In 2003 the Royal College of Nursing (RCN) defined nursing as “The use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death.” Nurses strive to accomplish the best possible quality of life for their patients, regardless of disease or disability. Crosta (2014) elaborates on this by writing that nurses use clinical judgment to optimise, protect and promote health, ease suffering and become advocates in health care for their patients and their families encouraging person-centred care.
Price (2006) defines person-centred care as care which centres on the patient’s own experience of their needs, health and illness. Patient-centred care is linked within literature to the concept of Holism. Holistic care includes caring for an individual as a whole by assessing their physical, psychological, spiritual, social and cultural needs and providing care in an environment which supports this philosophy (Price, 2006). Person-centred care not only involves the patient but also includes meeting the needs of the family and/or carers of the patient and involving other members of the multi-disciplinary team. The Nursing and Midwifery Council’s (NMC) (2008) Code corresponds with Price (2006) by mentioning that nurses must treat people as individuals and respond to their concerns and preferences, guaranteeing that
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Person centred practice is where all service users should be treated as individuals and their care that they require and support needs should reflect this. Each and every service user will have specific individual needs and their care plans and support should be tailored to suit their needs. By seeing the person as an individual and recognising their diversity puts the individual at the centre of their care. Person centred practice is not only about supporting people with their individual support needs and care but also about getting to know the person, what their likes and dislikes are, what makes them happy and bring them joy, knowing what their values are, family situations, social circumstances and lifestyles.
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
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.
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
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.
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.
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).
Daniel & Rosenstein (2008) define collaboration in health care as “health care professionals assuming complementary roles and cooperatively working together, sharing responsibility for problem-solving and making decisions to formulate and carry out plans for patient care.” Finkleman (2006, cited in Ndoro, 2014) states there are many advantages of working in multidisciplinary teams, such as professionals having a greater understanding of one another’s job roles. This permits greater communication between each other. Working within a multidisciplinary team enables collaborative working and improves patient care. Although collaborative person-centred care is vital, it needs improvement.
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.
(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,
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
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? :
My perspective on holistic nursing and self-care Introduction 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.
Person-centred nursing is widely practised in clinical areas today, the original concept was developed from the work of psychologists such as Carl Rogers and Tom Kitwood. Rogers (1957.1961) considered empathy and unconditional positive regard to be core features of any therapeutic relationship in counselling. He developed the concept of person-centred therapy in counselling. Stein-Parbury (2009) writes about the use of interpersonal skills in nursing and places a focus on Roger’s model of person-centred therapy. She states that person-centred nursing models have been influenced by the work of Rogers.
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.