Patients and healthcare professionals would agree that nursing care is a fundamental for achieving optimistic goals and improving patient satisfaction. Whether it being an acute setting of maintaining care plans with patients, nurses play an important role within a multidisciplinary team to help achieve better patient outcomes. Principles The key to patient centred care is not only to build “expert” patients, but to improve common ground with them for an integrated management plan.
The aim is to develop a partnership with Emily and her family, whereby allowing them to express their separate issues, frustrations and fears with having a chronic disease. Emily will require ongoing support, while encouraging her to develop her own mechanisms and strategies coping with her disorders. Giving her the autonomy within the patient and health professional interaction to convey her feelings will make her feel comfortable with the decision making leading to optimising her care plan.
Patient autonomy can sometimes be regarded as a double edged sword. Sometimes, an empowered and informed patient may adopt to take risks regarding there health or not to adhere to their management recommendations. An informed patient or patient’s parents may sometimes frustrate the health professional. However, patient centred partnerships are still justified and will ultimately lead to the patient’s benefit. Patient centred care is also the main component of preventive care in certain issues as representations.
Regarding primary prevention of disease, Emily and her family should be given regular information about minimising risk factors, such as educating them about eating well and physical activities which should be done with their family general practitioner or a practice nurse. As for secondary prevention Emily’s family should take into account modifying her environment to suit her current condition of mobility and informing them of the importance of regular check-ups.
Ultimately patient centred care has to be at the level of tertiary prevention, to reduce a decline in health among those who already have chronic and complex conditions. Management Nursing and medicine, as well as other healthcare professionals are unified and consequently the actions for each health professional has implications for the others. The unified relationship allows for the exchange of important ideas and information for the detailed development of care plans that include all data appropriate to Emily and her family.
The care plan should contain, not only the activities commenced by nursing and medical, but also the management of the care which is provided by all related healthcare professionals. Usually the Registered Nurse is often the individual accountable for coordinating various actions into a compiled functional plan which is essential in providing the holistic care need for Emily. Though independent nursing activities are an essential part of the process, collaborative activities are based on the medical program or instructions from the other health professionals contributing in the care of Emily.
It is an essential part of collective practice and as such, the Registered Nurse has an accountability and responsibility in every cooperative problem in which they primarily interact with the client regarding regular updates and follow-ups. Collaboration Members of health care groups often come from diverse backgrounds with specific knowledge, skills and behaviours established by the standards of practice within their particular disciplines. Furthermore, the team and its involved members may be influenced by cultural, organisational and traditional norms present in health care environments.
For this reason it is crucial that health professionals develop a greater understanding of respect, and how specific roles and responsibilities can be increased to support achievement of Emily’s overall wellbeing. Working in multidisciplinary settings where the client’s goals are fundamental also allows the team members to safely trial the limits of traditional roles and accountabilities to encompass the wants of the client. Incorporating Emily and family into the team embodies a certain challenge that involves careful planning.
Emily and her family are distinctive members of the team in numerous ways. Firstly, Emily and her family do not have any formal training within health care. Therefore their input regarding care issues helps formulate a detailed care plan surrounding their concerns and fears with Emily. Secondly, educating and involving Emily’s family as much as possible enforces the idea that the care they provide to Emily is just as important as actions carried out by other health professionals.
Finally, just as health professionals must acclimate to numerous patients they meet, so must the clients learn to acclimate to certain issues which may arise regarding Emily’s health or encounters involved in her care. The patient and their family roles, goals and expectations of the team are crucial if they are to participate as members of the team. Managing a team is challenging as it becomes increasingly larger due to the severity of the individual client’s needs, in Emily’s case a Registered Nurse is required to help facilitate planning of her care and coordination of other help professionals, managing and assessing Emily’s condition.
Other professionals which may be included in her care would consist of a General practitioner for further assessments such as regular blood tests and medication education and evaluation and pharmacist. Lastly but most importantly a social worker to evaluate the family needs and Emily’s needs regarding her disorders, if any assistance can be arranged to help elevate stress at home and possible referrals to other organisations specially suited for their situation.