Appraisal Of Person Centered Care After Acute Coronary Syndrome

Person centred care is an approach that puts individuals at the centre of their care. It involves them in making decisions about things that affect

Person centred practice encourages the individuals active participation. It recognises the person’s right to participate in the activities and relationships of everyday life as independently as possible. The individual is regarded as an active partner in their own care or support rather than a passive recipient.

Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

To ensure high quality care to a patient an approach known as patient centered care should be

Person-centred care has its focus on the person with an illness and not on the disease in the person. To

This assignment will explore a patient journey (Mr Jones) with coronary heart disease and focus on two therapeutic interventions that would restore, maintain or improve Mr Jones health status. This journey was chosen as the author expresses interest in this chosen area as it has significantly impacted on not only Mr Jones life but in the wider society too. Firstly, it will examine percutaneous coronary intervention (PCI) and how this would benefit him and the potential risks involved, following the nurses’ role with providing after care of this procedure. Secondly, cardiac rehabilitation will be analysed and how it plays a crucial part for a patient to recover after coronary intervention. This was chosen as it has played a significant role in the NHS as many people are having heart problems associated with hypertension and Diabetes Mellitus and these two interventions have been effective in reducing mortality and morbidity rates. Research has shown it will increase by 25% by 2020 as it is the common cause of death, this is fundamental that it should be focused on to address the issues impacting on the future health of the population and to educate patients to reduce hospital admissions by effectively managing their health problems in a holistic manner.

In a study conducted by Chow and Wong (2014), they analyzed a case management team led by nurses and the effectiveness of the care coordination regarding older adults whom are diagnosed with co-morbidities. Utilizing a randomized controlled trial during 2010 to 2012, the researchers analyzed older adults who suffered from at least two chronic illnesses (Chow & Wong, 2014). Those chosen to be analyzed were then further divided into three groups, including one control groups and two study groups (Chow & Wong, 2014). Baseline data was gathered and collected at four weeks and then again at twelve weeks from the two hundred and eighty one patients participating (Chow & Wong, 2014). The two study groups in which interventions in which nurse led case management occurred, resulted in lower readmission rates within an eighty four day frame after discharge from hospitalization. Additionally these participants rated their health and self- sufficiency at a higher level than the control group (Chow & Wong, 2014). Conclusions gathered from research indicates that care coordination after discharge led by nurses whom empower patients are effective in improving clinical outcomes for older patients with co-morbidities (Chow & Wong, 2014). This research conducted is crucial to my selected topic as is provides evidence that coordination of care after discharge can improve outcomes.

Patient centered care is defined as “the practice of caring for patients (and their families) in ways that are meaningful and valuable to the individual patient, which includes listening to, informing and involving patients in their care” (Grenier and Knebel, 2003). Five challenges presented in patient centered care are patient obstacles, physician and practice obstacles, facility obstacles, community obstacles, and health literacy.

Evaluate the claim that Person-Centred Therapy offers the therapist all that he/she will need to treat clients.

The authors indicate that the intention of all these new systems/strategies is to increase the available programs for sustaining self-management. Another purpose is the establishment and employment of a series of interferences that make use of new media to amplify evidence-based strategies of patient intervention and assessment that previously have occurred within the medical setting rather than the everyday environments in ways that are complimentary to the age, lifestyle and cultural setting of a patient. The basis for the new interference is that

A person-centred approach focuses on the individual’s personal needs, This can mean putting the person’s health, illness, injury, needs and situation first.

Metric tools can set parameters or measures quantitative assessment for measurement, comparison and to track performance or production (Skandamis, Andritsos, Psomas, & Paramythiotis, 2015). The metric tool that was ultilzied in the case study was the Self-Efficacy for Managining Chronic Disease 6-Item Scale. The Self-Efficacy for Managing Chronic Disease 6-Item Scale was created and validated by the Stanford Patient Education Resource Center. The Self-Efficacy for Managing Chronic Disease 6-Item Scale incorporates several areas that are common among many chronic diseases including, symptom control, role function, emotional functioning and communicating with physicians (Lorig, Sobel, Ritte, Laurent, and Hobbs, 2001).

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.

Psychosocial rehabilitation models the ultimate patient-centered interventions; it effectively supplements the individual’s recovery. Recovery is deeply