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Healthcare services have become one of the crucial factors in recent days. The study has focused on analysing several aspects and factors of personal care. It has defined “Personal Centred Care” (PCC) and provided the importance of personalised care and provided principles of these health care services. It will also provide insights of several social and cultural aspects that affect PCC.
PCC focuses on individual care with respect, which enriches individuals’ healthcare rights.
Four principles of person-centric care
Four principles of PCC are as follows
A person-centred approach is defined as providing healthcare service and treatment as a person, which focuses on a person rather than his disabilities. The study has identified different personal care approaches (Buckleyet al. 2018). The goals of PCC approaches are
Approaches
Challenges in PCC
There are several barriers and challenges that affect the implementation of PCC.
PCC training
Training for PCC is one of the effective ways to reduce and mitigate the negative impacts of various challenges in the implementation of PCC. The effectiveness of PCC training is as follows.
BPS model and case study
An application of the BPS model is effective to implement treatment plans based on three factors; these are biological psychological and social factors which play a crucial role in mediating negative impacts (Kusnantoet al. 2018).
Case study
A patient is suffering from “chronic fatigue syndrome”, that is, the person is suffering from cognitive impairment, fatigue issues, pain and sleep disturbance (Kusnantoet al. 2018). Here neither application of psychiatric treatments alone nor pathophysiological treatments is effective to mitigate fatigue syndrome. There are several negative consequences, such as stigmatisation, which states that “chronic fatigue syndrome” is a mental illness. An application of the BPS model is the most effective way to manage the syndrome.
Why needs to implement PCC
Ways to promote PCC along with the BPS model
Physiological:
Biological
Social
NHS Long-term Plan
NHS long term plan focuses on reducing 150,000 diseases such as heart attacks, strokes and other mental health issues (Gov.uk, 2022). PCC is effective to reduce the number of heart attack patients and the impact of stocks and other mental issues by providing personalised healthcare services to different people.
Comprehensive Model of Personalised Care
This comprehensive model focuses on providing support to the people in case of personal care to increase physical as well as mental health well-being (England.nhs.uk, 2022). This model has several companies that provide personal care for two people.
It can be concluded that PCC is effective to provide value and quality care services to people, which is not only effective to provide services but also mitigate mental issues and negative impacts of diseases and uncertain situations such as heart-attacks, strokes, as primary treatment or healthcare services.
Personal health care focuses on the personal care of individuals with respect and dignity and enables the health care rights of individuals. Person-centred care is crucial in recent days as it enhances the reduction of healthcare risk and is effective to make patients feel more comfortable and positive. It focuses on personalising treatment plans to take proper medication and reduce the risk of uncertainty and emergencies of patience. Moreover, the approach is also becoming important as it reduces the burden on health care service institutions such as hospitals and nursing homes by enabling personal care of patients at home. It is also a cost-effective and less time-consuming process to take positive meditation plans and increase the health and wellbeing of individuals. Moreover, it enables positive health behaviour of patients. 4 principles of personal centre care focus on providing support and treatment to the patients with full dignity, compassion and respect. It also enhances coordination in individual health care and provides personalised care to the patients. Personal treatment is also enabled by recognising the strength and disabilities of and patience and focuses on maintaining individual’s health independence.
Approaches of individuals focus on persons rather than their disabilities. The study has provided several PCC approaches such as collaboration supporting and providing flexibility in health care services. PCC approaches focus on enhancing engagement between people for the betterment of healthcare services. It focuses on managing health risk by collaborating with his care institutions and people as well as supporting people by providing effective treatment. Health care approaches are focused on establishing and increasing communication and collaboration with people to provide effective support in health decision making. The pictures also include taking account of individuals' age, gender, culture, language beliefs for effective planning of treatment. The approach also includes flexibility in health care services for people by providing personalised care. Communication also focuses on understanding the needs of individuals for increasing the well-being of individuals as well as society.
The study has also focused on evaluating challenges in implementing PCC for mitigating the challenges by taking effective measures and strategies. PCC is associated with the high cost of treatment as sometimes it requires installing Pinnacle equipment for personalised care at home. It leads to high financial costs where some groups of people cannot afford the cost of treatment hence they are excluded from the PCC services which reduce its effectiveness for all sections of society. Moreover, care professionals are playing a crucial role in providing PCC. Lack of knowledge among the professionals may affect the treatment quality which is one of the concerns of PCC implementations. During emergencies, the professionals need to make decisions carefully for patients, where skills and knowledge, as well as experience, is one of the major factors. Training for PCC professionals is effective to mitigate challenges of skills and knowledge as well as collaboration. However, cost-effectiveness is established when there is no requirement for the installation of clinical equipment.
The study has also applied the BPS model on a case of chronic fatigue syndrome where the application of psychological treatments and psychiatric treatments are not effective to reduce the negative impacts of the synonyms. The syndromes need to be addressed by adopting a multidimensional model for treatment such as the BPS model which has three components that are biological, psychological and social. The application of the model enhances the adoption of counselling and provides psychological support to the patients. Moreover, psychological support to the patients is effective to address the issue of sleeping and investigating root causes of fatigue by resolving the issues. Here, biological factors such as negative impacts of syndromes on patients can be mitigated by adopting proper medication and daily exercise for reducing pain. These two factors are more than sufficient to mitigate negative impacts and resolve the issue of chronic fatigue syndrome. However, the social factors of the BPS model focus on enhancing communication with neighbours, friends and family members to gain the support of people to reduce. The application of the PPS model also focuses on enhancing social engagement to make the patient feel confident and comfortable. Hence, the application of the BPS model is effective to reduce several impacts such as fatigue that can be mitigated by adopting a multidimensional treatment process.
