Continuity Of Care Essay

Continuity Of Care Essay
Improving the Continuity of Care of the Chronic Renal Patient
Review of Literature
With the increase in life expectancy for chronically ill patients related to the advancements in medical care, it is becoming increasing important to
develop a comprehensive plan of care to manage a patient's healthcare accordingly. The continuity of care is the basic framework to establish
programs geared towards producing better patient outcomes. Chronic kidney disease (CKD) is one such area where the development of a strong
support system can not only ensure proper care is received but also prevent or delay complications. According to one report by the American Hospital
Association (AHA), "Individuals with ESRD (end stage renal disease) require intensive treatment,...show more content...
(2014) supported a need to change the current morality outcomes of the chronic kidney disease patient. This change affects all races across all
continents. Wen and et al. (2014) determined, "Relative risks of chronic kidney disease for mortality and end–stage renal disease across races are
similar." The authors support a call to action challenging the reader to change the current conditions surrounding the mortality rates associated with
chronic kidney disease. This action includes a preventative comprehensive plan to control kidney disease and delay it from become irreversibly
chronic. By starting health promotion from the first signs of kidney issues, "optimized care before progression to CKF can delay the development of
CKF and ensure that patients are in the best possible clinical condition when they reach CKF." (Ortiz et al., 2014, p. 1838) The main issue for CKF
is once the patient is at a point of needing dialysis, the treatment is considered to be too late. The high mortality rate for this patient is now past the
point of change. Steps to improving the optimization of care, Ortiz and et al. (2014) recommends national prevention programs, holistic care, education
for the general population and healthcare staff, legislative changes, improved care before dialysis, increase in specialized staffing, and a change in
attitude will decrease the mortality rate of CKF
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Person Centred Care Essay
This essay will reflect upon an incident that occurred whilst in placement at a Unit for Clients with behaviour and learning needs, and associated
autistic difficulties. Clients are both sexes and range in age from four to eighteen. It will be undertaken, defining person centred care in relation to the
incident, it will demonstrate awareness to roles and responsibilities of professionals in meeting the needs of the client and it will demonstrate the
importance of inter–professional collaboration and discuss the issues that facilitate or act as barriers in this partnership. In Order to Maintain
Confidentiality the client has been provided a pseudonym (Nursing and Midwifery Council 2008). Permission was also granted from this client to use
...show more content...
To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their
care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals' ability to come to his or her own
decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the
principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with
unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self–fulfilment and to as
much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient
preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his
Timetable, how could it have been effective?, he was unhappy and

Chronic Care Vs Acute Care Essay
My understanding of chronic care vs. acute care, is basically the time difference in each of them and the different process of treating them/dealing with
them. With acute illnesses, these last no longer than 6 months. As with chronic illnesses, it can last a lifetime and usually continue to get worse as time
goes on. For example, an acute illness would be a girl coming in who tested positive for a urinary tract infection, and a chronic illness would be
diabetes mellitus. The difference between these two are that one is short term, while one is long term. Because acute and chronic illnesses have
different time frames, these illnesses are treated differently. Usually with an acute illness, if it isn't an exacerbation or a chronic infection, such...show
more content...
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

Comfort Care Advantages
Benefits of learning comfort care According to Arruda, Larson & Meleis (1992), comfort care is fulfilling for patients and nurses a comfort is an
experience that interacts with other contexts to deliver a total comfort feeling rather than targeting each context individually. Comfort care is known to
be a natural as it is a common idea to nurses who recognized the mechanism and patient's experience of their own comfort. For nurses comfort care
entails nursing knowledge and skills precise to individual patient's medical and nursing issues. Comfort care is efficient as interventions that are
designed for holistic care can be done the moment the patient encounter it, such as giving reassurance, attending to patient's physical needs or even
adjusting the room lights. It is easy to implement and design a comfort care as most of the nursing interventions are aimed to patient's response. The
outcome of enhanced comfort is practical for nurses to gain as the effectiveness of comfort care is based on assessment. Patient centered care is the
main focus for today's healthcare industry and comfort care assist in achieving this as the outcome is deliberate by patients' perception on their own
comfort and this helps the nurses to be sensitive to patients' outcome. A successful nurse is...show more content...
It was a middle–range theory for healthcare practice. In year 1994, Kolcaba published the first article on comfort theory and in year 2001, there were
subsequent articles that had been published. Kolcaba had developed the 'Theory of Comfort' by conducting a concept analysis of comfort by examine
literature from multiple disciplines such as nursing, medicine, ergonomics and psychology. According to Kolcaba, in nursing the product of holistic
care in 'Comfort'. A taxonomic framework was formed to guide assessment, measurement and evaluation of patient comfort by having three forms of
comfort and four contexts in which comfort can

