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Concepts of person centred care
Essay of what is person centred care
Concepts of person centred care
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The aim of this essay is to address the key principles involved in delivering person-centred care and to explore issues that have to be taken into consideration, this includes protection of people that may be susceptible to poor care and safeguarding issues. Other key aspects that will be discussed are, the skills required to maintain and promote the principles of person-centred care such as working in a multidisciplinary team and interpersonal skills and how these skills can be applied into practice. The idea of person-centred approach was developed from the work of Dr Carl Rogers (1961). He devised a therapy that focussed on the patient which shifted the idea of the therapist being the expert and it empowered the patients to help them reach
Person-centred care is the holistic practice of caring for patients, respecting the patients’ preferences and needs, and engaging the patient in decisions regarding their care. A person-centred approach to care is essential in providing a safe and efficient quality of practice. The Picker Institute recognised key principles conducive to a positive patient experience (Oneview, 2015). Transparent communication and information, provision of choice to the patient and respect of choices made, and responsive support are key aspects of these principles, and when implemented encourage successful therapeutic and professional relationships with patients.
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 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 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.
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.
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.
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.
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 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.
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
Person centred nursing is about coordinating services to meet the person’s individual needs and desires, through this approach the person is seen as an equal partner in their own care and decision-making (Edvardsson et al, 2008). McCormack et al. (2010) provide a framework of person centred nursing in which they define the concept as: ‘...the fostering of therapeutic relationships between all care providers, people and others significant to them in their lives. It is underpinned by values of respect for persons, individual right to self determination, mutual respect and understanding.’ (McCormack et al.
Person-Centred Care aims to ensure that the older adult is an equal partner in their health care. Key components that ensure PCC is provided are the following: respect and holism power and empowerment choice and autonomy empathy and compassion. (Rcn.org.uk, 2015) A person-centred approach to nursing focuses on the individuals needs, wants, goals and desires so that they become central to the care and nursing process (OpenLearn, 2015). According to The Department of Health (State of Victoria, Australia), person-centred care is a philosophical approach to care, ensuring that service systems are developed in partnership with older people and/or their carers (Health.vic.gov.au, 2015).
The dynamic holistic view of the human individual as a biological, psychological, social, and spiritual being is the foundation of most nursing theories (Puchalski, Lunsford, Harris, & miller, 2006). Integral in these models of care is the recognition that the client is more than their physical being (Puchalski et al., 2006). To ensure the patient and family receive the most compassionate, comprehensive care, the consideration of spirituality is essential (Puchalski et al., 2006). According to Govier 2000, spirituality effects and embraces all that we are and do. Addressing spirituality is necessary to provide the experience of holistic care (Noto, 2006).
In Ireland, following on from the Mental Health Commission, it can be seen that there is a move towards family centered care (Murphy et al (2015). Quality is fast becoming a central part of the mental health service and was a guiding aspect of the strategy “shaping a healthcare future: a strategy for effective health care in the 1990’s” (MHC, 2007). The main principles include person centeredness, quality, equity and accountability. The main objective is to ensure that quality and safety of care is sustained and regularly evaluated.