Aged Care Advocacy and Patient-Centered Care: A Case Study Analysis

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Activity 2
Reading 4
Advocacy is defined as the supporting services that help in supporting the rights of
the elderly individual in aged care setting. The health care professionals collaborate
and portray the role of advocates that includes fostering the rights of the resident in
aged care home. According to the Australian Government (2016), the advocacy
program are based on delivery of health and social care services for the individual
where their rights are considered and they are provided equal opportunities to stand
for their human and individual rights. Taking relevance from the House call video it is
identified how the doctor collaborates with the aged care system and develops a
patient centred approach that enabled the residents and elder patients to stand up
for their rights. He also paid attention on developing interaction, and including
empathy and compassion in his practice. It is also identified that the professionals
are the main role models that can advocate the rights of the elderly individual in aged
care setting.
REFERENCE
Australian Government,. (2017). Advocacy Services. Commonwealth of Australia.
Retrieved August 31, 2018, from (https://www.myagedcare.gov.au/quality-and-
complaints/advocacy-services)
1

Activity 3
Stage 1 (Description)
The video House Call is based on the description of a scenario of a 93 years old
female patient who is living alone at her home and broke her arm thus, requiring
some assistance with her routine household work. The attendant and professional
appointed for her services from the aged care home were identified to be very
friendly and competent for the job. The scenario poses various positive as well as
negative factors that were associated with the health and social care services for this
patient. The doctor attending Corny was very competent in providing health and
social care services to elderly population, his approach includes patient
centeredness and empathy. The positive aspects were h9ighlighted as the presence
of appropriate environment and approach of care by the doctor. He also collaborated
with the aged care services to explore more options for Corny that would address
her own physical and mental needs. One negative aspect that was identified in this
scenario includes the limited options provided by the government that were
competent in addressing the holistic needs of the patient. Here a conflict arouse
when the patient was having a choice to either self-care and remain with her beloved
cat Oscar or she would chose the aged care services and live there. There was no
option that provided her with flexible choices to adapt to both of her interests.
According to McCabe et al (2019), high quality nursing and health care in aged
services ensure building therapeutic relationship while providing appropriate holistic
care.
Stage 2 (Feeling)
At times there are situations that make the individual experience great dilemma of
choosing from the two things equally important in life. The video House call made me
realized this when Corny was provided with two choices and both were highly
essential for her wellbeing (Johnstone et al., 2016). The two options that were given
to Corny included either she can accept home care and live with Oscar but that
would be accepted only when she agrees to accept the bathing assistance at home
or she could leave Oscar and go and live in the aged care home. Here I identified
that both the options provided to her did not fully address her needs and lacked in
2

some crucial areas. Either of these options would pose an impact on her mental and
emotional status and wellbeing. Clearly I could feel that this approach was not
addressing the principles of patient centred care approach and were not able to
advocate her rights. The core elements of patient centred care including empathy,
prioritizing the patient, compassion, advocacy, collaboration and high quality
services were not addresses effectively by this approach.
Stage 3 (Values and beliefs)
Personal values and beliefs of own culture plays important role in practice and here I
could relate my values to this case seen in House call video. Having being raised in
a Indian Hindu family the beliefs regarding taking care and addressing the needs of
elderly individual are very strong and crucial. The traditional values in my culture
advocates respect, dignity, providing love and kind gesture to the elders of the family
and also includes bowing down to them and achieve blessing from them as the
important part of our lives. In our culture the elder individual is taken care of by their
family members and is assisted for their needs and nutrition by them. It is also seen
that the self-esteem and dignity of elderly in this culture are greatly protected and
their opinion and wishes are encouraged. The values stated by me taking relevance
from my own personal cultural beliefs indicated support to the International Council
of Nurses (ICN) 2012, code of nursing ethics that states that the role of nurses is to
protect the dignity and empower the individual in care by recognizing their strengths,
abilities, and values and also to screen the possible risk of the individual that can
reduce their abilities if they are permitted for self-care.
Stage 4 (Analysis)
The overall evaluation of the scenario in the video House call indicates how the
interest and requirement of Corny were not well addressed in this case but the
options and choices provided by the service provider lacked some crucial elements
of self-care and esteem that could lead to feeling of dependency and inappropriate
wellbeing of the patient. The patient centred care is advocated here but the
principles of PCC are not very well followed. The core principles of PCC includes
following empathetic and compassionate care and the holistic approach where all
physical, emotional, spiritual and social values of the individual are fostered and
needs are addressed using appropriate nursing interventions(Nursing and Midwifery
3

