Essay Participation, Facilitation and Power

should check the care plan in order to know they are providing the correct care and support and following the individuals wishes. If any problems are recognised then the care plan can be updated to reflect these changes.

4. describe actions to take where any concerns with the agreed care plan are noted

2.1: Describe how current legislation, government policy and agreed ways of working support inclusive practice for dementia care and support

Demonstrate how an individual with dementia has been valued, included and able to engage in daily life.

This involves considering the ability of service providers to continually listen to, learn about, and facilitate opportunities with, the people they are supporting. It is important to note that the individual with care and support needs, their participation is considered beyond the individual planning meeting. (which may be an important part of the decision making process). Rather, active participation throughout the entire individual planning process is discussed. There are four common themes in person-centred planning assessments. These are:

1. UNDERSTAND KEY LEGISLATION AND AGREED WAYS OF WORKING THAT SUPPORT THE FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INVIVIDUAL WITH DEMENTIA.

In dementia care we often look to family, advocates other professionals and carers in order to gain consent when the individual no longer has the capacity.

• Every individual, including individuals with dementia, has their unique life history, lifestyle, culture and preferences, including their likes, dislikes, hobbies and interests, which makes an individualised approach in care necessary.

Assessment tools are used in the care planning process to build up a holistic picture of an individual’s needs. When all the details have been recorded an assessment can be made and suitable care and support can be identified. A few of the assessment tools are information from the individual such as diaries, observations, medical histories and checklists.

Unit-4, Q3. Explain how negative beliefs, values and misunderstandings can affect a person's attitude towards people with dementia. Unit-4, Q4. Explain how positive beliefs and values can affect a person's attitude towards a people with dementia. Unit-4, Q5. Describe the steps you can take to ensure a person with dementia feels valued , included and able to engage in daily life. Unit-4, Q6. Describe the practices that could make a person with dementia feel excluded. Unit-4, Q7. Explain why it is important to include individuals with dementia in all aspects of their care. Unit-4, Q8. Describe how an older person's experience of dementia may be different to a younger person who develops dementia. Unit-4, Q9. Mr Singh is a 75 year old gentleman who moved to England from India when he was in his 30s. Mr Singh is a practicing Sikh. He does speak English but because of his dementia he has reverted to only speaking in Punjabi. Describe the steps you could take to gain knowledge and understanding of Mr Singh's needs and preferences. Unit-4, Q10. Sophie is a 39 year old lady who has Down's syndrome. She has also developed dementia which is progressing quite quickly. Sophie has been admitted to a care facility which specialises in supporting people who have learning disabilities and also have dementia. Describe the knowledge and understanding that the staff would need in order to work in a person-centred way with Sophie.

Good communication with the individual should be enhanced. Both individual and carer must compromise and negotiate to what would benefit most for the individual as long as it is safe. Thorough information should be given and must acknowledge the benefits of their choices. This is a way of recognising rights and choices of the individual. One example is the resident’s choice not to use his/her walking frame. This is one conflict of decision – making. Decision should be tailored to the needs of the resident

It is essential to manage risks associated with conflicts or dilemmas between an individual’s rights and duty of care by finding a level of balance. It is important that the care giver put personal feelings aside and look objectively at the situation. The right action should always be taken even if emotionally this is hard to do.

To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals’ ability to come to his or her own decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self-fulfilment and to as much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his Timetable, how could it have been effective?, he was unhappy and

This paper is a critical analysis of two academic papers: McKeown, J., Ryan, T., Ingleton, C., and Clarke, A., 2015, ‘You have to be mindful of whose story it is ': The challenges of undertaking life story work with people with dementia and their families. Dementia, (Qualitative) and Milne, A., Guss, R., and Russ, A., 2014, Psycho-educational support for relatives of people with a recent diagnosis of mild to moderate dementia: An evaluation of a ‘Course for Carers '. Dementia. (Quantitative) These papers have been selected as they embrace contrasting research strategies on Dementia- qualitative and quantitative. The main aim of this analysis is to underline the positive/negative facts in the academic papers in terms of the

Alice needed an assessment of her needs and to have a care plan that is regularly reviewed by professionals. Assessment is the decision making process, based upon the collection of relevant information, using a format set of ethical criteria, that contributes to an overall estimation of a person and her circumstances (Barker, 2004). I was going to get most of the information from Alice. Barker (2009) suggests that wherever possible information should be obtained directly from the person, either in the form of some kind of self report or via observation. Good communication and a systematic approach to data collection are needed for a successful assessment.