Lesson 1 Person Centered Engagement

[Audio] Welcome to the Person-Centered Engagement Course created by NCCAP - the National Certification Council for Activity Professionals. NCCAP was created in 1986 as the official education, training and certification of the Activity Profession. Since 1986, NCCAP has met the highest CMS standard for life-enriching, person-centered care that enhances physical, mental and psychosocial well-being. This 4-hour course is designed for all staff and structured as sixteen 15-minute lessons. Please note that throughout this course we use the term " care partner" to refer to all staff. Also, we use the term " care community" to refer to a nursing home or other long-term care facility. Completing this course empowers all care partners with the knowledge and skills for the practical application of person-centered care. A shared, community-wide understanding and competency for person-centered care is the foundation of Culture Change. Accordingly, this results in improved quality of life for both those that live or work in a care community. We encourage you to approach each lesson as an investment in your self. Enjoy the course!.

[Audio] Before we start our program, let's test our knowledge of person-centered care principles on the next slide..

Person-Centered Engagement Quiz Test your knowledge on person-centered engagement..

[Audio] Think for a moment: when you hear the term "person-centered care" or "resident-directed care," what does that mean to you? Person-centered care and person-directed care are terms used across all care settings, including assisted living communities, nursing homes and hospitals. This may be a term you have never heard before, or it may be relatively new to you. This term refers to a philosophy of care driven partly by new regulations. These regulations are initiated by the Federal regulatory agency called the US Centers for Medicare and Medicaid Services, or as we commonly refer to it, " CMS." CMS included many references to person-centered care in Federal regulations. Even though these regulations apply primarily to nursing homes, the concepts of "person-centered care" and "resident-directed care" flow into other levels of care such as assisted living and adult day centers..

[Audio] In person-centered care, we see each person as an individual. In person-centered care, we approach each person based on their unique preferences and abilities. Let's talk about some examples of person-centered care, depending on the department where you work. Dietary and Food Service staff must consider the individual food preferences of the person when preparing the meal. This is person-centered care. Housekeeping staff can engage the person when they are cleaning a room. When you see family photos or greeting cards displayed in the room, you can engage the person in a short conversation about their family. This is person centered care Nursing staff can engage the person in conversation about the weather, upcoming meals and other activities they may want to attend, when providing nursing or personal care. This is person-centered care. Any care provider can ensure that individualized approaches are used, such as offering the person their favorite music or involving the person in their preferred leisure time activity. This is person-centered care. Everyone of us who works here is a care partner. As a care partner, we need to look at the person we serve as a unique, one of a kind, individual. We need to focus on what the person can do, rather than the limitations or disabilities the person may have. Together, we can help the person be the best they can be despite any challenges they may have. To achieve meaning and purpose and maintain independence, we all work together to provide person-centered care. Today, the philosophy of care is based on the belief that quality of life is as important as quality of care..

[Audio] We must see each person as unique. We must create opportunities where the person can make safe decisions, feel independent, and be empowered. Person-centered care means giving the person a primary role in directing their own care and services. This includes control over their care plan and the delivery of services they receive. Person-centered care is a way of thinking that views the person as an equal partner in making decisions about their own care. Person-centered care is being sensitive and empathetic to the unique perspective and decisions of the person. Even if we do not agree with the person's care decision, as long as it is safe, their decision needs to be respected and considered. The goal is to ensure positive outcomes for the person, using compassion and respect..

[Audio] Person-centered care is a different approach from the care practiced in the past, where the person was expected to fit into rigid daily routines. In the past, care was often implemented to accommodate the needs and schedule of the staff, rather than the needs of the person. Today, person-centered care provides a flexible approach that is focused on the needs and preferences of the person rather than the needs of the staff. There is a famous saying that says: "change your words, and it will change your mindset." Person-centered language is based on this famous saying. The words and phrases we use can influence how we see and act toward the person we serve and care for. It is important to identify negative words and eliminate them from our language. We must use positive language that can influence the quality of the care and services we provide. Positive language will have a positive influence on all our relationships!.

