Running Head: Patient Care

Word Count: 4210

Importance of Patient Care

Keywords: Dementia, Alzheimer’s, Multidisciplinary teams, Atlas Variation, NHS, NMC

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Table of Contents

Introduction.................................................................................................................................................3
Theoretical framework.................................................................................................................................3
Benefits of Using a Maintenance Plan.................................................................................................5
Duty of Care........................................................................................................................................6
Developed strategies to overcome obstacles................................................................................................7
Challenges for individually person care.......................................................................................................9
Strategies for patient care..........................................................................................................................10
Atlas Variation...........................................................................................................................................11
Multidisciplinary teams.............................................................................................................................12
Consider the NMC code application..........................................................................................................14
Conclusion.................................................................................................................................................15
Recommendation...............................................................................................................................16
References.................................................................................................................................................19
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Introduction

Person-centered care is the individual care of patients who are unconscious or have a

disability, which leads to a high level of dependence on others (Long, 2019). Individualized care

is also prescribed to people who cannot function properly due to paralysis or dysfunction due to a

stroke or accident. Therefore, health professionals trained in their medical professionals to ensure

the care and attention patients need in this area (Miranda et al., 2019). However, there are certain

barriers and concerns in effectively delivering personalized care to patients with a wide range of

needs.

In this paper, I will talk about my experience as a student nurse with nurses regarding the

professional issues they come across. I will discuss the constraints and difficulties that healthcare

provides face in executing health their plans following systems for defeating these hindrances

(Pinto-Bruno et al., 2019). It additionally talks about the advantages of making an effective

treatment intend to improve the overall health and state of the patient. It is critical to underline

relatives' function and contribution to the nursing cycle, as customized nursing significantly

affects the patient's family and caregivers.

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Theoretical framework

The psychosocial needs of patients suffering from long-term illnesses such as dementia,

Alzheimer's disease, or recovery from a stroke or accident are seen as more important as patients

with such illnesses generally become more vulnerable. Patient-centered treatment processes are

generally intended to help patients become well-aware about their condition and take care of

their social, physical, and emotional health (Nice.org.uk, 2018).

There are many obstacles in the implementation in the process of effective treatment.

Several barriers have been analyzed to provide effective person-centered treatment to patients

with long-term conditions such as dementia, Alzheimer's, stroke, etc. As a student in the ward, I

shall mention some of them below.

Firstly, I believe inefficient communication is an obstacle. Since the treatment process

model encompasses dealing with the disease and the patient's emotions and needs, effective

communication is vital to building an emotional attachment with the patient (Han and Kunik,

2019). Inefficient communication is, therefore, an obstacle to the effective treatment of the

patient. Because people with dementia need the right medication at the right time, it affects the

service users. Effective communication between service providers is important to help patients

adhere to medication and recover quickly.

I also feel that nurses lack personal resources. Many nurses I spent time with have poor

finances and cannot afford decent housing when in case they get fired from the NHS. Therefore,

adequate housing facilities must be provided to nurses so that they can be targeted at people.

Fundraisers for payment service users are often a major problem as participation can be

cumbersome (Hung et al., 2019). People with dementia are considered terminally ill and need
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good home-care facilities to get personalized care by daily visits from nurses. The lack of

resources and funds for adequate housing will make effective treatment difficult (New

Economics Foundation, 2018).

Another issue is the bad management practices and the unethical approaches associated

with it. People with long-term illnesses like dementia generally become more defenseless and

touchy than individuals with different diseases. They feel pointless and infrequently stick to it.

Henceforth, dishonest practices and awful conduct can exacerbate the condition. In this way, it is

proper to manage sympathy and nobility, so they feel regarded and esteemed.

Many nurses lack the capacity to resolve conflicts. Most nurses and other health workers

need effective training in dealing with conflicts that may arise due to the patient's family's

preferences and the way the nursing worker works (Lawrence and Reedy, 2019). To manage the

conflict of people living with dementia and treat them and their families well, it is important to

handle conflicts that arise in patients' care. Since the patient's family is emotionally connected to

the patient, it is consciously important for nursing professionals to put themselves in their shoes

and clarify what the treatment process is and what cannot be in the patient's primary interest, so it

will affect their health.

If the nurses are not delegated the appropriate roles and responsibilities to the patient, the

desired results would not be achieved. Since personal care includes caregivers and service users,

and service providers and effective role delegation is crucial for improving health conditions.

