The Importance Of Person Centred And Holistic Care

Reluctance to take risks is overcome by giving people reassurance, making them feel comfortable and boosting their confidence.

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)

I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.

• Every individual, including individuals with dementia, has their unique life history, lifestyle, culture and preferences, including their likes, dislikes, hobbies and interests, which makes an individualised approach in care necessary.

Unit-4, Q3. Explain how negative beliefs, values and misunderstandings can affect a person's attitude towards people with dementia. Unit-4, Q4. Explain how positive beliefs and values can affect a person's attitude towards a people with dementia. Unit-4, Q5. Describe the steps you can take to ensure a person with dementia feels valued , included and able to engage in daily life. Unit-4, Q6. Describe the practices that could make a person with dementia feel excluded. Unit-4, Q7. Explain why it is important to include individuals with dementia in all aspects of their care. Unit-4, Q8. Describe how an older person's experience of dementia may be different to a younger person who develops dementia. Unit-4, Q9. Mr Singh is a 75 year old gentleman who moved to England from India when he was in his 30s. Mr Singh is a practicing Sikh. He does speak English but because of his dementia he has reverted to only speaking in Punjabi. Describe the steps you could take to gain knowledge and understanding of Mr Singh's needs and preferences. Unit-4, Q10. Sophie is a 39 year old lady who has Down's syndrome. She has also developed dementia which is progressing quite quickly. Sophie has been admitted to a care facility which specialises in supporting people who have learning disabilities and also have dementia. Describe the knowledge and understanding that the staff would need in order to work in a person-centred way with Sophie.

Whilst undertaking the initial assessment, I always make sure that the service user is present and make sure that I am talking to them as opposed to about them with a family member or friend that also may be present. If I am doing an assessment with the service user who has Dementia or Alzheimer’s then again, I ensure that I am asking them what they would like, how they would like the care to progress and what they want to achieve from having care works. If they are unable to answer then I will look to the family for guidance, but it is important to make the service involved in their own care planning and assessment process

achieve truly person-centred care we need to understand how the individual experiences his or her

The purpose of this assignment is to demonstrate understanding of long term conditions and palliative care. Nursing care in general entails holistic care and collaborative care of individuals of all ages, families, groups and communities, whether sick or well (Royal College of Nursing, (RCN) 2007). Better management of lifelong conditions has been the priority of the National Health Service since the 1990s. When long term conditions are managed well in the community, patients’ can live a quality life without visiting hospital frequently (RCN, 2011). In Britain, six in ten people are reported to be suffering from long term conditions that currently cannot be cured; and these people are often suffering from more than one condition that makes their care challenging. It is estimated that by 2030 the UK will have double the number of people aged 85 years or over, who are living with one or more long term condition (Department of Health, 2014).

This essay will aim to introduce the term dementia including the types, causes, prevalence, young onset and models of care. This essay will continue to address what skill could be implemented to provide person centred care with understanding of health promotion and recovery concepts.

Person-centred care was first introduced by a physiologist named Carl Rogers, in the 1960s. He believed that every patient should be treated with respect and dignity. According to his approach he uses his core principles to identify

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.

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.

Person-centred care is the “Mutually beneficial partnerships between patients, their families, and those delivering healthcare services which respect individual needs and values which demonstrate compassion, continuity, clear communication, and shared decision making” (The Scottish government 2010).

In this Assignment, we will be looking at and discussing how the Nursing Midwifery Council’s Code (NMC) can guide the provision of person centred nursing care. What is the NMC’s Code? NMC Code is a list of professional requirements that which the nurses and midwives needs to adhere in order to practice in United Kingdom. This Code also helps the nurses and midwives to maintain their professional standards throughout their career. The Code is divided into four important sections. The sections are Prioritise people, Practise effectively and Preserve safety and Promote professionalism and trust (NMC 2015).

Discuss how the NMC Code (2015) can guide the provision of person centred nursing care.