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NUR116 Preparation for Practice

   

Added on  2020-05-11

9 Pages2185 Words72 Views
Name_student number_NUR116_TASK_1BIntroduction- Person-centred care is a care-giving plan in which the patient acts as anequal partner as the one who provides care and the patient helps the caregivers to plan,develop and monitor his needs. This care plan focuses on the patients and their familiestake decisions and develop care plan with the professionals to achieve better outcomes.Over the past decade, interventions to convert the healthcare and social services to person-centered plans have become evident. According to Dossey (2012), fusing of these aspectswill help to improve the care quality, make people active in looking after themselves and letthe patients get the care, when they need it.Medical history- Grace Williams is a 75-year-oldwoman having some healthdisorders. She is living in sunshine bay aged care home from past seven months. She wasunable to carry out her daily activities due to emphysema. Her medical history reveals thatshe used to be a smoker since she was 25 year old; However, she has quit smoking 6 monthsago to contribute in the oxygen therapy she has been prescribed. She has visited hospitalsmultiple times due to Chronic Obstructive Pulmonary Syndrome (COPD). She is also sufferingfrom Hypertension (HTN) and consumes anti-hypertensive Captopril 6.25mg BD. Sheconsumes Salbutamol two puffs prn and uses Symbicort inhaler 2 puffs BD to overcome theCOPD. Her latest health reports include high blood pressure (145/82), lowered pulse andrespiration rate, and lowered oxygen consumption rate. Due to these medical conditions,she should avail person-centred care plan. Holistic health assessment approach- According to Brownie and Nancarrow (2015),person centred care plan impacts the quality of care positively. This plan helps the patientsto feel more satisfied and change their experience of care. Moreover, it encourages patientand their families to be a part of decision-making team including healthcare professionals.1
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Name_student number_NUR116_TASK_1BHence, Professionals are able to understand the needs of the patient effectively.Furthermore, it not only allows the patient to interact with the healthcare professionals, butthe staff of these healthcare units also gets a chance to understand a patient’s needs. Theytend to support the patients they are providing care resulting in staff satisfaction (Olsson etal. 2013). The health condition of Grace Williams is not so good. She is facing difficulty inmobilization and unable to reach bathroom from her bed as well. Therefore, nursingintervention for this condition should be helping the patient with physical support. Sheshould be provided with gait belt for her body balance and every door of her room shouldopen with a push rather than pull. The nurses should also be aware of the technique oftransferring a patient from bed to chair so that she can be taken to the other parts of theAged home (Wright and Leahey 2012). Grace faces difficulty while lying down on the bedand hence prefers to sleep on the chair. Nursing intervention for this disorder should betreating her respiratory problems. She is suffering from dyspnoea and emphysema andpatients in these disorders are unable to sleep. She should be regular to her oxygen therapyand her nutrition should not include cold food products (Weber and Kelley 2013). Holistic health assessment approach is a process through which nurses are informedabout the care that needs to be provided to the patient. Holistic care assessment includepatients health data, reports and therapeutic interventions applied that enables the nursesto assess the further interventions they can use to improve the patient condition. Holisticcare of patient includes fulfilment of their social, emotional, physiological, psychological,developmental and spiritual needs (Morton et al. 2017). According to this holistic care approach, several factors need to be taken care of incase of Grace Williams. These factors are – comfort, hygiene, relieving her stress, her food2
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Name_student number_NUR116_TASK_1Band nutrition and everything she faces difficult to perform (British Medical Association2013). As she is unable to walk from her bed to the washroom or other rooms, interventionsshould be taken to comfort her back and joints. Nurses should communicate with thepatient before moving her from one place to another just to gain her co-operation. Sheshould be provided with a moving and adjustable bed to maintain a good posture whilesitting (Dossey et al. 2012). Hygiene is another important concern for grace as she isunwilling to take shower. For nurses it is challenging to make her shower on her showerchair. Intervention for this situation should include maintenance of hygiene around thepatient so that no infection can affect her due to unhygienic surrounding. Nurses shouldwash her body and dry them thoroughly. She should be assisted for brushing her teethalways before and after she has eaten (Morton et al. 2017).Importance of person centred care- As stated above, the term ‘person-centred care’refers to different activities and principles, that are used by health and social service relatedorganisations to deliver and monitor care that meets the needs of patients. It not onlyencompasses providing services that cater to the needs of patients, but also considers thevalues, desires, social circumstances and family situations of the concerned individual andworks to formulate appropriate solutions (Rattray and McKenna 2012). The concept ofperson-centred care is still emerging and evolving. The importance of a certain healthcarefacility to one person may be undesirable to another. This form of care involves beingrespectful and compassionate towards the individual, sharing healthcare decisions,providing emotional support, involving family members and taking into account thepreferences and needs of an individual. 3
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