This subtopic explores the fundamental shift from traditional care to person-centred thinking, planning, and reviews in dementia care, emphasising the indi
Topic Synopsis
This subtopic explores the fundamental shift from traditional care to person-centred thinking, planning, and reviews in dementia care, emphasising the individual's right to self-determination, choice, and involvement in all aspects of care planning. It equips learners with the skills to facilitate collaborative care plans that reflect the unique biography, preferences, strengths, and aspirations of the person with dementia, ensuring reviews continuously adapt to changing needs. Application is embedded through reflective practice, encouraging learners to consider how person-centred principles apply to their own professional development and daily interactions.
Key Concepts & Core Principles
- **Person-Centred Care:** Understanding and implementing an approach that places the individual's unique needs, preferences, values, and life history at the heart of all care planning and delivery, promoting dignity and individuality.
- **Types and Progression of Dementia:** Differentiating between common forms such as Alzheimer's disease, Vascular dementia, Dementia with Lewy Bodies, and Fronto-temporal dementia, and understanding how symptoms manifest and progress differently across individuals.
- **Effective Communication Strategies:** Utilising verbal and non-verbal techniques, environmental adaptations, and validation therapy to facilitate meaningful interactions with individuals living with dementia, recognising that communication abilities change.
- **Understanding Behaviours that Challenge:** Interpreting behaviours as expressions of unmet needs, discomfort, pain, or confusion, rather than deliberate actions, and developing supportive, non-pharmacological interventions to address underlying causes.
- **Legal and Ethical Frameworks:** Applying key legislation such as the Mental Capacity Act 2005, Deprivation of Liberty Safeguards (DoLS), and relevant safeguarding policies to ensure rights, safety, and autonomy are upheld for individuals with dementia.
Exam Tips & Revision Strategies
- When writing reflective accounts, explicitly link your actions to specific person-centred principles, and reference the individual's care plan and any tools used. Avoid vague statements like 'I was supportive' without concrete examples.
- In case studies or role-plays, always start by asking how you would ascertain the person's preferences, communication style, and life history before proposing any care plan adjustments. Show how you would facilitate their involvement.
- For reviews, demonstrate that you evaluate the plan's effectiveness with the individual and make changes based on their feedback, documenting the rationale and outcomes clearly to meet evidence requirements.
Common Misconceptions & Mistakes to Avoid
- Treating person-centred planning as a one-off documentation task rather than a continuous process, leading to static plans that fail to reflect the individual's evolving needs.
- Overlooking the capacity of the person with dementia to contribute, making assumptions about their wishes, or failing to use best interests decision-making frameworks appropriately when the individual lacks capacity.
- Confusing person-centred care with simply being kind—neglecting the structured tools (e.g., one-page profiles, communication charts) that make planning objective and accountable.
Examiner Marking Points
- Award credit for demonstrating a clear understanding of person-centred values (dignity, respect, independence, privacy, choice, and fulfilment) and how these underpin every stage of thinking, planning, and reviewing.
- Look for evidence that the learner actively involves the person with dementia and their significant others in care planning, using appropriate communication tools and advocacy where needed.
- Expect the learner to produce or describe a person-centred plan that includes the individual's life story, current strengths, likes/dislikes, and agreed goals, along with a clear record of regular reviews that adapt the plan responsively.