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Unit 17 Caring for individuals with dementia Task 2 DISTINCTION

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Used as a guide C.P5 Explain how person-centred care is applied for one individual who has one type of dementia. C.P6 Explain why a flexible approach is needed when planning care for one individual who has one type of dementia. C.M3 Assess why the principles of person-centred care are important to maintain the dignity, rights and entitlements of one individual who has dementia. C.D2 Justify the impact and benefits of holistic person-centred care on one individual who has dementia. C.D3 Evaluate how current practice in dementia care meets the needs of an individual with dementia, through managing its effects and maintaining health and wellbeing.

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Unit 17 - Care for individuals with dementia task 2 First submission




C.P5 - Explain how person-centred care is applied for one individual with one type of
dementia.

Person-centred care means staff of healthcare services show dignity, respect and
privacy to people by involving them in their own care and taking account of their
beliefs. It focuses on other aspects of care people need other than medical care and
enables the individual to be involved in their own care. This is because ‘people who
need health care these days aren’t happy just to sit back and let health care staff do
what they think is best’. Person-centred allows people to have a voice in the care
needs they think is best for them and doesn’t rely too much on what the health care
workers think is ideal (Raut, 2016). Person centred care also enables hostilic care
which involves focusing specifically on the individual's needs. For instance a care
plan was produced which involved information about gordon from his wife, this
incorporates person-centred care which allows the care to meet gordons need more.
This is because a care plan enables individualized care which takes account of
gordons preferences when he is being cared for. For instance taking preference into
account if he was to have a different belief. Gordon's preference in the extract was to
have a male support worker for his personal hygiene, this might be for a number of
reasons. For instance he might be of a certain religion that believes this is wrong act
or he might feel embrassed to have someone of the opposite sex care for his
personal hygiene such as bathing so a male support support worker has been
provided for him this is because this might make him feel more comfortable.
Gordon's preferences weren't dismissed as irrelevant as different gender support
workers would provide the same care, instead this preference was taken into
account as it would make gordon feel more comfortable and makes the care more
personalized because his wants were fulfilled. This is an example of independence,
rights and empowerment as Gordon was given choices to choose who he wants to
be cared for and this will make him feel controlled in his care plan.
https://rcni.com/hosted-content/rcn/first-steps/what-person-centred-care-means
31/ 01/ 2020

Dignity, privacy and respect needs to be applied to gordons personal care. This is
because it ensures Gordon has choices and control over the service he is receiving
and his own life. For instance when the support worker is washing gordon, he should
ensure he covers part of the body he is not washing with towel and only display part
of the body he is washing, this might make gordon more comfortable as he is not
totally exposed and this would be treating him with dignity as his personal hygiene is
being handled sensitively, this would respect his human rights. Allowing him to also
manage on his own at home is promoting him with privacy as he is left to tend for
himself which can also promote individuality.


1

, Unit 17 - Care for individuals with dementia task 2 First submission


Gordon independence rights and empowerment are when he is given control over
his life so he is empowered to make choices and decisions. This would enable him to
take control over his health care needs. Independence and right are an element of
person-centred care because this enables the individual needs to be met with and
provided with the support but also enables them to be independent. For instance
gordon has mobility issues so he needs a walking frame, by adapting gordon’s home
this can promote independence so he won’t have to rely on others as much. And can
change how his self esteem as he won’t feel useless.

Recognition of cultural and religious differences and requirement is important
because it a part of providing person-centred care, because if Gordon has a certain
belief or religion then the support worker has to be aware of this so the care is to his
belief. Also if Gordon can’t speak in a english then the agencies would need to be
aware to provide him with provisions that can help. This information can be found
through the background check so the agencies are fully prepared to provide this care
for him.

Entitlement to advocacy is carried out when an individual is deemed incapable of
making decisions by themselves and are unable to speak for themselves. Advocates
can help during care and support planning to help express the person's views and
concerns so they are acted upon (NHS Choices, n.d.). The mental capacity act
introduced that an individual who has a condition that might affect their ability to
make decisions must have a legal guardian who can support and represent them to
express their views and opinion (social care institute for excellence, n.d.). Sue might
be seen as an advocate as she sometimes helps express gordon opinion, for
instance during gordons care plan, sue provided the information that gordon would
like the care service to know about him which includes personal information he might
not be able to express himself later on.
https://www.nhs.uk/conditions/social-care-and-support-guide/help-from-social-service
s-and-charities/someone-to-speak-up-for-you-advocate/
https://www.scie.org.uk/mca/imca
31/ 01/ 2020

Due to his dementia, Gordon might experience behaviour change, he might become
more aggited to those around him and lash out at them as he might be confused as
to who they are. For instance if Gordon is becoming more agitated it is important to
find out why he would be acting like this, for example, this can be a result of not
being able to process information as fast anymore and this can make him feel
agitated.

