Person Centred-Care Planning, delivering & auditing the journey

(Endometriosis)

WHO recognized as Person-Centered approach as one of the efficient strategies to provide patients with better primary health services. (WHO, 2018).A person-centered approach is highly efficient in dealing with the biopsychosocial needs of the person. It provides a better healthcare system. This essay focuses on different approaches to person-centered centered care concerning endometriosis. Person-centered care is a highly efficient approach to deal with the needs of the patients and develops an efficient relationship between patients, nurses, and family care. The essay will be discussing different theoretical approaches concerning the principles of patient-centered care along with the long-term clinical conditions. It will also be addressing the roles of family care, primary health care to deal with the long-term conditions of the patients. Also, different practices will be discussed regarding the patient-centered approach considering the long-term clinical impacts on the health of the patients. It will be addressing different communication theories, and pharmacology and pathophysiology factors. The theory of modeling will be discussed in the essay that has been provided by Erickson (1983) to promote primary healthcare and health demands of the patients, as the theory reflects the approaches used in meeting the biopsychosocial needs of the patients. All these points will be addressed focusing on the long-term condition endometriosis and the involvement of families in providing care to the patients. (WHO, 2018). The patient-centered approach by Carl Rogers along with the biopsychosocial approach will also be discussed here.

            Let us explore the dimension of patient-centered care along with its association with the long-term conditions of the patients i.e. endometriosis. Santana (2018) defined a patient approach as the care, emotional support, values, and proper clinical implications practiced by the nurse towards patients. The responsibility of the nurse includes providing the patient with proper care and management to fulfill all his clinical decisions made by the doctor. PCC revolves around fulfilling the needs of the patients, basic values, and preferences. (Santana et al., 2018). PCC revolves around different dimensions and using these dimensions helps in distinguishing the characters of patients, the eight dimensions include patient’s preferences, information, and education of the patient, strategies to care for patients, providing emotional support to the patient, detailed information about families and friends, continuity and relative change, level of physical comfort and coordination of care. (Oostrom et al., 2017). PCC proves out to be highly beneficial for patients, as it increases their level of satisfaction, increased quality of life, care, and well-being of the patients. All this is due to the effectiveness of the relationship between patients and nurses. The phenomenon of PCC interlinks with the co-creation of patients. (Santana et al., 2018).  This phenomenon functions to develop the establishment of person-centered care, and to enhance the outcomes relative to the improved outcomes and increased benefit. This will also aid in speedy recovery and improvement of the patients and the healthcare relation between patients and healthcare professionals. (Oostrom et al., 2017).  PCC is all about making interactions with the patients efficiently. Many factors are considered while the application of a person-centered approach but in case of cultural factors it proves out to be a major shift. No cultural practices and biases are made within the entire process and the patients are treated with the best healthcare services. (Santana et al., 2018). The above-described approaches will be highly efficient in providing the patients of endometriosis with primary healthcare. Endometriosis is a painful condition that causes complications in the uterus. It is the condition in which despite endometriosis another tissue happens to show outgrowth. This might interfere with the normal conditioning of the fallopian tube, uterine tube, endometrium, or other issues present in the uterus. (WHO, 2018).

The patient suffering from endometriosis has been facing many long-term conditions that are affecting the biological as well as mental health. The long-term impact on the health of the client includes consistency in pelvic pain. The patient is suffering from a constant pelvic pain that most of the time becomes severe. Besides, there is an imbalance in the menstrual cycle that impacts the mood swings as well as mental health. The patient is also not achieving pregnancy, and this is the main reason for depression and psychological stress and anxiety. In a condition in which she is suffering from social problems. Family care and support along with the nursing interventions will be helping her in dealing with the complications of biopsychosocial needs. Besides, my client is suffering from long-term psychological and mental health issues. As a nurse, I have been applying primary health care interventions considering the theories described above.

Patient-centered care highly helps the client, who is suffering from endometriosis, in coping up with the biopsychosocial complications. As the training of PCC focuses more on the stability and well-being of the person by increasing the level of satisfaction that could only be possible if all dimensions and approaches reconsidered in the implementation of the entire place. (Fix et al., 2018). Such as dementia is a medical disease that imbalances the mental processes and functioning of the patients. It plays an efficient role in making changes in the mental health and well-being of a patient. So implementing this in treating my client will be playing an essential role in providing her with the services. The client and her family wanted me to apply the evidence-based interventions to deal with the condition of the patient. As she is in hospital and is suffering from long-term pain in the pelvic area plus other complicated issues. The need is to involve her family as well in providing her with the financial and social support to help her get out of the situation. Staying positive with her while providing her support as a family group will be a highly efficient approach.