Healthcare in the United States Essay
Healthcare in the United States is rooted in the private sector. The private sector directly funds 56% of the expenditures through private health
insurance, household expenditures and copays, and other private expenditures. (CMS, 2014) The US healthcare system can thank the private sector for
providing much strength such as new diagnostic technologies, innovative treatments and procedures, and dynamism. American hospitals and
physicians are regarded internationally as being of high quality. Americans can also be proud that the physician– patient relationship is among the most
trusted and valued relationships in the country. By allowing the private sector to take a lead role in the healthcare system, the United States values
(Elhauge, 2010). Fragmentation leads to duplication of tests and effort. Often, physicians do not have test results and notes from prior treatments. This
results in wasteful duplication of efforts. Fragmentation leads to unplanned hospitalizations. Approximately 20% of discharged Medicare patients are
re–hospitalized within thirty days. (Jencks, Williams, Coleman, 2009) It is estimated that only 10% of those readmissions are planned. (Jencks,
Williams, Coleman, 2009) Patients can receive better continuation of care if their doctors coordinated better, if there was better discharge planning and
incentives for providers to control costs after the patient has been discharged. A patient centered medical home (PCMH) could integrate patient care. A
patient centered medial home is a team of healthcare providers coming together to improve the health of a specific population. A PCMH is designed to
integrate primary care and specialists into improve care coordination, safety and quality.(Stange, et al 2010) A PCMH would also improve physician
training and development to provide a commitment to treat the whole patient, rather than just one part.(Stange, et al 2010) Healthcare fragmentation
can also be limited through improved communication between providers using e–mail and social media tools such as facebook and twitter. Physicians
and hospitals are also paid with a fragmented and confusing mix of public and private payments. In the private sector

Ethics Of Care Essay
The ethics of care may be a normative moral theory: a theory concerning what makes actions virtuously right or wrong. It's one amongst a cluster of
normative moral theories that were developed by feminists within the half of the 20th century. Whereas consequentialist and deontological moral
theories emphasize universal standards and non–partisanship, ethics of care emphasize the importance of response. Ethics of care contrasts with
additional well–known moral views, like consequentialist theories and deontological theories. This kind of outlook is what feminist critics decision a
justice view of morality. A morality is a care that rests on the understanding of relationships as a response to a different in their terms.
While some feminists have...show more content...
This projected paradigm shift in ethics encourages that an ethic of caring to be the social responsibility of each man and girls. Responsibility so as to
worry, we have a tendency to should take it upon ourselves, so responsibility. The matter related to this second moral component of responsibility is
that the question of obligation. The obligation is common if not already tied to the pre–established social group and cultural norms and roles. Tronto
makes the hassle to differentiate the terms responsibility and obligation with regards to the ethics of care. Responsibility is ambiguous, wherever as
obligation refers to things where action or reaction is due, in the case of a legal contract. This ambiguity permits for ebb and flow in and between
category structures and gender roles, and to different socially created roles that may bind responsibility to those solely appropriate to these roles. The
definition of an ethic of care is ambiguous due partly to the death of a central role it plays in ethical theory. She argues that considering philosophy is
engaged with human goodness, and then care would seem to assume a big role during this form of philosophy. However, this is often not the case

Managed Care Essay
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the
actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review.
Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of
arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations
(HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider
Organizations...show more content...
Case managers also provide support and information to patients and their families. Next, is utilization review. `Its main objective is to review each
case and determine the most appropriate level of services, the most appropriate settings in which the services be delivered, the most cost efficient
methods for care delivery and the need for planning of subsequent care. Other methods used for utilization and control are choice restriction and
practice profiling' (Douglas, 2003, p.328).
The types of managed care are differentiated by definition, operation, structure, and information needs. `HMOs were the most common type of MCO
until commercial insurance companies developed PPOs to compete with HMOs' (Douglas, 2003, p.331). `HMOs are business entities that either
arrange for or provide health services to an enrolled population after prepayment of a fixed sum of money, called a premium' (Peden, 1998, p.78).
There are three characteristics that an HMO must have. The first is a health care financing and delivery system that provides services for members in a
particular geographic area. Second, is ensured access to a complete range of health care services, health maintenance, treatment, and routine checkups.
Last, health care must be obtained from voluntary personnel that participate in the HMO. The five HMO models related to the participating physicians
are the Staff

