Professional Nursing Report: Patient-Centered Care for Raymond

This report examines the principles of patient-centered care within the context of professional nursing, using a case study of a patient named Raymond. It emphasizes the importance of effective communication, cultural competence, and the development of therapeutic relationships between nurses and patients. The report highlights the need for nurses to understand and respect patients' cultural backgrounds, values, and preferences, particularly in the case of a patient from a Vietnamese background. It provides practical examples of how nurses can adapt their communication styles to ensure patient comfort and trust, including non-verbal cues and appropriate addressing. Furthermore, the report stresses the significance of detailed documentation, including the use of formats like ISBAR, to ensure continuity of care and prevent errors. The ultimate goal is to provide high-quality, safe care that respects the patient's autonomy and promotes their overall well-being, as demonstrated through interventions such as addressing smoking behaviors and providing relevant health education.

Running head: PROFESSIONAL NURSING
PROFESSIONAL NURSING
Name of the student:
Name of the university:
Author note:

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Introduction:
Professional communication is the effective exchange of information as well as thoughts
and feelings among two or more individuals involved in a conversation. Professional
communication in the clinical setting has the capability to develop therapeutic relationships
between nurses and patients that in turn have positive impacts of patients. Nurses communicating
with patients in calm, compassionate and empathetic manner have the capacity to develop trust
in the patient that helps them to comply with the interventions. Patient centred care is one of the
most modern approaches that provide high quality care to patients and maintain their dignity and
autonomy successfully. It helps professionals to ensure patient satisfaction and provide culturally
safe care. The assignment would be explaining how these attributes provide ensure high quality
care through a case study based on patient named Raymond.
Patient centred care for Raymond:
The main goal of the patient centred care is to develop care approach to treat patients in a
way by which they are kept that the centre of decision making in their own treatment procedures.
This approach encourages patients to become active participants in their own care and tries to
understand the perspective of the patient to develop proper care interventions that they can align
with. This approach respects the autonomy and dignity of the patient. It also respects the
uniqueness of the patients and believes that every unique aspects of their life history influence
their healthcare experiences (Levett-Jones et al., 2014). The nursing professional who would be
treating Raymond should respect the culture of the patient and should try to provide emotional as
well as emotional comfort to the patient. Values and personal believes of Raymond should be
cared by the professionals. The professional would also guide the patient about the ways that he

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should follow to develop to protect his health and to prevent occurrence of the disorders
9Liberati et al., 2015). It is seen that the patient has developed chesty cough and therefore the
professional would provide him solutions like taking proper medication at the right time, staying
hydrated, trying lozenges and hot drinks, taking steamy showers and suing humidifier, removing
irritants from the air in his house and similar others. The professionals should take care that the
interventions are such that the patients can comfortably align with them. Moreover, Raymond
should be compassionately made to understood that her smoking behaviour is raising his blood
pressure. The patient should be educated that smoking increases heart rate, also narrows the
arteries, and thereby hardens the walls making blood to clot. This would help Raymond feel that
the professional genuinely want to care for him and therefore details to him the health risk
factors. This would help Raymond to comply with the care as he would feel respected and
genuinely cared by the professionals.
Effective communication with the patient:
In order to develop therapeutic relationship with the patient named Raymond, it becomes
extremely important for the nursing professionals to engage in effective communication.
Researchers are of the opinion that culturally competent communication skills both in verbal and
non-verbal modes have huge contribution in development of rapport with the patient. Better the
rapport is built, the patient would feel more comfortable with the professionals and would
develop trust on them (Hall, 2016). While communicating, it should be kept in mind that
Raymond is from a Vietnamese background and is a strong follower of his cultural traditions.
This could be assessed by the shrine he has set up in his residence, as he is Buddhist by faith.

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The professional should take care that he or she knows the non-verbal skills of communication
followed by the Vietnamese people. For example, the Vietnamese people do not prefer eye
contact where they believe that it is a rude behaviour whereas the westerners believe that
individuals who do not maintain eye contact may be dishonest, unconfident, or unreliable. The
professionals should keep this in mind. Moreover, Vietnamese people prefer addressing others
with Mrs., Mr. And similar others whereas the westerners do not mind being called by name
after rapport is built. So the professional should never summon Raymond by his first name.
Moreover they frown when they are angry, worried or frustrated and this clue can be used by
nurses to understand whether Raymond is liking the conversation or not. The healthcare
professional should also avoid any form of hug with them on any contact as they like hugging
people who are only their relatives. The professionals should shake hands and bow a little to
show a respectful gesture 9O’Hagan et al., 2014). Thse are liked by Vietnamese people. Pointing
to people while talking is also disrespected by them. Therefore, while the professionals would be
communicating with Raymond, such non-verbal cues should be maintained.
Documentation:
While interacting with the patient, different information is fathered that professionals
should document in details. Documentation can be described as any written as well as
electronically generated legal record of all the significant interactions that the professionals have
with the client. This describes the care as well as the services that are provided to the person.
Detailed documentation has become one of the most important attribute in professional nursing
as it helps to prevent any kinds of errors in treatment of the patient and ensures that no legal
obligation arises. Sophisticated management information systems also called MIS are helpful for
facilitating person centred care, support decision analysis; serve as legal records, help in clinical

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research and many others (Hill, Hall & glew, 2017). Nursing professionals should follow the
ISBAR format to help the patient named Reynold to provide most efficient, effective as well as
cost effective quality care to him. This documentation would help the professional who would be
attending to Reynold in the next appointment so that he gets all the important information about
the patient in details.
Conclusion:
Reynold has come to clinic for developing his lifestyle to live better quality life. The
professional who would be attending the client should engage him in a person centred care and
communicate with him in ways by which his cultural traditions, preferences and inhibitions are
respected. Moreover, all the information should be documented properly so that he may get
proper high quality safe care not only in the first meeting but also in the following appointments.

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References:
Hall, H. H. R. T. C. (2016). Fundamentals of Nursing and Midwifery. : Wolters Kluwer Health
Hill, R., Hall, H., & Glew, P. J. (2017). Fundamentals of Nursing and Midwifery: A Person-
Centred Approach to Care.
Levett-Jones, T., Gilligan, C., Outram, S., & Horton, G. (2014). Key attributes of ‘patient
safe’communication. Critical Conversations for Patient Safety: an Essential Guide for
Health Professionals. Pearson, Sydney.
Liberati, E. G., Gorli, M., Moja, L., Galuppo, L., Ripamonti, S., & Scaratti, G. (2015). Exploring
the practice of patient centered care: The role of ethnography and reflexivity. Social
Science & Medicine, 133, 45-52.
O'hagan, S., Manias, E., Elder, C., Pill, J., Woodward‐Kron, R., McNamara, T., ... & McColl, G.
(2014). What counts as effective communication in nursing? Evidence from nurse
educators' and clinicians' feedback on nurse interactions with simulated patients. Journal
of advanced nursing, 70(6), 1344-1355.