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patient centered care

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Drawing on one of the following: 1. Your experience from placement, 2. Your personal experience of health or social care, 3. The British media, Describe the factors that help or hinder person-centred care and interprofessional collaboration. Word count 2,950 The following assignment will reflect on an experience from practice settings. It will consider and discuss the incident, which took place while on practice placement. The issues discussed will focus on defining who is a person and what it is person centred care. It will consider the responsibilities and roles of health professionals and how they meet the needs of the patient and how they deliver person centred care. The importance of communication in person centred care will be considered. Within this assignment the anonymity and confidentiality will be maintained. The Nursing and Midwifery Council (2004) Code of professional Conduct stated that confidential information obtained in the course of professional practice should not be disclosed without the consent of the patient or someone authorised to act on the patient's behalf. The patient was 77-year-old lady, Mrs. M. She was admitted to the ward with weight and appetite loss and she complained about severe headaches. After some investigations the diagnosis was made that the patient had got a brain tumour. Before the admission she was still active both physically and mentally. The patient had very supportive family, which visited her almost every day. It was an unsuspected diagnosis for all of them. She was referred to other hospital for radiology treatment and she went there several times. I was assisting the patient with personal hygiene that day and as we were talking, she asked me when her next radiology appointment was due and I said tomorrow, as it was given to me during handover in the morning. ...read more.


It would be very difficult to deliver person centred care without creating an environment, which will value the equality, autonomy and fairness to improve patient's care. Without the culture of health professionals recognizing the importance of older people to privacy and dignity it would be impossible to create patient centred care. The National Service Framework for Older People (NSF 2001) in standard two person centred care , states that this standard should ensure that older people are treated as individuals and that they recive the appropriate care which meet their needs as individuals,regardles of their status.NSF (2001) also introduced the single assesment process (SAP) which stated that older people's care needs are assessed accurately and that the agencies involved in patients care will do thier own assessment.Concept of caring in nursing can not exist without adequate communication.Caring in nursing involves getting to know the person,informing the patient , sometimes translating the information ,teaching the patient and being there for the patient when they need us, all this is an integral part of person centred care. The role of the nurse in person centred care is mainly to be there for the patient offering support, maintaining autonomy in making decisions and advocacy. Instead of the health professional 'doing things' to/for the patients there is emphasis on patient involvement in their own care. In other words the perception of patient changes from being passive and almost objective to an active partnership where the patient is involved in the progress and changes in their own situation. The nurse-patient relationship can be described as the heart of patient centred care. It means for the nurse avoiding categorization of the patient (for example appendix in bed six) ...read more.


It is very important to remember about patient and health professional relationship in person centred care as it is an important aspect of quality of care. An important part of person centred care is communication between health professionals and patients. Communication between the multidisciplinary team and patient should takes place in a manner that respects the patient as an individual. The care, which is provided, should always promote privacy and dignity. Autonomy and respect of the patient as individual's means to allow them to make their own decisions and act without any interference of health professionals. As no two people are exactly the same, so their nursing care will never be identical if is based on patient centred care. Reference list Binnie, A. and Titchen, A. (1999)"Freedom to practise-the development of patient centred nursing" Oxford: Butterworth-Heinemann. British Medical Journal (2003) "The role of risk communication in shared decision making" BMJ 327:692-3 available from http://gateway.uk.ovid.com/bmj ( accessed 15/11/05). Collis, S. (2006) "The importance of truth-telling in health care". Nursing standard 20, 17, 41-45. Department of Health (2001) "Essence of care". London: DoH available from http://doh.gov.uk/essenceofcare.htm.[accessed 14/11/05]. Department of health (2001) "National service framework for older people". London: DoH available from http://doh.gov.uk/nsf/olderpeople.htm.[accessed 14/12/05]. Hall, P. (2005) "Interprofessional teamwork: Professional cultures as barriers". Available from http://Journal of Interprofessional care 1,188-196[accessed 15/11/05]. Hinchiff,S. and Norman,S.(2003) "Nursing practise and health care 4th edition". London: Arnold. Hogston,R. and Simpson,P. (2002) "Foundations of nursing practise- making the difference" Basingstoke: Palgrave Macmillan. Human Right Act (1998) available from http://www.opsi.gov.uk/acts1998 [accessed 18/12/05]. Martin, E. (2003) "Dictionary of nursing" New York: Oxford University Press. Nursing Midwifery Council (2004) "The NMC code of professional conduct: standards for conduct, performance and ethics" London: NMC. Ogden, J. (2004) "Health Psychology" Maidenhead: Open University Press. Webster, J.(2004) " Person centred assessment with older people" available from http://nursing older people vol 16,3,22-26.[accessed 12/11/05]. ?? ?? ?? ?? ...read more.

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