Name: Lucy Banner
Student Number: 1201133
Award: Adult Nursing
Cohort Number: 213
Personal Tutor: Jane Banks
Module code: 4NH007
Title of Assignment: Exploring Patient Centred Care from Nursing Perspective Date of Submission:
Named Marker: Robert Preece
Number of words:
This assessment is my own work, which not been completed in collusion with other student’s and complies with University of Wolverhampton plagiarism policy.
On a female only respiratory ward in the West Midlands a patient was admitted to the ward with chest pain and shortness of breath. Her name was withheld in order to conform with patient confidentiality (Dimond, 2002). Due to being registered deaf, the patient had difficulty communicating verbally. She had a form of Aphasia resulting in stuttering.
A friend of the family asked if the nurses could note down the procedures for the patient. The friend proceeded to use British Sign Language (BSL) to pass on information when trying to converse with the patient. The BSL use several movements which include hand gestures, lip patterns, fingerspelling and facial expression (National Health Services choices, 2013).
The tissue viability (TV) nurses advised daily leg dressings for ulcerated legs and her personal care and medication were organised. She was kept informed by written notes. All NHS Policies, Procedures and The Code of Conduct within the Trust were followed as protocol. The patient began to refuse any care. It is the right of a mentally competent person to refuse treatment (Dimond, 2005, p142).
After several attempts to change nurses, the patient still refused. This was done to see if she was more comfortable with one particular nurse. The patient was unable to sleep through the night. The nursing team followed person centred care. The nurses began trying to reason with her to give her consent for treatment.
At this time the patient could have been lying in her own urine and faeces. If her leg was not attended to, further complications could occur. Her leg could become gangrenous and need operating on. All healthcare professionals want to adhere to safeguarding the patient. The Care Quality Commission (CQC) (2014) states “safeguarding means protecting people’s health, wellbeing and human rights, and enabling them to live free from harm, abuse and neglect. It is fundamental to creating high-quality health and social care”. The nurses wanted to respect and think of the dignity of the patient.
Eventually the patient allowed her observations, blood sugar levels and a urine analyses to be done. A urine sample is dipped using a “multiple combination strips - e.g., five tests on each strip (detects blood, ketones, glucose, pH and protein), or seven tests on each strip (tests for blood, ketones, glucose, pH, bilirubin, urobilinogen and protein)” (Henderson, 2004). The sample was sent to microbiology to be investigated into more for underling infection that could be causing her behaviour. At all times information was provided for the patient to make her own decisions and to use all communication sources in place.
Manley et al (RCN) (2011) “Healthcare teams, healthcare provider organisations and governments often articulate an intention to deliver person-centred care. However, achieving it is often challenging and difficult to sustain”. HHHh
This section aims to highlight Holistic and Person-Centred care with reference to the scenario. The paper will look at professional issues in nursing practice, and it is linked with ethical issues. It will then address the importance of effective communication skills. It is including the trust’s policies and procedures, The Royal Marsden hand book, Nursing Midwifery Council, The Royal College Nursing and Department of Health.
To be able to plan appropriate nursing care the whole of the patient needs to be assessed, physically, medically and psychologically. This is Holistic assessment. All aspects of the patient’s...
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