Patient-centred Care from a Nursing Perspective Essay

Exploring person-centered care from a nursing perspective.

How effective communication, professional, legal, and ethical issue influence person-centered care.

Patient centred care from a nursing perspective. Patient-centred Care from a Nursing Perspective Essay

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Please ensure that upon submission you follow the criteria for submission of an academic piece of work ensuring the font and the spacing adheres to University guidelines which can be found within the module guide. Students will be expected to submit their assignment electronically within the WOLF domain. Also that you submit your work to include a front cover sheet which must include the student number, support tutor, module title, module code. This summative assessment should be 2000 words and will endeavour to embrace the following learning outcomes:

LO 1: Demonstrate the importance of effective communication skills when working with the client, their family and colleagues. Patient-centred Care from a Nursing Perspective Essay

LO 2: Identify the professional, legal and ethical issues which underpin the practice of nursing

LO 3: Describe the knowledge necessary to provide person and family centred care.

For this summative submission you are expected to describe how you have provided person-centred care for a service user and/or carer or significant other. Identify and discuss the issues (professional, legal or ethical) which influenced and informed the care that was delivered to your chosen client (see the proforma for more structured guidance). Some issues will overlap. You must incorporate the communication skills that were implemented during this episode of care.

The following guidelines are only here to provide you (the student) with some direction when compiling your assignment as follows: Patient-centred Care from a Nursing Perspective Essay

Introduction to set the scene and to introduce your chosen client or carer or significant other. Give a very brief introduction as to the care intervention that was implemented. You must be mindful of protecting your patients identity and anonymity must prevail
The main body of the assignment will include how you and the team you worked within considered the legal, professional or ethical issues that influenced the delivery of care.
Person centred care must be included within your work and you must demonstrate an understanding of what this is.
Legal issues for example may include areas such as Human rights Act…or Mental Capacity Act …or Deprivation of Liberty.
Professional issues that affect delivery of care for a nurse may include Nursing and Midwifery Code of Conduct.. Or policies and procedures.. Or professional conduct.. or professional guidelines from professional bodies (RCN)
Ethical issues may include consent, or data protection or confidentiality. Anti-discriminatory practice.
Communication strategies will need to be discussed when defining the episode of care and the significance of developing a therapeutic relationship will need to be discussed.
The conclusion will discuss the outcome of the care that was implemented.
Please be mindful that at this level four study the more analytical the student is then the higher the grade.
All academic work should be substantiated by reliable and valid references. Patient-centred Care from a Nursing Perspective Essay
Please refer to the recommended reading list for suitable references.
Recommended web sites that the student may find useful could be:

Nursing and Midwifery Council
Department of Health
Royal College of Nursing
The NHS Constitution
National Institute of Clinical Excellence (NICE)
This module will offer a Support Tutor system for tutorial support but the assignments will be marked anonymously by a member of the module team. The Support Tutor list will be available to the students. This means that students will be supported by a member of the team who will offer tutorial support as per University guidelines prior to their summative submission. The assignments will then be allocated by the modular team and marked anonymously. Patient-centred Care from a Nursing Perspective Essay

Order Description

• Introduction to set the scene and to introduce your chosen client or carer or significant other. Give a very brief introduction as to the care intervention that was implemented. You must be mindful of protecting your patients’ identity and anonymity must prevail
• The main body of the assignment will include how you and the team you worked within considered the legal, professional or ethical issues that influenced the delivery of care.
• Person centred care must be included within your work and you must demonstrate an understanding of what this is.
• Legal issues for example may include areas such as Human Rights Act…or Mental Capacity Act …or Deprivation of Liberty.
• Professional issues that affect delivery of care for a nurse may include Nursing and Midwifery Code of Conduct. Or policies and procedures. Or professional conduct. or professional guidelines from professional bodies (RCN)
• Ethical issues may include consent, or data protection or confidentiality. Anti-discriminatory practice.
• Communication strategies will need to be discussed when defining the episode of care and the significance of developing a therapeutic relationship will need to be discussed.
• The conclusion will discuss the outcome of the care that was implemented. Patient-centred Care from a Nursing Perspective Essay
• Please be mindful that at this level four study the more analytical the student is then the higher the grade.
• All academic work should be substantiated by reliable and valid references.
• Please refer to the recommended reading list for suitable references.
Recommended web sites that the student may find useful could be:
• Nursing and Midwifery Council
• Department of Health
• Royal College of Nursing
• The NHS Constitution
• National Institute of Clinical Excellence (NICE)
• 2000 words without reference list. Harvard reference style. Patient-centred Care from a Nursing Perspective Essay

