Family Centered Approach To Care

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.

As part of assessment of the older adult and other population’s module, I have been asked to write a piece on a person centred care model. As the name implies person centred care is delivering individualised care which meets the needs of that particular person, be they religious, emotional, physiological needs etc. As a person they are entitled to respect, dignity, compassion and autonomy, which are central to the concept of person centred care. ”The rights of individuals as persons is the driving force behind person centred healthcare” (McCormack, 2003). In 1991, the UN made explicit the Principles for Older Persons; these include independence, participation, care, self-fulfilment and dignity. These principles are closely

Nurses interact with families in a variety of community-based and clinical settings. The family nursing process is the same, regardless of the setting or whether the focus is on the family as a whole or on an individual in that family (Crisp & Taylor 2005). In the case of a 3 year old girl just diagnosed with leukaemia, it is important for a nurse to critically analyse the situation and address any immediate concerns. The nurse must address any professional issues that may arise and any potential impacts of hospitalisation that may affect the child and the family. Also provide support and education to reassure and comfort them. The primary concern for paediatric nurses is the welfare of the child and the family (Crisp & Taylor 2005).

Confusion i.e. acute illness or neurological disease:- Observe their non-verbal communication, eliminate all distractions, allow them time to communicate, discuss only one item per sentence, do not challenge confused statements and use pictures

2.3 You need as much information as possible about the individual's communication needs to ensure that their wishes and needs are met. Talk to the individual, their family/carers, other professionals involved in their care. If aids are needed (hearing aids, picture cards, pen and paper) make sure that these are available. If language is a barrier maybe learning a few words of their language would help. If their needs change you need to adapt to the changes. Using the internet, reading books, Journals, reports and reviews are good way of obtaining information providing you know what you need.

Whilst undertaking the initial assessment, I always make sure that the service user is present and make sure that I am talking to them as opposed to about them with a family member or friend that also may be present. If I am doing an assessment with the service user who has Dementia or Alzheimer’s then again, I ensure that I am asking them what they would like, how they would like the care to progress and what they want to achieve from having care works. If they are unable to answer then I will look to the family for guidance, but it is important to make the service involved in their own care planning and assessment process

Work which is submitted for assessment must be your own work. All students should note that the University has a formal policy on plagiarism which can be found at http://www.quality.stir.ac.uk/ac-policy/assessment.php.

Briefly describe the key principles of person centred care and demonstrate how you implemented person centred care in practice, Illustrate with examples. Use academic literature and the insight that it provides to inform your understanding of the key principles of person centred care.

Work which is submitted for assessment must be your own work. All students should note that the University has a formal policy on plagiarism which can be found at http://www.quality.stir.ac.uk/ac-policy/assessment.php.

Asante Rogue Regional Medical Center is a 360 bed acute care hospital. The hospital has embraced VBP in all areas of care delivery. The Audit and Compliance Committee, Quality Committee, as well has hospital and regional administration, meet quarterly to review data in all quality and efficiency measures. Planning, goals, and timelines have been established to improve patient care following the most current CMS guidelines. Asante developed a Balanced Scorecard to monitor their quarterly progress, and measure their performance against state and national benchmarks. The Balanced Scorecard is available on their website for community review. Asante utilizes the Patient Family Centered Care model in order to improve patient and family partnerships

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).

Before meeting with the client determine rather or not the client is capable of communicating about his or her pain. If the client is aphasic or severely demented, it may be necessary to ask family members and/or caregivers to be present during the interview to help answer questions. Even if the patient is able to communicate effectively, they may be more comfortable with loved ones nearby. Review any comorbidities that may be affecting the pain or even causing the pain. Also, note all medications the client is currently taking including herbal supplements and over the counter drugs, to prevent polypharmacy or even identify polypharmacy that is occurring already.

Today in clinical, the patient I was taking care of is primarily diagnosed with multiple sclerosis, which is a neurological disease. Also, the patient is diagnosed with anarthria; therefore, the patient lost the ability to articulate remembered words. Since I won’t be able to do a verbal communication with her, the way I had to do the assessment was done differently than I usually did on other patients. However, there are always a way to collect data and build therapeutic relationship with the patient, and I just need to think outside the box.

A mini mental state examination is performed regularly to measure the patient’s cognitive function. According to Herrmann, N., & Gauthier, S. (2008), “the Global Deterioration Scale may provide a better measure of overall severity”. (p. 1280). The Global Deterioration Scale is performed after the patient is interviewed so the physician has a better understanding of the patient’s needs and the ability to function day to day. Questions that the physician should be asking the primary caregiver during the interview should be focused towards; does patients ability to communicate, does the patient recognizes familiar faces, does the patient get lost within a familiar place, and does the patient need assistance in order to perform activates of

Since the Nutrition is very important for our patients admitted in our Rehabilitation centre, we are committed to provide person centered care by following all the policies and procedures related to patient nutrition including food and hygiene policies. We receive patients not only referred from post surgical wards but for a long term wound management and with conditions such as vascular dementia or Alzheimer disease. Each patient is treated and assessed individually according to his / her needs and their capabilities. Each patient is screened and assessed using Malnutrition Universal Screening Tool’ (‘MUST’) on their admission and then it is repeated weekly to understand and evaluate the outcome of the assessment plan for the individuals.