Person centred practice recognises the unique nature of an individual’s needs, focusing on providing care that is specific to the patient. This approach places the individual’s decisions at the centre of the health care plan, focusing on their strengths and goals, maintaining or improving health status, to attain a better quality of life. Thus, person centred practice is essential in the care provided to older people as it involves the person in the decision-making process in the health care which enables individuals to gain greater control over their lives, empowering them to manage their own health and develops a therapeutic relationship between the health care provider and the individual. (Hebblethwaite 2013) This essay will critically analyse …show more content…
various evidence based literature in relation to the key issues outlined by a 70-year-old male, Shu in an interview to describe the implications of aging. By request, a pseudo name is used to maintain confidentiality of the client. Discussion of an appropriate patient-centred care plan for Shu and the challenges that may arise from implementing this care plan with possible solutions to manage these challenges is also included. The principles of person-centred assessment are understanding the persons needs by knowing the patient, sharing the power and responsibility in the decision-making process, coordination and integration of care plans which involves the multidisciplinary team and ensuring the client is able to access services.
(Victorian Department of Human Services, 2006) In the interview, Shu identified the key issues of aging was the change in his health such as the hearing loss, forgetfulness, development of Type 2 diabetes, hypertension, joint pain and lethargy. Joint pain has started to limit Shu’s ability to enjoy his daily activities. He is worried that he would not be able to enjoy the rest of his life and strongly expresses his worries of hospitalisation. Furthermore, Shu is worried about his diabetes as he is very afraid of the impact of the chronic illness to his …show more content…
health. The development of chronic diseases such as diabetes and cardiovascular disease has rose significantly. As a chronic disease, diabetes mellitus requires individuals to undertake active self-care. (White et. al 2012) Studies show that most older diabetes patients undertake regular prescribed medications according to instructions. However, only a few amount of diabetic patients control their diets and exercise, with 42% failing to monitor their blood sugar levels. This is depicted through Shu as he controls his diabetes very well with his medications but places less focus on having a healthy diet. Thus, it is important to find a suitable nursing care plan for Shu to motivate him to change his diet and advocate for healthy eating. This can be achieved through patient education about diabetes as in the interview, it is depicted that Shu does not fully understand the implications of diabetes and the impact of diet on his health. Moreover, studies by Bai et. al 2009 portray that a higher level of education of diabetes results in higher compliance to appropriate self-care with better controlled diabetes which results in better quality of life. (Bai et. al 2009) Diabetes can become a disabling issue as there are many consequences of diabetes related illnesses. This may affect the quality of life of diabetic patients and restrict their autonomy. (Bourdel-Marchasson et. al 2012) Furthermore, impacting Shu’s ability to enjoy his daily physical activities which may affect his mental and emotional health. Hence, self-care is crucial for effective management of the chronic illness as it prevents further development of the complications of diabetes as poor self-management is associated with the risk to hospitalisation. (Peñarrieta-de Córdova et. al 2013) Moreover, the risk of falls is one of the major issues for several older adults with type 2 diabetes. As with ageing, the body naturally declines in muscle strength, the ability to walk and balance control. Ageing is not the only factor that plays a role in the risk of falls. Diabetes causes issues such as development of neuropathy and retinopathy also diabetic medications and poor glycaemic control can all impact the person’s risk to falls. However, exercise improves gait, reaction time and balance control which may reduce the risk of falls. This is evidently shown in the study as groups with exercise training achieved a 4-7% faster reaction rate, gait speed and improved balance and postural coordination. Shu has managed his diabetes well through daily exercise until the recent experience of joint pain which has limited his ability to maintain his health, increasing the risk of falls and affecting his health status which can lead to hospitalisation. (Morrison et. al 2014) This may further affect his mental health as he is very worried about the possibility of hospitalisation. Therefore, it is important to develop a specific care plan for Shu, integrating different exercising techniques that can help Shu maintain exercise even with joint pain. Hypertension increases with age as studies have found that 36% of adults in their 40-60s have hypertension. However, the rate increased to 70% for