Fundamentals of Person-Centred Healthcare Practice. Группа авторов

and housekeeping. She has started a relationship with a young man she met at the local community centre. The key worker is concerned about how far this relationship will go and suggests accompanying her to visit the general practitioner to discuss contraception and Jean's sexual health. At the appointment the key worker stresses that Jean is unable to understand the consequences of having unprotected sexual intercourse.

       Discussion points

       What professional issues does this case study raise?

       Using the PcPF, explore which of the components of the person‐centred processes domain you would apply in considering Jean's needs, preferences, wishes and rights.

       Reflective notes

In your discussion you may have considered issues such as capacity to consent, stigma, autonomy and power. As a vulnerable person Jean may lack capacity to consider the consequences of her action, for example an unplanned pregnancy. In addition, the healthcare professionals must also consider whether sex is consensual. This must be balanced with Jean's human rights to engage in an intimate relationship. In relation to the PcPF, you may have highlighted shared decision making, working with the person's beliefs and values and providing holistic care. Jean should not be defined by her disability but as a person with needs, preferences and desires. Professionals may also consider their own responses and assumptions or even prejudices when faced with such ethical dilemmas.

      If you are interested in reading further about this issue, see:

        www.bihr.org.uk/learning‐disability‐autism‐and‐human‐rights

        https://journals.sagepub.com/doi/full/10.1177/1363460715620576

        https://improvement.nhs.uk/improvement‐hub/learning‐disabilities

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