Describe the factors that help or hinder person-centred care and interprofessional working in relation to a chosen incident. (Word Count 2,993)
In this essay a consultation observed during a Primary Care placement will be described, with the aim of defining person centred care in relation to it. To protect confidentiality and in accordance with the Nursing and Midwifery Council’s code of conduct (NMC, 2008), the names of persons or places are not referred to. The roles and responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to ...view middle of the document...
He suggested reducing the medication.
The carer expressed concern as to do this would mean that the symptoms of the disease would no longer be controlled and violent shaking would return. The current level of medication enabled the lady to feed herself, however with uncontrollable shaking this would not be possible and her small degree of independence would be lost. This in turn would mean that the residential home would no longer be able to manage her and a nursing home would have to be considered. The consultant then asked the client, which was worst, the nightmares or the shaking. This had to be asked in a raised voice, a number of times before the lady understood and answered nightmares. The consultant then decided to reduce the medication stating that the outcome of nursing care would happen eventually and it would only be prolonging the inevitable if she were to remain on the medication. He suggested the carer should contact Social Services for a review of her care and reduced the medication.
Was the consultant’s approach to the care of this lady Person Centred? Did the carer act in a person centred way when in the role of advocate for the client? What was the nurse’s role?
A major influence in the development of Person Centred Care was the work of Tom Kitwood (1997), who wanted to approach understanding Dementia from the viewpoint of the person suffering from it. He was the first to use the term ‘Person Centred’ and stated that it was a way of bringing together ideas of working with the life experience of people with Dementia that insisted upon communication and relationships (Kitwood, 1997). ‘Person Centred Care has now become a short-hand phrase for what is now considered to be good quality care’ (Brooker, 2007).
Person centred planning became Government policy in 2001 through the ‘Valuing People’ White Paper (DoH, 2001). Initially used for planning care of people with Learning Disabilities, it promotes a person centred approach to care. Its method of planning personalised support has been adopted for wider use, including older people. National Service Frameworks (NSF) have advocated a need for change within the NHS since the millennium year, especially in relation to the care of the elderly. Policy documents such as The National Health Service (NHS) Plan, (DoH, 2000) and the NSF for Older People (DoH, 2001) have defined person centred care as ‘treating older people as individuals and enabling them to make choices about their care’ (DoH, 2001).
Person Centred Care has different meanings for different people and in different contexts and is therefore difficult to define. Brooker (2004) divides this type of care into four main elements; a value of the person as a human being, an individual approach, understanding the person’s perspective and providing a social environment that supports psychological needs. Price (2006) supports this view, suggesting that Person Centred Care is ‘an understanding of the client, their...