Person Centred Care And Integrated Assignment
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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 years old woman suffering from mixed dementia and hasn't enough ability to communicate properly. Moreover the patient, can pronounce a single word is “rain”, and that’s she needs an effective healthcare practitioner in order to provide a better healthcare service and also increase her response on getting a specific music. Due to her lack of self confidence, she has fear that people will discriminate against her, and due to this fear and 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 increase her response to a special music and the health workers unable to create this kind of environment.
Case study on personal centered care in Dementia
Individual focused care isn't just to focus 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 sides to be 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 to perform these activities but also to think about care and relationships professionals are serving. In the past, people were more likely to fit themselves within a specific routine and healthcare as well as social services. In order 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 years woman, diagnoses with mixed dementia, from Peckham. She unable to understand other’s activities, which preventing her to get engage with others. It is observed that, she give response in 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 challenging matter for the doctors as well as health workers in order 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 organizations and their families assume a significant part in customary exercises. 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 in order 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 information data, information for their study purpose. 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 on the basis of 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 three factors can be reflected as, the patient has a fear to prescribe themselves 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 judgemental 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-esteemed approach to lead a healthy life. As the patient Amaya dealing with mixed dementia, it needs to be self-esteem to boost up the recovery approach throughout her treatment process.
According to the provided case study, the patient unable to communicate with other due to her mixed dementia, need special care which can be considered as person centered care with the factors of social prescribing and health coaching. Dementia is a critical disorder in which individual unable control their emotion, ability to think and remembering 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 she has a fear of socialisation due to discrimination and criticising, need 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 in order to bring her out.
According to the case study, Amaya also feeling frustrated and disappointment 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. Care act of 2014 influences local authorities to invite adults for their care and support planning as well as review. Both these legislation 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 \in order to effectively manage the patients. There isn't an effective weakness but recruiting adults can be expensive and need more budgets 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 so 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 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.
NIC based intervention
· The patient diagnose with mixed dementia,
· unable to communicate with other
· Have a great fear to be discriminate, and also frustrated for her disease.
· The patient can only use the word “rain”
· Did not like to be socialized
· Respiratory monitoring
· Under pulse rate monitoring to get result on the mental as well as physical condition of Amaya
· Ausculate breath sound
· Monitor dyspepsia
· Role PT is to prescribe activity
· Recovering clients needs to progressive devices in order to monitor the progress.
· Allows observation on abnormal activities
Table: Care plan
As per the care plan, the patient need effective as well as professional health worker as the patient unable to communicate with other. Moreover, due to dementia, she is unable face other people due to lack of self confidence. In addition, according to the case study the patient response on special music, which reflects her remaindering sense is working partially. Regular medications and exercise practices will help her to get 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 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 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 influence to adopt the changes in order to lead a healthy life. The severity of the illness can have a negative impact on health. Moreover, there are several studies evaluating the factor 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 are enjoying a lot. Perceive benefits is to link the factors with the benefits. It also includes other factors such as regular exercises and intake of healthy diets. 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 have the concert of changing their lifestyle to a healthy lifestyle will be too hard for them.
It is also 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 intaking 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, in order to help the people to overcome their adopting 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 on 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 van, blood glucose level. As per the current scenario of Australia, more focus on serving their citizens in order to ensure the quality of 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 aunty situations 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 the 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 to understand their challenges, regarding their health issues, physical activities, diet intake with personal safety.
The essay is based on provided case study 3, which describing about a patient named as Amaya, a 45 years old women dealing with mixed dementia. Due to this disorder she unable to communicate with others properly. She usually used a single word “rain”. It is also mentioned in the case study that she increase her response rate on a particular music. In order to recover the patient condition she needs effective and experience doctors and health workers who, those are able to communicate with her and understand her problems. It was also noted that she becomes so much frustrated due to her disorders and her fear regarding discrimination, she didn’t get 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 so 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 on a regular basis, 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.
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