Knowing the importance of teamwork, it is important to share roles and responsibilities between

providers to provide effective treatments and medications to patients with dementia (Carmody et

al., 2015).
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Benefits of Using a Maintenance Plan

There are many benefits using the nursing professionals plan the treatment process and

develop new and innovative ways to involve patients in the entire process effectively, patients

feel more engaged and valuable when they receive dignity and respect (Saxton et al., 1998).

While they encourage decisions to make their own decisions in their daily work, they understand

their importance and can be more actively involved in the treatment process. The patient's

condition can be significantly improved if the patient's emotional, physical, and medical needs

are met. The goals are required to improve the patient's condition, and effective communication

has many benefits in improving patients' overall health with long-term illnesses such as

dementia, Alzheimer's, stroke, or life-threatening accidents. There are more positive outcomes

related to personal management practices, including improved quality of life, safety, and

personal hygiene, decreased restlessness, improved self-esteem, and improved sleep patterns

(Upadhyaya, Seth, and Ahmad, 2010)

Recovery, rehabilitation, and reablement (RRR) review are one of the devices in use. It

means improving patient care's nature and outcome by delivering consistent RRR dosing to

intensive concession patients, taking into account the overall need, not just the conclusion. As a

key aspect of this work, SIMUL8 Corporation and NHS England have built a recovery

simulation model (Trappes-Lomax and Hawton, 2012).

Duty of Care

Less attention is given to the duty of care, which is a legal, ethical, and professional

obligation for nurses that prevent harm, and disciplinary action is taken when breached. In
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personal care, the nurser has to practice their skills to contribute to quality care and safeguard

patient safety. The standards have been set in the common law where 'duty of care' is a concept

devised by the court as proper legislation. The health care staff across the U.K. confronts many

situations that may challenge their occupational boundaries (Young, 2009).

Developed strategies to overcome obstacles

In the ward, many nurses and related staff formed groups and handled the problems

jointly. To overcome the barriers to delegation and responsibility of roles, it is important to work

with members of the nursing and health work team and family members who have dementia to

achieve the desired results. Therefore, partnerships with families, caregivers, and health

professionals to create effective treatment plans and dementia people's strategies are beneficial.

As health care providers understand the condition better and families understand the patient's

emotional needs, nursing professionals, and health care workers must work to develop an

effective treatment plan for improvement and develop a medical plan about the patient's

condition.

Education and training of health and nursing professionals is key. To overcome barriers

to conflict management and provide human-centered care with effective skills and abilities to

treat service users, nursing professionals must receive training in dealing with vulnerable

patients. When a worker is professionally competent but lacks practical training, persistence,

empathy, and patience, it is impossible to understand the patient's needs and needs as they vary

from patient to patient (McNally, 2018). Additionally, nursing professionals need to plan the
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course of treatment and consider new and innovative ways to involve patients throughout the

process effectively.

Working with the family of the patient is also a very important aspect that nurses and

health care professional must deal. Family involvement is critical to achieving desired patient

health outcomes and overcoming barriers to conflict management. Because individual care has a

significant impact on the patient's family and caregiver, it is important to emphasize the role of

partnership with family members in the provision of care processes. Also, the importance of

teamwork among service users, caregivers, and healthcare providers is critical to achieving the

desired results.

Setting goals are also essential. Goals are important in determining your goals for

improving your patient's condition. The goal must be specific. This is about improving the

patient's overall health and making them feel respected and safe. The goal should also focus on

patient participation in independent activities and decisions (Carmody et al., 2015). The goal

should be measurable. In other words, these goals should be achievable and not viewed as

inconceivable. People with dementia cannot be completely cured. However, its symptoms can be

improved with an effective treatment plan.

Patients who do not consent to begin treatment are aggresssive and skipped prescription because

of rebelliousness thus there are explicit rating scales for surveying their conduct and mental side effects;

however, there is a need for creating diversely approved instruments. Nonpharmacological interventions

are favored as first line, which primarily include environmental adjustment, social collaborations, limiting

impact of tangible shortages and conduct mediations. The sensible utilization of drugs, for example,

psychological enhancers, atypical antipsychotics and antidepressants has been proposed in intense, rising

circumstances or when they don't react to different intercessions ( Indian J Psychiatry. 2009 Jan).
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Modifying the environment can increase safety and comfort while decreasing anxiety. Home adjustments

for safety include removal or lock-up of hazards such as sharp knives, dangerous chemicals, and tools.

