• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

The aim of this essay is identify the factors which may help or not on person centred care in relation to a chosen incident. .

Extracts from this document...

Introduction

THE INCIDENT The aim of this essay is identify the factors which may help or not on person centred care in relation to a chosen incident. . The incident that I chose was described by an article of Nursing Standard Journal and has been written by a nurse called Jane. She describes a situation which happened with her friend, Dottie who is old and frail. Dottie has been discharged from hospital and her family was surprised that she was offered with very little support and asked Jane what they should expect as support in that situation; and Jane was stunned how they could let an old patient in very fragile state to be discharge from the hospital without a proper discharge assessment. Jane says that in accord with ward documentation Dottie was pain-free, self caring and lived with the family, but in reality, she was in pain, barely mobile and lives in her own. She had refused analgesia on the ward because she had nauseas and she was so weak when arrived at home that she couldn't get a drink to herself, and has been rescued by a neighbour, who informed the family. Also, Jane describes Dottie as 'deaf as a post', and she believes that Dottie had not heard the discharge assessment questions, just answered yes or no to them; and the staff in the ward didn't give enough attention to the fact that Dottie was very debilitated, frightened and in pain. ...read more.

Middle

This is what happened with Dottie: the nurse who did her discharge assessment was focused on the task rather to the patient, even if she didn't intend to do it. The nurse was focused on making the system work and not on the patient needs as the assessment process needs to be placed in the context of government policy and organizational priorities, like the need of empty beds. Elderly people are the largest category of patients in the NHS and have become an important priority group. Old age brings many symptoms, such deafness, arthritis, and confusion, and mental confusion can be increased by the intervention of health professional staff (Levitt, Wall and Appleby, 1999) while they are in hospital and problems often arise after discharge because he professionals involved in their care don't take account of their home situation. The NHS Plan (DH, 2000) aims to shape its services around the needs and preferences of individual patients, their families and their carers, offering a fast and convenient care delivered to a standard, with services available when people require them and tailored to their individual needs as patients are the most important people in the health service. It aims to shape the care around the convenience and concerns of patients, giving patients new rights and new roles within the health service. The Standard 2 of National Framework for Older People - NSF (DH, 2001) ensure that older people are treated as individuals and they receive appropriate and timely packages of care which meet their needs as individuals, with NHS and social care services treating older people as individuals and enable them to make choices about their own care. ...read more.

Conclusion

points that could mislead her care, as they have past important points in her care such as not realize how debilitated she was. CONCLUSION Dottie was past care in many ways. The health care professionals, whose look after her, have been person centred care. She hasn't had the right of choices of her care, and she hasn't had a suitable assessment done. Her needs haven't been correctly identified, and nurses weren't aware of her emotional and psychological states. The nurses were tasked orientated, missing points about Dottie such as the fact that she is deaf, and it not clear if Dottie didn't heard the questions of the discharge assessment or if she answered whatever she want because she wanted to go home as she was frightened to be in hospital. The Dottie's assessment wasn't contextualised along with her needs, wants and aspirations as she couldn't exercise her freedom of choice, express her opinions, engage in decision-making, communicate, and be heard. The care delivered to Dottie wasn't tailored around her needs and they weren't the base for decision making. The other health professionals involved in her care also haven't been centred care. Lack of communication between them was present in the interprofessional relationship, however the article doesn't make any comment about other professionals involved in Dottie's care, but it can be presumed by the fact that she was discharged from hospital in a very debilitated state, and discharge process involves other professional other than nurses. Nurses and all other health professionals need to be more focused on their patients rather than fill paper only. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. health needs assessment

    General health Within the ward there are 1693 people who report themselves to be in not so good health (15.09%), within England this figure is 9.06% a difference of 6.03% almost a third higher. The percentage of those with limiting long tern illnesses is 29.01%, 11.08% higher than in national average.

  2. Law and Ethics in Nursing. The aim of this assignment is to reflect ...

    Reid (1993) states 'Reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Whilst Boyd and Fayles (1983) states: 'Reflection encourages a deeper approach to learning. Reflective learning is the process of internally examining and exploring an issue

  1. Reflective account on practice-communication

    We need to work collaboratively to provide maximum care delivery. Betty felt more relaxed, valued and safe, after we identified and resolved her concerns. Older people generally have more barriers to communicating effectively. These barriers are worth investigating, as the acquisition of a little understanding and basic skills is a simple and rewarding exercise.

  2. The aim of this essay is to critically evaluate the bio-psycho-social perspectives and influences ...

    Rana and Upton, (2009), suggest the biopsychosocial approach allows a better understanding of the determinants of disease. Sarafino and Smith, (2010), believe the influences illness has on; behaviours, feelings and emotions play a major role in the aetiology and advance of health problems, such as cancer and chronic illnesses.

  1. The purpose of this assignment is to look at psychosocial factors which have influenced ...

    Banyard (2002). George has a chronic disease and although can be improved, will always be a diabetic. Knowing this information George may feel there is no need to change his habits as the condition will never be cured. He also suffers with leg ulcers and knows that his diabetes could be the cause of them.

  2. My chosen skill is to assist the patients to feed and drink. I ...

    Applying the Roper model will enable the nurse to make an individual assessment for the patient using a Holistic approach to health by taking into account the individual physical, emotional, social spiritual well-being and also should identify abilities, beliefs and preferences of the patient ( Holland et all, 2003).

  1. The aim of this essay is to look at how infection control and the ...

    During orthopaedic operation, double gloving is recommended as any perforations will be highlighted and sterility will not be compromised. Surgical instrument and sterile equipment are prepared in the preparation room just before use, thus minimising the risk of contamination from airborne microbes.

  2. Pain Assessment. The implementation and rationale for using pain assessment tools is focused ...

    Accurate pain assessment is problematic due to the subjective nature of the experience and all its complexities (Thomas, 1997). Pain is a personal, subjective experience that comprises sensory-discriminative, motivational-affective and cognitive-evaluative dimensions. Approaches to the measurement and assessment of pain include verbal and numerical self-rating scales, visual analogue scales, behavioural observational scales, along with psychological responses (Wall & Melzach, 2006).

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work