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Personal Centered Care Case Analysis: Advancement Of Science

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Personal Centered Care Case Analysis: Advancement Of Science

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Personal Centered Care Case Analysis: Advancement Of Science

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Question:
Describe about the Personal Centered Care Case Analysis for Advancement of Science.
 
Answer:

Introduction
Individual centered values are meant to influence every aspect of care. They act as guidelines for health practices and providing anti-discriminatory practices that assist to support and promote a person’s rights. This paper offers an in-depth analysis of individual-centered care. By using an example of a patient who needed care, the paper will explain the principles of individual-centered care, its importance, how it can be developed, and how it can be put into practice. Individual-centered care means that a patient is placed at the periphery of everything that the care worker and the care setting perform. The patient’s emotions and needs are given the first priority. This model of care further places the interactions between the individual and the different components within their area of support.
Analysis of Patient’s Case
On a respiratory theatre consisting of only female patients, a certain patient was admitted to this theatre having shortness of breath and chest pains. I will withhold her name [here] in order to conform to the patient’s confidentiality. Since the patient was registered deaf, she had a lot of difficult communicating verbally. Having a form of Aphasia, the complication extended to stuttering. One of the family members requested if the attendant nurses could note down all the procedures for the patient, this family member proceeded to use BSL (British Sign Language) to communicate well with the patient. BSL uses a variety of movements including facial expression, fingerspelling, and hand gestures. To help better, the tissue viability (TV) nurses sought that the best way was to undertake daily leg dressings for the patient’s ulcerated legs and her medication and daily care were organized. The patient was kept updated by the written notes. Unfortunately, the patient started refusing the care given to her though it was understood that it is the right of a mentally competent patient to refuse treatment.
After attempting various trials to change nurse attendants, the patient remained adamant. She could not even find any sleep all through the night. The nursing team had to follow and consult on the individual-centered care. As a nurse, I was also involved in consenting to give this patient the requisite treatment. At this particular time, the patient was still lying in her own urine and excreta. We sought that in case her leg was not attended to with immediacy, further complications were bound to happen. This implies that her leg could become gangrenous, a condition that would have required further operations. As nurse practitioners, our duty was to ensure that all healthcare professionals always seek to safeguard their patient, to respect them, and preserve their dignity as whole human beings (Bayne, Neukrug, Hays & Britton, 2013). 
As time elapsed, the patient was willing to allow her observations, urine analyses, and blood sugar levels to be done. The collected urine sample sent to a microbiologist to investigate the presence of any underlying infection that could cause the patient to behave strange. Any time the screening of samples was done, information was provided for the patient to enable her made her own conclusive decisions to allow her communicate well with the staff in case she wanted any further clarification. With reference to this scenario, I admitted to my fellow staff that this issue could never have been resolved without employing proper professional issues in nursing medical practice and carefully following and adhering to the ethical standards that guide the medical field. I cannot fail to emphasize effective communication skills as being central to the healing and restoration process of this special patient.
Nursing Problems that need be analyzed for the Patient’s Case
The first problem that nurse would encounter is workplace hazards coming from the patient. The patient has been brought to the hospital in a critical condition. As a nurse, some of the exposures I would be exposed to while attending to the patient include hand washing-related dermatitis, injuries, blood-borne pathogens, and cold and flu germs. Apart from acute injury, a nurse is also likely to suffer harm to his/her hands. The second issue associated with the patient is dealing with the anxiety from the patient, her family, and the hospital fraternity. This is because the condition of the patient at the time of admittance was not normal, and so a lot needs to be done. As a nurse, I will just employ my skills and knowledge to deal with the patient the best way possible. However, there are some things you can never prevent, and so dealing with the worries and anxieties from the family members regarding their beloved member was an troubling issue. The third problem involved explaining everything to the family and to the patient. In the theatre where the patient was to be operated, the family had to consent to the operation before proceeding with the activity. The family members were depressed about it, due to the fear that an unlikely outcome was bound to happen to their patient. Assuring them that all will be well was difficult since that assurance could turn out to be negative. Therefore, the pressure that had mounted in the hospital concerning this patient was immense, and remembering the kind of negativity, the patient had earlier exhibited towards the medical team.
 
