Person-Centred Care: Optimal Care for Cardiovascular Disease Patients

This report delves into the application of person-centred care for individuals with cardiovascular disease, using a case study of a patient named Nancy. It emphasizes the importance of holistic care, considering physical, emotional, social, economic, and spiritual needs. The report explores optimal care delivery, key factors for effective treatment, and the ways nurses can facilitate patient empowerment and self-management to improve quality of life. Recommendations for patient care are provided, along with a discussion of potential challenges and barriers to treatment, such as lack of awareness, high costs, and socio-cultural issues. The conclusion highlights the significance of evidence-based practices, ethical principles, and legal regulations, such as the Privacy Act, in delivering effective and respectful care.

Person Centred Care

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK...............................................................................................................................................1
Research the selected chronic illness and optimal care. Consider person-centred, holistic care
in which all aspects of the patient’s wellbeing are considered...............................................1
Summary of evidence explaining key factors for optimal care delivery for people living with
the chosen chronic illness.......................................................................................................2
Critically discuss the ways in which nurses can facilitate empowerment and self-management
for clients and their families/carers in order to achieve a good quality of life for your chosen
chronic illness and case scenario............................................................................................3
Recommendations for the patient...........................................................................................3
Discuss potential challenges or barriers.................................................................................4
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................6

INTRODUCTION
Person centred care refers to developing a plan of care specifically for an individual by
considering their individual needs and desires for better health condition. It includes the focus on
several factors such as affording people dignity, compassion & respect, offering coordinated care
and support & treatment (McCormack and McCance, 2016). In context of this project, it is based
on the case study of patient named Nancy having chronic illness of cardiovascular disease found
in the area of Sydney. This essay will focus on optimal care and person centred care for
cardiovascular disease. It will also include the empowerment and self-management among
patient to achieve better quality of life.
TASK
Research the selected chronic illness and optimal care. Consider person-centred, holistic care in
which all aspects of the patient’s wellbeing are considered.
Cardiovascular disease can be defined as several heart conditions like diseased vessels, structural
problems and blood clots. It includes certain problems such as coronary heart disease, high blood
pressure, cardiac arrest and so on (Davidson and et. al., 2016). In context of Nancy, she was
suffered from coronary heart disease and hypertension due to which shows relevant symptoms. It
includes several symptoms including chest pain, chest tightness, chest pressure and angina (chest
discomfort). However, shortness of breath, pain, numbness, weakness, pain in neck jaw, throat
etc. The cardiovascular disease has cause of damaged part of heart, coronary arteries or poor
supply of oxygen & nutrients. Optimal care includes the services of clinical practices and
decision making for providing accurate treatment.
In addition to this, it has been analysed that person centred care should be established for
wellbeing of Nancy by considering her individual symptoms and needs for making completely
healthy. It is also necessary to use the holistic care approach by considering complete patient
care including their physical, emotional social, economic and spiritual needs of patients for
attaining their wellness (Buetow, 2016). However, holistic approach is helpful to make patient
totally well by treating mind, body and spirit. It involves the criterion of providing appropriate
medication like statins, blood thinners, beta-blockers and angiotensin converting enzyme (ACE)
inhibitors. Moreover, it is necessary to deliver appropriate medications to treat the actual
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condition of given patient and if medicines are insufficient and then surgical methods can be
used for improving patient health.
Summary of evidence explaining key factors for optimal care delivery for people living with the
chosen chronic illness
Optimal care can be defined as set of medical facilities including clinical practices and decision
making which is favourable to deliver effective care (Okwuosa and et. al., 2016). It includes to
carry out accurate diagnosis of Nancy according to which effective decision can be established
which facilitate to deliver appropriate treatment. Basically, it has been evaluated that key
elements related to optimal care should be followed in case of Nancy for treating cardiovascular
disease which is mentioned here.
Assessing organisational readiness refers to evaluate actual condition of patient along with
examine the available resources which are required to treat the problem of cardiovascular disease
(Näslund and et. al., 2019). It includes analysing different risk factors related to the condition
and patient and relevant treatment process to remain active to deal with them effectively.
