Person-centered care with the healthy aging 

Introduction

As the age advances, person-related care also changes and so does the treatments. The main focus of the essay is on the person-centric care of the elderly patient. The older person experience not only a consistent decline in physical health but also deterioration in mental capacities and challenges to overcome the non-communicable disease. The elderly patient has to maintain long-term conditions and the ability to recover from the loss of functional ability (Rokstad, 015). The person-centric approach is aimed to provide the specific needs and treatments in accordance with the changes an elderly patient experiences. The main aim is to provide an integrated support system from multidisciplinary health professionals, from family and a better support system to elderly patient requirements. Depending on the availability (or not) of personal, family and the necessary social and financial resources, the main goal is to provide customized health treatment as the age advances. The model approaches to provide a consistent quality service in the built environment and also integrate the assistive technologies. The approach is to provide a comprehensive solution to the analysis of the complex factors and effectively aim to provide older adults' needs and an integrative care approach. The aging people's specific priorities and goals need to be understood and should be provided based on life circumstances (Onder, 2015).

Critical reflection

To approach the aging person concerns, the person-centric care has the eight principles which are (1) to treat the people with dignity, compassion, and respect (2)  To provide coordinated care, support and treatment (3)  to offer personalized care, support and the treatment (4) to identify the strengths and abilities of the age-old people so that they can have a better life (5) To provide the coordination and better care integration (5) to have the better set up of the information and education (6) to provide the physical comfort,  emotional support and also overcome the fear and anxiety (7) to actively involve the family and friends and lastly (8) continuity and transition. In my opinion, while providing consistent care to the age-old people, it is necessary to have a continuity plan of care (Hunter, 2016).  In my view, while providing care to the patient, the approach should be therapeutic and needs to be consistent with the care plan.

When the old age transition,  it is important to provide a self-reliant process and to support the old age care health plans (McCormack, 2017).  In my opinion, the progression of the old age progresses needs to be balanced through the positive approach and should outweigh the benefits and considerable risks at any one time. In my view, the age-old people need better adaptive care and a consistent approach.  and providing multidisciplinary care for old age people (Moore, 2017).   The advantage of an integral part is to have a personalized assessment that can create an elaborative care plan. It would help to identify approaches to overcome the problems, priorities and also associate with the goals and actions. It is necessary to provide a collaborative approach and how there can be better outcomes and a necessary intervention plan(Naldemirci, 2018). At every stage of the treatment and care, it is necessary to have informed and valid consent to provide proper and collaborative care. In my opinion, the treatment should be based on the elderly person’s self-determination and the key strengths that can aim to provide consistent care and proper treatment. The approach should be to provide a trust relationship between the person and their caregivers. For this, the shared values need to be identified based on the person’s care plans. The related concerns, priorities, and outcomes should follow the age-friendly policy, services, practice, and prioritized development care as per the older people's requirement.

Current literature

As per Moore et al (2017) “Barriers and facilitators to the implementation of person-centered care in different healthcare contexts”, the main emphasis is on empowering old patients and how to consistently improve their conditions and provide the adequate quality of care through a better set up. The patient-centric care approach is to integrate policy-makers to adopt plans and there can be an adequate system to provide better-enhanced support care. The author has emphasized on a model of the person-centeredness or choosing the patient-centeredness depending on the needs and preferences of the old patients who are receiving care. The approach of the healthcare providers aims to provide and improve care by following the person-centered principles and also address the gaps in between the practice. The agreeing partnership in between the multidisciplinary with needs should be shared with the patient and family members to provide the informed and consented care.  The author’s stress on building the patient and professional goals and to safeguard the documentation

The same outlook has provided by the author Naldemirci, et al (2018) in the article “Tenacious assumptions of person-centered care? Exploring tensions and variations in practice”. The article emphasizes on providing the model based on the neutrality and universality care to the old age patients and also challenge consistently to deliver per the growth models. The author’s emphasis on providing patient-focused care within the Healthcare delivery. The article further focuses on the clinical routines and providing a narrative, partnership multidisciplinary care along with the documentation based on the individual strengths and self-determination of the patient. The article is aimed at providing the independent capable of reasoning and verbal reasoning to provide adequate measures that can help to provide a narrative person-centric approach towards healthy aging within the patient-centric care.  The article, however, lacks the customized, individual collaborative plans for the tenacious old age patient care who can be treated through the person-centric approach with reasonable care. 

