06/12/2023 9:09 pm
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Caregiving Techniques
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Can someone please provide clarity on the key differences between these three approaches to care? Are they different?
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07/12/2023 7:23 am
Hi in my mind these 3 are 'siblings' and as the parents' knowledge grew, their view and approach changed. Person-focused and person-centred are very similar (I am not familiar with person-focused in our sector) and were the first step away from the medical/institutional way of thinking and doing - first born. The person was acknowledged as being an individual and the importance of knowing details about them and what is important to them received attention. Sometimes it meant there was lots of information somewhere in a filing cabinet and only a few could access it. For some it might still be a case of -'now we know more about you, so we can make better decisions for - and if you are lucky 'with you'.
This proved to not be enough, and the individual's autonomy only came to be fully valued in person-directed.
Asking and encouraging individuals to take decisions as far as possible or to be actively part of the decision-making process. Empowering everyone who plays a role in the older individual's daily life, not just the seniors to promote autonomy.
As we know parents are individuals too and that is why there are a whole lot of variations on the theme from person-focused, to person-centred to person-directed out there.
I do not think there is a clearcut answer as these things developed over time and are enhancements of the previous versions.
1
07/12/2023 9:14 am
Person-centered care emphasizes tailoring healthcare to individual preferences and needs. Person-focused care similarly centers on individual experiences and personalization of services. Person-directed care goes a step further, emphasizing the active involvement and autonomy of individuals in directing their own care decisions.
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07/12/2023 9:42 am
The term 'Caregiving techniques' implies a very one-way process of "I give care to you" and the receiver can feel disempowered especially when they are called a 'patient' and the person giving the 'care' wears a uniform which reminds of hospital. All remnants of the medical/institutional way of doing.
Unfortunately, the word 'care' carries a lot of baggage.
Collaborative support methods or dignified support techniques might be better options to use.
Project Scaffold is promoting a shift to a different approach and should make sure the terms used reflects the person, their dignity, and the partnership in finding ways to get support and quality of life.
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05/03/2025 8:58 am
Found this on the National Library of Medicine website
Rayne Stroebel 01/04/2025 9:40 pm
@5059 It is often found in Aged Care that so many individuals focus their (well intended) intention on the person, with not enough focus on the centrality of the older person to this relationship or the relationships between these individuals (caregivers, doctors, pharmacist, physician, nurses, occupational therapist etc etc). Literally - everyone centers their attention on the older person: "person centered care". We furthermore find that the word "care" (again, well intended) often implies a power imbalance: older persons "need care" and often are passive recipients of such care. There is very little agency in this one-way task driven system. In "relationship-directed support" there is a reciprocal inter-reliability and relational support amongst members of the team, the resident or older person being an integral part of this relationship. It implies agency and equal status, the older person is not merely an object of the medical gaze, but participates in the relational support system.