A practical example of how this team approached creating a one-page profile for Charlie following his second stroke.
Charlie is a warm, friendly and kind guy. He is a family man, who is very determined to regain as much of his independence as possible after having his second stroke seven months ago. He has a ready smile, enjoys a joke and has a good sense of humour. He is a mechanic by profession.
Charlie has had two strokes as a result of having Lupus and has been attending Action for Independence for the last six months to regain his confidence, skills and mobility, after being referred by the Physical Disability Team. The team at Action for Independence wanted to make sure that they were focusing their support on the issues that mattered most to Charlie and so decided to produce a one-page profile with him.
Action for Independence is looking at how we can use Person Centred Thinking to help focus on what matters to people. This will help us as a team, to identify what support we can offer to help a person maintain, change, or move towards a lifestyle that now makes sense to them. We wanted Charlie’s one-page profile to help us to have a conversation about the next steps to support his recovery.
To get started on this, one of the team members went back through the original referral that was made to the service and pulled out any information that told us about what is important to Charlie and what others need to know or do to best support him. She also wrote down a list of questions to be figured out from what she was reading. After this she took some coloured highlighter pens and went through the pages of on-going diary notes that had been recorded by the whole team about his progress and involvement in the service over the past months. Coloured highlighters were used to illuminate anything she noticed about ‘what we like and admire’ about Charlie and what was ’important to him’.
The team member explained to Charlie what she was doing and why she wanted to take this approach to learn about him and support him well. She did this over a cup of tea and she shared her own one-page profile with him so he could see how it worked. They talked for about 20 minutes, initially focusing the conversation on what made a good day and what made a bad day for Charlie both at the centre and at home. They then looked at the appreciations section of the one-page profile and talked about what others liked and admired about Charlie.
At the end-of-day handover meeting for the team, the team member posted up flip chart sheets on the wall with the headings pre-written on them – ‘ Like and admire’, ‘Important to’, ‘How best to support’ and ‘Questions to answer’. She invited the team to grab a marker pen and for the next 10 minutes to write up all of the new things they had discovered about Charlie. She then shared what she had learnt from the notes and her conversation with him. There was a strong level of agreement.
The team took note of the questions to answer and decided on which ones they could start to work on immediately. Charlie’s one-page profile was written up using all this rich information to clearly communicate the essential information that everyone needed to know on one single sheet of paper.
After several weeks Charlie decided to reduce his days of attendance at Action for Independence to once weekly. He has been very successful in achieving his goals more independently and is ready to take his next steps. The team have been able to support him in this based on their rich insight into what is important to him and what good support looks like.