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(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
(3) Enablement
(4) Contextual Congruence
(5) Accessibility
(6) Flexibility
(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...
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.
Bibliography
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 Conceptual Framework for Person-Centered Practice with Older People. International Journal of Nursing Practice. Vol. 9 Issue 3. Blackwell Publishing Asia Pty Ltd.
Loeb, S. et al. (2003) Supporting Older Adults Living with Multiple Chronic Conditions. Journal of Nursing Research. 2003 25(1).
Elderly Persons
Health
Nurse: as Health Care mediator
Environment
Personal Gerontological Nursing Framework
Bibliography
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 Conceptual Framework for Person-Centered Practice with Older People. International Journal of Nursing Practice. Vol. 9 Issue 3. Blackwell Publishing Asia Pty Ltd.
Loeb, S. et al. (2003) Supporting Older Adults Living with Multiple Chronic Conditions. Journal of Nursing Research. 2003 25(1).
Elderly Persons
4. Identify effective approaches to bridging the cross-cultural gap that may prevent families from using nursing home facilities when they are in the elders' best interests. Strategies The following strategies will be used to help achieve the above-stated goals: 1. Develop expertise in writing grant applications. 2. Identify nongovernmental organizations that provide funding for these types of social programs. 3. Formulate a community education program to inform the people of Liberia of the need for
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
Woods up with an exercise group close to her house, or a support group who could help her with adjusting to her new diagnosis and give her support. The social worker and the nursing staff would also be able to educate Mrs. Woods' family on the condition and what needs to be done to maximize her bone health. 5. Should Mrs. Woods have a history of renal calculi; care will be taken for the administration
" References Cooney, C., & Mortimer, a. (1995). Elder Abuse and Dementia - a Pilot Study . International Journal of Social Psychiatry, 41, 276-283. Dong, X., Simon, M., de Leon, C.M., Fulmer, T., Beck, T., Hebert, L., et al. (2009). Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population . Journal of the American Medical Association, 302(5), 517-526. Dong, X. (2005). Medical Implications of Elder Abuse and Neglect. Clinics in geriatric medicine,
Restraining the Elderly Project Management The Project Management path for this research proposal will follow the path of quantitative research in a 'quasi-experimental' environment. Adhering as closely as possible to quantitative experiments designed to establish the causal factors or interdependent links between grouped variables, the researcher will follow a natural course of progression in administering dependent and independent variables, designing the sampling set, determining the optimal time(s) and location(s) for conducting the