Child-proof latches may be used to limit access. Bed bars and bathroom safety bars can be important

safety measures as well. Another example is lowering the hot water temperature, which reduces the risk

of burning or disabling the stove and/or using stove childproof knobs may be necessary to prevent

cooking accidents (Dementia, 2020, 3 Novemeber).

Risk assessment is also conducted. Since there are risks associated with every new and

innovative technology or process, a risk assessment is required with every process decision. The

risk associated with a person-centered.treatment plan is the plan's inefficiencies, which can be

analyzed if the patient has not recovered or shows signs of recovery within a reasonable time

(Manthorpe and Samsi, 2016). Therefore, it is important to analyze the risks associated with the

maintenance plan to create a strategy for overcoming the risks and obstacles associated with the

maintenance plan.

Challenges for individually person care

There are many challenges that individual care for patients with incurable diseases such

as dementia can face. These challenges, along with effective strategies to address these

challenges, are followed by nursing and health care professionals involved with personal care

Obtaining patient consent is seen as a significant challenge in personalized care, as

patients with incurable diseases such as dementia may not be comfortable with the various

conditions for customized cases, even if they are on their own. Own interests. Therefore, service

providers need to be up to date, empathize with people with dementia to cope with the problem,

and provide essential individualized care.

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Agreement on the different roles and responsibilities of nurses can arise a situation of

conflict. It poses challenges for many service providers and nursing professionals, while roles

and responsibilities for effective teamwork are delegated. However, team members may not

work according to their needs. As a senior manager, it can be difficult to effectively delegate the

work to someone who can provide effective treatment.

Inefficient communication is challenging to provide patients with the effective treatment

they need. Because people with dementia need the right medication at the right time, it affects

the service users. Effective communication between service providers helps patients adhere to

medication and recover quickly (Yoo, Lim, and Shim, 2020).

When writing about the essay, I tried to write this essay as a student nurse by reflecting

on the planning process. First introduced in 1988, Gibb's reflection model was applied to reflect

a person's experience of dealing with situations. Strategies and measures have been developed to

use the lessons learned from this experience (Watson, 2019).

Strategies for patient care

As a student nurse working with practitioners, I can remember the experience of working

with people with dementia. The patient was 74 years old and had other problems, such as

diabetes and high blood pressure. I was tasked with working with him not to forget to take his

medication on time and have regular checkups at a community health facility for two months.

This case is important because of the problems and challenges I have faced during my

experience working with patients. One of the difficult situations occurred when a patient who has

dementia forgot about morning blood pressure due to his condition, with which he forgot his
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medication, got caught in a traffic jam and arrived late in the day. When I got to his house, I

quickly checked his condition and offered him a morning dose, making him feel better. That

experience was a lesson to me, and I learned that time management is important to me and that I

know traffic jams during school hours. In the future, I had to manage my time accordingly to

avoid such a situation (Moore et al., 2017).

From my experience, it can be explained that working with a patient with a long-term

illness is a very important task, and that without empathy and dignity, you cannot work

effectively with a patient. Since my children lived abroad, they lived alone with their 30-year-old

nephew and were responsible for their duties. As a result, time management was lacking, and

getting there before time ran out was a problem. It is also expected that patients with dementia

will need to actively respond to such patients as they can skip treatment for diabetes and high

blood pressure again (Lawrence and Reedy, 2019).

I rated the importance of time management as important when working with patients in

need of personalized or individualized care, as we deal with emotions, not just illness, while we

deal with PCC. The needs and preferences of the person proposing the PCC. Continuing

ineffective patient communication about performing daily tasks and involving him while

decisions were being made about small things had a significant effect. He began to respond

better (Monthaisong, 2018).

Successful correspondence, sympathy, and tolerance do some amazing things when

working with patients with persistent diseases. Nonetheless, we comprehend that there can be a

few obstructions and difficulties that suppliers, people, and patient guardians may look in giving

individual-focused consideration. Nonetheless, dissecting successful techniques and thoughts to

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beat these obstructions and difficulties can improve the patient's condition and circumstance

(McNally, 2018).

Atlas Variation

The NHS Atlas range is central to examining the available daily data on investments,

activities. It results not only about those in contact with a particular service but also about the

entire population in need of help. Only with this demographic perspective can you initiate a

search for unfair variances and assess health care value for both the population and the

individual. In many locations across the U.K., the NHS Health Care Variation Atlas series has

been used as an incentive for inappropriate variation and a stepping stone to uncovering

resources for reinvestment in quality health care for local patient populations (Rightcare, 2010;

Care, 2011).

