Working as a clinical social worker in the Washington, DC area with patients diagnosed with life-limiting illness such as, Huntington’s disease, Parkinson’s, Multiple Sclerosis and Lou Gehrig ’s disease (ALS), has taught me to be dedicated to a person-centered approach to therapy with patients and their families. Person-centered care is a trend that has been building in the social work community over the last few years. And I had considered the idea of person-centered care as a decent and noble practice. I now wholeheartedly trust the patient as the most salient guide in developing their own treatment. 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.
The primary reason why I’ve come to this view. Each patient diagnosed with a prolonged terminal illness has a unique response to their medical situation based on many factors such as; support
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A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
In thinking about whether one is enabled or encouraged to enact person-centred care in the workplace is a twofold response. In ones role of leisure and health officer, one of the parameters of agreed employment was that one would be able to work as a person-centred officer in the role. Therefore, one is encouraged to empower people with dementia to ...
Ziesel, J. (September 2013). Improving person centered care through effective design. Journal of the american society on aging, 37(3), 45-52.
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
Mollie is the patient in our case study. Mollie lives with her daughter and son in law, both in their 70’s. A home health aide assists Mollie five days a week for three hours each day. At age 94, Mollie is an older adult, considered to be part of a vulnerable population, at risk for hearing, visual and mobility deficits. This at risk population can experience changes in cognitive or physical status making the activities of daily living difficult to perform (Meiner, 2011). As people like Mollie age, gradually becoming less able to function independently, their grown children, potential caregivers, may be preoccupied with the demands of their own lives and not prepared to care for an older
To provide person centered care for Loretta the registered nurse understands that Loretta is to be at the fore front of the planning, delivery and evaluation of her health care. At Loretta’s discretion she is to be provided with all available tools and resources to assist in her decision making and is to feel comfortable when expressing her concerns, beliefs and values in regards to the health care she receives. To ensure that person centered care is met Loretta can decide to have or not to have a family member such as her daughter Mary present during visits and also as part of decision making.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
...velop plans and goals that they can put into action. I further believe warmth and empathy should be used in building relationships between clients. The therapist should create a setting in which clients feel safe and can be vulnerable and spontaneous. As I stated before when discussing goals, it is the role of the therapist to cultivate optimism and hope. According to Gehart (2010), hope should be instilled early on in therapy to foster motivation and a sense of momentum (p. 337). I agree with this statement because more than likely the client is in therapy to make some kind of change, to make an improvement. If hope is instilled early in treatment, clients are able to feel empowered and strengthened by their therapist’s encouraging attitude. Overall, a therapist should be a facilitator, a resource person, an observer and a model for effective communication.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
We see a diverse group of clients, whom we refer to as patients, however, a majority of our patients suffer from a severe mental illness, such as schizophrenia or bipolar disorder. Commonly, our patients are treated with medical and psychotherapeutic modalities. Most of our on staff therapists and social workers use cognitive behavioral techniques during therapy, but I have been using an integrative approach with solution-focused brief therapy techniques in the mix. I like to use solution-focused brief therapy for various reasons. Essentially, our patients are with us for only a short period of time. For example, most of our patients are discharged within three days of their admission, with the exception of the court-committed patients who are waiting on a bed at the Mississippi State Hospital. It only makes sense to use an approach that focuses on making small changes in a short amount of time. In addition to this, we also deal with patient’s family members. Often times, family members are not educated on the illness and create more problems. I think it is important for patients along with their family members to create small changes and make
Person-centred care is become the criterion standard in all health care setting, it is based on four main principles includes respect and dignity; sharing information; participation and collaboration (ref blue P350). Person-centred care is essential in the relation to the care of older adults, cause compare with younger people, elderly have high rate of have complex care needs that affect daily living (ref Alexis ). This essay is based on a discussion with Jiadong Yang’s experience of growing older. Firstly, identify the main health issues described by Jiangdong, next critical analyze and review a different range of literatures in relation to these main issues. Then develop and justify an appropriate care plan based on provided information
Medical treatment plan can only be effective if a team of experienced, expert and culturally competent and qualified clinicians, social workers, psychologists and psychiatrists all work together to create a treatment plan for the patient with the patients input and have alternative treatment in place such as spirituality and yoga, with family and friends involvement to provide love and support for the patient (Chapman, Gratz and Hoffman, 2007).