Personal Centred care communication : Assignment

E-portfolio

Table of Contents
1. Introduction of Titty Thomas...................................................................................................1
2. Philosophy of Nursing.............................................................................................................2
3. Personal Centred care communication and collaboration refer to the registered nurse
standard Of India and Australia...................................................................................................4
4. Reflection in Nursing along with 2 examples..........................................................................6
5. Provide the Documents, transcript and letter of recommendation and Resume......................8
6. Short, Middle and long term goals...........................................................................................9
REFERENCES..............................................................................................................................11

1. Introduction of Titty Thomas
I am Titty Thomas lives at Unit 20/35-47 Burnt Street, Nunawading 3131 Andhra
Pradesh, India. My Personal attribute is my passion and result-driven professionalism which
derives me towards the successful medical experience. Along with this, I am a responsible team
player and strong at planning and administration. Although, I am good at conflict resolution this
skill derive me to lead a team effectively. Also, My skills which allows me lead and manage the
team effectively is my ability to communicate with the people and interpersonal skills. Both the
skills helps me to motivate the team so I have a strong quality of leading the team every time
which builds the sense of confidence in my attitude. In addition, I have a good knowledge of
computer and also I hold the proficiency in various computer applications such as Ms word, Ms
Access, Excel, PowerPoint etc. Besides all the skills my Hobbies includes Listening Music,
cooking, reading books etc. gardening and playing badminton and Cricket. I also like to have a
walk daily to energise my body. I currently Lives in Victoria, Australia and I am a Victoria
Driver's License Holder.
Moreover, I am a enthusiastic professional who seeks to serve the health care services to
the community. In 2006 to 2010, I have done a Diploma in nursing. I have done schooling from
the St. Joseph school of Nursing in Andhra Pradesh, India. In 2014, I have completed a
certificate 3 in aged care from New Futures institute in Coburg, Victoria. During the Diploma in
Nursing, I have taken many clinical experience during the internship at KIMS hospital. During
my nursing experience I have practices Nursing under the Indian Nursing Council according to
the nursing standard and evidenced based practices and Throughout this program, I learned to
treat the maternity patients. Along with this I have taken many nursing experiences from the
KIMS hospital in India. Such Nursing practices includes the Surgical and medical treatment
which helps me to completely understand the pre- operation and post-operation services and
health care to the patients. During the Clinical Experience, I worked with the multidisciplinary
healthcare teams who helps me to understand about delivering the complete quality care to the
clients and during this experience, I learned to treat the Orthopaedic patients which helps me to
understand to take the dynamic experiences in various fields of health care professionalism.
Throughout this experience I have learned to treat ED/ICU patients who needs extra care and
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supportive environment. Meanwhile, I developed a skills to treat the children via paediatrics
nursing and healthcare in KIMS.
In addition, after taking a complete trainings for the Nursing, in 2012, I got opportunity to
work in a Jehangir Multi speciality Hospital at Pune, India. I served my nursing services to the
Jehangir hospital for almost 2 years from November 2010 to November 2012.which was
situated at Sassoon Road, Pune India. I managed to provide the healthcare services to the patients
of the hospital according to the nursing standards,healthcare practices and regulations. After the
The experience at pune, I employed for the position of Registered Nurse at Kadapra Niranam
Road, Post office near Niranam, Niranam, Kerela 689621 in India. Here, I learned the Multi
disciplinary health care teams in order to serve the continues quality based services to the clients
laid in 350 beds. I have worked here for 4 month only that is from March 15, 2016 to July 30
2016. After all such experiences in India, I went to Victoria for the further nursing practices and
Job opportunities, and worked at the position of Patient Care Assistant in order to learn the
Health care professionalism to provide the direct supervision to the patients. Also during this
journey in Australia, I provided the provision of the personal care assistance to older people
suffering from dementia and general abilities, hence this care includes the low level, high level
as well as palliative care to the patients. Then , in April 2014 to December, I served as a position
of kitchen Hand in Newman aged care, Templestowe Victoria where I worked as a assistant in
Kitchen where I learned to maintain the kitchen, also assisted them to prepare the food along
with the Hygiene concern. Since 2018 and till 2019, I am doing my graduation in diploma of
nursing online through IHNA.
2. Philosophy of Nursing
Nursing has never been simple. Early care stressors generally included the exposure to
the elements and lack of knowledge as to develop a skills to treat the serious injuries and
diseases (Butler and et.al., 2018). Philosophy can be determined as a study if the fundamental
nature of knowledge, reality and experience specially when it considered as a academic purpose.
