Patient Centered Self-Care Management Strategies

The purpose of this research paper was to establish understanding and the importance behind patient-centered care and safety. The research includes the relationship between the healthcare professionals, patients, and the patient’s families. The research also identifies the approach and outcome of collaborative care, caring attitudes, patient satisfaction and positive outcomes. The approach towards patient-centered care and safety is a team effort including all healthcare members, patients and at times family involvement.

The aim of this essay is to consider approaches to promoting the self-management of a long-term condition. The focus will be linked to module content and based on a patient that I have provided nursing care for during my clinical practice. There will be a brief introduction of the patient and the context in which I was involved in their nursing care. The pathophysiology of the chosen LTC along with the related physical, psychological and social needs of the patient will be considered. There will be a discussion of principles of self-management that will link to national LTC policies. This will also include initiatives and analysis of the evidence of the underlying principles for an approach to providing self-management support, for the

A large number of Hispanics do not speak English and this means that communication is largely in their local Spanish dialect. For the Spanish-speaking Hispanic population with T2DM, communication of self-management practices can only be successful with the use of Spanish language. Prior to the assessment of the knowledge and health behavior between this group and other using English speaking self-management, a consideration of what passes, as self-management is important. Chodosh and Morton (2005) define self-management as a systematic intervention that requires the patient to be actively involved in the physiological processes associated with self-monitoring and decision making that affects the patient’s health. The projection by Chodosh and Morton (2005) is that self-management involves patient and provider collaboration where there is an enabling of problem-solving skills that are important to the patient’s ability to maintain self-care. From this definition, self-management is therefore seen as an approach towards ensuring that the patient is not highly reliant on the provider with regards to the care

Over the course of the years following its coming to fruition the theory has remained predominantly unchanged, with the exception of minor changes in order to maintain relevance with the time period. Three theories are engrained within the grand theory, these theories are as follows: theory of self-care, self-care deficit, and nursing system. The focus of Orem’s self-care theory is for patients to maintain a state of wellness by completing activities in order to maintain said state and to provide support when needed (Pearson,2008). According to Borji, Otaghi, Kazembeigi (2017), “implementation of Orem’s self-care model resulted in a significant increase in self-care score in five aspects of diet, physical activity, blood glucose monitoring, medicine diet, drug, and diabetic foot care”. This can include eating a healthy diet, exercise and other actions that may prevent a negative effect on their health. Care delivered with the application of Orem’s theory involves both the nurse and the patient in collaboration (Rice,2006). The nurse’s role is to provide education, support, and assistance if need be, but

Providing patient centered care each and every time I am in the hospital is something that I hold to a very high esteem for myself and everyone I work with. My preceptor and I both think it is very important to treat patients like they are our own family member or friend, so there are many examples I could give for how I exhibited patient centered care while I completed my senior practicum on 5200/5300. Perhaps the most memorable from my time on this floor was when I had a patient who had been in the hospital for more than 30 days. This patient was getting restless, had been in restraints, was unable to really communicate due to a tracheostomy, and had also been NPO for multiple days while waiting for surgery to insert a PEG tube and fix an elbow fracture. Although this patient was in isolation and many team members were worn down with him constantly trying to get out of bed, I was a fresh face and spent hours upon hours by his side trying to understand why he was acting the way he was.

Nurses are in the profession of caring for others. Nursing is an intense profession that can lead to burnout without the proper guidance to self-care. Blum (2014) stated, “Self-care is imperative to personal health, sustenance to continue to care for others, and professional growth” (para. 1). The purpose of this assignment is to discuss the importance of nurses practicing holistic self-care and to provide an example of the differences in a healing versus cure.

Thank you for your analysis of the many contributing factors of poor quality health care. As you mentioned, patient centered-care must become the standard of care. According to

Self care is essential to the nursing profession because it is a reflection on the quality of health care nurses provide to their patients, it portrays an image to the patients on what’s necessary towards healthy living and can help nurses battle with stress and personal health. Self care can be expressed as taking care of ones self’s health and overall wellbeing. This can be shown through eating healthy, exercising daily, getting enough sleep and completing weekly activities to reduce stress. Improving your overall health can benefit nurses from overworking themselves and help minimize the affects certain stressors can have on them. By doing so, the overall atmosphere in the workplace and the quality of healthcare provided to the patients will be greatly improved.

Orem’s Self-Care Theory lays the foundation to measure self-care maintenance, management, and confidence. The framework of Orem’s theory contributes an optimistic patient view to their own personal healthcare and the goal of nurses, and the independent function of their patients. The identification of nursing as a science and an art are identified as well as its boundaries, and serve as unique contributions to nursing. The research that Orem completed was designed to measure self-care deficits and the quality of life to help determine the correlation between both (Seed & Torkelson, 2012).

In recent years, the concept of patient-centered care has become a goal in itself and a tool for enhancing health outcomes for patients. If patient-centered care is properly implemented, it can have a huge impact in the health care profession. Due to the increased attention on improving the health care system, patient-centered care is an essential aspiration of high-quality health care systems. The physician-patient relationship remains an integral part of the healthcare system but there are other aspects that affect patient-centered care. According to Greene, Tuzzio, and Cherkin, patient-centered care “honors the patient’s preferences, needs, and values; applies a biopsychosocial perspective rather than a purely biomedical

Dorothea Orem’s self-care nursing philosophy encourages patient autonomy and gives patients a voice. Consequently, it increases patient responsibility and participation in their care. It provides nurses with a solid foundation to give patients’ self-sufficiency and control in caring for themselves. The self-care model is achieved when patients transform from dependent, unreceptive patients to active, engaged

The practice of caring for the patients in ways that are meaningful and valuable to them is patient-centered care. In patient-centered care, the patient is involved, and patient’s preferences are put into consideration while respectfully providing care.

When identifying uses and meanings of ‘self-care’, I first looked in a dictionary. The concept was defined in the Shorter Oxford dicitonary as, “Self-care (noun) taking care of one-self; self-interested behavior.” I searched the internet to get a generalized view of how the concept was being used and it was defined on Wikipedia as, “Self-care refers to actions and attitudes which contribute to the maintenance of well-being, personal health, and promotion of human developent.” I searched data bases for scholary peer reviewed articlew and retrieved limited amount of English articles on self-care. Key word searches consisted of self-care, self-care maintenance, and self-management. The definitions and uses of the concept were fairly broad. I narrowed the search to post-op patients and self-care. The two uses for the concept in the post op patient would be self-care of the post op patient and also supportive care to promote self-care of the post-op patient. The supportive care could be from a nursing system or a family member.

Orem’s Self-Care Deficit Theory (SCDNT) is complex and contains various parts that help to explain how self-care can influence the overall health status of an individual. The basics of SCDNT can be broken down into four interconnected parts: theory of self-care, theory of dependent care, theory of self-care deficit, and theory of nursing systems (Berbiglia & Banfield, 2014). Each theory can be integrated into how the nurse will interact and plan care for patients. The nurse meets the patient’s self-care needs by teaching, demonstrating, and supporting the patient in performing basic self-care practices.

A person/patient remains the primary focus of nursing care and a patient’s health is dictated by his/her environment. Subsequently, a healthy individual can conduct self-care while the unhealthy person remains incapable of self-care necessitating nursing care to help the patient. It is vital for the nurses to evaluate the capabilities of a person’s self-care as well as the environment associated with the person to fight the limitations of health.