11 Pages
2689 Words
Person Centred Care And Integrated Assignment
Introduction
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This essay deals with an approach that is based on thinking and actions regarding social and health services such as family planning, developing and focusing on the factors that their practices are enough to meet their objectives as well as aims. In a few words, according to the case study, Amaya is a 45-year-old woman suffering from mixed dementia and doesn't have enough ability to communicate properly. Moreover, the patient can pronounce a single word is “rain”, and that’s what she needs, an effective healthcare practitioner, in order to provide a better healthcare service and also increase her response to getting specific music. Due to her lack of self-confidence, she has a fear that people will discriminate against her, and due to this fear and lack of self-confidence, she became frustrated as well as aggressive. This study is based on case study 3 and also consists of several health care supporting theories and legislation by considering social prescribing, better conversation and health coaching. Amaya increases her response to special music, and the health workers are unable to create this kind of environment.
Case study on personal-centred care in Dementia
Individual-focused care isn't just about focusing on individuals about what they need. Everything without a doubt revolves around considering individuals ' cravings, social conditions, values, family conditions, as well as way of life. It is likewise vital to comprehend a singular's methodology and attempt to consider what is happening from their side as well as to regard their sentiments and feelings. Those can be effectively reflected by offering choices to patients and advancing great medical services rehearses. Personal centred care is not only about performing these activities but also about thinking about the care and relationships professionals are providing. In the past, people were more likely to fit themselves within a specific routine and healthcare as well and social services. To be person-centred to meet people's requirements and also seek to get proper and flexible plans to improve their personality (Reddy et.al. 2020). This process will help the people to fulfil their family's needs as well as requirements in order to ensure their care.
According to the case study, Amaya, a 45-year-old woman, was diagnosed with mixed dementia by Peckham. She is unable to understand others’ activities, which prevents her from getting engaged with others. It is observed that she gives a response to a particular music, and due to this, the health workers didn’t provide this environment due to hospital policies. Moreover, the health workers didn’t have her case history and in-depth information, which is also a challenging matter for the doctors as well as health workers to provide her proper treatment instantly.
This approach can be put between two people, and where the unique individuals are bound to partake in the decision making of their families by keeping up with wellbeing and care. Because of the absence of organisations and their families assume a significant part in customary practices. In general, there are three types of support they get from their seniors as they are unable to meet consumer's needs, social prescribing (referred to appendix 2)can be discussed as to when professionals are more likely to refer people as well as patients to support the community and to improve their health and wellbeing (Deng, 2021). Next is good communication. It is the approach to establish communication with other employees. In general, people are now more likely to share their data, information for their study purposes. The last factor for this case study is health coaching is the application of skilful conversation, safely engaging the clients and encouraging the patients for behavioural change. This service is delivered through several corporate wellness programs.
The three factors are chosen based on strategic information as well as the provided case study of Amaya, who is suffering from mixed dementia of social prescribing, good communication and health coaching are discussed. The justification of the three factors can be reflected as the patient has a fear of being prescribed in front of public figures due to discrimination and criticism, which leads to her frustration. From the aspect of social prescribing is the approach to prepare to face any kind of discrimination and judgmental mentality. Therefore, social prescribing will be the major approach to be presentable in front of other people. The next factors are health coaching and good communication in order to prepare a strategic framework to establish proper communication with the patient, Amaya. It is more to be found that health coaching is a self-esteem approach to leading a healthy life. As the patient Amaya is dealing with mixed dementia, she needs to boost her self-esteem to boost the recovery approach throughout her treatment process.
According to the provided case study, the patient is unable to communicate with others due to her mixed dementia, and needs a special car, which can be considered person-centred care with the factors of social prescribing and health coaching. Dementia is a critical disorder in which individual are unable to control their emotion, their ability to think and remember information (Darbre, 2021). It has also been observed that they lose control of their emotions, which leads to a change of personality. As the patient can only use only single "rain" as well as unable to communicate with others, as well as having a fear of socialisation due to discrimination and criticism, needs social prescribing through person-centred care. Although she is also frustrated and anxious due to her disorder. In this regard, she needs health coaching and motivational interviewing to bring her out.
