Read on Twitter
Person centred care threadPerson centred care is not which modality or interventions you use!
PCC seems to get discussed mostly in relation to which interventions to use unfortunately
McWhinney described it as
“Seeing the world through the patients eyes”
1/
You could quite easily give a person the intervention you think they expect it even actually ask for without providing PCC.
So perhaps it is about treatment. But not intervention. There is a distinction between the 2
Treatment is how people are treated as well, people
2/
So perhaps it is about treatment. But not intervention. There is a distinction between the 2
Treatment is how people are treated as well, people
2/
Person centred care was explored by Wijma https://pubmed.ncbi.nlm.nih.gov/28820617/
They discussed treatment with “patients wanted themselves, rather than techniques to be in the centre of concern”
This seems to be quite opposite of many discussions that justify treatment through PCC
3/
They discussed treatment with “patients wanted themselves, rather than techniques to be in the centre of concern”
This seems to be quite opposite of many discussions that justify treatment through PCC
3/
PCC has a number of components.
Communication - Listening, correctly interpreted and discussion that is tailored to the person and their level of understanding
4/
Communication - Listening, correctly interpreted and discussion that is tailored to the person and their level of understanding
4/
Education.
This is more than just than an exchange of facts. Instead integrated into the context of the person experiencing the problem.
@MyCuppaJo likes to say “makes biographical and biological sense”
5/
This is more than just than an exchange of facts. Instead integrated into the context of the person experiencing the problem.
@MyCuppaJo likes to say “makes biographical and biological sense”
5/
Empowerment & support
Putting people in charge of their own recovery and responsibility in the process is a large part of the PCC model
6/
Putting people in charge of their own recovery and responsibility in the process is a large part of the PCC model
6/
Goal setting
Goal setting is highlighted in a number of papers on PCC
This paper by Melin https://pubmed.ncbi.nlm.nih.gov/31448979/ is a good un
They found key factors such as
Understanding meaningful goals
Setting collaborative goals
Self Reflection
7/
Goal setting is highlighted in a number of papers on PCC
This paper by Melin https://pubmed.ncbi.nlm.nih.gov/31448979/ is a good un
They found key factors such as
Understanding meaningful goals Setting collaborative goals Self Reflection 7/
Although intervention should be collaboratively discussed and agreed upon it seems to feature quite lightly in the literature on PCC
Interaction and how HPCs treat (not interventions treating
) people seem to underpin the PCC model
8/
Interaction and how HPCs treat (not interventions treating
) people seem to underpin the PCC model 8/
So if the most discussion around PCC happens around interventions then maybe this misses the point of the PCC model a touch
Preference is important but this is much more than just interventions.
It’s in all of the aspects discussed above!
Preference is important but this is much more than just interventions.
It’s in all of the aspects discussed above!
