Question

1) Describe THREE ways you intend to demonstrate person-centred care in your clinical practice with patients and clients (300 words)

2) Define the four components named and provide an example why each one is important in nursing and/or clinical practice. (300 words)

3) (300 words) a) Identify and explain Brookfield's four components of critical thinking.

b) Standard 1 of the Registered Nurse Standards for Practice (2016) requires that an RN ‘Thinks critically and analyses nursing practice’. How would you demonstrate that you are developing this skill when you are on clinical placement?

4) Explain how the four Cs of caring can be demonstrated by nurses in practice with an example for each.

5)

Please answer the following two questions based on the following scenario: You are working as a nurse in an aged care facility during an acute gastroenteritis outbreak. Many of the residents are affected by the symptoms of gastroenteritis (with various degrees of severity), but not all. Some residents have cognitive impairments, other do not. Some residents’ family members are insisting they be allowed to access their relative’s daily report. Some need to be allocated treatment-related resources that may deprive others. For example, nurses and other staff need to give residents affected by gastroenteritis more diligent and regular attention with toileting and person hygiene. Residents affected have been moved to single rooms with all new linen that is changed frequently that has resulted in restriction of linen available to other residents. Residents not affected are given a lower priority and sometimes need to wait longer for assistance with activities of daily living as staff are very busy. Extra personal protective equipment needs to be purchased and this has impacted on the faculty budget so extra activities such as music and art therapy has been reduced for that month.

(a)       Briefly describe the nature of the power relation between nurses and patients in this scenario. In the light of this, explain why the fiduciary model is the legally prescribed model of the nurse/patient relationship (approximately 150 words).

b) There are ethical considerations that arise in this scenario. Discuss two of these considerations, explaining their ethical nature by utilising one or more theories or principles you have learned about in this unit (approximately 150 words).

Answer 1

1. Describe THREE ways you intend to demonstrate person-centred care in your clinical practice with patients and clients

• Care throws light on most prior elements as physical comfort and emotional well-being.
• involve the family and friends of the patient to motivate him/her for emotional support and quicker recovery
• Maintenance of transparency in all the healthcaer related decisions.
• patient centered can be delivered in doctor's office via clear eye contact, assuring mode of communication, clear analysis of symptoms etc and in the hospital by means of comforting elements like family friendly atmosphere, good infrastructure and residential facilities for the patients.

2,4. Explain how the four Cs of caring can be demonstrated by nurses in practice with an example for each

CULTURE: culture is an association of language, belief, language, traditions and customs. Culture can influence understanding the priorities of health and illness, the way of interactions in ahealth care system, decisions about seeking medical care and adherence to treatment system and individual participation in prevention and health promotion programs. Cultural Knowledge of Patient Populations Should Include effects of migration, racism and discrimination & poverty, incidence/prevalence disease in the population. Ethnocentrism and cultural relativism should not be in practice.

CARE:  it is the ultimate goal of all the principles like this. Care is the compassion and assistance with optimism in all aspects for the quality outcome in the health related services.

COMMUNICATION: The Goal of Therapeutic Communication is TO FACILITATE THE DEVELOPMENT OF PROVIDER PATIENT RELATIONSHIPS THAT ARE GROUNDED IN MUTUAL RESPECT AND TRUST. Communication is about having conversations with people like; "How is your visit to our clinic going so far?","How can I care for you today?","What are the most important things that you want me to know about you?" etc.

Communication helps us to know our patients by

• Exploring both the disease and the illness experience: differential diagnoses, dimensions of illness, including feelings and expectations.
• Understanding the whole person: the whole person includes life story, personal and developmental issues; the context includes anyone else affected by the patient’s illness.
• Finding common ground in regard to management: problems and priorities, treatment goals, clarification of roles of provider and patient.
• Preventing diseases and health promotion: health enhancement, risk reduction, early disease detection, reducing the impact of the symptoms or effects of a disease (especially important in chronic disease states).
• Reality maintenance: time resources, team building

COLLABORATION: refers basically to association or a team work.

Principles of Interprofessional Team Care are:

• Person centered model of care versus disease centered model of care
• Strong commitment to team communication (includes patient), shared expertise and shared accountability
• Shared accountability with other professions, patients and communities for outcomes relevant to disease prevention and integrated healthcare
• Includes process improvement strategies to increase effectiveness of teamwork and team-based care

5. a) The nurse patient relation shown in this scenario reflects power inclined more to the nurses as they have the right to prioritize patients according to the seriousness and the demands of the situation. It cleraly explains the scenario of legally preferred fiduciary model of nurse/patient relationship. According to the mentioned model, the patients have to trust the service providers totally and nurses have to deliver the best possible care for their patients. Here, the nurses deliver the best and maximum care, though unaffected among themneeded to wait long to get their things done. It is notable that nurses prioritize patients only now; that is, during a different situation like a outbreak in the mentioned scenario and before that they treated everyone at the most equity. Thus the patients are expected to cooperate and is well explained by fiduciary model.

b) The two major ethical concerns are the decreased availabilty of linen and materialilstic necessities of the unaffected residents and making them wait so long for basic needs. The first one can be questioned by the principle of provison of basic comfort for all the patients irrrespective of the situation.This deals with the supply of the basic materialistic needs which are prior to the medicines when the patient is admitted in a hospital. The second one deals with the principle of delivering attention where the nurses are expected to show maximum attention to the patients and  never cause them to wait long for that. But in this scenario both the principles are almost met by the fiduciary model.

HOPE THIS IS HELPFUL FOR YOU. PLEASE DO NOT HESITATE TO GIVE THUMPS UP. HAPPY LEARNING, ALL THE BEST , STAY SAFE