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). Service users of NHS Scotland are no longer being looked upon as being inactive receivers of care and are invited to have more involvement in …show more content…
(NMC Code 2008:3) Patient’s decisions may sometimes be affected by various factors i.e. Their surroundings, they are often vulnerable and out of their normal environment. A conventional health care setting may be in a hospital environment where patients are most likely feel sensitive and insecure. Matiti and Trorey (2008:17) conducted interviews involving 102 patients in 3 different hospitals across the United Kingdom, over a period of 18 months. The purpose of these encounters was to annotate what was being said and also the fundamental meaning of how patients believed that their dignity was being put in jeopardy. One of the key aspects of patient dignity is making choices. Whilst conducting these interviews Matiti and Trorey (2008:17) discovered that despite the fact that patients accepted the loss of a little independence within the hospital surroundings, they wanted the freedom to participate in the decisions about their healthcare. Patients’ understanding in terms of choice, authority or participation in care and autonomy varied extensively. A number of patients were grateful that they were given the option to make decisions and that these were acted upon. On the contrary others considered that their right to making choices was contradicted and often their
Patients have the right to self-determination and individuals should have control over their own lives. With respect for human autonomy comes respect for patient rights. Apart of the nurses job is to promote, advocate and protect the rights, health, and safety of our patients. Patients have the right to determine their health needs, make informed decisions, and the right to information regarding their treatment and also the refusal of treatment. Nurses are obligated to know the rights of a patient and to make sure the patient understands their treatment plan. Supporting patient autonomy includes making decisions in the best interest of the patient, considering their values and recognizing differences between cultures. In the treatment
The purpose of this essay is to critically discuss the importance of using an individualised person centred approach to nursing care with and for older people. The essay is going to be presented in three sections. The first section will define and discuss what person centred care is exactly and how it may be created. The second section will go on to discuss the beneficial results of this person centred care. Finally, the third section will convey how this person centred care can raise awareness of the importance of respect for the individual patient or person.
The first and most important method would be, respecting the resident’s voice. As a nurse aide, I want to make sure that my residents are being heard. I want them to be able to come to me when they need help or have problems. I also want them to know that I am here for them.
Using patient centred care during this process will ensure that the care and treatment is specific to the patients’ needs and choices, (NICE, 2013) maintaining and ensuring dignity at all times. This focuses on three important features – respect, compassion and sensitivity, (Royal College of Nursing (RCN), 2014) aiding the therapeutic relationship, (Cobb et al, 2012) which in turn will provide better care for the patient as they begin to
Assignment overview In this assignment you will demonstrate your knowledge of person-centred care. You will explore what is meant by the term ‘consent’, define person-centred values, and consider how active participation can be used to best effect. You will consider how risk assessments can support informed choices and examine the factors that contribute to the well being of individuals using the service.
Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed
The government responds to The Francis Report in 2014 accepting all but 9 of the 290 recommendations issued in their initial response named ‘The Hard Truths’. They introduced a new legislation with an immidiete effect implimenting the toughest inspection regime covering all care services. Chief nursing officer Jane Cummings and Director of Nursing Viv Bennett introduced a 3 year strategy and vision that aims to promote values known as the NHS’s 6C’s. These 6 areas of action focuses on improving care for all patients which connects to the ‘WE CARE’ campaign. In brief, both state that competence; to have the ability to sucessfully enhance and improve lives. Compassion; to see through someone elses eyes and have an intent to act to change things for the better. Commitment; to be fully devoted to provide quailty care at the highest standard. Care; ensuring that every person counts whether it’s the service user, their families or the wider community. Communication; being open and honest with a mutual trust whilst working with others to take care of the patients physical and mental health as a whole. Courage; to have the ability to speak up if unethical practice is discovered whilst keeping in mind the respect and dignity of the patient. The government responds to The Francis Report in 2014 accepting
Many strategies are used within the work place to protect vulnerable people. Health and social care settings have to always promote equality and diversity and to respect service users rights. One way in which this is done is by always putting the patient/service user at the heart of the service provision. This means that the patients' individual needs will be met and achieved for example; a personal eating plan to a specific individual. Putting the service user at the centre of the provision generally makes a happier and healthier patient in all areas
Traditionally, health care was grounded on a paternalistic model where healthcare professionals were viewed as the experts in the field and directed decisions for patient, and patients were passive recipients of care (Gluyas, 2015; Mazurenko et al., 2015). In recent decades, the worldwide recognition of individual patients’ needs and preferences as an important aspect of high-quality healthcare that is responsive to the patient, has stemmed the concept of patient-centred care (Australian Commission on Safety and Quality in Health Care [ACSQHC], 2011).
Patient-centred care also referred to as person-centred care. Relates to treating an individual receiving healthcare with dignity and respect also including the patient in all decisions about their health outcome. The principles for patient centred care for all health professionals involves respect for patient’s preferences and values, emotional and physical support, education, continuity, coordination of care, and involvement of family and friends. Many health professionals including general partitioners, pharmacists and resisted nurses, focus on embedding patient-centred communication principles in health practice, which is important as there is a lot of uncertainty with patients. The type of communication approach conveys the effectiveness of
Service users should be seen as equal partners in the planning of their care with shared decision-making. Fundamentally, the aim of person-cented care is personalisation and a holistic approach should be taken. Therefore the individuals culture, ethnicity, wishes and personal
Select two of these aspects and utilising relevant current literature, describe each of these aspects of patient dignity and briefly outline their relevance to patient centred care.
This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice.
In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.
Nursing is an all encompassing profession in which practitioners are not only proficient in technical medical functionality, they also have the obligation to remain compassionate and respectful of patients and as such are expected to adhere to pre established codes of ethics. Of these ethics, autonomy is of extreme importance as it offers patients a sense of personal authority during a time where they may feel as if their lives, or at the very least their health, is no longer under their control. Autonomy in the context of nursing allocates the patient and often their family with the final word on the course of treatment. The concept of patient autonomy is a highly variable subject in all fields of health care. It is a universal concept that varies widely in its meaning and interpretation. Autonomy in its simplest form can be defined as a state of independence or self governing (Atkins, 2006). Patient autonomy can also be defined as the ability to make once own decisions, based on one’s sound judgment. It is defined by the American Nurses Association (ANA, 2011) as the "agreement to respect another 's right to self determine a course of action; support of independent decision making." This seemingly straight forward ethical concept is rife with difficulties when one considers potential disagreements that may arise even when informed consent is provided, particularly among children or vulnerable people. Relevant research and