CNA149 Assignment 2: Person-Centered Care in Nursing

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This essay provides a comprehensive overview of person-centered care (PCC) in nursing, emphasizing the importance of prioritizing patients' needs and well-being. It explores the ethical considerations and principles that guide nurses in building professional relationships, maintaining patient dignity and privacy, and providing equitable care. The essay highlights the significance of the PCC model, including assessing patients' health and mental conditions, gathering medical history, and fostering communication and trust. It discusses the integration of holistic care, time management, and the role of nurses in empowering patients through education and motivation. The essay concludes that PCC is a crucial factor in nursing health care, requiring nurses to plan and implement patient-centered care plans while considering the patient's health, dignity, and privacy.
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Running head: PERSON CENTERED CARE
PERSON CENTERED CARE
Name of the Student
Name of the University
Author Note
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PERSON CENTERED CARE
Nursing care is a factor that comprises of different aspects of care and especially
prioritizing the patient over any other factor is one of the basic aspects of nursing. A professional
nurse needs to maintain the ethics and codes of nursing along with the proper care for the client
or the patient. The main focus of the nurse should be the health condition of the patient and the
mental health as well. A nurse should continuously aim to improve the patient’s health condition
and prioritize the needs of the patient over any other personal needs. This phenomenon is termed
as the person centered care (PCC) where the main focus or the centre is the patient (Brummel
Smith et al. 2016). In this following essay a detailed overview of the person centered care would
be described along with the nursing ethics and the PCC principles. The main focus of the essay
would be on the relationship of the nurses with the patients and the improvement of the care
facility with the help of the PCC model.
Nursing care is one of the crucial factors in the health care process and the nursing
standards of the professional nurses needed to be maintained in this process. A nurse should be
able to build professional relationship and prioritize the patient’s dignity, privacy and most
importantly the health and mental conditions of the patient (Milliken 2016). The person centered
care model is dependent on the nursing priorities where the person is the patient and located in
the center of the care framework. The needs of the patient should be the main priority of the
nurse and the factors affecting the patient’s mental and physical conditions needed to be assessed
and prevented by the nurse with the help of the advice of doctor or the supervisor. Without the
consent of the doctor the nurse could not be permitted to take decisions on behalf of the patient
or the nurse do not have right to change any kind of medication or care of the patient without the
permission of the doctor (Feo and Kitson 2016). However, the nurse is the primary person in the
health care framework and the main priority of the nurse is the patient’s health condition and
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PERSON CENTERED CARE
needs. Thus the PCC model needed to be followed by a professional nurse in terms of health care
of a person.
The prioritization of the patient includes the patient centeredness by means of assessing
the health condition and the mental condition of the patient for the better intervention plans or
the patient care. A nurse needs to build up a relationship with the patient by means of the
communication and providing support to the patient and the family of the patient. The main
focus of the nurse should be gathering information of the health condition and the medical
history of the patient in order to plan better care for the patient. All these factors are the
important aspect of PCC model of care. However, the prioritization of the dignity and the
privacy of the patient are the basic priorities of the nurse in maintenance of a professional
relationship with patient (Vryonides et al. 2015). Nursing care should not be affected by the
gender, race, cast and other social inequities and the care should be given in a manner that could
be defined as the equality of care (Jones et al. 2018). The equality of care means the care would
be given to everyone equally without any discrimination. In order to maintain all these factors
the nurse should also maintain the codes and ethics of the nursing determined by NMBA such as
codes of conduct, standards for practice, and codes of ethics (Nursingmidwiferyboard.gov.au,
2019). PCC model also needed to be used in a proper way for all the people appointed for
medication in a medical institution. The nurse should be able to determine the health condition
by means of the communicating with the patient and gain the trust of the patient by means of
supporting the patient and prioritizing the privacy of the patient. The patient centeredness could
be maintained by the nurse with the aspects of supporting the family of the patient along with the
support to the mental health of the patient. The trust on the other hand play a crucial role in the
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PERSON CENTERED CARE
interventions of the patient’s health condition as it helps the patient to open up with the nurse
about his or her past medical history and the physical problem he or she facing.
However, the nurse should not exploit of abuse the information gathered from the patient
and help the person to get well with the proper medication and motivation. The empowerment by
means of educating the patient about healthy living practices and aware them to live healthy
would be a big stepping stone in the betterment of the health condition and mental condition of
the patient. On the other hand the nurse should be able to motivate the patient with the positive
communications and also use the positive attribute of the life to motivate the person in a positive
way (Topper 2017). A nurse should consider this entire factor in the PCC model implication in
the health care of the patient. The patient should also co-operate with the nurse to improve his or
her condition in a short period of time. However, in case chronic diseases the nurses should
restore to the holistic aspect of care in addition to the PCC model. The holistic care model the
nurse needs to evaluate the spiritual aspect of care. The holistic care comprised of the spiritual
aspect as well as the physical aspect. This model of care helps in the motivation build up of the
patient as the spiritual aspect can be used in the conversations with the patient or the family
members of the patient (Zamanzadeh et al. 2015). This would help the nurse build a positive
impact over the patient and also develop a positive relation with the patient. The holistic care
model also adhere to the physical aspect of care which also can be termed as the patient centered
care as the nurse should be able to focus on the daily needs of the patient and the health
condition of the patient over any other aspect. The PCC model is correlated with the holistic care
model in many aspects other than the above discussed ones (Kogan, Wilber and Mosqueda
2016).
