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Person-Centered Care in Nursing Assessment 3 Answer

ASSIGNMENT 3: Written Reflection 

As a Registered Nurse, there will be times when your own ideas and experiences of health and illness may challenge your ability to practice Person Centred Care (PCC). Reflecting on these perceptions is a skill which is crucial to implementing PCC. 

Using the Gibbs Reflective Cycle as a framework, submit a reflective essay that describes and analyses one experience of applying the concepts of PCC to the NRSG 138 tutorial case studies. This essay should demonstrate your developing understanding of PCC. 

Weighting: 40% 

Length and/or format: 1200 words

Purpose: Each student will submit a reflective piece of writing utilising Gibbs Reflective Cycle (1988)

Assessment criteria: 

The assessment will be marked using the critena-based rubric (Appendix B). Please include the word count of your assignment on the front page of your assignment or in a header. Please note that in-text citations are included in the word count whilst the Version


Person-Centered Care


Person-centered care is described as the knowledge involving the individual as the whole person, and it further involves the ways it can be used as proper care and with the family and friends that can help to derive their own needs and plan with the help of the own care. In the case, the patient Tula is admitted to the hospital and how it can also one is one of the paroxysmal expiratory which would lead to the acute dyspnea faced. While accessing the situation, it was important to integrate the three practices which was the Person-Centered Care (PCC), aligning it with the Clinical Reasoning Cycle (CRC), and understanding it with the Gibbs reflection cycle. Further, the case is about the. Tula who is the 38-year-old Samoan woman regularly working in the textile industry is overweight 114kg and has a BMI of 44.5 along with experiencing the hypertension problem. As accessed from the case, the nurse Clorinda was shouting to the peer nurse, as to how the patient is overweight, and it due to her cultural problems. While the patient was experiencing the problem of breathlessness and even facing multiple problems, which has further caused a problematic challenge to handle the case with the proper care and also learning the signs of discomfort. Kate, on the other hand, was reciprocating the patient’s condition and even lean forward to check it. It is important to understand the signs and the vital points, to keep a check on the patient condition and understand the stressful issues. The patient was taken care by the multi-disciplinary team of experts, who would proactively take care and understand the patient concern,


In the case, the patient was screened for the breathing difficulties, Nurse Clorinda, instead of checking the patient's condition and her deteriorating conditions; simply put allegation on the patient that her overweight is the main cultural problem. Where's as, I could see nurse Kate was empathic and even felt very keen to check the patient vital signs and asked her sensitively, about how she was feeling. As per the Clorinda, who was not able to handle the patient condition, blamed her culture, but in my view, as per the Code of Ethics (2018), as a nurse, it is necessary to understand the integrity clauses and also the facing the professional behavior with the set rights, respect, care, and feeling empathically win the patient's condition. Subsequently, the condition can be observed to be how the patient's condition can be checked professionally, integrity, and full care. The patient's condition can also be cared for such as a nurse, making the patient lie down half uplifted and then discussing with the multi-disciplinary condition. The nurses as per the PCC care has to focus on the nurses with the therapeutic care and also to foster bonding care with the patient's condition. I feel the nurse Clorinda was unkind, didn't understand the patient's condition, while the same was not true for the Kate nurse who was feeling. Compassionate, caring and also approached the patient with integrity, dignity, and respect.


In the given case the patient's condition could have been handled with effective communication and by fostering bond. If both the nurses could have been empathic, care, feel sensitive even can work in better coordination and set up. As Clorinda was less empathic, unkind, and less sensitive and even was rude, the patient was not able to detail her conditions; on the contrary, the Kate was empathic, understanding and even was remorseful due to the patient condition. Clorinda could have been sensitive, empathic, and even could have tried to build bonding with the patient's condition (Coyne, 2018). The patient-centric care would have helped to provide therapeutic care and it would be an important step to collaborate and think of the patient's wellbeing socially, with emotions and also  about the spiritual wellbeing. It could further result in obligating the beliefs, practices and improving the patient's condition and further, the patient can be taken care of the patient dignity, respect, and care. The nurses in the case, should have acted with the competence, confidence, conscience, and with the commitment, and care and overcoming the critical challenges (American Geriatrics Society Expert Panel on PersonCentered Care, 2016)


The patient-centric approach here is to educate the patient and further guide her on how to avoid any steps which can cause further cause lungs inflammation and handling the problematic issues (Akindele-Oscar, 2019). The patient-centric approach here is to check for the vital signs and even understand how the patient is experiencing by checking records (Chenoweth, et al, 2019). Further, the patient has to be monitored for any similar problems, treated with the care, and even with the signs and the related problems. Through the communication, collaboration and the signs of the care, the situation could have been improved and looked after (Coyne, 2018)


To conclude the problem of the patient is observed as to how the patient has been experiencing the problem of the wheezing, respiratory distress, and further has faced the lack of care compassion and even facing the problem of the lack of breath. In the case, the nurse Chlorinda is insensitive and even behaving unconcerned with the patient's condition and often becomes rude, passing insensitive comments. The other is the nurse, Kate showing care, compassion, and cared with the high dignity, care, and even respect for the patient. Due to the patient's consistent care, there would be a high chance of patient recovery and even feeling care, but if the nurses are insensitive and even not understanding the situation,  would further help to handle the complexities and even help in overcoming the situation.  

Action plan

As an action plan, the first step is to correct the communication style, further, the effective approach of the considerable care and the proper plans can help to understand how to take care off of oneself (Eklund, et al, 2019). The patient also has to be educated do take care of her condition, understand the vital points, the exercise regimes and even some of the periodic checks can further help in improving the condition. The patient also has to adopt healthy lifestyles and even has to ensure wellbeing. The nurses can improve the care plan, by coordinating, collaborating, and educating the patient with a better set of points. The patient should also be evaluating timely for the self-medication, self-management styles, and self-evaluation styles and informing the nurses (Fazio, 2019). The nurses should be in turn be coordinating with the multidisciplinary team to determine how the patient's condition can be taken care of. The patient needs to be checked for all possible points and needs to be treated with compassion, care, and healthy wellbeing. This would help to take care of the patient.

From patient-centered care, it is essential to take care of the patient with better knowledge, skills, and understanding of the health information, which would be matched with the literacy level (Fung et al, 2019). It is important to be part of the patient-centric care and even approach the matter with self-management skills, and further understand the patient's ability ways to develop active care (Håkansson et al, 2019). Further, it is better to have safe and efficient patient monitoring that can help to adopt in the healthcare delivery systems, and further, it would be helpful to nurture in the patient’s environment (e.g. home, workplace, school) for the better wellbeing (Groves, 2016).

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