Goals for Priority of Nursing Care in relation to the Problems Identified
As a nurse, one of the goals I will strive to achieve is to ensure that there is good flow of information and that communication between the medical team and the family and family is established. Communication would prevent many misunderstandings from arising and ensure that that everyone in the hospital is calm as they await the results of the operations and treatment to the patient (Leutz, Bishop & Dodson, 2010). The second goal is to involve the patient and her family in the care. Involvement of their presence would keep their par with their beloved patient. I will do this by asking for their opinion regarding the best course of action they want for their patient. Another goal for my team and me is to ensure that the patient is given continuous care up the end. The principle of customizing care is enshrined in knowing that each patient is different and has different needs and preferences (Levett-Jones, 2013). This goal should be accompanied with the task of ensuring that the environment is comfortable to the individual patient. Finally, the safety of the patient will be given the first priority. What my team does is to ensure that they try as much as possible to relieve the pain of the patient.
Nursing Care Strategies
The first strategy is to ensure that there is proper assessment and all-round diagnosis of the patient to ensure the exact cause of the problem. Secondly, there is need to determine outcomes identification by establishing the likely outcome after doing all everything possible to bring healing and treatment to the patient. Another strategy would entail coordination of care whereby the patient would not just be cared by one person but needs to be attended to but various caregivers to ensure quality of care. The final strategy would include having a direct consultation in every phase of care and treatment to avoid making mistakes (Bayne, Neukrug, Hays & Britton, 2013).
How I Applied Proper Nursing Care to the Patient
As a means of properly planning nursing care to this patient, I first sought to assess all the needs of the patient. Such needs cover physical part, psychological part, and the lifestyle as well (a process called holistic assessment). Every aspect of the patient’s lifestyle, gender, relationships, age, and their feelings had to be analyzed. While doing my assessment to this patient, I was advised by my superior to use my senses and feeling rather than my skills and knowledge. According to Cacchione, Eible, Gill & Huege (2016), “Individual-centered care is a significant way of making the patient feel involved in their own personal care.” If the patient can exercise control over their own mind and body, only then will they have a comprehensive understanding of what is happening around them (Dimond, 2002). Individual-centered care is designed to ensure that the patient, their family, and staff get involved in the planning process, care, and finally discharge. I had learnt of the skill of compassion, which in this case I determined to use it to handle a patient who has entered an unfamiliar territory.
Another personal-centered care practice we did was to welcome the family to come in and discuss the welfare of their patient. As written by Price (2006), this practice is important since it enables the medics team to work in line with the patient’s history as provided by the family members. I had to ask them to give me some of the best suggestions I could use to ease the pain of the patient, and trigger a chain of comfort to her while in the process of treatment. This further bespeaks of the essence of having solid understanding and profound mercy; these two enable you to counter very bad reactive behaviors with calmness. Together with my fellow nurses, I communicated with a friend of the patient and urged her to reason for the entire family to allow the staff to handle the patient, especially after the family had cooperated and gave us rich information concerning the patient. What is often witnessed is that sometimes the family gets overwhelmed and anxious when they see their beloved one is not recuperating as expected, and may easily underestimated the nurse care (Howarth, Warne & Haigh, 2014).
Conclusion
While the patient was being cared for, all the procedures and policies that were in place at the hospital were strictly followed. The patient was allowed to undergo per-operation with a high standard of care and all the necessary alternatives to enable her communicate freely. At a later stage, the patient was to be discharged from the hospital and then transferred to her home. From nursing outlook, I can assert that it was evident that a good quality of individual-centered care was executed and given to this patient.
 
References
American Association for the Advancement of Science. (January 01, 2012). Patient  reported outcomes and pearson [i.e. person] centered care in mental health: Washington D.C., the American Association for the Advancement of Science September 28-30, 2012. Journal of Mental Health Policy and Economics, 15, 2012.
Bayne, H., Neukrug, E., Hays, D., & Britton, B. (January 01, 2013). A comprehensive  model for optimizing empathy in person-centered care. Patient Education and       Counseling, 93, 2, 209-15.
Cacchione, P. Z., Eible, L., Gill, L. R. L., & Huege, S. F. (January 01, 2016). Person-        Centered Care. Journal of Gerontological Nursing, 42, 5, 11-18.
Dimond, B. (2002). Legal aspects of patient confidentiality. London: Allen Publishing.
Howarth, M., Warne, T., & Haigh, C. (January 01, 2014). Pain from the inside: understanding the theoretical underpinning of person-centered care delivered by pain teams. Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses, 15, 1, 340-8.
Leutz, W., Bishop, C. E., & Dodson, L. (January 01, 2010). Role for a labor-management partnership in nursing home person-centered care. The         Gerontologist, 50,3, 340-51.
Levett-Jones, T. (2013). Clinical reasoning: Learning to think like a nurse. Frenchs            Forest, N.S.W: Pearson Australia.
Price, B. (2006) Exploring person-centred care, Nursing Standard, 20 (50), pp.49-56.

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