The data and information contained in each atlas do not always explain the reason for the

variability. Still, the Atlas range's strength and strength lie in the questions it raises about equity,

effectiveness, and value. The turnover data displayed on the atlas can be triangulated with data

from other sources such as information from NHS Right Care, official commission package for

value, as well as from the national news network from PHE, health profiles, spending and

outcome tools (Care, 2011).

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Multidisciplinary teams

Multidisciplinary teams (MDT) comprise individuals from the clinical group from

various controls with integral abilities, aptitude, and experience. It has been demonstrated that

utilizing a multidisciplinary group gives greater patient-focused consideration. The cycle ought

to improve correspondence, joint effort, and coordination between individuals from the clinical

group and patients.

These groups started creating varying as the medical care framework turned out to be

more mind-boggling. Various factors that add to understanding outcomes require different

information fields. In many associations that care for fundamentally sick patients,

multidisciplinary tolerant gatherings have gotten an absolute necessity. Indeed, the advantages of

these groups are perceived to such an extent that the World Health Organization (WHO),

alongside other public associations, has built up a treatment model and standard of expert

practice that utilizes a multidisciplinary group as the reason for treatment (Dhap et al., 2019).

Instances of such groups at work can be seen in numerous concentrated consideration

units. The group comprises of serious consideration advisors/specialists, drug specialists,

medical caretakers, respiratory suppliers, nursing and health related professionals, and, if

material, relatives or patients. This group audits the patient's analysis, introduction, and progress.

Research center work, symptomatic outcomes, medicine, and psychosocial issues are examined

in gatherings. This is the ideal occasion to find changes in the patient's condition and survey

treatment and release plans. This action can occur once per week or consistently relying upon the

office. In certain establishments, occupants and understudies from various foundations take an

interest in learning openings.

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In Worcestershire, neighborhood teams hold monthly MDT meetings. Meetings are

usually chaired by the Neighborhood Team Lead G.P. but are not exclusive. The meeting lasts

approximately an hour, and we submit patients for discussion prior to the meeting so that all

necessary information is available (Mohan, Wollaston, and Tulloch, 2019).

The patients following the normal system within the integrated work are still unstable or

are very temporary patients in the entire health and social system as well as in primary and

secondary care. If the normal intervention has difficulty stabilizing, it can be purchased for

discussion at the MDT meeting. After the meeting, the work will be shared across the company

where you can meet this person. The main outcome of the MDT discussion is that learning can

be applied to others with similar problems. For example, if you are talking about a treated patient

who has difficulty being stable at home, these interventions discussed in the MDT may apply to

other treated patients in a similar situation. Therefore, the most important outcome is the ability

to discuss complex patients, and the learning can be applied to other complex patients (Ennion

and Rhoda, 2016).

Consider the NMC code application.

Professional practices such as NMC codes keep nurses updated on their profession

through ongoing professional courses and training in which they gain knowledge and skills on

the latest technologies to meet the Code's standards. In the U.K., the Nurses and Midwifery

Council (NMC) practice patient care in all four counties through a code of ethics to maintain

nursing integrity (NMC, 2020). The Code incorporates professional standards that comprehend

nurses, midwives, and associates related to long-term patient care to follow to carry on their

practices. Following are the four aspects of the Code:

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Prioritize people 

It keeps people's attention ahead of nurses' attention. Patients' care and safety is a major

concern in ensuring the dignity of nursing and midwifery practice. Identify, evaluate, and

respond to the needs of those in need of care. People treated politely should be treated politely;

their rights should not be violated and subjected to discriminatory behavior of any kind.

Practice effectively

Therapeutic practices must be effective to help people with preventive and rehabilitation

treatment without much delay. Patients must provide the best facilities, communication, and

accurate sharing of records, and adequate expertise. To improve care, caregivers should reflect

on the feedback they receive and take action.

Preserve safety

Nurses, midwives, and other related professionals can not compromise on safety. They

exercise their skills to a certain extent, carry out their professional work honestly, and calmly

express concerns when the public or patients is at risk.

