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How & why person centred care must influence healthcare
Implement person centred approaches in health and social care
How & why person centred care must influence healthcare
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1. Examine the approach(es) your agency takes into guiding professional-client relationships. Describe the approach(es) in terms of specific theories, models, belief systems, philosophies, policies, etc. Provide an example of one approach in practice.
Within my DFS environment, Paladin Security, I primarily act as Healthcare Patient Watch Guard. My role is playing an important role in managing hospital patient behaviour through constant observations of the patient’s activity under the direction of nursing staff. Due to the variety of patients I encounter and different sites I work at the guidelines to professional-client relationships may very, but following our company’s guidelines is the priority when dealing with clients as we represent
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It also emphasizing valuing people through treating them with respect and dignity and understanding relationships. With these principles, we can provide the best customer service to the clients. Working as a third-party member we are not supposed to get directly involved with the patient unless directed to by the clinical staff; however, my agency followers a more person-centred approach.
The person-centred approach “consists of a nondirective, empathetic approach that empowers and motivates the clients process” (Casemore, 2010). Essentially, the person-centred approach allows the client to make the primary decisions and the staff member involved with the client are understanding, supportive of their decisions, and non-judgemental of the
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This role is slightly harder, as we must be careful we do not get to emotionally involved with our patients. Instead of taking an authoritative role, we take more of a caregiver position. We can only take this position if the clinical staff approves. A lot of the times patients start to talk about their personal life to me, about there struggles or success in life. I personally like being this role in my client’s life instead of the authoritative one. This way we can positively impact the clientele, instead of thinking all security guards are just aggressive. Additionally, sometimes the nursing staff appreciate it as we work with them for 12-hours. An example of this was another patient of mine was medium-risk level and did not require us to be an arms length away. With this patient I did not need to walk with them around the hallway, or talk and play cards with this patient, but personally made the decision to. At the end of my shift, the patient, patient’s family, and clinical staff disclosed to me that I was one of the best guards they have had because I took the time to personally get to know them, and did not just see them as a potential threat. This example provides a positive impact on the patient’s life during there stay. As being in the role of a care-giver the patient still understood I was security, but enjoyed that it was not my only role. After this situation,
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
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.
For instance, our doorway assessment led to a heightened awareness of the other components involved in a patient’s care. Upon an individual assessment of my assigned patient and the clinical surroundings, I noticed a note on his door explaining the importance of good hand hygiene. The note also alerted those entering the room to not enter if they felt sick or if they have been sick recently; the note was had written so it could be assumed it was written by a family member. Additionally, on the patient’s dry erase board, there was a short narrative about the patient and his life prior to his illness. The more critical issues observed was that the patient’s brain injury resulted in complete paralysis, which placed him at a risk for falls; thus all four side rails of the patient’s bed were raised. All of these observations prompted me to be engaged with the patient, his mother and baby sister, his nurse, and the speech and physical
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.
The nursing profession is a profession where people put their trust in you to provide care that is not only effective, ethical, and moral, but safe. Not all health situations are simple or by the book. Not all hospitals have the same nurse-patient ratios, equipment, supplies, or support available, but all nurses have “the professional obligation to raise concerns regarding any patient assignment that puts patients or themselves at risk for harm” (ANA, 2009). When arriving at work for a shift, nurses must ensure that the assignment is safe for not only the patients, but also for themselves. There are times when this is not the situation. In these cases, the nurse has the right to invoke Safe Harbor, because according the ANA, nurses also “have the professional right to accept, reject or object in writing to any patient assignment that puts patient or themselves at serious risk for harm” (ANA, 2009).
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
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.
... health professionals in the hospitals today, that these breaches can be stopped and the vulnerability of the patient remain unharmed or abused. Therefore professional boundaries ensure that there is no misuse in power resulting in dangerous patient care, and gives integrity to the nursing profession.
Patients Safety is the most crucial about healthcare sector around the world. It is defined as ‘the prevention of patients harm’ (Kohn et al. 2000). Even thou patient safety is shared among organization members, Nurses play a key role, as they are liable for direct and continuous patients care. Nurses should be capable of recognizing the risk of patients and address it to the other multi disciplinary on time.
My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered in care is more of an expert in what’s best for them than I am. As shocking as this fact was to me, it’s been liberating to let go of having to know everything about a patient that I just met. As a result of my experience with my therapy patients, person-centered care has now become the foundation of my practice.
I think it is important that I clarify my own values to ensure that my care is client-centered. Self- reflection during care is also fundamental as it makes me aware of my actions and whether they are establishing a therapeutic relationship or doing the opposite.. Finally, I need to learn to be more empathetic towards my patient’s situations by being interactive, gaining insight and avoid being focused on the task and more on being with the situation. Some things that I will preserve are attentively listening, demonstrating attending behaviours and maintaining my patient’s dignity by ensuring privacy and
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.
PCP developed over 30 years in the USA which adopts that people with disabilities are ready to do whatever they want as long as they are adequately supported. PCP acknowledge that everyone needs support and some people need more support than others.(Cambridge and Carnaby 2005) The person centred approach began in USA in the 1940s. In New York State (USA), the Office for People with Developmental Disabilities (OPWDD), mandated the use of person-centred planning in all services development for people with intellectual disabilities. Person-centred planning is central to the new approaches to person-directed supports based on stronger self-determination than traditional person-centred approaches.
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.
Not all security guards are out in public, depending on position they can be watching through a camera. For example I would compare my quote to Dillard’s because they have cameras and security but security is looking through cameras and not physically there. “Security guards, also called security officers, protect property, enforce rules on the property and deter criminal activity”. Security guards are protection of a certain property to make sure rules are not broken. Rules are always broken that’s why you have a lower type of law enforcement. Being a security guard is important to understand because it requires a lot of dedication and it’s not only your life that can be in danger. You should always follow procedures and pay attention to your surrounding because you never know when or where danger lies.