Anne's Care: A Case Study

This presentation is going to talk about person- centred care, confidentiality, respecting privacy and dignity and protecting from risks and harm. The common core principles are important to every Health and Social Care setting as they provide a basis for a general understanding of promoting good mental health and recognising signs of poor mental health among everyone receiving care and support. The aim of care home are to meet the identified needs of individuals who live in that home. An older person might need to live in that care home for years. It is important for staff to be aware of responsibilities in delivering care to support the individuals who live at that home. These common principles of health will help develop the workforce that respond confidently to the individuals and supporting the life they are leading.

Person centred care could be defined as focusing on a person’s individual needs, wants, wishes and where they see their target goal. Person centred care also takes into account delivering person centred care to the patients family and carers, as well as the multidisciplinary team that is working together to provide care. The service user is the most important person in decision making for their health care and the nursing process. (Draper et al 2013). Person centred care reminds nurses and care staff that they are caring for the service user, their families and care staff providing the care, this allows the patient power in decision making towards their health and wellbeing. (Pope, 2011)

In the health and social care setting it’s imperative that we take a holistic approach within all aspects of our work settings. As carer’s, a holistic approach of person centred care is when planning care needs and considerations, and the type of individually tailored care packages and provision is of great importance.

The need for older people to have their autonomy to make a decision and be an active partner in the decision making process must be recognised and is an essential component in person centred care. ‘’The older person and family have the right to make informed decisions about all aspects of their care and the nurse respects the level of participation desired’’ (An Bord Altranais, 2009). Nurses most realise the importance of patients participation in their care and strive to uphold it as a principle of person centred care, ‘’Lack of time and/or restrictions on patients choice and involvement, was listed as the number 1 factor to hinder quality nursing care’’ (An Bord Altranais, 2009). As nurses it is our responsibility to take the time to overcome communication barriers, for example, a hearing or speech deficit. The nurse can opt to use non-verbal communication to facilitate the decision making process for the patient. Patients are entitled to information about every aspect of their care and should be frequently updated. Information about management and prevention of conditions, procedures, assessments and investigations ,diagnosis, treatment, follow on care, referrals and services available to patients( i.e. health, social) should all be disclosed to patient (Department of Health,2001). If they

It is important to identify individual’s specific and unique needs so that they can receive the best care possible. Taking a person centred approach is vital, treating a service user as an individual person and acknowledge that

(Polit & Beck, 2010). As nursing is person-centred and relies on a multidisciplinary team approach it has to take into account the care setting, patient predilections, clinical judgement and best available evidence. (Holland & Rees, 2010).

This assignment will explore and critically evaluate the role of the registered nurse in the development of a plan of care that is patient centred. This will involve examining and critically analysing the chosen nursing model in a holistic assessment of the patient and the use of the nursing framework ASPIRE (Barrett, Wilson and Wollands, 2012).

The policy of person-centred care has become a mainstay of efforts to reform health care in the UK. Government policy is now built around this core concept, a major aspect of which is enabling individuals to participate in decision-making about their care at every level. By concentrating on the individual’s wishes and aspirations and placing them at the centre of a ‘planning circle’ the care team can assist with goal setting to ensure their best interests are maintained and the individual’s preferences are considered.

It is important to review care and support plans as people’s needs change. By including the person, their family then everyone knows what is happening and the family can help to monitor mood swings and behaviour. The individual and the family can express their views and preferences and any relevant risk assessments may be done with everyone involved. By monitoring the individual, a decision can be made as to whether the changes are effective and if the best care is being given to encourage independence and promote dignity.

Using patient centred care during this process will ensure that the care and treatment is specific to the patients’ needs and choices, (NICE, 2013) maintaining and ensuring dignity at all times. This focuses on three important features – respect, compassion and sensitivity, (Royal College of Nursing (RCN), 2014) aiding the therapeutic relationship, (Cobb et al, 2012) which in turn will provide better care for the patient as they begin to

Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed

To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals’ ability to come to his or her own decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self-fulfilment and to as much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his Timetable, how could it have been effective?, he was unhappy and

This essay aims to describe briefly what is meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12).

In any practice of care, nurses must be able to provide care that is holistic and centred to the individual client. According to the World Health Organisation (WHO), to care for a patient ‘holistically’ is to look beyond their illness or disability and care for them as individuals considering not just physical but also their mental, emotional and spiritual well-being (ref). Whilst, person-centred care is to deliver care moulded to the patients’ personal preferences, treating them with value and respect, ensuring that the care provided is appropriate for their needs (Goodrich and Cornwall, 2008).

Autonomy’s Role in Healing I. Thesis: Respecting and promoting patients’ autonomy when it comes to their decision making and self-work is crucial for their path of healing. A. An approach that focuses on patients’ autonomy is just one approach that health care providers have utilized when working with patients. Here I plan to draw upon Jessica Pierce and George Randels’s