adults aged 65 years and older. Thus, appropriate treatment methods for hypertension is essential. (Goeres et. al 2014) Shu’s diet mainly consisting of salty foods, is likely to be the cause for the development of hypertension as studies show that high-salt intake is one of the major risk factors in hypertension. Additionally, high-salt intake is associated with the risk of cardiovascular diseases which can limit his ability to undertake physical activities due to poor diet management. Hence, a healthy diet plan should be introduced for Shu, to reduce the risk of cardiovascular diseases and prevent further aggravation of hypertension. (Hou et al. 2016) The care discussed above may be implemented through a community nurse and in the hospital. Firstly, it is important for Shu to understand diabetes more in depth, by providing information about diabetes through a nurse educator or health professional in the community who specialises in diabetic care, to educate Shu about diabetes, its treatment and complications. Colagiuri et. al 2009 has stated that patient education is essential in motivating individuals to integrate effective self-management of diabetes. The nurse will be able to motivate Shu, promoting the importance of effective self-care and management of diabetes. Furthermore, the nurse may also provide information to the complications of ageing and ways to manage health which will support healthy ageing. (Colagiuri et. al 2009) Self-care of diabetes such as diet management is an essential aspect of self-care for Shu as the lack of knowledge and awareness of the impact of his diet on diabetes has caused many health issues. This care can be implemented through the referral to a dietician, to assess and review Shu’s diet to cater to his specific nutritional needs and provide him with information in relation to his health and diet. This provides Shu with person centred care which also encourages him to have a healthy diet. Finally, exercise can be done through a physiotherapist who can maintain exercise even with Shu’s joint pain. Moreover, the physiotherapist will be able to treat his joint pain or provide him with a specific person-centred care plan for his condition. However, there may be challenges in implementing the care outlined above. One of the issues is Shu’s financial restrictions as he is on a pension, access to physiotherapist and dietician can be quite expensive. (Ehni, H. 2014) Through Medicare, Shu can access these plans of care. However, free access to these plans of care is limited. Nevertheless, this can be managed through including Shu’s family members in the implementation of this care as Shu can still access a physiotherapist who will be able to educate his family members on the exercise techniques and care plans. Thus, Shu can continue to manage his health through exercise at home with the help of family members. Moreover, there are community services for low income or pensioner to access health care in the community. Thus, the nurse can also provide information to Shu in relation to the access of these community services. As, Shu has been living with a high-salt diet for most of his life, it can be difficult to change his attitude towards a healthy diet. However, involvement of his family members especially his wife in the implementation of the care plan can overcome this issue as it is more likely to motivate an individual when family members also live a healthy lifestyle. In conclusion, this essay outlines the key issues of Shu, critically reviews current literature in relation to these issues and discusses an appropriate care plan that is specific to Shu’s needs which portrays the importance of person-centred care.
Person centred care focuses on an individual’s needs, providing them with care that empowers them to improve their health and builds a therapeutic relationship with trust between the healthcare provider and the individual. This care enables individuals to make decisions of their care and gain greater control over their health. Hence, person centred care is essential in providing care that is specific to the patient that improves the quality of care for the older
person.
This was followed up by changes in the department of health where people were to be given more choice over what services they needed. The National service framework further increased the need for individualised services that related to a person’s needs rather than fitting into existing services. The care standards act 2000 developed the need to develop individualised service provision for people and for services to adapt to these needs. Person centred care was then incorporated into many policies to promote independence and the rights and choices of
The case study will identify a number if strategies to apply supportive approaches using the principals and practices of providing person-centred care, reflected against a real client situation within an organisational perspective. The case study is considering the situation with reflection of the two questions chosen from the Person-centred Care Assessment Tool. In relation to one’s ability to engage and be supported in the facilitation and management of person-centred care directives, within the role of a leisure and health officer.