So It basically helps in identifying the different ways of thinking about nursing knowledge and
different approaches to nursing practices. It often does not leads to the correct knowledge but it
enables the articulation of various views of knowledge and therefore it leads to the nursing
practice. Philosophies as an academic discipline has many branches and subcategories that is
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Analytical and continent al philosophy. These philosophy's goes beyond a focus on logic or
language and text which is described broadly.
Philosophy as a content in Nursing
This mainly concerned with the core phenomena of the interests to the profession and
discipline. It helps in examining the nature of nature of nursing as a personhood, environment,
health and illness (Gustafsson And et.al., 2018). It refers to the development, identification and
validation of the knowledge which encounters the nursing ethics during the practice of learn the
basic elements of rights and values. This philosophy is mainly used to identify the core
phenomena of interests to the discipline.
Philosophy as a Method in Nursing
In this, Nurses generally uses the philosophy to analyse, critique, challenges and debate
clinical situations which is mainly concerned with the ethical nursing practices that are
concerned with the patient safety. This philosophy prepares the nurses with various tools that to
act as a moral agent in practice setting. This helps the nurses to learn the awareness regarding
which helps them in directing the nursing practices. It allows them to understand the role of the
nurses in within the health care of the community. Also, this philosophy also assists the nurses to
explore non-Scientific reasons that may be important to the discipline of nursing.
Philosophy as a way of life and practice
This Philosophy helps the nurses in leading the life which is concerned with the Wisdom.
This philosophical approach to life is one that enacts the nursing values in the world of nurses
(Long, 2018). In this theory and practices, personal and professional, life and knowledge of the
nurses is reflected. In this, the primacy of the caring is considered to be the central value at the
heart of the social mandate which is generally hold by the nurses. Philosophy as a way of life
leads to the transformation of the wisdom. It allows the nurses to provide many opportunities to
become aware about the own beliefs and values influence the practices of the nurse
My Philosophy of Nursing is taking care of my patient as a whole, Health care of the
patients can be maintained via my knowledge, compassion, caring, respectful and honest nature.
Also, taking care of the health aspects of the people which includes the spiritual, physical and
emotional aspects of the patients considering the positive environment for the families. Also
according to me, the Philosophy of nursing is rooted in commitment to public service and the
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undeniable desire to help the people in need. It not only concerned with treating a illness
however it can be concerned with delivering the quality of health care services that is
individualized to the need of the each patient (Lynch And et.al., 2018). I believe that nurses need
to be professional towards their approach to treat the Patient. Also, philosophy approach need to
provide the effective interpersonal skills and communication skills. So my philosophy of nursing
is to protect, promote and optimize the health of those for whom they are responsible. along with
this working 24/7 in order to improve the health of their patients, getting insights into symptoms
and working with the families. Moreover, inter-professional collaboration for some of the highly
successful healthcare innovation. In order to improve the quality of health care to the patients, it
is important for the nurses to collaborate with the other health care providers.
3. Personal Centred care communication and collaboration refer to the registered nurse standard
Of India and Australia
Person centred care approach to nursing mainly focuses on the personal needs, wants and
desires and goals of the individual patient so that they become central to the care and nursing
process. It means putting the needs of the patient as a priority healthcare professionals helps
them to develop the interpersonal relationship with them. It can be considered as a way of doing
things that sees the people using health services as equal partners in order to delivering the care
services to make sure that it meets the needs of the patient (Masters, 2018). As a person-centred
care discipline, nursing is no longer considered to be concerned primarily with the illness care.
Therefore it includes both the prevention of illness and promotion and maintenance of health for
individual, family and community. Generally, communication can be defined as a exchange of
information, thoughts and feelings speech or gestures. So Therapeutic practice involves the oral
communication or the two way process of public health officials and nurses on the one hand
patient or his relatives. Collaboration within the healthcare services is one of the important
aspect which allows the nurses to take proper care and medication along with the professionalism
in their attitude.
According to the latest information from the Australia immigration authorities, qualified
oversees nurses have many opportunities in Australia (Tyler And et.al., 2019). Nurses need to
become qualified enough to meet the Australian standard and to register with the Australian
registered board. In addition, Internationally qualified nurses and midways are those who apply
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for registration with the nursing and midwifery board of Australia (NMBA). Thus the Registered
nurses are assessed against the NMBA registration standard and the qualification criteria within
the assessment model. Although, registration standards are the requirements that applicants need
to be considered fit to the practice as nurses and midwives. However, the qualification criteria
defines the minimum acceptable education and training that international applicants need to
undertake.
