Paper Example on Person-Centered Care

Introduction

Nursing practice sometimes turns to be a challenge to many people because of poor service delivery. It is a desire for each patient to receive the warm welcome in the health centers as well as be treated appropriately (Meterko et al. 2010). Person-centered care aims at ensuring that the patients receive quality services in the health centers (Baumen, Fardy & Harris, 2003). To manage the patient, data about the health condition and the problem need to be determined first. Both subjective and objective data are collected to be analyzed to reach a mark for ruling in favor of the particular disease.

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Data collection from the patient is done with the help of the following approach; DETECT framework, Orem's self-care model, Roy's adaption model, Gordon functional model, and Roper-Logan-Tierney model for nursing. By using the above framework, data collection is collected by examining inspection, auscultation, palpation, and percussion, listening to the patient history as well as carrying out the assessment. Documentation is done while evaluating the patient to figure out the causative problem and administer medication.

This paper focuses on explaining the Gordon function model that is used as an approach to the assessment of the patient. Similarly, the interaction of the model of person-centered care is determined as well as the effect of therapeutic communication skills to patient safety.

Gordon Functional Model

Assessment of the patient is essential when it comes to ensuring that the patient gains effective medical treatment option for the disease. In person-centered care, the treatment is improved towards efficiency from the collection of the data to analysis of the collected data to ascertain the pathological condition. Gordon Functional model offers a framework on how the assessment needs to be done to allow collection of information (Gordon, 2010). This model uses both objective data (signs) and subjective data (symptoms) are gathered correctly for analysis.

Gordon functional model is the method that was devised by Marjoy Gordon (Gordon, 2010). It was in fact named after him, Gordon. After going through a series of examination and credibility, the technique was adopted as a healthy pattern to be used in the health centers as a guide in collecting data about the health state of the patient. The model provides the nursing process that allows assessment that is more comprehensive for the patient. The model became useful in 1987 to be able to create a systemic and a standard approach towards the collection of various data as well as be in the position to determine the different aspect of a health and body function.

Strength

The model allows systematic review of the functions in the body. This makes the nursing process logical. The elements used in assessment ensure that information is collected quite enough to make a sound judgment on the patients' general health condition. The assessment provides that all concepts are covered to prevent leaving a stone not turned.

Limitation

The model focuses on the areas and aspects to be assessed yet it fails to recognize that the efficiency also depends on the nurse. Little is mentioned on the person performing assessment who is a very crucial component in the evaluation and final decision on the pathological condition. To prove this, even when the assessment is done to all of them unless the nurse is skilled enough, a wrong diagnosis could be made.

Gordon Functional Model About Person-Centered Care

Gordon useful model supports the person-centered Care (Gordon, 2010). Person-centered care requires that the assessment is focused on the patient and not merely on the disease condition. The model ensures that all the elements are determined regardless of whether they are affected or not. In cases where the components are okay, it is shown. The focus is not shifted towards the system that has a problem as complained by the patient. Disease condition does present in merely different ways than what the books and other literature says; no wonder some researchers say that diseases do not read books. The model allows every aspect to be examined and the diagnosis is given when all elements are reviewed. The approach not only determines the disease complained, but I also recognize determination of the condition present but not evident or noticed.

Personal centered assessment necessitates that there is reduced medical errors during the treatment (Baumen, Fardy & Harris, 2003). Medical error is a concern to the treatment profession. It is a challenge in the health centers due to the mistakes made in the health centers by the health care providers. One cause of the errors may come from the inappropriate diagnosis. Therefore, since the model offers detailed information, the analysis of the data collected allows for the coming up with the correct decision on the pathological condition of the patient. Owing to this, the assessment method reduces the chances of the mortality rate, increase the quality of life, and reduce re-infection. Furthermore, it improves the customers' satisfaction with the services offered,

For example, when one feels unwell, the assessment will be such that it will include (Gordon, 2010):