Culture change in long-term care is a set of guiding principles based on person-centered care tailored to each elder’s care while treating them with dignity and respect. Core values include relationship, personal choice, self-determination, and purposeful living (“Defining Culture Change”, n.d.). In person-centered care, quality of life is recognized to be as important as the quality of care. It is also recognized that every person has the right to be allowed to make their own decisions, even if those decisions may not always be safe. Finally, at the very heart of person-centered care is the relationship between the elder and their caregivers in which the way a task is done is as important, if not more, than the task itself (Jones, 2011).
Ziesel, J. (September 2013). Improving person centered care through effective design. Journal of the american society on aging, 37(3), 45-52.
1.3 Benefits of following the person centered approach. With use of health and social care services. Description of person centred approach. Explain directive approach and problems with it.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to be able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care. The Health Foundation describes patient centred care as being a type of health system where patients take control of their own care.
Putting the person at the heart of care is one of the essential roles in developing person centred care. (Department of health, 2005)
During my time in the ward, I recently had a patient with alcohol dependency in my care. My patient, Mr Grey was a 51 year old male patient who was admitted with a fractured neck of femur and consistent hypertension. Mr Grey required a vast amount of medical treatment for his injuries. As well as Mr Grey’s physiological problems he also had poor mental health problems such as depression and anxiety. We later discovered my patient had some social issues and that he was homeless.
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
The client is a 24 year old African American woman who describes her overall life as overwhelming. She is currently in a graduate program in mental health counseling; she is almost nine months pregnant and is having labor induced on Monday, February 22, 2016. She has also expressed concern and apprehension for an upcoming visit from her significant-other’s mother. Although she appreciates her support system, she has communicated concerns about wanting to control pending situations around her. Her prevailing motives for seeking counseling at this time are that she does not want to be a burden to her fellow students and family with her personal demands, plus she feels that she has a lot going on
This is more holistic approach in the sense that it ‘involves the promotion of health, preventing of disease, the treatment of illness, the care for those who are disabled and continuous developm...
When supporting an individual the professionals and practitioners will need to give the individual holistic support. Holistic support is to give an individual a well-rounded full care that caters to their physical, intellectual, emotional, social and spiritual needs. This booklet will show how you apply principles and values to give an individual holistic care.
Reflecting on the Person-Centered Therapy, it is similar to the Existential Therapy because it focuses on the client/therapist relationship, where the therapist needs to be totally genuine, empathetic and non-judgmental toward their clients in order to gain the client’s trust. I like the fact that the Person-Centered Therapy views the client as their best authority on their own experience, and being fully capable of fulfilling their own potential for growth. I also like the fact that the therapist is non-directive, does not give advice and there is no specific technique involved. Person Centered Therapy can basically develop their own technique as their relationship develop with the client.
Person-centred care is the treatment and care provided by any health service. This particular concept places the person at the centre of their own care and considers the needs of the individual and the surrounding family members. At the core of this concept is getting to know the patient as a person look beyond the illness and build a therapeutic relationship with both the patient and the surrounding family members and carers. Talking to the patient finding out what their preferences are to the care you’re providing. Working within the person centred approach you should be flexible Meeting patients' individual needs while respecting values, preferences and needs. ,making sure that you keep your patient informed about the treatment that they are receiving.
The role of the RNID is to provide holistic person centred care. This is evident through literature researched and discussed in this assignment. Maintaining competence in clinical skills such as care planning and accessible communication are but a sample of the clinical skills used by an RNID in relation to the overall care of a person with an ID. These skills are used across a person’s lifespan, through every transition in their lives. RNIDs use a bio psychosocial approach and this is necessary to obtain a comprehensive profile of the person with an ID. This allows them to provide best practice that is evidenced based. RNIDs are governed by the Irish clinical body, An Bord Altranais which informs them of the importance of maintaining competence in clinical skills in relation to the overall care of a person.