Person Centred Care Essay

Duscuss the impact of the ACA and the IMPACT act on long term care arcross the continuum of care.

To adhere with the Nursing and Midwifery Council, Code of Conduct (NMC, 2008) all patient details have been changed, to protect their identity from being revealed.

There are four main approaches to person centred practice, “Pathway” planning, “Maps” planning, “Person centred portfolios” (otherwise known as “Essential Lifestyle Planning”) and “Personal Future Planning.” Discussion will prove that “ each shares characteristics that explicitly emphasise the personal empowerment of service users, in which the principal direction for support generates from those for whom planning is being carried out.”(Langley, 2001) However the use different formats means that each approach focuses on different aspects and my comparison will note strengths and weaknesses, and how they are designed for implementation in different scenarios of person centred practice and planning.

As part of assessment of the older adult and other population’s module, I have been asked to write a piece on a person centred care model. As the name implies person centred care is delivering individualised care which meets the needs of that particular person, be they religious, emotional, physiological needs etc. As a person they are entitled to respect, dignity, compassion and autonomy, which are central to the concept of person centred care. ”The rights of individuals as persons is the driving force behind person centred healthcare” (McCormack, 2003). In 1991, the UN made explicit the Principles for Older Persons; these include independence, participation, care, self-fulfilment and dignity. These principles are closely

The art of human caring is one of the most essential parts of the nursing profession. Caring is not something that you learn to do, but something that is within you. In nursing, it is important to know what kind of nurse you want to be as well as the care you intend to provide to your patients. The patient is the center of nursing, and it is your responsibility to make sure they are receiving the best care that they can receive. One of the most important things is to be able to set aside personal beliefs and morals in order to provide patient centered care. The way that you approach and care for a patient is either going to make or break the effect of the care you will be implementing to the patient.

For the purpose of this assignment the patient will be given the pseudonym Susan to protect her privacy and confidentiality in line with the guidelines set out by the Nursing and Midwifery Council (NMC) (2015).

When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into

An in-depth study on the importance of relationship centred care and how health care professionals promote it. Other topics covered will be the patients story, and how effective communication improves the level of care they receive. I will also be discussing how nurses uphold their professional standards in order with the NHS constitution and how compassionate care is the heart of the NHS.

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.

Drug and Alcohol Treatment in America has been based on the Medical Model of Treatment. According to Wikipedia, the medical model of addiction is rooted in the philosophy that addiction is a disease and has biological, neurological, genetic, and environmental sources of origin. Treatment includes potential detox with a 28 day or more stay at a residential treatment facility. The continuum of care can include an additional 28 days at the partial hospitalization level, followed by another 6 weeks of Intensive Outpatient.

Nursing is an all encompassing profession in which practitioners are not only proficient in technical medical functionality, they also have the obligation to remain compassionate and respectful of patients and as such are expected to adhere to pre established codes of ethics. Of these ethics, autonomy is of extreme importance as it offers patients a sense of personal authority during a time where they may feel as if their lives, or at the very least their health, is no longer under their control. Autonomy in the context of nursing allocates the patient and often their family with the final word on the course of treatment. The concept of patient autonomy is a highly variable subject in all fields of health care. It is a universal concept that varies widely in its meaning and interpretation. Autonomy in its simplest form can be defined as a state of independence or self governing (Atkins, 2006). Patient autonomy can also be defined as the ability to make once own decisions, based on one’s sound judgment. It is defined by the American Nurses Association (ANA, 2011) as the "agreement to respect another 's right to self determine a course of action; support of independent decision making." This seemingly straight forward ethical concept is rife with difficulties when one considers potential disagreements that may arise even when informed consent is provided, particularly among children or vulnerable people. Relevant research and

As healthcare professionals, nurses are governed by and must have understanding of ethical, legal and professional frameworks which underpin practice (Gallagher and Hodge, 2012). They follow these frameworks to help direct themselves in making decisions in collaboration with service users to ensure person centred care is delivered.

For the purpose of this assignment, and in accordance with the Nursing and Midwifery Board of Ireland, Code of Professional Conduct and Ethics (2014) and the Data Protection Act 1988, no leading information regarding the hospital, ward or patient’s address will be discussed, and the pseudonym John Kelly will maintain patient confidentiality.

The value placed on the autonomy, well-being, and social justice for all participants in health care interventions is biased towards the patient and family, sometimes to the detriment of health care providers who are obliged by professional ethical commitments to continue to provide care. The principles guiding ethical healthcare practices were birthed from a genuine need to protect people against harmful medical interventions and experimentation (the Belmont Report, 1978). The autonomy and authority of the patient or her substitute decision maker (SDM) is currently valued above other guiding principles central to nursing and biomedical ethics, namely beneficence, non-maleficence, and justice (Beauchamps & Childress, 2013; Canadian Nurses’ Association, 2008). The primacy of autonomy and patient or SDM choice is also reflected in recent legal precedents in Ontario (Cooper, Chidwick, & Sibbald, 2011). Whether such decisions are in fact an exercise in autonomy is debatable. The end result is an imbalanced provision of care, and subsequent moral distress for health care providers. Nurses are particularly vulnerable to the ill effects of participating in care they see as unethical for a number of reasons, including perceived futility of outcome, prolonged patient suffering, or the untoward results of decisions made based on unsound or

Autonomy discusses the right of the patient to make his or her own decisions for their health care. This value is one of the most controversial topics in my opinion because it sheds light on the power struggle that is present between providing necessary care to a patient and respecting the patient’s wishes. Occasionally, traditional healthcare treatments can conflict with the patient’s interests and/or values. Advocating for the patient in situations where their values could otherwise be compromised is crucial in providing