The case study will identify a number if strategies to apply supportive approaches using the principals and practices of providing person-centred care, reflected against a real client situation within an organisational perspective. The case study is considering the situation with reflection of the two questions chosen from the Person-centred Care Assessment Tool. In relation to one’s ability to engage and be supported in the facilitation and management of person-centred care directives, within the role of a leisure and health officer.
For the case study one considered the overall working environment of the organisation, with a particular client situation to apply the case study arguments around. This client was experiencing a catastrophic reaction to an event. One applied an integrated person-centred approach which considered meeting their needs by listening to the issue, and working with the person, and their family, as well as care staff, Registered Nurses (RN’s) and the Director of Nursing (DON). In order to find a resolution and meet the client’s needs. As well as, adding to their care plan strategies to assist with future behavioural and psychological symptoms of dementia (BPSD). This particular situation fit perfectly within the two questions of; does the organisation prevent me from providing person-centred care, and do we have formal team meetings to discuss residents’ care.
In thinking about whether one is enabled or encouraged to enact person-centred care in the workplace is a twofold response. In ones role of leisure and health officer, one of the parameters of agreed employment was that one would be able to work as a person-centred officer in the role. Therefore, one is encouraged to empower people with dementia to be themselves, totally accepted with unconditional positive regard, with active listening, strong rapport and congruence from oneself and from the residents. Alternatively, when interacting with care staff, and RN’s it can be very difficult to enact person-centred care directives, due to a maintained perspective of the task directed perspective of care. In relation to team meetings, this does not occur unless the one’s leisure and health team is asked to participate in a resident’s case conference.
This brings us back to our client and suggested strategies. Unit learning had just discussed the Progressively Lowered Threshold Model (PLST) which Smith, et al. (2004, pp. 1755-1760) deliberate is a model of care designed to recognise when a person with dementia has reached a point of stress which triggers a BPSD. The PLST looks at a person’s pattern of rest and activity and determines their levels of stress based on changes in biological and environmental mechanisms, to alter the person’s interaction with their environment to reduce stress, before they cross their stress threshold and begin to
display BPSD’s including catastrophic reactions. The client had crossed her stress threshold from the previous evening and was...