Person-Centered Care Strategies Discussion Paper
Question
Barbara’s story
Mrs Barbara Reece was old woman and she was a primary headmistress. There was 150 children in her school. She had cardiology appointment. She was not feeling well when she was at home. Her taxi was late. when she reached a hospital she went to receptionist for asking that where she is as she was suffering from dementia so she forgot. But receptionist didn’t replied her question and instead of replying she asked mrs Reece her name. she was busy in her other works. when Mrs Reece was sitting in the corridor waiting for her appointment, Everybody was walking here and there nobody asked her or supported her to walk down the corridor. Then one nurse came named Jayne asked her where she want to go she helped Mrs. Reese to go to washroom. During her appointment time doctor asked her to remove her blouse. while she was removing her blouse, She was feeling awkward as someone sitting beside doctor was watching her continuously and then doctor asked her about a problem. She told that her symptom includes breathing problem Sometimes when she go to upstairs. Doctor told her that she have to be admitted in the hospital for one day. The porter who was taking Mrs. Reese pushed chair forward instead of pulling backwards. when bed was given to Mrs. Reese, the nurse who was attending her, didn’t made her comfortable and didn’t paid any attention to Mrs. Reese. The nurse whose name was Jayne, who helped Mrs. Reese in going to washroom, again helped her making her comfortable while she was on the bed and talked with her very nicely. therapeutic relationship with Barbara. (approximately 600 words
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Short Answer Questions: 1. Do you think that Barbara’s age impacts the care that she receives? Why OR why not? Use evidence to support your reason(s). (approximately 300 words) 2. Effective communication is an integral aspect of patient safety; describe how you would demonstrate effective communication to ensure optimum care for Barbara. (approximately 300 words) 3. Do you think that Barbara received appropriate nursing care? In your answer, refer to 2 of the professional codes that RNs in Australia must adhere to. (approximately 300 words) 4. Identify and briefly describe 4 person-centred care strategies you would employ to develop a therapeutic relationship with Barbara. (approximately 600 words) Person-Centered Care Strategies Discussion Paper
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Step 1/4
1. Yes, I do think that Barbara’s age impacts the care that she receives.
Explanation:
This is evident in the story in the way that she is treated by the staff at the hospital. For example, when she first arrives at the hospital, the receptionist does not make an effort to help her despite her suffering from dementia and having difficulty remembering where she should be. Additionally, when she is in the corridor waiting for her appointment, no one offers her any assistance or help, despite her being an elderly woman.
Furthermore, when she is in the appointment, the doctor has someone else in the room watching her while she is removing her blouse, which can be seen as an invasion of her privacy. This shows that the lack of empathy and respect given to Barbara is likely due to her age, as the same level of care would not likely be given to a younger patient.
The evidence for this can be seen in the way that the nurse Jayne helps her during her appointment. She is the only one who makes an effort to show kindness and compassion to Barbara, and even goes out of her way to make sure she is comfortable. This shows that the care she receives is likely due to her age, as the staff would likely not show the same level of care and respect to a younger patient.
Overall, this story clearly demonstrates how age can have an impact on the level of care and respect that an elderly patient receives in a healthcare setting, and how this can lead to a lack of empathy and privacy for the patient. Person-Centered Care Strategies Discussion Paper
Step 2/4
2. In order to ensure optimum care for Barbara, effective communication is essential.
Explanation:
This includes being clear and concise when communicating with her, being respectful of her time and needs, using appropriate language, and making sure to listen carefully to her concerns. Additionally, it is important to be aware of her age and the possible communication barriers that may arise as a result. For example, if she is suffering from dementia it may be difficult for her to comprehend and remember what is being said.
To ensure effective communication with Barbara, I would make sure to talk to her in a calm and friendly manner, and use language that is easy for her to understand. Additionally, I would be sure to ask her questions to confirm that she is understanding what is being said and to make sure that her needs are being met. It is also important to be aware of her body language and any non-verbal cues she may be giving, as this can help to ensure that she is feeling comfortable and that her needs are being addressed. Furthermore, I would ensure that I am providing her with enough time to respond and answer my questions, as this will help to ensure that she feels heard and respected.
Overall, effective communication is key to ensuring that Barbara receives optimum care. By being respectful of her needs, using appropriate language, and providing her with enough time to respond, I can ensure that she is receiving the best possible care.
Step 3/4
3. Based on the story, I do not believe that Barbara received appropriate nursing care.
Explanation:
This is evident in the way that she is treated by the staff at the hospital, as they do not show her any respect or consideration. For example, when she is in the corridor waiting for her appointment, no one offers her any assistance or help, despite her being an elderly woman. Additionally, the porter who is taking her to her appointment pushes her chair forward instead of pulling it backwards, which is not only disrespectful but can also be dangerous for an elderly patient. Furthermore, when she is on the bed, the nurse who is attending her does not make her comfortable or pay her any attention.
In terms of the professional codes that RNs in Australia must adhere to, Barbara’s story does not demonstrate that these codes are being followed. For example, the Nursing and Midwifery Board of Australia’s Code of Conduct states that nurses must “treat people with respect and dignity” (Nursing and Midwifery Board of Australia, 2018). Additionally, they must “provide competent and safe care that is appropriate to the individual’s needs” (Nursing and Midwifery Board of Australia, 2018). These codes are clearly not being followed in Barbara’s story, which shows that appropriate nursing care was not provided.
Overall, it is clear that Barbara did not receive appropriate nursing care. This is evident in the way that the staff at the hospital treat her, which does not demonstrate respect or consideration for her needs. Additionally, it does not follow the professional codes that RNs in Australia must adhere to Person-Centered Care Strategies Discussion Paper
Step 4/4
4. Person-centred care is an important approach to developing a therapeutic relationship with a patient, as it focuses on the individual’s needs, values, and preferences.
Explanation:
In order to develop a therapeutic relationship with Barbara, there are a number of person-centred care strategies that I would employ. These include providing her with emotional and practical support, having honest and open communication, respecting her privacy, and engaging in meaningful activities.
The first strategy is providing her with emotional and practical support. This includes listening to her concerns and offering her reassurance, as well as providing her with physical assistance when needed. This can help to build trust and encourage her to open up about her feelings and needs.
Additionally, it is important to be honest and open when communicating with her. This means being honest about her condition and any potential treatments, as well as providing her with accurate information about her care. Additionally, respecting her privacy is also important for developing a therapeutic relationship with Barbara. This includes making sure that she is comfortable with any medical procedures that are being done and not allowing anyone else to be present when they are not needed. Furthermore, engaging in meaningful activities is also a key part of person-centred care. This could include talking to her about her interests and hobbies, or engaging in activities that she enjoys. This can help to make her feel more comfortable and relaxed, which can help to improve her overall wellbeing.
Final answer
Overall, there are a number of person-centred care strategies that I would employ in order to develop a therapeutic relationship with Barbara. This includes providing her with emotional and practical support, having honest and open communication, respecting her privacy, and engaging in meaningful activities. By following these strategies, I can ensure that Barbara is receiving the best possible care and that her needs are being met Person-Centered Care Strategies Discussion Paper