Importance Of Person Centered Care In Older Patient Adrian’s Health

Principles of Person Centered Care

Discuss about the Person Centered Care and Its Importance.

In the recent healthcare industry, person centered care has become one of the key aspects of the care process. As it is still an evolving and emerging concept, the principles and concept of it is vulnerable to change according to the need of the patient (Caligtan et al. 2012). According to Ho et al. (2012), person centered care is the care process, that depends on the needs, circumstances and preferences of the patient receiving care. The primary concept behind person centered care comes from relevancy of one intervention to a specific person. There is a possibility that effective intervention applied to one person, may not provide proper result in another patient. Hence, patient centered care evolved so that fundamental need of each different person can be met. Especially for aged individual’s person centered care becomes important because of their dependency, their weakened memory process, their disabilities and their degenerative condition (Kuo et al. 2012). This assignment will be focusing on the importance of person centered care in an older patient Adrian’s (72) health. The prime of this assignment is to demonstrate the need of Adrian and his perspective with the use of recent literatures and then to create a care plan with implementation of several strategies to enable him achieve a healthy aging process. Further the assignment will also provide an idea in which the family will be involved in the care plan process.

To understand the need, preference and the resources available and the strength and weakness of Adrian, a conversation was conducted with him. While conducting the conversation, the four principles of person centered care were taken into account so that ethically compliance care can be provided to Adrian. These principles were affording every person’s dignity, respect and compassion and offering them with coordinated care, and support while treatment. Further, offering them with personalized care and support so that they are able to develop their own strength, abilities so that can live an independent and fulfilling life. These principles are basis of person centered care hence, while conversing with Adrian these were kept in mind. While discussion the patient revealed that he and his wife stays in Victoria Australia alone as they have no children. Adrian is suffering from dementia and he agreed that due to his dementia related concern, he has faced embarrassing situations in his locality and due to his severe knee pain, he is unable to roam outside his house. Despite of the fact he agrees that his companion and her support was one of the best thing about growing up. However, social exclusion, lowliness and lack of proper financial support was few of the hardest things about growing older for him. He mentions that all these discrimination has ignited a need of being physically healthy within him and for that purpose he feels that person centered care will be perfect support for him to achieve these goals. Hence, from the discussion with Adrian, it is determined that he is suffering from dementia and does not have any care provider except her wife to care for her physical as well as mental health related needs. Therefore, person centered care will be one of the adequate way to understand the health related needs of Adrian and a care plan related to his dementia and knee pain will be prepared and implemented.

Importance of Understanding Patient’s Physical and Mental Health Needs

According to the information gained from the interview with Adrian, it can be said that for the treatment of Adrian, pharmacological and non-pharmacological treatment should be implemented. These care process might include physical therapy, prevention strategies, specialist care that primarily focuses on person centered care. After that the healthcare facility will discuss with him regarding the goal setting and planning the flow of intervention with him. The prime aim of goal and aim determination is to provide him with the opportunity to develop coping and management strategies related to dementia and determine the steps of pain management of knees. Further he can also be asked to join self-management training so that the psychological needs and behavioral needs of Adrian can be managed.

Edvardsson Sandman and Borell (2014) determines the importance of person centered care in dementia and states that due to such disability people lose their ability to think, reciprocate to social signals therefore, the holistic approach of person centered care helps to provide the person with dementia a complete spiritual, physical and mental care that helps to improve the patient condition and his relation with his social counterparts. In this context Adrian stays alone with his wife in their home and if a home care nursing professional can be appointed to provide him with person centered care, he will be able to come our=t of the effect of social discrimination and will rebuild his own self esteem that stops him to come out of his house and face the social discriminations. Brownie and Nancarrow (2013) also discusses the effect of person centered care in dementia in their systematic review and determined that due to multifactorial and comprising elements the person centered care was able to provide adequate care to 146 patient out of 323 who participated in person centered care program. The researcher conducted research using 17 years research and determined the effectiveness of person centered care in dementia. Further, research of Corbett et al. (2012) should also be mentioned in this article as the researchers find out the need of person centered care in patients affected with pain and unable to perform activities of daily life. The researchers determined that due to person centered nursing care, pain management becomes easier and the person can develop trust upon the healthcare professionals and undergoes each intervention that can help them to improve their health condition. According to Barr et al. (2013) as Adrian is staying alone with his wife, it will be impossible for him to stay in a care center for his dementia and improve his health. Therefor person centered care is the only option available for his so that he can stay at his place and undergoes all the interventions that can help to improve his dementia related condition.