Self Care Essay example
Just to think about self care can be a task in itself. I never really thought it about it, to be honest, but it is an essential part of living. We get so busy
and caught up living in our everyday lives that we forget about the most important part, ourselves. I have two young kids ages 3 and 5, so my focus is
always to take care of them and make sure their needs are met, forgetting about myself along the way. I think this assignment will help me to appreciate
and not take for granted the things that I know I need to do for myself and to show love to the most important person, me.
Stress management and self–soothing techniques are critical for surviving modern work–no matter the focus of the work. Psychotherapists tend to
disregard their...show more content...
In class we discussed "saying no" being apart of our plans and I know that this is a must for me. At times I find myself running around like a
chicken with its head cutoff. If only I had the courage to tell people no when I really need to the most. This will be tough for me but I know that it
will help me have more time to do the things I love.
Although there are several things on my list that I am cringing over I will give it my all. What better way to be a good therapist? Starting the process
of self–care now will hopefully alleviate future problems that I could face. I embrace this experience to create more self–love within. Setting out with
determination and a clear understanding of my plan will hopefully create the motivation that I need to complete my goals. Knowing how I am, I have
to take this day–by–day. If I do miss a task, instead of beating up on myself as I usually do I will commit to that task the following day. Its not so
much doing the tasks that I am worried about because everything on my list I appreciate, it is finding the time to fit it all in. I think what will
motivate me is knowing that if I can't help and take care of myself then how can I take care of my future clients. My ultimate goal after attending
Antioch is of course helping others better their lives so I think this plan will give me a jumpstart in helping myself first.

Access of Care Essay
1)What is access of care?
Access of care can be defined as the capability to obtain affordable, convenient, acceptable, effective and mostly needed healthcare assistances at the
right time. According to healthy people 2020, access to care is the appropriate use of healthcare amenities for a person to attain the best possible health
condition. This include entry to a health care system, access to appropriate locations with needed services, and contacting a health care provider who
can be trusted ("Access," 2013).
Access to care constitutes of five measurements such as availability, accessibility, accommodation, affordability, and acceptability. This means
acceptable and affordable health services should be available to required persons at...show more content...
(Shi & Singh, 2008, p. 508–513).
Availability of health care services is an important dimension in access to health care. Providers are expected to deliver quality care to patients when
it is needed. They should be able to provide care to everyone based on their needs. For instance, Spanish speaking elderly people expect some one who
knows their language in their physician's office. Language barrier can cause lot of issues such as conveying wrong message about a patients or
physicians. Effective communication is essential for physicians and clients to explain and understand each other. There are patients who cannot make it
their physician's office due to lack of transportation. This can negatively affect their health status. An example would be patients who miss their
dialysis due to lack of transportation.
3). How do affordability, physical accessibility (delivery), and acceptability (quality) of services affect access of care?
Affordability refers to the clients' ability to pay for health care services provided. Affordability is directly related to thehealth insurance plans.
Individuals with good health insurance plans are able get better health care services. But the co–payments and out of pocket expenses are still causing
problems to the insurers. For example, majority of elderly people have to take supplemental insurance with their Medicare plan to get better services.
Only

Infection Control In Health Care Essay
Infection control within a healthcare facility is the prevention of the spread of many microorganisms from patient to patient, patient to a member of
staff and also from the staff member to the patient that are in there care. The World Health Organisation have defined healthcare associated infections
as an infection occurring in a patient in a hospital or other healthcare facility in whom the infection was not present or incubating at the time of
admission. Every healthcare facility from hospitals to general practitioners office should have a designated member of staff or a team of people who
ensure that the infection control procedures are abided by and adhered to at all times in order to protect both staff and patients. More than 300,000
people each year are affected by a healthcare associated infection and the cost of treatment for these patients is over ВЈ3,000 and there is also the cost
of treatment after discharge.
The Standard Precautions
Standard precautions are set in place in order to prevent the transmission of infections from one individual to another. There are numerous ways in
which infections can spread if standard precautions are not met:
Person to person via hands of healthcare providers, patients and visitors
Clothing...show more content...
Protective clothing does not have to be worn at all times within the facility as there is a chance that instead of preventing the infection they could also
carry around the healthcare associated infections if it is worn when it is not necessary. Before any member of the healthcare team decides to wear any
kind of protective clothing it is important that they assess the risk of the transmission of the infection to themselves and the patient. Protective clothing
must be worn at all times when there are bodily fluids, blood, secretions or excretions from the patient as this will prevent any

