184. CCA Study Notes: Client-Centred Care, DIPPS, and Quality of Life

The Big Picture

Client-centred care means treating each client as a unique person. Communication and care should preserve dignity, support independence, fit the individual, respect preferences, protect privacy, and promote safety.

Support work should help protect the client’s quality of life. Some clients live with serious illness, disability, personal issues, or other challenges. They might depend on the support they receive for survival and a better quality of life ⓘ.

The acronym DIPPS helps you remember six important principles. These principles are dignity, independence, individualized care, preferences, privacy, and safety.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

Quick tip: Tap, click, or press Enter on any term with a dotted underline and an ⓘ icon to see its plain-English definition.

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Course Notes: Key Ideas You Need to Know

What Client-Centred Care Means

Client-centred care means showing concern for the client’s dignity, independence, individualized care, preferences, privacy, and safety at all times. This concern also extends to the client’s family.

Client-centred care is also called compassionate care or person-centred care. These terms describe the same main approach.

Every client is different. Communication and care should reflect the needs of that individual client.

The Goal of Support Work

The goal of support work is to provide true client-centred care. Support workers show this approach through their words, actions, and treatment of each client.

True caring includes:

  • kindness
  • honesty
  • sensitivity
  • comfort
  • discretion ⓘ
  • respect
  • understanding

Caring means showing concern for the dignity, independence, preferences, privacy, and safety of clients and their families. True caring requires honesty, sensitivity, comfort, discretion, and respect.

Remember the Six DIPPS Principles

DIPPS is an acronym. Each letter represents one principle of client-centred care.

Dignity

Dignity means feeling worthy, valued, and respected.

Clients need support that protects this feeling. A person who depends on others for personal care might worry about losing dignity.

Independence

Independence means allowing clients to do what they are able to do for themselves.

Support should not automatically remove tasks that the client remains able to perform. The client’s abilities and needs guide the support.

Individualized Care

Individualized care means personalizing care for each client.

No two people are identical. Clients do not all have the same needs. Care should fit the individual rather than follow one identical approach for every client.

Preferences

Preferences are the client’s choices about how they want things done.

Clients need opportunities to:

  • make choices
  • express their wishes
  • explain how they prefer to receive care

A client who depends on others might feel less free to express these wishes. Client-centred care keeps the client’s voice important.

Privacy

Privacy means treating the client’s body and personal affairs with respect.

Clients need their bodies and personal affairs protected from public view. Privacy includes more than physical care. It also includes the client’s personal matters.

Privacy might become harder to maintain in shared living environments. For example, a person living in long-term care ⓘ might share a room and have fewer private moments.

Safety

Safety means protecting clients from harm and reducing hazards in their environment as much as possible.

Clients also need to feel secure about the care they receive. A person living with illness or disability might worry about completing an activity safely, such as reaching the bathroom without falling.

Why DIPPS Needs Extra Attention

When people are well and able-bodied, they often take the six DIPPS needs for granted.

Serious illness or disability might make these needs more difficult to meet. A client might depend on others for personal care, have limited choices, share a room, or follow schedules set by a care setting.

For example, people living in long-term care might:

  • eat the food provided
  • socialize at arranged times
  • share a room
  • have fewer private moments
  • worry about moving safely

These situations show why support workers need to keep all six DIPPS principles in mind.

Each Client Has Different Needs

Clients living with illness or disability do not all need the same support.

Most clients have at least some needs connected to DIPPS. The exact needs differ from one person to another. Support workers should keep care individualized rather than assuming every client wants or needs the same things.

Client-Centred Care During Procedures

The principles of client-centred care apply while performing procedures with clients.

The support worker should continue to protect:

  • dignity
  • independence
  • individualized care
  • preferences
  • privacy
  • safety

Client-centred care is not a separate task. It shapes how communication and care take place.