Person Centred Care

This essay will reflect upon an incident that occurred whilst in placement at a Unit for Clients with behaviour and learning needs, and associated autistic difficulties. Clients are both sexes and range in age from four to eighteen. It will be undertaken, defining person centred care in relation to the incident, it will demonstrate awareness to roles and responsibilities of professionals in meeting the needs of the client and it will demonstrate the importance of inter-professional collaboration and discuss the issues that facilitate or act as barriers in this partnership. In Order to Maintain Confidentiality the client has been provided a pseudonym (Nursing and Midwifery Council 2008). Permission was also granted from this client to use this information for the purposes of this essay.
The Unit in which this Incident took place provides day care and education. Children follow the National Curriculum attend class and outside activities and are supported by Teachers and Learning Support Assistants. The aim of the unit is to remove barriers to learning and facilitate inclusion for the pupils of this unit. As the barriers to learning are multi -faceted, staff work closely with a range of support agencies to differentiate teaching and learning appropriately, (See Appendix 1) whilst in the unit the children attend sessions with Occupational Therapists and Physiotherapists. The incident relates to one such session with the Physiotherapist that the client in question did not want to participate in. On being called from the classroom to attend his “timetabled” exercise session Alex made it clear that he felt tired and unwell and did not wish to take part in this session. On further questioning Alex became agitated and abusive towards the teacher and learning support assistant as they were insisting that he needed to attend as it was within his timetable. Alex was taken to the session by both members of staff in his wheelchair against his wishes.
The Mental Capacity Act

References: Althea, A & Ewens, A (1998) Tensions in sharing client confidences whilst respecting confidences Nursing Ethics Volume 5 No: 5 Anderson, J Bayles, M.D (1989) Professional Ethics 2nd edition Belmont, CA: Wadsworth British Association of Social Workers ( 2002) The code of Ethics for Social Work Birmingham: British Association of Social Workers. Caldwell, K & Atwal A (2003) The problems with inter-professional health care practice in hospitals British Journal of Nursing Vol 12 No: 20 Carrel, J Changing Minds.Org Role Theory [available at] http://changingminds.org/explanations/theories/roles.htm (accessed 26th March 2009) Davies, C Gray, B. & Jackson, R. (2002) Advocacy and Learning Disability London: Jessica Kingsley Gillon, R Heginbotham, C ( 1996) Patient centred management: Patient centred care through continuous quality improvement Wiley Blackwell Hendrick, J Kennedy Report (2001) The Kennedy Report on Bristol Royal Infirmary [available at] http://www.wales.nhs.uk/publications/assembly-statement-response-kennedy-report-e.pdf ( accessed 31st March 2009) Koubal, G Kitson, A.L (1989) Standards of care, a framework for quality: Middlesex: Royal College of Nursing Leathard, A Meads,G. & Ashcroft,J. (2005) The Case for Interprofessional Collaboration in Health and Social Care Oxford: Blackwell Mental Capacity Act (2005) [available at] http://www.opsi.gov.uk/acts/en2005/2005en09.htm (accessed 30th march 2009) Parsley, K. Corrigan, P (1994) Quality Improvement in Nursing and Healthcare: A Practical Approach London: Chapman Hall Simpson, K Spouse, J. Cook, M & Cox, C. (2008) Common foundation Studies in Nursing 4th ed London: Elsevier, Churchill Livinstone Stuart, G Valuing People (2001) A New Strategy for Learning Disability for the 21st Century [available at] http://www.archive.official-documents.co.uk/document/cm50/5086/5086.pdf (accessed 25th March 2009) Appendix One * Demand Management Meads and Ashcroft (2005) Framework of Quality Assurance in HealthCare Kitson, A (1989) Meads & Ashcroft (2005)