Assignment 305 Understand person centre

This involves considering the ability of service providers to continually listen to, learn about, and facilitate opportunities with, the people they are supporting. It is important to note that the individual with care and support needs, their participation is considered beyond the individual planning meeting. (which may be an important part of the decision making process). Rather, active participation throughout the entire individual planning process is discussed. There are four common themes in person-centred planning assessments. These are:

Mental State the interdisciplinary team must ascertain if the patient is in a state of confusion, cannot answer at least simple questions or follow instruction or if he feels anger or fear towards anyone in the family (Felong, 2008). If he is confused, unable to answer even simple questions or follow instruction or harbors resentment or fear towards someone in the family, he may not be ready for placement. Housing the structure of the patient's residence is important. Is it a one-storey house or are there stairs he must climb? Issues that must be dealt with include the closeness of his bedroom to the bathroom; if he will share the bedroom with others; handle his own laundry, meals or shopping. Education it is important to know if the patient or his caregiver needs to learn diet, special diabetic diet, crutch training or other forms of therapy. The team must also determine if the patient is interested or not to capable of learning. It is also important to find out if the patient can learn the skills relevant to his condition (Felong).

Person-centered care (PCC) vs. traditional clinician-centered or disease focused medical model has been recognized as one of the critical elements needed in the redesign of our nation’s health care system (IOM, 2001). Person-centered care is a key component of a health system that ensures that all patients have access to the kind of care that works for them. PCC concept is increasingly being advocated and incorporated into the training of health care providers (Lauver et al., 2002). The purpose of this paper is to provide a concept analysis of PCC in the context of an inpatient post–acute health care environment.

Develop individualized plans of care for patients, outlining the patients’ goals and the expected outcomes of the plans

In case study 1; David had been referred to the nursing home by his son and daughter-in-law because he had been diagnosed with dementia which made his family members unable to provide him 24/7 care that David would need. After his admission in the nursing home, his care plan manager holistically assessed all the needs and preferences by asking him and his son and daughter-in-law. The resources were identified such as his preference to eat vegetarian food and visit Church during weekends. The care plan manager set targets while making a care plan which involved David and other professionals such as speech and language therapist, health care assistants and a nurse. Then, the care plan manager recorded all the professionals, his family members and David himself who were involved in his care planning. The care plan manager also ensured that there was regular communication between the professionals and individuals who participated in providing him provision of care so that everyone is aware of their roles and responsibilities. The date was identified for when the services were to be implemented for him by the care plan manager discussing with David and the professionals. Then, the care plan manager monitored if the services being available for David were working well and if it needed changing by discussing with David and other professionals. The provision of care was reviewed and new goals were identified by the team. Ultimately, the care plan manager and David decided a date to

Patient or Person Centered Care focuses on values and principles addressing; knowing the resident as an individual, resident are more important than tasks, self-determination is a right of residents, environment reflects residents’ preferences, environment reflects a home, and care for the body, mind and spirit (Touhy, Jett, Boscart & McCleary, 2012). “Inherent in a person focus is the notion that attention to patients' problems in the context of their multimorbidity is at least as important as appropriate care for their individual diagnoses” (Starfield, 2011, para. 4). Patient Centered Care may include cross-training of staff , organizing living space into small households, enhancing dining, obtaining resident opinions on daily routines, as well as writing care plans in the voice of the resident, e.g. “I will walk twice a day” (Touhy, et al.,2012). The Person-Centered Care Model leads to lower staff turnover as well as improved job satisfaction. The Person-Centered Culture involves community such as children, pets or outings, there is a sense of belonging- “like family”, the environment is homelike, staff members are involved in decisions and plans of care, decision making is as close to the resident as possible, as well as individualized plans of care which are based on residents needs, usual patterns and desires (Touhy, et al., 2012).

The second healthcare issue that must be addressed by the case manager is Mr. Trosack’s ability to care for his own needs and maintain a household at discharge. The case management team must thoroughly assess the elderly patient’s ability to care for himself and his living arrangements. Assessments regarding the patient’s ability to perform basic functional tasks such as bathing, dressing, toileting, and feeding are all aspects of care to be evaluated. Additionally, the capacity for Mr. Trosack to procure and prepare meals, obtain medications, provide transportation, perform housework and laundry tasks are essential considerations in preparing an appropriate discharge plan. Elderly clients often feel they can return to their prior level of functioning despite the recent alteration in condition. Assisting the patient to understand new healthcare needs and exploring ways in which they can be met are a delicate task to undertake, especially with a client like Mr. Trosack who insists “he can take care of himself.”

With many of the government drivers endorsing continuity of care and carer it could be proposed that there are many improvements that needed to be implemented, as the results from the patient surveys suggest shortfalls in care being

This can include changing their diet, switching health insurances if their medicine isn’t getting covered, teaching the client how to use their medicines, and manage day to day symptoms. According to many websites, evidence supports there are 6 categories that are used for improvement of a chronic illness. These are self-management support, involving basic information about their disease, and understanding the skills that are needed to help with their disease. The second category is the delivery system design, which consists of the different roles and tasks that are done for the patients care, For example, making sure every health care provider and family members are up to date with what is going on. The decision support system, which consists of evidence based practice showing that the outcome is positive for a disease. The next category is the clinical information systems which collect data on individual patients to be then shared in a data base, another category is the organization of health care, which turns preventative care into goals for the patient and care giver, and community which ties together state programs, businesses, clubs, faith organizations, together for community and support programs. Living with a chronic illness is very tough, and as nurses we need to provide the patient with tools on how to manage their life, how to feel

Traveling on a road to success can be extremely difficult for people who lack a stable support system. Whether it is a college student or a Civil Rights activist, most of the time people need support from others to accomplish their goals. The support can be physical, emotional, or financial.Without help from others, there is a good chance that one's goals may be out of reach or they will struggle for a longer period of time to reach that goal than people who have the aid of others.

Assignment Overview: Individuals have a wide & diverse range of demands & care needs. The aim of this assignment is to make a better understanding of these demands & needs within the health & social care service system

The overall purpose of the event was to work with other health professions to better care for a patient. Each profession had different ideas on how they could contribute to the comfort and needs of the case study patient. the main objective was to review the case study, identify health issues, and create a care plan to improve the patient’s comfort, health, and social needs. The patient in the study had many health complications, was isolated from the others, and had dementia. Therefore, the care plan created among team members was based on those factors.

associated with caring for an individual can have a huge impact on their day to day lives.

Another experience I have been learning about is care planning. Care planning is about assessing the resident and listening to their concerns to develop a plan of care. Each department, such as nursing, activities, dietary, social services all develop a care plan for the resident. These care plans need to be updated every three months. There may or may not be changes to these care plans based on events in the resident’s life. All of this is documented in our charting system.

When we are going through tough situations, we look out for people to be supportive. Supporting discloses a listener’s unity with the speaker’s situation. It is an expression of care, concern, affection, and interest, especially during times