+1-817-968-5551
+61-488-839-671
+44-7480-542904About Expert
Key Topics
Requirement
Topic: Psycho-social and therapeutic interventions are considered essential in providing person-centered care for people with dementia and their families.
Critically analyze an evidenced-based therapeutic intervention currently used as a treatment modality. Your discussion should draw on evidence to support the benefits and risks of the intervention.
Solution
Introduction
Prior to the inception of the person-centered care, the similar principles were seen to be crystallized in the 'Framework for Accomplishment' given by John O'Brien and Connie Lyle O'Brien. In this framework, they listed major five areas which were critical in shaping the quality life of the people and asserted all the services must be judged by extent to which the people are able to share ordinary places, develop various abilities, make choices, and treated with respect and has valued social role and how they grow in relationships. The care is titled as ‘person-centered’ due to the idea behind its development and sharing a belief that services towards work must be performed in a ‘service-centered' manner. The prime ideology behind the person-centred planning is to set up services in response to the various issues like devaluation, social exclusion, disempowerment but these are also seen to make the situation worse for individuals albeit unintentionally.
Are you looking for the best medical science assignment assistance? You no longer need to be concerned because Allassignmenthelp.com has the best assignment experts to handle all types of nursing assignments. If you want to get good grades on your dissertation, you can avail of our nursing dissertation help.
Discussion
According to Harkness J (2005), the person-centered planning is seen to impact the health outcomes of the patients positively. A review of various studies regarding the professionals who deliver person-centered care has found out that it helps in various aspects like reduction of the emotional exhaustion, job satisfaction along with increased sense of accomplishment (Lutz BJ, Bowers BJ). The person –centered care helps in promoting effective communication. This effective communication is vital for improving the quality of the people suffering from dementia. Therefore, the efforts must be made by the staff so as to enhance the communication, make the patients listen to the staff and in turn understanding the patients. As the behavior and emotional states of the people suffering from dementia are the only forms of communication where they can reflect their feelings, person-centered care, along with a skilled staff helps in identifying the potential triggers towards the behavioral as well as emotional symptoms like depression and agitation of the resident. The staff of the person-centered care are trained and therefore they are aware of the various communications needs of the individual resident, the family is unable to do that. Mead N, Bower P., (2000) stated that the person-centered care utilizes a multi-disciplinary approach implementing communication strategies which are impossible without these cares. Additionally, the person-centered approach helps in entitling the residents towards full access to the other services by maintaining a balance between the health and social care services. Every resident gets a full assessment of his need including diagnosis and access for the person's assessed needs like nutrition, health care, and physiotherapy, etc. along with this; the mental needs are also acknowledged by using appropriate services. Only the person-centered care is able to adopt a suitable pain management technique. As stated by Stevenson ACT (2002) the person-centered approach never fails to deliver right advocacy services. In short, the person-centered care is able to make the services accessible in a very flexible and easy to navigate manner. The person-centered care helps in maintaining a relationship between the service users and the staff and further helps them to empower them. Therefore a meaning is provided to every event. The person-centered care helps in ensuring a good understanding of the understanding and the person-centered care helps in maintaining a perfect balance between the calming services and the stimulating activities. A person-centered care helps the staff to recognize the style of participation of an individual via the observation and good assessment. Person-centered care is a perfect and only measure of the satisfaction and well-being of the individual. (Nolan M, 2004)
But at the same time, the people with dementia are at high risk due to the impairment of their neurological system. Furthermore, the environment of the person-centered care also adds up to these risk factors. The following factors are responsible for the risks associated with the person-centered care (Supporting people with dementia and their carers in health and social care, 2006): Safety and mobility issues, abuse, community hostility, overcrowding, lack of privacy, conflicts between staff and carers, etc. Firstly, as mentioned in the study by Brownie, S., & Nancarrow, S. (2013), there is a problem related towards the maintenance of the safety as well as ensuring the autonomy to the resident along with high comfort. Due to different residents having different needs, it becomes challenging to satisfy their needs and autonomy. Furthermore, with the changing needs of the person, the factors are bound to change. There might be risk towards safety and mobility leading to the risk of falls and even fall-related injuries. The physical restraints are usually mistaken with ensuring safety. However, they end up harming the residents. Additionally, the people with dementia are seen to be at higher risk of various types of abuse like sexual, verbal, financial, physical, psychological abuse along with neglect owing to progressive loss of capacity, increasing dependence on others and even communication difficulties. This can be due to the disconnection between the educations of providing personal care along with what was expected from them. The staff is seen to have the lake of training and information regarding dementia and are asked to perform authorities and responsibilities that are beyond their capability. Therefore, sometimes the staff is unintentionally being abusive or neglected towards the people with dementia (deGruy, F. V., & Etz, R. S., 2010). Secondly, the people with dementia are seen to be segregated, marginalized, excluded and even ignored in an environment away from their family and the people are seen to face various other difficulties with the less responsive environment of the person-centered care. Moreover, the overcrowding is one of the major risk associated with the people with dementia in the person-centered care. Due to overcrowding the person-centered care the staff and authorities are not able to focus on the abilities and needs of all the residents leading to ineffective care. With various other residents are healthcare providers have the shortage of staff and other facilities leading to worsened care of the residents and increased dissatisfaction. Likewise, the need for companionship and physical intimacy are not supported with dignity and therefore the people with dementia are seen to suffer. The staff fails to recognize their intimacy and sexuality and are therefore not provided with adequate privacy. Furthermore, the couple needs are not accommodated in the person-centered care.
Conclusion
The person-centered planning is seen to be associated with various positive influences as it improves the psychological status of the residents and helps in lowering feeling of helplessness and the boredom rates further leading to the reduced agitation level in the people with dementia. However, at the same time, the residents present in the person-centered care are also seen to be prone to higher risk of falls, lack of privacy, substance abuse and other factors.
Place Order For A Top Grade Assignment Now
We have some amazing discount offers running for the students
Place Your OrderReferences
-
Brownie, S., & Nancarrow, S. (2013). Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clinical interventions in Aging, 8, 1.
-
deGruy, F. V., & Etz, R. S. (2010). Attending to the whole person in the patient-centered medical home: The case for incorporating mental healthcare, substance abuse care, and health behavior change. Families, Systems, & Health, 28(4), 298.
-
Ford P, McCormack B. Keeping the person in the center of nursing. Nurs Stand 2000;14(46):40-44.
-
Harkness J. What is patient-centred health care? London: International Alliance of Patients’ Organizations, 2005.
-
Lutz BJ, Bowers BJ. Patient-centred care: understanding its interpretation and implementation in health care. Schol Inq Nurs Pract 2000;14(2):165-183.
-
Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000;51(7):1087-1110.
-
Nolan M, Davies S, Brown J, Keady J, Nolan J. Beyond person-centred care: a new vision for gerontological nursing. J Clin Nurs 2004;13(3a):45-53.
-
Nolan M. Successful ageing: keeping the ‘person’ in person-centred care. Brit J Nurs 2001;10(7):450- 454.
-
Stevenson ACT. Compassion and patient centred care. Aust Fam Physician 2002;31(12):1103-1106.
-
Supporting people with dementia and their carers in health and social care. (2006) (1st ed.). UK. Retrieved from http://www.scie.org.uk/publications/misc/dementia/dementia-guideline.pdf?res=true
Give your grades a boost
Just share your requirements and get customized solutions on time.
-
1,168,768 Orders
-
4.9/5 Overall Rating
-
5,052 Experts
