Person Centred Evidence-Based Care – Care Example

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"Person Centred Evidence-Based Care" is a great example of a paper on care. The essay will discuss the skills necessary that can be implemented in order to provide Reg. with person-centered evidence-based care. A definition of person-centered care shall be provided in the essay and focus will also be on the relevance of implementing this type of care to Reg. The case study will be the reference point through the essay as the case alongside relevant sources that shall be used to provide additional support. A summary of the most important points shall be provided in the conclusion part of the essay. Client description and history Reg, the the 83 years old man, is suffering from Alzheimer’ s dementia and has been placed in residential care.

He has no close relatives as his parents and wife died some time back. Similarly, he has lost contact with his two children and eight grandchildren. According to the source close to him, the patient was found wandering a fair distance from his house in the early hours of the morning. He was unable to find his way home and was dressed only in his slippers and pajamas.

Reg has experienced symptoms such as fluctuating periods of lucidity, confusion, and became extremely distressed. In addition, he exhibits poor concentration, poor orientation, and has fallen on various occasions.   The International Classification of Diseases (ICD10) of the World Health Organization defines Dementia as a condition that results from a chronic disease of the brain that is progressive and tends to be irreversible. The older population are the ones that are usually affected by this disease, which normally affects their memory, comprehension ability, thinking capacity, speech, and orientation.

The other functions that Dementia tends to affect include the learning capacity of those affected, judgment and calculation functions (Loveday, 2012). According to the WHO, Dementia usually affects the cognitive functions that couples with deteriorating social behavior, motivation, and emotional control. In essence, person-centered care focuses on meeting the individual needs of the person rather than focusing on the inadequacies of the care provider who respect their choices, preferences, and values and complement their strengths (Loveday 2012, p. 116). In short, person-centered care through the application of ICD-10 for people with AD is person-centered, relationship-centered, and resident-directed approach (Perkins & Jepper 2011, p.

85). Reg’ scare providers should be able to develop a relationship that will be able to facilitate Reg’ s recovery process after a diagnosis has been made through ICD10. They should aim to establish a recovery-promotion relationship with Reg that will have shared values, empathetic, and respectful, which will require them to have the basic relationship skills (Bogg 2010, p. 18). People with Dementia tend to have hopes and aspirations to which their care providers should be able to support so as to encourage them (Sanderson & Lewis 2012, p.

225). Reg’ s personal-centered approach should also focus on safety planning and self-management so as to help in the recovery process. Health promotion and recovery concepts In essence, the road to recovery requires that a care provider encourages the person with AD to give their narrative accounts of their lives so as to help them in the event they experience breakdowns (Lipinska 2009, p. 25). The carers should have been more compassionate towards Reg as reminding him in a harsh way that his mother had died does not help in the recovery process.

The advantage that narrative account brings is that it helps the carer to explain the reality of things to those with AD during the times that they become confused or have psychotic breaks (May, Edwards & Brooker 2009, p. 121). In essence, this is an example of Reality Orientation illustrated by Tom Kitwood on his views on Dementia, where the carer explains the reality of things during the times that a person with AD may become confused. A strength assessment can also be relevant for Reg and should be guided by empathic carers that share values (Watkins 2009).

The strengths assessment can be through allowing Reg to tell his story that can help them give carers hints about past activities or events that could aid in his recovery process (Shepherd et al 2014, p. 6). Reg has the right to social inclusion, which dictates that he should receive respectable treatment just like any individual in society irrespective of his mental condition (Royal College of Psychiatrists 2009, p.

1). The carer handling him should understand that it is not his choice to behave in such a manner and respect should be accorded to him (Barker 2011). The carer should also develop a recovery plan that includes Reg’ s family members that are alive and have distanced themselves from him (Alzheimer’ s Society Website 2015). Carers should also allow Reg to engage in activities that used to jog his brain, such as filling the word puzzles that he now finds to be difficult (Gratty et al 2013, p. 45). The carer can also develop an interest in these activities and be patient with him as this process might take time to execute because of his current mental state (Stickely and Wright 2011).

