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Person-Centred Care
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Theoretical Background
1961 – Carl Rogers – client-centred counselling 1988 – Holden and Woods – reality orientation 1990 – Stokes and Goudie – resolution therapy Feil – validation therapy 1994 – Steven Sabat – impact of the social environment Professor Tom Kitwood – 1980’s and 90’s
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Kitwood 1997 “We need to see the person with dementia, not the person with dementia”
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Brooker 2004 Brooker describes person-centred dementia care as having 4 essential elements. Valuing people with dementia and those who care for them; promoting their citizenship rights and entitlements regardless of age or cognitive impairment.
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Brooker 2004 cont’d Treating people as individuals; appreciating that all people with dementia have a unique history and personality, physical and mental health, and social and economic resources, and that these will affect their response to neurological impairment
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Brooker 2004 cont’d Looking at the world from the perspective of the person with dementia; recognising that each person’s experience has its own psychological validity.
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Brooker 2004 cont’d Recognising that all human life is grounded in relationships. People with dementia need an enriched social environment to compensate for their impairment and allows for their growth.
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VIPS – elements of person-centred care
Brooker continues with her work to say person-centred care encompasses 4 major elements. These have all been acknowledged by some degree by other writers.
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VIPS V A value base that asserts the absolute value of all human lives regardless of age or cognitive ability. I An individualised approach, recognising uniqueness. P Understanding the world from the perspective of the service user. S Providing a social environment that supports psychological needs.
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