Participation, Facilitation And Power Essay

2005 words - 8 pages

Model for everyday/everynight
An everyday approach to participation is a concept that identifies the involvement of the person. The assessment and care plans are discussed with the people they are written about but are not always written with. Often the assessment and care plans rely on the input of medical or relatives to complete areas choice. It can be argued, how this could be possible to determine when the person with dementia is not asked to contribute. This experience of non-inclusive decision making describes the participation of another person, a proxy-respondent and not the respondent person’s viewpoint (Tyrrell,2008). To embrace a model of everyday participation it is necessary to develop an alternative way of gathering the information. A functional model needs to be easy to work with and able to focus on different levels for people, staff member or person. The SCIE (2008) model of everyday participation was designed to help organisations to embrace an everyday participatory approach in contrast to a supplementary approach to decision making. The SCIE position paper considered the model as used by four groups of people these are described by SCIE as people that are ‘seldom heard’. The aim of the paper was to consider the current characteristics of participation and identify the organisational tensions and barriers. This model determined by SCIE (2008) would function differently in practise, as each person with dementia, the staff member and the service provider are unique. In order to consider integration of everyday/everynight decision making into our care planning process our current system was evaluated for participatory practises. These care plans are based on a fundamental nursing model method of assessing needs. Roper, Logan and Tierney’s (1996) model consists of five components and twelve activities of daily living, they consider factors of maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying. Factors that could affect the daily lives of the person are named as biological, psychological, social culture, environmental and politico economic factors (Holland, 2008). Using this model we identify needs actual or potential, focus on an achievable goal and determine steps to meet that goal.

The care plan developed with Marjorie’s participation focused on her independence this was determined by her. The information gave a clear organisational position for staff and other family members as risk assessments were completed and agreed upon. The plan considered the model of everyday decision making and participation, feedback about the issues that have been agreed upon by us and with Marjorie and Susan. There were and are changes continually to the format of this document, including space for decision changes and flexibility. We have considered the view points...

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