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  • Essay / Providing quality nursing care

    Sandy, a 93-year-old man, was admitted to a rehabilitation unit due to reduced mobility following a fall at home. He has a medical history of vascular dementia, bladder cancer, and chronic kidney disease. According to a National Health Service report (NHS 2017), suffering a fall causes distress and a loss of independence and confidence. It is therefore the role of rehabilitation to recover these losses and work towards achieving independence. A study by Duffy (2013) shows that people with dementia or cognitive impairment are more vulnerable to falls. It is therefore crucial that healthcare professionals caring for older adults adopt a holistic approach and management of falls. The rehabilitation team consisted of a wide range of health professionals such as physiotherapists and occupational therapists. Elliot (2013) suggests that a supervised exercise program is essential to help patients gradually increase their physical activity while increasing their exercise capacity. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay Goals are set for each patient and exercises are defined specifically for the needs of those patients so that the rehabilitation process is safe, enjoyable and meets the needs of the patients. The main role was to promote independence and improve Sandy's mobility, ensuring he was safe in his home environment after discharge. Due to her limited mobility and age, Sandy needed help with transfers and all aspects of personal care, including maintaining her ostomy bag. Throughout this essay, I will discuss the importance of person-centered care and its benefits, as well as the contribution of other healthcare professionals and their impact. I will conclude by discussing how I would apply both legislation and research evidence to my patient if he or she had a learning disability. Care Delivery Person-centered care (PCC) involves treating the patient as an individual and not just their illness, while involving them in their care and allowing them to make their own decisions if they need to. has the capacity. Communication between nurses and patients is essential to promote recovery leading to a successful discharge. Scammmell (2017) suggests that there is no single definition of patient-centered care, but that it includes five domains. These five areas include information to keep the patient informed of any care or treatment they are receiving during their hospital stay. Communication so that the patient feels valued and can talk to the nurses if they are worried or have questions. Decision-making is made possible for the patient when treatment discussions are clear through effective communication. Care planning and coordination is necessary due to the involvement of patients' families prior to discharge Scammell (2017). PPC has health benefits for patients because they are able to build relationships with nursing staff and it is easier to learn their likes and dislikes, which will help promote recovery and ensure that discharge is an easy and simple process. Fredricks, Lampum, and Hui (2015) assert that person-centered care provides opportunities for patients to be actively involved in their care and that their needs, values, and beliefs are taken into account. It may benefit mental healthpatients during their hospital stay, for example, because they will have a more positive state of mind. The first aspect was getting to know the patient. I accomplished this by asking Sandy questions such as his favorite name and through discussion I discovered that he preferred to sit with the lights off during the day as he preferred daylight. We succeeded. this is done by ensuring that everyone in the ward knows their preferred name and that it is written on the board in their room so that other healthcare professionals know it. The lights remained off until it was unsafe for him to sit in the dark. Due to Sandy's vascular dementia, it was sometimes difficult to engage and communicate with him as he often forgot what was being said. The result was that Sandy showed respect to the nursing staff as he felt comfortable in the environment. Lindsay-Gould (2017) mentions that treating patients with a holistic approach and not being judgmental about the patient's values ​​and beliefs is the key to good person-centered care, as this will make the patient feel valued and safe while he is being treated. The second aspect of PPC was determining whether Sandy could care for her urostomy bag herself. A urostomy is when a small section of intestine is removed and connected to your uterus. A small hole is then created on the surface of the abdomen and the open end of the removed intestine is placed into this hole. A waterproof bag is then placed over the stoma to collect the urine (National Health Service 2015). Because Sandy said he needed help caring for his stoma, the nursing staff was able to organize a care plan specific to his needs. By explaining step by step and discussing what was done when changing the bag, he was more relaxed during this operation. The door to the room was closed and the curtain closed to preserve the dignity of the patients. Mendes (2015) explains that maintaining the dignity of patients means treating them as valued individuals and the attitude a nurse adopts when caring for the patient is a huge factor that promotes the dignity of an individual at the hospital. The nursing staff then showed Sandy how to empty the urostomy bag himself to promote his independence. The result of this process allowed him to trust the nursing staff and, as it was a personal procedure, it allowed him to build a relationship. Trust is an important factor in the nurse-patient relationship, nurses must demonstrate their clinical skills and knowledge when performing a procedure because if something goes wrong the patient will feel vulnerable and trust in the nurse-patient relationship will be broken (Bell and Duffy 2009). PPC has a positive outcome while trying to empower the patient. Promoting independence and encouraging patients to take care of themselves will allow them to feel more empowered, which will allow patients to be more satisfied with and greatly benefit from the care they receive. By performing PPC, healthcare professionals are able to educate and discuss each patient's essential skills, which will encourage them to be independent and confident while caring for themselves (Phillips 2016). The importance of effective communication, successful hands-on teaching and teamwork are key factors in enabling patients to care for themselves (Di Gesero 2012). Other healthcare professionals were involved in Sandy's care, including physiotherapists. Carr et al (2016) state that physiotherapy is used to treat different injuries, illnesses anddisorders by applying physical methods such as exercises to increase mobility and restore a person's quality of life. Due to Sandy's admission to hospital following a fall at home and reduced mobility, physiotherapists were involved to try to get him back to his baseline level of mobility. To do this, they gave Sandy exercises and had him walk with different walking aids to see which one is best and safest for him to have at home. Carr (2017) mentions that a treatment plan is developed for each patient with set goals and objectives. This includes maintaining the patient's range of motion by providing the appropriate walking aids and support on how to best position and mobilize with them so that the patient fully benefits from the walking aid. step provided. Sandy was fitted with a Zimmer frame and, after intervention from physiotherapists, he was able to mobilize independently. Older adults The research I found addresses the question of whether balance confidence and fear of falls are the most predictive cause of falls in older adults (Landers et al 2016). According to Criticism, a solid piece of research evidence must include a purpose, method, results, and discussion. The objective of the article is to determine which aspects, such as physical and psychological, are the most predictive causes of falls in older adults. Sixty-four participants took part in the survey, forty women and twenty-four men, all with or without pathology. Participants were asked to complete a log of their past falls over the past year and how the fall occurred, whether they simply fell to the ground or were performing daily tasks. The CASP tool states that the recruitment strategy should be tailored to the research objectives and this article states that participants were recruited by distributing print media to support groups, interested participants were required to contact the investigator. The recruitment process was aimed at a targeted group of individuals with a range of balance abilities and aged over sixty. Individuals who were unable to read or speak English, had cognitive impairments, or unstable health conditions such as hypotension were not allowed to participate in the balance tests. This research concludes that balance confidence was the best predictor of falls due to patients' fear of falling again, putting them at high risk of falling. By following the CASP tool, I identified that this was qualitative and robust research. The legislation I have chosen is the Adults with Disabilities (Scotland) Act 2000, as it provides a framework for safeguarding the welfare and managing the finances of adults who lack capacity due to illness or disability. a condition that can affect their cognitive state. Families provide a power of attorney which gives them the authority to make decisions for the patient in the event of incapacity (Mental Protection 2017). The research and legislation would apply to Sandy because she is an elderly person with dementia. Thanks to Sandy's admission to the ward following a fall at home, I was able to recount the research whilst investigating how he ended up falling. The goal for Sandy was to have an easy and safe return home. The legislation also applies to Sandy because he has power of attorney over his niece so that medical professionals can consult with Sandy on matters involving her care. The ethics I took into account when carrying out PPC with Sandy,.