Introduction of Personal Centered Care And Integrated Working Assignment
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In this essay, the focus is provided on the case study of Gertie in order to evaluate the person-centred care and integrated working through this context. From the case study, it has been identified that the individual was referred to the St. Michaels’s Hospice and then Day Hospice at the home service in Wolverhampton. She was diagnosed with rectal cancer at the age of 83 and stoma, whereas after 6 months, her health started to deteriorate even more.
Based on the health issue, it has been identified that Gertie was mainly diagnosed with the rectal cancer mainly along with the stoma. As the reason behind the health issue, it can be stated that Gertie lived alone and due to her older age, she would not be able to take proper care of her health. In another context, lack of enough care facility from the side of healthcare workers was also responsible for this case.
In case of the symptoms, it has been found out that the deterioration of health was also observed in this case such as swollen of legs and prolapsed of stoma. Deterioration of memory is also observed in Gertie and the chance of strokes was also high. Focusing on the statistics of the issue, it can be evaluated that Gertie was mostly affected in this case. In addition to this, her older age was also responsible for making her conditions as worst enough.
The issues which affected the communication process with the client were the absence of skilled workforce and lack of appropriate care planning. Focusing on intervention process, it has been observed that community nurses as well as the Macmillam team provided such support to the patient for a better recovery.
The two interventions that have been taken under consideration here are collaborative care planning and shared decision making. Collaborative care planning helps to define the significant preferences regarding the health issue of an individual (Reid et al. 2018). Moreover, shared decision making consists with the joint decision making with the help of healthcare professionals (Légaré et al. 2018). These two are relevant here as better planning for care and taking appropriate decisions can be helpful for Gertie to reduce her health risk severely. In another context, the other interventions are not considered here as there is no such need to motivate the patient through health coaching or effective conversations whereas proper treatment is required mostly.
Collaborative care planning
The collaborative care planning approach helps to prioritize the significant preferences as well as values of the individuals who suffer from health issues. In the viewpoint of Reid et al (2018), collaborative care planning is observed as the central part of the UK's "mental health practices" that help to improve the health outcomes more significantly. In refer to the case study; this approach can be effective for Gertie to get the more proper care that would reduce her transfer from one home service to another. The Macmillian nurse of Gertie observed that Gertie needs extra support and care both as being diagnosed with rectal cancer as well as stoma as it was quite pathetic for her to cope up with the treatment procedures due to her older age. It was also essential to provide her with the required mental support as well to deal with this stage. In this context, it can be stated that collaborative care planning can be relevant enough to reduce the level of stigma related to the mental health of Gertie.
Collaborative care planning is helpful for healthcare professionals to develop such plans regarding patient care and assumes the contemporary roles as well as cooperatively working together. As stated by Jarvis et al (2019), this type of aspect is much helpful for Gertie as well to get the required care in order to develop her both physical and mental well-being. The Collaborative care model can be taken under consideration in this regard in order to treat the anxiety and depression that are generated in Gertie while taking the treatment for her health issues. This model is considered as the systematic approach for treating the depression and anxiety among patients. On the contrary Keegan et al (2018), argued that collaborative care planning can raise the issue regarding reimbursement for the extra work in case of lack of equal contribution from the side of team members. In this case, the patient can suffer due to the lack of quality treatment facilities that will raise health risks more.
Positives of the evidence based approach
Evidence-based approach or evidence-based practice can be effective to provide such ability for evolving as well as individualizing the care of patients. According to Brownson et al (2018), an evidence-based approach helps to enhance the expertise of the healthcare professionals and also reduce the cost of patient care. In relation to the case study, this approach will work for Gertie as she is able to receive quality treatment that can reduce the deterioration of her health day by day. Moreover, through this, it is also possible to reduce her cost of treatment for rectal cancer and stoma. Gertie was able to receive continuous support from the community nurses along with the Macmillan team that can be considered useful enough to get enough mental support.
Potential limitations of the interventions
Limitations that are related to collaborative care planning are the lack of such orientation within the medical professionals, role as well as leadership ambiguity, presence of unprofessional collaboration, and lack of clearly stated purposes. Focusing on the case of Gertie, it is observed that although she was able to get community support whereas her transfer from one home care to another repeatedly indicates the unprofessional collaboration and lack of effective arrangement for patient care as the challenges (Hagger et al. 2022). In addition to this, the deterioration of health within the treatment procedure indicates the challenge regarding accurate monitoring and proper services from the side of healthcare professionals that raise this incident mostly. On the other hand c (2019), argued that financial resources can be considered as the major barrier to ensuring the arrangement of required healthcare equipment.
