The Importance Of Person-Centred Care For The Older Adults

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

Compassion is showing care for others and displaying a positive attitude towards the care and concern of others. According to How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurse, "The importance of this relational aspect of compassion to the participants in this study cannot be overlooked when planning and implementing care. Compassion is a process that can be nurtured through attention to patient-centered assessment and planning of care. Patient centeredness is no stranger to nursing discourse, however, adopting this element to care and compassion is challenging in today's healthcare arena, especially when treating massively increased numbers of patients" (Bramley and Matiti, 2014).

These qualities and their related practices are the very embodiment of nursing and midwifery practice and form the basis of professional decision making and actions (Department of Health, 2016).The HSE, (2015) define their four core values as, care, compassion, trust & learning. In the UK the core values of nursing are described as the 6 Cs Care, Compassion, Competence, Communication, Courage &Commitment. The 6Cs are the esteem base for Leading Change, Adding Value; a structure for nursing, midwifery and care staff. (NHS,2016). The Department of health (2014) state the core values in Southern Australia are caring with kindness, person-centred, respect, integrity and accountability& in New Zealand they are respect, integrity, trust, working in partnership with health consumers.

Tom Kitwood (1997) cited in (The Open University, 2017) supports the approach of seeing and treating people as individuals, he calls this ‘person-centred care’. This approach looks at the physical, social and psychological needs of the individual. Person-centred care encourages people to have more involvement in making decisions about their care so they get the support and service they need. There are three main types of long-term care settings such as residential care homes which offer different degrees of personal care, Nursing homes offer care which requires the skills of qualified nursing staff and long-stay hospitals which offer a more specialised medical care. (The Open University, 2017).

In conclusion, The Roper, Logan and Teirney Model of Nursing on the Activities of Daily Living is very effective in assessing a patients independence, guiding the nurse on appropriate care to provide for her patients and assisting the nurse with tasks such as time management and making decisions on safety measures. It also helps to monitor the progress of a nurses patients and nursing models guide nursing practice in all of the above ways. This model is overall a key tool used in many hospitals across the globe, especially in the UK and Ireland to

Effective communication is one of the most fundamental tools of the nursing practice. Communication involves two parties the conveyor and the recipient, in which information is exchanged through personal and interpersonal mediums (verbal and non-verbal forms), allowing the message conveyed to be received and understood. Ultimately effective communication in healthcare reduces barriers constructed by language and cultural differences etc, creating a safe environment for the client in which they can actively participate in positive health-related behaviours. This explanatory synthesis will explore the concept of self- awareness in relation to therapeutic communication and how it significantly influences nurse-client rapports. It will also

They are considered to be the foundation of nursing (Watson, 2005). The processes entail forming selfless values in order to provide supportive care, being attentive to the belief system of the patient, showing understanding of oneself therefore being able to incorporate it into patient relations, developing a trustworthy relationship with the patient, accepting the patient’s feelings as valid emotions, and problem solving in all aspects of care, which is a similar aspect to the personal theory’s viewpoint of critical thinking (Watson, 2005). Other processes include adapting teaching styles and methods to meet the patient’s needs, creating an environment that is comfortable and healthy to promote healing, providing assistance with daily care which also promotes healing, and being attentive to the soul and its well-being (Watson, 2005). Watson (2005) compares these statements to love invoking, which “allows love and caring to come together for a new form of deep transpersonal caring,” which “connotates inner healing for self and others” (p.

The examination was of elderly patient’s self-care abilities and the success of nursing staff allowing patients to do as much individual care as possible. “Orem’s theory postulates that people have a natural ability for self-care, and nursing should focus on identifying these deficit areas” (O’Shaughnessy, 2014, p. 496). The argument proposed is that peritoneal dialysis at home allows the elderly patient to maintain life closer to their previous life pre-dialysis. In order for the patients to be successful with their home peritoneal dialysis nurses have to assess the gaps in care that need to be addressed. The gaps in self-care can be corrected through education, demonstration, teach-back, and evaluation of meeting expected outcomes (O’Shaughnessy, 2014).

Brennan and Monson (2014), say it best, stating, “professionalism is an indispensable element in the compact between the medical profession and society.” I consider autonomy and accountability a package deal when it comes to the professional nurse. Being able to work autonomously means that you handle certain situations independently while utilizing your knowledge and the evidence presented to you to come to a decision. You also have to remain accountable for the decisions you made while using that knowledge and take responsibility for those choices and any possible mistakes. These qualities are essential when it comes to operating within a healthcare team in order to gain

Watson’s nursing theories express that the mind, body and spirit of the patient should be taken into consideration. I agree with Watsons that while providing care the nurse should consider care base on the patient as a whole and not just focus on the disorder. I was taught to use Maslow’s hierarchy of need while planning and providing care for my patients. Maslow’s hierarchy is use to prioritize a patient need from life treating issues to love and belong. This hierarchy helps me to provide care which include the patient mind, body and spirit as Watson had

  According to King “If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal setting and goal attainment with occur” (as cited in McEwen & Wills, 2014, p. 176).  Professional nursing symbolizes as a sensible caring, well rounded unique art, to patient

I provide all the information necessary which allows each patient to accept or decline care. NPs are in a position to empower patients with health knowledge, not only do I view myself as a medical provider, but also as a partner in health to influence healthy behaviors to increase positive health outcomes. The family component is crucial to improving health, as an NP I evaluate the family unit to assess for moral support. Families are encouraged to ask questions and seek assistance in dealing with complex medical issues. As a novice NP in adult/gerontology primary care and occupational health, the Shuler model will play a crucial role in my professional development as its constructs address all the essential components of an advanced practice nursing model that are important to my practice: person, health, environment, nursing and NP role.

Whilst the checklist’s main focus is to ensure that key factors have been accounted for by the appropriate staff member it’s an opportunity to promote team cohesion. Having nursing staff lead helps recognise nurses as equals to remove the hierarchy and egos which may prevent good communication and team working. Furthermore, it provides the opportunity to introduce new members and their roles (Wahr et al., 2013;World Health Organisation, 2008). Additionally it affords a chance to ask questions and clarify patient specific protocols. Such as flow direction of cardioplegia.

According to Gardner, for collaboration to be effective, factors such as “status, organizational values, collaborating participants, and type of problem” (2005) must be considered. Therefore, collaborating with the parties involves attending to each side, deliberating on areas of agreement and identifying their goals, and making sure that all parties understand and respect one another. As a nurse, collaborating with our patients to make sure that they agree with the plan of care is also important. Collaboration involves thinking creatively to resolve the problem without argumentation. When all contextual elements are considered, collaboration can provide good communication among the healthcare team to help provide an excellent quality patient-centered

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