Holistic patient centered care old people †Myassignmenthelp.Com

Question: Discuss About The Holistic Patient Centered Care For Old People? Answer: Introduction The effective nursing is based on the holistic patient centered care for the old people. Patients need to have more considerations to have the better outcome in care index. Due to complexity in health problems, effective nursing skills will rely on the communicational skills of the nurses in order to provide them with efficient nursing care. The assessment of the health issues can be well understood on the dimension of the communication of the nurses with the patients. This entire assessment is a type of health coaching that will make Max who is the patient to be addressed by the nurses in order to provide them with more improved treatment procedures. Communicating with older patients ASET is the Age Care Services Emergency Team. It uses the most effective and strategic communication skills for understanding the problems of the old patients. In the video, it could be seen, that the nurses use critical skills that are well defined with advanced communication approach. The nurse was trying to build patient rapport before inquiring him about his health conditions (Kourkouta Papathanasiou, 2014 pp- 65). Thus, the ASET nurse tried to follow the interpersonal, intellectual models in communication strategies. Care and compassion are the core principle that is being tried to be followed (Curtis et al, 2013 pp-2271-2280). The communication is strategic as the nurse is trying to discuss the health conditions and also discussing the diagnosis and treatment. The nurse, in this case, is using the strategy of understanding the mental conditions before addressing him. If he does not respond accordingly, then his family members are to be approached in the future. However, more i mproved communication is based on creating a comfortable environment for the patient. The nurse here has tried to communicate him with a comforting gesture. The nurse asked short questions and gave the patient ample time to answer them. She communicated in a very easy access so that Max could comprehend well. In this video, the nurse has asked about the hearing and sight of the patient. This was very effective as these are the two cues that are considered in any old patients as they diminish with age. In this case, the communication could have been more improved as the session seemed more like an interview. The nurse here should have tried more to improve her relationship with the patient. It was seen that the two-way communication was lagging in the entire session. Max was giving few answers to the questions. Thus, the actual nurse and patient connection were missing. Furthermore when communicating the patient also seemed a bit uncomfortable and was restraint to answer. The video s ession could have extended to show the inquiries with the patients family members. There could have been technical writing about the complex concepts and processes and explanation to the patient. The technical writing that was missing in the communicative session could have helped to describe and explain the complicated concepts and the procedures in the treatments and the rationales that the nurse will follow in an understandable way (King et al, 2013 pp- 1095-1102). This is about organizing the information in the form of seven-plus-or-minus-two rules. The information when presented is going to reflect the current situation and the condition of the patient (Gjerberg et al, 2015 pp-103). Assessment of old man in video The thing that could be learned from the video in the current evidence is that Max seemed to be reserved and was not answering well to all the questions like his personal and medical history. The assessment needs to be done in order to increase the quality of the holistic care that the nurse would provide for the patient. The 4 main issues that need to be assessed in the communication should be the fall assessment, pain assessment, delirium assessment and the mental health assessment. The feedback from the patient on these would identify the quality and safety facilities that the organization bestows. These 4 main assessments were lacking in the video as per the situation of Max is to be considered. All of the assessment would be made through questionnaires. The common questions he can be asked in this section are if he is facing any hospital acquired infections, falls in the hospitals, the working aids are provided or not, use of urgent call bell. These are the fall assessment that will be essential to identify the needs and also for developing targeted interventions (Nilsson et al, 2016 pp-2242-2250). The tools would be used to closely supervise Max about the falls for last few days. Such tools would be useful to identify the needs of the patient. This can be converted into more realistic option, which is aimed towards increasing the patient safety (Milos et al, 2014 pp- 40). The morse fall is another most simple tool which can be used to assess the patients likelihood of fall. It takes approximately 3 seconds to identify the reason. It consists of 6 variables that can be set up with the key situations and scoring tactics (Cruz, et al, 2015 pp-334-339). The score can help easily assess the situation of fall of Max. The next is the pain assessment. He is going to be assessed by the pain level that he is facing. The level of pain can be judged using the scale of 1-10 tools (Chanques et al, 2016 pp-R160). The tools are made of reliability which is the consistent results when performed under certain conditions and the validity is done through the measurements of the scale level. The measurement in pain scale is done through the verbal and numeric self-rating relied on behavioral observation and physiological responses (Kozlowski et al, 2014 pp-22-35). Delirium is a clinically acquired mental problem related to cognition and restlessness. The tool that can be used for the assessment is the confusion assessment tool that is used to identify the patients thinking (Hosie et al, 2015 pp-3276-3285). The mental assessment tool would rely upon the simple questions that can be asked like Who is the present prime minister? Is this year a leap year? This would help the nurses to identify is the patient is suffering from dementia (Traube et al, 2014 pp-656-683). Health coaching When Max issues are considered, he had a knee replacement and is facing problems regarding reading. He has been admitted to the emergency ward in the hospital. The care transition coaching of the nurses will provide holistic care to Max. The nurses here in order to accurately understand the health conditions of Max, adopts some health coaching principles like helping patient to gain knowledge, skills, and confidence in the process. The ASET nurse here makes certain questions for the mental health assessment. This will provide him with self-management support. At the end, this is going to bridge the gap between clinician and patient. Emotional support is also provided by the nurses in the coaching. The treatment procedures are to be used and improved by this. Another important feature here is the ensuring the behavioral change and the mental health status (Thom et al, 2014 pp-135-138). The health coaching of the nurses would also supervise on the knee replacement conditions. It is the measuring of the function and the critical conditions for which Max is facing such problems. In this health coaching, all his medical interventions would be implicated and will make the patient in the self-management of his conditions. It is already stated from the video that Max. The nurse makes sure the patient understands the current condition and the health interventions and rules that he needs to follow. The connection of the nurse could also be achieved as shown in video is through the resources. The nurse here aims to provide an empowering environment and facilitate her support in managing his problem. The health coaching teaches the patient to recognize and respond to the worsening situations. The communication skills have revealed the root causes and health coaching by the nurses to the patients would help the patients to tackle his condition related to knee replacement. The treatments and the intervention plans could be well understood by Max due to this health coaching. Thus, it will ensure the significant improvement of Max conditions. Conclusion The assignment summarizes the improved techniques that ASET nurse uses for Max in order to provide the best quality health services. The nurse here uses strategies in the communication skills. Communication would help the nurse identify the health problems and the treatment paradigm shifts that are to be taken. The nurse uses the compassionate and calm way while approaching Max. However, the video lacks to show the technical way to make the communication that is by writing. Such could have given a more accurate way to understand the problems. Through communication, the nurse can also make a thorough assessment of the conditions. This report also identifies the lag in assessing the mental, fall, delirium and the pain. The health coaching of the nurse would make the patient understand his situation and help him to follow the interventions adopted by the nurses. The empowering environment in the health coaching would further increase the rapport of the nurse with the patients. References Chanques, G., Pohlman, A., Kress, J. P., Molinari, N., De Jong, A., Jaber, S., Hall, J. B. (2014). 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