Board of Australia., 2018). The scenario does not depict any of such practice and
needs more competent planning for better achievement of needs of the individual.
Stage 5 (Conclusion)
The whole scenario given when evaluated results in clear identification of lack of an
appropriate patient centred care approach that is not advisable as per the Australian
Board of Nursing Ethics (Nursing and Midwifery Board of Australia., 2018). As a
nurse in this case I would surely adopt a person centred care approach where the
assessment of care needs of Corny would be done and the plan would be created on
basis of the care needs identified. Here the emotional need of patient to stay with her
pet Oscar is also crucial as her wish to not accept bathing assistance. The action
plan thus should be created in order to address all these requirements and not only
the physical aspect of care (Wolf et al., 2014). Hence, it can be concluded that the
patient should be approved or appointed home care assistance with rapport
development that will help her understand her risks for self-bathing and eventually
she could accept the bathing assistance too.
Stage 6 (Action plan)
Partnering in care strategies
1. Involvement of the patient and family at all levels of care
2. Following the policy and evaluate the patient outcomes at each level
3. Effective partnership between the care provider and patient is enabled by taking
time and this helps in making a useful contribution.
4. Partnering with the GP services and the mental health services
These strategies are stated to be highly beneficial in promoting patient oriented care
for the individual and allow better service delivery with high quality care (Howrey et
al., 2015).
4

Activity 4 (Self-Post)
Activity 2
Advocacy is defined as the supporting services that help in supporting the rights of
the elderly individual in aged care setting. The health care professionals collaborate
and portray the role of advocates that includes fostering the rights of the resident in
aged care home. According to the Australian Government (2016), the advocacy
program are based on delivery of health and social care services for the individual
where their rights are considered and they are provided equal opportunities to stand
for their human and individual rights. Taking relevance from the House call video it is
identified how the doctor collaborates with the aged care system and develops a
patient centred approach that enabled the residents and elder patients to stand up
for their rights. He also paid attention on developing interaction, and including
empathy and compassion in his practice. It is also identified that the professionals
are the main role models that can advocate the rights of the elderly individual in aged
care setting.
REFERENCE
Australian Government,. (2017). Advocacy Services. Commonwealth of
Australia. Retrieved August 31, 2018, from
(https://www.myagedcare.gov.au/quality-and-complaints/advocacy-services.)
Activity 3
Stage 1 (Description)
The video House Call is based on the description of a scenario of a 93 years old
female patient who is living alone at her home and broke her arm thus, requiring
some assistance with her routine household work. The attendant and professional
appointed for her services from the aged care home were identified to be very
friendly and competent for the job. The scenario poses various positive as well as
5

negative factors that were associated with the health and social care services for this
patient. The doctor attending Corny was very competent in providing health and
social care services to elderly population, his approach includes patient
centeredness and empathy. The positive aspects were h9ighlighted as the presence
of appropriate environment and approach of care by the doctor. He also collaborated
with the aged care services to explore more options for Corny that would address
her own physical and mental needs. One negative aspect that was identified in this
scenario includes the limited options provided by the government that were
competent in addressing the holistic needs of the patient. Here a conflict arouse
when the patient was having a choice to either self-care and remain with her beloved
cat Oscar or she would chose the aged care services and live there. There was no
option that provided her with flexible choices to adapt to both of her interests.
According to McCabe et al (2019), high quality nursing and health care in aged
services ensure building therapeutic relationship while providing appropriate holistic
care.
Stage 2 (Feeling)
At times there are situations that make the individual experience great dilemma of
choosing from the two things equally important in life. The video House call made me
realized this when Corny was provided with two choices and both were highly
essential for her wellbeing (Johnstone et al., 2016). The two options that were given
to Corny included either she can accept home care and live with Oscar but that
would be accepted only when she agrees to accept the bathing assistance at home
or she could leave Oscar and go and live in the aged care home. Here I identified
that both the options provided to her did not fully address her needs and lacked in
some crucial areas. Either of these options would pose an impact on her mental and
emotional status and wellbeing. Clearly I could feel that this approach was not
addressing the principles of patient centred care approach and were not able to
advocate her rights. The core elements of patient centred care including empathy,
prioritizing the patient, compassion, advocacy, collaboration and high quality
services were not addresses effectively by this approach.
Stage 3 (Values and beliefs)
Personal values and beliefs of own culture plays important role in practice and here I
6

