In healthcare, Person-centered care is all about how healthcare workers can give people what they want and what kind of information can be provided. The people's desires and values, family situations, all are taken care of by the health workers while collaborating and working with the people closely. In the case, as observed, that the patient Tula, when getting admitted to the hospital, was experiencing a high paroxysmal expiratory wheeze and apart from dry cough, condition and also has shown the symptoms, of fatigue, fever, and the respiratory disorder. The other problem was high blood pressure and being overweight. While getting admitted, she was taken care of by the multi-disciplinary team who collaborated and took care of her. During my third week of the reflection, I was able to learn the Person-Centered Care (PCC), Clinical Reasoning Cycle (CRC), and could provide a brief analysis son the Gibbs reflection cycle.
Due to my tutorial class, the main focus was on the Tula case and by background, the patient is aged 38 years old, is a Samoan woman working in the textile industry weights 114kg with the height of the 160cm and a BMI of the 44.5. Apart from being overweight, she suffers from the hypertension problem and in the case, it is evident that the nurse Chlorinda was screaming and discussing her case as the patient is being overweight and her problem is a cultural thing. During the hand over to the other nurse Kate, while handling the case, showing care, compassion, and nurturing to the patient. As observed, in the case of the person's safety, comfort and also having well-being is the main focus of the patent care. Such as, when the patient is experiencing a rapid difficulty in the respiratory problem, the nurse and the other medical team should quickly collaborate and check the disorders, symptoms, and provide quick relief.
In the case as the patient, was experiencing a high fever, sore throat, breathing difficulties and even was unable to communicate and talk, Nurse Chlorinda, was able to provide the medical assistance and safety to the patient but was sensitive by saying her problem is her being overweight which is due to the cultural and secondly, did not provide any therapeutic care, which is the main approach from the person-centric care. As observed, the nurse Chlorinda was did not provided proper care, failed to diagnose and evaluate the patient outcomes, and even harmed her, by passing comments which disrespected her, outraged her dignity and the respect, impacted
me as a nurse. Not only I found the comments as rude, very derogatory, but also found it to be unnecessary, as being overweight is not a cultural thing. But when the nurse Kate entered the scenario, after the handover, she leans below and even asked the patient if she was feeling okay? This shows that she was compassionate, caring, and even able to bond with the patient. As per the Code of Ethics and Cultural competence (2018), the nurses should be able to provide clauses of integrity, abide by the professional behavior, have respect are and even understand the patient’s condition. The nurse Chlorinda was only able to given the administered medication to the patient, did not ask the patient about her whereabouts, and did not coordinate to discuss with the multi-disciplinary team of experts. While the other nurse Kate's, kept a check on the patient's wellbeing, and by leaning forward and looking into the eyes, she cared, was concise, compassionate, and even wanted to build therapeutic care, by acting professionally. The role of the PCC care, in the case provides a therapeutic is to the patient and it is important to keep a check on the vital points of the patient, provide a consistent care and also vital signs through the collaboration with the respiratory consultant, physiotherapist, along with the social. Worker.
In critical cases like this, apart from the patient experiencing the physical problem of the wheezing sound and feeling helpless, the role of the nurses is to effectively communicate and to diagnose the patient's condition. The patient background, medical history, and even the cent condition should be communicated freely and timely updated with the multi-disciplinary team (Taylor, 2018). The patient can be taken care of through effective communication, collaboration, care, and compassion. As the nurse Kate showed the professionalizing, integrity, care for the dignity and the respect of the patient, the same could have been shown by the nurse Chloride, who failed to understand the patient's condition and only enacted in the best interest of medication safety and administration. The patient's condition could also be improved, if the patient dignity, respect, and care were obligated along with following the nursing Roach 6's C's such as competence, confidence, conscience, courage, commitment, and even focusing on the compassion (Sagong, 2016).
In the case, as the patient was suffering from the inflamed airways and has to be monitored for the condition of the blacked airways (bronchioles) causing the narrow, swollen, blockage due to the mucus, and even affecting the lungs with the irritants e.g. dust mites, pollen, etc. it was important to approach the patient with the patient-centric care and even observe the vital signs as can be collaboratively be observed and taken care off. The patient can be checked for the regular health condition and also for any reoccurrence of the cough, and be supported with the medication (Sagong, 2016). The patient health could have improved, if apart from the medication doses such as the nocturnal, exercise-induced cough the patient can be examined for the combination of drugs and care and the health condition could have been improved (van Mol et al, 2016). The two-drug combination of the Seretide which was given to reduce the inflammation and even help to provide quick relief to the airways (Zhao, 2016), But at no point, the nurses enacted competent by educating the patient of the self-medication and how in the long term to prevent such condition (Steelman, 2018).
The problem of the expiratory wheezing occurs when the patient is exhaling the breath and there is a blockage in the airways. During such condition, as the nurse Chlorinda was being rude and insensitive, not only it leads to the forming a less therapeutic bond with the patient, but also apart from following the doctor direction of administering the median, she did not check the patient wellbeing, providing comprehensive care, responding to the clinical deteriorating condition and having ineffective communication care. On the other hand, the nurse Kate was not only showed signs of emotional but also connected with the patient by looking into the patient's condition and being compassionate. In person-centered care, the nurse’s main focus is to provide the best possible care to the patient dignity, compassion, and respect and even offer the co-ordinated care and offer support, treatment, and maintain hygiene.
The future course of action is to keep a check on the blood pressure, educate the patient to lose weight, control, and regulate her diet (Sagong, 2016). The other ways of improving her condition by staying positive, focusing on healthy lifestyle measures, and also having regular timely small meals (Brioni, 2019). The patient should be educated to stay away from any sort of dust, pollutants, and also manage a dirt-free environment. The patient should be given regular dishes and also be guided about the medication doses, timely dosages, and administering her, how to take it (Carthon et al, 2016). In the PCC, the patient knowledge and the skills should be accessed under the health information and improve the overall literacy level and to develop self-management skills (Coyne, 2018).
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