[Audio] Person-centered language acknowledges and respects the person. The words we use can contribute to the person living their life fully and with satisfaction. The term "person first" means exactly that, putting the person first. A "person first" mindset sees the whole person. It sees any limiting characteristics of the person as secondary. For example, rather than say "demented person," we should say a "person living with dementia." It is disrespectful to refer to a person by their disability such as "she is the stroke person," or "he is handicapped.".

[Audio] We will now watch a video that provides an excellent summary of person-centered care. Press play on the video..

[Audio] Person-centered care is embedded throughout the regulations in specific areas that address quality of life, communication, and behavioral expressions. The regulations emphasize that we all should engage individuals based on their personal identity and history. This means all care partners have the responsibility to reflect on the individual needs and preferences of the person with whom we are interacting. There are a number of themes that drive person-centered care. One theme is to be aware of the specific preferences, needs, interests and abilities that make the person the unique individual that they are. On the next slide, you will be asked to identify some examples of person-centered care..

Select one or more correct examples of person-centered care: Person chooses which activities they wish to attend and coordinate with nursing staff to be assisted and escorted to the activities. Person is given a hospital gown to wear to bed Person chooses what time they would like to shower. o Person is told what time they will receive their meal tray. o Person is part of determining when they want to get up and have breakfast o Person is told that bedtime is 8pm. o Person is encouraged to bring in personal items from home that bring joy or comfort to them..

[Audio] The Pioneer Network was founded in 1997 and is the leading nonprofit organization in the US promoting culture change for person-centered care. The Pioneer Network's guiding principles promote a culture where the individual voices of older adults are welcomed, heard, and respected. These guiding principles also state that care should be person-centered and person-directed, not system-directed. This means all care is based on the needs and preferences of the person. The person should not be forced into pre-established routines or systems created for the convenience of staff or the community..

[Audio] The Pioneer Network has defined important principles to guide care communities in providing person-centered care. Some key principles include: Know each person. Respond to spirit, as well as mind and body. Put the person before the task. All elders are entitled to self-determination wherever they live. Do unto others as you would have them do unto you. For a complete list of the Pioneer Network Principles, visit the Pioneer Network website at pioneernetwork.net..

[Audio] Let's look a little deeper into some of the guiding principles of Person-Centered Care. How do we recognize the individual as a " person" and how do we respect their individual preferences? This begins when we meet the person for the first time. Even if you are not involved in the formal assessment process, there are ways to get to know the person. Finding out what name they preferred to be called, how they like their room arranged, what time they prefer care routines and meals are all ways to get to know the person's preferences. This information might be shared by the care plan team, but you can also find out this information as you engage and interact with the person. All individual preferences should be acknowledged and respected. All efforts should be made to empower the person to make their own decisions. Regardless of your position in the community, you play an important role in acknowledging the person and creating opportunities for person-centered care. This is the basis of the personal relationship you establish with the person..

[Audio] Making our own decisions and being independent is something we all take for granted. Imagine being told what time to get up, what you will wear and what you will eat today without any consideration to your preference. It may make you angry or sad. and you would likely lose interest in living your life fully. In person-centered care, empowering the person to make daily decisions contributes to the person's overall well being. Each care partner provides care and services according to their assigned role. As the care is provided, we need to put the person first and view the person's room as their own personal home. Knocking and waiting for permission to enter the room gives the person respect. Before moving personal items around when cleaning the room, permission should be requested. Choices should be offered when deciding what outfit will be worn that day. Accepting the person's refusal to attend activity honors individual decision-making. All care partners can play a role in contributing to the person's independence and their feeling of empowerment..

[Audio] Congratulations on completing Lesson 1 of NCCAP's Person-Centered Engagement Course. You did a great job completing the exercises and games. You must admit these 15 minutes went by quickly. You now have a strong foundation in the principles of person-centered care. You are better prepared to engage with the person, learn about their preferences, and develop a relationships with them. We'll see you in Lesson 2 to learn about " ageism.".