The Ethics Of Care Ethics
Care Ethics (Feminist Ethics) is the importance of caring relationships in life whether its human or animal related. The main goal of care ethics is to
maintain and promote caring relationships. Care ethics involves helping both yourself and the world around you. It gives you the motivation to care for
others beside yourself. Care ethics according to the article is more a "general approach" than a theory in regards to other ethical practices. The goal of
care ethics is to show that women have the same equal rights as men and that they both have freedoms of their own. This is important as this is helping
to address equality among the human race. Care ethics as a whole revolves around emotions.
Care ethic believers preach that having emotions helps you to think and feel for others. The goal in emotions is to "focus on the wants and needs of
the one being cared for." They believe through this they can relate to others in their needs. An example that the article gives is the mother–child
relationship. If a child wants something to eat, the mother of that child knows best what the child needs. This is due to the "caring motherly nature that
mothers have." Also, caring helps to "motivate us to tend to those, even if we are exhausted, and angry." The difference between care ethics and
utilitarianism is that utilitarian's do not believe that emotions are helping them to choose right or wrong in any situation. They believe that through
calculations, they can

What Is Self Care? Essay
What is Self–Care?
Self–care is one of those words that therapists use, forgetting that the rest of the population has never heard of it. Basically, it is a noun referring to
taking care of your own emotional well–being.
Self–Care works on two levels. First, the obvious– it allows you to take care of yourself, to nurture yourself. Second, it subconsciously sends you the
message that you deserve to be taken care of, which can help increase your self–esteem, self–worth, and happiness.
Self–care doesn 't need to take up a lot of time. Even the busiest person could build in five minutes a day to do some deep–breathing or to call a friend.
Explore how self–care can fit into your schedule. Show yourself that YOU are just as important as the other responsibilities in your life.
Self–care can mean adding one thing into each day that you can look forward to. It could be watching your favorite TV show, taking an extra long
shower, or spending five minutes in silence– whatever works for you.
Just because you 're feeling happy, doesn 't mean that self–care isn 't necessary. It is still important to pay attention to your needs and feelings, and to
nurture yourself.
Thoughts and Behaviors...
Self–care isn 't just about activities, it can include any thoughts or behaviors. For instance, it includes stopping yourself from using negative self–talk. It
also includes setting and enforcing boundaries in your relationships (with parents, friends, romantic partners, colleagues) that

Hospice And Palliative Care Essay
Nurses in specialty care continue to change the health care system to meet the needs of patients regardless of the setting. Hospice and palliative care is
an area of nursing specialty care that has grown since the 1970s when it began (Cowen and Moorhead, 2011). Leaders in nursing identify change that is
needed and discover ways to make the changes possible. The leadership in nursing brought forth attention for patients with terminal illness. Nurses
defined hospice and palliative care, developed core principles, practices, provided education and then pushed for the care to be available in multiple
settings (Cowen and Moorhead, 2011). The continued growth in this specialty area of nursing is related to the positive outcomes of patients that have
Patients that qualify or use palliative care also have a terminal diagnosis but usually have a longer life expectancy than those with hospice. The
definition for hospice and palliative care is something many nursing students learn during their program. Young–Ran, Min, and Kyoung–Soon (2015)
found in a study that 70% of nurses in a general hospital setting that had cared for a terminal patient had no prior education or training for palliative
care. Nursing education continues to evolve in attempts to better prepare nursing students for life after their program completion. Attempts to better
familiarize students with end of life care some programs are using simulation. Simulation has been found to be an effective method of teaching when
related to high stress and emotional situations (Moreland, Lemieux, and Myers, 2012). It is great that there have been attempts to increase the amount
of education in this specialty area especially since 76% of dying patients are receiving nursing care at time of death (Moreland, Lemieux, and Myers,
2012). Now it will be important for current nurses and educators to continue to increase the amount of information provided in nursing programs and to
novice nurses about hospice and palliative specialty

