Patient Centred Care Essay

The need for older people to have their autonomy to make a decision and be an active partner in the decision making process must be recognised and is an essential component in person centred care. ‘’The older person and family have the right to make informed decisions about all aspects of their care and the nurse respects the level of participation desired’’ (An Bord Altranais, 2009). Nurses most realise the importance of patients participation in their care and strive to uphold it as a principle of person centred care, ‘’Lack of time and/or restrictions on patients choice and involvement, was listed as the number 1 factor to hinder quality nursing care’’ (An Bord Altranais, 2009). As nurses it is our responsibility to take the time to overcome communication barriers, for example, a hearing or speech deficit. The nurse can opt to use non-verbal communication to facilitate the decision making process for the patient. Patients are entitled to information about every aspect of their care and should be frequently updated. Information about management and prevention of conditions, procedures, assessments and investigations ,diagnosis, treatment, follow on care, referrals and services available to patients( i.e. health, social) should all be disclosed to patient (Department of Health,2001). If they

A Critical Analysis of Patient Centred Assessment Including a Reflective Analysis of a Simulated Problem-Focused Assessment

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

Intrinsically linked to oral health, nutrition and hydration can be influential to a patient’s recovery and overall disposition during care. Encouraging a patient to participate in healthy nutrition and hydration supports person-centred care. A carer’s priority is safeguarding against malnutrition, dehydration and overhydration, but a patient’s wellbeing depends on a comprehensive view of nutritional care. To deliver person-centred care in this situation requires appropriate systems and protocol in place as a first measure (BAPEN REF). Many vulnerable populations are either currently afflicted with or at risk of malnutrition or improper hydration, which can have serious repercussions on their health (BAPEN REF). By having procedures to monitor

Patient centered care is a core component of nursing practice. Understanding and practicing cultural competence is a central element of delivering patient centered care. One approach to understanding other cultures is by utilizing the Purnell Model for Cultural Competence. According to Larry Purnell (2002), cultural competence is defined as “the adaptation of care in a manner that is consistent with the culture of the client and is…a conscious process and nonlinear” (p. 193). In the model, culture is divided into 12 different domains: overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, health care practices, and health care practitioner (Purnell, 2002). This model is an excellent framework for assessing and interpreting the cultural complexities of each patient so the best individualized care can be provided. I have used this model and each of its domains in an interview with my friend, Surbhi Patel, in an attempt to further understand her culture.

The Department of Healthy formed a National Service Frame for Older People (2001) which was established to look at the problems for the elderly people so they get the best quality of care. This helps to minimise age discrimination in elderly people and it promotes independence and provides person centred care. The framework has four underlying principles which are; respecting the individual, intermediate care, providing evidence based specialist care and promoting an active healthy life. There is also National Care Standards which aims to improve the quality of life of the patients by the level of care and support provided. The frameworks and legislations help to guide Alice’s care.

Patient centered care is an important Future Nursing Core Competency that allows the best approach in providing care. Using strategies tailored to each individual patient can be almost expected from the patient and their family (Hood, 2014, p. 409). Patient centered care is an important aspect in the profession of nursing, and in achieving understanding. By incorporating this into everyday practice it allows the patient a better understanding of their diagnosis and instill compliance.

This department is a branch of the court system used in assessing clients that have been arrested for DUI, Domestic Violence (1st time offenders), probation violation or placed on home detention to attend specific court appointed hours of diversion programs, substance abuse education and/or training (alcohol or drugs), groups, or individual counseling as a positive means of rehabilitation in lieu of substantial jail time.

Identify the patient focus of care (individual, families, community) and the aggregate(s) served. Give examples of how the unique aggregate characteristics, risk factors, and needs are being addressed.

I have placed a binder with 27 polices out for staff to read and sign off

Patient engagement programs are meant to reach out to the patient. Organizations have realized that they do not only have to adapt technology and assume that they have engaged the patients in their health care process (Empower your Patients to Improve Their Health, 2015). They have come up with other strategies meant to ensure that there is communication efficiency, and there is greater patient satisfaction (Confier Health Solutions). Healthcare providers have some additional tasks where they have to keep in touch with patients so that they can fully engage them in their health care processes. There are various patients’ engagement tools, and one of the patient engagement outreach programs is the patient outreach program that is offered by Confiner health solutions. The program was developed with an intention of promoting wellness and providing preventive medicine. The program is supported by doctors who work together to ensure that the primary aim of the outreach program is useful (Confier Health Solutions). The outreach program also ensures that there is close monitoring of the progress of the patient. The main objective is to ensure that there is successive recovery, and thus the

“Truly patient-centered care extends the role of family members beyond the bounds of visitation and support.” (Cappiello, Frampton, Wahl, p.53) For anyone who has ever been hospitalized, one of many satisfying feelings during one’s hospital stay is when one receives a visit from a friend or family member. On the other hand, there are those inpatients that do not have any family members or friends to love and care for them. Planetree, an international nonprofit organization, decided to have patient-centered hospitals participate in their Planetree model of patient-centered care. Depending on the patients’ medical condition and/or diagnosis, “…patients aren’t able to make their own health care decisions, hospitals and clinicians often rely on family members.” (Cappiello, Frampton, Wahl, p.53)

Picker institute additionally explore and improve the eight points of care, later allowing the Institute of Medicine to use them as part of their definition of patient-centeredness in 2001 in the Crossing the Quality Chasm (Ransom, 2008). The measurements for patient centeredness were a success because the surveys were design to take into consideration ratings, and reports from a patient perspective. Patient experiences were evaluated from dimensions of care, satisfaction of care, and services acquire. Overall, patients were place as means to improve and provide a better quality of care. Now the IOM recognizes that it is necessary to take in to considering the measurements of quality. Patient satisfaction or patient experiences of care surveys

Part A of this assessment introduced a 77year old, Italian man named Luigi, a retired accountant who has lived with his wife in Australia for the past 40 years, together they have 1 son. Luigi has had declining health issues for 15 years due to poorly controlled type 2 diabetes, resulting with a diagnosis of chronic renal failure. Luigi has now been hospitalised. This essay will discuss the importance for Luigi to develop self-management, empowerment and advocacy skills. It will demonstrate the role of the registered nurse in the management of patients, including Luigi, with chronic and complex conditions. The essay will go on to briefly discuss collaboration between the registered nurse and allied health team members, including involvement in the discharge process and will implement a nursing care plan having 5 complex co-morbidities requiring nursing interventions and rationales.

and appreciating him as a human being, and partnerships between the patient, his or her family, and health care providers. Moreover, they added that this model is being implemented in hospitals’ practices throughout the United States and can be found in the mission statements of many healthcare facilities (Fredericks et al., 2012).