This assignment reflects on the concept of person-centered care and how healthcare professionals can follow the Roper-Logan-Tierney model and clinical reasoning to ensure high-quality care.
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Running head: PERSON-CENTERED CARE PERSON-CENTERED CARE Name of the student: Name of the university: Author note:
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1 PERSON-CENTERED CARE Introduction: This assignment would mainly be written in the form of a reflection based on the concept of person-centered care. It would show the wayshealthcare professionals could followRoper- Logan-Tierney model and clinical-reasoningto ensure person-centered care. The main reflective framework that would be followed in the assignment to complete the reflection would be Gibbs’ Reflective cycle. Description: This semester had included a unit entirely based on the important topic of person- centered care. Our lecturer had provided a detailed discussion about the topic in details ensuring that each student had developed a detailed knowledge about the ways to conduct person-centered care in a real-life scenario.The unit also contained how Roper-Logan-Tierney model as well as clinical reasoning cycle helps in providing person centered care.There had been discussion sessions on this topic in the classrooms and we were allocated home tasks that helped all of the students to ensure they had sufficient skills and knowledge to carry on person–centered care in their future practices with appropriate application ofRoper-Logan-Tierney model as well as clinical reasoning cycle. Feelings: The important features that had been taught under the concept of person-centered care had made me feel that following this process would enable them to provide high quality care to the patient that would ensure patient satisfaction. The two theories like-Logan-Tierney model as well as clinical reasoning cycle contribute to the achievement of high quality person-centered care.Moreover, the way our lecturer explained the concepts to us made us feel its importance in
2 PERSON-CENTERED CARE the present day healthcare services especially in ensuring dignity and autonomy of the patient and also to ensure high quality life. Therefore, I felt this course unit helped me in developing detailed knowledge on the concepts, which would help me in being a competent nursing professional in the future. Evaluation: The course helped me to learn that patient centered care is the practice of caring for patients as well as their families in manners that are valuable and meaningful to the individual patient. This approach mainly advises the healthcare professionals to listen to patients and family members and accordingly inform them and involve them in their own care processes (Kogan et al., 2016). Vikstrom et al. (2015) has described person-centered care as the approach of caring of patients that is respectful of as well as responsive to individual patient references, values and needs and even to ensure that patient values guide all the clinical decisions.This form of care ensures putting the patient and the family members in the centre of the decision making process and allowing them complete freedom and authority for making sure that their preferences, expectations and inhibitions are taken into consideration while developing the care process (Roen et al., 2018). On close evaluation of the topics that were included under the concept of “person centered care”, I have come to understand the specific steps that I would need to include in my care practices for ensuring high quality care to the patient. I should develop effective communication skills that help me to establish rapport with the patient, connect with the patient emotionally, and encourage him to participate in his or her own care. I should be tailoring the care processes in way, which suit the needs of the patient as well as with what the patients want to achieve.Often in healthcare organizations, patients are seen to come with multiple chronic disorders that often create challenges for the professionals to manage. They cannot decide what
3 PERSON-CENTERED CARE interventions to follow and the nursing priorities that should be set. In such cases, clinical reasoning cycle would be highly beneficial for the nurse who can follow it successfully.This cycle helps the nurse to proceed in a systematic way by at first collecting cues about patients, noting symptoms, and then relating the pathophysiology behind it.These helps the nurses to identify the nursing priorities, following which nursing interventions are set and evaluated.This approach provides the nurses with best clinical framework to ensure that all care needs of the patient are met. Healthcare professionals should be supporting the patients and the family members to understand the disorder as well as the pros and cons of the treatments that can be applied for the patient (Hoglander et al., 2019). This would help the patients and the family members to undertake proper decisions. However, I need to ensure that I can only encourage the patient to take proper decisions but can never force them to take decisions even if I find it to be the most suitable. While practicing in the future, I also need to make sure that I take active part in providing emotional support to the patients and try my best to alleviate their fear and anxiety. Our lecturer had discussed that when patients suffer from ailments, they tend to feel emotionally weak and psychologically unstable from the fear of uncertainty and stress. Moreover, when admitted to the healthcare ward, they feel more vulnerable and thereby they get stressed as they cannot suit themselves up with the foreign environments (Poey et al., 2017). These are found to have negative impact on the health outcomes of the patients.Hence, in order to provide patient centered care, providing holistic care to patient is important. In such situation, the RLT model is best suited to provide holistic care. This model advises nurses to assess and care for the 12 activities of daily living in order to help them live independent and quality life. Further. This model also advises nurses to assess the biological, psychological, socio-cultural, environmental and politico-economic factors which are contributing to developmental disorders.I also need to
