If someone is really confident, it is because they give themselves a self-image, the also believe in themselves. Confidence comes not from always being right but from not fearing to be wrong. To be confident you need to value and love yourself, in other words they will need a sense of self-esteem. A famous quote that was mad to build up others self-esteem was by Marianne Williamson, A Return to Love: Reflections on the Principles of “A Course in Miracles,” 1992 (commonly misattributed to Nelson Mandela, 1994 inauguration speech) it was called, what is our deepest fear? :
“Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness that most frightens us. We ask ourselves, who am I to be brilliant, gorgeous, talented, fabulous? Actually, who are you not to be? You are a child of God. Your playing small does not serve the world. There is nothing enlightened about shrinking so that other people won’t feel insecure around you. We are all meant to shine, as children do. We were born to make manifest the glory of God that is within us. It is not just in some of us; it is in everyone. And as we let our own light shine, we unconsciously give other people permission to do the same. As we are liberated from our own fear, our presence automatically liberates others.”
Care workers may be involved in providing a specific service to do with a care plan, but there are a range of approaches that are always needed in order to support self-concept and self-esteem needs of service needs of service users. These approaches are described in the table below: Care needs that influences self-concept Approach Effect on self concept Recognition of diversity Each and every person is exceptional also exclusive. Each person should be treated like they are exceptional and exclusive. A care worker needs to realise this and needs to respect dissimilar ethnic, religious and social groups. If diversity is not valued, this may intimidate a service user’s sense of worth.
Active support Service users will need active physicals and emotional support. It will be vital that care workers know a little biography of their service user’s living and philosophy. Care workers will also need the ability of active listening in order to supply emotional support. Emotional support may help out some service to expand their self-esteem. Promotion of independence Throughout childhood and adolescence, the improvement of independence assists to support self-concept and self-image. Elder service users may need support so that continue being independent. Independence is vital and may be required for self-esteem.
Promotion of Choice Making choices helps build an individual’s self-esteem. It may be complicated to extend or carry on a working self-concept if the individual is unable to make choices. Respect and dignity A sense of self-esteem will depend on receiving value and respect also preserving dignity throughout communication with others. With no respect and dignity, service users might develop a small sense of self-esteem. Protection Service users may need a sense of security. If service users feel under a threat, then this might weaken self-image and self-esteem. The job of the care workers is to make sure that they design scenery that will defend the physical and emotional protection of service users.
Assessment and care packages Under the National Health Services (NHS) and Community Care Act 1990, services users are permitted to have their needs considered. Needs are assessed by social workers and other professional staff who assess what service an individual should have purchased for them. Assessment results in are written document that outlines how the needs of an individual are to be met which is called a care plan. National minimum values involve that service users’ needs are considered and a care plan is produced before an individual obtains a service. All service users should have a care plan; for example, Standard 3 in the National Minimum Standards for Care Homes for Older People requires that a ‘needs assessment’ is carried out if people come into care without going through the ‘care planning system’
National Minimum Standards require that people have an individual plan for their care, which may be drawn up by providers of care. This individual plan will be supported on an assessment of an individual’s needs and it might help out staff to calculate the effectiveness of care. Standard 7 (Care Homes for Older People) states that homes must provide: ‘A service user plan of care generated from a comprehensive assessment [which] is drawn up with each service user and provides the basis for the care to be delivered.’ So service user needs are documented and this results in a written service user plan which explains many of the most important needs which explains many of the most important needs which care aims to provide for.
Many people have complex needs that result in a need for multidisciplinary care which is care that is provided by a range of different agencies and professional carers (Examples are social work, social care, nursing, psychiatry, occupational therapy, speech therapy and medicine). For example, an older person in the community might be unable to do housework or their own shopping, may need medical attention and assistance for a leg ulcer and might also have social needs because they are feeling rather lonely. This individual may receive work-related therapy to help with day by day living activities, home care to assist with shopping, nursing care to assist with dressing the ulcer and voluntary support to provide conversation to meet social needs.