Promote professionalism and trust

The reputation of the nursing profession must be preserved. Because professionals are

trained to adhere to the Code, they strive to adhere to the standards. Nurses and midwives are

role models of honesty, and their leadership skills should be designed to increase public

confidence in patients, practitioners, other medical and therapeutic professionals, and the

profession.
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Conclusion

I can conclude that from my experience with the above patients, I have had a learning

experience that will help me in my career as a nursing and related health workers. I have learned

from experience that time management and effective communication are the keys to the effective

person-centered treatment of people with dementia or other incurable diseases prone to chronic

diseases and difficult to manage with medication. Through effective communication and

effective time management, patients can thus be treated in a timely and personal manner (Moore

et al., 2017). In addition, the health effects of patients and their families improved significantly,

and began to participate in daily household chores such as active gardening such as reading

disease-related books.

Recommendation

Based on the above experiences with people living with dementia, I have developed an

action plan that further supports my career with other nursing professionals (Watson, 2019).

Implementing a people-centered mind and the planning and reviewing process is not an easy task

as they are real people who have real emotions and feelings and sometimes struggle with deep

learning. Hence, effective time management, persistence, patience, and empathy are required to

achieve the desired results. Suppose the nurse is technically competent but lacks time

management skills, persistence, empathy, and patience. In that case, they may not understand

patients' needs and demands as they are person-to-person specific. In addition, effectively

training nursing professionals to consider new and innovative ways to plan the nursing process
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and work effectively as a team with family members can significantly improve the patient's

condition (Lawrence and Reedy, 2019).

It is important to ensure good hygiene as seniors lying in bed may need help with bathing

and dental treatment. In addition, manicured nails and manicured hair prevent patients from

accidentally scratching themselves and minimize the invasion of lice, bedbugs, and other

parasites, and this hygienic bed care will increase the patient's self-esteem.

Maintain good nutrition by the patient's healthcare provider or dietitian assures a

balanced diet. Writing down eating habits for reference and alerting the doctor if something

unusual happens after eating certain foods. Some patients may want small snacks throughout the

day rather than larger meals. Also, ensuring water and non-sugary drinks should be readily

available to drink throughout the day.

A fun and comfortable environment for home care patients lying in bed aren't all about

bathing and feeding. Enjoying their lives is very critical, and they may require easy access to

books, magazines, and newspapers on nearby stands, as well as a T.V. with remote control or

other broadband devices that give them leisure and keep their minds smooth and running.

Ventilating the room regularly, change, and clean bed linen is also necessary.

Changing diapers is a common responsibility when caring for an older adult lying in bed

at home. When changing, the caregiver should wear disposable medical gloves and have a clean

diaper, plastic bag, pre-soaked wipes, and diaper rash cream.

At home, bedside care involves taking care of skin and underlying tissue injuries caused

by sitting or lying in one position for too long. These injuries, called bedsores or bedsores,

involve checking if the patient is in a different location every few hours. In the worst-case

scenario, these inflammations can become infected, causing complications and shortening
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lifespan. If the patient is lying in bed, moves on his or her own, encourage them to move to a

sitting position or do light exercises. The doctor should be consulted about the best way to

relocate the patient without causing bodily harm. It is also necessary to keep the skin dry and

place the pillows between parts of the body that often press each other such as knees and ankles.

Frequent checking in the areas common for pressure sores like ankles, heels, hips, and tailbone is

very important (Arba et al., 2020).

It is further recommended to work with other plan members to evaluate the potential for

figuring out how to exercise alarms to advance after NHS improvement, patient safety

occurrences or close to misses, beating existing obstructions, and reports of nearby episodes use

in training and expert turn of events. Also, energize the advancement of an evaluation structure

so all patient safety instruction. Preparing to understand the connection between human

components and quality improvement and successful research uses models to encourage future

training, which would feature the significant function of patients, relatives, and guardians in

preventing patient safety occurrences and improving patient safety.

A variety of professional human factor training courses should be part of all new

employees' introductory course. It should also be provided as part of regular refresher training

for all staff to ensure that all staff understands the importance of human factors and expertise and

how this can affect patient outcomes. All employees must also understand the impact of systems

and human behavior on their work and how this affects patient safety.

In the above study, we concluded that person-centered care requires effective training and

teamwork from families, caregivers, and health professionals to provide person-centered care to

patients with long-term illness. However, there are certain barriers and concerns in effectively

delivering personalized care to patients with a wide range of needs. Therefore, nursing
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professionals need to plan the course of treatment and consider new and innovative ways to

effectively involve the patient in the entire process. Moreover, it is vital to effectively

communicate and interact with the service users to resolve the issues and barriers encountered in

the care process and make the patients realize the importance of their recovery and well-being.
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