Becs Page, Regional Manager for Rehabilitation at CHD Living
Complex care residents, who may have multiple and severe health conditions, should not be deprived of their autonomy and the ability to make choices. Given that residents typically have complex health conditions that require round-the-clock attention and support, it is essential to differentiate between necessary support and over-dependence – as the latter can inadvertently hinder independence.
Here, we’ll look at 4 key strategies for enabling independence in complex care residents:
- Person-centred care plans
Individualised care plans that focus on the unique needs and preferences of each resident are essential. Collaborate with residents, their families, and healthcare professionals to develop care plans that empower residents to make choices regarding their daily routines and activities.
Recognising and harnessing residents’ existing strengths is pivotal to the journey towards independence. By identifying what individuals can already do and building upon those abilities, we empower them to take on more responsibilities in their daily lives.
For instance, if a resident has good hand-eye coordination, caregivers can encourage activities like art, crafting, or cooking, where this skill can be put to use. Celebrating these small victories fosters a sense of accomplishment and self-worth, further motivating residents to take on new challenges.
- Skill development
Invest time and resources in skill development programmes tailored to the abilities of residents. Occupational therapy and rehabilitation services can help residents regain or improve their functional skills, promoting independence in daily life.
Within this, also consider positive risk-taking, which involves assessing the benefits of an action versus the potential drawbacks of avoiding it. Encouraging residents to take calculated risks can lead to personal growth and a sense of empowerment.
For instance, if a resident wishes to participate in a cooking class but has a mobility impairment, caregivers can work together to ensure safety measures are in place. By focusing on the benefits, such as improved self-esteem and a sense of achievement, we can help residents make informed choices that align with their goals.
- Encourage decision-making
Autonomy thrives in an environment where residents feel confident and capable. As caregivers, our role extends beyond physical care; we must nurture emotional and psychological well-being. Identifying the factors that boost residents’ self-confidence is essential. This might involve setting achievable goals, providing positive feedback, and acknowledging their efforts, no matter how small.
Involve residents in decisions related to their care and daily activities. Even seemingly small choices, like selecting a meal or choosing an activity, can provide a sense of autonomy.
Establishing an equal partnership between caregivers and residents is the cornerstone of promoting independence. This partnership is founded on open communication and active listening. It entails taking the time to discover what motivates each resident, what their individual goals and dreams are, and how we can collectively work towards achieving them.
- Supportive environment
Create an environment that encourages independence. At CHD Living, for example, we ensure that common areas are accessible, provide clear signage, and offer opportunities for residents to engage in social and recreational activities.
Part of this involves observation, a vital tool in promoting autonomy. While it’s natural to want to assist when residents face challenges, it’s equally important to step back and allow them to attempt tasks on their own. Even when a resident encounters difficulty, encouragement and patience go a long way.
For example, if a resident is relearning how to tie shoelaces, caregivers can observe the process and provide verbal guidance rather than taking over. This approach encourages self-reliance and problem-solving skills.
Remember to regularly reassess residents’ needs and abilities to adapt care plans accordingly. As their condition changes, their level of self-sufficiency may also evolve, requiring adjustments in care and support.
Independence is a fundamental human right that should not be compromised, regardless of one’s health status. As caregivers and healthcare providers, our mission is not only to provide essential care but also to empower individuals to live with dignity and self-determination, regardless of the challenges they face.