Based on the legislation and healthcare policy of the UK, it is observed that the presence of “The Health and Social Care Act 2012” is effective in clearly elaborating the specific duties of the healthcare professionals. Focusing on the local service provision, it is clear enough that in order to carry out the particular intervention such as collaborative care planning, it is essential to maintain some essential guidelines. Under the guidelines, decision making as well as mental capacity (NG108), transition between the “inpatient mental health settings” and the community or the care home setting (NG53) can be considered as most relevant for the case of Gertie (Ncbi, 2020). It is also essential to develop a common approach regarding the healthcare firms or the home care that can be effective for Gertie to gain all of the services under one particular area.
Power differences need to be balanced as well in this context that can help Gertie to get equal support from each of the healthcare individuals and it would be effective for a speedy recovery. The presence of the “Social Value Act 2012” is also relevant in this context that helps to govern the local healthcare authorities properly in order to mitigate the chance of facing such hazards related to healthcare mostly (England, 2022). All of the legislation is effective to promote the proper use of collaborative care planning in the healthcare industry of the UK to ensure quality care and equal treatment facilities for all. In refer to the grounded theory approach, it can be evaluated that it is essential to collect and analyze data regarding patient care in the NHS (National Health Service) to evaluate the perspectives of social value and well being of the patients. This approach consists with the maintenance of health and well being of an individual under the treatment.
The main function of “The Health and Social Care Act 2012” is to improve the quality of the national health care centres. The healthcare centres have direct relation to the improvement of economic condition in the society. The health department has focused on this because in case the health of the citizens is not properly taken care of, they will not be able o deliver proper work to the society. A sick person is both a burden for the nation and for the family as well as for the society (de Haan et al. 2018). Proper care is taken by the healthy department to deal with the sick person who is financially unstable, the government provides for special mediclaim arrangements for them so that they get proper access to the treatments. The government hospitals arranges for free treatments of the patients who belong to the weaker section. Special treatments arrangement is made for the patients suffering from contagious diseases.
Approach 2: Shared decision making
Shared decision-making is considered as the joint process in which the healthcare professionals work together with other persons to make effective decisions regarding care. According to Légaré et al (2018), shared decision-making is useful enough in healthcare to take such strategic actions for screening as well as diagnosing tests, treatment procedures, and surgery. As per the case study, this intervention or approach can be relevant enough for Gertie to be well known for the accurate treatment potentials for her rectal cancer and stoma. Moreover, it would be helpful for Gertie to mitigate the scope of deterioration of health if the Macmillan team or community nurses took proper decisions about her treatment by consulting with the experienced healthcare bodies.
Positives of the evidence based approach
The main positive that is related to the evidence-based approach (EBP) is the scope of providing the individualized care perspective for the patients. It is much needed for Gertie as she required extra care and quality treatment potential to get a speedy recovery at old age (Chen et al. 2021). The presence of skilled medical workers and the strong willingness to provide the existing care along with the aim of making a better improvement for the patients through EBP is relevant enough for Gertie to develop her health severely rather than increasing the health risks.
Potential limitations of the interventions
The main limitation that is related to the shared decision-making is that most of the patients have less willingness to participate here. As the impact, such uncertainties can be raised in the medical services and it can be harmful also (Wirtz, 2019). In refer to the case study, challenges such as lack of professional decision making and the inability of community nurses for taking proper care of the patient are observed here.
Based on the legislation and policy, the presence of “The Health and Social Care Act 2012” and “Social Value Act 2012” of the UK are effective enough to ensure quality healthcare services (Chen et al. 2021). In order to carry out the intervention such as shared decision making, tests, as well as treatments based on the evidence and the individual preferences of patients, can be helpful enough (Lee, 2015). As per the local service provision, it is essential to enhance the use of this type of decision-making among healthcare professionals by influencing their participation here. It is also important to listen to their preferences as well to make the decisions innovative enough.
In reference to the theory of planned behaviour; it is observed that individual act rationally based on their attitudes, subjective norms, and perceived behavioural control (Carey, 2017). This theoretical context is effective to get a strong understanding to evaluate the behavioural aspects of the patients. In order to execute the whole intervention process successfully, shared decision making needs to be taken under consideration as well. In the case of perceived behavioural control, it is essential to understand the feelings of the patients regarding the behavioural contexts of healthcare professionals (Ajzen, 2020). This theoretical context such as the theory of planned behaviour is beneficial enough for Gertie as well to ensure a better healthcare facility for her.
Based on the above context, it is clear enough that Gertie has a strong need to get proper care and treatment for a speedy recovery. Focusing on the impact of cancer of the patient, it has been found out that Gertie has a high risk of strokes and along with it; it is also essential keeping a strong focus on her health. Taking of the blood-thinning medication has raised the risk regarding haemorrhage. Deterioration of health as well as memory loss is also responsible to enhance the level of concern. As per the intervention, it can be evaluated that there is a strong need of effective care for Gertie. Annie took her home as per her willingness whereas it is essential to maintain the appropriate treatment procedures for her in the home care. From this research, it is also clear that proper planning of the healthcare professionals is also relevant enough to provide the required treatment to the individuals. A better communication process needs to be established in this regard as well to get favourable outcomes.
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