Day Care Essay
In today's society the majority of households have a family dynamic where both parents need to work. It is nearly impossible for most families in
America to survive financially without two incomes. This puts many parents in a situation where they have to find extra help to watch their children
while they are away at work. "These days couples face complex negotiations over work, family, child care, and housekeeping. It becomes evident that
where traditional marriage through the centuries has been a partnership based on mutual dependency, modern marriage demands greater
self–sufficiency" (Hekker). Day care becomes a necessity for many families, and the main concern for most parents is if the day care will be a positive
experience for their...show more content...
In addition, these children become confident in their own skills and thus, more self–reliant" (Cerbasi). Being self–sufficient is a positive attribute that
any individual can learn in their lives, and that is a very good quality that an individual can learn especially at a very young age. In life it is healthy
to make lasting relationships, and to socialize with other people. It is important that children are given the opportunity to be around other children
so that they can acquire vital communication and social skills. "Even with siblings, you can't match the opportunities for social interaction that a
child has at day care in the home. Your child will be placed in a class with children close in age and have opportunities to play and negotiate with
peers each day" (Cerbasi). My daughter is 3 years old and she is an only child. Day care is something that I would love to put our child in, because
for just even a couple hours a week she can be around other children and have a socialization experience she will emotionally need while being
around others her own age. This is a valuable experience that we can't give her at home. Doctor Heins suggests, "Play is very important, but the
serious aspect is that we have to get along in a social structure" (Burgess). For parents with only one child, day care can be a great option for a place
where their child will be able to socialize with other children their own age, enabling the

Quality Patient Care Essay
What is Quality Patient Care
Quality patient care is extremely important throughout the health care community. While caring for each patient, they should have a sense of feeling
welcomed and involved in making decisions revolving around their treatment. Every patient is different, each will require an alternative method of
care. While quality care playing a passive role in health care not only should the patients receive this care, but physicians, nurses, caretakers and many
other modalities of health care should be fully prepared to meet each patient's needs with the care they deserve.
Often patients lack knowledge pertaining to their health. Exams aren't being explained, patients aren't included in decisions concerning their treatment.
Patients enter departments with questions such as, "Why am I having this test done?", or "What is this test for?", these types of questions shouldn't be
heard from a patient. Exams should never go unexplained and patients should never feel as though they have been left in the dark when it comes to
their health. Involving patients gives them a sense of security and acknowledgement when it comes to their concerns and questions. When it comes to
meeting patient care needs it not only pertains to conscious patients. Patients who...show more content...
Sometimes all a patient needs to receive proficient care is compassion, kindness, and comfort. Listening to a patient while they express concerns, is an
important part of quality care. Comforting a patient entails being there when they are scared, possibly going through a procedure that wasn't explained
to them, makes a big difference, from a patient's point of view. An act of kindness goes a long way with patient's maybe they need a drink or help to
restroom, volunteer assistance and assure them their need's will be meet throughout the duration of their stay in the health care

Personal Essay: Care For Others
Care for others. The way this will help you achieve happiness is that when you help others it gives you a warm feeling inside. It makes you feel as if
you have done something right. This feeling is almost unexplainable. Helping others is one of the best things you can do. For example, when you
complement someone the best feeling is when you see the look on that persons face and see how happy you made them. Also, if you do not care for
others you will live a lonely life. Without care for others no one will want to be around you. So, if you care for others you will have a joyous life.
Listen to others. When listening to others, people learn how others feel. People will tell you about their life, the good and bad times. It will help you
grow as a person and learn how to be...show more content...
This will help you achieve happiness because if you do what you want you will never be let down. You will feel like you have a purpose and that you
were meant for something, as if it was calling you. If you love what you do the there is no possible way to be sad or upset. Your life will be filled with
joy and love because every day you get to wake up and do something that truly makes you happy.
Stay in a joyous mood. If you are always in a good mood and spreading joy, there is no way to be negative. You will always be looking on the bright
side seeing how fortunate you are. This will keep a smile on your face showing that you are truly happy. Also, help others around you to be in a good
mood. This will help you connect with others.
Learn to forgive quickly. This will make it where you are unable to hold a grudge. If you stay mad at a person you might regret it because you
never know the last day you will see them. You are also just wasting valuable joyous time that you could be having with this person in your life. Try
to always be on good terms with people. Never go to bed angry and think on the positive side of life. This will make your relationships

