Person Centred Care Essay

Duscuss the impact of the ACA and the IMPACT act on long term care arcross the continuum of care.

Patient centered care have evolved to improve quality of care and safety while delivering care to our patients. While providing safe and effective care to patients, nurses should be utilizing resources to deliver the optimum care. Patient centered care does not only involve the patient it also involves the family on making decision, this approach will endorse quality of life and health. To coordinate care some characteristics must be present including not limited to dignity, unbiased decision, care to be focused to enhance independent in the care. Patient have the right to be respected while receiving care. In addition, the care should be delivered without any judgment and the information should be delivered in a way that the patient and

There are four main approaches to person centred practice, “Pathway” planning, “Maps” planning, “Person centred portfolios” (otherwise known as “Essential Lifestyle Planning”) and “Personal Future Planning.” Discussion will prove that “ each shares characteristics that explicitly emphasise the personal empowerment of service users, in which the principal direction for support generates from those for whom planning is being carried out.”(Langley, 2001) However the use different formats means that each approach focuses on different aspects and my comparison will note strengths and weaknesses, and how they are designed for implementation in different scenarios of person centred practice and planning.

Partnering with the patients and the multidisciplinary team provides opportunities for the health care professionals to deliver customised care and health promotion that meet the needs of the individual(Steenburgen etal, 2013). For the better provision of the care, the varying level of independence and interventions in Anne’s care should be recorded (mcCance etal, 2009). The NMC (2015) suggest that all care should be person centred, and the ethical principles such as autonomy suggest that the patient’s right to take decision about their care should be respected. Patient centred approach recognizes the multi disciplinary dynamics and ensures that care delivered in a positive manner which in turn supports the holistic wellbeing of the patient

The nurse practitioner’s role in the long term care setting can also facilitate the concept of person-centered care. This concept embraces seeing the patient as an individual, how their current conditions affect their outlook and quality of life and

Patient-Centered Care Patient-centered care focuses on the patient and the individual’s particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, nurses and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe.

Nursing is dignified profession involving holistic care of the individual, families and community to obtain optimal health and quality of life. As a member of health care team we all nurses are responsible for providing quality, safe, effective and person- centred care to the patient . High quality care refers to safe, effective, person-centred ,timely, efficient and equitable care that resulted excellence in health care (Institute of Medicine, 2001). This high quality nursing care could be delivered by appropriate skilled workforce who have received education and skill regarding critical care and able to perform the core standards set for quality critical care service.

HSE (2012) describes “Clinical governance as a system of framework through which healthcare teams are accountable for quality, safety and satisfaction of patient in the care they deliver.” As the clinical governance focus mainly on the quality of care and safety of the patient, it aids in the continuum of care. Hence, this essay will discuss the strategies to improve medication safety in acute medical assessment unit and introduction of MUST to improve quality of care.

When people first become aware of the gradual changes in their bodies that marks the aging process is usually in the middle-aged group. Many changes occur in this stage including physical and psychosocial concerns. It can be difficult at times for an individual to go through these changes. Nurses need to educate patients about these changes and the risks if not addressed. Being aware of the signs and symptoms and the resources that are available can help the individual find care that suits them.

While reading this book, I found VIPS Framework is a valuable asset to use for person-centered care that represent a base that asserts the absolute value of all human lives regardless of age or cognitive ability, each individual with dementia are special and need to approach differently, recognising uniqueness, understanding the world from the perspective of the person identified as needing support and providing a social environment that supports psychological needs. The VIPS framework is a tool that is designed to help provider of health and care services for people living with dementia to assess the relative strengths and weakness with regard to providing person-centered care. This framework can be use to help support people with dementia personhood, it is important to “enter the world” of the person living with dementia to best understand, communicate with, and interpret the meaning of his or her behavioral expressions from their perspective. Health care organization caring for the people with dementia can use the person-centered care VIPS framework. Before using this framework, organization need to understand the elements that are sub-divided to indicators,valuing indicators; individual lives indicators; personal prospective indicators; socially supportive environment indicators. Valuing indicator shows the mission statement and share the vision of organization to provide the resources to ensure that staff are delivering direct care by

Introduction Health of older people has some issues which nurses should know. Older people tend to suffer some health problems, however, some people do not know about problems of older people and may treat them wrongly. These are some questions and answers below whose topics may be well-known but misunderstood. Nurses need to know scientific truth about health and health problems of older people and should reject myths of them which may be

Once understood that aging is a natural process with various influencing factors all tied to the same needs the nurse can began to apply the nursing process to the older populations. The gerontological nurse has to recognize that most human beings value health and that their role is to help people to stay well, and overcome and cope with disease to restore function and purpose in their lives. The nurse must promote self-care in the elderly as part of their plan of care to preserve and enhance independence. The managing principles must include taking advantage of opportunities to share knowledge and skills related to care as well as educating others who play a role of the resource support in the older patient’s life. Making conscious decisions and efforts to experiment for an end result that improve gerontological practices guides the nurse to aide and advocate for rights of services to achieve maximum benefits towards

Do we honestly make an effort to improve the environment, care, medical treatment, and interactions with those patients who are suffering a loss? Do we adequately provide the care that they need? These questions are answered in Swanson’s Middle Range Theory of Caring. We examine the five caring processes and their applications to one’s daily nursing routines. Many healthcare organizations have adopted the caring theory as their model of care for their philosophy and principles for nursing. Caring theory has also been the focus of many research articles that have concluded that caring is a natural part of nursing and it is

The principle Respect for Autonomy is the most important in healthcare setting according to Gillon (2003)5 and refers to the capability of self -governance, having the freedom to make own choices that refers to decisions that are having a major impact on own life and health without any interventions, coercion or restrictions from family, friend or health care professionals (Burkhardt & Nathaniel 2014)6. However sometimes issues may arise in nursing when factors like mental capacity, level of consciousness or age can come into conflict with patient's autonomy as well dealing with paternalism when a nurse may believe that the patient choice does not reflect his best interest yet

Nursing has a crucial responsibility when it comes to managing, treating, diagnosing, and pinpointing evidence-based strategies to tackle quality of life in persons who suffer from chronic illness (Gies 2016). To have effectual nursing practice, patient-centred care, and improved patient outcomes, understanding the correlations and distinctions of self-perceived health, health-related quality of life, and quality of life is essential (Gies 2016).