is based on nine identified protected characteristics as cited under the act of equality, 2010. This safeguarding policies designed for the person cantered care that helps in protecting people from disadvantage and discrimination resulting from protected characteristics of gender reassignment, sex, race, sexual orientation, age material, similar belief, religion, maternity, pregnancy, civil partnership or marital status. This particular safeguarding policy intends to foster good relationships between people and advance equality of opportunity by eliminating discrimination, harassment and victimization. Therefore, equality safeguarding policies intends to provide equal services to people irrespective of their characteristics. The care Act intends to provide well-being to people while equality Act on other hand has the intention of safeguarding patients from discriminative practices (Manners, 2017).
In addition to this, there exist enablers and barriers for the person cantered care that is influenced by many factors. The extent to which people want to engage in the health and care is affected by the personal characteristics of individual.
Conclusion:
From the above discussion, it can be seen that there are several principles of person cantered care. Since the need of individual is changing over time, it is required to make changes in the health care services accordingly. It is required to make fundamental changes in how the services and roles are being delivered by adopting a person cantered care. There is an existence of person cantered care in a modest way despite the challenges faced. For the care to be person cantered, the basis for providing services is dependent upon the circumstances, preference and need of the person receiving care. Furthermore, the safeguarding policies are of utmost important to the person cantered care as it helps in delivering efficient services.
Referencess:
Brett, J., Staniszewska, S., Mockford, C., Herron?Marx, S., Hughes, J., Tysall, C., & Suleman, R. (2014). Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expectations, 17(5), 637-650.
Cameron, A., Lart, R., Bostock, L., & Coomber, C. (2014). Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature. Health & social care in the community, 22(3), 225-233.
Gradinger, F., Britten, N., Wyatt, K., Froggatt, K., Gibson, A., Jacoby, A., ... & Popay, J. (2015). Values associated with public involvement in health and social care research: a narrative review. Health Expectations, 18(5), 661-675.
Manners, R. A. (2017). Professional dominance: The social structure of medical care. Routledge.
Health.org.uk. (2018). [online] Available at: https://www.health.org.uk/sites/health/files /PersonCentredCareMadeSimple.pdf [Accessed 19 Sep. 2018].
Makai, P., Brouwer, W. B., Koopmanschap, M. A., Stolk, E. A., & Nieboer, A. P. (2014). Quality of life instruments for economic evaluations in health and social care for older people: a systematic review. Social science & medicine, 102, 83-93.
Webber, M., Reidy, H., Ansari, D., Stevens, M., & Morris, D. (2015). Enhancing social networks: a qualitative study of health and social care practice in UK mental health services. Health & social care in the community, 23(2), 180-189.