Achieving clinical alignment can be defined as to establish clinical collaboration with
specialised physicians in order to providing effective treatment for patient. It includes the
involvement of partners and specialised doctors for successfully dealing with chronic illnesses
like cardiovascular disease for them wellbeing (Rutten, 2018). Moreover, it is necessary to
perform via clinical collaboration to deliver accurate treatment.
Transforming care processers includes the criterion of focussing on evidence based clinical
care pathways for providing accurate treatment. It includes the use effective clinical practices
that have evidence because such procedures are favourable to reduce risk factors along with
improving strength of health systems. However, it involves the utilisation of checklist, frequent
& timely feedback from clinicians, use of multidisciplinary care etc. for improving services
(Dening and Hibberd, 2016).
Managing patient across settings refers to manage patient with the help of person centred
approach to provide effective care. It consists to communication face-to-face and cultivates
effective system which is helpful to care activities of cardiovascular for treating the problem
(Beamish and et. al., 2016).
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Ensuring high reliability across the continuum can be described as to utilise effective clinical
practices which are favourable to provide high reliable services. It includes the criterion of using
person centred care by implementing nursing practices of providing better quality of treatment.
Critically discuss the ways in which nurses can facilitate empowerment and self-management for
clients and their families/carers in order to achieve a good quality of life for
your chosen chronic illness and case scenario
Nursing staff is capable to enhance moral strength and make patient internally strong which
helps to fight with particular health problem in effective manner. It is necessary for nurses
associated with case of Nancy to facilitate empowerment and self-management for improving her
quality of life. However, driving empowerment includes several ways that can be used by nurses
including development of trusting relation with client with maintaining respect, empathy and
safe atmosphere (Brown and Martinez, 2016). It includes the way of advocacy for completing
personal goals while treating their problem. Meanwhile, it is necessary to provide data and
develop skills from oral & written information that empower Nancy to make their choices
regarding treatment. It consists the way of capacity building among patients for making their
choice of medication and clinical practices regarding their wellness. These ways of
empowerment helps make self-change, changes in relation with others and behavioural change
among clients.
The changes in behaviour of patient by empowering them facilitate to drive their focus towards
their self-management. It includes the efficiency of patient to put efforts for wellness of their
own health. However, nursing staff can educate Nancy to monitor her own health by providing
monitoring diaries, logs, personal health records etc. It is necessary to provide appropriate
information about precautions and medications dosage to be taken with correct schedule of time
(Forman and Alexander, 2016). Moreover, this information is beneficial to encourage self-
management of patient about their problem of cardiovascular disease to become disease free
respectively.
Recommendations for the patient
Considering the case of Nancy with cardiovascular disease, it has been recommended that
effective care plan is required to be established for patient by considering specific medical needs.
It is necessary to provide optimal care by considering the criterion of holistic care which
facilitate to make an individual mentally, physically, emotionally and spiritually wellbeing
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(Delaney, 2018). However, it is suggested that person centred care should be used for make
appropriate nursing interventions for treating the problem of cardiovascular disease. It includes
the criterion of deliver clinical services based on individual needs which provide support to gain
better patient outcomes respectively (Ellam, Twohig and Khwaja, 2016).
In addition to this, it has been recommended that ethical principles should be considering during
treatment process because they are helpful to direct clinical activities in correct direction for
betterment of Nancy. It includes following informed consent, autonomy, justice, trustworthiness,
confidentially (Årestedt and et. al., 2018). It is observed that privacy was not maintained in case
of Nancy by her care professionals and physicians which is a wrong attempt by them. Moreover,
it is suggested that nursing staff dealing with Nancy should consider legislation like Privacy Act
1988 for maintain confidentially about patient data. It is necessary for nursing staff to follow al
the legal regulations which facilitate to provide care in correct way.
Discuss potential challenges or barriers
The potential challenges include those situation in which physicians face difficulty to deal with
patient having specific problem. It includes the different issues due to which patient are not able
to intake specific treatment to overcome with their specific health problem (Coleman and et. al.,
2017). However, it consist number of potential barriers or challenges for treating disease such as
lack of awareness among people, high cost of facilities, lack of care facilities, socio-cultural
issues of citizens and delayed in referring the patient.