1. Health perception: It focuses on the patients' health status as well as the practices done in the attempt to maintain the health condition. On this matter, the information relating to the health-promoting practice is assessed to help in determining the cause of the condition. It includes health-seeking behavior, contamination, the risk of infection and injury, immunizations and behavioral practices of smoking and alcohol consumption.
2. Nutritional, metabolic pattern: through this element, the information about the food consumption and pattern of eating is determined. Evaluation of the food adequacy is also a focus under this element. It gives evidence of the malnutrition disorders and gastrointestinal abnormalities.
3. Elimination pattern: It allows the collection of data about the ability of the body to release waste products through the excretory system. It includes constipation, bowel disorders diarrhea, and many other cases.
4. Activity exercise pattern: The element allows determination of the energy expenditure as well as self-activities and leisure activities.
5. Sleep-rest pattern: It will enable accumulation of information about sleep, rest practices thus showing an element of the sleep alternation, fatigue, and sleep abnormalities.
6. Cognitive, perceptual pattern: It allows determination of the ability to comprehend and use information as well as sensory functions. It assesses neurological functions.
7. Role relationship pattern: It helps determine the interaction of the person with others in the society. Information gathered is crucial to social abnormalities.
8. Sexuality reproductive: The information aids in assessing sexuality patterns
9. Coping-stress tolerance pattern: The collected information determines the ability to evaluate the symptoms of stress.
10. Value belief pattern: It helps identify the person value and belief that are health related.

The data obtained in each of the assessment helps in the decision towards reducing the medication error and making the appropriate decision on pathological condition of the patient.

Therapeutic Communication Skills

Therapeutically communication skills are essential in the maintaining the patient safety and an essential tool in this model (Knapp, 2015). Communication is vital between the patent and the nurse during the assessment. Without communication, the management of the patient condition will not be achieved and therefore giving patient safety will be a challenge.

Therapeutic communication paves the way towards the development of the therapeutic relationship between the patient and the nurse. Therapeutic relationship acts like glue in getting appropriate information from the patient. Since the therapeutic relations are essential, one needs to understand the therapeutic communication skills to set up and sustain the positive therapeutic relationship (Knapp, 2015). Some of the critical communication skills include active listening, clarifying, prompting, empathy, instructing, and summarizing among others (Frenchs, 2010).

Active listening entails paying proper attention from what the patient describes during the taking of history and carrying out the assessment. Active listening involves giving the time for the patient to speak out information that is considered necessary. It is associated with the gathering of the vital information to be used as diagnosing tool for the proper treatment option. For example, in Gordon function model, the active listening to the patient on the health perception allows the nurse to realize about health-seeking behavior and note on the health-promoting practices. The active listening provides for the collection of accurate information for the treatment and keeping the patient safe.

Clarification seeks to determine the accurate information as well as allow the nurse record the precise version of the data. The clarification is mainly in areas where the patient as given contrary information. Clarification works to eradicate confusion after the assessment that may jeopardize the decision on the treatment option available. Therefore, by explanation, the decision is based on the accurate information that is collected. For example, when the patient states that in the first instance that he usually sleeps and yet later in the inquiry, he registers that he struggles to get sleep and the sleep is short-lived prompts for clarification to understand what happened. Clarification ensures accuracy that helps keep the patient safe. Prompting the patients gives way towards harnessing more information to guide inappropriate decision making on necessary treatment for the patient.

Communication skills as well create the excellent relationship with the patient (Frenchs, 2010). Through the relationship, the patient opens up to disclose necessary information that helps in the diagnosis of the condition. Similarly, the positive relation gives the patient hope towards getting better as well as ensuring that patient adheres to the treatment (Knapp, 2015). It leads to patient recovery. Positive relationship irons out chances of making mistakes thus promoting patient safety.

Conclusion

Gordon functional model offers the method of gaining detailed information about the patient health status. It checks both the affected elements as well as those that are not affected. The technique efficiently ensures that the appropriate data is collected for the sound decision-making process. About the person-centered care, the model is essential in achieving the goals and desired outcome such as eradication of medication error and improving the quality of the service offered to patient satisfaction (Frenchs, 2010). Therapeutic communication skills targets to enhance the effectiveness of the Gordon functional model as well as any other model. It safeguards proper relationship between the nurse and the patient during the assessment to ensure the information is obtained. Basing on the benefits that are derived from the person-centered care, Gordon functional model, and therapeutic communication skills, a medical service offered will be superb. Harnessing knowledge from them will make my services awesome to the patients during my practice.

References

Baumen, A.E., Fardy, H.J., & Harris, P.G. (2003). Getting it right: why bother with patient centred care? Medical Journal of Australia, 179, 253-256.

Frenchs Forest, Australia: Pearson. Levinson, W., Lesser, C.S., & Epstein, R.M. (2010). Developing Physician communication skills for patient-centered care. Health Affairs, 29(7), 1310-1318. doi:10.1377/hlthaff.2009.0450...