These activities are essential as they can help in increasing his cognitive ability that has been deteriorating with time due to his illness. Support by the carer is also important as they should be able to communicate with individuals such as Reg in a manner that will not demean them as this can greatly affect their moral stability as much as they may difficult to deal with (Norman & Ryrie 2013 p.

510). As per these facts, skills based on evidence-based research pertaining to person-centered care are the most needful approaches as they can help in influencing the recovery plan for individuals with AD such as Reg to make progress towards being better. Conclusion                       This article has given the early symptoms of Alzheimer’ s dementia that Reg experienced. They include confusion, lucidity, and distress among others. The article has also demonstrated that person-centered care practice is the most appropriate when it comes to handling Alzheimer individuals such as Reg because of its focus on personalized care.

Reg’ s care should include the establishment of a relationship between him and the carer so as to help make the recovery process to be effective. Reg’ s carers should also try to understand his behavior and promote social inclusion for Reg to avoid causing distress (Bowman et al 2014, p. 195). Regshould also receives respectable treatment and proper diagnosis as per the ICD-10 irrespective of his condition. Reg’ s carers should develop the essential skills required of them when it comes to caring for Reg through the recovery process (Nay, Garratt & Fetherstonhaugh 2014, p.

383).  

References

Alzheimer’s Society Website.(2015). Understanding and supporting a person with dementia. Available at: http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=84 (last accessed 3 July 2015)

Barker, P (Ed) (2011) Mental health ethics: the human context. Abingdon: Routledge.

Bogg, D (2010) Values and ethics in mental health practice. Exeter : Learning Matters

Graty, C., Helmer, H., & Knocker, S. (2013). Taking part: activities for people with dementia.Alzheimer’s society.

ICD10data.com. (2015).2015 ICD-10-CM Codes. Available at: http://www.icd10data.com/ICD10CM/Index/D/Disease%2c_diseased/1#59ED (last accessed 7 July 2015)

Lipinska, D. (2009). Person-centred counselling for people with dementia making sense of self.London, Jessica Kingsley Publishers.

Loveday, B. (2012). Leadership for Person-Centred Dementia Care.London, Jessica Kingsley Publishers.

May, H., Edwards, P., &Brooker, D. (2009).Enriched care planning for people with dementia: a good practice guide for delivering person-centred dementia care.London, Jessica Kingsley Publishers.

Mulley, G. P., Bowman, C., Boyd, M., & Stowe, S. (2014). The BUPA care home handbook.John Wiley & Sons.

Nay, R., Garratt, S., &Fetherstonhaugh, D. (2013).Older People: Issues and Innovations in Care.

Norman, I. J., & Ryrie, I. (2013).The art and science of mental health nursing: principles and practice.McGraw-Hill Education UK.

Perkins, R. and Repper, J. (2013) ‘Recovery and Social Inclusion’, in Norman, I and Ryrie, I. (eds) The Art and Science of Mental Health Nursing: Principles and practice. 3rd Edition. Maidenhead: OUP, pp61-7

Royal College of Psychiatrists Social Inclusion Scoping Group (2009) Mental Health and Social Inclusion: Making psychiatry and mental health services fit for the 21st century. Royal College of Psychiatrists. Available at: http://www.rcpsych.ac.uk/pdf/social%20inclusion%20position%20statement09.pdf (last accessed 3 July 2015)

Sanderson, H., & Lewis, J. (2012).A practical guide to delivering personalisation: person-centred practice in health and social care. London, J. Kingsley Publishers.

Shepherd, G., Boardman, J., Rinaldi, M,.and Roberts G. (2014). Briefing: 8. Supporting recovery in mental health services: Quality and outcomes. Centre for Mental Health and Mental Health Network, NHS Confederation. Available at: http://nhsconfed.org/~/media/Confederation/Files/public%20access/Supporting%20recovery%20quality%20and%20outcomes%20briefing.pdf (last accessed 3 July 2015)

Stickley, T & Wright N (2011) The British research evidence for recovery, papers published between 2006 and 2009 (inclusive). Part One: A review of the peer-reviewed literature using a systematic approach Journal of Psychiatric and Mental Health Nursing 18, 247-256.

Watkins, P. (2009) Mental Health Practice: A guide to compassionate care.2nd edition. Elsevier: London

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