PROMOTE PERSON CENTRED APPROACHES IN HEALTH AND SOCIAL CARE

The Journal of Adult Protection, 2012

Tizard Learning Disability Review, 2009

This article discusses the question of risk in the lives of people who are supported by human services. It responds to the way in which risk, as it has traditionally been approached by these services, imposes a barrier to social inclusion and to an interesting and productive life. The article proposes an alternative person-centred risk process. We argue that, by beginning with a focus on who the person is, their gifts and skills, and offering a positive vision of success, it could be possible to avoid the implied aversion to any form of risk embedded in the traditional approaches and attitudes.

Nursing standard (Royal College of Nursing (Great Britain) : 1987), 2016

Risk management for people with dementia has traditionally focused on preventing physical harm. However, research has demonstrated that focusing on the physical safety of people with dementia may result in their social and psychological wellbeing being overlooked - the very aspects that are necessary to achieve person-centred care. This article discusses the main challenges for practitioners caring for people with dementia in various settings, and encourages a care approach which enables appropriate risk taking as a way of promoting person-centred care.

International Journal of Older People Nursing, 2009

Aims and objectives. The overall project aimed to understand the variability of the construction of risk in dementia care from the perspective of the person with dementia, family carers and practitioners with the intention of developing negotiated partnerships in risk management. This paper focuses on the objective of identifying the understandings of risk by practitioners. Background. Risk management can result in a 'safety first' approach to care practices, but this may be disempowering for people with dementia. Design. This paper describes the results of the first stage of the study: a survey to service managers or equivalent in health, social and voluntary sector care organizations in three countries of the UK. Methods. Data from this stage was collection by postal questionnaire (n = 46). Results. Risk was portrayed as a multidimensional concept and clustered around three themes: (1) Risk and Independence, (2) Risk and Resource, and Organizational Risk Management. Ó 2009 Blackwell Publishing Ltd 89

Social Science & Medicine, 2018

Risk has become a ubiquitous presence in modern society. For individuals diagnosed with dementia this preoccupation with risk can affect their day-today life in many ways. Maintaining autonomy while balancing risks is a continual struggle not only for those living with the disease, but also their carers, family and health professionals. To understand how these different groups of individuals conceptualise the issue of risk for those living with dementia, 83 semi-structured interviews were conducted with people living with dementia, carers, older people without significant experience of dementia, and registered nurses, and staff from a community nursing organisation. These interviews were analysed using Thematic Analysis, which suggested that the risks identified by each group were grounded in their experiences and perspective on dementia. Furthermore, context and understanding of the individual living with dementia and their preferences was central to effectively managing risk in a balanced way, ensuring that 'acceptable risks' were taken to ensure an acceptable quality of life for all involved. These findings highlight that there is no single approach to risk which can be applied to all individuals; rather, a negotiation needs to take place that takes into account the individual's preferences alongside their available resources and means.

Cambridge Quarterly of Health Care Ethics, 2005

While there are substantial benefits for patients taking role responsibility (Hart) -- "take-charge" responsibility -- for their health care, it is vitally important to separate such responsibility from the moral responsibility of just deserts and blame. The latter should be scrupulously avoided by health care professionals.

Massey University, 2007

This research examines the way employees perceive risk in a non-governmental healthcare organisation that provides care and support for people with mental, intellectual and physical disabilities. Thirty-four respondents from all levels and services within an NGO participated in in-depth semi-structured interviews to explore the meaning of the concept of risk from their own viewpoints, as well as their perspectives regarding types and sources of risk in their work and initiatives for controlling and dealing with such types and sources. This involved discussing the role of training in improving the awareness of employees in minimising risk, and the effect of training on the entire risk management process. Additional information was obtained by the researcher from documentation and personal observation. Themes that emerged from analysing data pointed to the interrelated link between perception and risk. Accordingly, the study found that risk is culturally constructed, individualistic, and subjective. It was evident that risk is a perceptual matter affected by beliefs, feelings, knowledge, culture, image, context, and the experience of people. The culture of fear of risk and of perceiving risk as something purely negative was dominant among the participants, who viewed risk as an unfavourable issue that does not have opportunities, which creates another source of risk-the risk of perception of risk. This research demonstrates that the perceptual aspect of risk emphasises the central role of people in any risk management process. For effective risk management, all perspectives should be considered. This requires a participatory system of managing risk, improving the awareness of people about risk, and modifying the culture of risk among them. Training has a significant role in the achievement of these fundamentals. First and foremost, my sincere thank to my supervisors: Professor Tony Vitalis and Emeritus Professor Nan Kinross. Professor Tony Vitalis (Supervisor in Chief) who was always there for me and opened his office to address any problem even when there was no official appointment. Although he was really busy (as he was also the Head of Department), he never stinted to advise and give support when needed. It was an honour to work with such a humble, kind and experienced person. Without his vision, knowledge, advice and support, this thesis would not be completed. Listening to Emeritus Professor Nancy (Nan) Kinross (Co-supervisor) ensures that ideas grow into reality and implementation becomes simple. Her continuous inspiration, contributions, comments, directions, support and critiques were valuable and essential for the progress and the completion of this research. Her hospitality; the valuable ideas, advice and guidance she gave to me through out this research; and her continuous encouragement, follow-up and support are unforgettable. My deepest thanks also go to the thirty-four respondents who participated in my research and gave me their valuable time and shared with me their experiences. Without their participation, this study could not have been completed. In particular, I would like to thank the Chairperson and the Chief Executive Officer of MASH Trust. Also, special thanks to all staff in MASH Trust who provided me with a very friendly environment for research and for engagement with them. I will always be indebted to those friends who supported me during my study and who continually offered encouragement and help at the beginning and also throughout this research. I also thank those people who participated in the pilot interviews at the beginning of the field work.