Answer

This assignment will demonstrate the important of professional guidance and how some professional issues influence care for patients and their recovery journey (Dwamena et al, 2012). It will concentrate on consent, effective communication, dignity, and respect as reflected in placement. The assignment will explore the importance of caring at professional standard abide by the regulatory body, Nursing, and Midwifery council code of conduct (NMC,2015).NMC regulates the vision, values, and principles which underpin nursing practice in the United Kingdom.However, professional competence must be updated with current statutory changes, as a nurse dynamic and always changing as noted by Crawford et al (2006). Names and place mentioned in this assignment will be regarded as pseudonyms upholding Data protection Act(1998) and NMC(2015). Patient-centred Care from a Nursing Perspective Essay

National Institute for Health and Care Excellence (NICE) guidelines (2011) define person-centred care as an equal partnership between people services users, and service providers, respecting their culture, wishes, religion and family Person Centred Care. Importantly, they ensure that it must guarantee that individuals are always treated with compassion, dignity and respect that promote individuality and informed decision making.

The Francis report as indicated by the Department of Health (DH) (2013) stated that the culture of nursing responsibilities must be based on 6cs which includes, compassion, caring, communication, competence, commitment and courage to deliver the best quality care and good working relations. As a student nurse, professional communication will be applied as it is good practice and improves effective teamwork and decision making. The student nurse is aware that patients must be involved in decisions about their care and recovery as highlighted by the Department of Health (DH 2012a) which stated that no decision about a patient should be made without their consent or choice. It is more important that compassion to care is correlated with empathy, respect, and dignity as approved by (DH, 2012a. Is more important that compassion to care is correlated to empathy, respect, and dignity as espoused by (DH, 2012a) Patient-centred Care from a Nursing Perspective Essay

MR Tom is a 70-year-old man referred to the surgical ward at Christ Hospital by A&E as he needed a hip replacement after falling from a ladder.The two student nurses were assigned by their mentor to complete admission paperwork under supervised by staff nurse. Communication with Mr Tom commenced by observing the acronym S.O.L.ER as indicated by Egan, (2013). Egan, (2013) describes S.O.L.E as sit squarely facing the patient but not invading personal space, using open posture throughout the conversation showing that you are interested, nodding your head and slightly leaning toward the individual and showing interested to their care,making eye contact and being in a relaxing approach which assures the patient with excellent caring manner Person Centred Care. Maintaining eye contact is considered morally good in some European cultures as well as in nursing profession but it can be controversial in some cultures especially South Africa as it can be threatening or challenging to look in elderly people’s face when holding a conversation. It is morally acceptable and correct to look on the side of their face when holding a conversation in this culture. (SUPPORT WITH EVIDENT OF CULTURE AND CUMMUNICATION) However, Egan,(2013) argues that breaking eye contact conveys the message that an individual is disinterested and high levels of eye contact can be misinterpreted as starring and intimidating.furthermore, Egan (2013) acknowledges communication is not only verbal but also none verbal as some patients might be verbally impaired. Hargie, (2011) argue that none verbal communication can be considered debatable as the gestures and expression in the face do not match body language. Additionally, professional communication should consider paying attention to the rate of speech, the tone of voice and depth of speech as echoed by Egan (2013). Patient-centred Care from a Nursing Perspective Essay It could be argued that different accents can cause few issues of communication failures as individuals may fail to understand different aspects of accent as noted by Hargie, (2011) Person Centred Care. As a professional student nurse awareness of patronising during communication is always upheld as talking fast or too slow can present complicity in delivering information. Egan, (2013) echoes the notion that the caring environment should be clear of noise to enhance good communication skills as a result the environment was clear of noise

