ATI Patient Centered Care Notes

Caring-defined as the act of nurturing another person to whom one feels a commitment or responsibility- is foundational to the role of the nurse. Watson’s theory of human caring is a model of client care that adopts a holistic healing perspective, characterized by caring moments in which the nurse and client have a human-to-human connection, referring to as transpersonal caring. Goal of caring according to Watson’s theory is for the nurse to assist the client in achieving an elevated level of harmony among the mind, body and spirit. To care for others nurses must first care for themselves. Ten Caring Processes (Caritas Processes) 1. Sustaining humanistic-altruistic values through the practice of loving-kindness, compassion and equanimity with self and other. 2. Being authentically present; enabling the faith/hope/belief system; and honoring the subjective inner, lifeworld of self and other. 3. Being sensitive to self and others by cultivating own spiritual practices; moving beyond ego to transpersonal presence. 4. Developing and sustaining loving, trusting-caring relationships. 5.Allowing for expression of positive and negative feelings. 6. Creatively problem solving/ “solution seeking” through the caring process. 7. Engaging in transpersonal teaching and learning within the context of caring relationships; staying within the others frame of reference. 8. Creating a healing environment at all levels. 9 Reverently assisting with basic needs as sacred acts, touching the mind/body/spiring of the other and sustaining human dignity. 10. Opening to spiritual, mystery, and unknowns; allowing for miracles. Swanson’s Theory of Caring- addresses caring in the procession of nursing and its impact on improving client well-being by assisting nurses to promote the clients empowerment, respect and dignity. 5 Categories 1.Maintaining Belief- the nurse portrays a hopeful attitude and assists clients in achieving or maintain a positive attitude and finding meaning in life as they transition through whatever health event they may be experiencing. 2. Knowing- involves the nurses awareness of assessment date, factors influencing the situation and knowledge of the clients perception of the situation. It involves the nurse providing needed information to the client but withholding judgment regarding the client. 3.Being with- being physically and emotionally available or present with another person, which provides comfort. 4. Doing for- the performance of tasks or activities 5. Enabling- being a guide for the client and family through situations and events. Caring behaviors- listening,touch,being present,providing comfort,showing compassion. Showing compassion (compassionate care) is recognizing the pain and suffering of other and taking actions to help alleviate them. Proving comfort example placing clean sheets on clients bed, assisting the client to take a drink of water, holding a clients hand during a procedure that can be frightening or painful. 5 key elements In cultural competency 1. Cultural awareness- self assessment of one’s own culture and biases about individuals of other cultures. 2. Cultural knowledge- being willing to learn about another person’s cultural values, beliefs and activities. 3. Cultural skill- ability to accurately assess clients’ cultural beliefs values and lifestyles. 4. Cultural encounters- interactions with clients from cultures different from ones own. 5. Cultural desire- commitment to become connected with clients’ cultures. Age Related Considerations Silent generation (1928-1945) prefer face to face, formal and written communication, they value loyalty and expect it in return from others. Baby boomer generation (1945-1964)- are often comfortable with meeting and in person communication. Gen x (1965-1980)- usually comfortable with technology, can be somewhat cynical and pragmatic and are generally independent. Gen Y (1981-1997)- comfortable with technology, generally more education and more diverse than previous generations, and flexible. They also like frequent feedback. Gen Z ( 1998-2021)- digital natives. Enjoy instantaneous feedback, not used to waiting for things often prefer to communicate via texts or emails. Generation Alpha (2013-present)- familiar with technology. Communication involves the client and the clients caregiver. Infants response to a soft voices and gentle physical contact. Young children be direct. School age children are curious and prefer to have explanations about processes and procedures. Adolescents may or may not prefer to have caregivers present during discussions. Spiritual Nursing Care Spiritual assessment tools FICA Faith and belief (What spiritual beliefs aid you in coping?) Importance (Do your spiritual beliefs impact how you care for yourself or allow others to care for you?) Community (Are you part of a spiritual or religious community?) Address in care ( how should I address you when speaking to you?) HOPE Hope Organized religion Personal and spirituality practices Effects on care and end of life issues Medically futile- doing treatments that are not helpful because they will not provide a cure or extend life. Palliative care- services provided to clients to promote comfort while in the last stages of life. A treatment approach hat is focused on the management of symptoms of chronic or life threatening illnesses while maintain the highest level of quality of life possible for the client. Quality of life- the fulfillment of a clients purpose and meaning of life. Pastoral care is a client focused service that provides support to clients,families, and staff with ethical,spiritual and religious needs. Chaplains are individuals who provides spiritual care.