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Viva Edit
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- 11. Clinical case study of client worked with therapeutically FRGH MMPS PCC1. FTD++ PPAV++ Characteristics FTD
2. Reason Detention - MHA 2007 or
MCA (2005) DOLs
3. History
4. Goals 5. Meds+PRN
OBS - 6. Meals 7. Presentation 8. Seizure
9. Personal care 10. Cancer
11. Communicate PC Needs - 2Mental Capacity Act (2005)MCA 2005
Make decisions if lack capacity +
unable to:
understand / retain / weigh / communicate
Decisions must be in 'Best Interest' - 3DOLsDOLs Requires 6 Assessments
Requires Authorisation from local authority
DOLs safeguards need be followed:
Best interest / unavoidable /
Only used if is least restrictive way of keeping safe - 42. Therapeutic Aims of Team1. Reduce distress and agitation
2. Build therapeutic person centred relationships to determine how to meet individual needs
3. Assess clients capabilities so they could move to appropriate care - 52. Therapeutic aims of working with your clientAs FTD problems in communicating his needs + making choices.
Therapeutic aims:
1. Build relationship to fully understand regular needs + likes / dislikes
2. Find ways communicating despite dysphasia - 62. Therapeutic Relationships Dziopa + O’Hearn 2009Empathy + Understanding
Active listening + Consistency
Treat as a person
Recognise individuality
Genuineness, Equality,
Boundaries, Self Awareness. - 73. What overarching therapeutic framework did you refer to that informed the nature of your therapeutic relationship? Give a clear rationale for such an approachKitwood (1997) Rementia (recovery)
Person Centred Care (Humanistic)
Rogers (1951), Client Centred Therapy Maslow (1943) Theory Human Motivation
Cohen-Mansfield (2007)
Nonpharma treatment agitation
NMC Code (2015) Best Interest - 83. Best Interest NMC Code (2015)Act in the best interest of people at all times:
1. Respect refusal of treatment, Get informed consent
2. Place rights + best interests at centre of decision making process. - 94. What specific interventions did you use in building the therapeutic relationship or rapport? NEFS CCBS VBOO1. Functional Analysis (2001)
2. Needs Driven Behaviour (1996)
3. Environmental modifications
4. Sensory Interventions
5. Cognitive interventions
6. Care Planning
6. Behavioural Interventions
7. Self-affirming interventions
7. Validation Therapy – Feil (1992)
8. Breaking down complex tasks
9. Observations
10. Occupational Therapy (1918-22) - 104. Care Programme Approach (CPA) Rinaldi + Watkeys 20141. Care plan based on Positive Risk, Building Strengths + Individual recovery goals not Treatment Goals or Adverse Risk
2. Enabling not Restrictive. Partnership Working Supporting Self Management based around Capability - 115. Did you use any specialist skills and techniques when working with the client in relation to their presenting situation?Non verbal communication
Reflecting back
Clarifying to ensure needs are met
Avoiding confrontation
Distraction techniques
Behavioural approaches to strengthen positive behaviours and reduce problematic behaviours
Observation - for Physical / Mental Distress
Reassurance + Empathy if Distressed - 126. Were there any specific situations that slowed down therapeutic progress or even caused conflict between you and the patient?Initiating personal care describe+++
- 137. Did you encounter any blocks or challenges? Such blocks may be within you, the client, others and/or the environment1. Environment was often overstimulating
2. Client was unable to communicate his needs / make decisions = PCC Efficacy? Ethical DIlemna
3. No personal experience of FTD dementia - 147. Transference and countertransference Jones, 2004Awareness of feelings from past that may influence current relationship
e.g. in reaction to aggressive or resistive behaviours. - 158. What strategies did you use to maintain and enhance self awareness related to issues within the therapeutic encounter?1. Daily reflection of my experiences and how I appeared / Maintain wellbeing
2. Regular supervision about my experiences / awareness emotions / presentation - 168. Gibbs Reflection Model (1988) DFEACADescription, Feelings
Evaluation, Analysis
Conclusion, Action plan - 178. Supervision Bond + Holland 2012In Depth Reflection
Self Disclosure
Accountability - 188. Subjectivity and Valid assessments (Proactive Mentorship) Cassidy 2009Valid subjectivity requires contract of trust + commitment at outset enabling the opinion of mentor to become credible part of assessment.
If limited investment in relationship then mentor views become ‘unconfirmed’. Balance between challenging student with experiences + providing support / ‘live’ reflection through supervision
Información
- Descripción
- Fichas sobre Viva Edit, creado por Al Graham el 27/01/2015.
- Creado por
- Al Graham
- Visitas
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