Person-centred care assignment on techniques nurses can utilize to improve their professionals skills

Question

Task: How can nurses improve their skills using Person-centred care assignment research and reporting techniques?

Answer

Introduction
This Person-centred care assignmentfocuses on defining the practice or procedure of the treatment with the involvement of the patients in the decision-making process for the development of their health. The concept of "person-centred care" is to provide the treatment with respect to the preference and needs of the patient. The person-centred care in the treatment process of chronic diseases provides emotional support to the patients to reduce anxiety and fear(Davis et al., 2005). The following study will underscore the chronic illness of Betty Harrison through the video analysis and case study. The study will discuss the symptoms of the chronic illness in the early and palliative stage, Betty. The study will also illustrate the management of the symptoms and "psychosocial" support for Betty regarding her chronic diseases. The study will also outline and compare the "person-centred care" received by Betty in both the early and palliative stages.

Outlining the relevant symptoms and their management
Through the Person-centred care assignment analysis of the video of Betty's Story, it can be identified that Betty Harrison is 79 years old and suffering from Chronic Kidney Disease. It can be identified through the statement the Betty in the video that she is suffering from stage three, Chronic Kidney Disease (CKD). The statement Betty makes in the video illustrates the relevant symptoms of early-stage CKD. She has stated that she is facing the problems with digestion of food; she always feels sick, her feet are swollen, and she also feels tired all the time. According to NHS Choices (2019), poor appetite, swollen feet due to the retention of the water, tiredness and sick feeling are the symptoms of Chronic Kidney disease (CKD).

From the further analysis of the video, it can be found out through the statement of Betty's doctor she has been suffering from diabetes and scheming heart diseases. The doctor of Betty Harrison stated that she had developed stage four chronic Kidney Diseases. She has developed hypertensive and shortness of breath, and she also developed nausea. Hypertension, which is hard to control, breath shortness due to the build-up of fluids in the lungs and nausea are some of the symptoms of the palliative stage of Chronic Kidney Disease (CKD)(Mayo Clinic, 2021). From the Person-centred care assignment we can establish that Betty suffering from Chronic Kidney Disease has experienced a high burden from the symptoms both physically and psychologically, which can impact their quality of life. The 'multi-disciplinary team" of the nephrologist, nurses, pharmacists and so on are involved in the treatment for prevention of the further development of the CKD (Collister et al., 2019). The person-centred care for the management of Betty in the early stage of the CKD initiative steps was taken by the "multi-disciplinary team". The dietician involved in the treatment of Betty provided a special diet to reduce the progression of CKD in the early stage. The diet consists of Berries, Turnips, lean meat, water and so on were listed in the dietary from the dieticians. For the development of their health, Betty is in the early stage of CKD; the doctors and the "multi-disciplinary team" has focused on developing the treatment for Betty through the medicines procedures. The nephrologist and pharmacists initiated to reduce the progression of the diseases through the medication, "Angiotensin-converting enzyme" (ACE) inhibitors were listed in the medication process of Betty. ACE inhibitors medication in the treatment for the progression of the CKD helps to relax the blood vein and articles reducing the hypertension symptoms of the CKD (Mayo Clinic, 2019).

In the development of the Chronic Kidney Diseases of Betty, there is a further development of the symptoms. The "multi-disciplinary team" involved in the "person-centred care" of Betty has taken the initiative to manage the symptoms at the palliative stage of the CKD. The " Person-centred care assignment multi-disciplinary team" has adjusted the medication the Betty by underlying the comorbidities to reduce the progression of the CKD. The initial steps for management of the symptoms in the palliative stage of the CKD were including the Diuretics in the medication of the Betty. Diuretics which are also known as the "water pills", are used to reduce sodium and water, it helps to reduce the feet swelling of the Betty and so on(Nazario, 2021). The "multi-disciplinary" team also adjusted the intake of the ACE inhibitors in the medication. The "multi-disciplinary team" involved in the treatment of the CKD has focused on Non-pharmacological measures such as relaxation techniques, therapy and so on to provide psychosocial support.

Person-centred care assignment review of person-centred care
The "person-centred care" in the management of the symptoms of chronic rental diseases has an immense impact on the development of the quality of life of the patient(Kalantar-Zadeh et al., 2022). The personal centred care in the early stage of Betty is focused on the preference and needs for the improvement of their health. The person-centred care in the early stage of their treatment of Betty was focused on delivering a healthy diet and proper medication for reducing the development and progression of the CKD. Providing the treatment through the preference and needs of the patients improves the value of the treatment procedure(Ennis-O'Connor, 2017). Betty, in the early stage of chronic kidney disease (CKD), has received care from multiple health care providers. Betty received the care from nephrologists, nurses and so on to improve the coordination of the treatment and care for reducing the progression of the CKD. The physical comfort of the patient was also necessary for the "person-centred care" of Betty in the early stage of their chronic renal disease. The pain management process during the treatment and the management of their symptoms of Betty also includes the psychological and social aspects of her health. Emotional support was also important for the "person-centred care" of Betty during the early stages of their CKD. On this Person-centred care assignment it has been established that emotional support to Betty in the early stage of the chronic illness will help to reduce their fear and anxiety. Emotional support in the early stage of chronic illness helps to reduce fear and anxiety. Emotional support in the early stage helps to develop an emotional dimension of Betty for improving the maintenance of health. The person-centred care in the early stage of the chronic diseases of Betty has provided access to the CKD clinic the reduce the progression and also provided the appointment to the doctors at suitable times for her.

