Person Centred Care and Integrated Working

This essay discusses person centered care and integrated working in healthcare, with a focus on the case study of Fionn, a patient who has met with a serious accident. The essay explains the interventions of supported self-care management and shared decision-making, and the challenges and limitations that come with them. It also discusses UK policies and legislations that support patients like Fionn, and theories like the theory of planned behaviour and the health belief model that can help in understanding and making these interventions effective.

Person Centered Care and Integrated Working

Table of Contents
INTRODUCTION ..........................................................................................................................3
Main body........................................................................................................................................3
CONCLUSION ...............................................................................................................................6
REFERENCES................................................................................................................................8

INTRODUCTION
Person center care can be described as focusing to a person and health of the patient so that the
person can feel and get better quickly (Tipirneni et.al., 2018). This can help the patient in getting
better as the patient is involved in the important decisions regard to the treatment (Driever,
Stiggelbout and Brand, 2020). The main aspect of giving personal health care is to provide the
complete transparency to the patient (Håkansson Eklund and et.al., 2019). In the case study of
Fionn it can be analysed that he is a 30-year-old patient who is a single man who works at
railway network and is interested in watching races, listening music and reading books. He has
met a motorcycle accident and admitted in the Oswestry Orthopaedic Hospital. He has a several
injuries and is in a condition that requires him to stay in the Hospital for at least 5 months. Fionn
has the fractured collar bone and various burns on his thighs and some serious injuries on his
body. He is in a serious health condition having difficulties to properly move his body and
conduct the specific tasks due to the accident. The mother of Fionn is also living nearby having a
separate bedroom who can provide limited care to him. The surgery which he is undergoing is
expensive and has a negative impact on his financial conditions which is inappropriate in order
to grow.
The supported self-care management and shared decision-making are the two interventions to be
chosen to support Fionn. On one hand, the supported self-care management can be chosen as the
intervention for this case study as it is very supportive towards the service user. It makes the
people to have the active management in their lives by making them to focus on their health and
various other factors (Wallström and Ekman, 2018). On the other hand, shared decision-making
is also required between the patient and the hospital staff as it can give the patients the assurance
and courage to face the unexpected and undesired situation that he met (Marinkovic and et.al.,
2022). This method is chosen because it provides the better environment and understanding
between the patient and the doctors by sharing the process and opportunity with decision-
making. The decisions can be made better and more effective if the patient and the physician
contributes in making medical decisions.
The essay will explain about the various factors of the medical interventions and the
challenges that can come in the life of a person. Furthermore, the essay will also explain about

the various approaches that can help in understanding that how the intervention can be
successful.
Main body
The Supported self-care management can work efficiently in the case of Fionn because
he is a young 30-year-old person who met a serious accident. And also, COPD (chronic
obstructive pulmonary disease) which can concern Fionn about his health (Ryan, 2021). Fionn is
required to be given importance to his health and injuries because his conditions require him to
remain admitted in the hospital for 5 months. In the duration of his treatment, he is also required
to be given the attention to his hobbies and his personal interests that are watching motorcycle
racing and listening to music. The limitations, of the intervention of the supported self-care
management can be analysed as there can be poor communication and low amount of attention
of the doctors to a specific patient (Riegel and et.al., 2021). In this case can it be seen that the
treatment period of Fionn is long, and he is required to be given attention by the doctors and the
staff for a long time. This can result into challenges and limitations in the proper intervention of
the approach as it can be really hard to maintain the management for a long period. The health
care team is required to co-ordinate with each other and come to an effective decision so that the
management of supported self-care management can be implemented successfully (Santana and
et al., 2018).
Another approach is the shared decision-making approach, this can help the hospitals in making
effective decisions regarding the treatment of a person by involving him in the decision making
(Truglio-Londrigan and Slyer, 2018). This technique helps in the successful process of working
together in which the patients and clinicians can select the best treatments that can be given to
the patient (Hughes et al., 2018). It will be helpful in the case of Fionn because he can discuss
with the doctors about his health conditions and the requirements of him during the time that he
spends in the hospital for his treatment. This approach will be working effectively in the case of
Fionn as he wants to make the decisions for his personal interests with the doctors. The Shared
decision-making approach can help the doctors and Fionn in making effective decisions for the
treatment of Fionn. It can provide the various advantages to the patient such as it helps in
increasing the patient knowledge during the time of his treatment (Hughes et al., 2018) The