Discussion

For the age-old people, it is necessary to provide personalized approaches and consistently focus on care. It differs in identifying the care delivery plans which are no longer conventional treatment plans. As per the principles of person-centric care, as the age increases the necessary care model and benefits should also increase. It is important to focus on the consistent approach to empower the older person and for their families to support and provide better care. It would help to make appropriate decisions based on the health set up. As per the health and the practitioners, the approach is to develop the skills that can be in line with the health decision plans (Beard, 2018).  It is essential to provide the identified holistic needs and also recognize the biopsychosocial approach to the consistent needs and the capabilities as per the older person. It is important to help to provide an older person’s adaptive capability and approach him by aiming to provide a better care plan. 

As the age-related problems decline the identified problems should be measured and mobilize.  It is necessary to provide consistent services and also provide continuity care for the older person by integrating the multidisciplinary team approaches and practices.

While treating the old age people, the approach is to have integrated care and the care systems that can design the specific short-term ailments or to treat chronic health needs. The chronic health needs deteriorate further as the old age increases. It is important to have the health and longterm care systems that can operate independently (Bousquet, 2018). For older people, it is necessary to give efficient usage services and also to provide cost-effective approaches. Through the integrated approaches are the prime targets it is important to provide the care and people-centric health services that can be build based on the primary care-based system.  In today's times, the care plans are built by the inter-professional and the multidisciplinary health care practitioners that aim to provide better formal and informal caregivers. The main goal of multidimensional, interdisciplinary diagnostic care while treating the old age patients,  is to focus on the collaborative approach from medical, psychological and functional capabilities (Britten, 2017). The coordinated and integrated plans can be treated through a long-term follow-up plan. The identification of the key challenge should have the holistic approach and identification of the learned, implemented and having interpreted non-specialists. It is necessary to provide the shared decision-making that can help to care practices as per the person’s autonomy that can be consistently be respected and supported.  The approach of the mental capacity and it is necessary to take the informed decision-making. To have the cognitive assessments it is necessary to access the older person's capability (Edvardsson, 2016). 

Conclusion

To conclude, how older people’s priorities need to understand and accessed at every stage to provide health and care globally. It is necessary to maintain functional ability while treating the elderly patient and to provide consistent care and plans which are planned as per the multi-disciplinary team.  The goal is to attain less burdened care for the families and include a response to the priorities that can identify the differences in resources, technology and relationships with the old age patient culture, geography, and related social care services. As an old patient requires proper care planning it is important to understand the individuals' concerns and identify the potential plans and treatment that can help to provide a priority for care.

Have a discussion (and take brief notes) with the older person based around a few key questions (you can adapt or expand on these):

1. Could you tell me a little about yourself? What does healthy ageing mean to you?

The older patient, was lost and tried to recollect a few personal details and answered in the lost condition. He told healthy aging is all about aging gracefully.

2. What do you see as your strengths in relation to your health and wellbeing? What are some of the challenges?

The strengths are the well being and attaining the physical and mentally fit. The challenges are alertness.

3. Looking back how have the things you enjoyed changed over the years? What brings you enjoyment now?

Looking back I have enjoyed the spirit of working professionally and having personal wellbeing. Over the years the enjoyment is limited to taking a walk and talking loved ones.

4. Does anything stop you from doing the activities you enjoy?

Yes the lack of mental alertness and incapability to attain goal.

5. Do you foresee any need now or in the future for support or resources that can assist you to continue to age well?

The support or resources are the lack of attaining a physical well being which was achieved sometimes with the help of loved ones.