person centered care
TRANSCRIPT
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
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)
Personhood Defined:
per·son·hood
[ˈpərs(ə)nˌho͝od]
NOUN
the quality or condition of being an individual person.
(Oxford University Press)
“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)
What makes us unique & individual?
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
person with
with dementia
DEMENTIA
PERSON
Personhood & Dementia: What Do YOU See?
What can we do to promote “personhood” & recognize the uniqueness of individuals?
• 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
• 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
• 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
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
Denise Scruggs, Director Beard Center on Aging at Lynchburg College [email protected] 434-544-8456