Person-centred care is become the criterion standard in all health care setting, it is based on four main principles includes respect and dignity; sharing information; participation and collaboration (ref blue P350). Person-centred care is essential in the relation to the care of older adults, cause compare with younger people, elderly have high rate of have complex care needs that affect daily living (ref Alexis ). This essay is based on a discussion with Jiadong Yang’s experience of growing older. Firstly, identify the main health issues described by Jiangdong, next critical analyze and review a different range of literatures in relation to these main issues. Then develop and justify an appropriate care plan based on provided information …show more content…
Planning includes creating person-centred goals and expected outcome, and nursing intervention is to achieve the planned goal and outcome (Jones 2014 blue chapter 7). Nursing diagnosis should based on nursing assessment data, and modify through the changes of patient’s needs and condition (Jones 2014 chapter 6). When develop optimal nursing care plan, it is important to identify patient’s need and determine the priorities. Relate to Jiadong’s case, the first nursing diagnosis is poor appetite related to malnutrition, weight loss and low red blood cell counts (anemia), which can lead to reduced the capacity in physical exercise (American Cancer Society 2016). The second nursing diagnosis is ineffective airway clearance related in shortness of breath, tightness in the chest and coughing with sputum (Vera 2013). To develop nursing care plan requires nurses critical thinking to prioritize client problems and intervention. According to ABCDEFG algorithm and DETECT assessment, the first priority for Jiadong is to maintain his airway, cause ineffective airway may result in bronchospasm and increase sputum production as well as decreased energy (Vera 2013). The second priority is to maintain his nutrition level, cause the cancer treatment can affect patient’s taste, smell, appetite and ability to eat, this can lead to malnutrition, thus patient unable …show more content…
Healthful diet could help patient to against disease and reduce the risk of deteriorate (Saghier et al 2013). Jiadong is underweight and had subtotal gastrostomy surgery when he diagnosed with cancer. Therefore, in his situation dietitian need to involve for measuring his nutritional status and ascertaining his healthy body weight. Nurse need to provide small and frequent meals reduces the sense of fullness and decrease the stimulus to vomit (Saghier et al 2013). Encourage patient exercise is another nursing intervention. This is because of physical activity could raise the metabolism and increase nutrition
In thinking about whether one is enabled or encouraged to enact person-centred care in the workplace is a twofold response. In ones role of leisure and health officer, one of the parameters of agreed employment was that one would be able to work as a person-centred officer in the role. Therefore, one is encouraged to empower people with dementia to ...
To be person-centred, you must always be at the centre of the individuals care plan. The Individuals that you work with you have to make sure that you always put their views first. Therefore, you can’t have one care plan for two different individuals because every individual is different. Every individual that you may work with must be involved in every activity and in every stage of their care plan; therefore, whichever activities you may put up you have to make sure that if the individual is capable for taking part. To meet the individual’s needs and support that is required you must take feedback on how the care plan is working for the individual.
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).
For patients who are less affluent than the nurse, it is important to respectfully teach the patient about particular health care issues so they can be avoided in the future. Provide a nursing care plan that is comprehensive and easy to understand. For more affluent patients, it is important to maintain the same level of care the nurse would provide to anyone else. The affluence should not make the nurse feel less than or that he/she is not worthy of caring for that patient. It is important not to cater, spend more time, or provide better care for that patient and their family than the nurse normally would for their patient next
Aging is a natural part of human life. With modern technologies and medical innovations, the society has been able to prolong life and thus increase the number of older adults in the society. Normal part of aging are inevitable physiological and psychological changes, which need to be understood and addressed by nurses in order to provide appropriate care for older adults. Presenting patient’s description with appropriate data, I will utilize Watson’s Caring theory (2008) to assess the lower order need of activity-inactivity relative to this older adult patient cared for in the hospitalized environment. The integration of theory, research and best practice guidelines will be used to plan nursing interventions and strategies to meet the health needs of older adults in health care. Watson’s (2008) fourth caritas process of developing and sustaining a helping-trusting caring relationship will be used to describe the nursing implementations which were utilized in providing safe and competent care for older adult.
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.
