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Student Number (first 8 digits on Keele Card)
Cohort (e.g. BSc 0909)
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(e.g. NUR 10000)
Assignment Due Date
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Title of Work
Person –Centred Care
In this essay I will discuss The Person Centred-Care, what it is and how as a student nurse can be promoted with limited of authority.
The following three areas chosen that as a student nurse will be discussing in this essay are: Confidentiality, Accuracy of Information and Working in Partnership. Some examples will be given to explain and underpin some of the concepts that will be explained later in the assay.
What is a Person centred care?
Starting with what (Ponte et al, 2003) state that the Person Centred Care (PCC) is the consideration of the patient’s point of view and taking into account their decision on meeting their goals.
How people try to define it?
Unfortunately there is not a definite definition, but as a student nurse, the understanding of the person-centred care is when the Health Care Profession put the patient at the centre of the whole process, give the possibility to have the best treatment regarding their illness, give them the choice to receive the treatments, respect their decision making and keep all the information confidential.
One of the areas very important for the PCC is Confidentiality.
(Department of Health 2003), saying that
responsibility of confidentiality occurs when one person releases information to another, for example to a multidisciplinary team, this is happen in situation where it is reasonable to expect that the information will be held in confidence.
As the definition suggests, confidentiality is the key to form a trusted relationship between patients and Health Care Profession.
There are some exceptions to this duty.
Sometime it is allowed or even obligatory to violate a patient’s confidentiality, for example when a patient suffers from a notifiable illness. (Mcferrant, 2008).
Information has to be shared or disclosed to other health care professionals to provide the best solution of treatment for the patient with their permission. This is done because the patient can receive care from different member of the team.
Unfortunately is no always easy to obtain consent from the patient; because for mental health issues or because is under age to give consent, however it is important that the patient or his family understand that some data have to be disclosed around the medical team.
How confidentiality relates to the two Principals A and D?
Confidentiality is the centre of connection (relationship) between the health care providers and the patient, allowing an honest and open line of communication between the two parties; also it helps in the understanding needs and how to proceed with their treatments.
Confidentiality means privacy, means dignity and there are important aspects of our personal life and when a patient is admitted to hospital the staffs take very seriously this element of care.
To keep the patient’s information confidential is quite challenging and is very much influenced by the ward arrangement and available space. In particular when the discussion takes place behind the curtains or at the bedside, may result in breaches of confidentiality. We all are aware where to discuss patient information.
The key priority is guarding the dignity and the confidentiality of the patient using coded curtains pegs or signs.
Another significant element of PCC is accuracy of information, because without it, the patient cannot receive the correct treatment and medication.
Every person that comes to hospital has to be assessed by the professional staff, to ensure that the best quality care is given to the patient. This is reviewed as minimum every week or as frequently as the condition require. When all these information are correct and updated all the time we can say that the delivery of the quality care is effective and safe.
Also when a patient is transferred from one ward to another the notes and the debriefing have to be done in a correct way to avoid mistake.
For example, at the end of every shift, the hand over is given to the relative nurses with the relevant information regarding each patient on her bay. To keep the patient save, the NHS’s system assigned a unique number together with date of birth and names, to identify each person correctly, making sure that the right patient get the correct medication and the medical records are recorded and tracked correctly.
As a student nurse is very important to learn how to write and keep written records in order and updated, detailed about the care and treatment provided and for future plans. The clinical notes also contains x-rays, photographs and anything can be use to support treatments. These are to be kept accurate, secure and confidential. It is a good practice according to the NMC (Nursing Midwifery Council) to keep valuable data, to maintain high standard of clinical care, good communication and also help to notice any changes in the patient’s condition.
The practice of nursing is a dynamic and evolving profession. Engaging and negotiate with the patient has shown to be effective in achieving cooperation in result of more participation in the therapy to accomplish specific goals.
As a student nurse we are part of a wider health care team that includes: assistant practitioner, health care assistant and nurses, we are accountable for good record keeping. All these information which includes all different forms regarding care and treatments, must be accurate, use simple terminology (for the patient to understand), no abbreviations should be used, signed, timed, and dated if are handwritten to provide support in communication and decision making.
There are keys principals that must be followed to keep the records clear and effective.
These are produced by the Royal College of Nursing (RCN).
For example if some information have been omitted in the patient’s notes, regarding the administration of medication, and another medical staff will give another dose of the same medication, this will result in overdose the patient and consequence make the patient ill even more and breach the duty of care.
The PCC involved working in partnership.
Lyotard (1992) argue that since the new national schemes has been created, the social problems such as poor housing and poverty have increased rather than diminished.
Health care professionals and Social Services have been pushed to involve more the consumers in their decision making regarding their services rather than passively received them. The current policy highlights a three-way partnership between health, social care providers and services users, in which determine the combination of services that must be provided and by whom, with join services to break down barriers and responding to the local requirements.
Working successful in partnership is one of the keys to improve Person centred-care treatments.
Families, friends, doctors and health care professionals are called together to put in place an optimum plan to best interest of the patient. Involving the patients’ families contribute to expand the knowledge about that specific patient, to know more about their routine and their personality.
(Joint Improvement Team 2009) defined that working in partnership consist in two or more independent professional, working together to accomplish more successful results, than they could by working independently with the willing to share their achievements and failures.
Multidisciplinary team is formed by several different qualified professional who are involved in diverse areas of expertise, that are able to coordinate and response to patients needs.
Working in partnership means plan a method to support individuals, allowing them to take charge and meet their goals, also guide them to have a better quality life in every aspect form good mental health to physical disabilities.
For example: if we have a good relationship with a patient there will be a possibility that he/she will open himself to you and tell you about the abused received from the family or from the Home he is living. In any of this case we have a duty to report the abuse to the ward manager or is in charge and the relevant profession team will be call in to intervene and put a plane together to protect the patient.
Principle D emphasises the centrality of the patient
to his or her care. It requires skill from each member
of the nursing team. The potential contribution of
each member to person-centred care will be
enhanced if everyone in the team is using the same
approach. Such an approach requires a workplace
culture where person-centred values are realised,
reviewed and reflected on in relation to the
experiences of both patients and staff
As in the concept of partnership, the involvement of the public is central to
When the concept of Person centred-care will be used across the Country and in every health care providers or health care centres, the quality of care will improve because patients will be heard; they will be more active and engaged on regular basis, when health medical staffs will be more willing to listen.
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