WEEK OF TEACHING       7.5 HOURS        22/03/23.

It’s a start of another week. We had recap on the last week’s teaching, about the principle of person-centred care, the nursing process( ASPIRE, ADPIRE, & RLT)
Person-centred care as we discuss, is when we focus on care and support the individual needs and ensuring that their preferences, needs and values guide clinical decisions.

People are feeling able to speak about what is important to them and the workforce listening and developing an understanding of what matters to people. Supporting to develop their knowledge, skills and confidence, health and social care professionals work collaboratively with people who use services. we say person-centred care is important because many people want to play more active role in their health care. It is important because its aim to treat people with dignity, compassion and respect. It is important because it is cost effective- services are built on needs/preferences and to improve experience, quality and outcomes. I learnt about the origin of the Person-centred care, in the early 1960’s, (psychologist Carl Rogers) and in 1970’s (American psychiatrist George Engel) and these ideas began to become aligned with health care in 1990’s. I also learnt about Lord Darzi’s report in promoting high quality care for all in (2008). The Francis report in 2010, about the importance of person-centred care, focusing on dignity, compassion and respect and the Health and Social Care Act (2012) imposed a legal duty for NHS England and Clinical Commissioning Group(CCG) to involve patient in their care.  All health and social care services that Care Quality Commission(CQC) regulates are expected to meet the fundamental standards of care, this was introduced in April, 2015. We also highlighted on the four principles of person-centred care (Health Foundation 2018) they are:

1. Affording people dignity, compassion and respect.

2. Offering coordinated care, support or treatment.

3. Offering personalised care, support or treatment.

4. Supporting people to recognise and develop their own strengths and abilities to enable them to live an independent and fulfilling life.

We looked at the barriers to person-centred ways of working, we say time, listening skills, resources, experience, standardised way of practice, communication to name but a few. We will be able to assess base on the following, feedbacks received, patient survey, reviews,  to name but a few, will enable us to know whether person-centred care is being used in practice.

In supporting and delivering person-centred care, planning needs to be in place as goals are identified and the nursing team prescribes the care for the service used that will meet the service users needs. Person-centred is a process, and partnership between the nurse and the service user needs to be established. A shared decision making.

Goal setting should offer a short, directive statement as to the outcome of the nursing care. This could be short or long term. They should be simple, measurable, and recordable and devised within the limits of the available recourses to deal with the problem.

We looked at the criteria for goal setting, they are SMART = Smart, Measurable, Achievable, realistic, Time.

MACROS = Measurable, Achievable, Client-centred, Realistic, Outcome- written and short.

PRODUCT = Patient-centred, Recordable, Observable, Directive, Understandable and clear, Credible, Time-related.

We also looked at Care Planning, after identifying and agreed the goals with the service user, there is a need to prescribe care based on the update research and evidence. The plan for implementing care should direct the service user and their carers as to who is to do it, and where they are meant to do it.

In dealing with individual plans, start with a complete blank piece of paper and writing the care plan from scratch. To always ensure individual care plans are written, even if the are areas where these care plans are never used, its a skill that should be possessed.

Some barriers to individual care plans are time, lack of resources, skills, knowledge, confidence, some nurses feels that individual care plans are ‘paper exercise’ to name but a few.

We looked at the importance of documentation. To document the information; it cannot be shared if it is in your head or a brief discussion.
Documentation helps to improve outcomes – basis for evaluation. The activities that are required to reach the goals should be written in a way that leaves no room for misunderstanding. Documentation is a sign of evidence that things are done, if not documented, it didn’t happen.
We looked at the care planning stages. They are:
To  identify the problem and the nursing diagnosis.
To  establish the goals
To determine nursing interventions
To evaluate the care processes
To review dates.

KSB ADDRESSED .
K1
K2
S2
S3
S4
S7
S10
K14
K15
K18
S19
K20
K21
K23
K24
K25
S23
S24
S30
S35
K33