It is important for the support workers to know about Gordon likes and dislikes. This
is because if gordon becomes suddenly distressed they can bring up the information


2

, Unit 17 - Care for individuals with dementia task 2 First submission


in a conversion which can make gordon recall his past with the present him and this
can put him in a better mood. For instance if gordon was distressed then bringing up
a conversation about his dogs or rabbit can make him talk more about those things
that make him happy or they could talk to him about recent news affairs as he likes
reading newspapers and because the support workers are putting his interest
forward it can make him less distressed.

A background check on him can also enable the social workers to find his dislikes,
this can enable them to provide a care that won’t aggravate his mood. For instance if
the social worker learns about his dislikes such as leaving his dogs door open then
they could ensure to avoid this as it would make him upset and would worsen his
mood. This includes removing him from situations that can make him distress by
prompting him to carry out his hobbies and promoting his interests.

Gordon has multiple mobility needs that affect his general movement. This includes
him being unable to care for his personal hygiene and he also struggles to walk
without support because parts of his body are too weak and injured which affect how
he moves in his daily life. For instance because Gordon has mobility problems then
his needs can be supported by his home being adapted for instance installing a stair
lift so he finds moving around easier.

A person-centred approach can be seen applied when gordon preference of a male
support worker for his personal hygiene was acted upon. Gordon might have this
preference for a number of reasons. For instance he might be of a certain religion
that believes this is wrong act or he might feel embrassed to have someone of the
opposite sex care for his personal hygiene such as bathing so a male support
support worker should be provided for him this is because this might make him feel
more comfortable. Gordon's preferences weren't dismissed as irrelevant as different
gender support workers would provide the same care, instead this preference was
taken into account as it would make gordon feel more comfortable and makes the
care more personalized because his wants were fulfilled this is supporting his
individual rights. This is an example of independence, rights and empowerment as
Gordon was given choices to choose who he wants to be cared for and this will
make him feel controlled in his care plan.

A person-centred approach can be seen applied when gordon's health history such
as his background, medical history and dietary needs was taken into account. This
enables them to be more aware of any cultural and religious difference gordon might
have. This is because this can influence the care provided for gordon and it would
allow a more efficient care to be produced, this can allow them to meet gordons
wishes more. This also allows for a more appropriate care for Gordon as he is
supported with the care to be the most suitable for him. Additionally this can make


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, Unit 17 - Care for individuals with dementia task 2 First submission


them adapt his care based on the findings of his history, for instance this might have
allowed them to be aware of gordon’s diabetes, this would allow them to change his
care in a way that doesn’t trigger his diabetes such as encouraging a more healthy
lifestyle to lessen the symptoms. This also allows the health professionals to be
aware of his family history, for instance if gordon’s family are at a higher chance of
having a certain disease or condition, then health care workers might encourage him
to do a more regular check up so this can help to minimize risks ahead.



Staff are ensuring to respect Gordon's privacy and allowing him to be independent
by using technology, such as the mobile phone they keep near Gordon to ensure
safety. This is important because if Gordon was in a vulnerable situation then he is
able to call for help. For instance if he forgets to use his walker and falls then the
mobile phone is within reach which would allow him to call for help or assistance.
This maintains Gordon's privacy and independence as he means he doesn’t feel as if
he is constantly under watch and will allow him to be able to act freely. This can also
promote independence because it means he doesn’t have to depend on someone,
for instance he won’t need someone to assist him with walking often and this can
improve his self esteem. This would allow staff to feel at ease when allowing him to
manage at home alone as he would still be able to connect with them and this can
also make Gordon feel at ease as it provides him with a sense of security. A keysafe
is also a practical way of safeguarding gordon. This is because if Gordon was unable
to answer the door then this gives health care staff easy access to his home.
Additionally if Gordon's mobility had worsened and he had fallen and hurt himself
then this would make him unable to answer the door so the use of the keysafe
ensures easy access to his home without it seeming like the health care staff are
barging in. the keysafe and identification badge approach would also make gordon
feel safe. Additionally if gordon was not to remember a member of the staff caring for
him then he might attack them and he might hurt himself in this process, so this
prevents gordon from being hurt.

When taking a holistic approach, staff will take account of the individuals health and
wellbeing and not assume the individual will only require medical attention but
looking at the individual as a whole person. Additionally Gordon has type 2 diabetes
so he was motivated to have a healthy diet. This is done in a way that promotes
Gordon's independence, because of staff prompting him to prepare his own food
instead of staff doing it for him. This might improve gordons self esteem and promote
his independence further as he might feel useful of himself because he isn’t having
to rely heavily on others. By providing Gordon with healthy options of food, the staff
are ensuring he stays healthy. Additionally eating healthy can be a form of diabetes
management for gordon as it might help improve his memory. Additionally it might
also reduce the number of strokes he experiences as eating healthy can reduce


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