An essay analysing and evaluating the applicability of person centred planning within a hospital setting
In this essay I will analysis and evaluate the applicability of Person Centred Planning (PCP) tools within a hospital setting particularly in my area of work, paediatric day surgery. I will examine the individual PCP tools commonly used paying particular attention to the one tool currently available for use on the ward I work “The children’s passport”. I will discuss barriers that can inhibit use of PCP tools and will question whether these tools can really be considered person centred. I will maintain confidentiality at all times using pseudonyms. Working within the nursing and midwifery code of conduct. (2008)
In the1950’s psychologist Carl Rogers was the first person to use the term ‘person centred’ He pioneered the concept of personhood believing ‘The organism has one basic tendency and striving to actualize, maintain and enhance the experiencing organism’ (Rogers, 1951 p.401) He believed that individuals are” experts of themselves and given the right conditions and environment are able to flourish”. He named three important values as key in achieving self-actualization. ‘Empathy, congruence and unconditional positive regard’ (Rogers, 1951) The 1960’s was a time of great change socially, the civil rights movement was growing alongside the awareness of the rights and needs of individuals ‘social care was identified and defined in the late 1960’s with the formation of social services’ (Thompson et al 2008) In 1969 the report into the conditions at the Ely hospital (HMSO 1969) opened the eyes of many to the appalling conditions and serious lack of care in all institutions, hospitals, prisons and care homes alike. A flurry of policy reviews were to follow including ‘Better services for the mentally handicapped’ (Department of health 1971). The paper focused on the rights of individuals to be a part their community and treated as individual citizens as opposed to being labelled by their condition or illness .The coming decades saw the end of asylums and institutes. The ideology of Carl Rogers ‘Person centred care’ was drawn upon in a more conceptual manner by Thomas Kittwood he defined personhood as ‘a standing or a status that is bestowed on one human being, by another in the context of relationship and social being’ (Kittwood, 1997: p8) Policies and theories continued to develop, eventually leading to the use of the person centred planning tools in use today.
‘A person centred approach to planning should start with the individual (not the service) and take into account their wishes and aspirations. Person centred planning is a mechanism for reflecting the preferences of a person…..’ (Valuing people (2001p.49) Used correctly PCP is ‘A way to empower a person and give them a choice ‘(Thompson, Kilbane, Sanderson, 2008) PCP requires commitment from both the patient and the health care provider empowering the patient to make their own choices and sharing the power over decisions they may make that influence their lives not exclusively their healthcare. The tools require active listening and responsive action when required from both sides. Once initially completed the tools should allow for change and development as and when needed, for the tools to work to their full potential the health care provider should be able to facilitate this accordingly. Improving patient centeredness is one of the six aims of the Institute of medicines (IOM) Health care quality initiative according to which health care should be safe, effective, patient centred, timely, efficient, and equitable. It is often helpful for the families of patients to be involved in the plans; this is applicable to all patients’ not just children or adults with learning difficulties. It helps the patient and the people they love to gain some control and a sense of responsibility back in their life. Being in hospital can very quickly have a detrimental...
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