Slide 1: Introduction

o Welcome everyone. Today, we delve into the application of Person-Centered Nursing, a

pivotal approach in modern healthcare, particularly in mental health. Our focus is on
Kelly Granger's case – a 28-year-old grappling with significant mental health challenges.
o We aim to apply the four domains of McCormack and McCance's model, addressing
Kelly’s unique needs. This approach isn't just clinical; it's about understanding and
respecting the individual behind the patient.
o This presentation will not only discuss theoretical aspects but also practical strategies,
aligning with The NMC Code and emphasizing the importance of nurse self-awareness
and emotional resilience.
o Let's begin by exploring how Person-Centered Nursing can make a real difference in
Kelly's life and in the broader context of mental health care.

Slide 2: Patient Profile

o Let's take a closer look at our case study. Kelly Granger, at 28, has already faced
numerous mental health challenges. Her journey involves frequent admissions to mental
health units due to paranoid thoughts and auditory hallucinations.
o Kelly's life has been dramatically altered by her condition. Once a Human Resources
employee, her illness has forced her to leave her job. She now lives in isolation, a stark
contrast to her previously active lifestyle where she enjoyed writing lyrics and playing
guitar.
o Our approach to Kelly's care must consider these drastic changes in her lifestyle and her
current state of social isolation.

Slide 3: McCormack and McCance Person-Centered Nursing Model

o McCormack and McCance's model of Person-Centered Nursing is a comprehensive

framework that prioritizes the patient's needs and experiences in healthcare delivery.
o The model encompasses four domains: Prerequisites, which focus on the attributes of
the caregivers; The Care Environment, emphasizing the setting of care; Person-
Centered Processes, involving the planning and delivery of care; and Outcomes, which
are the results of care.
 o This model is not just a theoretical construct; it’s a practical guide for enhancing patient
care. It stresses the importance of understanding each patient as an individual,
respecting their preferences, and actively involving them in their care journey.
o As we proceed, we’ll explore how each of these domains applies specifically to Kelly’s
scenario, offering a holistic and empathetic approach to her care.
o These scripts for the first three slides aim to provide a clear and engaging narration for
your presentation, setting the stage for a detailed exploration of Person-Centered
Nursing in the context of mental health care.

Slide 4: Domain 1 - Prerequisites

o Applying the Prerequisites domain to Kelly's care means focusing on building a strong
nurse-patient relationship. This begins with empathy, understanding Kelly's unique
situation, and actively listening to her concerns.
o Trust and rapport are crucial, especially given Kelly's isolation. Our approach must be
compassionate and patient-centered, ensuring Kelly feels heard and understood.
o Self-awareness as a nurse is key. Recognizing our own perceptions and biases allows
us to better connect with Kelly, considering her past interests and current challenges.
o This approach aligns with the NMC Code, which emphasizes effective communication
and relationship management as fundamental to nursing care.

Slide 5: Domain 2 - The Care Environment

o In the Care Environment domain, we focus on creating a space that supports Kelly’s
mental health recovery. This includes a safe, accessible, and private living environment,
tailored to her needs.
o The physical and social aspects of her care environment are important. Given her living
on the fifth floor of an inner-city block, we must consider factors like accessibility and
community support.
o As nurses, our role extends to advocating for changes that can make her environment
more supportive. This might include collaborating with community services to ensure her
living conditions aid her recovery.
o Enhancing Kelly's care environment involves practical adjustments to her living space.
This could include measures to ensure her safety and comfort, as well as reducing
factors that might trigger her paranoia.
 o It's important to collaborate with community services to provide support within her home
setting. This might involve arranging for regular check-ins or ensuring she has access to
necessary resources.
o Advocating for these changes is a vital part of person-centered care. It also aligns with
the NMC Code’s standards, which mandate a safe and effective practice environment for
all patients.