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4 PERSON-CENTERED CARE ensure that I communicate with the patient and develop rapport with her in ways by which the patient can overcome her fear and anxiety and gradually starts feeling comfortable in the healthcare ward. Through these, I would be assessing and collecting information on the above- mentioned five aspects to ensure that I can provide holistic care to patient that meets his mind- body-spirit needs. This would help the patient experience better outcomes enabling quicker recovery(Young et al., 2016) Analysis: I would achieve a number of effective goals if I follow the person-centered care in the future days. Person centered attributes in care is identified to be the key components for developing high quality healthcare (Taylor et al., 2015). Studies have found that when patients are put at the centre of their care, there is improvement of the quality of the services available helping the patients to get the care that they need at the right time and following the manner they had expressed to the professionals (Chaudhury et al., 2017). When service users find that the nurses are providing care as per their wishes and are including their suggestions in the care planning process, they feel that their likes and dislikes are respected and they are seen to feel empowered. This empowerment makes them feel responsible about their own health and this helps in developing self-management and coping abilities (Lor et al., 2016). In order to make the patients feel empowered, only caring for his physical health needs is not enough. RLT model shouldbeused andbiological,psychological,socio-cultural,environmental,andpolitico- economic needs of the patients would be analyzed. Following this, the care plan would be set. Only caring for biological determinant might help patient to overcome disorder but it would not ensure quality life. The nurse should attend all the needs of patient in each category and care for his 12 ADLS as well. This would ensure quality life and would have has positive health
5 PERSON-CENTERED CARE outcomes.I have realized that if I am able to provide person centered care to the patients in my future practices, I will be able to make a bigger impact on the quality of the care. I would be able to improve the experiences that people have from care services and I would be also able to help them feel more satisfied. I would be able to encourage people to lead healthier lives and also encourage them to be more involved in the decisions about their own care so that they are able to achieve support and services that align with their preferences(Kolanowski et al., 2015). In this way, I can bring change not only to the lives of the patients but also enable the healthcare centre to be a comfortable place for the patients where they would be able to access the care they need and develop relationship of trust with the organization. Conclusion: The course unit on person-centered care had helped me understand that following the principles of this care approach enables patient to take active participation in their own care and undertake decisions that are followed by nursing professionals while developing care plans for the patients. This makes the patient feel respected thinking that the healthcare professionals are empathetic and compassionate towards their needs and genuinely cares for their suffering. Following the clinical reasoning cycle would help me identify the nursing priorities and would help me set the correct nursing goals and nursing interventions.This form of care results in quicker health recovery along with higher patient satisfaction and helps in greater adherence with treatment.Hence, I would follow each principles of clinical reasoning cycle and RLT model thoroughly so that I can also provide high quality person-centered care to patients successfully.
6 PERSON-CENTERED CARE Action plan: I need to develop person-centered skills to ensure that I provide the best quality care to the patients through following models ofRoper-Logan-Tierney model as well as clinical reasoning cycle.Therefore, I can attend training sessions where experienced mentors can help me in developing the skills, which are required to follow correct approaches to the theories. Besides, I would also undertake evidence based searches to develop more knowledge and skills on the topic and accordingly apply them in practices. I would also seek for feedback from patients and colleagues to reflect on the way about how I am fairing on the following of the principles. All these would help me to develop this competency successfully.
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7 PERSON-CENTERED CARE References: Chaudhury, H., Hung, L., Rust, T., & Wu, S. (2017). Do physical environmental changes make a difference?Supportingperson-centeredcareatmealtimesinnursing homes.Dementia,16(7), 878-896.https://doi.org/10.1177/1471301215622839 Höglander, J., Håkansson Eklund, J., Spreeuwenberg, P., Eide, H., Johansson Sundler, A., Roter, D., & Holmström, I. K. (2019). A positive tone and socio-emotional talk: Exploring person-centeredaspectsofhomecarecommunication. http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1295578&dswid=-7140 Kogan, A. C., Wilber, K., & Mosqueda, L. (2016). Person‐centered care for older adults with chronic conditions and functional impairment: A systematic literature review.Journal of the American Geriatrics Society,64(1), e1-e7.https://doi.org/10.1111/jgs.13873 Kolanowski, A., Van Haitsma, K., Penrod, J., Hill, N., & Yevchak, A. (2015). “Wish we would have known that!” Communicationbreakdownimpedesperson-centeredcare.TheGerontologist,55(Suppl_1),S50-S60. https://doi.org/10.1093/geront/gnv014 Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture- centerednursingcare.Nursingoutlook,64(4),352-366. https://doi.org/10.1016/j.outlook.2016.02.006
8 PERSON-CENTERED CARE Poey, J. L., Hermer, L., Cornelison, L., Kaup, M. L., Drake, P., Stone, R. I., & Doll, G. (2017). DoesPerson-CenteredCareImproveResidents'SatisfactionWithNursingHome Quality?.JournaloftheAmericanMedicalDirectorsAssociation,18(11),974-979. https://doi.org/10.1016/j.jamda.2017.06.007 Røen, I., Kirkevold, Ø., Testad, I., Selbæk, G., Engedal, K., & Bergh, S. (2018). Person-centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics:across-sectionalsurvey.Internationalpsychogeriatrics,30(9),1279- 1290.https://www.cambridge.org/core/journals/international-psychogeriatrics/article/ personcentered-care-in-norwegian-nursing-homes-and-its-relation-to-organizational- factors-and-staff-characteristics-a-crosssectional-survey/ FEDF619C35B2FC784D8C0E9F1D7A6E03 Taylor, J., Barker, A., Hill, H., & Haines, T. P. (2015). Improving person-centered mobility care innursinghomes:afeasibilitystudy.GeriatricNursing,36(2),98-105. https://doi.org/10.1016/j.gerinurse.2014.11.002 Vikström, S., Sandman, P. O., Stenwall, E., Boström, A. M., Saarnio, L., Kindblom, K., ... & Borell, L. (2015). A model for implementing guidelines for person-centered care in a nursinghomesetting.Internationalpsychogeriatrics,27(1),49-59. https://www.cambridge.org/core/journals/international-psychogeriatrics/article/model- for-implementing-guidelines-for-personcentered-care-in-a-nursing-home-setting/ ED86CFDA4F0B5A69592B75A1CBF31D89#
9 PERSON-CENTERED CARE Young, H. M., & Siegel, E. O. (2016). The right person at the right time: Ensuring person- centeredcare.Generations,40(1),47-55. https://www.ingentaconnect.com/content/asag/gen/2016/00000040/00000001/art00008