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PERSON CENTERED CARE
The PCC care model is very much time dependent as the nurse needs to standby in any
situation for the patient he or she is responsible for. The PCC model of care only prioritize the
patients needs and the health condition of the patient thus the proper time management and care
planning needed for the proper care of a person (Vahedian-Azimi et al. 2015). In the PCC model
the patient is center of the concern and the health care personnel such as nurse, doctor, specialists
and others are the surrounding factors of the model. As a nurse a person needs to be able to
provide service on a 24 hour basis however, a human cannot provide this much service thus the
time management of the nursing care should be roistered and an alternative nurse should be
appointed for the same patient to provide the continuity of care and also maintaining the PCC
model of care (Talbot and Brewer 2016). This care model is very much dependent on the
professionalism of the nurse as the requirement of the nursing characteristics are very much strict
to the code and ethics of the nursing criteria and the positive relationship build up should be
prioritized as well for the proper and improved care towards the patient.
However, all the factors needed to be assessed by the nurse in the process of intervening
the patient’s health condition. The patient needed to be cared with intense priority on the health
condition factors of the patient and the nurse should be able to plan better care process for the
patient in the context of PCC model of care. All the priorities such as the health condition,
dignity and privacy needed to be considered in all the sectors of care by the nurse along with
showing affection and giving support to the patient and the family members or relatives of the
patient (Wolff and Boyd 2015).
Based on the above discussion it can be concluded that the health of a patient is a critical
factor for the nurse and the nurse should be able to determine the proper health care plan for the
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patient in terms of the intervening process of the illness of the patient. In the process of the
patient centered care the nurse should incorporate the holistic care as well and help the patient in
motivating towards positive and healthy living practices. All these factors would be dependent
on the professionalism of the nurse and the nurse should relate with the patient in a professional
manner and influence the thought process of the patient as well to provide a positive care for the
patient. On the other hand the patient should also co-operate with the nurse and help in the health
care process to shorten the time of care. Finally it can be said that the PCC model is one of the
crucial factor in the nursing health care process.
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References
American Geriatrics Society Expert Panel on PersonCentered Care, BrummelSmith, K., Butler,
D., Frieder, M., Gibbs, N., Henry, M., Koons, E., Loggers, E., Porock, D., Reuben, D.B. and
Saliba, D., 2016. Personcentered care: A definition and essential elements. Journal of the
American Geriatrics Society, 64(1), pp.15-18.
Feo, R. and Kitson, A., 2016. Promoting patient-centred fundamental care in acute healthcare
systems. International Journal of Nursing Studies, 57, pp.1-11.
Jones, A., Cochran, S., Leibowitz, A., Wells, K., Kominski, G. and Mays, V., 2018, June. Racial,
ethnic, and nativity differences in mental health visits to primary care and specialty mental health
providers: Analysis of the medical expenditures panel survey, 2010–2015. In Healthcare (Vol. 6,
No. 2, p. 29). Multidisciplinary Digital Publishing Institute.
Kogan, A.C., Wilber, K. and Mosqueda, L., 2016. Personcentered care for older adults with
chronic conditions and functional impairment: A systematic literature review. Journal of the
American Geriatrics Society, 64(1), pp.e1-e7.. Personcentered care for older adults with chronic
conditions and functional impairment: A systematic literature review. Journal of the American
Geriatrics Society, 64(1), pp.e1-e7.
Milliken, A., 2016. Prioritizing Cross-Disciplinary Teaching and Learning and Patient Safety in
Hospital-Based Environments. AMA journal of ethics, 18(9), pp.891-897.
Nursingmidwiferyboard.gov.au (2019). Nursing and Midwifery Board of Australia - Professional
standards. [online] Nursingmidwiferyboard.gov.au. Available at:
https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards.aspx [Accessed 14 Apr. 2019].
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Talbot, R. and Brewer, G., 2016. Care assistant experiences of dementia care in long-term
nursing and residential care environments. Dementia, 15(6), pp.1737-1754.
Topper, S.L., 2017. Medication Communication: An Interprofessional Intervention for
Populations with Multiple Chronic Conditions (Doctoral dissertation, Xavier University).
Vahedian-Azimi, A., Ebadi, A., Saadat, S. and Ahmadi, F., 2015. Intelligence care: a nursing
care strategy in respiratory intensive care unit. Iranian Red Crescent Medical Journal, 17(11).
Vryonides, S., Papastavrou, E., Charalambous, A., Andreou, P. and Merkouris, A., 2015. The
ethical dimension of nursing care rationing: A thematic synthesis of qualitative studies. Nursing
ethics, 22(8), pp.881-900.
Wolff, J.L. and Boyd, C.M., 2015. A look at person-centered and family-centered care among
older adults: results from a national survey. Journal of general internal medicine, 30(10),
pp.1497-1504.
Zamanzadeh, V., Jasemi, M., Valizadeh, L., Keogh, B. and Taleghani, F., 2015. Effective factors
in providing holistic care: a qualitative study. Indian journal of palliative care, 21(2), p.214.
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