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Person-Centered Care

Unit 5 Lesson 1

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Describe the Activities of Daily Living
Define person-centered care
Describe the purpose of routine steps
Define the elements of SKWIPE
Define the elements of CLOWD

Student Learning Outcomes

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Person-Centered Care

A holistic approach that focuses on the whole person, not just medical needs
Key Elements

Autonomy

Clients make decisions about their care

Participation

Involvement in their care enhances satisfaction and outcomes

Improves health outcomes by aligning care with personal preferences and past habits

Sandquist-Reuter, 2023

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Activities of Daily Living (ADLs)

Fundamental tasks required for daily self-care
Key Components

Hygiene

Bathing and oral care reduce pathogens

Grooming

Includes shaving, hair, and nail care

Dressing

Assistance with hospital gowns and personal clothing

Sandquist-Reuter, 2023

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Activities of Daily Living (ADLs) continued…

Nutritional Intake

Helping with meals and hydration

Mobility

Assistance with walking or using mobility aids

Elimination

Toileting and incontinence care

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Activities of Daily Living (ADLs) continued…

Daily Routines

A.M. Care

Involves morning personal care routines

P.M. Care

Focuses on evening activities and preparations for sleep

Sandquist-Reuter, 2023

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Activities of Daily Living (ADLs)

Sandquist-Reuter, 2023

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Defining Person-Centered Care

Whole-Person Approach

Considers intellectual, spiritual, emotional, and physical needs

Effective Communication

Builds trust and facilitates understanding
Use respectful and age-appropriate language

Respect and Dignity

Avoid terms like “diaper” or “bib”
Respect cultural and personal beliefs

Sandquist-Reuter, 2023

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Integrating Person-Centered Care into ADLs

Personal Preferences

Routine

Adjust care times to suit individual preferences

Environment

Arrange personal items as desired by the client

Cultural Sensitivity

Be aware of and respect cultural differences

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Integrating Person-Centered Care into ADLs continued…

Promoting Independence

Encourage self-care to boost self-esteem and maintain physical function
Allow clients to make decisions about their care

Sandquist-Reuter, 2023

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Critical Thinking Question

A nurse’s aide is assigned to care for a male client who prefers to have meals at specific times and enjoys walking in the garden every afternoon. The client expressed feeling rushed during morning care routines. How should the nurse’s aide adjust their approach to ensure person-centered care for the client?

A. Complete all morning tasks quickly to give the client more time in the garden.

B. Adjust the care schedule to align with the client’s preferred meal times and allow them to participate in the garden walk.

C. Prioritize tasks based on facility schedules rather than the client’s preferences.

D. Focus on completing the care plan without alterations to maintain consistency.

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Purpose of Routine Steps in Care

Ensures consistent, quality care
Prevents missing critical care aspects
Promotes safety and reduces infection risk
Routine Steps

Maintain dignity and respect for client preferences
Ensure necessary equipment is available and ready

Sandquist-Reuter, 2023

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Critical Thinking Question

When assisting a client with ADLs, which action best demonstrates person-centered care?

A. Following a strict schedule to ensure all tasks are completed.

B. Using the same care routine for all clients to maintain consistency.

C. Asking the client how they would like their personal belongings arranged.

D. Providing care based on the nurse aide’s personal judgment.

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SKWIPE Pre-Procedural Steps

Supplies

Confirm all needed items are available to avoid interruptions

Knock

Maintain privacy and show respect by knocking before entering

Wash

Hand hygiene is crucial to prevent pathogen spread

Introduce and Identify

Properly introduce yourself and verify the client’s identity

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SKWIPE Pre-Procedural Steps continued…

Privacy

Ensure privacy with curtains and closed doors

Explain

Clearly communicate the care procedure to the client

Sandquist-Reuter, 2023

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Critical Thinking Question

During morning care a nurse aide notices that the client seems uncomfortable and hesitant about taking a shower. The client usually prefers a bath. How should the nurse’s aide proceed to provide person-centered care?

A. Encourage the client to take a shower as it’s quicker and more efficient.

B. Offer the client a choice between a shower and a bath, respecting their preference.

C. Insist on giving the shower as scheduled to maintain routine.

D. Postpone the shower and revisit the task later in the day without asking the client.

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CLOWD Post-Procedural Steps

Comfort

Check client comfort and address any needs

Light, Lock, and Low

Ensure call light is accessible
Lock bed wheels and lower the bed for safety

Open

Reopen curtains and doors for visibility and safety

Sandquist-Reuter, 2023

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CLOWD Post-Procedural Steps continued…

Wash

Perform hand hygiene to prevent cross-contamination

Document

Record any significant observations or care provided
Report unusual findings to nursing staff

Sandquist-Reuter, 2023

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Critical Thinking Question

What is the primary purpose of following the CLOWD post-procedural steps?

A. To ensure the client receives all necessary medical treatments.

B. To maintain a clean and organized environment.

C. To provide comfort, safety, and ensure proper documentation after care.

D. To complete tasks as quickly as possible to move to the next client.

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References

Sandquist-Reuter, M. (2023). Nursing Assistant. WisTech Open. https://wtcs.pressbooks.pub/nurseassist/

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