This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice. Patient-centred Care from a Nursing Perspective Essay

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Mrs Ford is a 70 year old lady who has been admitted following a stroke. She is accompanied by her husband. Mrs Ford is a fictional name used in this essay due to confidentiality (Nursing and Midwifery Council (NMC), 2010). A holistic approach to…show more content…
Evidence based care is objective and does not use practices that are based on tradition and/or habit (Jolley, 2010, p.47). The National Institute for Health and Care Excellence (NICE, 2005) encourages Risk Assessment scores (RAS) to be used in conjunction with the nurses clinical judgement not instead of it. Patient-centred Care from a Nursing Perspective Essay

Mrs Ford is vulnerable and will need restorative care. A vulnerable adult is defined as someone over the age of 18 who is not able to look after themselves or protect themselves from harm and might need help from care services (Lord Chancellors Department, 1997). Although DOH et al. (2009) state that there are people who want to change the term vulnerable adult to a person at risk. As stated by the Safeguarding Vulnerable Groups Act (2006), Mrs Ford is a vulnerable adult because she is elderly, needs assistance and has a new disability. She is anxious and knowing that the nurses are treating her individually and with compassion will make her feel safer. Although she is vulnerable and at risk there is nothing to indicate that Mrs Ford does not have capacity. Mental capacity is assumed unless proven otherwise and patients should be able to make their own decision even if it is an unwise one (Mental Capacity Act, 2005). Therefore Mrs Ford can make informed decisions and consent to all aspects of her care. With Mrs Ford ‘s consent, her family can be involved in her care and they may be able to assist with Patient-centred Care from a Nursing Perspective Essay

MoreNursing care has changed dramatically within the past two decades with many strides and improvements within nursing practice. An integral development within nursing care was the change of care delivery placing the patient at the centre of their own care, promoting both individualised care and self-empowerment. Although originally coined patient centred care, even this has evolved into what we now refer to as person centred care.

Person-centred care has been defined in numerous variations within both seminal and contemporary literature. Gerteis et al. (1993) is regarded within literature as providing the earliest definition of person centred care, this interpretation involves several dimensions which come together to form person centred care. The health foundation (2014) discuss that person-centred care has no singular definition due to the constant evolving nature of the area. As such the Health foundation offers a frame work consisting of four principles comprising of; showing people dignity, compassion and respect, offering co-ordinated and personalised care, support and treatment, and aiding people to recognise individual strengths to facilitate them to live independently. Patient-centred Care from a Nursing Perspective Essay

The case study will identify a number if strategies to apply supportive approaches using the principals and practices of providing person-centred care, reflected against a real client situation within an organisational perspective. The case study is considering the situation with reflection of the two questions chosen from the Person-centred Care Assessment Tool. In relation to one’s ability to engage and be supported in the facilitation and management of person-centred care directives, within the role of a leisure and health officer. Patient-centred Care from a Nursing Perspective Essay

For the case study one considered the overall working environment of the organisation, with a particular client situation to apply the case study arguments around. This client was experiencing a catastrophic reaction to an event. One applied an integrated person-centred approach which considered meeting their needs by listening to the issue, and working with the person, and their family, as well as care staff, Registered Nurses (RN’s) and the Director of Nursing (DON). In order to find a resolution and meet the client’s needs. As well as, adding to their care plan strategies to assist with future behavioural and psychological symptoms of dementia (BPSD). This particular situation fit perfectly within the two questions of; does the organisation prevent me from providing person-centred care, and do we have formal team meetings to discuss residents’ care. Patient-centred Care from a Nursing Perspective Essay

In thinking about whether one is enabled or encouraged to enact person-centred care in the workplace is a twofold response. In ones role of leisure and health officer, one of the parameters of agreed employment was that one would be able to work as a person-centred officer in the role. Patient-centred Care from a Nursing Perspective Essay