Meanwhile, the primary barrier of providing treatment to delayed diagnosis which develops
severe stage of particular problem due to which physicians face difficult for treating the same. It
is observed that people were not able to afford expensive medical services which are a potential
challenge for them to overcome with their diseases. Moreover, it has been analysed that people
were have low awareness about treatment then they refuse to cooperate with doctors related with
their cultural values (Abolbashari and et. al., 2017). In context of Nancy, the problem of chronic
illness is severe as patient was suffered from cardiovascular disease which is quite challenging
for care professionals to deal with it.
CONCLUSION
From the above essay, it has been concluded that I will use specific medications according to
specific patient condition by considering person centred approach. My preference will be about
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to focus on evidence based practices in order to make accurate decision for delivering effective
treatment for make patient healthy. However, it is observed that ethical principles are helpful to
improve patient outcomes and reduce chance of occurring risks then I will strictly consider ethics
for improving effectiveness of clinical activities. It is necessary to follow quality practices for
increasing respect treatment outcomes and patient experience. Moreover, I will consider all the
legal regulations including Privacy Act while providing medical facilities for better health of
client.
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REFERENCES
Books and journals
Abolbashari, M. and et. al., 2017. Polypharmacy in cardiovascular medicine: problems and
promises!. Cardiovascular & Hematological Agents in Medicinal Chemistry (Formerly Current
Medicinal Chemistry-Cardiovascular & Hematological Agents), 15(1), pp.31-39.
Årestedt, K. and et. al., 2018. Symptom relief and palliative care during the last week of life
among patients with heart failure: a national register study. Journal of palliative medicine, 21(3),
pp.361-367.
Beamish, A.J. and et. al., 2016. Cardiovascular effects of bariatric surgery. Nature Reviews
Cardiology, 13(12), p.730.
Brown, J.P. and Martinez, C.H., 2016. Chronic obstructive pulmonary disease
comorbidities. Current opinion in pulmonary medicine, 22(2), pp.113-118.
Buetow, S., 2016. Person-centred health care: balancing the welfare of clinicians and patients.
Routledge.
Coleman, K.J. and et. al., 2017. The COMPASS initiative: description of a nationwide
collaborative approach to the care of patients with depression and diabetes and/or cardiovascular
disease. General hospital psychiatry, 44, pp.69-76.
Davidson, P.M. and et. al., 2016. Providing palliative care for cardiovascular disease from a
perspective of sociocultural diversity: a global view. Current opinion in supportive and palliative
care, 10(1), pp.11-17.
Delaney, L.J., 2018. Patient-centred care as an approach to improving health care in
Australia. Collegian, 25(1), pp.119-123.
Dening, K.H. and Hibberd, P., 2016. Exploring the community nurse role in family-centred care
for patients with dementia. British journal of community nursing, 21(4), pp.198-202.
Ellam, T., Twohig, H. and Khwaja, A., 2016. Chronic kidney disease in elderly people: disease
or disease label?. Bmj, 352.
Forman, D.E. and Alexander, K.P., 2016. Frailty: a vital sign for older adults with cardiovascular
disease. Canadian Journal of Cardiology, 32(9), pp.1082-1087.
McCormack, B. and McCance, T. eds., 2016. Person-centred practice in nursing and health
care: theory and practice. John Wiley & Sons.
Näslund, U. and et. al., 2019. Visualization of asymptomatic atherosclerotic disease for optimum
cardiovascular prevention (VIPVIZA): a pragmatic, open-label, randomised controlled trial. The
Lancet, 393(10167), pp.133-142.
Okwuosa, I.S. and et. al., 2016. Worldwide disparities in cardiovascular disease: challenges and
solutions. International journal of cardiology, 202, pp.433-440.
Rutten, G.E., 2018. Person-centred type 2 diabetes care: time for a paradigm shift. The Lancet
Diabetes & Endocrinology, 6(4), pp.264-266.
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