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Critical essay on person centred care
1.2 critically review approaches to person centered care
Critical essay on person centred care
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Introduction:
There is not a universally agreed definition of person centred coordinated care, however there is broad agreement on components that are critical for its implementation. These include, putting patients at the heart of decision making to ensure care is personalised and enabling, coordination of care at different levels by promoting integration and collaboration, promoting patient engagement, and ensuring public and social value. There are however several key obstacles that must be overcome for implementation of these components. These include lack of staff engagement, ineffective leadership, lack of integration of services, lack of accountability and health inequalities.
Background:
The Royal College of nursing, UK defines person
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As described by Collins A (Collins, 2014) and adopted by The Health Foundation, person-centred care must ensure four core principles: that people using the services should always be treated with dignity, respect, and compassion. Healthcare services offered should to coordinated by providing care, support, and treatment across multiple episodes and over time especially at various transition points. Care should be personalised to individual needs and aspirations by actively discussing priorities with individuals receiving care, their families, and carers. The care and support being offered should be enabling for patients by orienting services to support patients to recognise and build upon their strength and allow them to lead a more independent and fulfilling life. Wolff & Boult (Wolff, 2005) identified nine components of coordinated care: patient evaluation, individual care planning, evidence-based decision making, consumer empowerment, promotion of healthy lifestyles, coordination across multiple conditions, coordination across provider settings, caregiver support and education, and accessing community
This was followed up by changes in the department of health where people were to be given more choice over what services they needed. The National service framework further increased the need for individualised services that related to a person’s needs rather than fitting into existing services. The care standards act 2000 developed the need to develop individualised service provision for people and for services to adapt to these needs. Person centred care was then incorporated into many policies to promote independence and the rights and choices of
Y.H.et al. (2012) told that Person centred care models start with education and training of
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
One of the five key principles of care practice is to ‘Support people in having a voice and being heard,’ (K101, Unit 4, p.183). The key principles are linked to the National Occupational Standards for ‘Health and Social Care’. They are a means of establishing and maintaining good care practice. Relationships based on trust and respect should be developed between care receivers and care givers, thus promoting confidence whilst discussing personal matters without fear of reprisal and discrimination.
Person centred practice is used to support individuals by doing things that people see when using health and social care services as equal. Person centred skills that are enforced to support individuals are used for several reasons, for example lives of individual’s that are supported are improving and are developing. This means by letting their family at the centre of their decisions and working alongside them to their best
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
Putting the person at the heart of care is one of the essential roles in developing person centred care. (Department of health, 2005)
Good care practice is essential in Health and Social Care and should be delivered by competent skilled care workers. Care workers are required to follow the guidelines specified in the five principles of care practice. The five principles assist the care worker in maintaining a good standard of care, which supports and respects the service users’ rights to appropriate services (K101, Unit 8, P134).
Content 1.1 how principle and support are applied to ensure individuals are cared for in health and social care practice.
Person centred care is defined as health care professionals work together for people who use the health care services. Person centred care also helps to support the patient’s knowledge and also helps the patient to develop an understanding of their health condition and also gives them the confidence to effectively manage and make educated decisions about their own health and also the health care in which they receive. (Health Foundation 2014). This suggests that each individual needs to be treated with the same amount of respect and they also need to be treat equally. Furthermore, the RCN (2015) argue that important principles of Person Centred Care are respect, dignity and compassion. As professional it is important that
Patient-centered care recognizes the patient or designee as the source of control and full partner in
The definition of person centred care is to include an individual receiving treatment in all aspects and decisions of both their healthcare treatment and recovery care plan. The Nursing and Midwifery Council (2008) state that nurses should ‘make the care of the people your first concern, treating them as individuals and respecting their dignity’. In 2012, the Scottish government introduced The 10 Essential Shared Capabilities (10 Escs) It has been created to promote and reflect on progressing policy and legislation to improve person centred care, values and beliefs in Scotland. Person centred care is a driving force not only within mental health nursing but all nursing. Whilst the service user and the nurse build a therapeutic relationship and develop a care plan, which is to the service users owns specific needs and wants. It ensures th...
Next, there is person that is to be cared for. A person is someone who needs nursing care. A person is made up of many parts including their mind, spirituality, and their body. The nurse is responsible for caring for all of these parts as considering the whole person is essential to facilitate healing. The nurse may also need to care for the patient’s family and the community. The family being in a healthy emotional state may be what is necessary for the patient’s improvement. Caring for the community can help prevent disease and screen for diseases. Preventing and early detection allows for quicker healing
My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered in care is more of an expert in what’s best for them than I am. As shocking as this fact was to me, it’s been liberating to let go of having to know everything about a patient that I just met. As a result of my experience with my therapy patients, person-centered care has now become the foundation of my practice.
Person-centred care is the treatment and care provided by any health service. This particular concept places the person at the centre of their own care and considers the needs of the individual and the surrounding family members. At the core of this concept is getting to know the patient as a person look beyond the illness and build a therapeutic relationship with both the patient and the surrounding family members and carers. Talking to the patient finding out what their preferences are to the care you’re providing. Working within the person centred approach you should be flexible Meeting patients' individual needs while respecting values, preferences and needs. ,making sure that you keep your patient informed about the treatment that they are receiving.