My Person Centred Statement. This tool has been compiled by Julie Sutton for Debra Moore Associates
My Person Centred Statement. This tool has been designed to help you think about what is important to you, as you stay in hospital. You will have the chance to agree on the things that keep you safe and healthy. When you have completed your Person Centred Statement, you and everyone else will be clear on how you can get better. Your Person Centred Statement can also be part of your CPA Care Programme Approach care plan. Remember your Person Centred Statement belongs to you. You create it. You use it to remind others and yourself how you can get better. You decide who to share it with and where it is kept. Your Person Centred Statement has 5 steps. 1. People In My Life 2. Good Things About Me 3. What Matters To Me 4. How I Communicate 5. Staying Safe and Getting Better
1. People In My Life Start by thinking about the important people in your life. Others who you trust and care about. For example family, friends, people you spend time with or those you don t see very often. You may want to include pets, people you email or those who have died and you miss very much. You may find it helpful to use the Relationship Map below to list those in your life. Put them in order of how close they are to you. Red circle- Those I love Green circle- Those I like Blue circle Those I know Orange circle Those who are paid Start thinking about which of these people you could invite to a meeting about your Person Centred Statement. Could any of them help you make your Person Centred Statement?
Relationship Map. Try this: If you prefer use a larger sheet of paper stuck on the wall. Draw images of your important others to help remind you of them. Make your Relationship Map colourful, visual and meaningful to you.
People in your life and being away from home. Which of these people need to be told about your stay in hospital? What plans do you need to make for these people and pets? What plans do you need to make for your home? What plans do you need to make for your money?
The Next Step. The next step is to arrange a meeting. List who you would like to come; 1.... 2.... 3.... 4.... 5.... 6.... 7.... These people are your circle of support. At this meeting everyone will help you work through the next four steps and complete your Person Centred Statement. You may need more than one meeting to finish it. Your meeting should be supportive and positive. When the meeting starts; Make sure everyone knows each other. Choose someone to lead the meeting. They should make sure everyone listens and has the chance to speak. Choose someone to write down what happens in the meeting. They should check you agree with everything that is written down.
, 2. Good Things About Me This is a great way to start your meeting. Ask each person in the room to tell you something they like about you. This could be something you are clever at. Or it could be something others sometimes thank-you for. Ask someone to write down all of these great things on a large sheet of paper and put it on the wall. Now, what do you like about you? Add this to you list. Great Things about Me This helps you think about how you would like to be looked after in hospital.
the Now think about the things you like to do at home, work or college? How do you spend your spare time? What music do you like? What is your favourite food? Do you have any hobbies? Ask someone to list these things. Then think about the things you do not like to do and write them down too. Things I like to do. Things I do not like to do Which favourite things would you like the chance to carry on doing in hospital? Which things would you not like to do when in hospital?
3. What Matters To Me. What would be a good day for you? Think about what you would do and what would be happening. What would make you feel happy and good about yourself? Now think about what would be a bad day for you. What would you be doing and what would be happening? What would make you feel sad? This helps you think about what is important to you every day, as you stay in hospital. Remember to ask your circle of support for help at any time.
The people who will look after you in hospital need to know all the things that are most important to you in your life. This will help you get better. Think about your good and bad days and your daily routines. Think about what makes you feel happy, angry or sad. Are there any possessions that matter to you? What is important about you how you dress? There may also be some things you like to do, which may not help you get better. Things like smoking or drinking alcohol. If they are important to you, others need to support you to do these things safely. Now list your important things in the left hand box below. In the next box, write down the things other people need to do to make them happen. Things that matter most to me. Support I need to make them happen
4. How I Communicate People caring for you need to learn how you communicate. Sometimes you may find it hard getting your point across to others. Or others might be difficult to understand. When these problems happen, you may show you are frustrated or upset through the way you behave. Other people need to know what to do to help you. Write about this in the next two tables. How I communicate with others. At this time. When I say or do this... It means this... Others need to do this...
How others communicate with me. At this time When others want me to know this or do this... Others need to do this and or say this... It can be difficult to think about how you communicate. Your circle of support will really help with this step.
5. Staying Safe & Getting Better. People looking after you in hospital, need to know what they can do to help you stay safe and get better. They need to know things like what medication you take or if there are any foods that make you feel unwell. There may be things you do when you are starting to feel unhappy or angry. If others look out for these signs, they can stop you getting worse and keep you safe. For Me To Stay Safe. Others Need To Know This.. And Others Need To Do This...
Have a think about the things which make you feel better now. What helps you to feel well each day? Is there anything others can do to support you? When others know about these good things, they can help you get better. For Me To Get Better. Others Need To Know This.. And Others Need To Do This...
The Treatment I Would Like to Receive is...
The Treatment I Would Not Like to Receive is...
Are there any other needs and wishes you think have not been covered? Which services may need to help you with these? Who would you like to have a copy of your Person Centred Statement? Where would you like your Person Centred Statement to be kept?
When you have finished your Person Centred Statement, you need to sign it. Your signature means You agree with everything in your Person Centred Statement You understand everything in your Person Centred Statement You understand this; If you become more ill and unable to say what you need, others will use your Person Centred Statement to find out how you want to be looked after. Your Signature... Date... To make sure your Person Centred Statement works, it is best to review its progress every couple of months. Make a date for your next review meeting with your circle of support... Created using Photosymbols www.photosymbols.com