Person Centred Care and the Older Adult Is a person centred care approach really that important when it comes to nursing an older person? The answer is simply, yes. Older people are susceptible to a range of vulnerabilities and threats to their personal identity. This essay sets out to prove how meaningful and imperative it is for nurses to provide the elderly with individualised patient care. Divided up into two sections, the first will include a discussion on how patient centred care immensely benefits an older adult by improving their experience while being looked after and taken care of. It will also take a look at some of the alternative methods of nursing to contrast with the patient centred approach. Included is also a description of Mc Cormack and Mc Cance (2010) Person Centred Practice Framework. This will lead into the second part of the essay, as it will demonstrate how nurses can employ a person centred approach in the clinical setting to promote and recognise older people as equal partners in their care. Firstly for the purpose of this essay, patient centred care and person-centeredness will be defined using a definition supplied by the HSE (2010). They state that: …show more content…
It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development.’ This type of care approach is focused solely on the person and the concept of personhood (HSE, 2010). It is imperative that the nurse hears the voice of the older person. Person centred care embodies a culture of respect for each individual, with regards their values, beliefs and
Demonstrating ‘respect for patients’ values, preferences and expressed needs,’ is one of the eight dimensions of person centred care outlined by the Picker Institute (ref). Morgan and Yoder (2012) described ‘respectful care’ as being an attribute of person centred and while the author does not disagree with this idea of ‘respectful care’ being inherent to person centred care, the author believes that Slater (2006) more accurately describes dignity and respect as being antecedents of person centred care. These antecedents drive respect of personal values, individual needs and decisions, a consequence of which is an improved therapeutic relationship and health outcomes. The author considers this view of dignity, compassion and respect as antecedents
This essay will discuss the positive impact that person-centred care can have on staff and residents in long-term care settings, using the example of Seven Oaks care home. Firstly this essay will define the key terms of person-centred care and define the meaning of long-term care settings. It will then look at examples of the positive impact of person-centred care for both residents and staff in the example of Seven Oaks dementia care unit and the case study of Rita Wallace, which demonstrates the individuality of person-centred care. Person-centred care is about focusing on the needs of the person as a whole and not the service, it means treating people with dignity, respect, compassion, and care is personalised these are the four main principles to person-centred care.
Explain how person-centred thinking can be used within a team? People need to know there coaching and training needs. Team leaders will need to find strategies in making a person centred team work. 2.6 Analyse how to achieve successful implementation of person-centred thinking and planning across an organisation?
Person-centred thinking is a very individual approach and way of thinking and doing things for an individual`s health and social services and make sure it meets their needs. This means putting an individual and his/her family at the centre of decisions. Always ask individuals about their own preferences and encourage them to express needs, involving family and friends to identify what service-users like or dislike, and making sure individuals have access to appropriate care when they need it. Person-centred reviews and person centred planning should be reviewing frequently due to the changes and different needs an individual may
1.1 Explain what person-centred thinking is, and how it relates to person-centred reviews and person centred planning? Person centred thinking is when you put the thoughts of the person you are looking after before your own. It’s important to know how they think and feel to know what to put into their care plans so that they are supported in the best way possible and to make them feel included 1.2 Explain the benefits of using person-centred thinking with individuals? By using person centred thinking you know how the client feels and how its best to support them but you also know what goals are possible to set for the future and also any changes that need to be made.
With the continued change and increased complexity of the identity of the nurse it has led to the confusion as to what role nurses play – are they caregivers or clinicians? With the continued evolution of nurses professional identity nurses have moved away from the feminine role of just merely caring and have moved towards taking on more masculine role which have traditionally been associated with power. As traditionally power is mainly associated with masculinity and caring, which is the core value of nursing, as associated with femininity. From this it can be said that nurses have evolved from being the overshadowed caregivers to now taking on roles that traditionally would not be associated with nursing however still keeping the care element. In order to establish exactly how the identity of nurses has evolved over the years and to understand what it is today, we will look at the history of nursing as well as looking at how professional identity is formed and what factors
Person centred care is associated with treating people with respect, acknowledging their rights as human beings and having a trusted and therapeutic relationship between the person and their care provider (McCormack et al, 2011). Guidelines of person centred care give clarity towards how nurses should behave and such knowledge and expertise they should develop. These skills acquired can then be used to enhance person centred care through self and team assessment (McCormack et al, 2008). In this essay, I will critically explore individualised person centred care in association with McCormack’s model. I will identify how this model can improve the experience of care for the older person.
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
[Unit 08] Professional practice in adult care settings [Outcome 1] Understand theories, values, principles and statutory frameworks that underpin practice within care 1.1 Explain theories and values that underpin own practice 1.2 Evaluate how statutory frameworks underpin service provision 1.3 Analyse the principles that underpin service provision Social learning theory (Bandura)- This theory proposes that learning happens by observing others and then copying their behaviour.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Patient centered care is an approach of forming a therapeutic relationship between care providers, older people and families, mainly focusing on the values and respect (lenus). Care of which is respectful to an individual’s needs, values, social circumstances, lifestyles and family situations by putting them at the centre of care is a priority. This is a way of thinking and doing things in a way of using health and social services as partners. Meeting the needs of the older person include personalising the care of preference, taking account the physical comfort and safety of the individual and Making sure patient has access to appropriate care when they need it. Involvement of families is important as the centre of decisions, whilst working along side professionals for the best outcome.
Person-centred care is an approach that is becoming more widely used in practice in Irelands healthcare system. The approach to care is more holistic and the patient is more involved in their own care, enabling the older adult to maintain independence and have equal involvement in their care (Health.vic.gov.au, 2015). This essay will discuss what Person-Centred Care (PCC) is, why PCC is important, and how Person-Centred Nursing can enhance care for the older adult. What is Person Centred Care? :
(Kitson et al, 2013) Patient care is initial assessment collaborated with commitment for the nurse to care for the patient and build a trusting comfort relationship to meet patients’ fundamental needs (Kitson et al, 2014). Patient-centred care focuses on involving patients’ by allowing choice and decision-making. It takes into consideration patients’ individual physical, psychosocial, cultural and emotional needs (Feo and Kitson,
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs
Kitwood (1997,p.8) defines personhood as: ‘..a standing or status bestowed upon one human being by others in the context of particular social relationships and institutional arrangements. It implies recognition, respect and trust’. In an article looking at older people and dementia, Mitchell & Agnelli (2015) suggest that Kitwood’s theories of positive person work and malignant social psychology facilitate healthcare workers in implementing person-centred practices for the older person. They question whether the psychological needs of older people with cognitive deficits are sufficiently met in the clinical area and state that there must be an increased focus on Kitwood’s theories in order to improve care for these