Theme 5: Holisitic Care Flashcards
What is the principles of person centred care?
Involvement of family and friends
Understanding an individuals preferences
Empathy
Shared goal setting and decision making
Active listening
Open ended questions
What is the NHS long term plan 2019?
Is a document that sets out the protiens and ambitions for the NHS over the next 10 years
, it shows how the NHS will spend an extra 20 billion by 2023
- We will boost ‘out-of-hospital’ care, and finally dissolve the historic divide between primary and community health service
- The NHS will reduce pressure on emergency hospital services
- People will get more control over their own health and more personalised care when they need it
- Digitally-enabled primary and outpatient care will go mainstream across the NHS
- Local NHS organisations will increasingly focus on population health moving to Integrated Care Systems everywhere
- MORE NHS ACTION ON PREVENTION AND HEALTH INEQUALITIes
A strong start in life for children and young people
Better care for major health conditions
NHS STAFF WILL GET THE BACKING THEY NEED
DIGITALLY-ENABLED CARE WILL GO MAINSTREAM ACROSS THE NHS
TAXPAYERS’ INVESTMENT WILL BE USED TO MAXIMUM EFFECT
It will improve outcomes for major diseases, including cancer, heart disease, stroke, respiratory disease and dementia. The plan also includes measures to: improve out-of-hospital care, supporting primary medical and community health services.7 Jan 2019
What are the benefits of person centred care?
Staff performance and morale increases with patient engagement
Better value for money
Patient satisfaction
Enhanced knowledge, skills and confidence
Improved adherence to treatment
Care process
Increased satisfaction about treatment outcomes
What are the challenges to person centred care
Health literacy affecting a patients ability to:
Engage in self-care and chronic disease management
Share information such as medical history to professionals
Navigate the healthcare system such as locating services and filling in forms
Ability to evaluate information on care treatment options for quality and credibility
Whats the impact of person centred care?
The need to explore and understanding what is important t the patient through
- effective communication
- active listening
- being approachable
- giving the patient time
Putting the patient at the centre of decision making
Prioritising patient/ family needs
Adapting to changing circumstances
Bring non judgemental/ understanding
Ensuring effective multi-agency working
Enhanced stand job satisfaction, performance and morale
What is family centred care?
Definition
“The professional support of the child and family through a process of involvement, participation and partnership underpinned by empowerment and negotiation”.
(Smith et al 2002, cited in Glasper & Richardson, 2006)
What is proactive continuum tool?
Nurse led - no family involvement
Nurse-led, no family involvement:
This may occur in situations where the family is not able or willing to be involved for a particular reason for a period of time. This is still family centred care because the nurse still uses a family centred focus in care delivery in the family’s absence.
nurse-led care, family involvement in care: This may occur when the family is involved in some basic care, such as feeding, hygiene and/or emotional support. The nurse takes the lead in care management at this stage
Nurse-led, family participation in care: A good rapport is established, which is collaborative in nature, and the family participates in chosen aspects of nursing care following investigation
equal status, family partnership in care This is exemplified by the change in the nurses’ role to becoming more of a supporter and facilitator. As families become more empowered they resume their role as primary care givers and the relationship with the nurse is much more equal in nature
parent-led care, nurse consulted care The family is now expert in all aspects of the child’s care. There is a mutual, respectful relationship with the nurse, who is used in a consultative capacity from time to time. Although this is expressed explicitly as parent-led care, the implicit notion is that children are involved in their care and can lead their care in some instances
What are skills of nurse?
Ability to adapt to changing circumstances
Good communication skills
Prioritising family needs
Being approachable
Active listener
Non-judgemental/understanding
Knowledgeable
Reassuring
supportive
What are skills required for FFC
Effective communication and engagement
Sound knowledge of child development
Safeguarding and promoting welfare
Supporting transitions
Multi-agency working
Sharing information
What is holistic nursing?
It is considered that holistic nursing is based on the process on which nurses focus on healing the whole person; whereby holistic healing addresses the interconnectedness of the mind, body, spirit, alongside the sociocultural, emotions, relationships, context, and environment. It requires a combination of specific knowledge, theory, intuition, and experience to support healing and the promotion of health based on the relationship you build (Petiprin, 2020).
What is the therapeutic relationship?
•The idea of a therapeutic relationship is considered as a positive, clear and caring interaction between the nurse, patient and family that is professional and demonstrates boundaries (Ridling, Lewis-Newby and Lindsey, 2011).
“Nurses provide the ‘glue’ …”
Collins (2015)
What is the activities of daily living?
•The model itself is also often known as the ADLs or ALs model and is considered a checklist with a focus on how an individuals life has altered based on injury, illness and hospital admission.
•Nurses can use this model to holistically assess for and actual and potential needs based on a continuum from independent to dependent, and what interventions may be required. They include:
•Communication
•Maintaining a safe environment
•Eating and drinking
•Washing and dressing
•Elimination
•Mobilisation
•Working and playing
•Sleeping
•Sexuality
•Controlling temperature
•Breathing
•Death
What are the 12 essence of care benchmarks?
There are 12 Essence of Care (EoCs) Benchmarks were designed provisionally with a primary care focus in which they would address local quality improvement plans (QIPs / QuIPs) and frontline care across care settings at a local level (Department of Health (DH) 2010).
•The benchmarks have specific factors and indicators however the main purpose is to address the individuals specific needs, wants and preferences that are person-focussed (DH 2010b).
EoC Benchmarks
•Communication
•Care environment
•Food and drink
•Personal hygiene
•Bladder and bowel
•Self care
•Pain management
•Ulcers
•Health and wellbeing
•Record keeping
•Respect
What are PIES?
Within social care there has been a significant focus on child development, whereby the Physical, Intellectual, Emotional and Social model, or PIES was developed to addressed this.
•Physical focusses on motor skills; intellectual focusses on language and ego; emotional focusses on bonding; and social focusses on interactions.
•However, this has been adopted in health care too, whereby some of the factors considered include:
•Development across life stages (life span development)
•Factors that affect growth and development (growth and maturity)
•Types of life event (actual and potential)
•Coping with change caused by a life event (actual and potential)
