An individual has to be central to the person-centred review process because otherwise it isn’t a person-centred review. All individuals should be present at their review and,they should have had some time to prepare for it beforehand. The individual should be the primary person that is addressed during the review and others should not talk about the individual as if they are not there. Everything the individual says should be taken seriously and recorded. Assistance in communication should be provided to the individual if needed.
I use person-centred thinking to support individuals in their relationships and in being part of their community. I do this by ensuring that individuals are free to make their own choices, although I will offer advice when I deem it necessary. I encourage individuals to play an active role in their local communities by providing assistance with things like finding a job or participating in local events. I help individuals with their relationships by offering guidance if they ask me and helping them to pursue and stay connected to the relationships that are most important to them.
When an individual makes a choice, I have full respect for their decision so that they can have full control over their lives although sometimes it is necessary for me to give them some guidance as they may not have considered all the ramifications of their choice. I will offer practical advice about how an individual can proceed with their choice, no matter how difficult it may appear to achieve and am careful to ensure that my own personal bias does not interfere with the individual’s free will.
Person-centred thinking means communicating with an individual in a way that they are comfortable with and allows messages between one another to be understood. For some individuals, this may mean speaking slowly and in simple terms and for others may mean using body language and signs. I adjust the way I communicate based on the individual’s needs and preferences.
I establish with an individual how they want to be supported by asking them. If they are unsure I will try to offer some ideas so that they have choices about the support they receive. I will then work with the individual and other health and social care professionals to make this a reality.
I use person-centred thinking to know what is important to an individual by regularly conversing with them and asking them what is important to them. In some cases, I will use person-centred tools to document what is important to them. I will then work with the individual to create a plan of action regarding what we can do to pursue these things that are important and regularly review our progress paying particular attention to what is working and not working and doing my best to answer any questions they have.
I would prepare for my own person-centred review by asking myself the following questions:
- What do I like/admire about myself?
- What is important to me now and in the future?
- What additional support do I need in achieving my aims?
- What is working and not working for me and others?
- Any questions/struggles I have?
- What actions should I take?
The 4 Plus 1 Questions Tool above was very helpful in identifying what actions I should take to stop smoking completely because it outlined what I have done so far, the progress I have made in cutting down my smoking and the belief I have gained in my ability to stop smoking completely. This information allowed me to make the decision that I really can stop smoking over the coming weeks, which I never would have dreamed of a month ago.
My own relationship circle has my girlfriend and my kids at the centre. Just outside of that ring is where my mum, dad, brother and best friends are located. The next most important people to me are my auntie, cousin, grandad and other friends and the outer rim has my work colleagues and other professional acquaintances in it.
This is an example of using the 4 Plus 1 Questions Tool in my own goal to stop smoking:
- What have you tried? Cutting down on the number of cigarettes I smoke and replacing some cigarettes with an NRT inhalator
- What have you learned? I do not need to smoke as many cigarettes as I do and nothing bad happens when I don’t smoke for a prolonged period of time.
- What are you pleased about? That I am beginning to genuinely believe that I can actually stop smoking
- What are you concerned about? That I continue to smoke some cigarettes even though I know that they are not useful or good for me.
What next? Continue to try and reduce the number of cigarettes I smoke with the aim of going a whole day without a cigarette next month.
From this exercise I have learned that my process of cutting down the number of cigarettes I smoke is working and giving me more self-confident that I could stop smoking completely, however it has not worked in allowing me to stop smoking yet.