In addition, one of them was 10 year old girl, who was just diagnosed with type 1 diabetes. Patient was a young girl, from different culture and religion, and parents had language barrier; however, while taking care of the child, I could see that family had really good interaction with each other. Parents were at bedside all the time, and they were very supportive and attentive. Patient and family did well with diabetic care. The mother was participated in cares and eager to learn. Moreover, to provide highest quality of care, nurses did a lot of great job. They provided information about the child’s chronic illness and taught about insulin administration. Consequently, from caring that patient I understood that most important nursing interventions are to assess patient's ability to copy with new life and role change, patient’s reaction to chronic illness, support system, cultural issues, and available
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Both CEO are physicians. Their background in the delivery of healthcare likely influenced the strategic decision to focus on Patients. The Cleveland Clinic’s Patients First strategy focused on measurable quality by improving structure, process, and outcome for patients. ThedaCare under the direction of Dr. Toussaint improved the standing in the community, quality, and most importantly patient centered care. Both used alliances and eventually developed affiliations or mergers to achieve their vision. Strategically, both focused on expanding services across the continuum of care, specifically becoming an integrated healthcare system. Overall, both organizations were similar but at different stages of development.
The career of a registered nurse is one of the most interesting professions in the medical field, because not only do they help to improve the health of their patients, they also help their patients to maintain a healthy lifestyle. Registered nurses work to promote health, prevent disease, and help patients cope with illness. Their job is to help patients get their health back on track, and prevent increased visits to the physician. When providing care directly to the patient, they observe, assess, and record symptoms, reactions, and progress. They do this to see where the patient’s health stands and prevent further illness or health problems if such occurs. Registered Nurses help to develop and manage nursing plans, and instruct the patient and their
The nurse has a duty to offer counseling services for patients who need them. The nurse will, for example, counsel and teach the patients living with HIV/AIDS on healthy living standards and measures on how they can improve their lives as they prevent the spread of the virus (WHO, 2006). The nurses can also teach lactating mothers on proper feeding techniques and better breastfeeding methods which modern enough and have scientific bases. Patients living with chronic conditions such as cancer also need holistic care approach which can best be provided by the nurse practitioner. A holistic care approach takes into consideration, the psychological, physical and spiritual aspects of care (Rankin,
Conversely, the ethical principle of autonomy provides for respect for the capacity and autonomy of a patient to make choices and decisions concerning their life and death. As nurses try to respect the autonomy of a patient, they may go against other principles, such as beneficence and non-maleficence. However, beneficence sees the nurse as the advocate to the patient who must do good at the best interest of others. Therefore, performing euthanasia to the patient would represent a feeling of responsibility, for example, in Terri’s welfare whereby the nurse would relieve her of the shame of sitting in a vegetative state for close to two decades.
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.
Sustenance direction is critical in light of the fact that many individuals trust that they can eat pretty much anything, and as much as they need, as long as they avoid concentrated dessert. Many are exceptionally astounded to find that different sustenances separate into sugars, as well. Instructing about segment control is another imperative piece of the training procedure. The part of activity in controlling blood glucose, circulatory strain, and lipid levels is likewise focused. Nursing care inside the hefty populace additionally requires the part of "guide" in that one frequently actualizes intercessions that energize family inclusion and advance confidence. The part of the teacher has changed massively finished the years. Medical attendants are never again just "specialists" who give out data. The part has advanced into that of a facilitator who causes the patient to learn, as well as backings them through the progressions expected to best deal with their disease(s). When working with any constantly sick populace, including large customers, nurture frequently end up assuming the part of the "supporter" with numerous intercessions including referral to different pros, (for example, dieticians, social laborers, and advocates). Backing assumes a noteworthy part because of the money related limitations that numerous customers confront. In view of CDC insights, corpulence influences racial and ethnic minorities and also individuals at bring down pay and instructive levels. Sadly, many individuals in our group have no medicinal protection, and little, assuming any, reserves for therapeutic care. Medical caretakers who work with the large populace
Carl Rogers (1902-1987) was the inspirational founder of the theory, person centred care. Hall and Scragg (2012) argue from a person centred approa...