According to the case study, Amaya also feels frustrated and disappointed due to her disorder, therefore, she needs proper person-centred care along with health coaching sessions to motivate her as well as to help her out from her frustration (Farahani et.al. 2021). In order to enhance the activity of person-centred care as well as legislation, there are several policies, such as the Health and Social Care Act of 2012, to promote the healthcare engagement of each patient by implementing clinical commissions. The Care Act of 2014 influences local authorities to invite adults to their care and support planning as well as review. Both these legislative acts will help the patient to bring out her depression, frustration, as well as to get person-centred care from professionals. As for its strength, one government or an organisation can improve their healthcare system as well as improve the framework of person-centred care \ to effectively manage the patients. There isn't an effective weakness, but recruiting adults can be expensive and requires more budget for their management. Due to some barriers, the systematic framework. The barriers are staffing constraints, which reduce the staff engagement both in clinical and non-clinical services (Harrison, 2020). It is observed that there are many unable to fulfil the requirement due to implementation delay, along with staff leave.
The next barrier occurs due to the excessive workload of staff and a lack of professional guidance in order to manage time. Some managers also outlined the inefficiency of management as well as the continuation of person-centred care due to heavy work pressure. In order to get positive outcomes, organisations have to recruit more human resources to distribute working pressure accordingly.
Diagnoses
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Patient outcomes
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NIC-based intervention
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Rationale
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· The patient was diagnosed with mixed dementia,
· unable to communicate with others
· Has a great fear of being discriminated against, and is also frustrated by her disease.
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· The patient can only use the word “rain”
· Did not like to be socialised
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· Respiratory monitoring
· Under pulse rate monitoring to get results on the mental as well as physical condition of Amaya
· Auscultate breath sound
· Monitor dyspepsia
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· The role PT is to prescribe activity
· Recovering clients need to use progressive devices to monitor their progress.
· Allows observation of abnormal activities
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Table: Care plan
(Self-developed)
As per the care plan, the patient needs an effective as well as professional health worker as the patient is unable to communicate with others. Moreover, due to dementia, she is unable to interact with other people due to a lack of self-confidence. In addition, according to the case study, the patient's response to special music, which reflects her remaining sense, is working partially. Regular medications and exercise practices will help her to recover from this condition.
Moreover, there are some challenges as well as potential limitations introduced in the case study, such as, due to mixed dementia of the patient, she is unable to communicate with others appropriately, and there are no efficient healthcare workers, therefore, the lady cannot get proper medication support according to her needs. These are the great challenging factors noted in the case study. More specifically, the health workers are unable to communicate with Amaya in an effective way. They do not have an in-depth understanding of Amaya’s dementia, and no knowledge about her interests, history or likes and dislikes.
HBM or health belief model (referred to in Appendix 1)is a strategic tool used to identify as well as predict health behaviours. This model is based on a person's enthusiasm in order to change their health. According to this model, an individual's regular activities affect their health on a regular basis, in order to determine their health regarding activities (Commonwealthfund.org, 2022). Some influencing components are there which can be considered a strategic approach of HBF or the health belief model. The factors are perceived severity, susceptibility, perceived barrier and benefits, cues to action and self-efficacy. Perceived severity can be described as the probability of a person that influenced to adopt the changes to lead a healthy life. The severity of the illness can hurt health. Moreover, there are several studies evaluating the factors of perceived risk factors that have the least energetic activities, as well as effects that can disturb the engagement of good health care practices. Perceived susceptibility is to identify the people who are not willing to adopt the changes of good health practice until they start to feel that they are already affected due to their unhealthy activities (Field et. al. 2021). Perceived susceptibility is an important parameter to identify the illness and the way to prevention. Next is to perceive benefits and to identify the benefits of changing health behaviour. More specifically, it remains too tough to influence someone to change their unhealthy practices (Health.gov.au, 2022). People didn't like to give up something which they were enjoying a lot. Perceive benefits is to link the factors with the benefits. It also includes other factors such as regular exercise and intake of a healthy diet. It is to inform the people who are practising an unhealthy lifestyle, as well as inform them about the benefits of healthy diet practices. A perceived barrier is to conclude the challenges of people who dare to change their lifestyle to a healthy lifestyle will be too hard for them.
It is also necessary to observe the factors that prevent them from adopting a healthy lifestyle. It is not all about the physical conditions of an individual, it is also about the social influence, such as in the MNC office employees are taking alcohol every weekend, then an individual employee is unable to resist alcohol intake (Shirley, 2020). In addition, during the promotion of self-healthcare practices such as vaccination and STD prevention, to help people overcome their adoption barriers. Disease prevention camps and programs can increase the acceptability of good healthcare practices among the people. Cues of action are another critical approach to health. In general, this approach helps to draw a strategic frame for people's practices. It recognises the factors that prevent an individual from adopting the changes. These factors consist of two elements, which can be considered as self-efficacy and cues to action (Spiess, 2020). Cues to action are considered as extreme events of practices that promote health changes in an individual. It is related to anything regarding health, such as blood pressure, blood glucose level. As per the current scenario of Australia, more focus is on serving its citizens in order to ensure the quality of the healthy life they lead. The Government of Australia maintains all guidelines as well as promotes HBM in order to conduct health care camps and programs.
