Sandy, a 93-year-old man, was admitted to the rehabilitation unit due to limited mobility following a fall at home. He has a medical history of vascular dementia, bladder cancer, and chronic kidney disease. According to a National Health Service report (NHS 2017), suffering a fall causes distress and a loss of independence and confidence, so it is the job of rehabilitation to recover these and work towards achieving independence. A study by Duffy (2013) shows that people suffering from dementia or cognitive impairment are more vulnerable to falls, so it is vital that healthcare professionals caring for older adults take a holistic approach and management in relation to falls. The rehabilitation team consisted of a wide range of healthcare professionals such as physiotherapists and occupational therapists. Elliot (2013) suggests that a supervised exercise program is essential to help patients gradually increase their physical activity along with increasing their exercise capacity. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Goals are set for each individual patient and exercises are set specifically for the patient's needs so that the rehabilitation process is safe, enjoyable and meets the patients' needs. The primary role was to promote independence and improve Sandy's mobility, ensuring she was safe in her home environment following discharge. Due to her limited mobility and age, Sandy required assistance with transfers and all aspects of personal care, including ostomy bag care. In this essay I will discuss the importance of person-centred care and its benefits, as well as the contribution of other healthcare professionals and their impact. I will conclude by discussing how I would apply both a piece of legislation and research evidence to my patient if he had a learning disability. Provision of care Person-centred care (PPC) is about treating the patient as an individual and not just their illness, while still involving them in their care and allowing them to make their own decisions if they have the capacity. Communication between nurses and patients is essential to promote recovery leading to a successful discharge. Scammmell (2017) suggests that there is no single definition of patient-centred care but there are five domains that comprise it. These five areas include information so that the patient is informed of any care or treatment they are receiving during their hospital stay. Communication so the patient feels valued and can reach out to nurses if they are worried or have questions. Decision making is made possible for the patient when treatment discussions are made clear through effective communication. Care planning and coordination are necessary due to involvement of patients' families prior to discharge Scammell (2017). PPC has health benefits for patients as they are able to build relationships with the nursing staff and makes it easier to find out their likes and dislikes, which will help promote recovery and ensure discharge is an easy and simple process. Fredricks, Lampum, and Hui (2015) state that person-centered care provided patients with the ability to be actively involved in their care and patients' needs, values, and beliefs are met. This can benefit patients' mental health during their hospital stay as they will have a more positive mindset. The first aspect isIt was getting to know the patient, I achieved this by asking Sandy questions such as his favorite name and through discussions I discovered that he preferred to sit with the lights off during the day as he preferred daylight shine. this was by ensuring that everyone on the ward knew his preferred name and that it was written on the board in his room so that other healthcare workers were aware of it. The lights were kept off until it was unsafe for him to sit in the dark. Due to Sandy's vascular dementia, it was sometimes difficult to interact and communicate with him as he often forgot what was said, so the result was that Sandy was shown respect by the nursing staff as he felt comfortable in the environment. Lindsay-Gould (2017) states that treating patients with a holistic approach and not judging the patient's values ​​and beliefs is key to person-centered care as it will make the patient feel valued and safe while being cared for. The second aspect of the PPC was to find out if Sandy could care for his urostomy bag on his own. A urostomy is when a small section of the intestine is removed and connected to the uterus. A small hole is then created on the surface of the abdomen, and the open end of the removed intestine is placed into this hole. A waterproof bag is then placed over the stoma to collect the urine (National Health Service 2015). Because Sandy indicated that she needed assistance with her stoma care, the nursing staff was able to organize a care plan specific to her needs. By explaining step by step and discussing what was being done while changing the bag, the result was that he felt more relaxed during the operation. The door to the room was closed and the curtain drawn to preserve the patients' dignity. Mendes (2015) argues that preserving the patient's dignity means treating them as valued individuals and that the attitude a nurse maintains while caring for the patient is a huge factor that promotes an individual's dignity during hospitalization. The nursing staff then showed Sandy how to empty the urostomy bag herself to promote independence. The result was that he trusted the nursing staff and, because it was a personal procedure, it allowed rapport to be built. Trust is an important factor in the nurse-patient relationship, nurses must demonstrate competence and clinical knowledge when performing a procedure because if something goes wrong the patient will feel vulnerable as the trust in the nurse-patient relationship will be broken (Bell and Duffy 2009). PPC has a positive outcome in attempting to achieve patient empowerment. Promoting independence and encouraging patients to take care of themselves will make them feel more empowered, resulting in patients being happier with the care they receive and benefiting greatly from it. Through PPC healthcare professionals are able to educate and discuss each patient's essential skills that will encourage them to be independent and confident in carrying out self-care (Phillips 2016). The importance of effective communication, successful practical teaching and teamwork are key factors in enabling patients to take care of themselves (Di Gesero 2012). Other healthcare workers were involved in Sandy's care, including physical therapists. Carr et al (2016) state that physiotherapy is used to treat various injuries, diseases and disorders by applying physical methods such as exercises to increase mobility and restore a person's quality of life. Because of theSandy's admission to hospital following a fall at home and limited mobility, physiotherapists were brought in to try to get him back to baseline level of mobility. They did this by giving Sandy exercises and walking him with different walking aids to see which was the best and safest to have at home. Carr (2017) states that a treatment plan with set goals and objectives is developed for each patient. These include maintaining the patient's range of motion by providing the correct walking aids and support on how to best position and mobilize with them so that the patient gets maximum benefit from the walking aid provided. Sandy was provided with a zimmer frame and after the contribution of the physiotherapists he was able to mobilize independently. Older People The research I found addresses the question of whether balance confidence and fear of falling are the most predictive cause of falls in older adults (Landers et al 2016). According to CriticalThe Appraisal Skills Program (CASP) needs solid research evidence should include a purpose, method, results and discussion. The objective of the article is to determine which aspects, physical and psychological, are the most predictive causes of falls in the elderly. Sixty-four participants took part in the survey, forty females and twenty-four males, all with and without pathology. Participants had to fill out a log of their past falls in the past year and how the fall occurred, whether they simply fell to the ground or were carrying out daily activities. The CASP tool states that the recruitment strategy should be appropriate for the purposes of the research and this article states that participants were recruited by distributing print media to support groups, interested participants were to contact the researcher. The recruitment process was aimed at a targeted group of individuals with a range of balance abilities aged over sixty. Individuals with an inability to read or speak English, cognitive impairment, or unstable health conditions such as hypotension were barred from participating in the balance tests. This research concludes that balance confidence was the best predictor of falls due to patients having a fear of falling again, resulting in a high risk of falls. Following the CASP tool I identified that this is a qualitative and robust research work. The legislation I have chosen is the Scottish Adults with Disability (Scotland) Act 2000 as it provides a framework for safeguarding the wellbeing and managing the finances of adults who lack capacity due to illness or conditions which may affect their status cognitive. Families are granting a power of attorney that allows them to make decisions on behalf of the incapacitated patient (Mental welfare 2017). The research and legislation would be applicable to Sandy as she is an older adult suffering from dementia. As Sandy had been admitted to the ward following a fall at home, I was able to report on the research and investigate how he fell. The goal for Sandy was to have an easy and safe discharge home. The legislation is also relevant to Sandy as she has a power of attorney in her possession for her granddaughter so that health professionals can consult her and Sandy on matters regarding her care. The ethics I considered when performing PPC on Sandy were to ensure that her privacy and dignity were maintained during her hospital stay, as well as that her values ​​and beliefs were respected. I showed respect to his family and other visitors and discussed Sandy's care with them while keeping him involved in the process,.