Benefits of Implementing Person Centered Care

Reuben and Tinetti (2012) determines that it is important to understand the physical and mental health related need of patient prior to implement person centered care. Adrian is suffering from social discrimination, and physically pain and dementia are his primary issues. Therefore, care process of Adrian should be inclusive of physical exercises to relief his knee related pain, activities such as gardening, art, calculations and remembering therapy so that his memory can be enhanced (Stein-Parbury et al. 2012). These interventions need mental stability and positive environment as without these, the condition of patient will not improve. Hence, these has been chosen as the primary intervention for Adrian.

All the above-mentioned literature reviews can be implemented in the care process of Adrian. Edvardsson Sandman and Borell (2014) determines that care homes are effective in improving the dementia related condition of patient as in care homes a serious of activities enforces them with their past memories. Further it strengthens the recent knowledge of the patient by implementing reasoning and arithmetical skills. This is not possible for Adrian as he is unable to leave his wife and admit himself in a care home (Brownie and Nancarrow 2013). Therefore a healthcare professionals can be appointed to provide person centered care to Adrian so that he can reinforce all the past knowledge within himself. Further, for the pain management activities such as exercise, walking gardening can be implemented in care plan so that with these activities, Adrian can start moving slowly and can enhance his bone strength to reduce the pain. Research by Corbett et al. (2012) and Stein-Parbury et al. (2012) also determines that parson centered care al old age helps to understand the specific need of a person and required interventions to improve the patient condition.

Conclusion

The principles of person centered care determines the basic needs, requirements, preferences, and support the individual will require to overcome the physical ailment and mental shock of illness. In this assignment, the discussion related to Adrian (72) was discussed who is suffering from dementia and severe knee pain. These details were utilized to research regarding healthcare interventions and person centered care for Adrian and it was found that person centered care will help him to stabilize his dementia related condition and the pain will also be treated. In this assignment, six different literatures were selected and depending on that the importance of patient centered care for Adrian was selected. This selected interventions were targeted for two primary needs and preferences of Adrian as he took active participation in the care planning process.

References

Barr, J., Fraser, G.L., Puntillo, K., Ely, E.W., Gélinas, C., Dasta, J.F., Davidson, J.E., Devlin, J.W., Kress, J.P., Joffe, A.M. and Coursin, D.B., 2013. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical care medicine, 41(1), pp.263-306.

Brownie, S. and Nancarrow, S., 2013. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clinical interventions in Aging, 8, p.1.

Caligtan, C.A., Carroll, D.L., Hurley, A.C., Gersh-Zaremski, R. and Dykes, P.C., 2012. Bedside information technology to support patient-centered care. International journal of medical informatics, 81(7), pp.442-451.

Corbett, A., Husebo, B., Malcangio, M., Staniland, A., Cohen-Mansfield, J., Aarsland, D. and Ballard, C., 2012. Assessment and treatment of pain in people with dementia. Nature Reviews Neurology, 8(5), p.264.

Edvardsson, D., Sandman, P.O. and Borell, L., 2014. Implementing national guidelines for person-centered care of people with dementia in residential aged care: effects on perceived person-centeredness, staff strain, and stress of conscience. International Psychogeriatrics, 26(7), pp.1171-1179.

Ho, A.L., Klassen, A.F., Cano, S., Scott, A.M. and Pusic, A.L., 2013. Optimizing patient-centered care in breast reconstruction: the importance of preoperative information and patient-physician communication. Plastic and reconstructive surgery, 132(2), pp.212e-220e.

Kuo, D.Z., Houtrow, A.J., Arango, P., Kuhlthau, K.A., Simmons, J.M. and Neff, J.M., 2012. Family-centered care: current applications and future directions in pediatric health care. Maternal and child health journal, 16(2), pp.297-305.

Reuben, D.B. and Tinetti, M.E., 2012. Goal-oriented patient care—an alternative health outcomes paradigm. New England Journal of Medicine, 366(9), pp.777-779.

Stein-Parbury, J., Chenoweth, L., Jeon, Y.H., Brodaty, H., Haas, M. and Norman, R., 2012. Implementing person-centered care in residential dementia care. Clinical gerontologist, 35(5), pp.404-424.