One important aspect of HBM can be applied in any situation, as it is based on the design to help people in every situation, to guide people regarding their health issues, as well as unhealthy practices. Therefore, a proper understanding of the application of this model will help healthcare employees to get better results for their person-centred care practices across their working life (Sangkala and Gerdtz, 2018). In addition, this model is also used in public healthcare camps and programs in order to help people, children understand their challenges, regarding their health issues, physical activities, diet intake, with personal safety.
Conclusion
The essay is based on the provided case study 3, which describes a 45-year-old woman named Amaya, a 45-year-old women dealing with mixed dementia. Due to this disorder, she is unable to communicate with others properly. She usually used a single word, “rain”. It is also mentioned in the case study that she increased her response rate to a particular music. In order to recover, the patient's condition requires effective and experienced doctors and health workers who can communicate with her and understand her problems. It was also noted that she becomes so frustrated due to her disorders and her fear regarding discrimination; she didn’t get the confidence to communicate with others. The barriers are staffing constraints, which reduce the staff engagement both in clinical and non-clinical services. It is observed that there are many unable to fulfil the requirement due to implementation delay, along with staff leave. The next HBM model is discussed as a strategic tool used to identify as well as predict health behaviours. This model is based on a person's enthusiasm in order to change their health. According to this model, an individual's regular activities affect their health, in order to determine their health regarding activities. Also, there are suitable evidence-based examples of the HBM model and its importance in the healthcare system. Challenges, as well as potential limitations, are discussed along with the way of mitigations.
References
Book
Shirley, D. (2020). Project management for healthcare. CRC Press.
Darbre, P.D. ed., 2021. Endocrine disruption and human health. academic press.
Journals
Sangkala, M. S., and Gerdtz, M. F. (2018). Disaster preparedness and learning needs among community health nurse coordinators in South Sulawesi Indonesia. Australasian emergency care, 21(1), 23-30
Spiess, J. A. (2020). Community Health Nurse Educators and Disaster Nursing Education (Doctoral dissertation, University of Missouri-Saint Louis).
Suprapto, T. C. M., & Lalla, N. S. N. (2021). Nurse competence in implementing public health care. International Journal of Public Health, 10(2), 428-432.
Reddy, S., Allan, S., Coghlan, S. and Cooper, P., 2020. A governance model for the application of AI in health care. Journal of the American Medical Informatics Association, 27(3), pp.491-497.
Kuguyo, O., Kengne, A.P. and Dandara, C., 2020. Singapore COVID-19 pandemic response as a successful model framework for low-resource health care settings in Africa?. Omics: a journal of integrative biology, 24(8), pp.470-478.
Jockusch, J., Hopfenmüller, W. and Nitschke, I., 2021. Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?. Journal of Oral Rehabilitation, 48(10), pp.1160-1172.
Field, B., Coates, E. and Mountain, G., 2021. What influences uptake of psychosocial interventions by people living with early dementia? A qualitative study. Dementia, 20(8), pp.2668-2688.
Harrison, D., 2020. Mixing realities for heritage and health: L'inframince between the real and the virtual.
Deng, M., 2021. The Temporality and Politics of Language Lost and Found. Cinema, Dementia and the Entangled Histories of Singapore. The Politics of Dementia: Forgetting and Remembering the Violent Past in Literature, Film and Graphic Narratives, 32, p.189.
Farahani, B., Firouzi, F. and Chakrabarty, K., 2020. Healthcare iot. In Intelligent internet of things (pp. 515-545). Springer, Cham.
Websites
Health.gov.au, 2022. The Australian health system. Available at: https://www.health.gov.au/about-us/the-australian-health-system [Accessed on 25th March]
Commonwealthfund.org, 2022. The common wealth fund. Available at: https://www.commonwealthfund.org/international-health-policy-center/countries/australia.
Appendices
Appendix 1
![Appendices]()
(Source: https://www.researchgate.net/figure/Health-Belief-Model-framework_fig1_320239930)
Appendix 2:
![Appendices]()
(Source: https://www.faithaction.net/blog/2019/03/07/social-prescribing-whats-it-all-about-and-how-do-we-get-involved/)