Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from essay:
(McCormack, 2003, p.1)
V. Seven Concepts that are 'Key' to Client Centered Practice
The work of Law et al. (1995) relates seven concepts that are stated to be 'key to client centered practice' as follows:
(1) Autonomy and Choice
(2) Partnership & Responsibility
(4) Contextual Congruence
(7) Respect for diversity. (McCormack, 2003, p.1)
VI. Patient and Informal Expertise and Knowledge
The work of Loeb, et al. (2003) entitled: "Supporting Older Adults with Multiple Chronic Conditions" states that nurses "have studied the experience of chronic illness within relational and social contexts, depicting persons who live with chronic illnesses as active agents of their own health." (p.3) This view involves the individual as "active agents of their own health…" who "develop expertise both in awareness of their bodily responses and in managing the self-care required by their unique types of chronicity." (Loeb, et al., 2003, p.4) It is stated that the patient's expertise "often reaches a level that exceeds that of their professional health care provider." (Loeb, et al., 2003, p.3)
According to Loeb, et al. "engaging in life…" is a strategy that can be effectively used in diverting the individual's attention "away from the challenges of chronicity toward a life filled with purposeful, activities." (2003, p.4) Loeb et al. states that findings in the study include "a number of coping strategies used to mediate the effects of multiple chronic conditions." Some of those strategies are the following:
(1) need for formal expertise of healthcare providers who have a 'critically evaluative attitude.'
(2) the experiential process of living with multiple chronic conditions was identified as a means of acquisition of informal expertise.
(3) Information gained through peers was preferred to information provided by professional health care workers;
(4) however, individuals did desire a partnered relationship with members of the health care team;
(5) A desire existed among participants to make informed health care decisions because it promoted their personal sense of empowerment.
(6) Finally, the need for health care workers to acknowledge the informal knowledge and expertise of patients. (Loeb, 2003, p.5)
McCormack (2003, p.5) states that health care provision which is based upon autonomy and choice is of the nature that makes the assumption that the opinion of the patient will be sought, that the patient's values will be respected and that the patient's dignity will be maintained.
VII. Nursing Role
The role of the nursing professional within the framework described in this study is one has the patient as the central and primary consideration in all health care treatment regimens and protocols. The patient is an active partner, a collaborator, and the knowledge of the patient is given due consideration and provided with acknowledgement by the health care nurse as the nurse understands that the patient is likely the best source of information about their sickness and the accompanying symptoms, issues, and challenges. The nursing professional plays the role of mediator effectively assisting the patient with negotiating the various agencies and programs that may provide assistance to the patient and their family.
Summary and Conclusion
This work has examined issues related to Gerontological nursing insofar as the role of the nurse in treating elderly patients and has clearly demonstrated that the gerontological population can benefit greatly from nursing professionals taking an active role in mediating and advocating for this population assisting them with negotiating their own health care and the environment in which they receive and monitor their own health care regimen. For those patients who are actively involved in their own health care, it is likely that these individuals are a treasure trove of information relating to their specific and generally multiple and chronic conditions and while their information and knowledge is expertise that has been informally gained nonetheless this expertise serves to well inform the nursing practice.
McCormack, Brendan (2006) Development of a framework for person-centered nursing. Journal of Advanced Nursing. Vol. 56 Issue 5. Blackwell Publishing.
McCormack, Brendan (2004) A…[continue]
"Gerontology Nursing A Personal Gerontological" (2009, December 21) Retrieved December 6, 2016, from http://www.paperdue.com/essay/gerontology-nursing-a-personal-gerontological-16078
"Gerontology Nursing A Personal Gerontological" 21 December 2009. Web.6 December. 2016. <http://www.paperdue.com/essay/gerontology-nursing-a-personal-gerontological-16078>
"Gerontology Nursing A Personal Gerontological", 21 December 2009, Accessed.6 December. 2016, http://www.paperdue.com/essay/gerontology-nursing-a-personal-gerontological-16078
One of the observable trends that emerges from a review of literature and research on gerontology nursing is the increasing development of specific frameworks and perspectives for use in the learning and practice of gerontology nursing (Deschodt et al. 2010; Toslon et al. 2011; Foreman et al. 2010). By developing specific educational programs for gerontology nursing and establishing learning environments that are dedicated to the specialization, the practice of gerontology
Summary & Conclusion There are many considerations when attempting to make a decision between assisted living facilities and nursing home care for the individual who is of an advanced age because depending on the medical limitations of the individual that individual may desire more autonomy and more of a social and active lifestyle than is available in the nursing home setting. While the associated costs is a very important issue for
Before the plan was put into place data was collected so that the changes could be measurably recorded (Rosher, 2006). In addition, before the plan began Phase I, the nursing home staff was retrained and agreement and enthusiasm for the plan was attained. The culture change program was as success. Several residents were recorded as developing new energy and drive for life when allowed to pursue previous interests. One resident, who had
126). Although there are an increasing number of elderly in the United States today with many more expected in the future, the study of elder abuse is of fairly recent origin. During the last three decades of the 20th century, following the "discovery" of child abuse and domestic violence, scholars and professionals started taking an active interest in the subject of elder abuse. This increased attention from the academic
This shift in organizational structure also required the entire corporation to shift from centralized to decentralized decision making. The approaches GE took to ensure the shift in structure and decision making would work included putting output and behavioral controls into place for each business unit. The output and behavioral controls were specifically designed to ensure each independently operating business unit shared accountability for corporate results yet also had the
This difficulty does not just stop at causing dietary deficiencies but may also lead to acute dental and non-dental diseases. With early detection and intervention such diseases can be prevented thus the health professionals in senior centers can take a step of screening the seniors for oral problems and take the necessary steps. They can also train the seniors on practicing preventive health and also refer them to appropriate
" (AAFP, nd) The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAFP, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAFP,