Essay On Person Centred Care

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

Person centred theory came from Carl Rogers who believed in being warm, genuine and understanding make a difference in clients’ condition and its improvement. Believes and values are very important in person centred thinking and planning. Carl Rogers identified three main core conditions that have a significant influence when supporting vulnerable people, which are an unconditional positive regard, empathy and congruence. However, later on he expands his list to a six core conditions in total.

Dementia has effect on people’s brain function with reasoning, processing, judging and analysing. If anyone has impairment with all these functions, they tend to be more confused and worst of all is to following some specific instruction or any routine tasks outside their own habit. This is what would happen to ask someone with dementia to get up and have breakfast at 9 a clock in the morning while they used to be early bird and have their breakfast at 6 a clock. On top of that if the individual has difficulty of communicate; we could imagine how frustrated and confused do they feel. Without any doubt the outcome of that would to become agitated. By implementing person centred approach, individual has the freedom of choice and do not have rigid routine to follow; the care package is tailored around their preference and likes. In that way, individual will become less confused and agitated which also will reduce the use of

Originally developed by Dr. Carl Rogers in the 1960s as an approach to psychotherapy, person centred care is an approach to nursing care which involves the

Person-centred care is not just about giving people information. It is about considering people’s desires, values, family situations, social circumstances and lifestyles; seeing the person as an individual. Being compassionate, thinking about things from the person’s point of view and being respectful are all important. In my care home we make care plan as an person centered, while implementing the care plan we involve client, families, friend and the carer. They all care gave the proper information of the person with dementia. This will help us or the care giver to treat people as an individual. Through their life history we can understand their likes and dislikes. Support their right and choice. It also help us to improve their health and needs and reduce the burden on health service.

As addressed above, it is crucial in the care of the older adult, and can provide them with more control and say in their care. Person-centred care takes the older adults preferences, believes, want’s, needs and points of view into account, by asking for their opinions and favoured style of care. This simple gesture of respect and consideration for the person as an individual, and can reflect greatly on the nurse, by greatly increasing the level of trust and confidence in the relationship between the patient or client, the nurse, and their family. Most patients strongly want a person-centred care style of nursing applied to their own care, and a small guide for how to practice a person-centred style of care has been discussed above to support the research found in favour of person-centred care. The benefits are many and evident, and all nurses and carers should be made aware of its importance in the entire life of the older

While reading this book, I found VIPS Framework is a valuable asset to use for person-centered care that represent a base that asserts the absolute value of all human lives regardless of age or cognitive ability, each individual with dementia are special and need to approach differently, recognising uniqueness, understanding the world from the perspective of the person identified as needing support and providing a social environment that supports psychological needs. The VIPS framework is a tool that is designed to help provider of health and care services for people living with dementia to assess the relative strengths and weakness with regard to providing person-centered care. This framework can be use to help support people with dementia personhood, it is important to “enter the world” of the person living with dementia to best understand, communicate with, and interpret the meaning of his or her behavioral expressions from their perspective. Health care organization caring for the people with dementia can use the person-centered care VIPS framework. Before using this framework, organization need to understand the elements that are sub-divided to indicators,valuing indicators; individual lives indicators; personal prospective indicators; socially supportive environment indicators. Valuing indicator shows the mission statement and share the vision of organization to provide the resources to ensure that staff are delivering direct care by

Person centred nursing care has been long associated with nursing and is a term which is recognised globally. It is used to describe the standard of care, which ensures a person/patient is at the centre at all times, and is involved in all aspects of their care and decision-making. Nurses and nursing staff alike provide, encourage and promote care that puts people at the centre at all times which includes patients, their families, their carers and helps them make informed choices about their treatment and care (Manley et al 2007). Emphasis on dignity, respect, compassion and human rights, is the essential basis for providing person-centered care (Jackson and Irwin 2011).

of these methods of communication, the effect they will have on a patient and person

15). Kitwood believed that personhood is supported when one is present and available to the person living with dementia and undermined when individualized needs are not considered (Ashcroft et al., 2016). The way that people understand and relate to each other contributes towards the acknowledgement or development and maintenance of personhood. Specifically, personhood is undermined by malignant social psychology and promoted by positive person work (Ashcroft et al., 2016). Positive person work promotes the maintenance of personhood. It entails being present and available to attend to the patient’s needs whenever necessary. The form of positive person work that I observed on my first day was holding of residents. By holding, nurses provide safety, security, and comfort to the resident (Potter, Perry, Hall, & Stockert, 2009). Nurses identify when the resident’s threshold for performing an action has been reached, and act to minimize stress, using the progressively lowered stress threshold model (Touhy, 2012). This decreases responsive behaviors because most behaviors are caused by a resident’s inability to cope with the demands of the environment (Touhy, 2012). By using therapeutic communication in form of touch, the nurse conveys messages such as affection,

In the broader context, necessary changes includes: robust implementation of new and existing policies focused on PWD and dementia care; and additional funding allocations and expeditious roll-out to facilitate research and to improve dementia care services and facilities in all healthcare settings. In like manner, challenges that HCPs (such as registered nurses) is important to address as they are directly involved in caring for PWD. Two effective strategies to help manage the demands of BPSD includes: (1) enhancement of knowledge and skill to competently care for PWD through education and training; and (2) practicing person-centred care (PCC). PCC is defined as “the treatment and care provided by health services that places the person

Person-Centered’ hypothesis of health is that of congruency in the sense that the perceptions of the client must be consistent

The strengths of the person centered approach is that it emphasis on the good and the positive self, self-direction and orientation toward growth. It also focuses on client uniqueness and conveys empathy, acceptance, genuineness. Within this approach I also see active listening, self-disclosure, summarization, and unconditional positive

The idea of the reflective person can also be seen in the caring literature. Watson (1985), in her Theory of Human Caring, refers to person as ‘a ‘‘being-in-the-world’’ who possesses three spheres of being – mind, body and soul – that are influenced by the concept of self’ (p. 54). Similarly, Boykin and Schoenhofer’s (1993) theory of nursing as caring describes personhood as that which implies ‘living out who we are, demonstrating congruence between beliefs and behaviours and living the meaning of one’s life’ (p. 8). The patient-centred, client-centred, person-centred care literature also reflects this ideal, generally focusing on what it means tobe a person and how that is taken into account in caring interactions (McCormack 2001, Nolan et

Person centred nursing allows the older adult to be at the centre of care by considering the desires, values, beliefs and their lifestyle. Allowing the older adult to become more involved in their care is now considered a key component of developing and delivering high quality person centred care. By permitting person centred care to become more flexible can allow health care providers to meet the needs and goals of the older adult in a manner that best suits them and their family. This person centred partnership can occur on a one-to-one basis, where the individual takes an active role in the decision making process regarding their own care, or on a collaborative group basis, whereby patient groups are involved in the decisions regarding the delivery of services. There are many significant aspects to person centred practice that are central to allow the nurse to develop a clear image of what the patient values in their