Proposal for practice care improvement
Added on 2021-01-01
11 Pages3364 Words67 Views
Proposal forpractice/careimprovementTOPIC:Care improvement for Tom Smith
Table of ContentsINTRODUCTION.....................................................................................................................................1Part 1: ‘Tom and his family’s experiences of admission to hospital’...............................................1Part 2: ‘Person Centred Care (PCC)..................................................................................................2Part 3: ‘Caring for Tom’s BPSDs.......................................................................................................4Part 4: ‘Nursing care of Tom in an acute hospital’..........................................................................5CONCLUSION........................................................................................................................................6REFERENCES..........................................................................................................................................7
INTRODUCTIONDementia refers to a group of symptoms that are caused by disorders that affects thefunctions of brain. People suffered from dementia may not be able to think precisely andcannot do daily chores such as getting dressed or eating (Religa et.al., 2015, p. 45). They mayalso lose the ability to solve problems and control their emotions. In this context, the followingreport will focus on the care provided to the people suffered from dementia by referring to thecase of Tom Smith. He suffered from acute chest pain after Christmas. Tom is 75 years old andlives with his wife Ann. Eight month ago he was diagnosed with dementia with not specific type.Tom after admission in hospital shows agitated and restless behaviour. He frequently lashes outat nursing staff and student when they came for observations. In this context, the experience ofTom and his family will be examine during the process of hospital admission. The most difficultaspect of experiences of family members and Tom will be assessed. The Person Centred Care(PCC) approach that would be used in providing care to Tom in acute care setting will beidentified. The ways to minimise Behavioural and Psychological Symptoms of Dementia (BPSD)will be determine in this assignment and eventually, the nursing care of Tom in order toimprove Angina with the help of two assessment tools will be developed in this report. Part 1: ‘Tom and his family’s experiences of admission to hospital’While being admitted to hospital, it can be imagined that both Tom and his familymembers have a feeling of distress and anxiety. As Tom is aged person and chronic chest paincan be considered as negative sign. Feeling of distress and anxiety are obvious in familymembers as they are closely attached to Tom. The experience of both Tom and family memberswas not considered to be good as they are being admitted to the hospital for treatment (Mol,Moser and Pols, 2015). They show frightening behaviour and stays late in the hospital. This canaffects the psychology of Tom as because of him his family members are suffering. Peoplesuffered with dementia have less cognitive ability and always shows sign of agitation andfrustration. The most difficult aspect of family members would be the drastic change ofbehaviour of Tom during observation and nursing interventions. As it would be difficult foranyone to see their dear one suffered in pain. Family members in this situation need to have
faith and belief in god and hospital administration (Talebzadeh and Lang, 2017, p. 175). Tomand his family members have a feeling of despair and desperation due to hospitalisation of Tombecause of dementia and Angina. Family members are there for support and wants to join withTom in hospital by seating besides him during his hospitalisation period. The daily routines offamilies and way of life were also very much affected (De Vleminck et.al., 2014, p. 119). Themost important way in which the hospital supported families was to keep them informed aboutthe patient's care and treatment. However, this was not possible without an active interest andinvolvement on the part of family members themselves. Another most difficult aspect duringthe experience of Tom to the family members was fear about the future. This was common asfamily members were concerned about the future of Tom as per his present health status.People suffering from dementia possess negative feelings which includes intense anger andfrustration (Mayeda et.al., 2015, p. 294), they lose confidence in their ability to carry out dailychores and activities, loss of self esteem resulting in the feeling of uselessness andunproductiveness. These are the feelings has been observed in Tom during his hospitalisationprocess.Part 2: ‘Person Centred Care (PCC)Person-centred care is a way of thinking and doing things that sees the people usinghealth and social services as equal partners in planning, developing and monitoring care tomake sure it meets their needs (Thorn and Bloomer, 2015). Person centred care interventionsare effective in reducing symptoms associated with agitation, aggression, apathy, depression,disinhibition, sleep disturbance and wandering. The Person Centred care approach can beimplemented in the hospital in order to provide effective and quality care to Mr. Tom Smith.Person centred care can be considered to be optimum care for people suffering from dementia(Domenig et.al., 2016). By maintaining effective relationship with Tom, the nurses and hospitalstaff would be able to provide quality care to him. In this way, Tom would be able to recovereffectively and efficiently. There are certain principles in Person Centred Care which health careprofessionals must follow by providing care to Tom. The first principle is to treat people withdignity, compassion and respect. Here, the health care professionals at hospital must treat Mr.Tom with dignity by considering his every needs and show compassion towards him in order to
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