Person centered care
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Transcript of Person centered care
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Denise Scruggs
Beard Center on Aging at Lynchburg College
Virginia Governor’s Conference on Aging
Richmond, Virginia
May 2, 2016
Ageism & Person-Centered Care: Putting the PERSON in Person-Centered Care
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Six Dimensions of Person-Centered Care
PERSONHOOD Knowi
ng the Person
Autonomy/
ChoiceComfort Care
Nurturing
Relationship
Supportive
Environment
(White, DL, Newton-Curtis, & Lyons, K.S. (2008) Development & Initial Testing of A Measure of Person-Directed Care. Gerontologist, 48, 114-123)
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Personhood Defined:
per·son·hood
[ˈpərs(ə)nˌho͝od]
NOUN
the quality or condition of being an individual person.
(Oxford University Press)
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“A standing or status that is bestowed upon one human being, by others, in the context of relationship & social being. It implies “recognition, respect, & trust,…”
Tom Kitwood 1997
Personhood Defined:
(Tom Kitwood (1997) Dementia Reconsidered: the Person Comes First, Buckingham and Philadelphia: Open University Press, p. 8-9)
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What makes us unique & individual?
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PERSONHOOD
Challenges
Family
Desires
Feelings
Goals
Values
Emotions
HistorySkills/Abilities
Interests
Thoughts
NeedsSelf Esteem
Social RolesLife Experiences
Relationships
Identity PersonalityResources
Confidence
Fears
Likes/Dislikes
ThinkingPhysical
Characteristics
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person with
with dementia
DEMENTIA
PERSON
Personhood & Dementia: What Do YOU See?
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What can we do to promote “personhood” & recognize the uniqueness of individuals?
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• Make eye contact
• Acknowledge & include vs. ignore
• Listen actively when they are speaking
• Share your personal stories to increase equality in relationship
• Share humor
• Ask their opinion
• Use a respectful tone of voice
• Engage & take time to converse with
• Touch to show affection/comfort
• Empower
• Give & respect their choices & preferences
Strategies for Promoting Personhood
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• Show approval- express gratitude
• Give personal space
• Adjust to their pace/ don’t rush through care or conversation
• Collaborate with & do activities together- don’t treat as a task
• Put yourself in their shoes
• Smile
• Know the person’s history, preferences & needs- use it to guide your interactions & interventions
• Sincerely compliment & praise
Strategies for Promoting Personhood
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• Don’t try to change them- accept them for who & how they are at the time
• Acknowledge & validate feelings
• Be empathetic
• Treat with respect
• Don’t herd like cattle
Strategies for Promoting Personhood
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Person-Centered Care
Value
Individualized
Perspective
Social environment
Brooker, D . (2004) What is person-centered care in dementia? Reviews in Clinical Gerontology , 13, 215-222.
Personhood
Fosters: • Personal worth • Uniqueness • Social confidence • Respect • Independence • Engagement • Hope
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Denise Scruggs, Director Beard Center on Aging at Lynchburg College [email protected] 434-544-8456