patient can gain knowledge about the process of treatment and the time that the treatment will
take to cure the patient. This can lead to the satisfaction of the patient as he will be having the
complete knowledge about the treatment and will be able to put his trust in the doctors (Tipirneni
et.al., 2018). This approach will work effectively in the case of Fionn because he is required to
have the complete information about his treatment and the time that it will take to cure him. He
will be able to believe the process and the doctors as he is required to spend a lot of time in the
hospital for his treatment which can concern him about the quality of treatment that will be given
to him. The limitations of the shared decision making can be seen as there can be a lot of people
can be concerned about the decisions that they make with the doctors (Zurlo and Zuliani, 2018).
This can reduce the effectiveness of the treatments as the decision will be taken as the patient
prefers because most of the patients likes the easy treatments that gives lower number of
problems to the patients. This can slow down the effect of the treatment given by the doctor and
the patient can take longer time to be cured. There can be various challenges in the case of Fionn
because the decisions of doctors and Fionn can conflict with each other at a point
(Wickramasinghe and Goldberg, 2020). This is because Fionn likes to watch bike racing and
listening to music this can be entertaining for him but it can create an impact on the health and
can increase the time that will be taken to cure him. This can result in slow process getting cured
which can create problems for Fionn and the doctors.
Some UK policies and legislations can support patients like Fionn, as a first example The
National Health Service Act 1948 can help Fionn in having the better and effective treatment in
the hospital (Graham-Clarke et al., 2019). Fionn has the various supports of the legislations and
policies in the form of a personal care package because he works in the railway network. The
package provides the various benefits to Fionn such as his personal hygiene and his personal
interests. This can make the intervention of the supported self-care management more effective
in the case of Fionn. He can be given the attention by the doctors and the nurses so that his
personal hygiene is treated well and effectively (Hughes and et al., 2018). This can make the
services of the supported self-care management more functional by giving Fionn the services that
he likes the most. He can be given the things and services that he is interested in such as allowing
him to watch the bike racing and letting him read the books. Other legislations such as Health
and Social Care Act 2013 involves safeguarding policy can support the treatment of Fionn

because he is having the support of the railway network in terms of the expenses and better
treatment. The social services are given to his mother but not him. The Health and Safety and
Work Act 1974 can help in providing the health benefits to Fionn so that he can meet the
expenses that can arise in the period of his treatment (Pillai, Davies and Thistlethwaite, 2020).
This act can help in the shared decision making in the treatment of Fionn because he can have
the support of expenses and better and skilled doctors from the railway network who can assist
the other doctors in better treatment and shared decision making. This can make the doctors of
the hospital to have the better communication with Fionn so that he can be comfortable and
satisfied with the decisions of the doctors in regard to his treatment and the interests.
As for theories, on one hand, The theory of planned behaviour, can help in explaining the
approach of shared decision making. This theory can help in understanding the change in
behaviour of Fionn so that the treatment of him can be effective, and he will be cured quickly
(Charlton and Rid, 2019). The theory explains that the doctors are required to make the patient
more active and in the health decisions. This leads to the effective decision making in regard to
the treatment and the process that the hospital can use for the treatment of a patient. The theory
helps in understanding and controlling the perceived behaviour of the patients. The control can
help in reducing the difficulties of enacting with the change in behaviour of the patient. This
theory can help in the successful intervention of the shared decision making in the case of Fionn
as it can help the doctors and the patient in understanding and controlling the change in
behaviour after the decisions that has been taken for the treatment and procedure (Driever,
Stiggelbout and Brand, 2020). On another hand, The health belief model, can help in
understanding the approach of the supported self-care management and making it effective so
that the patient and the physicians can successfully reduce the risk of the disease spread by
applying various disease prevention programs in the treatment period of Fionn (Orbell, Zahid
and Henderson, 2020). This can help the successful intervention of the approach by making the
awareness about the disease spread to Fionn and the hospital management. The approach will
successfully help the management in keeping and analysing the changes in the health behaviours
of Fionn as it will be easy for them to keep the record of his treatment over the time.

CONCLUSION
Thus, it can be concluded that the person centred care can help in giving the patients
more attention and better efficiency in the treatment of the patient. It provides the various aspects
of the health of a person and making the doctors and staff to work better and provide better
services to the patient. This can be helpful for the patient as the patient will be having better
treatment and attention to his problems. This helps in the case of Fionn as it is required to be
given more attention to his health because of the serious accident and injuries. The various
approaches of the supported self-care management and the shared decision making can help in
making various improvements in the treatment of the patients. The best feature of supported self-
care management is that it can help the patients by making them to have the complete attention
of the doctors on their problems. The best feature of the shared decision making approach is that
it allows the patients to participate in the decision making in regard to their health and treatment
options. The approach of the supported self-care management can be more successful in the case
of Fionn. It is because this approach gives more attention to the health and issues of the patient
and Fionn is in need of the special attention as he met a serious accident.

REFERENCES
Books and journals
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Online
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