Patient Centred Care Essay
Patient Centred Care Essay
This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach
to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will
receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line
with best practice.
Mrs Ford is a 70 year old lady who has been admitted following a stroke. She is accompanied by her husband. Mrs Ford is a fictional name used in this
essay due to confidentiality (Nursing and Midwifery Council (NMC), 2010). A holistic approach to...show more content...
Evidence based care is objective and does not use practices that are based on tradition and/or habit (Jolley, 2010, p.47). The National Institute for
Health and Care Excellence (NICE, 2005) encourages Risk Assessment scores (RAS) to be used in conjunction with the nurses clinical judgement not
instead of it.
Mrs Ford is vulnerable and will need restorative care. A vulnerable adult is defined as someone over the age of 18 who is not able to look after
themselves or protect themselves from harm and might need help from care services (Lord Chancellors Department, 1997). Although DOH et al.
(2009) state that there are people who want to change the term vulnerable adult to a person at risk. As stated by the Safeguarding Vulnerable
Groups Act (2006), Mrs Ford is a vulnerable adult because she is elderly, needs assistance and has a new disability. She is anxious and knowing
that the nurses are treating her individually and with compassion will make her feel safer. Although she is vulnerable and at risk there is nothing to
indicate that Mrs Ford does not have capacity. Mental capacity is assumed unless proven otherwise and patients should be able to make their own
decision even if it is an unwise one (Mental Capacity Act, 2005). Therefore Mrs Ford can make informed decisions and consent to all aspects of her
care. With Mrs Ford 's consent, her family can be involved in her care and they may be able to assist with

Person Centred Care Essay
Person Centred Care As part of assessment of the older adult and other population's module, I have been asked to write a piece on a person centred
care model. As the name implies person centred care is delivering individualised care which meets the needs of that particular person, be they
religious, emotional, physiological needs etc. As a person they are entitled to respect, dignity, compassion and autonomy, which are central to the
concept of person centred care. "The rights of individuals as persons is the driving force behind person centred healthcare" (McCormack, 2003). In
1991, the UN made explicit the Principles for Older Persons; these include independence, participation, care, self–fulfilment and dignity. These
principles are closely...show more content...
The need for older people to have their autonomy to make a decision and be an active partner in the decision making process must be recognised
and is an essential component in person centred care. ''The older person and family have the right to make informed decisions about all aspects of
their care and the nurse respects the level of participation desired'' (An Bord Altranais, 2009). Nurses most realise the importance of patients
participation in their care and strive to uphold it as a principle of person centred care, ''Lack of time and/or restrictions on patients choice and
involvement, was listed as the number 1 factor to hinder quality nursing care'' (An Bord Altranais, 2009). As nurses it is our responsibility to take the
time to overcome communication barriers, for example, a hearing or speech deficit. The nurse can opt to use non–verbal communication to facilitate
the decision making process for the patient. Patients are entitled to information about every aspect of their care and should be frequently updated.
Information about management and prevention of conditions, procedures, assessments and investigations ,diagnosis, treatment, follow on care,
referrals and services available to patients( i.e. health, social) should all be disclosed to patient (Department of Health,2001). If they

Obama Care Essay
1)Consider the similarities and differences between the NASW Code of Ethics and the Trauma Informed Care principles and the section on ethics in
TIP 57. Please discuss differences or complementarities that you observe. The NASW Code of Ethics (1996), the Trauma Informed Care principles
(Bowen, 2016) and TIP 57(2014) have common similarities. These similarities are guidelines that are similar in components are reflected in six core
principles that are Safety, trustworthiness, transparency, collaboration, empowerment, choice and intersectionality. These are practices guidelines in
which these article consider the well–being of each individual. Their guided by ethical standards and principle in which a social worker should practice
justice for...show more content...
Using the Bowen article and the article on Obamacare Dead Zones (available in E–reserves), consider the impact in your locality of the repeal of
Obamacare. Is there relevance for Trauma informed principles in a changing policy environment? The Obama Care is going through many changes
that will impact the American nation. There are many different points of view from the political parties. Not having the same view of the whole
matter of the situation makes it difficult to know what the expectations are. Instead of viewing from a different perspective and thinking how the
population is going to benefits, these people that are in power are not thinking of what is best for the nation ,especially for the elderly, children and
people in poverty which will be affected adversely by these changes. These situations that are coming into play have cause great impact in the
Jamestown, NY area. People are being traumatized when they cannot received medical services that they used to receive before. Health insurance are
taking another direction in which the vulnerable, poor population are paying a high price. These cause trauma into the daily lives of all these

Continuity Of Care Essay

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