Chronic Hypertension And Ischemic Heart Disease

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

Every nurse should have professional values in order to guide their practice in delivering the best possible care. Providing care to service users should be their first concern and it should be of a high

The main principles of person centred model are the core conditions of empathy, congruence and unconditional positive regard. They are vital for building a safe therapeutic relationship, in which the client can explore fully.

One of key concepts of person centred therapy is the belief that the client has the ability to become aware of their own problems and has the inherent means to resolve them. In this sense,

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.

Person-centred is about providing care and support that is centred or focused on the individual and their needs. We are all individuals and just because two people might have the same medical condition, for example, dementia, it doesn’t mean that they require the same care or support because they are two different people which means their needs will be different. You need to develop a clear understanding about the individuals that you are working with and their needs, culture, means of communication, likes and dislikes, family and other professional’s

Person centred values means the people whom we support are treated as equals and are involved in all aspects and areas of their care and that they are respected and valued as individuals. This means being involved in their assessments, care delivery and support planning, basically person centred values is making sure all approaches, policies and procedures and care practices put the residents at the centre of the day-to-day activities. It should also include the residents and their families in the planning and maintaining of this.

The widespread falls among the geriatric population reduce their quality of life and take away their functional independence. Lee et al (2013) state that falls leads to the rise in mortality rates and morbidity complications such as fractures and disabilities,1 out of 3 elderly persons in a community setting falls in a year. About 87% of all fractures in the elderly are due to falls. Several of the risk factors that are associated with falls are visual impairments, cognitive impairments, and health-related problems: arthritis, orthostatic, back pains, lack of balance-weakening muscles, previous falls, polypharmacy or psychoactive drugs (Lee et al, 2013).

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

Person-centred care is the “Mutually beneficial partnerships between patients, their families, and those delivering healthcare services which respect individual needs and values which demon-strate compassion, continuity, clear communication, and shared decision making” (The Scottish government 2010).

Health facilities aim to achieve client satisfaction of care through every health profession worker despite directly providing care or not. As the patient, subjective experience will define the patient perception across the continuum care. Consequently, person centered care technique through communication enables the nurse to give more effective nursing care to patients. As everyone in the healthcare service works in partnership, to deliver care responsive to the patient’s individual abilities, needs, preferences and goals.

Person-centred care is the “Mutually beneficial partnerships between patients, their families, and those delivering healthcare services which respect individual needs and values which demonstrate compassion, continuity, clear communication, and shared decision making” (The Scottish government 2010).

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).

Risk factors for falls are categorized by intrinsic or extrinsic (Tzeng, & Yin, 2009). According to Tzeng and Yin (2008), intrinsic factors, referring to the patient themselves, are related to their health status and possibly associated with age-related changes: previous falls, reduced vision, unsteady gait, musculoskeletal system deficits, mental status deficits, acute illness, and chronic illness. Extrinsic factors are involved in the patient’s environment, including medications, lack of support equipment, furniture, bathroom designs, small patient rooms, poor lighting, and improper use of and inadequate assistive devices. Tzeng & Yin (2008; 2009) focused on the extrinsic risk factors for the basis of their studies.

As healthcare professionals, nurses are governed by and must have understanding of ethical, legal and professional frameworks which underpin practice (Gallagher and Hodge, 2012). They follow these frameworks to help direct themselves in making decisions in collaboration with service users to ensure person centred care is delivered.