Introduction
The aim of this essay is to reflect on the person-centred care I provided to a client in my Practice Learning Environment (PLE). I will demonstrate the practical application of Module 3 (Involving People) of the 10 Essential Share Capabilities and how they influenced my delivery of person-centred care. The Ten Essential Shared Capabilities were established to support the growing importance of person-centred care and values based practice (NHS Education for Scotland (NES), 2012a). The essential shared capabilities, which I will focus on, are working in partnership and person-centred care. I have selected the Gibb’s (1988) framework to guide me through the reflective process. Furthermore, to reinforce the Nursing and Midwifery Council (NMC) (2011) confidentiality guidelines, I have used the pseudonym “Thomas”.
Description
Thomas is a 29 year old who lives with Down Syndrome (DS). DS is a learning disability (LD) caused by the non-disjunction of chromosome 21 during cell division and is characterised by the presence of dysmorphic facial features; furthermore it affects mental and social development (Evans-Martin, 2009). When working with people with a LD, nurses must understand how to uphold the legal and ethical rights of the individual as well as ascertaining the individual's capacity to understand choices and outcomes (NMC, 2008). The task I will reflect on is completing Thomas’s admission. Thomas’s arrival time was scheduled for 9.30am, a busy time within the PLE; furthermore, he was fifth on the morning theatre list which meant his surgery would not be until 12.00pm. My journey with Thomas commenced when I was handed his case notes and asked to admit him. Unfortunately, I had not been given the opportunity to read...
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...ey are (Scottish Government, 2013). Therefore, I will strive to respect the diversity of all patients (NES, 2012c). As a student nurse, with supernumerary status, I am fortunately placed to offer support to people with a LD; subsequently, I will make it my personal goal to ensure that a person with a LD, where their capacity allows, is involved as much as possible in the delivery of their own care. When capacity is impaired, I will ensure that I will work in partnership families and the wider MDT. Additionally, student nurses are also in the position to minimise the anxiety experienced when people with LD are confronted with unfamiliar and possibly upsetting situations. Through taking the time to appreciate the person, while actively communicating, I can ensure people with a LD are included and have access to a high quality of healthcare which will meet their needs.
The NHS Outcomes Framework has five standard domains which is set out to improve the quality and outcome of care and services that is being delivered to the patients and service users (National Quality Board, 2011). As such, this project plan is focused on domain 2 as it has been mentioned before, is based on improving the quality of people with long term conditions. Nurses will give cardiac discharge advice to patients on self care, thus identifying how to improve and manage their condition so that they can continue with their normal lifestyle. Furthermore patients will be advised on how to overcome stress and depression which will help them in maintaining the activities of living (DoH, 2013).
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...
This essay is an exploration of my own perceptions about person-centred and relationship-centred care directives from the positive and the negative perceptions of effectiveness felt from all stakeholders.
Over the last few years, I shadowed a Primary Care Adult Nurse Practitioner whose office is located in the underserved urban area of Irvington, NJ. She also takes care of patients from the surrounding areas of Irvington, Newark, and East Orange, all of which have very large underserved populations including African Americans, Latinos, and patients from the Middle East. During my clinical shadowing, I gained a appreciation for the complexity of treating long term chronic conditions such as asthma, diabetes, HIV, and hypertension. In many cases these conditions were exacerbated due to poor nutrition, non-compliance, and lack of education about healthy lifestyle choices. I gained a keen understanding of the importance of patient education and the ability to connect patients with community services to help them with their economic and social challenges.
Care is defined as an action by an individual or group of people showing deliberate care and concern for one another and acting to meet the best interests of an individual. The act of caring for others has been recognised as one of the most important aspects of the nursing profession and labelled an “art.” Nursing encompasses autonomous and collaborative care of individuals or groups, sick or well and in all settings. A nurse’s work includes promoting health and preventing illness as well as caring for the ill, disabled and dying; however, the most important aspect of nursing care is meeting the potential and actual health needs of a client. Because a patient is at one of their most vulnerable points in life, it is imperative that nurses can effectively demonstrate they genuinely care for their patients by meeting the needs of a client holistically rather than merely focusing on the visible or physiological needs of their patients. This essay will explore how nurses can demonstrate their care for their patients in a deliberate and meaningful way.
The purpose of this document is to evaluate my practice and to reflect on a case I worked on throughout my 17week placement. My time on placement was divided between two centres that are managed as part of the trust operations and located within the mental health and disability division. Being placed in the two centres gave me the opportunity to work with a range of different disabilities. W Day centre caters for adults who have complex needs with behavioural issues where as the L day centre is for those with moderate to mild learning disabilities. “The model of day-care provision is facilitated by a partnership approach that includes other disciplines and agencies contributing to an integrated team provision…. “(Day care service for adults with a learning disability: 6:2012). Both centres provide “statutory day care and are registered under article 8 (1) of the Health and Personal Social Services (Quality improvement and Regulation) (Northern Ireland) order 2003.” ….. (Day care service for adults with a learning disability: 5:2012).
‘“Now it’s my turn to make it better for generations that come after, which is why I’ve become, involved in disabilities issues”’ (Open University, 2016a).
Lavoie’s workshop provokes an emotional response. After viewing life through the eyes of a child with special needs, I cannot help but have a more significant understanding of what people, especially children with disabilities, must deal with every day, everywhere. During the many years that I have worked with children with various disabilities, I have encountered each of the topics discussed in Lavoie’s workshop and agree with the points he makes regarding children with disabilities. Particularly impacting the way I interact with my students are the topics concerning: anxiety, reading comprehension, and fairness.
To be person-centred, you must always be at the centre of the individuals care plan. The Individuals that you work with you have to make sure that you always put their views first. Therefore, you can’t have one care plan for two different individuals because every individual is different. Every individual that you may work with must be involved in every activity and in every stage of their care plan; therefore, whichever activities you may put up you have to make sure that if the individual is capable for taking part. To meet the individual’s needs and support that is required you must take feedback on how the care plan is working for the individual.
This assignment focuses on an incident which was experienced during a community placement. The patient suffered from bowel cancer, my mentor and I were visiting her to change her dressing. The names of people have been changed to ensure confidentiality Nursing and Midwifery Council (NMC, 2008). Gibbs (1988) cited in Jasper (2013) will be used as the reflective model because it is simple and, easy to understand. Through the model’s six key stages I will describe my experience and how I maintained dignity while giving personal care to patients in the community. Writing a reflective account makes one relive their thoughts and, feelings and make appropriate changes when required (Howaston-Jones, 2013).
Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.
Person-centred processes: It focuses on providing care with holistic approach, respecting patient’s values and beliefs, and working in partners.
In this reflective essay, I will be using the Driscoll’s model of reflection to talk about how my knowledge of quality nursing care has improved since the commencement of this module. Quality nursing care has helped me develop various nursing strategies that will guide me in my first placement and throughout my career in nursing. Furthermore, it has taught me about communicating effectively with patients, I have learnt about verbal communication such as paraphrasing when communicating with patients to ensure that what said is properly understood. I have learnt not to make assumptions about patients and putting them in the middle of their care, taking into account their preferences.
French, S. & Swain, J. 2008. Understanding Disability: A Guide for Health Professionals. Philadelphia: Churchilll Livingstone Elsevier: 4
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.