Person-centred care, according to Fazio et al. (2017), is considered philosophy in terms of the care that is developed around the patient understanding of the need to develop a strong relationship. A patient with end-stage of renal disease (Betty) can be provided with person-centred care with utmost care and bond so that they cannot remain stressed because of the disease. The initial person-centred care for such patients would be to listen to them and consider their preferences related to treatment decisions. It is the best way to make the person feel cared for in the end-stage of the disease, and they can be engaged with their choices. Moreover, another person-centred care for them will be to provide them with enough information about their disease so that they can be able to care on their own (Cramm et al., 2015). In this stage, patient education encourages open communication between health specialists and the patient, which will also assist in gaining trust.

Furthermore, the treatment decision of the health professionals needs to include the preferences of the patient so that they can be satisfied with the result. Instead of consulting more with the patient’s family, it will be a great initiative for the health specialist to consider the preferences of the patient. As stated by O'Hare, (2018), a health system can't be changed by the health professionals; however, an approach can be made which can encourage a person-centred health practice. Responsible health practitioners can go beyond the regular practice and make a patient feel comfortable and can have a good time with them. The health professionals can focus on a few strategies such as (1) listening to them, (2) making time for them, (3) being willing to go beyond the regular schedule, and (4) valuing and developing relationships (O’Hare, 2018). Following these strategies, Betty will be able to get person-centred care in her last stage. These Person-centred care assignment strategies will be appropriate to develop person-centred care for Betty since it is necessary analysing the condition of her disease where such kind of care is necessary to bring her out of her shell and make her feel better instead of making her depressed about her illness.

Conclusion
From the above study, it can be concluded that "person-centred care" in chronic illness is the process of providing the treatment with the preference and care regarding the values and needs of the patients. From the above study, it can be concluded that Betty suffering from CKD (Chronic Kidney Disease), has been provided "person-centred care" through the "multi-disciplinary team" and so on for the betterment of her health. The different initiatives such as providing proper diet and medication are taken to reduce the progression of the CKD the Betty. It can also be concluded on this Person-centred care assignment that "person centred care" in the stage is focused on reducing the development of the CKD, and the end-stage is focused on providing for the needs of the patients in the process of the treatments.

References
Collister, D., Pyne, L., Cunningham, J., Donald, M., Molnar, A., Beaulieu, M., Levin, A., & Brimble, K. S. (2019).
Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review. Canadian Journal of Kidney Health and Disease, Person-centred care assignment 6, 205435811988266. https://doi.org/10.1177/2054358119882667
Cramm, J. M., Leensvaart, L., Berghout, M., & van Exel, J. (2015). Exploring views on what is important for patient-centred care in end-stage renal disease using Q methodology. BMC Nephrology, 16, 74. https://doi.org/10.1186/s12882-015-0071-z
Davis, K., Schoenbaum, S. C., & Audet, A.-M. (2005). A 2020 vision of patient-centred primary care. Journal of General Internal Medicine, 20(10), 953–957. https://doi.org/10.1111/j.1525-1497.2005.0178.x
Ennis-O’Connor, M. (2017, June 13). A person-centred Approach To The Care Of Chronic Illness - Patient Empowerment Network. Patient Empowerment Network.
https://powerfulpatients.org/2016/07/21/a-person-centered-approach-to-the-care-of-chronic-illness/
Fazio, S., Pace, D., Flinner, J., & Kallmye, B. (2017). The Fundamentals of Person-Centered Care for Individuals With Dementia. https://academic.oup.com/gerontologist/article-pdf/58/suppl_1/S10/23563262/gnx122.pdf
Kalantar-Zadeh, K., Lockwood, M. B., Rhee, C. M., Tantisattamo, E., Andreoli, S., Balducci, A., Laffin, P., Harris, T., Knight, R., Kumaraswami, L., Liakopoulos, V., Lui, S.-F., Kumar, S., Ng, M., Saadi, G., Ulasi, I., Tong, A., & Li, P. K.-T. (2022). Patient-centred approaches for the management of unpleasant symptoms in kidney disease. Nature Reviews Nephrology. https://doi.org/10.1038/s41581-021-00518-z
Mayo Clinic. (2019). What do ACE inhibitors do for heart health? Mayo Clinic; Mayo Clinic, Person-centred care assignment. https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/ace-inhibitors/art-20047480 Mayo Clinic. (2021). Chronic kidney disease - symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/symptoms-causes/syc-20354521
Nazario, B. (2021, September 17). Diuretics (Water Pills). WebMD. https://www.webmd.com/hypertension-high-blood-pressure/guide/diuretic-treatment-high-blood-pressure
NHS Choices. (2019). Symptoms - Chronic kidney disease. NHS. https://www.nhs.uk/conditions/kidney-disease/symptoms/ O’Hare, A. M. (2018). Patient-Centred Care in Renal Medicine: Five Strategies to Meet the Challenge. Person-centred care assignment https://www.ajkd.org/article/S0272-6386(18)30001-5/fulltext