Introduction. Delivering Of Patient?S Care Is Intertwined

During my placement during at an aged care facility, it was an important process to ensure that nursing interventions were carried out to ensure a respectful behaviour of a resident’s dignity, culture, values beliefs and

Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.

Confidentiality is critical for nursing professional to understand and undertake. If a nurse did not keep a

So basically person centred approaches, policies and procedures and care practices should 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

In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.

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

The scenario also states that the nurse tried going through the admission process by asking the patient some questions. This process was carried out in the presence of Mr. Jones daughter. Clearance was never sought from Mr Jones as to whether he was comfortable going through the questioning process in the presence of the daughter which was a violation of Mr Jones’s right to confidentiality (IBID).

The most relevant theory in this situation is the preservation of integrity for the patient and in my practice. In order to preserve integrity and social justice I want to attain a respectful nurse-patient relationship. The nurse-patient relationship in high acuity as written in Module 1 BCIT High Acuity course “is one of the central aspects of high acuity nursing practice” (Bungay, 2005, p. 40). I feel confident this theory is the central aspect of all nursing practice. All patients, including the one I’m referring to in this journal, has her own unique beliefs, history, and experience. On top of these, the patient is now, due to critical illness, experiencing an actual or potential physiological crisis (Bungay, 2005, p. 42). It would useful and respectful of me to acknowledge that on top of her present concerns, all concerns she had prior admission still exist. I did not give her the opportunity to express her concerns. I never asked her if she had a cat she was concerned about, was missing Saturday’s farmer’s market, wanted a Sherry, missed her friend, or disliked men. There could be a myriad of things that may be concerning her at the time. All real and potential factors support or challenge having a positive relationship with the patient (Bungay, 2005, p. 41).

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.

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).

Within this assignment a discussion based on how the nursing midwifery council (NMC) code of conduct relates to person centred care will be carried out. Firstly this assignment will describe person centred care and nursing care and comment on their importance within nursing practice. This will then lead into a discussion on NMC code of conduct and the purpose it serves for nurses, midwifes and an individual receiving care from wither of these professions. Furthermore this assignment will aim to examine case studies that have been based on person centred care or the lack of and discuss how the scenarios given within the case studies fit in with nursing care and the code of conduct and discuss how the code was broken if their seems to be a theme of non-person centred care throughout the case study.

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).

Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.

Patient Centred care, is an approach to healthcare which places the patients at the centre of their healthcare journey and makes the patient an essential and indispose-able asset in the healthcare system. Patient centred care is about a complete transparency between healthcare professionals and their patients to ensure that patients have a comprehensive understanding of the treatment they are undergoing and have a valued input in their healthcare treatment. Healthcare professionals that enact and utilise patient centred care effectively communicate with their patients to ensure the patient has a comprehensive understanding of their entire healthcare course (Levett-Jones, Gilligan, Outram, & Horton, 2014). The clarity provided through the effective communication means that the patient's safety is amplified as their cultural and phycological needs are accounted for and met. When a patient is subject to patient centred care, it maintains their dignity through the care process and evokes their preferences in their treatment which means that patients feel effectively communicated with and have a greater trust in their healthcare system (Levett-Jones, Macdonald-Wicks, & Oates,

For nurses, patient-centered care has always been an important factor when providing effective and quality medical care to an individual. These patients form the very core of the profession and as such, it is important that nurses care for every aspect of that patient. Each patient is a different person with different needs that need to be addressed. Every day, these patients are challenging nurses to look beyond the physical condition presented before them, so that the patient-care encompasses the individual as a whole.