Slide 7: Domain 3 - Person-Centered Processes

o The Person-Centered Processes domain is about involving Kelly in her own care. This
means respecting her autonomy, especially regarding her treatment and medication
decisions.
o It's important to engage Kelly in shared decision-making. This includes discussing her
concerns about medication and its side effects, like weight gain, and exploring
alternative options if necessary.
o This approach not only respects Kelly’s autonomy but also adheres to ethical principles
like beneficence and non-maleficence in nursing care.
o Applying person-Centered processes in Kelly's case means actively involving her in her
care planning. This includes discussing her medication regimen and addressing her
concerns about weight gain.
o It's about setting goals together with Kelly, goals that are meaningful and achievable for
her. This could involve rekindling her interest in hobbies like writing lyrics or playing
guitar.
o This collaborative approach empowers Kelly, aligning with ethical standards and mental
health policies that support patient autonomy and well-being.

Slide 9: Domain 4 - Outcomes

o In the Outcomes domain, we focus on the results of our person-Centered care. For Kelly,
this means evaluating her mental health stability and her adherence to the treatment
plan.
o It's important to consider both clinical outcomes, like symptom management, and
personal outcomes, such as her engagement in social activities or hobbies.
o Regular assessment of these outcomes helps us understand the effectiveness of our
care strategies and make necessary adjustments.
 o This continual evaluation is crucial for ensuring that our care meets Kelly's needs and
aligns with the best practices in mental health nursing.
o Measuring outcomes for Kelly involves monitoring key indicators like her response to
medication and her engagement in social activities.
o It's also about listening to Kelly's own perceptions of her care and how it's impacting her
life. This feedback is invaluable in tailoring our approach.
o Adjusting care strategies based on these outcomes is part of a dynamic and responsive
care process, one that respects Kelly’s evolving needs.

Slide 10: Barriers and Facilitators

o In implementing person-Centered care, we often encounter barriers such as

communication challenges, stigma, and resource limitations. For Kelly, these might
manifest in her reluctance to seek help due to social stigma or communication difficulties
due to her mental health condition.
o Facilitators, on the other hand, include supportive networks and effective
communication. In Kelly’s case, this might involve leveraging her past interests to re-
engage her in social activities.
o As nurses, we must be adept at identifying and overcoming these barriers while
harnessing facilitators. This requires continuous learning, collaboration with community
services, and building resilience.
o Understanding and navigating these barriers and facilitators is key to delivering effective,
person-Centered care.

Slide 11: Ethical, Legal, and Governance Considerations

o Addressing ethical, legal, and governance considerations is crucial in Kelly's care. We

must balance her right to autonomy with her need for effective mental health treatment.
o Legally, our care must align with the Mental Health Act, ensuring Kelly's rights are
protected while providing necessary treatment.
o Governance and policy adherence, especially in mental health nursing, guide our
practice. This includes following established guidelines for treatment and care
management.
o Central to our approach are the principles of informed consent and maintaining
confidentiality, which are fundamental to ethical nursing practice.
Slide 12: The NMC Code

o Our care strategies for Kelly must align with the principles outlined in the NMC Code.
This includes prioritizing Kelly's interests and treating her with dignity and respect.
o Open and honest communication is key. We need to ensure that Kelly is fully informed
and comfortable with all aspects of her care.
o Professionalism and ethical practice underpin our approach. This means being
accountable for our decisions and actions in Kelly's care.
o Reflective practice and a commitment to continuous learning help us stay aligned with
the evolving standards of nursing care.

Slide 13: Conclusion

o In conclusion, applying the McCormack and McCance's Person-Centered Nursing model

has a significant impact on mental health care, as seen in Kelly's case.
o This model emphasizes the need for holistic, respectful, and individualized care,
ensuring that we address both the clinical and personal needs of our patients.
o Through this approach, we have explored practical and theoretical aspects of nursing
care, aligning our strategies with ethical and professional standards.
o Person-Centered care is not just beneficial for patients like Kelly; it enriches the nursing
practice as a whole, fostering a more compassionate and responsive healthcare system.