Nursing and midwifery are professions that use specialised knowledge and skills to care
for people in health and illness in a variety of practices settings (Morgan, 2018). So the
professional discipline of nursing and mid-wifery is important as it helps in humanistic care of
the people in wellness and illness and they are the one who makes the healthy environment by
treating the community with their right nursing practices which they had learned during the
nursing experience. In addition the primary goal of the care provided by the clinicians working
with these disciplines is to maximise the health and well-being in order to optimise the quality of
the lives of the people. These activities provided by the registered nurses may be directed
towards promoting or preserving the wellness towards the restoring of the health and equilibrium
after crises or illness.
Although, Nursing is generally held to mean caring for others across the lifespan whereas
midwifery has a more specific scope (Murphy and et.al., 2018). On the other hand, the clinicians
can be defined as a health professionals whose practices are based on the direct observation and
treatment of the patient. The professions of nursing in Australia can be considered as a
educational preparation that for the registered nurse or Midwife compromises an undergraduate
degree. This preparation varies between the registering authority jurisdiction. Most of the health
disciplines profess a philosophy of person centred care. Health disciplines are also influenced by
a philosophy of holism which is an appreciation in which each individual is composed of a
number of dimensions that operate together to form a whole person who interacts uniquely with
the patients environment. In order to become a registered nurses in Australia, there are various
requirements to study and acquire the professional courses. The registered nurses have to study
professional streams in nursing and midwifery such as Graduate Diploma, Professional
Doctorate or Doctor of philosophy (Oussi and et.al., 2018). The competencies that make up the
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Australian nursing and midwifery council's national competency standard for the registered nurse
are organised into various domains such as:
 Professional practice
 Critical thinking and analysis
 Provision and coordination of care
 Collaborative and therapeutic practice
The state nursing licensed bodies amalgamated in Australia in 2011 under the federal body
AHPRA (Australian Health practitioner registration Authority). Several divisions of nursing
license is available and recognised around the region in various ways such ways are described
below:
 Enrolled nurses need to initiate some oral medications along with the registered
competency that is involved with the national curricula.
 Also they need to hold the university degree which allows them to hold the status of the
registered nurses.
 Also nurse practitioners need to start emerging towards the post-graduate programs in
order to work in the private health care centres.
 The nurses who takes care of the mental health care practitioner need to compete further
trainings as per the advanced mental health practitioner in order to administer the client
referrals under the Mental Health Act.
4. Reflection in Nursing along with 2 examples
Being a Registered nurses, it is very important to include professionalism within the
career. Along with this, learning the nursing practices helps in developing a skills which allows
the nurses to operate and support the patient in overcoming their mental and physical disabilities
(Oussi and et.al., 2018). During the practices to achieve the professionalism degree for the
Registered Nurses in Australia, the families of the patient need to be informed well about such
treatments. I feel that proper information and knowledge regarding the treatment of the patient to
their families is very important as they are the one who can give permission to the RN to treat the
patient who belongs to their family. As meeting the educational needs of the patients, families
need to provided the required education so that they can support the nurses in carrying out the
operation. I feel that health care practitioners are those who may treat the patient with their
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abilities with they have learnt during the nursing practices. I feel that lack of knowledge among
the families is the main cause for such mental and physical disabilities.
I am going to take my personal reactions to my supervision, but if I share these views to
the reflective group at college, so it might help them to grow in a nursing profession. I will ask
the staff nurses about the present tasks of the unit and weather there is any scope for me to assist
them. So I delivered a proper speech to the students who are still learning during their Registered
nurse practice. In my profession I continuously learnt something new as the advancement of
technology brings updated medical science tools which allows us to treat the patient well and
efficiently.
For Example, Lack of communication with the patients, patient families and colleagues. In
this regards, In my Nursing career, I have experienced one very important thing is that Lack of
proper communication-skills-for-nurses may leads to the ineffective treatment of the patient
(Oussi and et.al., 2018). As it requires proper communication among the healthcare practitioner
so that other staff should also know the actual status of the patient which enable other staff
member to operate my patient in my absence. Although, now a days there is a great concern of
the family so whenever I treat any patient with mental or physical, so the family need to be
family members of patient need to be satisfied during the treatment so I always communicate to
the family members properly about the consequences and benefits of such treatments to the
patients at the health care centres. Also I remember about not to provide the deep information
about the nursing practices as it may lead to the conflicts as the family get to know about the
detailed nursing practices and they may try to get involved in the treatment.
I often communicate to the patient's family member in a effective way which enables
them a clear view and transparency about the treatment. So developing the proper knowledge
and skills among the people encourages me to do my work effectively and efficiently. It allows
me to treat the physical and mental challenges of the patient well. Also I make a clear report
about the mental and physical health status of the patient. So that further supervisors can access
the actual health position of the patient. It helps me to deliver the quality services in order to treat
the patient effectively.
