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.
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
My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.
Pat Armstrong’s thesis in Managing Care the Canadian Way, is that expanding Canada’s public health care system the way that Canada has been doing so for the last 30 years, rather than privatizing it the way the United States’ health care system runs, is the best way to improve it. Armstrong argues that Canadian health care as a non-profit system is superior to the largely profited and privately administrated services in the United States. Canada has begun to bring American style health care into the system and Armstrong believes that this will have a negative impact on the Canadian health system in cost, accessibility and quality of health care.
This assignment will explore the Roper, Logan and Tierney model used in first clinical placement and will explain how it helped to guide nurses to focus on the fundamentals of patient care. Patient dignity is upheld by using this model following the principles outlined in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives as will be discussed.
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
Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the
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). Through concept application, caring concepts are able to enhance Human Caring theory and transform the patient’s quality of
Once a patient and nurse agree on the diagnosis, a plan of action can be developed. If multiple diagnoses need to be addressed, the Head nurse will prioritize each assessment and devote attention to severe symptoms and high factors. Each problem is assigned a clear measurable goal for the expected beneficial outcome. For this phase, nurses generally refer to the evidence based nursing outcome classification, which is asset of standardized terms and measurements for tracking patients’ wellness. The nursing intervention classification may also be used as a resource for planning.
Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
Deciding to pursue a career in nursing, is often done form a place of giving. Giving of oneself to better the wellbeing of another. The process of providing care starts with an assessment of the situation and developing goals. Goal development happens with the patient present and takes efforts on the part of the nurse and patient. Imogene King created a systems approach to help the nurse-patient relationship and further created the goal attainment theory.
As part of my studies of the Perspectives on nursing module I have been assigned to examine dignity as a value which underpins nursing practice. Dignity is a multi-faceted concept and can be defined as ‘’ The state or quality of being worthy of honour or respect’ (https://www.oxforddictionaries.com/definition/english/dignity, 2015)’. Respect for the dignity of the person is the number one principle of the Code of Professional Conduct and Ethics for Registered Nurses and Midwives (NMBI, 2014). Also, this principle notably finds its origins in the Universal Declaration of human rights (United Nations, 1948) (Nursing and Midwifery Board of Ireland, 2014). Throughout this piece I will emphasize how this principle interacts with nursing
Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing.
In context of World Health Organization, self-care is often defined as activities individuals, families and communities undergoes with the motive of increasing health, overcoming disease, limiting illness and restoring health ("What is", n.d.). The knowledge and skills are gained from both professional and lay experiences for such activities. According to Klebanoff & Hess (2013), holistic nursing is defined as all nursing practice that has only motive of healing the whole person as its prime goal. A holistic nurse is like a licensed nurse who often incorporates a “mind-body-spirit-emotion-environment” approach to the practice of traditional nursing. Holistic nursing practices often require the combination of self-care and personal development activities into one 's life. Holistic nurses involves in self assessment, self-care and personal development, aware of being the sole instruments of healing. Holistic nursing emphasizing on integration of spirituality, self-responsibility, self-care and reflection in their lives. Smith (2006) discussed her life as a holistic nurse. White & Clegg (2009) highlighted approach in context of providing support to patients suffering from long-term conditions. The idea of healing the person as a whole being dates back to period of Florence Nightingale who held the view that nurses duty was to keep optimal conditions for healing. Rourke (1991) tried to find out