could relate my values to this case seen in House call video. Having being raised in
a Indian Hindu family the beliefs regarding taking care and addressing the needs of
elderly individual are very strong and crucial. The traditional values in my culture
advocates respect, dignity, providing love and kind gesture to the elders of the family
and also includes bowing down to them and achieve blessing from them as the
important part of our lives. In our culture the elder individual is taken care of by their
family members and is assisted for their needs and nutrition by them. It is also seen
that the self-esteem and dignity of elderly in this culture are greatly protected and
their opinion and wishes are encouraged. The values stated by me taking relevance
from my own personal cultural beliefs indicated support to the International Council
of Nurses (ICN) 2012, code of nursing ethics that states that the role of nurses is to
protect the dignity and empower the individual in care by recognizing their strengths,
abilities, and values and also to screen the possible risk of the individual that can
reduce their abilities if they are permitted for self-care.
REFERENCES
Australian Government. (2016). Advocacy services. Commonwealth of Australia.
International Council of Nurses. (2012). The ICN code of ethics for nurses, 1-12.
Geneva, Switzerland.
Johnstone, M. J., Hutchinson, A. M., Redley, B., & Rawson, H. (2016). Nursing roles
and strategies in end-of-life decision making concerning elderly immigrants admitted
to acute care hospitals: An Australian study. Journal of Transcultural Nursing, 27(5),
471-479.
McCabe, M. P., Beattie, E., Karantzas, G., Mellor, D., Sanders, K., Busija, L., ... &
Byers, J. (2019). Consumer directed care in residential aged care: an evaluation of a
staff training program. Aging & mental health, 1-6.
7

Activity 5
Hi Lea,
I found you post for week 9 to be very inspiring and beneficial. You focused on
writing a post regarding the safety and quality in health care that is very common and
appropriate topic in modern era. The definitions you provided from the famous
references were beneficial and helped understand the post better. You also
adequately and effectively linked the video House calls by stating the importance of
continuum of care in aged care setting. You also effectively referenced you post and
provided supporting evidences from the National Safety and Quality Health Service
Standards.
In your activity 3 stage 2 (feelings), I could relate to you writing as you very well
explained how the elderly population in our current health care system are not care
of properly and lack basic delivery of normal rights. You boldly highlighted the
current issues in health and social care setting regarding the elder population and
clearly stood up to advocate their rights in you post. Your post is well references and
this can be seen in the references you provided form authentic sources such as
(Nursing and Midwifery Board of Australia [NMBA] Registered Nurse Standards of
Practice, 2016).
Overall I enjoyed reading you post and it helped enhancing my knowledge regarding
patient experiences for this week.
All the best
Thank you
8

REFERENCES
Australian Government. (2016). Advocacy services. Commonwealth of Australia.
Howrey, B. T., Thompson, B. L., Borkan, J., Kennedy, L. B., Hughes, L. S., Johnson,
B. H., ... & Degruy, F. (2015). Partnering with patients, families, and communities.
Fam Med, 47(8), 604-11.
International Council of Nurses. (2012). The ICN code of ethics for nurses, 1-12.
Geneva, Switzerland.
Johnstone, M. J., Hutchinson, A. M., Redley, B., & Rawson, H. (2016). Nursing roles
and strategies in end-of-life decision making concerning elderly immigrants admitted
to acute care hospitals: An Australian study. Journal of Transcultural Nursing, 27(5),
471-479.
McCabe, M. P., Beattie, E., Karantzas, G., Mellor, D., Sanders, K., Busija, L., ... &
Byers, J. (2019). Consumer directed care in residential aged care: an evaluation of a
staff training program. Aging & mental health, 1-6.
Nursing and Midwifery Board of Australia. (2018). Code of Conduct for Nurses in
Australia. Melbourne, Vic: Australian Health Practitioner Regulation Agency, Nursing
and Midwifery Board of Australia.
Wolf, J.A., Niederhauser, V., Marshburn, D., and LaVela, S.L. (2014). Defining
patient experience, Patient Experience Journal, 1, 7-19
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