One more Example associated with the Clinical issues and Ethical dilemmas at the
healthcare centres (Oussi and et.al., 2018). In addressing their patients problems, I had to go
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through various ethical issues during the healthcare practices. Among various Ethical situations I
have to choose the effective and efficient mode of treatment for the patient as it cannot harm the
patient's personal health and dignity. There are numerous ethical challenges that can impact upon
the families in the healthcare setting. So In this Context, I often protect the rights, safety and well
being of the patient. Along with this, I often provide the effective Pharmaceutics that requires the
proper cooperation of the Patients, Doctors, Pharmacists and other healthcare professionals.
Moreover, in order to overcome the ethical considerations that raised in the medical centres, I
prescribe the test based on genetic variations between individual. In general, to allocate the
patients to the exclusive categories of those who responds to the medicines and those who do
not. After experiencing the nursing practices, I offer the information, trainings and education to
the new trainees who requires the Clinical judgement in their practices.
5. Provide the Documents, transcript and letter of recommendation and Resume
Resume of Titty Thomas
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6. Short, Middle and long term goals
A goal is the desired outcome of the nursing intervention, on a care plan. Also these
describes the the observable responses of the people in order to improve the health care within
the community. Those goals that can happen quickly are known as short-term Goals. Whereas
those goals which take a long time to achieve are called long term goals (Reed, 2018). On the
other hand Middle term goals are those goals which can be quickly achieved and can be vary
according to the changing situations (Butler and et.al., 2018). So various short term goals for the
Nursing and this profession includes:
 The updated knowledge and skills about the increasing diseases in the world.
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 Health care practices before complying towards the healthcare practices within at the
healthcare centres.
 Short term goals with the healthcare professionalism also includes the immediate training
of the registered nurses in order to focus towards the quick recoverability of the patients.
 Short term goals also includes the exploration of the timely monitoring of the patient's
condition in order to main the quick recovery of the patient. It allows the healthcare
professionals to implement the nursing orders when developing the goals.
 Along with this one of the most important short term goal includes the quick response to
the problem and various healthy alternative responses to deal with the problem.
 Providing the excellent health care services to patient centred care is one of the most
popular and common short term goals for the healthcare practitioners.
 Focusing towards the continues education in order to attain the patient at any situation.
Middle term Goals for the healthcare practitioners are as follows:
 Performing the physical exams in order to understand the situations of the patients well.
 Various ethical consideration in order to treat the patient effectively.
 Providing the patient with the health promotion, counselling and education.
 Administering medications, wound care collectively with other member of the healthcare.
Long term Goals for the Health care practitioners are as follows:
 There need to be proper communication channel in order to communicate and coordinate
with the other health care professionals.
 Specific and measurable actions need to be taken in order to achieve the quality of
services which reduces the number of diseases and illness within the region.
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REFERENCES
Books and Journals
Butler, M. and et.al., 2018. Guidelines and checklists for short‐term missions in global pediatric
surgery: Recommendations from the American Academy of Pediatrics Delivery of
Surgical Care Global Health Subcommittee, American Pediatric Surgical Association
Global Pediatric Surgery Committee, Society for Pediatric Anesthesia Committee on
International Education and Service, and American Pediatric Surgical Nurses
Association, Inc. Global Health Special Interest Group. Pediatric Anesthesia. 28(5).
pp.392-410.
Gustafsson, L.K. And et.al., 2019. ‘Best fit’caring skills of an interprofessional team in short‐
term goal‐directed reablement: older adults’ perceptions. Scandinavian journal of caring
sciences.
Long, B., 2018. Adult Nursing: A Nursing Process.
Lynch, B.M. And et.al., 2018. The development of the Person‐Centred Situational Leadership
Framework: Revealing the being of person‐centredness in nursing homes. Journal of
clinical nursing. 27(1-2). pp.427-440.
Masters, K., 2018. Role development in professional nursing practice. Jones & Bartlett
Learning.
Morgan, P., 2018. Minority Nurses Making a Difference in Nursing Education and Health
Disparities Research Part II. ABNF Journal, 29(4), p.104.
Murphy, S. and et.al., 2018. Exploring implementation of the Careful Nursing Philosophy and
Professional Practice Model© in hospital‐based practice. Journal of nursing
management. 26(3). pp.263-273.
Oussi, N. and et.al., 2018. Short-and long-term results of low cost trauma training in a low-
income resource-poor country. MedEdPublish, 1.
Reed, P.G., 2018. Philosophical issues and nursing science. Nursing science quarterly. 31(1).
pp.31-35.
Tyler, D.A. And et.al., 2019. Barriers to a Timely Discharge From Short-Term Care in VA
Community Living Centers. Journal of aging & social policy. pp.1-16.
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