Patient-Centred Care in Nursing: Biomedical and Social Models

This report provides a comprehensive analysis of patient-centred care, focusing on its seven dimensions and its application in providing therapeutic care, particularly in the case of Mr. John, a 69-year-old patient with knee amputation and high blood sugar. The report delves into the core principles of patient-centred care, emphasizing the importance of respecting patient preferences, providing information and education, ensuring physical comfort, coordinating care, involving family and friends, and ensuring access to care. Furthermore, the report contrasts the biomedical model of health, which primarily focuses on the physical or biological aspects of illness, with the social model of health, which considers social, economic, and environmental factors. It highlights how the social model can benefit John's psychosocial health by improving access to healthcare and facilitating his active participation in his treatment. The report concludes with a summary of the key findings and a list of relevant references.

PROFESSIONAL
IDENTITY IN
NURSING

Table of Contents
INTRODUCTION...........................................................................................................................1
Seven dimensions of patient centred care in order to provide therapeutic care to John.............1
Compare and contrast to the biomedical model of health and explain how John’s psychosocial
health could benefit applying a social model of health care.......................................................2
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
Patient centred care mainly refers as a philosophy of care that directly encourages to
share the control of the consultations and control about the intervention as well as management
of health problems or issues with the patient. It also helps in focusing the consultation on the
patient as a whole who has individual preferences situated within social context. It enables to
treat the patients as partners and also involve them in planning their health care. Moreover,
patients are able to take responsibilities for their own health. Biomedical model of health focuses
on both physical or biological aspects of illness and disease. This essay mainly emphasis on Mr.
John who is 69 year old and is suffering from knee amputation and high blood sugar level. This
essay mainly covers about the various dimensions of patient centred care along with the
comparative discussion about biomedical and social model of care.
Seven dimensions of patient centred care in order to provide therapeutic care to John
According to given case study John is suffering from high blood sugar level along with
knee amputation. Due to lack of financial resources and expensive cost of medication he does not
like to take medication and his believe of maintaining blood sugars also fall down. So in order to
over this issues and provide therapeutic care to John some of the dimensions of patient care
should be followed which are discussed in detail below:
Respect for patients' preferences and expressed needs: In order to provide therapeutic
care to John it is very important to value his preferences and needs. Patients mainly indicates
about the needs to that is to be recognized and treated as individuals by patient care takers and
hospitality staff members. The hospitality staff along with the family members should be well
concerned with the illness and medical condition of the patient. To provide proper care it is
important to develop an environment that is respectful of the individual patient along with their
quality of life. John should be involved in his medical decisions and care should be provided
with dignity along with the respect of his autonomy(Likis, 2016).
Information and eduction : In order to reduce down the free of health report or facing
illness it is crucial to develop proper communication channel which involves all information on
clinical status, self care, health promotion and processes of care.
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Physical comfort: The physical comfort report creates tremendous effect patient
experience. So it is important to report patient about pain management, hospital environment and
assistance with activities.
Coordination along with integration of care: In order to reduce the feeling of
vulnerability due to disease there should be proper coordination of clinical care, ancillary
services, support services along with the front line patient care. John also loss the hope to recover
well and may be he feel vulnerable and powerless due his illness. He should get proper
coordination from clinical care along with the integration of care from his family members to
recover fast.
Involvement of family and friends: As John socialises very less with anyone else
outside his family due his failing health he needs strong involvement of his friends and family to
recover well and maintain his blood sugar level as well. Family dimensions of patient centred
care mainly includes providing accommodations for family along friends, involving family
members and close friends in decision-making.
Access to care: Patients generally need to know about the access care when it is needed.
It is important for patient to access the location of hospital, availability of transportation along
with the accessibility of specialists along with clear instructions.
Continuity and transition: It is important to meet patient needs in some specific areas in