Several governmental plans and strategies are also effective to reduce the negative impacts of several diseases in society by providing primary effective healthcare services. The study has adopted two legislation policies to evaluate PCC and its impact on increasing social well being.
The study has considered the NHS long term plan which focuses on m getting several heart attack stroke patients as well as other mental issues among the children and working professionals. In that case, the adoption of PCC is effective to mitigate these issues by providing primary healthcare services as well as enhancing proper treatment plans of people requiring care to avoid uncertain situations. Emergencies and uncertain events such as heart attacks, strokes and other diseases can be mitigated before it occurs by taking several measures: exercising, taking proper medications and maintaining a healthy diet. PCC enables people to get personalised healthcare services and mitigate psychological issues of people by providing proper counselling and effective measures. PCC is also effective to reduce the burning of emergency patients from the hospitals of the UK. The introduction of PCC is effective to mitigate health issues and increase the well-being of society.
The study has also considered a comprehensive model for personalised care which focuses on enabling and managing physical as well as mental care of individuals by building affecting community support for the people. The model has mentioned that adoption of personalised care in hands long term growth of physical and mental well-being of people which are based on some packages such as information-based decision-making process promote legal rights and healthcare rights of people, enhance social prescribing, promotion of self-management and inclusion of personal health projects for the well-being of society. It has also focused on personalised care to support the health care services of people.
Alexander, C., 2021. Effects of policy design: The case of young carers in the Care Act 2014 and the Children and Families Act 2014. Social Policy & Administration, 55(5), pp.968-980.Available at: https://onlinelibrary.wiley.com/doi/pdf/10.1111/spol.12692[Accessed on 29 January 2022]
Burgers, J.S., van der Weijden, T. and Bischoff, E.W., 2021. Challenges of research on person-centred care in general practice: a scoping review. Frontiers in Medicine, 8. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264253/ [Accessed on 29 January 2022]
Buckley, C., McCormack, B. and Ryan, A., 2018. Working in a storied way—Narrative?based approaches to person?centred care and practice development in older adult residential care settings. Journal of Clinical Nursing, 27(5-6), pp.e858-e872.Available at:https://eresearch.qmu.ac.uk/bitstream/handle/20.500.12289/5065/5065aam.pdf?sequence=4[Accessed on 29 January 2022]
England.nhs.uk, 2022.Comprehensive model of personalised care. Available at: https://www.england.nhs.uk/personalisedcare/comprehensive-model-of-personalised-care/ [Accessed on 29 January 2022]
Gov.au, 2022.What is a person-centred approach? Available at: https://www.health.nsw.gov.au/mentalhealth/psychosocial/principles/Pages/person-centred.aspx#:~:text=A%20person%2Dcentred%20approach%20is,not%20their%20condition%20or%20disability.&text=supports%20the%20person%2C%20at%20the,making%20decisions%20about%20their%20life [Accessed on 29 January 2022]
Gov.uk, 2022.NHS Long Term Plan launched. Available at: https://www.gov.uk/government/news/nhs-long-term-plan-launched [Accessed on 29 January 2022]
Health.org.uk, 2016.Person Centred Care. Available at: https://www.health.org.uk/sites/default/files/PersonCentredCareMadeSimple.pdf [Accessed on 29 January 2022]
Highspeedtraining.co.uk, 2018.What is person centred care. Available at: https://www.highspeedtraining.co.uk/hub/what-is-person-centred-care/ [Accessed on 29 January 2022]
Kusnanto, H., Agustian, D. and Hilmanto, D., 2018. Biopsychosocial model of illnesses in primary care: A hermeneutic literature review. Journal of family medicine and primary care, 7(3), p.497.Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069638/ [Accessed on 29 January 2022]
Moody, L., Nicholls, B., Shamji, H., Bridge, E., Dhanju, S. and Singh, S., 2018. The person-centred care guideline: from principle to practice. Journal of Patient Experience, 5(4), pp.282-288.Available at: https://journals.sagepub.com/doi/pdf/10.1177/2374373518765792[Accessed on 29 January 2022]
Moore, L., Britten, N., Lydahl, D., Naldemirci, Ö., Elam, M. and Wolf, A., 2017. Barriers and facilitators to the implementation of person?centred care in different healthcare contexts. Scandinavian journal of caring sciences, 31(4), pp.662-673.Available at: https://onlinelibrary.wiley.com/doi/pdf/10.1111/scs.12376 [Accessed on 29 January 2022]
Summer Meranius, M., Holmström, I.K., Håkansson, J., Breitholtz, A., Moniri, F., Skogevall, S., Skoglund, K. and Rasoal, D., 2020. Paradoxes of person?centred care: A discussion paper. Nursing Open, 7(5), pp.1321-1329. Available at: https://onlinelibrary.wiley.com/doi/pdf/10.1002/nop2.520 [Accessed on 29 January 2022]
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