Core values

CORE VALUES.

What are they?

By C Spain.

Aims and objectives 1– To be able to define what are core

values

2– To be able to describe a nursing model

3—To look at barriers to care.

TASKS

The slides that are about to follow all deal with issues of Confidentiality

In pairs, decide what should be done in each of the case studies

Eileen

Eileen has terminal cancer. She tells her District Nurse that she has had enough of living and is going to end her own life tomorrow. She says that it is her choice and asks the District Nurse not to interfere.

Stabbed man

A man with a stab wound arrives at the Hospital Casualty Department. He won’t give his name and asks the nurse not to phone the Police. He says that he will leave if the nurse does. He is bleeding heavily.

Yasmin

Yasmin tells her new Health Visitor that her new boyfriend is violent and is beating her. She asks the Health Visitor not to say anything as she is frightened of what might happen. Yasmin and her boyfriend have a three month old baby.

Lee

Lee turns up at a Hostel for the homeless. He says that he has runaway because his father has been beating him. He asks the Social Worker not to contact his family. He is 16 years old.

What is meant by “core values”

• Core values are the values we put on—• Our work• Our clients• Ourselves• They can be central to the way we give

care and live our lives.

Core values and care.

Caring encompasses empathy and connection with other people.

It is the way we behave, treat and look after those under our care.

Motivating others to understand and reach their full potential.

Core values and peoples rights

The rights of the people that we care for are one of our main concerns.

These rights can be promoted through the care and services that we will provide.

We will help each person to participate as fully as possible in the community.

But how will we achieve this ?

Peoples rights

Ensuring that they have access to all elements of the NHS.

Ensuring that when required they are able to receive any benefits that they are entitled to.

Assisting clients to access all public services . By enabling them to be able to contribute to

society by helping each other and by taking on roles both within and where appropriate outside of their care environment.

Privacy and Dignity

Clients face many changes when moving into a new home or environment.

We must promote the philosophy of a “family”

We must endeavour to retain as much privacy and personal dignity as possible

But how do we do this?

Privacy and Dignity.

By helping clients to personalize their personal space.

Giving all clients choice. some times informed choice.

Allowing clients times of privacy. Enabling them to make and receive

phone calls. Enabling them to open and read their

mail.

Privacy and Dignity

Respecting the clients need for confidentiality of all records and information.

Treating each client as an individual and a respected member of the “family”

Assisting the clients to maintain their dignity through their personal appearance and behaviour.

Privacy and Dignity

Promoting activities that encourage clients to express themselves as individuals.

Helping clients to overcome any shortcomings they may experience through their age or disability.

Independence.

We should recognize the importance for all our clients to retain their own independence, and the problems that

“group” living can cause. Encourage our clients to think and act as

individuals. But how can we achieve this?

Independence.

Maximising their opportunities for self care.

Encourage clients own financial independence.

Ensuring that clients maintain contacts outside of the new environment they find themselves in.

Allowing clients to express their views on the care that they receive.

Freedom of choice.

All clients should have the opportunity to be in an environment that works around their needs and not around the needs of the organisation.

They should be allowed to exercise their right of choice in all aspects of their daily lives

To help facilitate these choices we should

Freedom of choice.

Provide them with information about the new environment, the services and the care available within it.

Carry out a needs assessment proir to their move to the new environment.

Offer them a trail visit so that they can choose whether to stay or not.

Freedom of choice.

Provide a range of meals which clients can choose from.

Continually offer a wide range of social and leisure activities for them.

Avoid any strict routines and maintain flexibility in the daily structure of the environment.

Fulfillment

We want to help our clients to make the most of their lives and to feel worthwhile, valued and wanted.

But how can we endeavour to assist them to find fulfilment in their lives

. Learning about the client, Getting to

know them as a person in their own right.

To offer and stimulate participation in recreational activities that they wish to do.

To respond appropriately to their own personal, spiritual and mental values.

Fulfillment.

Respecting each individuals religious, ethnic and cultural differences.

To respond promptly to each clients communication.

To listen actively and to give each client time to ventilate what they wish to say

Why use core values?

Patients are people too. This might seem like a daft statement but many

times I have seen staff have been running around “doing” things. Leaving the clients individual needs second to the needs of the organization. This is wrong.

People should be treated in a holistic way. But what is meant by the term Holistic

Holistic

People are made up of many facets these encompass their individual physical, mental, spiritual and social requirements.

To look at people and to care for them we must endeavour to treat the whole person and not just one facet of their needs.

Holistic

Holistic means looking at the whole person, identifying the needs of that person and caring for them to help them to meet those needs.

Always be aware that meeting some need that they may have might impede on another need of theirs.

So look on the whole person “holistically”

Models of nursing

Models of nursing

Models of nursing

Their have been many models of nursing/caring to help understand to client more holistically. These include—

Maslow--

Maslow

Models of caring

Models of caring

Models of care

And there are many more.

In groups draw up a model of care. Drawing in your own life experiences.

Feedback.

Where's it all fit in?

So to look at core values we also have to remember to look at our clients in a more holistic way

By using a model of care, it can help us to better understand and identify our clients needs

Barriers to models of care and core values.

(In groups look at barriers that you can identify which may cause problems with models of nursing)

Barriers to care.

Religion Cultural Sexual Life style Poverty Discrimination Ageism To name just a few.

Activities of daily living.

These are routine activities that people tend to do every day without needing any form of assistance

There are seven basic activities of daily living (ADLs) Eating Bathing Dressing Toileting Transferring (walking) sleep And continence.

A D Ls

Nearly half of all people who turn 65 years old will eventually enter a nursing home as a direct result of being unable to perform ADLs

While the majority of these people will be for a short term stay about a quarter will stay longer than a year.

As a rule of thumb if a person cannot perform two of their basic ADLs they can then qualify for nursing/residential home.

A D Ls

There are many more activities which we can normally perform independently.

For example Communication Safety measures Working Playing ect

A D Ls

A problem performing our ADLs independently may cause us.

Embarrassment Discrimination Low self esteem Low quality of life Inability to feel a “whole” person And institutionalisation.

Recap

CARE VALUES

ARE BELIEFS ABOUT THE RIGHT WAYS TO TREAT PATIENTS OR CLIENTS

WHEN ALL THE VALUES ARE PUT TOGETHER, THEY MAKE UP THE CARE VALUE BASE

ALL HEALTH, AND SOCIAL CARE WORKERS SHOULD RESPECT THE CARE VALUE BASE

PROMOTINGANTI-DISCRIMINATORY PRACTICE

MAINTAINING CONFIDENTIALITY OF INFORMATION

PROMOTING AND SUPPORTING INDIVIDUALS RIGHTS TO DIGNITY,

INDEPENDENCE AND SAFETYACKNOWLEDGING INDIVIDUALS

PERSONAL BELIEFS AND IDENTITYPROTECTING INDIVIDUALS FROM

ABUSEPROMOTING EFFECTIVE COMMUNICATION AND

RELATIONSHIPSPROVIDING INDIVIDUALISED CARE

The work

So in a “nutshell” We try to perform those tasks for others,

that they wish they could do themselves. But for what ever reason are unable to perform independently,

And we perform them looking at their independent needs, wishes and values.

Thank You,

Mr C Spain. RMN