Assignment on Patient-Centered Care

Added on - 28 May 2020

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1FAILURE OF TEAMWORK TO ACHIEVE PATIENT CENTERED CARECase study:Failure of the multidisciplinary team in providing person-centred care to patientresulting in readmission of patient and other sufferings:Background:Present day healthcare systems are striving to achieve new goals that have come upfrom the researches in the evidence based care approach. Person centred care is an effectiveway by which healthcare professionals include patients and their family members as equalpartners in planning, developing and also monitoring care (Kogan et al. 2016). These aremainly done to make sure that the services provided to patients and family members not onlymeet their needs but also put them in the centre of decision making and also see them asexperts. Researchers have clearly depicted that such an approach is not only about providingwhat the patients want or just giving them information which they want to know (Wildevuurand Simonse 2015). The healthcare professionals need to consider the desire, values, familysituations, lifestyles, social circumstances and work with the patient as an individual to findout effective solution. It might seem that the entire concept is about activities entirely but inreality, it involves more about how healthcare professionals and patient think about their careand how their relationships develop during the time of admissions (Edvardsson, Sandman andBorell 2014). Present day researchers are of the opinion that person-centred care has anumber of advantages than that traditional form of care which was applied in earlier decades.This approach helps in improving the quality of the services available (Herlitz 2017). Theyalso help the patients to get the care that they need. They help patients and family members tobe more active in looking after themselves and also help in reduction of pressure on healthand social services. Researchers say that this approach helps in empowering the patients and
2FAILURE OF TEAMWORK TO ACHIEVE PATIENT CENTERED CAREtheir family members. Therefore they do not develop anxiety and stress which otherwise havenegative outcomes on their health (Li and Parock 2014).The Bloomsvalley Nursing home had been one of the most trusted nursing home inthe locality of Samandra Jones who is a 68 year old lady. She has been suffering from chronicdisorders like obesity and osteoarthritis. Her blood glucose level was also found to be quitehigh above 140 HG/mm and was also suffering from diabetes mellitus. Due to loss ofmobility because of chronic pain in her knees, she has reduced walking. However, whilewalking in the garden in the evening, she had a fall due to which she had suffered a minorstroke. Several cuts were also found on her knees and arms and also on her faces whichresulted in moderate bleeding. She was immediately admitted to the emergency ward andafter staying there for four days, she was transferred to the rehab for further transition of care.She had a family of a son and daughter in law who had two toddlers. Her daughter in law wasthe main carer and had not completed her school. Her son used to own a departmental store inthe local market. Both of them were quite nervous and at the same time quite scared. Theirfinancial condition was stable.An effective teamwork was needed among the multidisciplinary team members so thatSamandra could have achieved higher satisfaction and effective health outcomes. There hadbeen lots of areas where her dignity was hampered due to the ineffective teamwork of thehealthcare professionals. Moreover, the family members were not treated properly and theywere not involves in the care plan for the patient. Person centred care entirely failed and theteam could not work together properly resulting in failure of meeting the objective ofproviding person centred-care.After thoroughly interviewing the team members, it was found that theteam coordinatorwas highly autocratic in natureand never behaved well with the nursing professionals. The
3FAILURE OF TEAMWORK TO ACHIEVE PATIENT CENTERED CAREjunior professionals were continuously embarrassed in front of other members which resultedin affecting their morale. When confidentiality was promised to be maintained, one of thejunior stated:“As we are new to the organisation and also to our profession, we need guidance in manyscenarios. However, it often becomes difficult for us to handle any serious situationeffectively when we cannot get guidance from the team leader or the senior members. Theyare rude and we never know how they will behave. They make fun of us when we go with ourqueries. Many of our colleagues become highly demoralised and suffer emotionally”There waslack of communicationamong the team members. Once it was seen thatMs. Sonia, a senior nurse professional had provided a medicine to the Samandra followingwhich she needed sleep. She asked the patient to sleep and left her sleep. Within half an hour,the patient was attended by physiotherapist and asked her to prepare herself for thephysiotherapy session. She was startled by this approach of the physiotherapy as he did noteven ask for consent. This was immediately followed by the arrival of the speech therapistwho instead of communicating with the physiotherapist asked the patient to prepare herselffor her speech practices. Samandra had stated:“ I was highly disappointed by the healthcare teams, firstly, they did not inform me what theyare doing with me. I was not involved in the care plan and not also my family members.Secondly, none of the professionals acted professionally and there was clear picture ofmiscommunication among them. Soon they started arguing in front of me and I was feelingdisgusting”Another issue that was also noticed in the team was that there waslack of motivationamong the team members. None of the workers were motivated and they were also not awareof the advantages of effective teamwork. Both extrinsic and intrinsic motivators were found
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