Professional, Legal and Ethical issues in person-centred care
For the purpose of this assignment the student will be discussing and analysing the professional, legal and ethical issues that influenced how person-centred care was delivered to a patient in an acute psychiatric hospital where the student was working. In accordance with the Nursing and Midwifery Council (NMC) (2010) the patient will be referred to as Sarah to uphold confidentiality.
During a shift at the hospital the student attended a manager’s ward review. The student listened as approved mental health professionals (AMHP) discussed the wellbeing of patients who were being cared for in the hospital. AMHP’s are mental health professionals who have specialist training in
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It was clear to the student that the answer to these questions was ‘no’ because schizophrenia affects the way a patient thinks, feels and behaves which makes it more difficult to distinguish between what is real and unreal. (National Institute of Mental Health (NIMH) (2012)
Sarah’s doctor also have a professional duty to adhere to the ethical principles of beneficence and non-maleficence (Wilmot (2003) Beneficence is the act to ‘To do good’ whereas;
Person centred care could be defined as focusing on a person’s individual needs, wants, wishes and where they see their target goal. Person centred care also takes into account delivering person centred care to the patients family and carers, as well as the multidisciplinary team that is working together to provide care. The service user is the most important person in decision making for their health care and the nursing process. (Draper et al 2013). Person centred care reminds nurses and care staff that they are caring for the service user, their families and care staff providing the care, this allows the patient power in decision making towards their health and wellbeing. (Pope, 2011)
Person-centred practice should enable service users to have choice and control regarding all aspects of their care. The service should be organised in a way that is tailored to meet all service user's individual needs including ; physical, emotional, spiritual, religious and cultural needs. Person-centred care should be needs-led, with certain values being required to ensure that individuals are empowered. This includes: Recognising the service user as the main person Respecting the individual as their own person
As healthcare professionals, nurses are governed by and must have understanding of ethical, legal and professional frameworks which underpin practice (Gallagher and Hodge, 2012). They follow these frameworks to help direct themselves in making decisions in collaboration with service users to ensure person centred care is delivered.
In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the
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
Decision making and best interests of the patient in the care for people with mental health problems are one of the main concerns in nursing practice. Healthcare professionals should be knowledgeable enough to practice the legal code regarding decision making and protection of the patient with mental health problems (NMC, 2008).
In this situation I first refuse to render services due to this is a matter of committing fraud against insurance company. Second, I would inform the school that this is unethical pertaining to my code of ethics as well as inform the child’s parent of the schools manipulation of my services as the Behavioral Analyst. Finally I would report the school’s intention to the insurance company as this might has been an on going situation with other children at the school. The Analyst responsibility is to report this to the insurance company in order to maintain their integrity of their position. According to Bailey & Burch (2016) it states that the behavior analyst needs to leave the company and seek employment else where who is more
The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.
The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future
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.
This paper critically analyses my input into leading a process for patient improvement which was about implementing family friendly rooms for inpatient s on a mental health wards. A number of patients made formal complaints that while there were in hospital there was nowhere for their children to visit when they were in hospital.
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).
The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and
In the case study, talks about a young person who have been admitted to the mental health unit, who is experiencing a serious stress and anxiety.
The person, or patient who receives nursing care, is the most important part of the entire nursing process. Person-centered care is emphasized by many nursing schools and healthcare facilities. A patient needs to be looked at holistically, meaning that taking care of a person involves taking care of more than just their physical wellbeing, but their emotional, mental, and spiritual wellbeing too. Developing a positive relationship with the patient helps the nurse to provide the best care possible to the patient, and see them as a multidimensional person rather than just someone who is sick. It is important to take into consideration a