order to provide proper understandable, and information about the regarding medications and
dietary needs.
Compare and contrast to the biomedical model of health and explain how John’s psychosocial
health could benefit applying a social model of health care
Biomedical model of health mainly focuses on the physical or biological aspects of
disease and illness. It is medical model of care practised by the health professional and doctors. It
is directly associated with the diagnosis process, cure and treatment of disease. Biomedical
model of health is being evolving from several years in order to make some improvements in
medical science and technology (Urden and Lough, 2017).With the help of introduction of
biomedical model there is high raise in the cures and treatment. Biomedical model of health
mainly emphasis on diagnosis and treating patient separately from their living conditions. This
model of health emphasis and concentrates on the disease, illness and disability. This allows to
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attempts treatment in return to physical health of a patient to pre-illness state. The reasons for the
illness are not considered as the centre of biomedical model.
The main examples of the biomedical model includes X-rays, scans, blood test, ultra
sound, mammograms, surgery, pap smear tests etc. The main two aspects of the biomedical
approach are diagnosis and interventions. Diagnosis is identification of a disease or illness
through a doctor's observation or by use of specific diagnostic tests. Intervention includes those
action that are taken to improve health by various medical treatment , hospitalisation,
prescriptions, surgery. The main advantages of biomedical model of health is that it creates
advances in technology, extends life expectancy and improve the quality of life. Without
biomedical model of health there would be very less known things related to treatment and
diagnose illnesses. With the help of this it has become possible to effectively treat the illness and
stop the death(Duffy, 2018).
Comparison between biomedical and social model
Biomedical model of health focuses on the physical or biological aspects of diseases and
illness. It is referred as the medical model of care that is practised by health professional and is
associated with the diagnosis, cure and treatment of various disease while social model of health
is framework within which improvements in the health and well being are achieved by directing
the major efforts towards addressing the social, economic and environmental determinants of
health. This model is totally based on the understanding that in order to gain health social,
economic and environmental determinants should be addressed.
Advantage of social on psychosocial health of john
The main advantage on psychosocial health of John is that he is able to access the health care
and contribute to his health status. With the help of social model of health he becomes enable to
have proper access to his medical treatment and medication.
John’s psychosocial health could benefit applying a social model of health care
John's psychosocial health can be treated well by applying social model of healthcare. By
proper diagnosis and intervention it is possible to rectify the health issues that are associated with
eye, knee amputation and high blood sugar issues. By using the various advance methods of
treatment that includes blood test, pap smear test, prescribed medicine and surgery it is possible
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to give proper treatment to John so that he can recover soon that he starts believing the
medication and treatment .
CONCLUSION
It is concluded that patient centred care helps in focusing the consultation on the patient
as a whole who has individual preferences situated within social context. The hospitality staff
along with the family members should be well concerned with the illness and medical condition
of the patient. Biomedical model of health mainly emphasis on diagnosis and treating patient
separately from their living conditions. This model of health emphasis and concentrates on the
disease, illness and disability.
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REFERENCES
Books and Journals
Likis, F.E., 2016.Women’s gynecologic health. Jones & Bartlett Publishers.
García-Moreno, C., Hegarty, K., d'Oliveira, A. F. L., Koziol-McLain, J., Colombini, M., &
Feder, G. (2015). The health-systems response to violence against women. The
Lancet, 385(9977), 1567-1579.
Wilcox, B. A., & Echaubard, P. (2017). Balancing biomedical and ecological perspectives in
research framing of liver fluke and cholangiocarcinoma in NE Thailand. Parasitology
international, 66(4), 372-377.
Bachnick, S., Ausserhofer, D., Baernholdt, M., Simon, M., & Match RN study group. (2018).
Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss
acute care hospitals: A cross-sectional multi-center study. International journal of nursing
studies, 81, 98-106.
Urden, L. D., Stacy, K. M., & Lough, M. E. (2017). Critical Care Nursing-E-Book: Diagnosis
and Management. Elsevier Health Sciences.
Sherwood, G., & Barnsteiner, J. (Eds.). (2017). Quality and safety in nursing: A competency
approach to improving outcomes. John Wiley & Sons.
Duffy, J. R. (2018). Quality Caring in Nursing and Health Professions: Implications for
Clinicians, Educators, and Leaders. Springer Publishing Company.
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