            The biopsychosocial approach will be used herein providing the patients with nursing care and in order to meet the healthcare needs of the patients. The biopsychosocial model will be highly assisting in dealing with the health care needs of the patients. This approach is used in providing nurses with the different approaches and the theoretical elements to treat the patients suffering from endometriosis. As endometriosis highly affects the quality of life, healthcare system, and the assessment of the patients. BPS helps nurses to implement different nursing interventions to be implemented in providing the patients with endometriosis efficient assessment tools. This evidence-based system highly affects the healthcare demands of the patients. BPS model provides care and assistance in meeting both the psychological and social needs of the patients, and endometriosis requires dealing with the patients, as the patients that are suffering from endometriosis require complex healthcare with social support as well. The biopsychosocial approach defines itself in three nursing care interventions that include meeting the biological, psychological, and social needs of the client. The biological causes are the reason for the pelvic pain and imbalance of the menstrual cycle and diarrhea. While the lack of social support due to the lack of pregnancy will also be dealt with while implementing this model. Other than this, to deal with the psychological distress, anxiety, and depression, the model will assist in dealing with the conditions of the client. Therefore, implementing this approach will be highly assisting to treat endometriosis. (Rosa, 2016)

Another model that will be used in dealing with this long-term clinical condition is the Erickson model of the application of nursing interventions. (Santos et al., 2017).  Erickson proposed the theory of modeling that deals with behavioral management while meeting the social and psychological needs of the patients. Also, Erickson’s theory of a psychosocial approach will be highly efficient as it will be highly effective in providing the patients with proper care. Females suffering from endometriosis face psychological imbalance largely, and it causes psychological distress in the patients. This clinical condition effects on daily life, social behaviors, as well as the intimate relationship. All these factors as a whole impact on the lifestyle of the patients. Depression and anxiety cause psychological distress the most to deal with the healthcare of the patients. (Laganà et al., 2017). Therefore, for the sake of nursing care, these theoretical models will be highly effective in dealing with the multiple social, psychological, and biological needs of the patients. The impact of the condition on the mental health condition, education, family relations, as well as the unbalancing of the mind. However, applying the above approaches will be helping the client (suffering from endometriosis) to deal with the potential issues that she is facing. This model will be helping in dealing with the client psychosocially and it helps in dealing with the person-centered care of the client while providing her with the primary healthcare style. (Rosa, 2016)

Endometriosis clients are in a larger number as 10% of the females are suffering from this disease. The age includes the range of 25-30, and among all these percentages of women 80% of the females suffer from the pelvic pain and the condition might worsen if not addressed on time. The same is the case with my client; she is also suffering from this disorder and needs to have nursing interventions on time. My patient is also suffering from the acute condition and she needs instant care by the caregiver as well as by the family. (Rosa, 2016)She might have to face a larger number of risk factors, but they will be addressed using this patient-centered approach. The risk factors that my client must be protected with include genetic markers, greater menstrual flow as compared to the normal routine. The condition might also worsen if the endometrium shows more outgrowth. There is a need to consider all these factors while providing her with proper care and assistance, otherwise, she might have to face an increase in physical and mental health problems. (Laganà et al., 2017)

            A person-centered approach is a highly efficient technique that proves out to be very successful for digging out the positive incomes about a relevant condition of the patient as in the case of my client who is suffering from endometriosis. It not only leads to the deterioration of physical health but also causes an alarming increase in the mental health issues of the patients. PCC is a highly efficient approach to meet the psychological, psychosocial, and physical demands of the patients. (Fix et al., 2018). It provides the patient with an opportunity to have a proper lifestyle along with the support of the healthcare workers. It is not only the strategy of personal growth but it also leads to the more engaged behavior of the patients, which will be resulting in positive outcomes. While practicing PCC different approaches and principles must also be considered along with the relevant factors. Concisely the approach is highly efficient to deal with the patients suffering from endometriosis and it has a lot to do with the enhanced quality of treatment to the patients. As a nursing associate, this approach highly assists me in enhancing my skills and knowledge to deal with the patients suffering from endometriosis. It also tends to enhance my skills as a gynecologist. The application of different theories also helps me in dealing with the clinical complications of different patients. (Santos et al., 2017)

            The approach must be practiced as it interferes in dealing with the biopsychosocial needs of the patients. It provides patients with on-time assistance, care, and support. The application of the approach must be a part of every healthcare center as it tends to improve the long-term conditions of patients such as the client who us suffering from endometriosis. (Rosa, 2016)

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